STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

BOSTON MEDICAL CENTER CORPORATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BOSTON MEDICAL CENTER CORPORATION (EIN 04-3314093)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-15
IRS object ID
201312279349301286
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-15T11:02:31-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1125 High StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02110ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043314093EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BOSTON MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JOHN C LINDSTEDTInCareOfName
Name ControlBOSTNameControl
Phone6174141625Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line188 EAST NEWTON STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02118ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD SILVERIAName
TitleSVP OF FINANCE AND CFOTitle
Date Signed2013-08-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePRICEWATERHOUSECOOPERS LLPName
Phone6175305000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKATHLEEN E WALSHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line188 EAST NEWTON STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02118ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1022748343GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.bmc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionBOSTON 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 Body29NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees6913TotalNbrEmployees
Total Nbr Volunteers540TotalNbrVolunteers
Total Gross UBI617183TotalGrossUBI
Net Unrelated Business Txbl Income525994NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year11421383ContributionsGrantsPriorYear
Contributions Grants Current Year10023360ContributionsGrantsCurrentYear
Program Service Revenue Prior Year944950551ProgramServiceRevenuePriorYear
Program Service Revenue CY974874396ProgramServiceRevenueCY
Investment Income Prior Year16200000InvestmentIncomePriorYear
Investment Income Current Year33542000InvestmentIncomeCurrentYear
Other Revenue Prior Year4674796OtherRevenuePriorYear
Other Revenue Current Year3826283OtherRevenueCurrentYear
Total Revenue Prior Year977246730TotalRevenuePriorYear
Total Revenue Current Year1022266039TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year19306772GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY18926551GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year443215078SalariesEtcPriorYear
Salaries Etc Current Year464959571SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY9576TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2331692TotalFundrsngExpCurrentYear
Other Expense Prior Year542567880OtherExpensePriorYear
Other Expenses Current Year519429341OtherExpensesCurrentYear
Total Expenses Prior Year1005089730TotalExpensesPriorYear
Total Expenses Current Year1003325039TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-27843000RevenuesLessExpensesPriorYear
Revenues Less Expenses CY18941000RevenuesLessExpensesCY
Total Assets BOY1638938000TotalAssetsBOY
Total Assets EOY1772798000TotalAssetsEOY
Total Liabilities BOY720441000TotalLiabilitiesBOY
Total Liabilities EOY769719000TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY918497000NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1003079000NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionBOSTON 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense887697409Expense
Revenue974874396Revenue
DescriptionSEE SCHEDULE O.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense18396091Expense
Grants18396091Grants
DescriptionBOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO ORGANIZATION WITHIN THE US.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense530460Expense
Grants530460Grants
DescriptionBOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO FOREIGN ORGANIZATIONS.Description
FieldValueIRS element (for citing)
Total Program Service Expense906623960TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficetrueForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationstrueMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondstrueInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArttrueDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096659NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees6913NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryBDNameOfForeignCountry
Name Of Foreign CountryCANameOfForeignCountry
Name Of Foreign CountryCJNameOfForeignCountry
Name Of Foreign CountryLTNameOfForeignCountry
Name Of Foreign CountryUKNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members29NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN C LINDSTEDTNamePerson
Telephone Number6174141625TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line188 EAST NEWTON STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02118ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (45 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JOEL M ABRAMS
TRUSTEE (UNTIL 6/30/12)1.0X
KAREN ANTMAN MD
TRUSTEE1.0X
JAMES M BECKER MD
trustee (UNTIL 12/31/11)1.0X0249408650791
DAVID A PASSAFARO
VICE CHAIRMAN1.0X
CHRISTINE M DUNN
TRUSTEE1.0X
WILLIAM J HALPIN JR
TRUSTEe1.0X
edmond J english
CHAIRMAN1.0X
Randi Cutler
trustee1.0X
ALYCE J LEE
vice chairman (UNTIL 6/30/12)1.0X
MARTHA S SAMUELSON
TRUSTEE1.0X
JAMES O TAYLOR MD
TRUSTEE (UNTIL 6/30/12)1.0X
Thomas ALPERIN
TRUSTEE1.0X
STEVEN d levy
TRUSTEE1.0X
LISA GUSCOTT
TRUSTEE1.0X
RICHARD SLIFKA
TRUSTEE1.0X
AZZIE YOUNG MPA PHD
TRUSTEE1.0X
barbara ferrer phd
TRUSTEE1.0X
david coleman md
TRUSTEE1.0X062032035036
SUSAN DONAHUE
TRUSTEE1.0X
JOHN T HAILER
trustee1.0X
KATHLEEN E WALSH
PRESIDENT/CEO50.0X128459399824X
PAUL EGERMAN
TRUSTEE1.0X
PEGGY KOENIG
TRUSTEE1.0X
JAMES S PHALEN
TRUSTEE1.0X
RONALD L WALKER II
TRUSTEE1.0X
MARK NUNNELLY
TRUSTEE1.0X
THEA JAMES MD
TRUSTEE1.0X26263043932
CLAIRE PERLMAN
TRUSTEE (AS OF 7/1/12)1.0X
DAVID AMENT
TRUSTEE (AS OF 7/1/12)1.0X
JAMES BLUE
TRUSTEE (AS OF 7/1/12)1.0X
SANDRA COTTERRELL
TRUSTEE (AS OF 7/1/12)1.0X
JACK CRADOCK
TRUSTEE (AS OF 7/1/12)1.0X
GERARD DOHERTY MD
TRUSTEE (AS OF 1/1/12)1.0X875000
STEPHANIE LOVELL
VP/GEN COUN/clrk UNTL 12/12/1150.060134981067X
RICHARD SILVERIA
VP FIN/CFO/TREAS50.055889545591X
DAVID BECK
VP/GEN COUN/CLK AS OF 12/13/1150.019261720808X
LISA O'CONNOR
SVP NURSING50.0453764105146X
MEG ARANOW
VP INFO TECH/CIO50.0385963117216X
RAVIN DAVIDOFF
VP MED AFFAIRS/CMO50.0589764154118X
PETER HEALY
VP PROFESSIONAL SERVICE50.034999688142X
NORMAN STEIN
VP DEVELOPMENT50.0434003157361X
THOMAS TRAYLOR
VP OF FED, STATE, LOCAL PROG25.0660391140823X
TIM MANNING
VP HR50.042479525251X
EDWARD CHRISTIANSEN JR
VP & CRO/FORMER CLERK50.028407133037X
RONALD BARTLETT
VP FIN/CFO/treaS UNTIL 2/8/110.038318515651X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6603386TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3464536TotalReportableCompFrmRltdOrgs
Total Other Compensation1213794TotalOtherCompensation
Number Individuals GT100 K1216NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BOSTON UNIVERSITY
715 ALBANY STREET SUITE 580BOSTONMA021182528SHARED RESEARCH SVCS66486746
FTI CONSULTING INC
200 STATE STREET 2ND FLOORBOSTONMA02109CONSULTING5686440
MORRISON HEALTH CARE INC
5801 PEACHTREE DUNWOODY ROADATLANTAGA30342FOOD SVCS/CAFETERIA4691409
WILLIAM A BERRY SON INC
99 CONIFER HILL DRIVEDANVERSMA01923CONSTRUCTION3721606
SUFFOLK CONSTRUCTION COMPANY
65 ALLERTON STREETBOSTONMA02119CONSTRUCTION2778306
FieldValueIRS element (for citing)
Number Of Contractors GT100 K103NumberOfContractorsGT100K
Fundraising Events2900686FundraisingEvents
Government Grants2116017GovernmentGrants
All Other Contributions5006657AllOtherContributions
Noncash Contributions1198963NoncashContributions
Total Contributions10023360TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SVC REVENUE900099886255000886255000
OTHER PROGRAM REVENUE90009943233964323396
GRANT/CONTRACT REVENUE9000998429600084296000
FieldValueIRS element (for citing)
Total Program Service Revenue974874396TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column16323000TotalRevenueColumn
Unrelated Business Revenue617183UnrelatedBusinessRevenue
Exclusion$15,705,817ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real154086Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real87961Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real66125Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column66125TotalRevenueColumn
Exclusion$66,125ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities17219000Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities17219000Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column17219000TotalRevenueColumn
Exclusion$17,219,000ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events262640GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events2900686CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses394343FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-131703TotalRevenueColumn
Exclusion-$131,703ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA7222103456873$3,456,873
PARKING812930434988$434,988
FieldValueIRS element (for citing)
Total Other Revenue3891861TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1022266039TotalRevenueColumn
Related Or Exempt Function Income974874396RelatedOrExemptFunctionIncome
Unrelated Business Revenue617183UnrelatedBusinessRevenue
Exclusion$36,751,100ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total18396091Total
Program Services18396091ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total530460Total
Program Services530460ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6695269Total
Program Services5751156ProgramServices
Management And General927375ManagementAndGeneral
Fundraising16738Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total87133Total
Program Services87133ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total358031079Total
Program Services306857301ProgramServices
Management And General49494825ManagementAndGeneral
Fundraising1678953Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total25597632Total
Program Services21988061ProgramServices
Management And General3545577ManagementAndGeneral
Fundraising63994Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total44900113Total
Program Services38568662ProgramServices
Management And General6219201ManagementAndGeneral
Fundraising112250Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total29648345Total
Program Services25467575ProgramServices
Management And General4106649ManagementAndGeneral
Fundraising74121Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total554683Total
Management And General554683ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1655838Total
Management And General1655838ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total157758Total
Program Services135852ProgramServices
Management And General21906ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total9576Total
Fundraising9576Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total47528869Total
Program Services40920187ProgramServices
Management And General6598385ManagementAndGeneral
Fundraising10297Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total937084Total
Program Services804944ProgramServices
Management And General129797ManagementAndGeneral
Fundraising2343Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14112165Total
Program Services12126506ProgramServices
Management And General1955400ManagementAndGeneral
Fundraising30259Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3340790Total
Program Services2869699ProgramServices
Management And General462739ManagementAndGeneral
Fundraising8352Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total11455870Total
Program Services11455870ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total26745789Total
Program Services22974314ProgramServices
Management And General3704611ManagementAndGeneral
Fundraising66864Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total234912Total
Program Services199123ProgramServices
Management And General32109ManagementAndGeneral
Fundraising3680Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total525005Total
Program Services448558ProgramServices
Management And General72330ManagementAndGeneral
Fundraising4117Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total18598639Total
Program Services15976009ProgramServices
Management And General2576133ManagementAndGeneral
Fundraising46497Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total60305184Total
Program Services51801434ProgramServices
Management And General8352987ManagementAndGeneral
Fundraising150763Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2469201Total
Program Services2126330ProgramServices
Management And General342871ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PHYSICIAN SERVICES102984389102984389
DIRECT RESEARCH7780521977805219
PATIENT RELATED SUPPLIES5154385451543854
PROVISION FOR BAD DEBT3049859230498592

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total67975500Total
Program Services64306641ProgramServices
Management And General3615971ManagementAndGeneral
Fundraising52888Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1003325039Total
Program Services906623960ProgramServices
Management And General94369387ManagementAndGeneral
Fundraising2331692Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY76772000BOY
EOY85056000EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY29173000EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY77442000BOY
EOY53194000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY120610000BOY
EOY130660000EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY88970000BOY
EOY87505000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2807000BOY
EOY4584000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6826000BOY
EOY6068000EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1108952000LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec683632000LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY454584000BOY
EOY425320000EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY68829000BOY
EOY94471000EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY165860000BOY
EOY180004000EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY576238000BOY
EOY676763000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1638938000BOY
EOY1772798000EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY122399000BOY
EOY135701000EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY19749000BOY
EOY18334000EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY358177000BOY
EOY354132000EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY26586000BOY
EOY43482000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY193530000BOY
EOY218070000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY720441000BOY
EOY769719000EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY600175000BOY
EOY687623000EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY301969000BOY
EOY299103000EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY16353000BOY
EOY16353000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY918497000BOY
EOY1003079000EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1638938000BOY
EOY1772798000EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses18941000ReconcilationRevenueExpenses
Reconcilation Other Changes65641000ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$157,758DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$71,569OtherActivitiesAmount
Total Lobbying Expenditures IIB229327TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE C, PART II-B, LINE 1Identifier
ExplanationBOSTON 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

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance470341198BeginningOfYearBalance
Contributions81100000Contributions
Investment Earnings Or Losses68886188InvestmentEarningsOrLosses
Other Expenditures5377065OtherExpenditures
Administrative Expenses2205212AdministrativeExpenses
End Of Year Balance612745109EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance405862208BeginningOfYearBalance
Contributions127397784Contributions
Investment Earnings Or Losses-7312698InvestmentEarningsOrLosses
Other Expenditures53911542OtherExpenditures
Administrative Expenses1694554AdministrativeExpenses
End Of Year Balance470341198EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance427693269BeginningOfYearBalance
Contributions54430640Contributions
Investment Earnings Or Losses46804363InvestmentEarningsOrLosses
Other Expenditures121360660OtherExpenditures
Administrative Expenses1705404AdministrativeExpenses
End Of Year Balance405862208EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance431600644BeginningOfYearBalance
Investment Earnings Or Losses31375895InvestmentEarningsOrLosses
Other Expenditures33917009OtherExpenditures
Administrative Expenses1366261AdministrativeExpenses
End Of Year Balance427693269EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.55000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.03000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.42000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis11291978OtherCostOrOtherBasis
Book Value11291978BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis502918290OtherCostOrOtherBasis
Depreciation169579656Depreciation
Book Value333338634BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis20739781OtherCostOrOtherBasis
Depreciation4580415Depreciation
Book Value16159366BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis58580622OtherCostOrOtherBasis
Depreciation12865346Depreciation
Book Value45715276BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis515421329OtherCostOrOtherBasis
Depreciation496606583Depreciation
Book Value18814746BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings425320000TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionDONOR RESTRICTED INVESTMENTSDescription
Book Value180004000BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities180004000TotalOfBookValueSecurities

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
OTHER LT ASSETS177907758
FUNDS HELD BY TRUSTEES32250000
FOR FUNDED DEPRECIATION340482000
BOND INDENTURE54732000
NONCURRENT NOTES RECEIVABLE8744000
INVESTMENT IN OTHER VENTURES23971242
INSURANCE RECOVERY RECEIVABLES38676000
FieldValueIRS element (for citing)
Total Book Value Other Assets676763000TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
EST SETTLEMENT W/3RD PARTY PAY$28,889,000
LT DEBT AND OBL-CAPITAL LEASE$63,256,000
OTHER LONG-TERM LIABILITIES$34,441,370
LT ADDITIONAL PENSION LIABILIT$52,807,630
PROFESSIONAL LIABILITY CLAIMS$38,676,000
FieldValueIRS element (for citing)
Total Of Amounts218070000TotalOfAmounts
Total Revenue1022266039TotalRevenue
Total Expenses1003325039TotalExpenses
Excess Or Deficit For Year18941000ExcessOrDeficitForYear
Net Unrealized GL On Investments36683000NetUnrealizedGLOnInvestments
Other$28,958,000OtherAmount
Total Adjustments65641000TotalAdjustments
Excess Or Deficit Per FS84582000ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1059037000TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments36683000NetUnrealizedGainsInvestments
Revenue Not Rptd F99036683000RevenueNotRptdF990
Revenue Subtotal1022354000RevenueSubtotal
Other Revenues Not Included-87961OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-87961RevenueNotRptdOnFinStmt
Total Revenue Per Form9901022266039TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1003413000TotExpensesEtcAuditedFinclStmt
Other Expenses Included87961OtherExpensesIncluded
Expenses Not Rptd F99087961ExpensesNotRptdF990
Expenses Subtotal1003325039ExpensesSubtotal
Total Expenses Per Form9901003325039TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE D, PART V, LINE 4 - GENERAL ENDOWMENTIdentifier
ExplanationTHE 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 8 TRANSFER FROM BMCHP $ 50,000,000 CHANGE IN ASSISTANCE WITH CITY OF BOSTON ($ 18,060,000) PENSION RELATED CHANGES OTHER THAN PERIODIC PENSION COSTS ($ 2,982,000) ------------- TOTAL ($ 28,958,000) SCHEDULE D, PART XII, LINE 4B RENTAL EXPENSE ($ 87,961) SCHEDULE D, PART XIII, LINE 2D RENTAL EXPENSE $ 87,961Explanation

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedtrueGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (8 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpendituresNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesSpecific Services ProvidedSpecificServicesProvided
East Asia and the PacificGrantmaking118295
North AmericaGrantmaking50000
Russia and the Newly Independent StatesGrantmaking105863
Sub-Saharan AfricaGrantmaking207653
Central America and the CaribbeanInvestments20452005
North AmericaInvestments36994698
Europe (Including Iceland and Greenland)Investments658770
Sub-Saharan AfricaProgram Services2835128HEALTH SVCS TRAINING
FieldValueIRS element (for citing)
Subtotal Number Of Offices2SubtotalNumberOfOffices
Subtotal Number Of Employees8SubtotalNumberOfEmployees
Total Number Of Offices2TotalNumberOfOffices
Total Number Of Employees8TotalNumberOfEmployees
Subtotal Amount Spent58615635SubtotalAmountSpent
Total Amount Spent58615635TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS (7 entries)

RegionRegionAmount Of Cash GrantAmountOfCashGrantManner Of Cash DisbursementMannerOfCashDisbursement
East Asia/Pacific102295WIRE TRANSFR
East Asia/Pacific16000WIRE TRANSFR
North America50000WIRE TRANSFR
Russia105863WIRE TRANSFR
Sub-Saharan Africa34649WIRE TRANSFR
Sub-Saharan Africa28351WIRE TRANSFR
Sub-Saharan Africa173004WIRE TRANSFR
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs0TotalNumberOf501c3Orgs
Total Number Of Other Orgs7TotalNumberOfOtherOrgs
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershiptrueForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE F, PART I, LINE 2THE 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 1FOREIGN EXPENDITURES ARE SEPARATELY IDENTIFIED ON THE ORGANIZATION'S GENERAL LEDGER.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingtrueAgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

FieldValueIRS element (for citing)
Name Of IndividualOPEN HEARTS INCNameOfIndividual
ActivityCATWALK FOR CANCER CAREActivity
Fundraiser Control Of FundstrueFundraiserControlOfFunds
Gross Receipts63837GrossReceipts
Amount Retained By Contractor9576AmountRetainedByContractor
Net To Organization54262NetToOrganization
FieldValueIRS element (for citing)
Total Gross Receipts63837TotalGrossReceipts
Total Retained By Contractors9576TotalRetainedByContractors
Total Net To Organization54262TotalNetToOrganization
Licensed StatesMELicensedStates
Licensed StatesMALicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event12193064GrossReceiptsEvent1
Charitable Contributions Event11981820CharitableContributionsEvent1
Gross Revenue Event1211244GrossRevenueEvent1
Rent Facility Costs Event120000RentFacilityCostsEvent1
Food And Beverage Event1138997FoodAndBeverageEvent1
Entertainment Event152356EntertainmentEvent1
Other Direct Expenses Event167537OtherDirectExpensesEvent1
Name Of Event2FOOD FOR THOUGHNameOfEvent2
Gross Receipts Event2764150GrossReceiptsEvent2
Charitable Contributions Event2744550CharitableContributionsEvent2
Gross Revenue Event219600GrossRevenueEvent2
Food And Beverage Event239958FoodAndBeverageEvent2
Entertainment Event214362EntertainmentEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events206112GrossReceiptsOtherEvents
Charitable Contrib Other Events174316CharitableContribOtherEvents
Gross Revenue Other Events31796GrossRevenueOtherEvents
Rent Facility Costs Other Events61133RentFacilityCostsOtherEvents
Gross Receipts Total3163326GrossReceiptsTotal
Charitable Contributions Total2900686CharitableContributionsTotal
Gross Revenue Total Events262640GrossRevenueTotalEvents
Rent Facility Costs Total Events81133RentFacilityCostsTotalEvents
Food And Beverage Total Events178955FoodAndBeverageTotalEvents
Entertainment Total Events66718EntertainmentTotalEvents
Other Direct Expenses Total Events67537OtherDirectExpensesTotalEvents
Direct Expense Summary Events394343DirectExpenseSummaryEvents
Net Income Summary-131703NetIncomeSummary

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line188 EAST NEWTON STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02118ZIPCode

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CarefalseFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served79072PersonsServed
Total Community Benefit Expense97023736TotalCommunityBenefitExpense
Direct Offsetting Revenue65279801DirectOffsettingRevenue
Net Community Benefit Expense31743935NetCommunityBenefitExpense
Percent Of Total Expense0.03260PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served296450PersonsServed
Total Community Benefit Expense327408647TotalCommunityBenefitExpense
Direct Offsetting Revenue271278578DirectOffsettingRevenue
Net Community Benefit Expense56130069NetCommunityBenefitExpense
Percent Of Total Expense0.05770PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served375522PersonsServed
Total Community Benefit Expense424432383TotalCommunityBenefitExpense
Direct Offsetting Revenue336558379DirectOffsettingRevenue
Net Community Benefit Expense87874004NetCommunityBenefitExpense
Percent Of Total Expense0.09030PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense16840593TotalCommunityBenefitExpense
Direct Offsetting Revenue5083819DirectOffsettingRevenue
Net Community Benefit Expense11756774NetCommunityBenefitExpense
Percent Of Total Expense0.01210PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense55988484TotalCommunityBenefitExpense
Direct Offsetting Revenue13276828DirectOffsettingRevenue
Net Community Benefit Expense42711656NetCommunityBenefitExpense
Percent Of Total Expense0.04390PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs674NumberOfActivitiesOrPrograms
Total Community Benefit Expense93716962TotalCommunityBenefitExpense
Direct Offsetting Revenue93716962DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense81657TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense81657NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs674NumberOfActivitiesOrPrograms
Total Community Benefit Expense166627696TotalCommunityBenefitExpense
Direct Offsetting Revenue112077609DirectOffsettingRevenue
Net Community Benefit Expense54550087NetCommunityBenefitExpense
Percent Of Total Expense0.05610PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs674NumberOfActivitiesOrPrograms
Persons Served375522PersonsServed
Total Community Benefit Expense591060079TotalCommunityBenefitExpense
Direct Offsetting Revenue448635988DirectOffsettingRevenue
Net Community Benefit Expense142424091NetCommunityBenefitExpense
Percent Of Total Expense0.14640PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense74012TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense74012NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense15930000TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense15930000NetCommunityBuildingExpense
Percent Of Total Expense0.01640PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense788092TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense788092NetCommunityBuildingExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense7668322TotalCommunityBuildingExpense
Direct Offsetting Revenue6989217DirectOffsettingRevenue
Net Community Building Expense679105NetCommunityBuildingExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense562320TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense562320NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense708384TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense708384NetCommunityBuildingExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense25731130TotalCommunityBuildingExpense
Direct Offsetting Revenue6989217DirectOffsettingRevenue
Net Community Building Expense18741913NetCommunityBuildingExpense
Percent Of Total Expense0.01930PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$25,851,436BadDebtExpenseAmount
Amount Reimbursed By Medicare192027366AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare164307874CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall27719492MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1BOSTON MEDICAL CENTERBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line188 EAST NEWTON STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02118ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours
OtherREHABILITATION UNIT (CLOSED 7/1/12)Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BOSTON MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Uninsured DiscountXUninsuredDiscount
Other FactorsXOtherFactors
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
MARGARET M SHEA RN ADULT HEALTH PROGRAM
229 RIVER STREETMATTAPANMA02126ADULT DAYCARE
SUPPORTING PARENTS & RESILIENT KIDS CTR
255 RIVER STREETMATTAPANMA02126THERAPEUTIC CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
IntroductionTHE 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 73% OF OUR PATIENT VISITS COME FROM UNDERSERVED POPULATIONS, THE LOW-INCOME AND ELDERLY, WHO RELY ON GOVERNMENT PAYORS SUCH AS MEDICAID, THE HEALTH SAFETY NET AND MEDICARE FOR THEIR COVERAGE, AND 30 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, INTERPRETER SERVICES, AND A FOOD PANTRY, HELP REDUCE BARRIERS TO ACCESSING HEALTH SERVICES AND ELIMINATE DISPARITIES IN HEALTH CARE AMONG THE VARIOUS POPULATIONS BMC SERVES. WITH MORE THAN 26,132 ADMISSIONS AND 858,980 PATIENT VISITS IN FY12, BMC PROVIDES A COMPREHENSIVE RANGE OF INPATIENT, CLINICAL AND DIAGNOSTIC SERVICES IN MORE THAN 70 AREAS OF MEDICAL SPECIALTIES AND SUBSPECIALTIES. THE LARGEST 24-HOUR LEVEL I TRAUMA CENTER IN NEW ENGLAND, BMC'S EMERGENCY DEPARTMENT HAD 129,714 VISITS IN FY12. 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. BMC'S 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 BMC'S PATIENTS HAVE INCOMES BELOW THE FEDERAL POVERTY LEVEL. * U.S. CENSUS BUREAU, 2010 AMERICAN COMMUNITY SURVEY. ACCORDING TO THE 2011 MASSACHUSETTS HEALTH INSURANCE SURVEY (WHICH INCLUDES DATA FROM 2008-2011), 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 BMC'S PATIENTS, NEARLY 9.2% ARE UNINSURED, AND COVERAGE RATES FOR PRIMARY INSURANCE WERE APPROXIMATELY: 35.6% MEDICAID; 31.2% PRIVATE OR OTHER INSURANCE (EMPLOYER SPONSORED AND OTHER); AND 24% PUBLIC.
LINE 1: REQUIRED DESCRIPTIONSORGANIZATION 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 $30,498,592.PART I, LINE 3C
PART IIBMC CONTRIBUTES TO THE COMMUNITY THROUGH ITS PAYMENT OF LINKAGE FEES TO THE CITY OF BOSTON, WHICH FUND PROGRAMS FOR AFFORDABLE HOUSING AND NEIGHBORHOOD HEALTH CARE. BMC ALSO PROVIDES SUBSIDIES TO BOSTON HEALTHNET, WHICH SUPPORTS COMMUNITY-BASED SERVICES. PHYSICIAN IMPROVEMENTS AND HOUSING: ACCORDING TO THE DEVELOPMENT IMPACT PROJECT AGREEMENT FOR MOAKLEY MEDICAL SERVICES BUILDING PROJECT BETWEEN BOSTON MEDICAL CENTER AND THE BOSTON REDEVELOPMENT AUTHORITY IN 2005, BMC AGREES TO PAY SEVEN EQUAL ANNUAL LINKAGE FEES ENDING IN 2012 OF $74,012 TO THE NEIGHBORHOOD HOUSING TRUST TOTALING $518,000. BOSTON MEDICAL CENTER HAS AGREEMENTS WITH BOSTON ALLIANCE FOR COMMUNITY HEALTH. ACCORDING TO THE VARIOUS AGREEMENTS, BMC HAS AGREED TO PAY LINKAGE FEES OF $29,350 FOR FIVE YEARS ENDING IN FISCAL YEAR 2013 TOTALING TO $146,750; $17,542 FOR FIVE YEARS ENDING IN 2013 TOTALING TO $87,710; AND $16,700 AND $4,500 IN FISCAL YEAR 2012. 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 EFFECTIVE SEPTEMBER 30, 2010. COMMENCING NOVEMBER 1, 2011, 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 2012 EXPENSE RELATED TO THE FORGIVENESS OF THIS LOAN WAS $720,000. 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 SUCH AS PROVIDING FREE SHUTTLE SERVICES FOR PATIENTS, PAYMENT FOR PHYSICIAN SERVICES UNDER CONTRACT AND JOINT HIRES OF PHYSICIANS.
PART III, LINE 3THE 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 THERE IS NO FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS. BAD DEBT EXPENSE IS EQUAL TO THE CHANGE IN THE ACCOUNT RECEIVABLE RESERVE FOR UNCOLLECTIBLE ACCOUNTS. THE AMOUNT OF THE ACCOUNT RECEIVABLE RESERVE CONSIDERS THE ACCOUNT'S AGE AND PAYOR SOURCE WHEN DETERMINING THE LIKELIHOOD OF PAYMENT. THE RATE OF COST TO CHARGES (RCC) METHODOLOGY WAS USED FOR DETERMINING BAD DEBT EXPENSE DUE TO THE LACK OF A COST ACCOUNTING SYSTEM. THE HOSPITAL'S OPERATING LOSS HAS BEEN INCLUDED AS A COMMUNITY BENEFIT. THIS IS DUE TO THE HOSPITAL'S UNIQUE PROGRAMS AND DIVERSE AND UNDERSERVED PATIENT POPULATION. PART III, LINE 8 MEDICARE ALLOWABLE COSTS OF $164,307,874 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 BOSTON MEDICAL CENTER ALSO OPERATES THE FOLLOWING OUTPATIENT CENTERS, WHICH ARE UNDER THE HOSPITAL'S LICENSE: CODMAN SQUARE HEALTH CENTER CHARLESTOWN HS STUDENT HEALTH CENTER BRIGHTON HIGH SCHOOL STUDENT HEALTH CENTER BOSTON MEDICAL CENTER RADIOLOGY AT RYAN CENTER BOSTON UNIVERSITY EAST BOSTON NEIGHBORHOOD HEALTH CENTER (10 GROVE ST.) EAST BOSTON NEIGHBORHOOD HEALTH CENTER (20 MAVERICK SQ.) DORCHESTER HOUSE MULTI-SERVICE CENTER MADISON PARK HS 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 BOSTON MEDICAL CENTER RADIOLOGY AT MATTAPAN COMM. HEALTH CTR. - AS OF 11/9/12 JOHN D. O'BRYANT STUDENT HEALTH CENTER MURIEL SNOWDEN INTERNATIONAL HS HEALTH CENTER BOSTON MEDICAL CENTER SCHOOL BASED CENTER AT BOSTON COMMUNITY LEADERSHIP ACADEMY ELDER SERVICE PLAN DISPENSING PHARMACY SOUTH BOSTON COMMUNITY HEALTH CENTER (386 WEST BROADWAY) SOUTH BOSTON COMMUNITY HEALTH CENTER (409 WEST BROADWAY) PART V, SECTION B, LINE 11H 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 19D BY THE DEFINITION OF OUR 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.
LINE 2: NEEDS ASSESSMENTIS BASED ON DEMONSTRATED NEED. THE MEDICAL LEGAL PARTNERSHIP I BOSTON (MLP) IS ONE OF MANY EXAMPLES OF HOW DEMONSTRATED NEED INFORMS BMC (BMC) COMMUNITY HEALTH IMPROVEMENT ACTIVITIES AND SERVICES. IN 1993, CLINICIANS WITHIN THE DEPARTMENT OF PEDIATRICS UNDERSTOOD THAT NUTRITION AND HOME ENERGY WERE ROOT CAUSES OF POOR HEALTH AND DEVELOPMENT AMONG THEIR PREDOMINANTLY LOW-INCOME PEDIATRIC PATIENTS. IN RESPONSE, MLP INITIATED THE "ENERGY CLINIC" IN 2006 TO PROVIDE TARGETED ADVOCACY AROUND ISSUES OF NUTRITION AND HOME ENERGY. TODAY, MLP IS A NATIONAL LEADER IN MEDICAL-LEGAL COLLABORATION TO ADDRESS THE ROOT CAUSES OF PEDIATRIC POOR HEALTH AND DEVELOPMENT. MLP SEEKS TO IMPROVE THE HEALTH AND WELLBEING OF PEOPLE IN POVERTY BY ADDRESSING THE NON-MEDICAL BARRIERS TO HEALTH FACED BY LOW-INCOME INDIVIDUALS. MLP ALLIES LAWYERS AND HEALTH PROFESSIONALS AND CREATES ACCESS TO LEGAL SERVICES IN THE CLINICAL SETTING TO ENSURE THAT LOW-INCOME PATIENTS' BASIC NEEDS-FOR FOOD, HOUSING, EDUCATION, HEALTH CARE, AND SAFETY/STABILITY-ARE MET. THE NATIONAL MLP NETWORK NOW EXTENDS TO MORE THAN 80 SITES ACROSS THE COUNTRY, SPANNING BOTH URBAN AND RURAL COMMUNITIES.BMC'S ASSESSMENT OF THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES
LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHEM IN APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER SOME OR ALL OF THEIR UNPAID HOSPITAL BILLS. IN ORDER TO HELP UNINSURED AND UNDERINSURED PATIENTS FIND AVAILABLE AND APPROPRIATE FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL PROVIDE ALL PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE BILLS THAT ARE SENT TO PATIENTS AS WELL AS IN GENERAL NOTICES THAT ARE POSTED THROUGHOUT THE HOSPITAL. THE GOAL OF THESE NOTICES IS TO ASSIST PATIENTS IN APPLYING FOR COVERAGE WITHIN A FINANCIAL ASSISTANCE PROGRAM, SUCH AS MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, OR MEDICAL HARDSHIP THROUGH THE HEALTH SAFETY NET. THE HOSPITAL WILL PROVIDE, UPON REQUEST, SPECIFIC INFORMATION ABOUT THE ELIGIBILITY PROCESS TO BE A LOW INCOME PATIENT UNDER EITHER THE MASSACHUSETTS HEALTH SAFETY NET PROGRAM OR ADDITIONAL ASSISTANCE FOR PATIENTS WHO ARE LOW INCOME THROUGH THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL WILL ALSO NOTIFY THE PATIENT ABOUT AVAILABLE PAYMENT PLANS THAT MAY BE AVAILABLE TO THEM BASED ON THEIR FAMILY'S SIZE AND INCOME. THE HOSPITAL WILL TRY TO IDENTIFY AVAILABLE COVERAGE OPTIONS FOR PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED WITH THEIR CURRENT INSURANCE PROGRAM WHEN THE PATIENT IS SCHEDULING THEIR SERVICES, WHILE THE PATIENT IS IN THE HOSPITAL, UPON DISCHARGE, AND FOR A REASONABLE TIME FOLLOWING DISCHARGE FROM THE HOSPITAL. THE HOSPITAL REGISTRATION AND ADMISSIONS STAFF WILL DIRECT ALL PATIENTS SEEKING AVAILABLE COVERAGE OPTIONS OR FINANCIAL ASSISTANCE, TO THE HOSPITAL'S PATIENT FINANCIAL COUNSELING OFFICE TO DETERMINE IF THEY ARE ELIGIBLE AND THEN TO SCREEN FOR ELIGIBILITY IN AN APPROPRIATE COVERAGE OPTION. THE HOSPITAL WILL THEN ASSIST THE PATIENT IN APPLYING FOR THE APPROPRIATE COVERAGE OPTIONS THAT ARE AVAILABLE OR NOTIFY THEM OF THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL WILL ALSO PROVIDE INFORMATION ON HOW TO CONTACT THE APPROPRIATE STAFF WITHIN THE HOSPITAL'S PATIENT FINANCIAL SERVICES DEPARTMENT (PFS) TO VERIFY THE ACCURACY OF THE HOSPITAL BILL OR TO DISPUTE CERTAIN CHARGES. THE HOSPITAL WILL POST A NOTICE (SIGNS) OF AVAILABILITY OF FINANCIAL ASSISTANCE AS OUTLINED IN THIS CREDIT AND COLLECTION POLICY 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 IS 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 PFS STAFF WILL NOTIFY THE PATIENT IF THEY MAY 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 HOSPITAL'S OWN INTERNAL CRITERIA FOR FINANCIAL ASSISTANCE. FOR CASES WHERE THE HOSPITAL IS USING THE VIRTUAL GATEWAY (STATE'S PORTAL) APPLICATION, THE HOSPITAL WILL ASSIST THE PATIENT IN COMPLETING THE APPLICATION FOR MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, OR OTHER FORMS OF FINANCIAL ASSISTANCE PROGRAMS AS THEY BECOME PART OF THE VIRTUAL GATEWAY PROGRAM. 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 CREOLEFOR THOSE PATIENTS WHO ARE UNINSURED OR UNDERINSURED, BMC WILL ASSIST
LINE 4: COMMUNITY INFORMATIONLINE 5: PROMOTION OF COMMUNITY HEALTH SPECIAL SUPPORT FOR CHILDREN AND FAMILIES: 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. CHILDREN'S HEALTH WATCH (CHW): CHW IS A NON-PARTISAN PEDIATRIC RESEARCH CENTER THAT MONITORS THE IMPACT OF ECONOMIC CONDITIONS AND PUBLIC POLICIES ON THE HEALTH AND WELL-BEING OF VERY YOUNG CHILDREN. CHW INTERVIEWS FAMILIES WITH YOUNG CHILDREN IN FIVE HOSPITALS ACROSS THE NATION, INCLUDING BMC (5,000 PATIENT INTERVIEWS IN FY12), THAT SERVE THE POOREST FAMILIES. THE DATABASE OF MORE THAN 50,000 CHILDREN, 80 PERCENT OF WHOM ARE MINORITIES, IS THE LARGEST CLINICAL DATABASE IN THE NATION ON VERY YOUNG CHILDREN LIVING IN POVERTY. DATA ARE COLLECTED ON A WIDE VARIETY OF ISSUES, INCLUDING DEMOGRAPHICS, FOOD SECURITY, PUBLIC BENEFITS, HOUSING, HOME ENERGY, AND CHILDREN'S HEALTH STATUS AND DEVELOPMENTAL RISK. WE SEEK TO PROVIDE POLICY MAKERS AND ADVOCACY GROUPS WITH THE EVIDENCE THEY NEED TO SHAPE POLICIES THAT PREVENT CHILD HUNGER AND PROMOTE CHILDREN'S HEALTH. PEDIATRIC ASSESSMENT OF COMMUNICATION CLINIC (THE AUTISM CLINIC): SINCE 2003, THE AUTISM CLINIC HAS PROVIDED EVALUATIONS AND ONGOING CARE FOR CHILDREN OF ALL AGES WHEN THERE IS A PEDIATRICIAN CONCERN ABOUT AUTISM SPECTRUM DISORDER (ASD) AND RELATED CONDITIONS, OR WHEN THEY HAVE A PREVIOUS DIAGNOSIS OF ASD. THE PRIMARY SERVICE PROVIDED BY THE AUTISM CLINIC STAFF IS EDUCATIONAL ADVOCACY. THE AUTISM CLINIC'S EDUCATIONAL SPECIALIST PROVIDES DIRECT SUPPORT SERVICES TO PRIMARILY LOW-INCOME AND/OR IMMIGRANT FAMILIES WHO HAVE LIMITED ENGLISH PROFICIENCY AND ARE MOST CHALLENGED BY THE COMPLEX REGULATIONS GOVERNING THE SPECIAL EDUCATION SYSTEM. AS NEEDED, HE/SHE TRAVELS TO CLASSROOMS TO OBSERVE YOUNG PATIENTS WITH ASD AND TO HELP FAMILIES ACCESS THE PROPER SPECIAL EDUCATION PLACEMENT FOR THEIR CHILDREN MUCH FASTER THAN THESE FAMILIES COULD MANAGE ON THEIR OWN. IN FY12, THE AUTISM CLINIC EVALUATED APPROXIMATELY 600 NEW PATIENTS AND PROVIDED REGULAR FOLLOW-UP (AT LEAST TWICE PER YEAR) TO AN ADDITIONAL 1,000 FAMILIES. 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 BMC-DEVELOPED CURRICULUM. 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 334 PATIENTS IN FY12. SUPPORTING PARENTS AND RESILIENT KIDS CENTER (SPARK): SPARK IS A THERAPEUTIC DAY PROGRAM FOR BOSTON'S 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 PROVIDE 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 100 CHILDREN ANNUALLY WHO LIVE IN GREATER BOSTON NEIGHBORHOODS. SPARK HELPS CHILDREN TO BUILD POSITIVE SOCIAL NETWORKS, POSITIVE SELF-REGARD AND COMMUNITY BELONGING. ADDITIONALLY, THE PROGRAM PROVIDES PARENTING EDUCATION AND SUPPORT. MEDICAL LEGAL PARTNERSHIP | BOSTON (MLP BOSTON): MLP BOSTON SEEKS TO IMPROVE THE HEALTH AND WELLBEING OF PEOPLE LIVING IN POVERTY BY ADDRESSING THE NON-MEDICAL BARRIERS TO HEALTH THAT LOW-INCOME INDIVIDUALS SO OFTEN FACE. MLP BOSTON ALLIES LAWYERS AND HEALTH PROFESSIONALS AND CREATES ACCESS TO LEGAL SERVICES IN THE CLINICAL SETTING TO ENSURE THAT LOW-INCOME PATIENTS' BASIC NEEDS-FOR FOOD, HOUSING, EDUCATION, HEALTH CARE, AND SAFETY/STABILITY-ARE MET. PRIOR TO SPINNING OFF FROM BMC IN JULY 2012, MLP BOSTON SERVED 586 INDIVIDUALS. 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.SEE INTRODUCTION.
PEDIATRIC COMPREHENSIVE CARE PROGRAM (PEDIATRIC CCP): THE COMPREHENSIVECHILDREN WITH SPECIAL HEALTH CARE NEEDS AND THEIR FAMILIES. 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 CHILDREN'S NEEDS AND ATTEMPT TO MAINTAIN STABILITY FOR THEIR FAMILIES. THE CCP, WITH ITS MULTIDISCIPLINARY APPROACH, SEES 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. INJURY PREVENTION CHILD PROTECTION TEAM (CPT): A SPECIAL SERVICES DIVISION OF THE DEPARTMENT OF PEDIATRICS, CPT SERVES ALL OF BMC'S 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. CPT COLLABORATES WITH COMMUNITY AND STATE AGENCIES, LAW ENFORCEMENT PERSONNEL AND THE JUDICIARY SYSTEM TO ENSURE THE BEST POSSIBLE OUTCOME FOR CHILDREN AND FAMILIES. CHILD WITNESS TO VIOLENCE PROJECT (CWVP): CWVP IS A NATIONALLY-RECOGNIZED AND AWARD-WINNING COUNSELING, OUTREACH, AND CONSULTATION PROGRAM THAT FOCUSES ON CHILDREN UNDER THE AGE OF EIGHT WHO HAVE BEEN EXPOSED TO DOMESTIC OR COMMUNITY VIOLENCE. THE CWVP OFFERS A FLEXIBLE COMBINATION OF SERVICES TO CHILDREN AND THEIR FAMILIES, INCLUDING: INTENSIVE TRAUMA-FOCUSED COUNSELING THAT IS DEVELOPMENTALLY TAILORED TO VERY YOUNG CHILDREN AND THEIR PARENTS; ACCESS TO LEGAL ADVOCACY; AND ASSISTANCE WITH LINKING TO OTHER NECESSARY SERVICES INCLUDING HEALTH CARE, CHILD CARE, HOUSING, AND AFTER-SCHOOL PROGRAMS. IN FY12, THE CWVP PROVIDED TRAUMA-FOCUSED COUNSELING SERVICES TO 90 CHILDREN, AND BRIEF CONSULTATION/ADVOCACY FOR AN ADDITIONAL 200 FAMILIES. THE TRAINING/CLINICAL CONSULTATION COMPONENT OF THE PROGRAM DELIVERED 100 TRAININGS ACROSS MASSACHUSETTS AND 12 STATES. 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. THE DVP SERVED APPROXIMATELY 360 INDIVIDUALS IN FY12 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. 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 FY12, VIAP PROVIDED SERVICES TO A TOTAL OF 499 VICTIMS: 197 GUNSHOT VICTIMS AND 302 STABBING VICTIMS. OF THESE VICTIMS, 58 WERE FEMALE. VIAP PROVIDED THE FOLLOWING DIRECT SERVICES AND REFERRALS TO SERVICES TO VICTIMS AND 34 OF ASSOCIATED FAMILIES: CRISIS INTERVENTION AND STABILIZATION; HOUSING AND TRANSPORTATION; LEGAL; EDUCATIONAL; VOCATIONAL AND LIFE SKILLS DEVELOPMENT; MENTAL HEALTH; EMPLOYMENT; AND HEALTH AND WELLNESS. COMMUNITY OUTREACH CANCER SCREENINGS: BMC OFFERS AN ANNUAL FREE CANCER SCREENING EVENT 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 SATURDAY CANCER SCREENINGS EFFECTIVELY REACH OUR TARGET POPULATION BECAUSE THEY CREATE A CONVENIENT TIME FOR PEOPLE WHO WORK TO ACCESS SCREENINGS, AND ALLOW HUSBANDS AND WIVES TO SUPPORT EACH OTHER AS THEY BOTH ARE SCREENED. ON MARCH 31, 2012, BMC HELD ITS ANNUAL SATURDAY CANCER SCREENING EVENT. A TOTAL OF 138 PEOPLE FROM GREATER BOSTON ATTENDED THIS EVENT, WHERE A TOTAL OF 249 INDIVIDUAL EXAMS WERE GIVEN AT NO OUT-OF-POCKET COSTS TO PARTICIPANTS.CARE PROGRAM IN THE DEPARTMENT OF PEDIATRICS SERVES APPROXIMATELY 300
A SAFETY NET FOR SPECIAL AT-RISK POPULATIONSTHE METRO BOSTON JAIL DIVERSION PROGRAM (JDP): SINCE 2006, THE JDP HAS WORKED WITH 719 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 JDP 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 JDP IS TRAINING 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, 74 JDP PARTICIPANTS HAVE SUCCESSFULLY COMPLETED PROBATION RATHER THAN BEING INCARCERATED. 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 FY12, THE BCRHHR SERVED 460 PATIENTS. 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 FY12, ELAHP PROVIDED HOUSING SEARCH AND PLACEMENT TO 8 HOMELESS OLDER ADULTS, AND HOUSING STABILIZATION SERVICES TO AN ADDITIONAL 70 ELDERS. NONE OF THE VULNERABLE CLIENTS SERVED DURING THE YEAR RELAPSED INTO HOMELESSNESS, ALTHOUGH TWO INDIVIDUALS DID REQUIRE NURSING HOME PLACEMENT DUE TO SIGNIFICANT DECLINES IN THEIR COGNITIVE ABILITIES. HEALTHY NUTRITION AND EXERCISE 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 2012, THE PANTRY PROVIDED NUTRITIOUS FOOD FOR 82,846 GREATER BOSTON RESIDENTS. APPROXIMATELY 10,000 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. GROW CLINIC: AS PART OF BMC'S 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 2012, THE GROW CLINIC PROVIDED MEDICAL TREATMENT, NUTRITIONAL ASSESSMENT, HOME HEALTH EDUCATION, FAMILY ADVOCACY, ACCESS TO A THERAPEUTIC FOOD PANTRY, CHILDREN'S CLOTHES, DIAPERS, BOOKS AND EDUCATIONAL TOYS AMONG OTHER SERVICES. AT ANY GIVEN TIME THERE ARE APPROXIMATELY 240-250 CHILDREN BEING TREATED IN-CLINIC, 36% OF WHOM ARE 12 MONTHS OF AGE OR YOUNGER. 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 A YEAR AGO. BWELL SERVES NEARLY 200 FAMILIES PER MONTH, A NUMBER THAT HAS GROWN STEADILY SINCE ITS INCEPTION AND IS EXPECTED TO CONTINUE TO GROW. BASIC NEEDS CLOTHING BANK: BMC'S 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 WINTERCOATS) FOR A LOW-INCOME PATIENT.
SOCIAL WORK EMERGENCY FUND (SWEF): SWEF PROVIDED SHORT-TERM, IMMEDIATEASSISTANCE TO PATIENTS WHO FACED CRISES. IN FY12, SWEF SUPPORTED THE COST OF EMERGENCY EXPENSES, SUCH AS CAB VOUCHERS FOR THOSE UNABLE TO ACCESS PUBLIC TRANSPORTATION TO GET TO BMC, AND CAR SEATS AND CLOTHING FOR FAMILIES. SWEF'S SOCIAL WORKERS HELPED INDIVIDUALS AND FAMILIES CONNECT TO RESOURCES AND SERVICES THAT THEY NEEDED IN ORDER TO STABILIZE THEIR LIVES AFTER PERSONAL CRISES. SWEF HAS THE FLEXIBILITY TO PROVIDE FOR A RANGE OF NEEDS IN RESPONSE TO A NUMBER OF UNIQUE SITUATIONS WHEN, TOO OFTEN, INDIVIDUALS AND FAMILIES HAVE NO ALTERNATIVE SUPPORTS. 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. REMOVING BARRIERS TO ACCESSING CARE NEW ENGLAND FLIGHT: BMC IS A BOSTON MEDFLIGHT (BMF) PARTNER. BMF IS A COMMISSION ON ACCREDITATION OF MEDICAL TRANSPORT SERVICES (CAMTS) ACCREDITED CRITICAL CARE TRANSPORT SERVICE. BOSTON MEDFLIGHT COMMITS TO EXCELLENCE IN CRITICAL CARE TRANSPORT BY PROVIDING THE HIGHEST QUALITY REGIONAL CRITICAL CARE TRANSPORT SYSTEM. AS A NON-PROFIT ORGANIZATION, BOSTON MEDFLIGHT TRANSPORTS EMERGENT PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND IS FINANCIALLY SUPPORTED IN PART BY A CONSORTIUM OF BOSTON HOSPITALS INCLUDING BMC. FOR OVER 25 YEARS, BOSTON MEDFLIGHT HAS PLAYED AN INTEGRAL ROLE AS PART OF THE MASSACHUSETTS EMS SYSTEM AND THE COMMUNITY HOSPITALS OF NEW ENGLAND. 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. 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 FY12, THESE SHUTTLE BUSES TRANSPORTED 202,830 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. WOMEN'S HEALTH UNIT INITIATIVE: THIS INITIATIVE AIMS TO REDUCE DISPARITIES IN BREAST CANCER OUTCOMES AMONG THE CULTURALLY DIVERSE, LOW-INCOME WOMEN WHOM BMC SERVE, AS THEY REPRESENT THE GROUP MOST LIKELY TO RECEIVE A DIAGNOSIS OF LATE-STAGE CANCER, LEAST LIKELY TO ADHERE TO RECOMMENDED CARE, AND MOST LIKELY TO DIE FROM THE DISEASE. THE INITIATIVE PRIDES ITSELF ON THE USE OF COMMUNITY INPUT AND OBJECTIVE DATA TO DESIGN, CONTINUOUSLY EVALUATE, AND ENHANCE INNOVATIVE PROGRAMS TO ADDRESS THE CHANGING NEEDS OF THESE DIVERSE COMMUNITIES. PATIENT NAVIGATION REMAINS AT THE CORNERSTONE OF THE INITIATIVE, AND IS LARGELY RESPONSIBLE FOR THE IMPROVEMENTS IN CARE CONSISTENTLY DEMONSTRATED YEAR AFTER YEAR.
IMPROVING QUALITY OF LIFEACUPUNCTURE: 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). 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 FY12, THERE WERE 15 CANCER SUPPORT GROUPS THAT MET REGULARLY. INTEGRATIVE MEDICINE: THE MISSION OF THE INITIATIVE FOR INTEGRATIVE MEDICINE AND HEALTH DISPARITIES WITHIN THE DEPARTMENT OF FAMILY MEDICINE, WHICH SERVED APPROXIMATELY 250 PATIENTS ON A ROTATING BASIS IN FY12, IS TO SUBSTANTIALLY IMPACT THE QUALITY OF LIFE FOR THE UNDERSERVED THROUGH PROVIDING ACCESS TO INTEGRATIVE MEDICINE CLINICAL SERVICES, RESEARCH AND EDUCATION. SERVICES PROVIDED, PRIMARILY FREE OF CHARGE, INCLUDE YOGA CLASSES, ACUPUNCTURE CLINICS, INTEGRATIVE MEDICINE CONSULTS AND GROUP VISITS. 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 14 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 18TH YEAR, BHN AND ITS CHC PARTNERS HAVE EXTENDED BMC'S 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 BHN'S 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 BMC'S 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 TECHNOLOGYALL OF OUR PRIMARY AND SECONDARY PARTNER HEALTH CENTERS ARE CONNECTED TO BMC OVER HIGH-SPEED ELAN CONNECTIONS THAT PUT BMC'S 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. THIS YEAR ALSO SAW MOST BHN COMMUNITY HEALTH CENTERS WORK 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. 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 202,830 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. LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT BMC DOES NOT SUBMIT A COMMUNITY BENEFITS REPORT TO THE COMMONWEALTH OF MASSACHUSETTS.SIGNIFICANT STRIDES HAVE BEEN MADE IN THE AREA OF INFORMATION TECHNOLOGY.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (76 entries)

Address Line1AddressUS/AddressLine1Address Line2AddressUS/AddressLine2CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ARKANSAS CHILDREN'S HOSPITAL
800 Marshall Slot 512RESEARCH INSTITUTELittle RockAR72202710694931501(c)(3)54804Subaward
BAY COVE HUMAN SERVICES
66 Canal StreetBostonMA02114042518575501(c)(3)3633669Subaward
BETH ISRAEL DEACONESS HOSPITAL
PO Box 3784BostonMA02241042103881501(c)(3)432855Subaward
BETH ISRAEL MEDICAL CENTER
555 West 57th Street5TH FLOORNew YorkNY10019135564934501(c)(3)27890Subaward
BOSTON PUBLIC HEALTH COMMISSION
1010 Massachusetts AvenueBostonMA02118043316655115552173Subaward
BOSTON VA RESEARCH IN
150 S HUNTINGTON AVEBostonMA02130043081524501(c)(3)63670Subaward
Brigham & Womens Hospital
PO Box 3149BostonMA02241042312909501(c)(3)338125Subaward
BOARD OF TRUSTEES MICHIGAN
360 ADMIN BULDINGEAST LANSINGMI48824386005984501(c)(3)103317Subaward
BROCKTON NEIGHBORHOOD HEALTH
63 Main StreetBrocktonMA02301043165044501(c)(3)17717Subaward
BUTLER HOSPITAL
345 Blackstone BlvdProvidenceRI02906050258812501(c)(3)209755Subaward
CALIFORNIA STATE UNIVERSITY
4910 N CHESTNUT AVENUEFresnoCA93726946003272501(c)(3)11694Subaward
CAMBRIDGE HEALTH ALLIANCE
1493 Cambridge StreetCambridgeMA02139043320571501(c)(3)322084Subaward
CENTER FOR COMMUNITY HEALTH EDUCATION & RESEARCH
420 Washington StreetDorchesterMA02124043112225501(c)(3)69592Subaward
CHILDREN'S HOSPITAL OF BOSTON
300 Longwood AvenueBostonMA02115042774441501(c)(3)521713Subaward
CODMAN SQUARE HEALTH CTR INC
637 Washington StreetBostonMA02124042678774501(c)(3)30847Subaward
COOPER HEALTH SYSTEM
One Cooper PlaceCamdenNJ08103210634462501(c)(3)10146Subaward
DORCHESTER HOUSE MULTI SVC CTR
1353 Dorchester AvenueDorchesterMA02122237125970501(c)(3)44340Subaward
BAYLOR COLLEGE OF MEDICINE
6621 FANNIN STHOUSTONTX77030741613878501(c)(3)19934Subaward
DOUGLAS A THOM CLINIC INC
251 West StreetNatickMA01760042104268501(c)(3)17505Subaward
EAST BOSTON NHC
10 Gove StreetEast BostonMA02128237425849501(c)(3)32746Subaward
EAST CAROLINA UNIVERSITY
2200 S CHARLES BLVDGREENVILLENC27858566000403501(c)(3)104035Subaward
FRONTIER SCIENCE & TECHNOLOGY
900 COMMONWEALTH AVEBOSTONMA02115161056814501(c)(3)48079Subaward
GEISINGER CLINIC
100 N ACADEMY AVEDanvillePA17822236291113501(c)(3)152219Subaward
GROUP HEALTH COOPERATIVE
521 Wall StreetSeattleWA98121910511770501(c)(3)35358Subaward
HARVARD UNIVERSITY
677 Huntington AvenueBostonMA02115042103580501(c)(3)428291Subaward
HEALTH PARTNERS RESEARCH FOUNDATION
PO Box 1524MAILSTOP 21111RMinneapolisMN55440411670163501(c)(3)42041Subaward
ICF INCORPORATED LLC
9300 LEE HWYFAIRFAXVA22031520893615501(c)(3)41985Subaward
INSTITUTE FOR HEALTH
One NE Exec ParkBurlingtonMA01803113764559501(c)(3)203888Subaward
JOHN HOPKINS UNIVERSITY
600 Wolfe StreetBaltimoreMD21287520595110501(c)(3)26203Subaward
JONATHAN O COLE MENTAL HEALTH
115 Mill StreetC/O MCLEAN HOSPITALBelmontMA02178043282088501(c)(3)13500Subaward
JOSLIN DIABETES CENTER
One Joslin PlaceBostonMA02215042203836501(c)(3)66703Subaward
Kaiser Foundation ResEARCH
1800 Harrison Street16TH FLOOROaklandCA94612941105628501(c)(3)168737Subaward
BAYSTATE MEDICAL PRACTICES INC
280 CHESTNUT STSPRINGFIELDMA01199042888373501(c)(3)70049Subaward
LOVELACE BIOMEDICAL & ENVIRONMENTAL RESEARCH INST
2425 Ridge StreetAlbuquerqueNM87108510154068501(c)(3)27502Subaward
GREATER BALTIMORE MEDICAL CTR
6701 N CHARLES STBALTIMOREMD21204526049658501(c)(3)6380Subaward
MARTIN'S POINT HEALTH
PO Box 9746PortlandME04104010353275501(c)(3)6000Subaward
MASSACHUSETTS GENERAL HOSPITAL
55 Fruit StreetBostonMA02114042697983501(c)(3)151209Subaward
MAYO CLINIC ARIZONA
13400 E SHEA BLVDSCOTTSDALEAZ85259860800150501(c)(3)7061Subaward
MAYO CLINIC ROCHESTER
200 FIRST ST SWROCHESTERNY55905416011702501(c)(3)5390Subaward
MGH NEUROGENETICS DNA DIAG LAB
185 Cambridge StreetBostonMA02110042807148501(c)(3)307979Subaward
MINNEAPOLIS MED RESEARCH FND
914 S EIGHT STMinneapolisMN55404411677920501(c)(3)20606Subaward
GREATER BOSTON SICKLE CELL
1803 DORCHESTER AVEDORCHESTERMA02124043524260501(c)(3)64167Subaward
OREGON HEALTH & SCIENCE UNIV
3181 SW JACKSON PK RDPORTLANDOR97239931176109501(c)(3)20815Subaward
NATIONAL CENTER FOR HEALTHY HOUSING INC
10320 L Patuxent PkwyColumbiaMD21044521792579501(c)(3)62961Subaward
NEW YORK UNIVERSITY MEDICAL CENTER
550 First AvenueNew YorkNY10016135562309501(c)(3)34302Subaward
NORTH SUFFOLK MENTAL HEALTH
301 Broadway AvenueChelseaMA02150042317215501(c)(3)3286581Subaward
NORTHEASTERN UNIVERSITY
360 Huntington AvenueBostonMA02115041679980501(c)(3)668473Subaward
NORTHWESTERN UNIVERSITY
633 Clark StreetEvanstonIL60208362167817501(c)(3)73901Subaward
REGENTS OF UNIV OF MINNESOTA
1300 South StreetMinneapolisMN55454416007513501(c)(3)77603Subaward
RESEARCH TRIANGLE INSTITUTE
PO Box 900002RaleighNC27675560686338501(c)(3)40632Subaward
SOUTH BOSTON CHC
409 West BroadwaySouth BostonMA02127042682152501(c)(3)33647Subaward
ST ELIZABETH'S MEDICAL CENTER
736 Cambridge StreetOLH 3-GBostonMA02135272473667501(c)(3)14060Subaward
SPECTRUM HEALTH HOSPITALS
25 MICHIGAN NEGRAND RAPIDSMI49503381360529501(c)(3)111268Subaward
THE PENNSYLVANIA STATE UNIVERSITY
110 Tech CenterUniversity ParkPA16802246000376501(c)(3)32724Subaward
TRUSTEES OF BU
715 Albany StreetBostonMA02118042103547501(c)(3)2861122Subaward
THE NEXT STEP FUND
86A SHERMAN STCAMBRIDGEMA02140043579298501(c)(3)5750Subaward
Tufts University
171 Harrison AvenueBostonMA02111042103634501(c)(3)382478Subaward
USCIVILIAN RESEARCH
PO Box 630622BaltimoreMD21263541773406501(c)(3)219256Subaward
UNIV OF ALABAMA AT BIRMINGHAM
1530 3rd Avenue SouthAP 990BirminghamAL35294636005396501(c)(3)158322Subaward
UNIVERSITY OF CALIFORNIA
505 Parnassus AveSan FranciscoCA94413946036493501(c)(3)39189Subaward
UNIVERSITY OF MARYLAND
PO Box 41428BALTIMORE FOUNDATIONBaltimoreMD21203311678679501(c)(3)54652Subaward
UNIVERSITY OF MASSACHUSETTS BOSTON
55 Lake Avenue NorthWorcesterMA01655043167352115347970Subaward
UNIVERSITY OF MICHIGAN
1301 Catherine RoadAnn ArborMI48109386006309501(c)(3)17909Subaward
University Of Rhode ISLAND
2 Chafee RoadKingstonRI02881056000522501(c)(3)95259Subaward
UNIVERSITY OF WASHINGTON
1959 NE PACIFIC STSEATTLEWA98195916001537501(c)(3)24169Subaward
VINFEN CORP
PO Box 5059BostonMA02206042632219501(c)(3)75634Subaward
VISIONS INC
48 Juniper StreetRoxburyMA02119521378064501(c)(3)30675Subaward
WAKE FOREST UNIVERSITY HEALTH
1834 Wake Forest RdWinstonSalemNC27157223849199501(c)(3)329786Subaward
WILLIAMS BEAUMONT HOSPITAL
3601 W 13 MILE RDROYAL OAKMI48073381459362501(c)(3)118721Subaward
UNIVERSITY OF CHICAGO DIST CTR
11030 S LANGLEY AVECHICAGOIL60628362177139501(c)(3)69746Subaward
YMCA OF GREATER BOSTON
776 Washington StreetDorchesterMA02124042103551501(c)(3)108822Subaward
YOUTH & FAMILY ENRICHMENT SVC
1234 Hyde Park AvenueHyde ParkMA02136050588064501(c)(3)263600Subaward
YALE UNIVERSITY SCHOOL
PO BOX 1873NEW HAVENCT06508060646973501(c)(3)63546SUBAWARD
REGENTS OF THE U OF CALIFORNIA
9500 GILMAN DRLA JOLLACA92093956006144501(c)(3)13541SUBAWARD
UNIVERSITY OF N CAROLINA
104 AIRPORT DRCHAPEL HILLNC27599566001393501(c)(3)125782SUBAWARD
UNIVERSITY OF PITTSBURGH
200 LOTHROP STPITTSBURGHPA15213232919472501(c)(3)19871SUBAWARD
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants76TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE I, PART I, LINE 2Identifier
ExplanationBOSTON 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

FieldValueIRS element (for citing)
Personal ServicesXPersonalServices
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptiontrueInitialContractException
Rebuttable Presumption ProceduretrueRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgs
EDWARD CHRISTIANSEN JR
273369010702196000134370317108000
RONALD BARTLETT
2988380843478575070760398836000
STEPHANIE LOVELL
4752104800078139718710919606824160753360
JAMES M BECKER MD
000032540018251025448770044127302052813
david coleman md
000032540024960655356004492920171028
RAVIN DAVIDOFF
445261760006850311362604049207438820503430
PETER HEALY
3278470221495297903516304381380208840
LISA O'CONNOR
35537453000453907882602632005589100317160
NORMAN STEIN
319941650004906214377801358305913640344550
THOMAS TRAYLOR
3909522020006743911228702853608012140507100
KATHLEEN E WALSH
8782400406353878750119490138441703287080
MEG ARANOW
3426890432741083660885005031790399920
RICHARD SILVERIA
4402341000001866141250414660604486000
THEA JAMES MD
032540011392030656200239596023034
DAVID BECK
1873460527100208080213425000
TIM MANNING
35332107147400252510450046000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE J, PART I, LINE 1A AND 1BIdentifier
ExplanationUNDER 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 A RESULT OF A CHANGE IN ROLES AND RESPONSIBILITIES AND IN RECOGNITION OF 16 YEARS OF SERVICE, JAMES BECKER RECEIVED A PAYMENT OF $1,505,000 IN CALENDAR YEAR 2011 WHICH IS REPORTED ON SCHEDULE J, COLUMN B(III) AS OTHER REPORTABLE COMPENSATION. AS OF DECEMBER 12, 2011, UNDER THE TERMS OF STEPHANIE LOVELL'S EMPLOYMENT CONTRACT, SHE WILL RECEIVE TWELVE MONTHS OF SALARY CONTINUATION WITH PARTIAL PAY OFFSET FOR MONTH SEVEN TO MONTH TWELVE. THE AMOUNT PAID IN 2011 WAS $20,000. 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 2011: ARANOW - $40,029 DAVIDOFF - $49,541 HEALY - $20,903 LOVELL - $75,404 O'CONNOR - $31,745 STEIN - $31,156 TRAYLOR - $50,757 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, THE PRESIDENT AND CEO WAS CREDITED A ONE TIME PAYMENT THAT WAS SUBJECT TO CERTAIN CONDITIONS WHICH HAS VESTED EFFECTIVE DECEMBER 1, 2011. THE PAYMENT IS REFLECTED IN SCHEDULE J, PART II, COLUMN B(III). IN ADDITION, CERTAIN AMOUNTS ARE CREDITED TO PRESIDENT AND CEO'S ACCOUNT EACH YEAR. THESE AMOUNTS ARE SUBJECT TO FORFEITURE AND PAYMENT WILL BE MADE ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE AGREEMENT. THE APPLICABLE ACCRUED AMOUNTS ARE REFLECTED IN SCHEDULE J, PART II, COLUMN C. BMC PROVIDED A NON-QUALIFIED DEFINED BENEFIT PLAN TO CERTAIN EXECUTIVES. THE ESTIMATED ANNUAL INCREASE IN ACTUARIAL VALUE FOR THE FOLLOWING EXECUTIVES ARE REFLECTED IN SCHEDULE J, PART II, COLUMN C. Aranow - $62,417 Davidoff - $55,597 Healy - $28,053 Lovell - $64,521 O'Connor - $40,617 Stein - $96,584 Traylor - $70,485 SCHEDULE J, PART I, LINE 6B AN INDIVIDUAL LISTED IN SCHEDULE J, PART II WAS PAID COMPENSATION CONTINGENT ON THE NET EARNINGS OF A RELATED ORGANIZATION. THIS COMPENSATION IS REFLECTED IN SCHEDULE J, PART II, COLUMN B(II). 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. SCHEDULE J, PART II EDWARD CHRISTIANSEN, JR IS COMPENSATED FOR HIS ROLE AS VP & CHIEF RISK MANAGEMENT OFFICER AND NOT AS THE FORMER CLERK.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MASS HEALTH AND EDUCATIONAL FACILITES AUTHORITY
04245601157586ELD12009-08-1413688734REFUND OF SERIES M3-B (2005)falsefalsetrue
MASS HEALTH AND EDUCATIONAL FACILITES AUTHORITY
04245601157586C7T62008-07-01239309847FINANCE CONSTRUCTION/RENOVATIONfalsefalsefalse
MASS DEVELOPMENT FINANCE AGENCY
04343181457583URP52012-06-14117490498REFUND OF PRIOR BONDSfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
24448070136887341122880000001368873402006truefalsetruetrue
590000025355658824646536312316160259275800156299928038706491falsefalsefalsetrue
00117490523105193630016848740001158056490truefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrsEngage Bond Counsel ContractsEngageBondCounselContractsEngage Bond Counsel ResearchEngageBondCounselResearchPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUse
falsefalsefalsefalse0true
falsetruetruetrue0.00710truetruetrue0.000000.00710
0

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied
0
falsetruefalsefalse0falsetrue
0
falsefalsefalsefalse0truefalse
0
falsefalsefalsetrueAIGMCfalsefalse26.true

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSEE SCHEDULE OIdentifier
Return Reference0ReturnReference

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BOSTON MEDICAL CENTER INSURANCE CO
SEE PART V19465000INSURANCEfalse
LANGUAGE LINE SERVICES
TTEE KOENIG IS ON BOARD456782TRANSLATION SERVICESfalse
SUFFOLK CONSTRUCTION COMPANY
TTEE PASSAFARO IS VP2778306CONSTRUCTIONfalse
FRANCIS O'CONNOR
SON OF KE O'CONNOR12841COMPENSATIONfalse
TRIAD ISOTOPES INC
TTEE AMENT IS ON BOARD286974MED SUPPLIESfalse
ANAESTHESIA ASSOCIATES OF MA
SEE PART V8615100MEDICAL SERVICESfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE L, PART IV, LINE 1Identifier
ExplanationNAME 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 $4,182,000 FOR THE YEAR ENDED SEPTEMBER 30, 2012. THE MEDICAL CENTER HAS $15,283,000 OF PREPAID PREMIUMS AND RETROSPECTIVE PREMIUM CREDITS THAT ARE PREPAID BY THE MEDICAL CENTER TO BMCIC AT SEPTEMBER 30, 2012. SCHEDULE L, PART IV, LINE 6 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

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions6NumberOfContributions
Noncash Contribs Rptd F9902600NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest

Books And Publications BooksAndPublications

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9901545NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99095567NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Cars And Other VehiclesCarsAndOtherVehicles

Boats And Planes BoatsAndPlanes

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990750NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions5NumberOfContributions
Noncash Contribs Rptd F990425426NoncashContribsRptdF990
Method Of Determining RevenuesPROCEEDS OF STOCKMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions50NumberOfContributions
Noncash Contribs Rptd F99048344NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9901007NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XCOLLECTIBLES61395FMV
XCOMPUTERS/EQUIPMENT7515887FMV
XGIFT CERTIFICATES149106442FMV
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierSCHEDULE M, PART I, COLUMN (B)Identifier
ExplanationTHE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (50 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART III, LINE 4ABOSTON 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. APPROXIMATELY 73% OF OUR PATIENT VISITS COME FROM UNDERSERVED POPULATIONS, THE LOW-INCOME AND ELDERLY, WHO RELY ON GOVERNMENT PAYORS SUCH AS MEDICAID, THE HEALTH SAFETY NET AND MEDICARE FOR THEIR COVERAGE, AND 30% 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, INTERPRETER SERVICES, AND A FOOD PANTRY, HELP REDUCE BARRIERS TO ACCESSING HEALTH SERVICES AND ELIMINATE DISPARITIES IN HEALTHCARE AMONG THE VARIOUS POPULATIONS BMC SERVES.
PART IV, LINE 12BOSTON MEDICAL CENTER HAS SEPARATE FINANCIAL STATEMENTS AND IS ALSO INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR BOSTON MEDICAL CENTER AND AFFILIATES.
FORM 990, PART VI, LINE 2KAREN ANTMAN, M.D. JAMES M. BECKER, M.D. DAVID COLEMAN, M.D. BUSINESS RELATIONSHIP - KAREN ANTMAN, M.D. IS A KEY EMPLOYEE AT BOSTON UNIVERSITY, WHICH ALSO EMPLOYS JAMES M. BECKER, M.D. AND DAVID COLEMAN, M.D. DAVID A. PASSAFARO SUSAN DONAHUE DAVID COLEMAN, M.D. KATHLEEN E. WALSH BUSINESS RELATIONSHIP - SERVE ON THE BOARD OF BMC INSURANCE COMPANY.
FORM 990, PART VI, LINE 11BBOSTON 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 12CCONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2012 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 15A&BAN 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 19BOSTON 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 VII, SECTION AEDWARD CHRISTIANSEN, JR IS COMPENSATED FOR HIS ROLE AS VP AND CHIEF RISK MANAGEMENT OFFICER AND NOT AS THE FORMER CLERK.
FORM 990, PART XI, LINE 5UNREALIZED GAIN $ 36,683,000 TRANSFER FROM BMCHP $ 50,000,000 CHANGE IN ASSISTANCE WITH CITY OF BOSTON ($ 18,060,000) PENSION RELATED CHANGES OTHER THAN PERIODIC PENSION COSTS ($ 2,982,000) -------------- TOTAL ($ 65,641,000)
SCHEDULE K, PART IIBOND 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 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. THESE WRITTEN PROCEDURES ARE IN DRAFT FORM AS OF 9/30/2012 AND EXPECT TO BE ADOPTED DURING THE FOLLOWING FISCAL YEAR.
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:JOEL M. ABRAMS TITLE:TRUSTEE (UNTIL 6/30/12) HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:KAREN ANTMAN, MD TITLE:TRUSTEE HOURS:4FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:JAMES M. BECKER, MD TITLE:trustee (UNTIL 12/31/11) HOURS:50FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:DAVID A. PASSAFARO TITLE:VICE CHAIRMAN HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:CHRISTINE M. DUNN TITLE:TRUSTEE HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:WILLIAM J. HALPIN, JR TITLE:TRUSTEe HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:edmond J. english TITLE:CHAIRMAN HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Randi Cutler TITLE:trustee HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:ALYCE J. LEE TITLE:vice chairman (UNTIL 6/30/12) HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:MARTHA S. SAMUELSON TITLE:TRUSTEE HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:JAMES O. TAYLOR, MD TITLE:TRUSTEE (UNTIL 6/30/12) HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:Thomas ALPERIN TITLE:TRUSTEE HOURS:2FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:STEVEN d. levy TITLE:TRUSTEE HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:LISA GUSCOTT TITLE:TRUSTEE HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:RICHARD SLIFKA TITLE:TRUSTEE HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:AZZIE YOUNG, MPA, PHD TITLE:TRUSTEE HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:barbara ferrer, phd TITLE:TRUSTEE HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:david coleman, md TITLE:TRUSTEE HOURS:55FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:SUSAN DONAHUE TITLE:TRUSTEE HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:JOHN T. HAILER TITLE:trustee HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:KATHLEEN E. WALSH TITLE:PRESIDENT/CEO HOURS:10FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:PAUL EGERMAN TITLE:TRUSTEE HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:PEGGY KOENIG TITLE:TRUSTEE HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:JAMES S. PHALEN TITLE:TRUSTEE HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:RONALD L. WALKER, II TITLE:TRUSTEE HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:MARK NUNNELLY TITLE:TRUSTEE HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:THEA JAMES, MD TITLE:TRUSTEE HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:CLAIRE PERLMAN TITLE:TRUSTEE (AS OF 7/1/12) HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:DAVID AMENT TITLE:TRUSTEE (AS OF 7/1/12) HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:JAMES BLUE TITLE:TRUSTEE (AS OF 7/1/12) HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:SANDRA COTTERRELL TITLE:TRUSTEE (AS OF 7/1/12) HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:JACK CRADOCK TITLE:TRUSTEE (AS OF 7/1/12) HOURS:1FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:GERARD DOHERTY, MD TITLE:TRUSTEE (AS OF 1/1/12) HOURS:55FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:STEPHANIE LOVELL TITLE:VP/GEN COUN/clrk UNTL 12/12/11 HOURS:15FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:RICHARD SILVERIA TITLE:VP FIN/CFO/TREAS HOURS:7FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:DAVID BECK TITLE:VP/GEN COUN/CLK AS OF 12/13/11 HOURS:16FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:RAVIN DAVIDOFF TITLE:VP MED AFFAIRS/CMO HOURS:6FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:PETER HEALY TITLE:VP PROFESSIONAL SERVICE HOURS:10FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:THOMAS TRAYLOR TITLE:VP OF FED, STATE, LOCAL PROG HOURS:25FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:EDWARD CHRISTIANSEN, JR TITLE:VP & CRO/FORMER CLERK HOURS:1FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1BMC COMM PHY PROG LLC DISSOLVED 122111BusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15101 WASHINGTON AVENUEAddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20016ZIPCode
FieldValueIRS element (for citing)
EIN260350958EIN
Primary ActivitiesRISK MGMT SVCPrimaryActivities
Legal Domicile StateDCLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BMCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (31 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
BOSTON MEDICAL CENTER HEALTH PLAN INC
2 COPLEY PLACE STE 600BOSTONMA02116043373331INSURANCEMA501(C)(3)11 A-IBMCtrue
EAST CONCORD MEDICAL FOUNDATION INC
660 HARRISON AVENUEBOSTONMA02118046048207REAL ESTATEMA501(C)(3)11C III-FINAfalse
UNIVER DEVELOPMENT FOUNDATION INC
88 EAST NEWTON STREETBOSTONMA02118043101957REAL ESTATEMA501(C)(3)11 A-IBMCtrue
BMC INSURANCE CO LTD OF VERMONT
PO BOX 530 100 BANK STREETBURLINGTONVT05401201810549INSURANCEVT501(C)(3)11 A-IBMCtrue
BOSTON HEALTHNET CORP
660 HARRISON AVENUE 3RD FLOORBOSTONMA02118043279836SUPPORT SVCSMA501(C)(3)11 B-IIBMCtrue
FACULTY PRACTICE FOUNDATION INC
660 HARRISON AVENUE 3RD FLOORBOSTONMA02118043289381MEDICAL SVCSMA501(C)(3)11 B-IINAfalse
TRANSPORTATION SOL FOR COMMUTERS INC
715 ALBANY STREETBOSTONMA02118043144411TRANS. SVCSMA501(C)(3)7BMCtrue
BU MEDICAL CTR ANESTHESIOLOGISTS INC
88 EAST NEWTON STREETBOSTONMA02118043276227HEALTHCAREMA501(C)(3)11C III-FINAfalse
BOSTON EMERGENCY PHYSICIAN FDN INC
818 HARRISON AVENUEBOSTONMA02118043286156HEALTHCAREMA501(C)(3)11C III-FINAfalse
BU CARDIAC & THORACIC SURGICAL FDN INC
88 EAST NEWTON STREETBOSTONMA02118042966416HEALTHCAREMA501(C)(3)11C III-FINAfalse
BOSTON UNIVERSITY DERMATOLOGY INC
609 ALBANY STREETBOSTONMA02118043335166HEALTHCAREMA501(C)(3)11C III-FINAfalse
BU DERMATOLOGY SUPPORT SERVICES I INC
609 ALBANY STREETBOSTONMA02118043452877HEALTHCAREMA501(C)(3)11C III-FIfalseN/A
BU DERMATOLOGY SUPPORT SERVICES II INC
609 ALBANY STREETBOSTONMA02118043452874HEALTHCAREMA501(C)(3)11C III-FINAfalse
BOSTON UNIV SURGICAL ASSOCIATES INC
88 EAST NEWTON STREETBOSTONMA02118043291148HEALTHCAREMA501(C)(3)11C III-FINAfalse
EVANS MEDICAL FOUNDATION INC
88 EAST NEWTON STREETBOSTONMA02118510172171HEALTHCAREMA501(C)(3)11C III-FINAfalse
BOSTON UNIVERSITY EYE ASSOCIATES INC
2005 BAY STREET SUITE 201TAUNTONMA02780043137333HEALTHCAREMA501(C)(3)11C III-FINAfalse
BOSTON UNIVERSITY FAMILY MEDICINE INC
1 BOSTON MEDICAL CTR DOWLING 5BOSTONMA02118043354353HEALTHCAREMA501(C)(3)11C III-FINAfalse
BU MALLORY PATHOLOGY ASSOCIATES INC
784 MASSACHUSETTS AVENUEBOSTONMA02118042794543HEALTHCAREMA501(C)(3)11C III-FINAfalse
BOSTON UNIV NEUROLOGY ASSOCIATES INC
720 HARRISON AVENUE SUITE 707BOSTONMA02118043428462HEALTHCAREMA501(C)(3)11C III-FINAfalse
BU NEUROSURGICAL ASSOCIATES INC
88 EAST NEWTON STREETBOSTONMA02118043296068HEALTHCAREMA501(C)(3)11C III-FINAfalse
BU OBSTETRICS & GYNECOLOGY FDN INC
818 HARRISON AVENUEBOSTONMA02118043067465HEALTHCAREMA501(C)(3)11C III-FINAfalse
BU ORTHOPAEDIC SURGICAL ASSOCIATES INC
720 HARRISON AVENUE SUITE 808BOSTONMA02118043354360HEALTHCAREMA501(C)(3)11C III-FINAfalse
BUMC OTOLARYNGOLOGIC FOUNDATION INC
88 EAST NEWTON STREETBOSTONMA02118043156471HEALTHCAREMA501(C)(3)11C III-FINAfalse
CHILD HEALTH FOUNDATION OF BOSTON INC
818 HARRISON AVENUE DOWLING 3BOSTONMA02118042472758HEALTHCAREMA501(C)(3)11C III-FINAfalse
BOSTON UNIV PLASTIC SURGERY ASSOC INC
88 EAST NEWTON STREETBOSTONMA02118043555478HEALTHCAREMA501(C)(3)11C III-FINAfalse
BOSTON UNIVERSITY PSYCHIATRY ASSOC INC
720 HARRISON AVENUEBOSTONMA02118043355267HEALTHCAREMA501(C)(3)11C III-FINAfalse
BU MEDICAL CENTER RADIOLOGISTS INC
88 EAST NEWTON STREETBOSTONMA02118043283573HEALTHCAREMA501(C)(3)11C III-FINAfalse
BOSTON REHABILITATION MEDICINE ASSOC INC
88 EAST NEWTON STREETBOSTONMA02118043286641HEALTHCAREMA501(C)(3)11C III-FINAfalse
BU GENERAL SURGICAL ASSOCIATES INC
88 EAST NEWTON STREETBOSTONMA02118043265008HEALTHCAREMA501(C)(3)11C III-FINAfalse
BU MEDICAL CENTER UROLOGISTS INC
88 EAST NEWTON STREETBOSTONMA02118043286643HEALTHCAREMA501(C)(3)11C III-FINAfalse
Boston University Affiliated Physicians
660 HARRISON AVEBOSTONMA02118043218267HEALTHCAREMA501(C)(3)3BMCtrue

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1BMC NAB BUS TRBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line185 CONCORD STAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02118ZIPCode
FieldValueIRS element (for citing)
EIN266368869EIN
Primary ActivityPROPERTY MGMTPrimaryActivity
Legal Domicile StateMALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income-5000412ShareOfTotalIncome
Share Of EOY Assets150137864ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnertrueGeneralOrManagingPartner
Percentage Ownership0.90000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileState
BMC INSURANCE CO INC
10 MAIN STREETGRAND CAYMANCJ980375219INSURANCECJBMCC-CORP0696718340.70000
GRYANT INC
202047166REAL ESTATEBMCC-CORP-1318630389036221.00000ONE BOSTON MEDICAL CENTERBOSTONMA02118MA
BMC COMM PHYS PROG RRG (DISSOLVED 1211)
260351060INSURANCEBMCC-CORP001.0000088 EAST NEWTON STREETBOSTONMA02118MA
CHARITABLE REMAINDER TRUST (3)
SUPPORTBMCTRUSTMA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Boston Medical Center Health Plan Inc
K92597000INSURANCE RATES
Boston Medical Center Health Plan Inc
C50000000NET ASSET TRANS
BOSTON UNIVERSITY AFFILIATED PHYSICIANS INC
L,M,N1262000FINANCIAL NEED
BMC INSURANCE CO INC
Q8802000BOOK
BMC INSURANCE CO INC
D1053000BOOK
BMC NAB BUSINESS TRUST
D3172000BOOK