BOSTON MEDICAL CENTER CORPORATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- BOSTON MEDICAL CENTER CORPORATION (EIN 04-3314093)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201202289349300730
- Schema version
- 2010v3.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-15T12:12:13-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 High Street | AddressLine1 |
| City | Boston | City |
| State | MA | State |
| ZIP Code | 02110 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043314093 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BOSTON MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BOST | NameControl |
| Phone | 6174141625 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 88 EAST NEWTON STREET | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02118 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD SILVERIA | Name |
| Title | VP FIN/CFO/TREAS | Title |
| Date Signed | 2012-08-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PRICEWATERHOUSECOOPERS LLP | Name |
| Phone | 6175305000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KATHLEEN E WALSH | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 88 EAST NEWTON STREET | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02118 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 977733010 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.bmc.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1996 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | BOSTON MEDICAL CENTER'S MISSION IS TO PROVIDE CONSISTENTLY EXCELLENT AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 27 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 20 | NbrIndependentVotingMembers |
| Total Nbr Employees | 6854 | TotalNbrEmployees |
| Total Nbr Volunteers | 600 | TotalNbrVolunteers |
| Total Gross UBI | 257588 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 234137 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 10258928 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 11421383 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 974473842 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 944950551 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 19910000 | InvestmentIncomePriorYear |
| Investment Income Current Year | 16200000 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6059575 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4674796 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1010702345 | TotalRevenuePriorYear |
| Total Revenue Current Year | 977246730 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 14988228 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 19306772 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 456758263 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 443215078 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 2507347 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 568108854 | OtherExpensePriorYear |
| Other Expenses Current Year | 542567880 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1039855345 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1005089730 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -29153000 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -27843000 | RevenuesLessExpensesCY |
| Total Assets BOY | 1745738000 | TotalAssetsBOY |
| Total Assets EOY | 1638938000 | TotalAssetsEOY |
| Total Liabilities BOY | 723047000 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 720441000 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1022691000 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 918497000 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | BOSTON MEDICAL CENTER'S MISSION IS TO PROVIDE CONSISTENTLY EXCELLENT AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 894408018 | Expense |
| Revenue | 944950551 | Revenue |
| Description | SEE SCHEDULE O. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 18933913 | Expense |
| Grants | 18933913 | Grants |
| Description | BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO ORGANIZATION WITHIN THE US. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 372859 | Expense |
| Grants | 372859 | Grants |
| Description | BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO FOREIGN ORGANIZATIONS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 913714790 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | true | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | true | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | true | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | true | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | true | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 540 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 6854 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | true | ForeignFinancialAccount |
| Name Of Foreign Country | LT | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 27 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 20 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOHN C LINDSTEDT | NamePerson |
| Telephone Number | 6174141625 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 88 EAST NEWTON STREET | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02118 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (44 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| JOEL M ABRAMS | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| REV DR JOHN M BORDERS III | |||||||||
| TRUSTEE (UNTIL 10/27/10) | 1.0 | X | 0 | 0 | 0 | ||||
| KAREN ANTMAN MD | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| JAMES M BECKER MD | |||||||||
| trustee | 1.0 | X | 0 | 990684 | 50271 | ||||
| DAVID A PASSAFARO | |||||||||
| VICE CHAIRMAN | 1.0 | X | 0 | 0 | 0 | ||||
| CHRISTINE M DUNN | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| WILLIAM J HALPIN JR | |||||||||
| TRUSTEe | 1.0 | X | 0 | 0 | 0 | ||||
| edmond J english | |||||||||
| CHAIRMAN | 1.0 | X | 0 | 0 | 0 | ||||
| Randi Cutler | |||||||||
| trustee | 1.0 | X | 0 | 0 | 0 | ||||
| ALYCE J LEE | |||||||||
| vice chairman | 1.0 | X | 0 | 0 | 0 | ||||
| JAMES MARTEN PHD | |||||||||
| TRUSTEE (UNTIL 6/30/11) | 1.0 | X | 0 | 0 | 0 | ||||
| MARTHA S SAMUELSON | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| JAMES O TAYLOR MD | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| Thomas ALPERIN | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| STEVEN d levy | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| LISA GUSCOTT | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| RICHARD SLIFKA | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| AZZIE YOUNG MPA PHD | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| barbara ferrer phd | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| david coleman md | |||||||||
| TRUSTEE | 1.0 | X | 0 | 620350 | 35132 | ||||
| SUSAN DONAHUE | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| JOHN T HAILER | |||||||||
| trustee | 1.0 | X | 0 | 0 | 0 | ||||
| KATHLEEN E WALSH | |||||||||
| PRESIDENT/CEO (AS OF 3/1/10) | 50.0 | X | 909332 | 0 | 431992 | X | |||
| FERDINAND ALVARO JR | |||||||||
| TRUSTEE (UNTIL 5/5/11) | 1.0 | X | 0 | 0 | 0 | ||||
| PAUL EGERMAN | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| PEGGY KOENIG | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| JAMES MONGAN MD | |||||||||
| TRUSTEE (UNTIL 5/3/11) | 1.0 | X | 0 | 0 | 0 | ||||
| JAMES S PHALEN | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| RONALD L WALKER II | |||||||||
| TRUSTEE | 1.0 | X | 0 | 0 | 0 | ||||
| MARK NUNNELLY | |||||||||
| TRUSTEE (AS OF 4/1/11) | 1.0 | X | 0 | 0 | 0 | ||||
| THEA JAMES MD | |||||||||
| TRUSTEE | 1.0 | X | 0 | 265143 | 45489 | ||||
| RONALD BARTLETT | |||||||||
| VP FIN/CFO/treaS UNTIL 2/8/11 | 50.0 | 570603 | 0 | 114946 | X | ||||
| STEPHANIE LOVELL | |||||||||
| VP/GEN COUN/clrk UNTL 12/12/11 | 40.0 | 507361 | 0 | 118576 | X | ||||
| RICHARD SILVERIA | |||||||||
| VP FIN/CFO/TREAS(AS OF 2/8/11) | 50.0 | 78333 | 0 | 5060 | X | ||||
| LISA O'CONNOR | |||||||||
| VP NURSING | 50.0 | 303602 | 0 | 86361 | X | ||||
| MEG ARANOW | |||||||||
| VP INFO TECH/CIO | 50.0 | 388053 | 0 | 128548 | X | ||||
| RAVIN DAVIDOFF | |||||||||
| VP MED AFFAIRS/CMO | 45.0 | 527696 | 0 | 129055 | X | ||||
| PETER HEALY | |||||||||
| VP PROFESSIONAL SERVICE | 40.0 | 275815 | 0 | 71519 | X | ||||
| NORMAN STEIN | |||||||||
| VP DEVELOPMENT | 50.0 | 474764 | 0 | 131042 | X | ||||
| THOMAS TRAYLOR | |||||||||
| VP OF FED, STATE, LOCAL PROG | 25.0 | 642124 | 0 | 180189 | X | ||||
| WILLIAM BARRON | |||||||||
| VP QUAL & PATIENT SAFETY/CQO | 50.0 | 525437 | 0 | 103094 | X | ||||
| ELAINE ULLIAN | |||||||||
| PRESIDENT/CEO (UNTIL 1/31/10) | 2011053 | 0 | 193935 | X | |||||
| EDWARD CHRISTIANSEN JR | |||||||||
| VP & CRO/FORMER CLERK | 50.0 | 284186 | 0 | 31015 | X | ||||
| PAUL DREW | |||||||||
| FORMER EXECUTIVE VP | 459369 | 0 | 16628 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7957728 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1876177 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1872852 | TotalOtherCompensation |
| Number Individuals GT100 K | 1220 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| BOSTON UNIVERSITY | |||||
| 715 ALBANY STREET SUITE 580 | BOSTON | MA | 021182528 | SHARED RESEARCH SVCS | 57590224 |
| SUFFOLK CONSTRUCTION COMPANY | |||||
| 99 CONIFER HILL DRIVE | DANVERS | MA | 01923 | CONSTRUCTION | 23791939 |
| FTI CONSULTING INC | |||||
| 200 STATE STREET 2ND FLOOR | BOSTON | MA | 02109 | CONSULTING | 7147900 |
| MORRISON HEALTH CARE INC | |||||
| 5801 PEACHTREE DUNWOODY ROAD | ATLANTA | GA | 30342 | FOOD SVCS/CAFETERIA | 5925877 |
| BOSTON PHARMACY MANAGEMENT | |||||
| 24 STEVENS LANE | COHASSET | MA | 02025 | PHARMACY SERVICES | 4995963 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 131 | NumberOfContractorsGT100K |
| Fundraising Events | 3363977 | FundraisingEvents |
| Government Grants | 2868333 | GovernmentGrants |
| All Other Contributions | 5189073 | AllOtherContributions |
| Noncash Contributions | 406152 | NoncashContributions |
| Total Contributions | 11421383 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SVC REVENUE | 900099 | 847270000 | 847270000 |
| OTHER PROGRAM REVENUE | 900099 | 9711551 | 9711551 |
| GRANT/CONTRACT REVENUE | 900099 | 87969000 | 87969000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 944950551 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13370000 | TotalRevenueColumn |
| Unrelated Business Revenue | 257588 | UnrelatedBusinessRevenue |
| Exclusion | $13,112,412 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 133688 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 89250 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 44438 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 44438 | TotalRevenueColumn |
| Exclusion | $44,438 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2830000 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2830000 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2830000 | TotalRevenueColumn |
| Exclusion | $2,830,000 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 308617 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 3363977 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 397030 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -88413 | TotalRevenueColumn |
| Exclusion | -$88,413 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA | 722210 | 3512164 | $3,512,164 |
| PARKING | 812930 | 1206607 | $1,206,607 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4718771 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 977246730 | TotalRevenueColumn |
| Related Or Exempt Function Income | 944950551 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 257588 | UnrelatedBusinessRevenue |
| Exclusion | $20,617,208 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18933913 | Total |
| Program Services | 18933913 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 372859 | Total |
| Program Services | 372859 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7756395 | Total |
| Program Services | 6700239 | ProgramServices |
| Management And General | 1036765 | ManagementAndGeneral |
| Fundraising | 19391 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16702 | Total |
| Program Services | 16702 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 342535806 | Total |
| Program Services | 295090907 | ProgramServices |
| Management And General | 45661037 | ManagementAndGeneral |
| Fundraising | 1783862 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24374621 | Total |
| Program Services | 21055631 | ProgramServices |
| Management And General | 3258053 | ManagementAndGeneral |
| Fundraising | 60937 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39304521 | Total |
| Program Services | 33952589 | ProgramServices |
| Management And General | 5253671 | ManagementAndGeneral |
| Fundraising | 98261 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29227033 | Total |
| Program Services | 25247310 | ProgramServices |
| Management And General | 3906655 | ManagementAndGeneral |
| Fundraising | 73068 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1003148 | Total |
| Management And General | 1003148 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1125728 | Total |
| Management And General | 1125728 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150238 | Total |
| Program Services | 130106 | ProgramServices |
| Management And General | 20132 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54363662 | Total |
| Program Services | 47044066 | ProgramServices |
| Management And General | 7279387 | ManagementAndGeneral |
| Fundraising | 40209 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 870675 | Total |
| Program Services | 752119 | ProgramServices |
| Management And General | 116379 | ManagementAndGeneral |
| Fundraising | 2177 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15705875 | Total |
| Program Services | 13575616 | ProgramServices |
| Management And General | 2100630 | ManagementAndGeneral |
| Fundraising | 29629 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3671539 | Total |
| Program Services | 3171601 | ProgramServices |
| Management And General | 490759 | ManagementAndGeneral |
| Fundraising | 9179 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9285477 | Total |
| Program Services | 9285477 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28386101 | Total |
| Program Services | 24520885 | ProgramServices |
| Management And General | 3794251 | ManagementAndGeneral |
| Fundraising | 70965 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1024946 | Total |
| Program Services | 885905 | ProgramServices |
| Management And General | 137081 | ManagementAndGeneral |
| Fundraising | 1960 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 854330 | Total |
| Program Services | 732820 | ProgramServices |
| Management And General | 113393 | ManagementAndGeneral |
| Fundraising | 8117 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14270664 | Total |
| Program Services | 12327487 | ProgramServices |
| Management And General | 1907500 | ManagementAndGeneral |
| Fundraising | 35677 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63282273 | Total |
| Program Services | 54665391 | ProgramServices |
| Management And General | 8458676 | ManagementAndGeneral |
| Fundraising | 158206 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2644381 | Total |
| Program Services | 2290032 | ProgramServices |
| Management And General | 354349 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| PHYSICIAN SERVICES | 112586383 | 112586383 |
| DIRECT RESEARCH | 80062442 | 80062442 |
| PATIENT RELATED SUPPLIES | 54805215 | 54805215 |
| DRUGS | 30202220 | 30202220 |
| PROVISION FOR BAD DEBT | 33585564 | 33585564 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34687019 | Total |
| Program Services | 31721311 | ProgramServices |
| Management And General | 2849999 | ManagementAndGeneral |
| Fundraising | 115709 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1005089730 | Total |
| Program Services | 913714790 | ProgramServices |
| Management And General | 88867593 | ManagementAndGeneral |
| Fundraising | 2507347 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29771000 | BOY |
| EOY | 76772000 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82234000 | BOY |
| EOY | 77442000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 208210000 | BOY |
| EOY | 120610000 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 82701000 | BOY |
| EOY | 88970000 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3508000 | BOY |
| EOY | 2807000 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6251000 | BOY |
| EOY | 6826000 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1162972000 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 708388000 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 501662000 | BOY |
| EOY | 454584000 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45360000 | BOY |
| EOY | 68829000 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 171570000 | BOY |
| EOY | 165860000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 614471000 | BOY |
| EOY | 576238000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1745738000 | BOY |
| EOY | 1638938000 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 133464000 | BOY |
| EOY | 122399000 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19726000 | BOY |
| EOY | 19749000 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 362752000 | BOY |
| EOY | 358177000 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13170000 | BOY |
| EOY | 26586000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 193935000 | BOY |
| EOY | 193530000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 723047000 | BOY |
| EOY | 720441000 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 619594000 | BOY |
| EOY | 600175000 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 386744000 | BOY |
| EOY | 301969000 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16353000 | BOY |
| EOY | 16353000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1022691000 | BOY |
| EOY | 918497000 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1745738000 | BOY |
| EOY | 1638938000 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -27843000 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -76351000 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $150,238 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $81,177 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 231415 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE C, PART II-B, LINE 1 | Identifier |
| Explanation | BOSTON MEDICAL CENTER PAYS DUES TO NAPH, MHA, AND AHA, AND A PORTION OF THE DUES ARE ALLOCATED TO LOBBYING EFFORTS. THE PORTION OF THE DUES THAT was ALLOCATED TO LOBBYING EFFORTS WAS $81,177. BMC ALSO PAID GEORGE TRAYLOR $90,238, A LOBBYIST, TO REPRESENT THE ORGANIZATION. ADDITIONALLY, BOSTON MEDICAL CENTER PAID ROBERT WHITE ASSOCIATES $60,000 TO REPRESENT THE ORGANIZATION. THESE FEES WERE PAID TO THE LOBBYISTS LISTED TO ADVANCE BOSTON MEDICAL CENTER'S MISSION: "TO CONSISTENTLY PROVIDE EXCELLENT AND ACCESSIBLE HEALTH CARE SERVICES TO ALL IN NEED OF CARE, REGARDLESS OF STATUS OR ABILITY TO PAY" AS SET OUT IN CHAPTER 147 OF THE ACTS AND RESOLVES OF 1996 OF THE COMMONWEALTH OF MASSACHUSETTS. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 405862208 | BeginningOfYearBalance |
| Contributions | 127397784 | Contributions |
| Investment Earnings Or Losses | -7312698 | InvestmentEarningsOrLosses |
| Other Expenditures | 53911542 | OtherExpenditures |
| Administrative Expenses | 1694554 | AdministrativeExpenses |
| End Of Year Balance | 470341198 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 427693269 | BeginningOfYearBalance |
| Contributions | 54430640 | Contributions |
| Investment Earnings Or Losses | 46804363 | InvestmentEarningsOrLosses |
| Other Expenditures | 121360660 | OtherExpenditures |
| Administrative Expenses | 1705404 | AdministrativeExpenses |
| End Of Year Balance | 405862208 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 431600644 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 31375895 | InvestmentEarningsOrLosses |
| Other Expenditures | 33917009 | OtherExpenditures |
| Administrative Expenses | 1366261 | AdministrativeExpenses |
| End Of Year Balance | 427693269 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.50100 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.03480 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.46420 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11291978 | OtherCostOrOtherBasis |
| Book Value | 11291978 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 486653572 | OtherCostOrOtherBasis |
| Depreciation | 145404568 | Depreciation |
| Book Value | 341249004 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 20516600 | OtherCostOrOtherBasis |
| Depreciation | 3420393 | Depreciation |
| Book Value | 17096207 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 58532602 | OtherCostOrOtherBasis |
| Depreciation | 12529671 | Depreciation |
| Book Value | 46002931 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 585977248 | OtherCostOrOtherBasis |
| Depreciation | 547033368 | Depreciation |
| Book Value | 38943880 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 454584000 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DONOR RESTRICTED INVESTMENTS | Description |
| Book Value | 165860000 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 165860000 | TotalOfBookValueSecurities |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER LT ASSETS | 187015250 |
| FUNDS HELD BY TRUSTEES | 32250000 |
| FOR FUNDED DEPRECIATION | 237586000 |
| BOND INDENTURE | 69156000 |
| NONCURRENT NOTES RECEIVABLE | 26591000 |
| INVESTMENT IN OTHER VENTURES | 23639750 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 576238000 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| EST SETTLEMENT W/3RD PARTY PAY | $27,227,000 |
| LT DEBT AND OBL-CAPITAL LEASE | $92,293,000 |
| OTHER LONG-TERM LIABILITIES | $28,874,709 |
| LT ADDITIONAL PENSION LIABILITY | $45,135,291 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 193530000 | TotalOfAmounts |
| Total Revenue | 977246730 | TotalRevenue |
| Total Expenses | 1005089730 | TotalExpenses |
| Excess Or Deficit For Year | -27843000 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -24592000 | NetUnrealizedGLOnInvestments |
| Other | -$51,759,000 | OtherAmount |
| Total Adjustments | -76351000 | TotalAdjustments |
| Excess Or Deficit Per FS | -104194000 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 953141000 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -24592000 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -24592000 | RevenueNotRptdF990 |
| Revenue Subtotal | 977733000 | RevenueSubtotal |
| Other Revenues Not Included | -486270 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -486270 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 977246730 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1005576000 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 1005576000 | ExpensesSubtotal |
| Other Expenses Not Included | -486270 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | -486270 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1005089730 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE D, PART V, LINE 4 - GENERAL ENDOWMENT | Identifier |
| Explanation | THE GENERAL ENDOWMENT INCLUDES FUNDS FROM A NUMBER OF SOURCES WITH VARIOUS RESTRICTIONS ON USE AND TREATMENT. THE ENDOWMENT FUNDS HAVE BEEN CONTRIBUTED FOR SPECIFIC PURPOSES INCLUDING CONSTRUCTION, MAINTENANCE, RESEARCH, CLINICAL CARE, EDUCATION, DEVELOPMENT, STAFFING, SALARIES, LABORATORY EQUIPMENT AND SUPPLIES, AND CONVALESCENT CARE. SCHEDULE D, PART X, LINE 2 THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. SCHEDULE D, PART XI, LINE 8 TERMINATION OF NEIDL AGREEMENT ($ 68,015,000) TRANSFER FROM BMCHP $ 23,000,000 OTHER ADJUSTMENTS $ 1,836,000 PENSION RELATED CHANGES OTHER THAN PERIODIC PENSION COSTS ($ 8,580,000) ------------- TOTAL ($ 51,759,000) SCHEDULE D, PART XII, LINE 4B RENTAL EXPENSE ($ 89,250) SPECIAL EVENTS EXPENSE ($ 397,020) ------------- TOTAL ($ 486,270) SCHEDULE D, PART XIII, LINE 2d RENTAL EXPENSE $ 89,250 SPECIAL EVENTS EXPENSE $ 397,020 ------------- TOTAL $ 486,270 | Explanation |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | true | GrantRecordsMaintained |
Accts Actvs Out US Table AcctsActvsOutUSTable (9 entries)
| RegionRegion | Number Of OfficesNumberOfOffices | Number Of EmployeesNumberOfEmployees | Type Of Activities ConductedTypeOfActivitiesConducted | Total ExpendituresTotalExpenditures | Specific Services ProvidedSpecificServicesProvided |
|---|---|---|---|---|---|
| East Asia and the Pacific | 0 | 3 | Grantmaking | 129248 | |
| Sub-Saharan Africa | 2 | 8 | Program Services | 176861 | HEALTH SVCS TRAINING |
| Russia and the Newly Independent States | Grantmaking | 14510 | |||
| Europe (Including Iceland and Greenland) | Grantmaking | 32668 | |||
| North America | Grantmaking | 19572 | |||
| Central America and the Caribbean | Program Services | 9939 | SELF INSURANCE | ||
| Central America and the Caribbean | Investments | 4756449 | |||
| North America | Investments | 23300035 | |||
| Europe (Including Iceland and Greenland) | Investments | 10905900 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 2 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 11 | SubtotalNumberOfEmployees |
| Total Number Of Offices | 2 | TotalNumberOfOffices |
| Total Number Of Employees | 11 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 39345182 | SubtotalAmountSpent |
| Total Amount Spent | 39345182 | TotalAmountSpent |
Grants To Orgs Outside US GrantsToOrgsOutsideUS (9 entries)
| RegionRegion | Amount Of Cash GrantAmountOfCashGrant | Manner Of Cash DisbursementMannerOfCashDisbursement |
|---|---|---|
| East Asia/Pacific | 39166 | WIRE TRANSFR |
| East Asia/Pacific | 14000 | WIRE TRANSFR |
| East Asia/Pacific | 28082 | WIRE TRANSFR |
| Sub-Saharan Africa | 159481 | WIRE TRANSFR |
| Sub-Saharan Africa | 17380 | WIRE TRANSFR |
| East Asia/Pacific | 48000 | WIRE TRANSFR |
| Russia | 14510 | WIRE TRANSFR |
| Europe/Iceland/Greenland | 32668 | WIRE TRANSFR |
| North America | 19572 | WIRE TRANSFR |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of501c3 Orgs | 0 | TotalNumberOf501c3Orgs |
| Total Number Of Other Orgs | 9 | TotalNumberOfOtherOrgs |
| Transfer To Foreign Corp | true | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | true | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | true | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE F, PART I, LINE 2 | THE PRINCIPAL INVESTIGATOR AND ADMINISTRATOR APPROVE ALL SUBCONTRACT | INVOICES, INCLUDING THOSE FROM A FOREIGN COUNTRY. THE FOREIGN SUBCONTRACT RECIPIENT HAS A BUDGET TO WHICH INVOICES ARE MATCHED TO ENSURE THAT ALL SPENDING IS APPROPRIATE. ADDITIONALLY, THE ORGANIZATION'S PRINCIPAL INVESTIGATORS REGULARLY CONTACT THE FOREIGN SUBCONTRACT RECIPIENTS TO MONITOR THE PROGRESS OF THE RECIPIENTS' WORK. |
| SCHEDULE F, PART II, LINE 1 | FOREIGN EXPENDITURES ARE SEPARATELY IDENTIFIED ON THE ORGANIZATION'S GENERAL LEDGER. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| Email Solicitations | X | EmailSolicitations |
| Phone Solicitations | X | PhoneSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Solicitation Of Govt Grants | X | SolicitationOfGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | false | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Individual | WEDU | NameOfIndividual |
| Activity | EVENT PLANNING | Activity |
| Fundraiser Control Of Funds | false | FundraiserControlOfFunds |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed States | ME | LicensedStates |
| Licensed States | MA | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA | NameOfEvent1 |
| Gross Receipts Event1 | 2574840 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 2323973 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 250867 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 21163 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 140286 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 42070 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 76036 | OtherDirectExpensesEvent1 |
| Name Of Event2 | FOOD FOR THOUGH | NameOfEvent2 |
| Gross Receipts Event2 | 955154 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 929054 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 26100 | GrossRevenueEvent2 |
| Food And Beverage Event2 | 53053 | FoodAndBeverageEvent2 |
| Other Direct Expenses Event2 | 14730 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 142600 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 110950 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 31650 | GrossRevenueOtherEvents |
| Non Cash Prizes Other Events | 1200 | NonCashPrizesOtherEvents |
| Rent Facility Costs Other Events | 30000 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 15373 | FoodAndBeverageOtherEvents |
| Other Direct Expenses Other Events | 3119 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 3672594 | GrossReceiptsTotal |
| Charitable Contributions Total | 3363977 | CharitableContributionsTotal |
| Gross Revenue Total Events | 308617 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 1200 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 51163 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 208712 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 42070 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 93885 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 397030 | DirectExpenseSummaryEvents |
| Net Income Summary | -88413 | NetIncomeSummary |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 88 EAST NEWTON STREET | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02118 | ZIPCode |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 0 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 0 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 75938 | PersonsServed |
| Total Community Benefit Expense | 93801091 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 93801091 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 282668 | PersonsServed |
| Total Community Benefit Expense | 321986638 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 319405362 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2581276 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 358606 | PersonsServed |
| Total Community Benefit Expense | 415787729 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 413206453 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2581276 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 23187905 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4613141 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17419446 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01790 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 58970010 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13077323 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 45892687 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04720 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 687 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 95368479 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 95368479 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 687 | NumberOfActivitiesOrPrograms |
| Total Community Benefit Expense | 177526394 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 113058943 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 63312133 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06510 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 687 | NumberOfActivitiesOrPrograms |
| Persons Served | 358606 | PersonsServed |
| Total Community Benefit Expense | 593314123 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 526265396 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 65893409 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06780 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 98888 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 98888 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 15930000 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 15930000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.01640 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 742992 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 742992 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 7935787 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 5808641 | DirectOffsettingRevenue |
| Net Community Building Expense | 2127146 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 481096 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 481096 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 708384 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 708384 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 25897147 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 5808641 | DirectOffsettingRevenue |
| Net Community Building Expense | 20088506 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.02070 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $18,349,993 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 185293793 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 163401660 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 21892133 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BOSTON MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 88 EAST NEWTON STREET | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02118 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
| Other | REHABILITATION UNIT | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BOSTON MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| MARGARET M SHEA RN ADULT HEALTH PROGRAM | ||||
| 229 RIVER STREET | MATTAPAN | MA | 02126 | ADULT DAYCARE |
| SUPPORTING PARENTS & RESILIENT KIDS CTR | ||||
| 255 RIVER STREET | MATTAPAN | MA | 02126 | THERAPEUTIC CENTER |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Introduction | THE STATUTE THAT CREATED BOSTON MEDICAL CENTER (BMC) REQUIRES IT TO | SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 508-LICENSED BED, URBAN ACADEMIC MEDICAL CENTER WHICH EMPHASIZES COMMUNITY-BASED, ACCESSIBLE CARE AND THE MISSION TO PROVIDE CONSISTENTLY ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY. BMC IS THE LARGEST SAFETY NET HOSPITAL IN NEW ENGLAND AND PROVIDES A FULL SPECTRUM OF PEDIATRIC AND ADULT CARE SERVICES FROM PRIMARY TO FAMILY MEDICINE TO ADVANCED SPECIALTY CARE. APPROXIMATELY 70 PERCENT OF BMC'S PATIENTS COME FROM UNDERSERVED POPULATIONS, INCLUDING LOW-INCOME FAMILIES, ELDERS, PEOPLE WITH DISABILITIES, AND IMMIGRANTS. SEVENTY PERCENT OF ALL PATIENTS ARE FROM RACIAL AND ETHNIC MINORITY POPULATIONS, 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 INCLUDE, BUT ARE NOT LIMITED TO, PATIENT NAVIGATION, INTERPRETER SERVICES, AND A FOOD PANTRY, THAT HELP REDUCE BARRIERS TO ACCESSING HEALTH SERVICES AND ELIMINATE DISPARITIES IN HEALTH CARE AMONG THE VARIOUS POPULATIONS BMC SERVES. WITH MORE THAN 29,070 ADMISSIONS AND 853,343 PATIENT VISITS IN FY11, 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 128,231 VISITS IN FY11. 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 107 SUCH DESIGNATED TRACTS IN SUFFOLK COUNTY (COMPRISING BOSTON AND THREE TOWNS). 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 2009, 17% OF BOSTON RESIDENTS HAD INCOMES BELOW THE FEDERAL POVERTY LEVEL, WHILE NEARLY HALF OF BMC'S PATIENTS HAVE INCOMES BELOW THE FEDERAL POVERTY LEVEL. ACCORDING TO THE 2010 MASSACHUSETTS HEALTH INSURANCE SURVEY (WHICH INCLUDES DATA FROM 2008-2010), 1.9% OF RESIDENTS WERE UNINSURED AND 98.1% OF MASSACHUSETTS RESIDENTS HAD COVERAGE DURING THE SURVEY. THE COMPOSITION OF THE LATTER IS: 16.4% MEDICAID; 65.1% EMPLOYER SPONSORED INSURANCE; AND 16.6% PUBLIC OR OTHER INSURANCE. OF BMC'S PATIENTS, NEARLY 4.6% ARE UNINSURED, AND COVERAGE RATES FOR PRIMARY INSURANCE WERE APPROXIMATELY: 18.8% MEDICAID; 52.9% PRIVATE OR OTHER INSURANCE (EMPLOYER SPONSORED AND OTHER); AND 23.7% PUBLIC. |
| LINE 1: REQUIRED DESCRIPTIONS | PART I, LINE 3C | ORGANIZATION OFFERS A DISCOUNT FROM CHARGES REGARDLESS OF INCOME OR ASSETS. THE DISCOUNT IS EQUAL TO THE UNCOMPENSATED CARE COST TO CHARGE RATIO. PART I, LINE 7 FOR THE CALCULATION OF COSTS OF CHARITY CARE (LINE 7A) & MEDICAID COST (LINE 7B) AN OVERALL COST TO CHARGE RATIO WAS USED. A COST TO CHARGE RATIO IS DETERMINED BY DIVIDING THE TOTAL CHARGES FOR ALL SERVICES INTO THE TOTAL COST OF PROVIDING THE SERVICES. THE RESULTING RATIO IS KNOWN AS A COST TO CHARGE RATIO. THE RATIO IS MULTIPLIED BY THE CHARGES FOR CHARITY CARE & MEDICAID TO OBTAIN THEIR RESPECTIVE COSTS. FOR THE CALCULATION OF COMMUNITY HEALTH IMPROVEMENT SERVICES(LINE 7E) DISCRETE COSTING WAS USED. FOR THE CALCULATION OF HEALTH PROFESSIONS EDUCATION COST (LINE 7F) THE CENTERS FOR MEDICARE & MEDICAID (CMS) COST ALLOCATION METHODOLOGY PER CMS FORM 2552 WAS USED. CMS FORM 2552 IS A REQUIRED ANNUAL FILING TO THE FEDERAL GOVERNMENT. PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE WAS $33,585,564. |
| PART II | BMC 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 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 $46,892 FOR FIVE YEARS ENDING IN FISCAL YEAR 2013 TOTALING TO $234,460, $19,400 FOR FIVE YEARS ENDING IN FISCAL YEAR 2011 TOTALING TO $97,000, AND $16,700 FOR FIVE YEARS ENDING IN 2014 TOTALING TO $83,500. BOSTON MEDICAL CENTER ALSO HAS AN AGREEMENT WITH THE BRA TO PAY LINKAGE FEES FOR HOUSING OF $24,875 PER YEAR FOR 12 YEARS ENDING 2012 TOTALING TO $298,500. 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 2011 EXPENSE RELATED TO THE FORGIVENESS OF THIS LOAN WAS $660,000. 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 3 | THE ORGANIZATION ESTIMATED $0 OF THE ORGANIZATION'S BAD DEBT EXPENSE | (AT COST) AS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY DUE TO THE MANNER IN WHICH THE DETAIL OF THE BAD DEBT EXPENSE IS PROCESSED IN ITS SYSTEM. PART III, LINE 4 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 $163,401,660 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 BMC 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 DEPT. OF RADIOLOGY AT WHITTIER HEALTH CENTER BOSTON MEDICAL CENTER DEPT. OF RADIOLOGY AT UPHAM'S CORNER HEALTH CENTER JOHN D. O'BRYANT STUDENT HEALTH CENTER MURIEL SNOWDEN INTERNATIONAL HS HEALTH CENTER BMC 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) |
| LINE 2: NEEDS ASSESSMENT | BMC'S ASSESSMENT OF THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES | IS 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. |
| LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | FOR THOSE PATIENTS WHO ARE UNINSURED OR UNDERINSURED, BMC WILL ASSIST | THEM 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 CREOLE |
| LINE 4: COMMUNITY INFORMATION | SEE INTRODUCTION. | LINE 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 (5,500 PATIENT INTERVIEWS IN FY11), THAT SERVE THE POOREST FAMILIES. THE DATABASE OF MORE THAN 44,000 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, 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 FY11, THE AUTISM CLINIC EVALUATED MORE THAN 300 NEW PATIENTS AND PROVIDED REGULAR FOLLOW-UP TO AN ADDITIONAL 400 FAMILIES. BIRTH SISTERS AND PERINATAL CARE: 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 442 PATIENTS IN FY11. 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 THROUGHOUT EASTERN MASSACHUSETTS. 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. IN FY11, MLP-BOSTON SERVED 1,000 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. |
| RESPONDING TO THE NEEDS OF PATIENTS AFFECTED BY VIOLENCE | 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 TREATED 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 YOUNG CHILDREN UNDER THE AGE OF EIGHT WHO ARE 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 2011, 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 200 INDIVIDUALS IN FY11 BY PROVIDING SERVICES SUCH AS CRISIS INTERVENTION/COUNSELING; RISK ASSESSMENT AND SAFETY PLANNING; ASSISTANCE WITH ACCESSING PROTECTIVE ORDERS, 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 COLLABORATE 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 VIA WITH STRONG COMMUNITY KNOWLEDGE. IN FY11, VIAP PROVIDED SERVICES TO A TOTAL OF 415 VICTIMS: 178 GUNSHOT VICTIMS AND 237 STABBING VICTIMS. OF THESE VICTIMS, 34 WERE FEMALE. VIAP PROVIDED THE FOLLOWING DIRECT SERVICES AND REFERRALS TO SERVICES TO VICTIMS AND 34 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. A TOTAL OF 240 PEOPLE FROM BOSTON AND SURROUNDING AREAS ATTENDED THE 2011 SCREENING EVENT. FLU VACCINE DAY: BMC BEGAN ITS 2010-2011 INFLUENZA VACCINATION CAMPAIGN IN SEPTEMBER OF 2010 MAKING INFLUENZA VACCINE AVAILABLE TO ALL PATIENTS IN BOTH THE INPATIENT AND AMBULATORY CARE SETTINGS. TO DATE, BMC HAS ADMINISTERED MORE THAN 31,348 DOSES OF VACCINE. | |
| A SAFETY NET FOR SPECIAL AT-RISK POPULATIONS | THE METRO BOSTON JAIL DIVERSION PROGRAM (JDP): SINCE 2006, THE JDP HAS WORKED WITH 529 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 BOTH IDENTIFY INDIVIDUALS WITH THESE RISK FACTORS AND 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, 56 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; EDUCATE AND TRAIN AGENCIES AND PROFESSIONALS WHO SERVE THESE COMMUNITIES; ADVOCATE FOR THE PROMOTION OF HEALTH AND HUMAN RIGHTS IN THE UNITED STATES AND WORLDWIDE; AND 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 FY11, THE BCRHHR SERVED MORE THAN 500 PATIENTS. ELDERS LIVING AT HOME PROGRAM (ELAHP): IN FY11, ELAHP PROVIDED HOUSING SEARCH AND PLACEMENT TO 14 HOMELESS OLDER ADULTS, AND HOUSING STABILIZATION SERVICES TO AN ADDITIONAL 60 FORMERLY HOMELESS INDIVIDUALS. 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. THE GOAL OF ELAHP IS TO HELP OLDER ADULTS LOCATE AND MAINTAIN A PERMANENT RESIDENCE AND ALLOW THEM TO LIVE AS INDEPENDENTLY AS POSSIBLE. HEALTHY NUTRITION AND EXERCISE FOOD PANTRY: 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. OVER THE PAST FIVE YEARS THE PANTRY HAS SEEN AN 87% INCREASE IN DEMAND FOR ITS SERVICES. IN 2011, THE PANTRY PROVIDED 252,228-WORTH OF FOOD TO AN ESTIMATED 13,902 PEOPLE. THIS NUMBER IS EXPECTED TO RISE BY 5% IN 2012. 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 AND SERIOUS ILLNESS, WHICH CAN RESULT IN HOSPITALIZATION. IN 2011, THE GROW CLINIC PROVIDED MEDICAL TREATMENT, NUTRITIONAL ASSESSMENT, HOME HEALTH EDUCATION, FAMILY ADVOCACY, ACCESS TO A THERAPEUTIC FOOD PANTRY AND OTHER SERVICES, CHILDREN'S CLOTHES, DIAPERS, BOOKS AND EDUCATIONAL TOYS TO A TOTAL OF 225 PATIENTS/FAMILIES. ADULT WEIGHT MANAGEMENT: THE NUTRITION AND WEIGHT MANAGEMENT CENTER OFFERS SEVERAL PROGRAMS, SUCH AS WEEKLY SUPPORT GROUPS FOR WEIGHT MANAGEMENT AND A CANCER SURVIVOR'S WEIGHT MANAGEMENT GROUP, FOR THE COMMUNITY AIMED AT SUPPORTING HEALTHY LIFESTYLES AND NUTRITION. MORE THAN 500 PATIENTS BENEFITED FROM THESE SERVICES IN FY11. NUTRITION AND FITNESS FOR LIFE PROGRAM (NFL): THE DEPARTMENT OF PEDIATRICS WORKS TO PREVENT THE ONSET OF ADULT DIABETES IN YOUNG, UNDERSERVED, AND OVERWEIGHT AND OBESE PATIENTS THROUGH ITS NFL, WHICH PROVIDES CLINICAL AND COMMUNITY-BASED SERVICES TO CHILDREN AND THEIR FAMILIES. THE NFL MODEL FEATURES THREE PRIMARY COMPONENTS: 1) CLINICAL SERVICES TARGETING CHILDREN WITH >95 PERCENTILE OF BODY MASS INDEX; 2) THE FANTASTIC KIDS AFTER SCHOOL PROGRAM WHICH PROVIDES TEEN-MENTORED NUTRITION EDUCATION AND FITNESS ACTIVITIES FOR OVERWEIGHT AND OBESE YOUTH WHO ARE REFERRED TO THE PROGRAM BY THEIR PHYSICIANS; AND 3) CONTINUING MEDICAL EDUCATION FOR CLINICIANS TO INCREASE THEIR CAPACITY TO TREAT PEDIATRIC OVERWEIGHT PATIENTS IN THE PRIMARY CARE SETTING. THESE PROGRAMS FILL A LARGE GAP IN SERVICES TO POPULATIONS MOST STRONGLY IMPACTED BY THE PEDIATRIC OBESITY EPIDEMIC. 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 WINTER COATS) FOR A | LOW-INCOME PATIENT. SOCIAL WORK EMERGENCY FUND (SWEF): THE SWEF PROVIDED SHORT-TERM, IMMEDIATE ASSISTANCE TO APPROXIMATELY 700 PATIENTS WHO FACED CRISES IN FY11 AND HAD NOWHERE ELSE TO TURN. THE FUND ENABLES BMC TO COVER THE COSTS OF EMERGENCY EXPENSES WHILE ITS SOCIAL WORKERS HELP INDIVIDUALS AND FAMILIES FIND THE RESOURCES AND SERVICES THEY NEED TO STABILIZE THEIR LIVES AFTER PERSONAL CRISES. WE PROVIDE CAB VOUCHERS FOR THOSE UNABLE TO ACCESS PUBLIC TRANSPORTATION TO GET TO BMC, AND CAR SEATS AND CLOTHING TO YOUNG FAMILIES. SWEF HAS THE FLEXIBILITY TO PROVIDE FOR A RANGE OF NEEDS AND THE JUDICIOUS USE OF FUNDS HELPS IN A NUMBER OF UNIQUE SITUATIONS WHEN, TOO OFTEN, INDIVIDUALS AND FAMILIES HAVE NO ALTERNATIVE. 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 AND WHO HAVE SPECIAL LANGUAGE SKILLS, TRAINING IN SCHEDULING, AND REFINED COMPASSION/COMMUNICATION SKILLS. PEER 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 FY11, THESE SHUTTLE BUSES TRANSPORTED 199,936 PATIENTS AND THEIR FAMILIES BETWEEN BMC AND THE BOSTON HEALTHNET CHCS. THERE IS ALSO A DIRECT TAXI AND VAN HOSPITAL-TO-HOME SERVICE FOR SPECIFIC CASES. INTERPRETER SERVICES: BMC VALUES ITS DIVERSE PATIENT POPULATION AND IS COMMITTED TO HONORING THEIR ETHNIC, RELIGIOUS AND CULTURAL DIFFERENCES. THE INTERPRETER SERVICES DEPARTMENT IS THE MOST EXTENSIVE IN NEW ENGLAND. IN ADDITION TO PROVIDING PERSON-TO-PERSON INTERPRETERS ON-SITE IN MORE THAN 30 LANGUAGES, 24-HOURS-A DAY, THE DEPARTMENT UTILIZES THE LATEST ADVANCES IN TECHNOLOGY SUCH AS TELEPHONIC AND VIDEO INTERPRETING. INTERPRETER SERVICES GOES ABOVE AND BEYOND WHAT IS MANDATED BY LAW TO PROVIDE VIDEO INTERPRETING, NON-ESSENTIAL DOCUMENT TRANSLATION (SUCH AS APPOINTMENT REMINDER LETTERS, BEREAVEMENT LETTERS), TRANSLATION AND RECORDING OF CLINIC PHONE MENUS, AND 24/7 ON-CALL FACE-TO-FACE COVERAGE FOR OUR TOP FOUR LANGUAGES OUR INTERPRETERS HELP TO BREAK LANGUAGE BARRIERS AS WELL AS SERVE AS CULTURAL BROKERS TO PATIENTS AND STAFF. LAST YEAR, THEY ASSISTED IN 190,647 INTERACTIONS WITH PATIENTS AND VISITORS. ADDRESSING SIGNIFICANT PUBLIC HEALTH PROBLEMS DIABETES: THE BMC DIABETES CENTER PROVIDES INNOVATIVE AND UP-TO-DATE DIABETES EDUCATION AND CARE TO HELP PATIENTS BETTER UNDERSTAND AND MANAGE THEIR DIABETES. LOCATED IN THE ENDOCRINOLOGY CLINIC, THE DIABETES CENTER PROVIDES CULTURALLY AND LITERACY-APPROPRIATE EDUCATION ABOUT NUTRITION, MENU PLANNING, EXERCISE AND MEDICATION MANAGEMENT TO THE MOST CHRONICALLY ILL PATIENTS WITH DIABETES. CARE PROVIDERS ALSO TRAIN PATIENTS TO BETTER MANAGE THEIR INSULIN REGIMENS. A PATIENT NAVIGATOR ON THE TEAM ASSISTS PATIENTS IN APPOINTMENT SCHEDULING AND TRANSPORTATION NEEDS, FOR PATIENTS WITH CHALLENGES IN RETAINING THEIR APPOINTMENTS (SEE PATIENT NAVIGATION). SMOKING CESSATION: BMC'S DIVISION OF PSYCHIATRY OFFERS A MEDICALLY SUPERVISED SMOKING CESSATION PROGRAM. THE PROGRAM IS AN EIGHT WEEK, ONE HOUR PER WEEK CLASSROOM MODEL WITH A CURRICULUM THAT INCLUDES PHARMACOTHERAPY, NICOTINE REPLACEMENT (GUM AND PATCHES), STRESS REDUCTION TRAINING, COGNITIVE RESTRUCTURING, SOCIAL SUPPORT, AND RELAPSE PREVENTION COUNSELING. THIS CLINICAL RESOURCE FOR BMC PATIENTS ALSO SERVES AS A CENTER FOR TRAINING AND RESEARCH IN TOBACCO CONTROL AVAILABLE TO THE ENTIRE BMC COMMUNITY. |
| IMPROVING QUALITY OF LIFE | ACUPUNCTURE: ACUPUNCTURE SERVICES AT BMC ARE PROVIDED FREE OF CHARGE TO MORE THAN 600 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 FY11, THERE WERE 15 CANCER SUPPORT GROUPS THAT MET REGULARLY AND AS MANY AS 650 PATIENTS WHO PARTICIPATED IN THE SURVIVORSHIP PROGRAMS. 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 FY11, IS TO SUBSTANTIALLY IMPACT THE QUALITY OF LIFE FOR THE URBAN UNDERSERVED THROUGH PROVIDING ACCESS TO INTEGRATIVE MEDICINE CLINICAL SERVICES, RESEARCH AND EDUCATION. SERVICES PROVIDED, PRIMARILY FREE OF CHARGE, INCLUDE YOGA CLASSES, INTEGRATIVE CANCER CARE, ACUPUNCTURE CLINICS, CHI GUNG CLASS, MUSIC THERAPY, AND INTEGRATIVE MEDICINE CONSULTS. EMPOWERING INDIVIDUALS WITH DISABILITIES STEPPING FORWARD-STAYING INFORMED CONSUMER EDUCATION PROGRAM: THE STEPPING FORWARD-STAYING INFORMED IS A TWO-PRONGED CONSUMER EDUCATION PROGRAM CONSISTING OF AN ANNUAL ONE-DAY RESEARCH CONFERENCE TAILORED TO CONSUMERS AND A BI-MONTHLY EVENING LECTURE SERIES. STEPPING FORWARD-STAYING INFORMED PRESENTS TOPICS THAT DIRECTLY RELATE TO LIVING WITH SPINAL CORD INJURY (SCI), SUCH AS CURRENT RESEARCH FINDINGS AND EMERGING EFFECTIVE TREATMENT TECHNIQUES, IN EASILY UNDERSTOOD, LAY TERMINOLOGY. INDIVIDUALS LIVING WITH SCI AND THEIR FAMILIES SEEK CURRENT INFORMATION ABOUT SPINAL CORD INJURY RESEARCH AND EMERGING TREATMENTS BECAUSE IT ENABLES THEM TO ADVOCATE ON THEIR BEHALF, MAKE INFORMED DECISIONS ABOUT CARE, AND SHARE INFORMATION WITH OTHER INDIVIDUALS. THE STEPPING FORWARD-STAYING INFORMED CONFERENCE IS A SOURCE OF INFORMATION FOR CONSUMERS AND HEALTHCARE PROFESSIONALS. COMMUNITY INITIATIVES/DETERMINATION OF NEED THE DETERMINATION OF NEED (DON) PROGRAM, ADMINISTERED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, REQUIRES HEALTH CARE FACILITIES PLANNING SUBSTANTIAL CAPITAL EXPENDITURES OR SUBSTANTIAL CHANGES IN SERVICES TO SEEK REVIEW AND APPROVAL FROM THE STATE PRIOR TO IMPLEMENTING A PLANNED EXPENDITURE/CHANGE IN SERVICES. ONE CONDITION OF APPROVAL IS THAT THE HOLDER OF AN APPROVED DON SHALL EXPEND, TYPICALLY OVER A FIVE-YEAR PERIOD, AN AMOUNT REASONABLY RELATED TO THE COST OF THE PROJECT, FOR THE PROVISION OF PRIMARY AND PREVENTIVE HEALTH CARE SERVICES NECESSARY FOR UNDERSERVED POPULATIONS IN THE PROJECT'S SERVICE AREA. THIS PROGRAM, THE "COMMUNITY HEALTH INITIATIVES (CHI) PROGRAM" IS COMMONLY REFERRED TO AS "FACTOR 9" SINCE IT IS REQUIRED UNDER SECTION 9 OF SUBSECTION 100.533(B) OF THE DETERMINATION OF NEED REGULATION. BMC HAS SOUGHT AND RECEIVED APPROVAL FOR A NUMBER OF DONS RELATING TO MAJOR CLINICAL TECHNOLOGIES, WHICH ARE REGULATED BY THE DON PROGRAM. THESE TECHNOLOGIES ARE LISTED IN THE CHART BELOW, AND INDICATE THE RECIPIENTS OF THE REQUIRED "FACTOR 9" DONATIONS. ALL OF THESE PROJECTS ARE TO BE PAID OVER A 5-YEAR PERIOD, TYPICALLY IN EQUAL AMOUNTS EACH YEAR. DETERMINATION OF THE AMOUNT, SET BY THE DEPARTMENT OF PUBLIC HEALTH, WAS BASED ON 5% OF THE MAXIMUM CAPITAL EXPENDITURE (MCE) FOR EACH PROJECT. BMC'S DONATIONS HAVE BEEN MADE TO A COMBINATION OF COMMUNITY HEALTH CENTERS IN BMC'S SERVICE AREA AS WELL AS TO THE ALLIANCE FOR COMMUNITY HEALTH (COMMUNITY HEALTH NETWORK AREA 19 - "CHNA 19") - WHICH IS A COALITION OF AGENCIES, ORGANIZED WITH THE ASSISTANCE OF THE DEPARTMENT OF PUBLIC HEALTH AND SERVING THE BOSTON AREA. (NOTE: THE ALLIANCE'S FISCAL AGENT WAS HEALTH RESOURCES IN ACTION/COMMUNITY BENEFITS DEPARTMENT DURING FY 2011). | |
| PHARMACY (FREE RX) | THE HEALTH SAFETY NET SYSTEM IN MASSACHUSETTS IS THE SUCCESSOR SYSTEM TO THE FREE CARE POOL. ESTABLISHED SO UNINSURED MASSACHUSETTS RESIDENTS WITHOUT FINANCIAL RESOURCES WOULD HAVE ACCESS TO QUALITY NO COST HEALTH CARE SERVICES. EVEN THOUGH MASSACHUSETTS REQUIRES EVERYONE IN THE STATE TO HAVE HEALTH INSURANCE, WE STILL HAVE MANY UNINSURED PEOPLE ACCORDING TO STATE STATISTICS. THE BMC OUTPATIENT PHARMACIES SERVE THE FREECARE POPULATION ON A DAILY BASIS WITH DIGNITY AND RESPECT WHILE MEETING OUR HOSPITAL'S MISSION OF EXCEPTIONAL AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY. IN FISCAL YEAR 2011 THE PHARMACIES FILLED OVER 200,000 FREECARE PRESCRIPTIONS FOR PATIENTS WITHOUT INSURANCE. NOT ONE PERSON LEFT THE BMC PHARMACIES WITHOUT THEIR PRESCRIPTIONS WHETHER IT WAS FOR OUTPATIENT CHEMOTHERAPY OR ASPIRIN TABLETS, IF THEY DID NOT HAVE INSURANCE OR THE MEANS TO PAY FOR IT. LINE 6: AFFILIATED HEALTH CARE SYSTEM ESTABLISHED IN 1995, BOSTON HEALTHNET (BHN) IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM COMPRISED OF BMC, THE BOSTON UNIVERSITY SCHOOL OF MEDICINE, AND 15 COMMUNITY HEALTH CENTERS (CHCS). PHYSICIANS WHO PRACTICE AT HEALTHNET LOCATIONS PROVIDE A WIDE RANGE OF COMPREHENSIVE HEALTH CARE SERVICES TO ADULT AND PEDIATRIC PATIENTS, WITH A FOCUS ON DISEASE PREVENTION AND HEALTH EDUCATION. PATIENTS RECEIVING PRIMARY CARE AT HEALTHNET SITES HAVE ACCESS TO HIGHLY TRAINED SPECIALISTS AND CUTTING-EDGE TECHNOLOGY AT BMC WHILE MAINTAINING INDIVIDUALIZED AND CULTURALLY SENSITIVE CARE IN THEIR NEIGHBORHOODS. NOW IN ITS 17TH 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. BOSTON HEALTHNET CHC PARTNERS ARE ACTIVE COLLABORATORS ON A NUMBER OF PROJECTS AND PROGRAMS DESCRIBED IN THIS REPORT, INCLUDING THE PROSTATE CANCER SCREENING INITIATIVE, PATIENT NAVIGATION RESEARCH, THE FANTASTIC KIDS PROGRAM TO ADDRESS PEDIATRIC OVERWEIGHT, AND MEDICAL-LEGAL PARTNERSHIP. ADDITIONAL EXAMPLES OF PROJECTS ON WHICH BMC AND BOSTON HEALTHNET HAVE COLLABORATED INCLUDE: | |
| INFORMATION TECHNOLOGY | SIGNIFICANT STRIDES HAVE BEEN MADE IN THE AREA OF INFORMATION | TECHNOLOGY ACROSS THE NETWORK. ALL OF BOSTON HEALTHNET'S PRIMARY CHC PARTNERS ARE CONNECTED TO BMC OVER HIGH-SPEED T-1 LINES THAT PUT BMC'S CLINICAL SYSTEMS AT THE FINGERTIPS OF CHC 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 WORKING GROUP MEETS MONTHLY TO ADDRESS DEVELOPMENTAL ISSUES AND TO EVALUATE AND PRIORITIZE FUTURE PROJECTS. 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 ALLOWS 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. IN 2010, BOSTON HEALTHNET RECEIVED A TWO-YEAR, $2,986,872 GRANT FROM HRSA TO HELP COMPLETE THE TRANSFORMATION OF CURRENT HEALTH INFORMATION TECHNOLOGY CAPABILITIES INTO A TRULY INTEGRATED, HIGH-PERFORMANCE HEALTH INFORMATION EXCHANGE WITH THE CAPACITY TO HANDLE ALL NECESSARY CLINICAL, ADMINISTRATIVE AND FINANCIAL FUNCTIONS. TO THIS END, PROJECT FUNDS ARE BEING USED TO INSTALL THE CENTRICITY PRACTICE SOLUTION AT FIVE CHCS; TO IMPLEMENT IMMUNIZATION AND DIABETES REGISTRIES FOR THE ENTIRE BHN NETWORK, INCLUDING BMC; TO FULLY AUTOMATE LABORATORY ORDER ENTRY AND RESULTS RETRIEVAL FOR 12 OF THE CHCS; TO AUTOMATE REPORTING OF UNIFORM DATA SYSTEM MEASURES AND HRSA CLINICAL PERFORMANCE MEASURES IN ALL 15 CHCS; AND TO CREATE A DATA WAREHOUSE FOR THE CHCS. IN 2011, THE YANKEE ALLIANCE, INC. AWARDED BMC $454,967 FOR THE BALANCED SCORECARD/SAFE SIGN-OUTS PROJECT, TO BEGIN RETROACTIVELY ON OCTOBER 1, 2011 AND FINISH SEPTEMBER 30, 2012. 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 WILL FOCUS ON THE PROVIDER LEVEL METRICS DEVELOPMENT AND TESTING. SAFE SIGN-OUTS IS A NEW SYSTEMS DEVELOPMENT PROJECT TO CREATE A SOFTWARE SYSTEM AND PROTOCOL FOR RESIDENT SAFE SIGN-OUTS TO PREVENT PATIENT ADVERSE EVENTS. ALSO IN 2011, BOSTON HEALTHNET RECEIVED A TWO-YEAR HRSA GRANT TO IMPLEMENT A SERIES OF HEALTH INFORMATION TECHNOLOGY INITIATIVES THAT INTEGRATE DATABASES AND ELECTRONIC ALERTS IN STANDARDIZED SYSTEMS IN ORDER TO IMPROVE THE QUALITY, EFFECTIVENESS AND EFFICIENCY OF PRIMARY CARE. THE PROJECT WILL IMPLEMENT CLINICAL AND FINANCIAL PRACTICE MANAGEMENT SOFTWARE THAT IS FULLY INTEGRATED WITH THE ELECTRONIC HEALTH RECORDS AT FIVE CHCS, REDUCING THE NUMBER OF CUSTOMIZED INTERFACES AND LICENSES NEEDED AND PROVIDING CRUCIAL BUSINESS INTELLIGENCE; CREATE SYSTEM-WIDE CHILDHOOD IMMUNIZATION AND DIABETES REGISTRIES; AUTOMATE REPORTING OF UNIFORM DATA SYSTEM DATA, HRSA CLINICAL PERFORMANCE MEASURES AND SELECTED PRACTICE MANAGEMENT METRICS; AND CREATE A DATA WAREHOUSE FOR THE CHCS.THE PROJECT WILL BENEFIT THE MORE THAN 334,000 BOSTON HEALTHNET PATIENTS AND THE CLINICAL IMPACT OF THE PROPOSED WILL INCLUDE SIGNIFICANT INCREASES IN THE NUMBER OF CHILDREN FULLY IMMUNIZED BY AGE TWO YEARS AND ADHERENCE TO THE STANDARDS OF THE NATIONAL COMMITTEE ON QUALITY ASSURANCE FOR DIABETES CARE, AND A SIGNIFICANT DECREASE IN THE PERCENT OF PATIENTS WITH UNCONTROLLED DIABETES (HBA1C > 9). 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 199,936 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (73 entries)
| Address Line1AddressUS/AddressLine1 | Address Line2AddressUS/AddressLine2 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|---|
| ARKANSAS CHILDREN'S HOSPITAL | ||||||||
| 800 Marshall Slot 512 | RESEARCH INSTITUTE | Little Rock | AR | 72202 | 710694931 | 501(c)(3) | 45847 | Subaward |
| BAY COVE HUMAN SERVICES | ||||||||
| 66 Canal Street | Boston | MA | 02114 | 042518575 | 501(c)(3) | 2773536 | Subaward | |
| BETH ISRAEL DEACONESS HOSPITAL | ||||||||
| PO Box 3784 | Boston | MA | 02241 | 042103881 | 501(c)(3) | 408506 | Subaward | |
| BETH ISRAEL MEDICAL CENTER | ||||||||
| 555 West 57th Street | 5TH FLOOR | New York | NY | 10019 | 135564934 | 501(c)(3) | 56192 | Subaward |
| BOSTON PUBLIC HEALTH COMMISSION | ||||||||
| 1010 Massachusetts Avenue | Boston | MA | 02118 | 043316655 | 115 | 5021368 | Subaward | |
| BOSTON UNIVERSITY | ||||||||
| 715 Albany Street | Boston | MA | 02118 | 042103547 | 501(c)(3) | 2915974 | Subaward | |
| Brigham & Womens Hospital | ||||||||
| PO Box 3149 | Boston | MA | 02241 | 042312909 | 501(c)(3) | 437747 | Subaward | |
| BROCKTON AREA MULTI-SERVICES | ||||||||
| 10 Christys Drive | Brockton | MA | 02301 | 042562377 | 501(c)(3) | 16790 | Subaward | |
| BROCKTON NEIGHBORHOOD HEALTH | ||||||||
| 63 Main Street | Brockton | MA | 02301 | 043165044 | 501(c)(3) | 19252 | Subaward | |
| BUTLER HOSPITAL | ||||||||
| 345 Blackstone Blvd | Providence | RI | 02906 | 050258812 | 501(c)(3) | 41104 | Subaward | |
| CALIFORNIA STATE UNIVERSITY | ||||||||
| 4910 N CHESTNUT AVENUE | Fresno | CA | 93726 | 946003272 | 501(c)(3) | 32462 | Subaward | |
| CAMBRIDGE HEALTH ALLIANCE | ||||||||
| 1493 Cambridge Street | Cambridge | MA | 02139 | 043320571 | 501(c)(3) | 261174 | Subaward | |
| CENTER FOR COMMUNITY HEALTH EDUCATION & RESEARCH | ||||||||
| 420 Washington Street | Dorchester | MA | 02124 | 043112225 | 501(c)(3) | 69552 | Subaward | |
| CHILDREN'S HOSPITAL OF BOSTON | ||||||||
| 300 Longwood Avenue | Boston | MA | 02115 | 042774441 | 501(c)(3) | 30041 | Subaward | |
| CITIZENS UTILITY BOAR | ||||||||
| 309 W Washington 800 | Chicago | IL | 60606 | 363306846 | 501(c)(3) | 24795 | Subaward | |
| CODMAN SQUARE HEALTH CTR INC | ||||||||
| 637 Washington Street | Boston | MA | 02124 | 042678774 | 501(c)(3) | 40801 | Subaward | |
| COOPER HEALTH SYSTEM | ||||||||
| One Cooper Place | Camden | NJ | 08103 | 210634462 | 501(c)(3) | 16961 | Subaward | |
| DORCHESTER HOUSE MULTI SVC CTR | ||||||||
| 1353 Dorchester Avenue | Dorchester | MA | 02122 | 237125970 | 501(c)(3) | 65733 | Subaward | |
| DOTWELL | ||||||||
| PO Box 220803 | Dorchester | MA | 02122 | 043433538 | 501(c)(3) | 39671 | Subaward | |
| DOUGLAS A THOM CLINIC INC | ||||||||
| 251 West Street | Natick | MA | 01760 | 042104268 | 501(c)(3) | 11810 | Subaward | |
| EAST BOSTON NHC | ||||||||
| 10 Gove Street | East Boston | MA | 02128 | 237425849 | 501(c)(3) | 55016 | Subaward | |
| ENERGY PROGRAMS CONSORTIUM | ||||||||
| 1232 31st Street NW | Washington | DC | 20007 | 522101783 | 501(c)(3) | 14966 | Subaward | |
| GAYLORD HOSPITAL | ||||||||
| PO Box 400 | Wallingford | CT | 06492 | 060646649 | 501(c)(3) | 66134 | Subaward | |
| GEISINGER CLINIC | ||||||||
| WEIS CENTER FOR RESEARCH | 100 N ACADEMY AVENUE | Danville | PA | 17822 | 236291113 | 501(c)(3) | 25666 | Subaward |
| GROUP HEALTH COOPERATIVE | ||||||||
| 521 Wall Street | Seattle | WA | 98121 | 910511770 | 501(c)(3) | 145795 | Subaward | |
| HARVARD UNIVERSITY | ||||||||
| 677 Huntington Avenue | Boston | MA | 02115 | 042103580 | 501(c)(3) | 127427 | Subaward | |
| HEALTH PARTNERS RESEARCH FOUNDATION | ||||||||
| PO Box 1524 | MAILSTOP 21111R | Minneapolis | MN | 55440 | 411670163 | 501(c)(3) | 50805 | Subaward |
| HEBREW REHABILITATION | ||||||||
| 300 First Avenue | Needham | MA | 02494 | 042104298 | 501(c)(3) | 10154 | Subaward | |
| INSTITUTE FOR HEALTH | ||||||||
| One New England Exec Park | Burlington | MA | 01803 | 113764559 | 501(c)(3) | 85201 | Subaward | |
| JOHN HOPKINS UNIVERSITY | ||||||||
| 600 Wolfe Street | Baltimore | MD | 21287 | 520595110 | 501(c)(3) | 10388 | Subaward | |
| JONATHAN O COLE MENTAL HEALTH | ||||||||
| 115 Mill Street | C/O MCLEAN HOSPITAL | Belmont | MA | 02178 | 043282088 | 501(c)(3) | 12161 | Subaward |
| JOSLIN DIABETES CENTER | ||||||||
| One Joslin Place | Boston | MA | 02215 | 042203836 | 501(c)(3) | 84507 | Subaward | |
| Kaiser Foundation ResEARCH | ||||||||
| 1800 Harrison Street | 16TH FLOOR | Oakland | CA | 94612 | 941105628 | 501(c)(3) | 319301 | Subaward |
| LAHEY CLINIC | ||||||||
| 41 Mall Road | Burlington | MA | 01805 | 042704683 | 501(c)(3) | 99641 | Subaward | |
| LOVELACE BIOMEDICAL & ENVIRONMENTAL RESEARCH INST | ||||||||
| 2425 Ridge Street | Albuquerque | NM | 87108 | 510154068 | 501(c)(3) | 69578 | Subaward | |
| MAINE MEDICAL CENTER | ||||||||
| 22 Bramhall Street | Portland | ME | 04102 | 010238552 | 501(c)(3) | 10884 | Subaward | |
| MARTIN'S POINT HEALTH | ||||||||
| PO Box 9746 | Portland | ME | 04104 | 010353275 | 501(c)(3) | 14664 | Subaward | |
| MASSACHUSETTS GENERAL HOSPITAL | ||||||||
| 55 Fruit Street | Boston | MA | 02114 | 042697983 | 501(c)(3) | 144620 | Subaward | |
| MATTAPAN COMMUNITY HEALTH CTR | ||||||||
| 1425 Blue Hill Avenue | Mattapan | MA | 02126 | 042544151 | 501(c)(3) | 34320 | Subaward | |
| MEMORIAL SLOAN-KETTERING | ||||||||
| PO Box 26338 | GENERAL POST OFFICE | New York | NY | 10087 | 131924236 | 501(c)(3) | 13976 | Subaward |
| MGH NEUROGENETICS DNA DIAG LAB | ||||||||
| 185 Cambridge Street | Boston | MA | 02110 | 042807148 | 501(c)(3) | 242054 | Subaward | |
| MINNEAPOLIS MED RESEARCH FND | ||||||||
| 600 SHAPIRO BUILDING | 914 SOUTH EIGHT STREET | Minneapolis | MN | 55404 | 411677920 | 501(c)(3) | 69554 | Subaward |
| MOUNT AUBURN HOSPITAL | ||||||||
| 330 Mount Auburn | Cambridge | MA | 02138 | 042103606 | 501(c)(3) | 53607 | Subaward | |
| NATIONAL ALLIANCE ON MENTAL ILLNESS OF MASS | ||||||||
| 400 West Cummings Park | Woburn | MA | 01801 | 042777012 | 501(c)(3) | 10000 | Subaward | |
| NATIONAL CENTER FOR HEALTHY HOUSING INC | ||||||||
| 10320 Little Patuxent Parkway | Columbia | MD | 21044 | 521792579 | 501(c)(3) | 92818 | Subaward | |
| NEW YORK UNIVERSITY MEDICAL CENTER | ||||||||
| 550 First Avenue | New York | NY | 10016 | 135562309 | 501(c)(3) | 98252 | Subaward | |
| NORTH SUFFOLK MENTAL HEALTH | ||||||||
| 301 Broadway Avenue | Chelsea | MA | 02150 | 042317215 | 501(c)(3) | 1928081 | Subaward | |
| NORTHEASTERN UNIVERSITY | ||||||||
| 360 Huntington Avenue | Boston | MA | 02115 | 041679980 | 501(c)(3) | 178317 | Subaward | |
| NORTHWESTERN UNIVERSITY | ||||||||
| 633 Clark Street | Evanston | IL | 60208 | 362167817 | 501(c)(3) | 91319 | Subaward | |
| REGENTS OF UNIV OF MINNESOTA | ||||||||
| 1300 South Street | Minneapolis | MN | 55454 | 416007513 | 501(c)(3) | 35642 | Subaward | |
| RESEARCH TRIANGLE INSTITUTE | ||||||||
| PO Box 900002 | Raleigh | NC | 27675 | 560686338 | 501(c)(3) | 19873 | Subaward | |
| SOUTH BOSTON CHC | ||||||||
| 409 West Broadway | South Boston | MA | 02127 | 042682152 | 501(c)(3) | 48701 | Subaward | |
| ST ELIZABETH'S MEDICAL CENTER | ||||||||
| 736 Cambridge Street | OLH 3-G | Boston | MA | 02135 | 272473667 | 501(c)(3) | 80000 | Subaward |
| STANFORD UNIVERSITY | ||||||||
| 450 Serra Mall | Palo Alto | CA | 94304 | 941156365 | 501(c)(3) | 21545 | Subaward | |
| THE PENNSYLVANIA STATE UNIVERSITY | ||||||||
| 110 Tech Center | University Park | PA | 16802 | 246000376 | 501(c)(3) | 55420 | Subaward | |
| TRUSTEES OF BU | ||||||||
| 715 Albany Street | Boston | MA | 02118 | 042103547 | 501(c)(3) | 176090 | Subaward | |
| TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA | ||||||||
| 3451 Walnut Street | Philadelphia | PA | 19104 | 231352685 | 501(c)(3) | 23956 | Subaward | |
| Tufts University | ||||||||
| 171 Harrison Avenue | Boston | MA | 02111 | 042103634 | 501(c)(3) | 746826 | Subaward | |
| USCIVILIAN RESEARCH | ||||||||
| PO Box 630622 | Baltimore | MD | 21263 | 541773406 | 501(c)(3) | 171825 | Subaward | |
| UNIV OF ALABAMA AT BIRMINGHAM | ||||||||
| 1530 3rd Avenue South | AP 990 | Birmingham | AL | 35294 | 636005396 | 501(c)(3) | 54916 | Subaward |
| UNIVERSITY OF CALIFORNIA | ||||||||
| 505 Parnassus Ave | San Francisco | CA | 94413 | 946036493 | 501(c)(3) | 12843 | Subaward | |
| UNIVERSITY OF MARYLAND | ||||||||
| PO Box 41428 | BALTIMORE FOUNDATION | Baltimore | MD | 21203 | 311678679 | 501(c)(3) | 54482 | Subaward |
| UNIVERSITY OF MASSACHUSETTS BOSTON | ||||||||
| 55 Lake Avenue North | Worcester | MA | 01655 | 043167352 | 115 | 285378 | Subaward | |
| UNIVERSITY OF MICHIGAN | ||||||||
| 1301 Catherine Road | Ann Arbor | MI | 48109 | 386006309 | 501(c)(3) | 33232 | Subaward | |
| University Of Rhode ISLAND | ||||||||
| 2 Chafee Road | Kingston | RI | 02881 | 056000522 | 501(c)(3) | 157881 | Subaward | |
| UNIVERSITY OF WISCONSIN | ||||||||
| 21 N Park Street | Suite 6401 | Madison | WI | 53715 | 396006492 | 501(c)(3) | 18572 | Subaward |
| VINFEN CORP | ||||||||
| PO Box 5059 | Boston | MA | 02206 | 042632219 | 501(c)(3) | 67557 | Subaward | |
| VISIONS INC | ||||||||
| 48 Juniper Street | Roxbury | MA | 02119 | 521378064 | 501(c)(3) | 34325 | Subaward | |
| WAKE FOREST UNIVERSITY HEALTH | ||||||||
| 1834 Wake Forest Rd | WinstonSalem | NC | 27157 | 223849199 | 501(c)(3) | 12371 | Subaward | |
| WASHINGTON UNIVERSITY | ||||||||
| 700 ROSEDALE AVENUE | St Louis | MO | 63112 | 430653611 | 501(c)(3) | 37295 | Subaward | |
| WEILL MEDICAL COLLEGE | ||||||||
| 1300 York Avenue | New York | NY | 10005 | 131623978 | 501(c)(3) | 47810 | Subaward | |
| YMCA OF GREATER BOSTON | ||||||||
| 776 Washington Street | Dorchester | MA | 02124 | 042103551 | 501(c)(3) | 120453 | Subaward | |
| YOUTH & FAMILY ENRICHMENT SVC | ||||||||
| 1234 Hyde Park Avenue | Hyde Park | MA | 02136 | 050588064 | 501(c)(3) | 108021 | Subaward | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 73 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE I, PART I, LINE 2 | Identifier |
| Return Reference | Boston Medical Center monitors all sponsored program grants utilizing | ReturnReference |
| Explanation | internal electronic tracking systems. Department staff monitor the systemY. Grants Administration works closely with the department staff to ensure that expenditures are appropriate and allowable per the award contract and notice of grant award. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal Services | X | PersonalServices |
| Written Policy Re T And E Expenses | false | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | true | InitialContractException |
| Rebuttable Presumption Procedure | true | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELAINE ULLIAN | |||||||||||||
| 76405 | 0 | 0 | 0 | 1934648 | 0 | 169433 | 0 | 24502 | 0 | 2204988 | 0 | 0 | 0 |
| EDWARD CHRISTIANSEN JR | |||||||||||||
| 272404 | 0 | 0 | 0 | 11782 | 0 | 19600 | 0 | 11415 | 0 | 315201 | 0 | 0 | 0 |
| RONALD BARTLETT | |||||||||||||
| 528686 | 0 | 0 | 0 | 41917 | 0 | 68983 | 0 | 45963 | 0 | 685549 | 0 | 0 | 0 |
| STEPHANIE LOVELL | |||||||||||||
| 445334 | 0 | 0 | 0 | 62027 | 0 | 99951 | 0 | 18625 | 0 | 625937 | 0 | 0 | 0 |
| JAMES M BECKER MD | |||||||||||||
| 0 | 442871 | 0 | 0 | 0 | 547813 | 0 | 32540 | 0 | 17731 | 0 | 1040955 | 0 | 0 |
| david coleman md | |||||||||||||
| 0 | 449322 | 0 | 0 | 0 | 171028 | 0 | 32540 | 0 | 2592 | 0 | 655482 | 0 | 0 |
| RAVIN DAVIDOFF | |||||||||||||
| 414874 | 0 | 0 | 0 | 112822 | 0 | 94321 | 0 | 34734 | 0 | 656751 | 0 | 0 | 0 |
| PAUL DREW | |||||||||||||
| 0 | 0 | 0 | 0 | 459369 | 0 | 0 | 0 | 16628 | 0 | 475997 | 0 | 0 | 0 |
| PETER HEALY | |||||||||||||
| 253359 | 0 | 0 | 0 | 22456 | 0 | 39590 | 0 | 31929 | 0 | 347334 | 0 | 0 | 0 |
| LISA O'CONNOR | |||||||||||||
| 259438 | 0 | 25000 | 0 | 19164 | 0 | 59444 | 0 | 26917 | 0 | 389963 | 0 | 0 | 0 |
| NORMAN STEIN | |||||||||||||
| 313058 | 0 | 100800 | 0 | 60906 | 0 | 105568 | 0 | 25474 | 0 | 605806 | 0 | 0 | 0 |
| THOMAS TRAYLOR | |||||||||||||
| 383290 | 0 | 182750 | 0 | 76084 | 0 | 153760 | 0 | 26429 | 0 | 822313 | 0 | 0 | 0 |
| KATHLEEN E WALSH | |||||||||||||
| 730163 | 0 | 150000 | 0 | 29169 | 0 | 414958 | 0 | 17034 | 0 | 1341324 | 0 | 0 | 0 |
| MEG ARANOW | |||||||||||||
| 334316 | 0 | 0 | 0 | 53737 | 0 | 107501 | 0 | 21047 | 0 | 516601 | 0 | 0 | 0 |
| WILLIAM BARRON | |||||||||||||
| 402083 | 0 | 0 | 0 | 123354 | 0 | 63098 | 0 | 39996 | 0 | 628531 | 0 | 0 | 0 |
| THEA JAMES MD | |||||||||||||
| 0 | 241014 | 0 | 0 | 0 | 24129 | 0 | 32540 | 0 | 12949 | 0 | 310632 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE J, PART I, LINE 1A AND 1B | Identifier |
| Explanation | UNDER THE TERMS OF HER EMPLOYMENT AGREEMENT, THE ORGANIZATION'S PRESIDENT AND CEO RECEIVED REIMBURSEMENT FOR CERTAIN PERSONAL PROFESSIONAL SERVICES FEES INCLUDING LEGAL, TAX AND FINANCIAL PLANNING ADVICE. SUCH REIMBURSEMENTS WERE INCLUDED IN THE PRESIDENT'S TAXABLE INCOME. SCHEDULE J, PART I, LINE 4A PURSUANT TO HIS SEVERANCE AGREEMENT, PAUL DREW RECEIVED TWENTY FOUR MONTHS OF SALARY CONTINUATION. AMOUNTS INCLUDED IN COLUMN (B)(III) REPRESENT AMOUNT PAID UNDER THE AGREEMENT. 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/OR 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 2010: ARANOW - $41,520 BARRON - $101,813 DAVIDOFF - $86,730 HEALY - $20,130 LOVELL - $58,739 STEIN - $37,392 TRAYLOR - $52,761 ULLIAN - $1,873,631 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 SUBJECT TO CERTAIN CONDITIONS WILL VEST EFFECTIVE DECEMBER 1, 2011. 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 - $50,359 Davidoff - $36,628 Healy - $10,948 Lovell - $17,265 O'Connor - $15,478 Stein - $53,963 Traylor - $99,375 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. SCHEDULE J, PART II EDWARD CHRISTIANSEN, JR IS COMPENSATED FOR HIS ROLE AS VP & CHIEF RISK MANAGEMENT OFFICER AND NOT AS THE FORMER CLERK. RONALD BARTLETT'S COMPENSATION AS REPORTED IN SCHEDULE J, COLUMN B(III) INCLUDES A GAIN ON INVESTMENT ON HIS PREVIOUSLY TAXED DEFERRED COMPENSATION. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| MASS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | |||||||
| 042456011 | 57586ELD1 | 2009-08-14 | 13688734 | REFUND OF SERIES M3-B (2005) | false | false | true |
| MASS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY | |||||||
| 042456011 | 57586C7T6 | 2008-07-01 | 239309847 | FINANCE CONSTRUCTION/RENOVATION | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1989944 | 0 | 13688734 | 116788 | 0 | 0 | 0 | 0 | 0 | 0 | 13688734 | 0 | 2006 | true | false | true | true |
| 0 | 0 | 252790694 | 24344574 | 31156547 | 0 | 2592758 | 0 | 0 | 143127381 | 0 | 51569434 | false | false | false |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| false | false | false | false | true | 0.00000 | 0.00000 | 0.00000 | true |
| false | true | true | true | true | 0.00440 | 0.00000 | 0.00440 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| false | true | false | false | false | true |
| false | false | false | false | true | false |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SEE SCHEDULE O | Identifier |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| BOSTON MEDICAL CENTER INSURANCE CO | |||
| SEE PART V | 14999000 | INSURANCE | false |
| LANGUAGE LINE SERVICES | |||
| TTEE KOENIG IS ON BOARD | 212439 | TRANSLATION SERVICES | false |
| SUFFOLK CONSTRUCTION COMPANY | |||
| TTEE PASSAFARO IS VP | 23791939 | CONSTRUCTION | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE L, PART IV, LINE 1 | Identifier |
| Explanation | NAME OF INTERESTED PERSON: BOSTON MEDICAL CENTER INSURANCE CO, LTD. RELATIONSHIP: TRUSTEES PASSAFARO, DONAHUE, BECKER AND COLEMAN AND THE VP/CHIEF RISK MANAGEMENT OFFICER, 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 $2,000,000 FOR THE YEAR ENDED SEPTEMBER 30, 2011. THE MEDICAL CENTER HAS $12,999,000 OF PREPAID PREMIUMS AND RETROSPECTIVE PREMIUM CREDITS THAT ARE PREPAID BY THE MEDICAL CENTER TO BMCIC AT SEPTEMBER 30, 2011. | Explanation |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 8 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 5552 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest |
Books And Publications BooksAndPublications
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 3575 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 49245 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Cars And Other Vehicles CarsAndOtherVehicles
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 6000 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty |
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 4 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 65910 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | PROCEEDS OF STOCK | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles |
Food Inventory FoodInventory
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 29 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 38044 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 20413 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts |
Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | COLLECTIBLES | 10 | 1950 | FMV |
| X | COMPUTERS/EQUIPMENT | 6 | 53359 | FMV |
| X | GIFT CERTIFICATES | 199 | 162104 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE M, PART I, COLUMN (B) | Identifier |
| Explanation | THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| FORM 990, PART III, LINE 4A | BOSTON MEDICAL CENTER'S MISSION IS TO PROVIDE CONSISTENTLY EXCELLENT AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS OR ABILITY TO PAY. APPROXIMATELY 200,000 OF OUR PATIENTS HAVE MASSHEALTH, COMMONWEALTH CARE OR NO INSURANCE AT ALL. APPROXIMATELY 70 PERCENT OF OUR PATIENTS COME FROM UNDERSERVED POPULATIONS, INCLUDING LOW-INCOME FAMILIES, ELDERS, PEOPLE WITH DISABILITIES AND IMMIGRANTS. SEVENTY PERCENT OF ALL PATIENTS ARE FROM RACIAL AND ETHNIC MINORITY POPULATIONS, AND 30 PERCENT DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE. TO ADDRESS THE HEALTH NEEDS OF OUR DIVERSE PATIENT POPULATION, BOSTON MEDICAL CENTER PROVIDES A WIDE RANGE OF SERVICES BEYOND THE TRADITIONAL MEDICAL MODEL SUCH AS BUT NOT LIMITED TO PATIENT NAVIGATION, INTERPRETER SERVICES, PROGRAMS THAT ADDRESS THE NEEDS OF PATIENTS AFFECTED BY VIOLENCE, HEALTH NUTRITION AND EXERCISE PROGRAMS, AND OTHERS. |
| PART IV, LINE 12 | BOSTON MEDICAL CENTER HAS SEPARATE FINANCIAL STATEMENTS AND IS ALSO INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR BOSTON MEDICAL CENTER AND AFFILIATES. |
| FORM 990, PART V, LINE 4B | BERMUDA CANADA CAYMAN ISLANDS LESOTHO |
| FORM 990, PART VI, LINE 2 | KAREN 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. EDWARD J. CHRISTIANSEN DAVID A. PASSAFARO SUSAN DONAHUE JAMES M. BECKER, M.D. DAVID COLEMAN, M.D. BUSINESS RELATIONSHIP - SERVE ON THE BOARD OF BMC INSURANCE COMPANY. EDWARD J. CHRISTIANSEN RONALD BARTLETT RICHARD SILVERIA BUSINESS RELATIONSHIP - SERVE AS OFFICER/BOARD MEMBER OF BMC COMMUNITY PHYSICIAN RRG, INC. |
| FORM 990, PART VI, LINE 11A | BOSTON MEDICAL CENTER'S (BMC) FORM 990 IS PREPARED BY PRICEWATERHOUSECOOPERS (PWC) AND REVIEWED BY BMC'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, BMC'S INTERNAL MANAGEMENT AND PWC PRESENT THE FORM 990 TO THE AUDIT COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS. |
| FORM 990, PART VI, LINE 12C | CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2011 WERE DISTRIBUTED BY THE ORGANIZATION'S LEGAL DEPARTMENT. THE CHIEF COMPLIANCE OFFICER OR HIS 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 HIS OR HER DESIGNEE REVIEWS ALL DISCLOSURES AND DETERMINES WHETHER THERE ARE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER OR HIS 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&B | AN INDEPENDENT COMMITTEE, FORMED OF INDIVIDUALS WHOSE COMPENSATION IS NOT IN ISSUE, DETERMINES THE COMPENSATION OF OFFICERS, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES. THE COMMITTEE MEMBERS ARE NOT UNDER THE CONTROL OR DIRECTION OF ANY BMC EXECUTIVE SEEKING COMPENSATION. THE COMPENSATION PLAN IS SUPPORTED BY COMPARABLE DATA, WHICH INCLUDES COMPENSATION PAID FOR COMPARABLE POSITIONS BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, COMPENSATION SURVEYS COMPILED INDEPENDENTLY, AND/OR ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE BMC EXECUTIVE. THE INDEPENDENT COMMITTEE'S ASSESSMENT OF THESE CONSIDERATIONS ARE CONTAINED IN THE MINUTES OF THE COMMITTEE MEETING. THE REVIEW PROCESS INCLUDES - AND MINUTES INDICATE - DISCUSSIONS AND EVALUATIONS OF EACH EXECUTIVE'S PRIOR PERFORMANCE, QUALIFICATIONS, AND EXPERIENCE. EXECUTIVES ARE NOT PRESENT FOR THE INDEPENDENT COMMITTEE'S DISCUSSION AND VOTE ON COMPENSATION. THE MINUTES REFLECT THE FACT THAT NO EXECUTIVE WAS PRESENT. |
| FORM 990, PART VI, LINE 19 | BOSTON MEDICAL CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS PUBLICLY AVAILABLE. HOWEVER, THE RESTATED ARTICLES OF THE ORGANIZATION ARE POSTED ON THE SECRETARY OF THE COMMONWEALTH'S WEBSITE. |
| FORM 990, PART VII, SECTION A | EDWARD CHRISTIANSEN, JR IS COMPENSATED FOR HIS ROLE AS VP AND CHIEF RISK MANAGEMENT OFFICER AND NOT AS THE FORMER CLERK. |
| THE FOLLOWING INDIVIDUALS DEVOTED THE FOLLOWING HOURS PER WEEK TO RELATED | ORGANIZATIONS DURING THE YEAR: RAVIN DAVIDOFF - 5 HOURS JAMES M. BECKER, MD - 50 HOURS DAVID COLEMAN, MD - 50 HOURS PETER HEALY - 10 HOURS THEA JAMES, MD - 50 HOURS STEPHANIE LOVELL - 14 HOURS THOMAS TRAYLOR - 25 HOURS FORM 990, PART XI, LINE 5 UNREALIZED LOSS ($ 24,592,000) TERMINATION OF NEIDL AGREEMENT ($ 68,015,000) TRANSFER FROM BMCHP $ 23,000,000 OTHER ADJUSTMENTS $ 1,836,000 PENSION RELATED CHANGES OTHER THAN PERIODIC PENSION COSTS ($ 8,580,000) -------------- TOTAL ($ 76,351,000) |
| SCHEDULE K, PART II | BOND A THE BONDS ARE PART OF A POOLED (TOTAL PAR $101,485,000) FINANCING AND THUS ONLY THE BORROWER'S ALLOCABLE PORTION OF THE BONDS IS REPRESENTED IN PART I AND II. THE BORROWER'S PORTION OF THE BONDS REFINANCED THE PORTION OF THE ISSUER'S SERIES M3-B (2005) BONDS (ISSUED ON OCTOBER 3, 2005) ALLOCABLE TO THE BORROWER. BOND B THE DIFFERENCE BETWEEN PART I (E) AND PART II 3 IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. QUESTION 12 INCLUDES UNSPENT PROJECT FUND AND EXPENSE FUND INTEREST EARNINGS. BONDS A&B 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 R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BMC COMMUNITY PHYSICIAN PROGRAM LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5101 WASHINGTON AVENUE | AddressLine1 |
| City | WASHINGTON | City |
| State | DC | State |
| ZIP Code | 20016 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 260350958 | EIN |
| Primary Activities | RISK MGMT SVC | PrimaryActivities |
| Legal Domicile State | DC | LegalDomicileState |
| EOY Assets | 9179 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BMC | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (30 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BOSTON MEDICAL CENTER HEALTH PLAN INC | |||||||||||
| 2 COPLEY PLACE STE 600 | BOSTON | MA | 02116 | 043373331 | INSURANCE | MA | 501(C)(3) | 11 A-I | BMC | true | |
| EAST CONCORD MEDICAL FOUNDATION INC | |||||||||||
| 660 HARRISON AVENUE | BOSTON | MA | 02118 | 046048207 | REAL ESTATE | MA | 501(C)(3) | 11C III-FI | NA | false | |
| UNIVER DEVELOPMENT FOUNDATION INC | |||||||||||
| 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 043101957 | REAL ESTATE | MA | 501(C)(3) | 11 A-I | BMC | true | |
| BMC INSURANCE CO LTD OF VERMONT | |||||||||||
| PO BOX 530 100 BANK STREET | BURLINGTON | VT | 05401 | 201810549 | INSURANCE | VT | 501(C)(3) | 11 A-I | BMC | true | |
| BOSTON HEALTHNET CORP | |||||||||||
| 660 HARRISON AVENUE 3RD FLOOR | BOSTON | MA | 02118 | 043279836 | SUPPORT SVCS | MA | 501(C)(3) | 11 B-II | BMC | true | |
| FACULTY PRACTICE FOUNDATION INC | |||||||||||
| 660 HARRISON AVENUE 3RD FLOOR | BOSTON | MA | 02118 | 043289381 | MEDICAL SVCS | MA | 501(C)(3) | 11 B-II | false | N/A | |
| TRANSPORTATION SOL FOR COMMUTERS INC | |||||||||||
| 715 ALBANY STREET | BOSTON | MA | 02118 | 043144411 | TRANS. SVCS | MA | 501(C)(3) | 7 | BMC | true | |
| BU MEDICAL CTR ANESTHESIOLOGISTS INC | |||||||||||
| 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 043276227 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BOSTON EMERGENCY PHYSICIAN FDN INC | |||||||||||
| 818 HARRISON AVENUE | BOSTON | MA | 02118 | 043286156 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BU CARDIAC & THORACIC SURGICAL FDN INC | |||||||||||
| 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 042966416 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BOSTON UNIVERSITY DERMATOLOGY INC | |||||||||||
| 609 ALBANY STREET | BOSTON | MA | 02118 | 043335166 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BU DERMATOLOGY SUPPORT SERVICES I INC | |||||||||||
| 609 ALBANY STREET | BOSTON | MA | 02118 | 043452877 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BU DERMATOLOGY SUPPORT SERVICES II INC | |||||||||||
| 609 ALBANY STREET | BOSTON | MA | 02118 | 043452874 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BOSTON UNIV SURGICAL ASSOCIATES INC | |||||||||||
| 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 043291148 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| EVANS MEDICAL FOUNDATION INC | |||||||||||
| 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 510172171 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BOSTON UNIVERSITY EYE ASSOCIATES INC | |||||||||||
| 2005 BAY STREET SUITE 201 | TAUNTON | MA | 02780 | 043137333 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BOSTON UNIVERSITY FAMILY MEDICINE INC | |||||||||||
| 1 BOSTON MEDICAL CTR DOWLING 5 | BOSTON | MA | 02118 | 043354353 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BU MALLORY PATHOLOGY ASSOCIATES INC | |||||||||||
| 784 MASSACHUSETTS AVENUE | BOSTON | MA | 02118 | 042794543 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BOSTON UNIV NEUROLOGY ASSOCIATES INC | |||||||||||
| 720 HARRISON AVENUE SUITE 707 | BOSTON | MA | 02118 | 043428462 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BU NEUROSURGICAL ASSOCIATES INC | |||||||||||
| 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 043296068 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BU OBSTETRICS & GYNECOLOGY FDN INC | |||||||||||
| 818 HARRISON AVENUE | BOSTON | MA | 02118 | 043067465 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BU ORTHOPAEDIC SURGICAL ASSOCIATES INC | |||||||||||
| 720 HARRISON AVENUE SUITE 808 | BOSTON | MA | 02118 | 043354360 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BUMC OTOLARYNGOLOGIC FOUNDATION INC | |||||||||||
| 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 043156471 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| CHILD HEALTH FOUNDATION OF BOSTON INC | |||||||||||
| 818 HARRISON AVENUE DOWLING 3 | BOSTON | MA | 02118 | 042472758 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BOSTON UNIV PLASTIC SURGERY ASSOC INC | |||||||||||
| 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 043555478 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BOSTON UNIVERSITY PSYCHIATRY ASSOC INC | |||||||||||
| 720 HARRISON AVENUE | BOSTON | MA | 02118 | 043355267 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BU MEDICAL CENTER RADIOLOGISTS INC | |||||||||||
| 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 043283573 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BOSTON REHABILITATION MEDICINE ASSOC INC | |||||||||||
| 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 043286641 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BU GENERAL SURGICAL ASSOCIATES INC | |||||||||||
| 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 043265008 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
| BU MEDICAL CENTER UROLOGISTS INC | |||||||||||
| 88 EAST NEWTON STREET | BOSTON | MA | 02118 | 043286643 | HEALTHCARE | MA | 501(C)(3) | 11C III-FI | false | N/A | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BMC NAB BUS TR | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 85 CONCORD ST | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 02118 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 266368869 | EIN |
| Primary Activity | PROPERTY MGMT | PrimaryActivity |
| Legal Domicile State | MA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 3032373 | ShareOfTotalIncome |
| Share Of EOY Assets | 152690372 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| Code V | $0 | CodeVAmount |
| General Or Managing Partner | true | GeneralOrManagingPartner |
| Percentage Ownership | 0.90000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| EINEIN | Primary ActivityPrimaryActivity | Legal Domicile Foreign CountryLegalDomicileForeignCountry | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Legal Domicile StateLegalDomicileState | Share Of Total IncomeShareOfTotalIncome | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BMC INSURANCE CO INC | |||||||||||||
| 980375219 | INSURANCE | CJ | NA | C-CORP | 66749185 | 0.70000 | |||||||
| GRYANT INC | |||||||||||||
| 202047166 | REAL ESTATE | NA | C-CORP | 26460114 | 1.00000 | ONE BOSTON MEDICAL CENTER | BOSTON | MA | 02118 | MA | 318 | ||
| BMC COMM PHYS PROG RRG | |||||||||||||
| 260351060 | INSURANCE | NA | C-CORP | 300678 | 1.00000 | 88 EAST NEWTON STREET | BOSTON | MA | 02118 | MA | |||
| CHARITABLE REMAINDER TRUST (3) | |||||||||||||
| SUPPORT | TRUST | MA | N/A | ||||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Boston Medical Center Health Plan Inc | ||
| K | 91363000 | INSURANCE RATES |
| BOSTON MEDICAL CENTER HEALTH PLAN INC | ||
| R | 23000000 | NET ASSET TRANS |
| BMC NAB BUSINESS TRUST | ||
| D | 10758000 | BOOK |
| BMC INSURANCE CO INC | ||
| D | 3686000 | BOOK |
| BMC INSURANCE CO INC | ||
| Q | 14999000 | BOOK |
| CHARITABLE REMAINDER TRUST (1) | ||
| C | 64826 | CASH TRANSFER |