BOSTON MEDICAL CENTER CORPORATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
BOSTON MEDICAL CENTER CORPORATION (EIN 04-3314093)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-15
IRS object ID
202402289349302215
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-08-15T11:55:42-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line160 SOUTH STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02111ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043314093EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BOSTON MEDICAL CENTER CORPORATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBOSTBusinessNameControlTxt
Phone6174141628PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE BOSTON MEDICAL CENTER PLACEAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02118ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID BECKPersonNm
Person TitleSVP/CHIEF LEGAL COUNSEL/CLERKPersonTitleTxt
Phone6176387653PhoneNum
Signature2024-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonZELJKO POPOVICPreparerPersonNm
PTINP01795951PTIN
Phone6179881000PhoneNum
Preparation2024-08-14PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANTHONY HOLLENBERG MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE BOSTON MEDICAL CENTER PLACEAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02118ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,384,123,292GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BMC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionBOSTON 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.ActivityOrMissionDesc
Voting Members Governing Body27VotingMembersGoverningBodyCnt
Voting Members Independent22VotingMembersIndependentCnt
Total Employee11529TotalEmployeeCnt
Total Volunteers343TotalVolunteersCnt
Total Gross UBI$4,357,065TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,003,697NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$65,960,590PYContributionsGrantsAmt
CY Contributions Grants$31,735,184CYContributionsGrantsAmt
PY Program Service Revenue$1,952,312,192PYProgramServiceRevenueAmt
CY Program Service Revenue$2,291,325,655CYProgramServiceRevenueAmt
PY Investment Income$107,094,899PYInvestmentIncomeAmt
CY Investment Income$42,038,184CYInvestmentIncomeAmt
PY Other Revenue$15,692,917PYOtherRevenueAmt
CY Other Revenue$15,183,333CYOtherRevenueAmt
PY Total Revenue$2,141,060,598PYTotalRevenueAmt
CY Total Revenue$2,380,282,356CYTotalRevenueAmt
PY Grants And Similar Paid$28,853,390PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$23,488,375CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$791,352,868PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$923,217,199CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$13,773,101CYTotalFundraisingExpenseAmt
PY Other Expenses$1,308,246,524PYOtherExpensesAmt
CY Other Expenses$1,472,106,581CYOtherExpensesAmt
PY Total Expenses$2,128,452,782PYTotalExpensesAmt
CY Total Expenses$2,418,812,155CYTotalExpensesAmt
PY Revenues Less Expenses$12,607,816PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$38,529,799CYRevenuesLessExpensesAmt
Total Assets BOY$2,456,189,580TotalAssetsBOYAmt
Total Assets EOY$2,632,199,167TotalAssetsEOYAmt
Total Liabilities BOY$1,200,629,757TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,384,746,661TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,255,559,823NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,247,452,506NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionBOSTON 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,115,718,065ExpenseAmt
Revenue$2,291,325,655RevenueAmt
DescTHE STATUTE THAT AUTHORIZED THE CREATION OF BOSTON MEDICAL CENTER REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 594-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. BOSTON MEDICAL CENTER IS DEDICATED TO PROVIDING ACCESSIBLE HEALTH CARE. NEARLY 75 PERCENT OF OUR PATIENTS COME FROM UNDERSERVED POPULATIONS, SUCH AS THE LOW-INCOME AND ELDERLY, WHO RELY ON GOVERNMENT PAYERS SUCH AS MEDICAID, THE HEALTH SAFETY NET, AND MEDICARE FOR THEIR COVERAGE; 27 PERCENT DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE. TO ADDRESS THE HEALTH NEEDS OF DIVERSE PATIENT POPULATIONS, BMC PROVIDES A WIDE RANGE OF SERVICES BEYOND THE TRADITIONAL MEDICAL MODEL. THESE PROGRAMS, INCLUDING PATIENT NAVIGATION AND A FOOD PANTRY, HELP TO REDUCE BARRIERS TO ACCESS TO HEALTH SERVICES AND ELIMINATE DISPARITIES IN HEALTH CARE AMONG VARIOUS POPULATIONS THAT BMC SERVES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$21,576,114ExpenseAmt
Grant$21,576,114GrantAmt
DescBOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO ORGANIZATIONS WITHIN THE US.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,912,261ExpenseAmt
Grant$1,912,261GrantAmt
DescBOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO FOREIGN ORGANIZATIONS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$2,139,206,440TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign OfficeYes (1)ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To OrgYes (1)MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt BondsYes (1)InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document665IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee11529EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Foreign CountryLTForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members27GoverningBodyVotingMembersCnt
Independent Voting Member22IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKAREN FINEPersonNm
Phone6176387406PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE BOSTON MEDICAL CENTER PLACEAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02118ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KATHLEEN E WALSH
PRESIDENT/TRUSTEE (THRU 2/28/23)50.002.50Yes (X)Yes (X)$2,255,596$0$28,166
ALASTAIR BELL MD
INTERIM PRES./TRUSTEE (AS OF 3/1/23)50.001.00Yes (X)Yes (X)$1,297,429$0$156,500
JENNIFER TSENG MD
TRUSTEE1.0054.00Yes (X)$0$1,048,952$38,466
DAVID COLEMAN MD
TRUSTEE (THRU 11/14/22)1.0054.00Yes (X)$0$725,139$36,895
KAREN ANTMAN MD
TRUSTEE1.002.00Yes (X)$0$0$0
ANITA BEKENSTEIN
TRUSTEE1.000.00Yes (X)$0$0$0
RYAN CARROLL
TRUSTEE1.000.00Yes (X)$0$0$0
NADINE CHAKAR
TRUSTEE1.000.00Yes (X)$0$0$0
ENRIQUE COLBERT
TRUSTEE1.000.00Yes (X)$0$0$0
SANDRA COTTERELL
TRUSTEE1.001.00Yes (X)$0$0$0
PIERRE CREMIEUX
TRUSTEE1.000.00Yes (X)$0$0$0
RANDI CUTLER
TRUSTEE1.001.00Yes (X)$0$0$0
MANISHI DESAI
TRUSTEE1.004.00Yes (X)$0$287,690$43,622
PAUL EGERMAN
TRUSTEE1.000.00Yes (X)$0$0$0
RUTH ELLEN FITCH
TRUSTEE1.000.00Yes (X)$0$0$0
MELANIE FOLEY
TRUSTEE1.000.00Yes (X)$0$0$0
JOHN T HAILER
TRUSTEE1.000.00Yes (X)$0$0$0
ANTHONY HOLLENBERG MD
TRUSTEE (AS OF 11/14/22)1.000.00Yes (X)$0$237,740$2,436
KAREN KAMES
TRUSTEE1.000.00Yes (X)$0$0$0
AZRA KANJI
TRUSTEE1.000.00Yes (X)$0$0$0
FRED LOWERY
TRUSTEE1.000.00Yes (X)$0$0$0
RICHARD MARKS
TRUSTEE1.001.00Yes (X)$0$0$0
DEVIN MCCOURTY
TRUSTEE1.000.00Yes (X)$0$0$0
MICHELLE NADOW
TRUSTEE1.000.00Yes (X)$0$0$0
BISOLA OJIKUTU MD
TRUSTEE1.000.00Yes (X)$0$0$0
MARTHA SAMUELSON
TRUSTEE/CHAIR1.001.00Yes (X)$0$0$0
CYNTHIA SIERRA
TRUSTEE1.000.00Yes (X)$0$0$0
MAROA VELEZ
TRUSTEE (THRU 9/22/23)1.000.00Yes (X)$0$0$0
REV LIZ WALKER
TRUSTEE (THRU 9/28/23)1.000.00Yes (X)$0$0$0
GREGORY WILMOT
TRUSTEE1.000.00Yes (X)$0$0$0
ANDREW YOUNISS
TRUSTEE1.001.00Yes (X)$0$0$0
TERRI NEWSOM
SVP/CFO/TREASURER50.003.00Yes (X)$846,135$0$139,712
DAVID BECK
SVP/CHIEF LEGAL COUNSEL/CL50.003.50Yes (X)$628,000$0$52,061
DAVID MCANENY
SVP/CHIEF MEDICAL OFFICER50.000.00$839,195$0$27,512Yes (X)
LISA KELLY-CROSWELL
SVP/CHRO50.000.00$669,440$0$106,028Yes (X)
NANCY GADEN
SVP OF CLINICAL OPERATIONS/CNO50.000.00$635,999$0$104,984Yes (X)
NICOLE FAUCHER
PRESIDENT, CLEARWAY HEALTH, LLC0.0050.00$1,096,458$0$54,562Yes (X)
JOE CAMILLUS
SVP AMBULATORY & PRF SVC50.000.50$691,417$0$121,464Yes (X)
ARTHUR HARVEY
VP/CIO50.000.00$622,135$0$110,509Yes (X)
ROBERT BIGGIO
SVP/CHIEF SUSTAINABILITY/RE OFFICER50.000.00$589,186$0$120,811Yes (X)
PAUL JOSEPH BOUCHER
REGISTERED NURSE40.000.00$599,775$0$30,319Yes (X)
NORMAN STEIN
FORMER SVP CHIEF DEVELOPMENT OFFICER0.000.00$400,000$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$11,170,765TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,299,521TotReportableCompRltdOrgAmt
Total Other Compensation$1,174,047TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1856IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SHC SERVICES INC
1640 W REDSTONE CTR DRPARK CITYUT84098TEMPORARY STAFFING$68,380,515
BOSTON UNIVERSITY
OFFICE OF AFFAIRS 715 ALBANY ST SBOSTONMA021182528RESEARCH & OTHER SHARED SERVICES$48,509,582
PRICEWATERHOUSECOOPERS ADVISOR
4040 W BOY SCOUT BOULEVARDTAMPAFL33607ACCOUNTS RECEIVABLE MANAGEMENT$24,719,557
MAXIM HEALTHCARE STAFFING
12558 COLLECTION CENTER DRCHICAGOIL60693TEMPORARY STAFFING$7,116,287
CYRACOM INTERNATIONAL INC
5780 N SWAN ROADTUCSONAZ85718INTERPRETATION AND TRANSLATION SERVICES$5,438,288
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K239CntrctRcvdGreaterThan100KCnt
Fundraising$3,658,790FundraisingAmt
Government Grants$12,024,996GovernmentGrantsAmt
All Other Contributions$16,051,398AllOtherContributionsAmt
Noncash Contributions$2,569,788NoncashContributionsAmt
Total Contributions$31,735,184TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE900099$1,406,292,268$1,406,292,268
PHARMACY900099$710,551,693$706,798,734$3,752,959
GRANT & CONTRACT REVENUE900099$133,633,323$133,633,323
OTHER PROGRAM REVENUE900099$40,848,371$40,848,371
FieldValueIRS element (for citing)
Total Program Service Revenue$2,291,325,655TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,699,125TotalRevenueColumnAmt
Unrelated Business Revenue$590,021UnrelatedBusinessRevenueAmt
Exclusion$18,109,104ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$5,492,172RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$3,061,383RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,430,789RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,430,789TotalRevenueColumnAmt
Exclusion$2,430,789ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$22,905,174SecuritiesAmt
Other$433,885OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$22,905,174SecuritiesAmt
Other$433,885OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,339,059TotalRevenueColumnAmt
Unrelated Business Revenue$14,085UnrelatedBusinessRevenueAmt
Exclusion$23,324,974ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$351,812FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$3,658,790ContriRptFundraisingEventAmt
Fundraising Direct Expenses$779,553FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$427,741TotalRevenueColumnAmt
Exclusion-$427,741ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
PARKING812930$9,606,249$9,606,249
CAFETERIA900099$3,574,036$3,574,036
FieldValueIRS element (for citing)
Other Revenue Total$13,180,285OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,380,282,356TotalRevenueColumnAmt
Related Or Exempt Func Income$2,287,572,696RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,357,065UnrelatedBusinessRevenueAmt
Exclusion$56,617,411ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$21,576,114TotalAmt
Program Services$21,576,114ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$1,912,261TotalAmt
Program Services$1,912,261ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,209,385TotalAmt
Management And General$4,209,385ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$279,614TotalAmt
Program Services$279,614ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$758,062,544TotalAmt
Program Services$671,406,459ProgramServicesAmt
Management And General$81,618,390ManagementAndGeneralAmt
Fundraising$5,037,695FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$26,013,732TotalAmt
Program Services$23,051,474ProgramServicesAmt
Management And General$2,790,049ManagementAndGeneralAmt
Fundraising$172,209FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$79,705,697TotalAmt
Program Services$70,730,896ProgramServicesAmt
Management And General$8,444,723ManagementAndGeneralAmt
Fundraising$530,078FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$54,946,227TotalAmt
Program Services$48,689,342ProgramServicesAmt
Management And General$5,893,145ManagementAndGeneralAmt
Fundraising$363,740FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,605,241TotalAmt
Program Services$1,999,664ProgramServicesAmt
Management And General$7,591,626ManagementAndGeneralAmt
Fundraising$13,951FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$939,563TotalAmt
Program Services$168,843ProgramServicesAmt
Management And General$769,933ManagementAndGeneralAmt
Fundraising$787FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$379,527TotalAmt
Management And General$379,527ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$131,404,123TotalAmt
Program Services$67,624,849ProgramServicesAmt
Management And General$58,985,539ManagementAndGeneralAmt
Fundraising$4,793,735FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$597,007TotalAmt
Program Services$412,499ProgramServicesAmt
Management And General$29,815ManagementAndGeneralAmt
Fundraising$154,693FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,210,050TotalAmt
Program Services$11,784,816ProgramServicesAmt
Management And General$2,224,963ManagementAndGeneralAmt
Fundraising$200,271FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$32,824,722TotalAmt
Program Services$29,086,877ProgramServicesAmt
Management And General$3,520,548ManagementAndGeneralAmt
Fundraising$217,297FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$4,853,624TotalAmt
Program Services$4,164,136ProgramServicesAmt
Management And General$557,661ManagementAndGeneralAmt
Fundraising$131,827FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$36,883,821TotalAmt
Program Services$32,335,146ProgramServicesAmt
Management And General$4,284,241ManagementAndGeneralAmt
Fundraising$264,434FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,172,333TotalAmt
Program Services$1,904,483ProgramServicesAmt
Management And General$1,229,656ManagementAndGeneralAmt
Fundraising$38,194FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,213,445TotalAmt
Program Services$2,017,393ProgramServicesAmt
Management And General$169,858ManagementAndGeneralAmt
Fundraising$26,194FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$22,692,170TotalAmt
Program Services$20,108,148ProgramServicesAmt
Management And General$2,433,802ManagementAndGeneralAmt
Fundraising$150,220FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$105,951,762TotalAmt
Program Services$93,886,730ProgramServicesAmt
Management And General$11,363,639ManagementAndGeneralAmt
Fundraising$701,393FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$20,219,604TotalAmt
Program Services$17,917,140ProgramServicesAmt
Management And General$2,168,612ManagementAndGeneralAmt
Fundraising$133,852FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DRUGS$602,674,017$602,689,460-$15,443
PHYSICIAN SERVICES$169,947,799$161,159,775$8,788,024
PATIENT RELATED SUPPLIE$114,504,830$115,246,317-$745,080$3,593
DIRECT RESEARCH$84,050,820$84,050,820

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$114,982,123TotalAmt
Program Services$55,003,184ProgramServicesAmt
Management And General$59,140,001ManagementAndGeneralAmt
Fundraising$838,938FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,418,812,155TotalAmt
Program Services$2,139,206,440ProgramServicesAmt
Management And General$265,832,614ManagementAndGeneralAmt
Fundraising$13,773,101FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$117,953,834BOYAmt
EOY-$7,519,912EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$167,341,237BOYAmt
EOY$55,357,335EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$30,640,295BOYAmt
EOY$20,778,929EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$217,933,251BOYAmt
EOY$348,337,332EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$60,105,321BOYAmt
EOY$97,828,426EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$24,483,909BOYAmt
EOY$27,928,035EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,053,001BOYAmt
EOY$6,907,948EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,260,186,822LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,254,555,450LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$973,234,451BOYAmt
EOY$1,005,631,372EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$43,564,952BOYAmt
EOY$46,383,460EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$298,095,538BOYAmt
EOY$324,982,638EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$510,000BOYAmt
EOY$230,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$516,273,791BOYAmt
EOY$705,353,604EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,456,189,580BOYAmt
EOY$2,632,199,167EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$283,352,896BOYAmt
EOY$292,693,919EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$31,563,893BOYAmt
EOY$16,343,576EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$422,642,694BOYAmt
EOY$634,691,719EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$180,000,000BOYAmt
EOY$180,000,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$283,070,274BOYAmt
EOY$261,017,447EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,200,629,757BOYAmt
EOY$1,384,746,661EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$909,333,701BOYAmt
EOY$889,523,906EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$346,226,122BOYAmt
EOY$357,928,600EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,255,559,823BOYAmt
EOY$1,247,452,506EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,456,189,580BOYAmt
EOY$2,632,199,167EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$38,529,799ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$39,182,698NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts-$15,288,843DonatedServicesAndUseFcltsAmt
Investment Expense-$622,960InvestmentExpenseAmt
Other Changes In Net Assets$7,151,587OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,615,642CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$133,609,173CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$150,978,125CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$65,960,590CurrentTaxYearMinus1YearAmt
Current Tax Year$31,735,184CurrentTaxYearAmt
Total$407,898,714TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,615,642CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$133,609,173CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$150,978,125CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$65,960,590CurrentTaxYearMinus1YearAmt
Current Tax Year$31,735,184CurrentTaxYearAmt
Total$407,898,714TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$407,898,714PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,179,858CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,969,810CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,480,934CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,817,706CurrentTaxYearMinus1YearAmt
Current Tax Year$23,601,276CurrentTaxYearAmt
Total$104,049,584TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,867,255CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,809,363CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,854,577CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,357,068CurrentTaxYearMinus1YearAmt
Current Tax Year$1,004,697CurrentTaxYearAmt
Total$12,892,960TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,535,712CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,251,865CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,079,088CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,178,299CurrentTaxYearMinus1YearAmt
Current Tax Year$13,180,285CurrentTaxYearAmt
Total$79,225,249TotalAmt
FieldValueIRS element (for citing)
Total Support$604,066,507TotalSupportAmt
Gross Receipts Rltd Activities$9,316,013,232GrossReceiptsRltdActivitiesAmt
Public Support CY1700.67530PublicSupportCY170Pct
Public Support PY1700.66420PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationCAFETERIA - 2018 AMOUNT: $ 4,290,813. 2019 AMOUNT: $ 3,300,767. 2020 AMOUNT: $ 2,802,878. 2021 AMOUNT: $ 3,309,312. 2022 AMOUNT: $ 3,574,036. PARKING - 2018 AMOUNT: $ 11,244,899. 2019 AMOUNT: $ 10,063,598. 2020 AMOUNT: $ 10,276,210. 2021 AMOUNT: $ 10,868,987. 2022 AMOUNT: $ 9,606,249. GAIN ON SALE OF TAX CREDITS - 2019 AMOUNT: $ 9,887,500.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$629,469,229BeginningYearBalanceAmt
Contributions$222,103,699ContributionsAmt
Investment Earnings Or Losses$63,592,898InvestmentEarningsOrLossesAmt
Other Expenditures$229,602,767OtherExpendituresAmt
Administrative Expenses$999,749AdministrativeExpensesAmt
End Year Balance$684,563,310EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$733,043,065BeginningYearBalanceAmt
Contributions$145,547,509ContributionsAmt
Investment Earnings Or Losses-$95,022,779InvestmentEarningsOrLossesAmt
Other Expenditures$155,578,825OtherExpendituresAmt
Administrative Expenses-$1,480,259AdministrativeExpensesAmt
End Year Balance$629,469,229EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$633,839,832BeginningYearBalanceAmt
Contributions$363,954,719ContributionsAmt
Investment Earnings Or Losses$108,079,400InvestmentEarningsOrLossesAmt
Other Expenditures$370,977,505OtherExpendituresAmt
Administrative Expenses$1,853,381AdministrativeExpensesAmt
End Year Balance$733,043,065EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$724,862,042BeginningYearBalanceAmt
Contributions$61,170,242ContributionsAmt
Investment Earnings Or Losses$42,383,073InvestmentEarningsOrLossesAmt
Other Expenditures$192,451,403OtherExpendituresAmt
Administrative Expenses$2,124,122AdministrativeExpensesAmt
End Year Balance$633,839,832EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$709,074,381BeginningYearBalanceAmt
Contributions$285,759,688ContributionsAmt
Investment Earnings Or Losses$25,210,971InvestmentEarningsOrLossesAmt
Other Expenditures$292,657,917OtherExpendituresAmt
Administrative Expenses$2,525,081AdministrativeExpensesAmt
End Year Balance$724,862,042EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.47070BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.38680PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.14250TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,553,183OtherCostOrOtherBasisAmt
Book Value$15,553,183BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,229,532,436OtherCostOrOtherBasisAmt
Depreciation$549,455,817DepreciationAmt
Book Value$680,076,619BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$74,369,853OtherCostOrOtherBasisAmt
Depreciation$30,932,248DepreciationAmt
Book Value$43,437,605BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$754,207,887OtherCostOrOtherBasisAmt
Depreciation$601,638,397DepreciationAmt
Book Value$152,569,490BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$186,523,463OtherCostOrOtherBasisAmt
Depreciation$72,528,988DepreciationAmt
Book Value$113,994,475BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,005,631,372TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescDONOR RESTRICTED INVESTMENTSDesc
Book Value$324,982,638BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$324,982,638TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
BOARD DESIGNATED INVESTMENTS$313,197,214
FUNDS HELD BY TRUSTEES$196,610,219
CURRENT PORTION OF EST SETTLEMENT W/3RD PARTY PAY$7,473,052
INSURANCE RECOVERY RECEIVABLES$44,114,575
OTHER LONG-TERM ASSETS$41,537,887
RIGHT OF USE ASSETS - FINANCE AND OPERATING$102,420,657
FieldValueIRS element (for citing)
Total Book Value Other Assets$705,353,604TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
ESTIMATED SETTLEMENTS WITH THIRD PARTY PAYERS$37,859,488
OTHER CURRENT LIABILITIES$15,056,889
OBLIGATIONS UNDER FINANCING LEASES$1,178,643
OBLIGATIONS UNDER OPERATING LEASES$86,525,508
OTHER LONG-TERM LIABILITIES$54,806,389
DUE TO RELATED PARTIES$21,475,955
PROFESSIONAL LIABILITY CLAIMS$44,114,575
FieldValueIRS element (for citing)
Total Liability$261,017,447TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:GENERAL ENDOWMENT THE GENERAL ENDOWMENT INCLUDES FUNDS FROM A NUMBER OF SOURCES WITH VARIOUS RESTRICTIONS ON USE AND TREATMENT. THE ENDOWMENT FUNDS HAVE BEEN CONTRIBUTED FOR SPECIFIC PURPOSES INCLUDING CONSTRUCTION, MAINTENANCE, RESEARCH, CLINICAL CARE, EDUCATION, DEVELOPMENT, STAFFING, SALARIES, LABORATORY EQUIPMENT AND SUPPLIES, AND CONVALESCENT CARE.
PART X, LINE 2:BOSTON MEDICAL CENTER IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS. THE TEXT OF THE UNCERTAIN TAX POSITIONS FOOTNOTE INCLUDED IN THESE FINANCIAL STATEMENTS IS AS FOLLOWS: THE HEALTH SYSTEM, BMC, WELLSENSE, FACULTY AND THE PLANS, UDF, ECMF, BMCIC, BMCIC OF VERMONT, BUAP, BMCICS, AND BACO ARE ALL NONPROFIT CORPORATIONS THAT HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CLEARWAY IS CONSIDERED A DISREGARDED ENTITY OF BMCHS FOR TAX PURPOSES AND ALL TAXABLE ACTIVITIES OF CLEARWAY ARE ATTRIBUTED TO AND REPORTED AT BMCHS. ALL CONTRACT RELATED REVENUE AND EXPENSE WERE RECORDED AT BMC AND EVALUATED FOR UNRELATED BUSINESS INCOME TAX (UBIT). BMCHS RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED AS OF SEPTEMBER 30, 2023 AND 2022. BMCHS ANNUALLY ASSESSES WHETHER IT MUST RECOGNIZE UBIT EXPENSE. THE AMOUNTS RECOGNIZED AS UBIT EXPENSE WERE NOT MATERIAL TO BMCHS'S CONSOLIDATED OPERATIONS OR CHANGES IN NET ASSETS FOR THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022. NO INCOME, CAPITAL OR PREMIUM TAXES ARE LEVIED IN THE CAYMAN ISLANDS AND BMCIC HAS BEEN GRANTED AN EXEMPTION UNTIL JULY 8, 2042, FOR ANY TAXES THAT MIGHT BE INTRODUCED. BMCIC INTENDS TO CONDUCT ITS AFFAIRS SO AS NOT TO BE LIABLE FOR TAXES IN ANY OTHER JURISDICTION, OTHER THAN WITHHOLDING TAX ON CERTAIN INVESTMENTS. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.
SCHEDULE D, PART V, LINE 2PRESENTATION OF ENDOWMENT ASSETS BOSTON MEDICAL CENTER HAS ADOPTED ASU 2016-14, PRESENTATION OF THE FINANCIAL STATEMENTS FOR NOT-FOR-PROFIT ENTITIES. AS A RESULT, THE SEPTEMBER 30, 2023 AUDITED FINANCIAL STATEMENTS CLASSIFY NET ASSETS AS EITHER NET ASSETS WITHOUT DONOR RESTRICTIONS, OR NET ASSETS WITH DONOR RESTRICTIONS. FOR PURPOSES OF SCHEDULE D, PART V, LINE 2, BOSTON MEDICAL CENTER HAS REPORTED ENDOWMENT FUNDS WITHOUT DONOR RESTRICTIONS AS BOARD DESIGNATED OR QUASI-ENDOWMENT AND ENDOWMENT FUNDS WITH DONOR RESTRICTIONS AS PERMANENT ENDOWMENT OR TERM RESTRICTED ENDOWMENT, RESPECTIVELY.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (14 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN00INVESTMENTS$185,526
EAST ASIA AND THE PACIFIC00INVESTMENTS$3,189,852
EUROPE00INVESTMENTS$8,964,680
MIDDLE EAST AND NORTH AFRICA00INVESTMENTS$1,410,834
NORTH AMERICA00INVESTMENTS$4,188,704
SOUTH AMERICA00INVESTMENTS$517,708
SUB-SAHARIAN AFRICA00INVESTMENTS$1,068,523
EAST ASIA AND THE PACIFIC00GRANTMAKING$14,759
EUROPE00GRANTMAKING$56,689
NORTH AMERICA00GRANTMAKING$325,004
RUSSIA00GRANTMAKING$262,294
SOUTH ASIA00GRANTMAKING$274,697
SUB-SAHARIAN AFRICA216GRANTMAKING$957,658
SOUTH AMERICA00GRANTMAKING$21,160
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office2ContinuationTotalOfficeCnt
Continuation Total Employee16ContinuationTotalEmployeeCnt
Total Office2TotalOfficeCnt
Total Employee16TotalEmployeeCnt
Subtotal Spent$19,540,586SubtotalSpentAmt
Continuation Spent$1,897,502ContinuationSpentAmt
Total Spent$21,438,088TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (7 entries)

RegionRegionTxtPurpose Of GrantPurposeOfGrantTxtCash GrantCashGrantAmtManner Of Cash DisbursementMannerOfCashDisbursementTxtNon Cash AssistanceNonCashAssistanceAmt
EAST ASIA & PACIFICSUBAWARD$14,759WIRE TRANSFER$0
EUROPESUBAWARD$56,689WIRE TRANSFER$0
NORTH AMERICASUBAWARD$325,004WIRE TRANSFER$0
RUSSIASUBAWARD$262,294WIRE TRANSFER$0
SOUTH ASIASUBAWARD$274,697WIRE TRANSFER$0
SUB-SAHARAN AFRICASUBAWARD$957,658WIRE TRANSFER$0
SOUTH AMERICASUBAWARD$21,160WIRE TRANSFER$0
FieldValueIRS element (for citing)
Total501c3 Org16Total501c3OrgCnt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.
PART II, LINE 1 ACCOUNTING METHOD:FOREIGN EXPENDITURES ARE SEPARATELY IDENTIFIED IN THE ORGANIZATION'S ACCOUNTING RECORDS.
PART III ACCOUNTING METHOD:

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$2,373,852GrossReceiptsEvent1Amt
Charitable Contri Event1$2,189,932CharitableContriEvent1Amt
Gross Revenue Event1$183,920GrossRevenueEvent1Amt
Rent Facility Costs Event1$5,500RentFacilityCostsEvent1Amt
Food And Beverage Event1$129,954FoodAndBeverageEvent1Amt
Entertainment Event1$160,260EntertainmentEvent1Amt
Other Direct Expenses Event1$49,919OtherDirectExpensesEvent1Amt
Event2IMAGINEEvent2Nm
Gross Receipts Event2$938,623GrossReceiptsEvent2Amt
Charitable Contri Event2$898,078CharitableContriEvent2Amt
Gross Revenue Event2$40,545GrossRevenueEvent2Amt
Rent Facility Costs Event2$21,400RentFacilityCostsEvent2Amt
Food And Beverage Event2$79,903FoodAndBeverageEvent2Amt
Entertainment Event2$90,979EntertainmentEvent2Amt
Other Direct Expenses Event2$58,804OtherDirectExpensesEvent2Amt
Other Events Total4OtherEventsTotalCnt
Gross Receipts Other Events$698,127GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$570,780CharitableContriOtherEventsAmt
Gross Revenue Other Events$127,347GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$65,167RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$125FoodAndBeverageOtherEventsAmt
Entertainment Other Events$38,226EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$79,316OthDirectExpnssOtherEventsAmt
Gross Receipts Total$4,010,602GrossReceiptsTotalAmt
Charitable Contributions Tot$3,658,790CharitableContributionsTotAmt
Gross Revenue Total Events$351,812GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$92,067RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$209,982FoodAndBeverageTotalEventsAmt
Entertainment Total Events$289,465EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$188,039OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$779,553DirectExpenseSummaryEventsAmt
Net Income Summary-$427,741NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$142,329,663TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$42,876,028DirectOffsettingRevenueAmt
Net Community Benefit Expns$99,453,635NetCommunityBenefitExpnsAmt
Total Expense0.04110TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$992,572,314TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$933,669,177DirectOffsettingRevenueAmt
Net Community Benefit Expns$58,903,137NetCommunityBenefitExpnsAmt
Total Expense0.02440TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,134,901,977TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$976,545,205DirectOffsettingRevenueAmt
Net Community Benefit Expns$158,356,772NetCommunityBenefitExpnsAmt
Total Expense0.06550TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,350,676TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,342,155DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,008,521NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$79,371,077TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,383,914DirectOffsettingRevenueAmt
Net Community Benefit Expns$58,987,163NetCommunityBenefitExpnsAmt
Total Expense0.02440TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs966ActivitiesOrProgramsCnt
Total Community Benefit Expns$81,951,223TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,586,983DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,364,240NetCommunityBenefitExpnsAmt
Total Expense0.00880TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs966ActivitiesOrProgramsCnt
Total Community Benefit Expns$176,672,976TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$95,313,052DirectOffsettingRevenueAmt
Net Community Benefit Expns$81,359,924NetCommunityBenefitExpnsAmt
Total Expense0.03360TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs966ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,311,574,953TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,071,858,257DirectOffsettingRevenueAmt
Net Community Benefit Expns$239,716,696NetCommunityBenefitExpnsAmt
Total Expense0.09910TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Total Community Benefit Expns$560,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$560,000NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$16,060,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$16,060,000NetCommunityBenefitExpnsAmt
Total Expense0.00660TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Total Community Benefit Expns$997,314TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$300,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$697,314NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$867,750TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$867,750NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$956,894TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$956,894NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs22ActivitiesOrProgramsCnt
Total Community Benefit Expns$19,441,958TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$300,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,141,958NetCommunityBenefitExpnsAmt
Total Expense0.00790TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$9,795,807BadDebtExpenseAmt
Reimbursed By Medicare$149,092,950ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$171,285,639CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$22,192,689MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BOSTON MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE BOSTON MEDICAL CENTER PLACEAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02118ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTP://WWW.BMC.ORGWebsiteAddressTxt
State LicenseV112StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BOSTON MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.BMC.ORG/CARE-OUR-COMMUNITYOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART V, PAGE 8OtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.BMC.ORG/CARE-OUR-COMMUNITYStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.BMC.ORG/PATIENT-FINANCIAL-ASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.BMC.ORG/PATIENT-FINANCIAL-ASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.BMC.ORG/PATIENT-FINANCIAL-ASSISTANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION A:BOSTON MEDICAL CENTER IS LICENSED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH TO OPERATE A HOSPITAL AT ONE BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118. BOSTON MEDICAL CENTER IS (1) A LICENSED HOSPITAL, (2) PROVIDES GENERAL MEDICAL AND SURGICAL TREATMENT, (3) IS A TEACHING HOSPITAL, AND (4) OPERATES AN ER 24 HOURS PER DAY. THE MAIN CAMPUS OF BOSTON MEDICAL CENTER IS LOCATED AT MENINO PAVILION, 830-840 HARRISON AVENUE, BOSTON, MA 02118. AN INPATIENT SATELLITE HOSPITAL KNOWN AS BMC BROCKTON BEHAVIORAL HEALTH CENTER IS LOCATED AT 34 NORTH PEARL STREET, BROCKTON, MA 02301. A SECOND CAMPUS LOCATION AT 249 RIVER STREET, MATTAPAN, MA 02126 IS LISTED ON BOSTON MEDICAL CENTER'S DEPARTMENT OF PUBLIC HEALTH LICENSE; HOWEVER, THIS LOCATION HAS BEEN OUT OF SERVICE SINCE 1996.THE FOLLOWING OUTPATIENT SATELLITES ARE ALSO LISTED ON BOSTON MEDICAL CENTER'S DEPARTMENT OF PUBLIC HEALTH HOSPITAL LICENSE:1. CODMAN SQUARE HEALTH CENTER2. BRIGHTON HIGH SCHOOL STUDENT HEALTH CENTER3. BOSTON MEDICAL CENTER RADIOLOGY AT RYAN CENTER BOSTON UNIVERSITY4. EAST BOSTON NEIGHBORHOOD HEALTH CENTER SATELLITE EMERGENCY FACILITY (10 GOVE STREET)5. DOTHOUSE HEALTH6. MADISON PARK HIGH SCHOOL STUDENT HEALTH CENTER7. JEREMIAH E. BURKE STUDENT HEALTH CENTER8. GREATER ROSLINDALE MEDICAL & DENTAL9. LATIN ACADEMY STUDENT HEALTH CENTER10. TECHBOSTON ACADEMY SCHOOL HEALTH CENTER11. BOSTON MEDICAL CENTER RADIOLOGY AT UPHAM'S CORNER HEALTH CENTER12. MURIEL SNOWDEN INTERNATIONAL HIGH SCHOOL HEALTH CENTER13. SOUTH BOSTON COMMUNITY HEALTH CENTER - 386 WEST BROADWAY14. BOSTON MEDICAL CENTER SCHOOL-BASED HEALTH CENTER AT BOSTON COMMUNITY LEADERSHIP ACADEMY15. SOUTH BOSTON COMMUNITY HEALTH CENTER - 409 WEST BROADWAY16. EAST BOSTON NEIGHBORHOOD HEALTH CENTER - 20 MAVERICK SQUARE17. EAST BOSTON NEIGHBORHOOD HEALTH CENTER - 79 PARIS STREET18. BOSTON MEDICAL CENTER RADIOLOGY AT WHITTIER STREET HEALTH CENTER19. EBHS SCHOOL BASED HEALTH CENTER20. WINTHROP COMMUNITY HEALTH CENTER21. SOUTH BOSTON COMMUNITY HEALTH CENTER SEAPORT PRIMARY CARE22. BOSTON MEDICAL CENTER - DEPARTMENT OF FAMILY MEDICINE - MELNEA CASS BOULEVARD23. BOSTON MEDICAL CENTER - CROSSTOWN - 801 MASSACHUSETTS AVENUE24. BMC REHABILITATION SERVICES, PHYSICAL AND OCCUPATIONAL THERAPY, HYDE PARK25. SOUTH END COMMUNITY HEALTH CENTER26. SOUTH END COMMUNITY HEALTH CENTER, DR. GERALD HASS CENTER27. CURBSIDE CARE PROGRAM AT BOSTON MEDICAL CENTER (MOBILE UNIT)28. BMC REHABILITATION, ORTHOPEDICS & IMAGING - 39B DISTRICT AVENUE29. BOSTON MEDICAL CENTER COMMUNITY BEHAVIORAL HEALTH SERVICES30. TRANSITIONAL CARE CENTER AND STABILIZATION CARE CENTER AT 891 MASSACHUSETTS AVENUE (SPECIAL PROJECT LOCATION)BOSTON MEDICAL CENTER IS LICENSED BY THE DEPARTMENT OF MENTAL HEALTH FOR INPATIENT PSYCHIATRY SERVICES LOCATED AT BMC BROCKTON BEHAVIORAL HEALTH CENTER, AN INPATIENT SATELLITE LOCATED AT 34 NORTH PEARL STREET, BROCKTON, MA 02301.
BOSTON MEDICAL CENTERPART V, SECTION B, LINE 5: QUALITATIVE DISCUSSIONS AND COMMUNITY ENGAGEMENTTHE COMMUNITY ENGAGEMENT WORK GROUP INCLUDES 24 MEMBERS REPRESENTING A RANGE OF ORGANIZATIONS, INCLUDING HEALTH CENTERS, LOCAL PUBLIC HEALTH, COMMUNITY DEVELOPMENT, COMMUNITY-BASED ORGANIZATIONS, AND HOSPITALS. THE WORK GROUP'S CHARGE IS TO PROVIDE GUIDANCE ON THE APPROACH TO COMMUNITY ENGAGEMENT, INPUT ON PRIMARY DATA COLLECTIONS METHODS, AND SUPPORT WITH LOGISTICS FOR PRIMARY DATA COLLECTION. THE COLLABORATIVE'S COMMUNITY ENGAGEMENT WORK GROUP LED EFFORTS TO GAIN INSIGHT INTO COMMUNITY NEEDS AND STRENGTHS AS WELL AS PRIORITIES FROM COMMUNITY LEADERS AND RESIDENTS, ESPECIALLY AMONG THOSE WHERE THERE HAS BEEN A GAP IN REPRESENTATION IN PREVIOUS PROCESSES. ALTOGETHER, THEY FACILITATED 29 VIRTUAL AND IN-PERSONFOCUS GROUP DISCUSSIONS WITH A TOTAL OF 309 RESIDENTS WHO HAVE BEEN DISPROPORTIONATELY BURDENED BY SOCIAL, ECONOMIC, AND HEALTH CHALLENGES INCLUDING: YOUTH AND ADOLESCENTS, OLDER ADULTS, PERSONS WITH DISABILITIES, LOW-RESOURCED INDIVIDUALS AND FAMILIES, LGBTQIA+ POPULATIONS, RACIALLY/ETHNICALLY DIVERSE POPULATIONS (E.G., AFRICAN AMERICAN, LATINO, HAITIAN, CAPE VERDEAN, VIETNAMESE, CHINESE), LIMITED-ENGLISH SPEAKERS, IMMIGRANT AND ASYLEE COMMUNITIES, FAMILIES AFFECTED BY INCARCERATION AND/OR VIOLENCE, AND VETERANS. SOME FOCUS GROUPS WERE CONDUCTED IN LANGUAGES OTHER THAN ENGLISH, INCLUDING SPANISH, CHINESE, AND VIETNAMESE.COLLABORATIVE MEMBERS CONDUCTED KEY INFORMANT INTERVIEWS WITH 62 INDIVIDUALS. THESE REPRESENTED A CROSS-SECTION OF SECTORS TO IDENTIFY AREAS OF ACTION AND PERSPECTIVES ON THE COMMUNITY. THESE INTERVIEWEES INCLUDED LEADERS AND STAFF FROM PUBLIC HEALTH, HEALTH CARE, BEHAVIORAL HEALTH, THE FAITH COMMUNITY, IMMIGRANT SERVICES, HOUSING ORGANIZATIONS, ECONOMIC DEVELOPMENT, COMMUNITY DEVELOPMENT, RACIAL JUSTICE ORGANIZATIONS, SOCIAL SERVICE ORGANIZATIONS, EDUCATION, COMMUNITY COALITIONS, THE BUSINESS COMMUNITY, CHILDCARE CENTERS, ELECTED GOVERNMENT OFFICES, AND OTHERS.ADDITIONALLY, COLLABORATIVE MEMBERS CONDUCTED FOUR 90-MINUTE VIRTUAL COMMUNITY LISTENING SESSIONS IN JANUARY 2022. A TOTAL OF 122 COMMUNITY MEMBERS PARTICIPATED IN THESE FOUR SESSIONS. THESE SESSIONS OCCURRED MID-WAY INTO THE CHNA PROCESS AND PROVIDED AN OPPORTUNITY TO GATHER FEEDBACK AND INSIGHTS ON PRELIMINARY DATA FINDINGS AND POTENTIAL PRIORITIES AT THIS POINT IN TIME. DURING THESE SESSIONS, COLLABORATIVE MEMBERS SHARED PRELIMINARY THEMES FROM FOCUS GROUPS, INTERVIEWS, AND THE REVIEW OF SECONDARY DATA. THE PARTICIPANTS DISCUSSED THEIR REACTIONS AND FEEDBACK TO THESE PRELIMINARY FINDINGS IN SMALL GROUPS AND IDENTIFIED AREAS THAT WERE THEIR HIGHEST PRIORITY FOR ACTION.TO DEEPEN UNDERSTANDING OF ISSUES THAT WERE SALIENT TO RESPONDENTS, INTERVIEW, FOCUS GROUP, AND COMMUNITY LISTENING SESSION DISCUSSION GUIDES USED OPEN-ENDED QUESTIONS AND DID NOT ASK ABOUT SPECIFIC TOPICS. COMMUNITY ENGAGEMENT WORK GROUP MEMBERS AND THEIR PARTNERS CONDUCTED THE FOCUS GROUPS AND INTERVIEWS, AND THEN SUMMARIZED THE KEY THEMES FROM THE DISCUSSIONS THEY FACILITATED. THESE SUMMARIES WERE THEN ANALYZED TO IDENTIFY COMMON THEMES AND SUB-THEMES ACROSS POPULATION GROUPS AS WELL AS UNIQUE CHALLENGES AND PERSPECTIVES IDENTIFIED BY POPULATIONS AND SECTORS, WITH AN EMPHASIS ON DIVING DEEP INTO THE ROOT CAUSES OF INEQUITIES. FREQUENCY AND INTENSITY OF DISCUSSIONS ON A SPECIFIC TOPIC WERE KEY INDICATORS USED FOR EXTRACTING MAIN THEMES.
BOSTON MEDICAL CENTERPART V, SECTION B, LINE 6A: BOSTON MEDICAL CENTER (BMC) CONDUCTED THE CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: BETH ISRAEL DEACONESS MEDICAL CENTER, BOSTON CHILDREN'S HOSPITAL, BRIGHAM AND WOMEN'S FAULKNER HOSPITAL, BRIGHAM AND WOMEN'S HOSPITAL, DANA-FARBER CANCER INSTITUTE, MASSACHUSETTS EYE AND EAR INFIRMARY, MASSACHUSETTS GENERAL HOSPITAL, AND TUFTS MEDICAL CENTER.
BOSTON MEDICAL CENTERPART V, SECTION B, LINE 6B: BOSTON MEDICAL CENTER CONDUCTED THE CHNA WITH THE FOLLOWING ORGANIZATIONS: BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, BOSTON PUBLIC HEALTH COMMISSION, JAMAICA PLAIN NEIGHBORHOOD DEVELOPMENT CORPORATION, COMMUNITY LABOR UNITED, FENWAY COMMUNITY HEALTH CENTER, HEALTH LEADS, MADISON PARK DEVELOPMENT CORPORATION, MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS, UPHAM'S CORNER HEALTH CENTER, AND URBAN EDGE.BOSTON MEDICAL CENTER:PART V, SECTION B, LINE 7B: HTTPS://WWW.BOSTON.GOV/GOVERNMENT/CABINETS/BOSTON-PUBLIC-HEALTH-COMMISSION/RACIAL-JUSTICE-AND-HEALTH-EQUITY/BOSTONCHNA
BOSTON MEDICAL CENTERPART V, SECTION B, LINE 11: UNWAVERING IN OUR COMMITMENT TO ADDRESS THE HEALTH NEEDS OF OUR COMMUNITY, BMC PROVIDES A WIDE RANGE OF PROGRAMS BEYOND THE TRADITIONAL MEDICAL MODEL. CORE TO FULFILLING OUR PUBLIC HEALTH MISSION AND CONSISTENT WITH THE CHNA FINDINGS, THE GOALS OF OUR COMMUNITY BENEFITS PROGRAM ARE TO IMPROVE ACCESS TO HEALTH SERVICES AND IMPROVE HEALTH OUTCOMES FOR UNDER-RESOURCED POPULATIONS IN OUR COMMUNITY. KEY FINDINGS THAT EMERGED FROM THE CHNA INCLUDED HEALTH CARE ACCESS AND UTILIZATION, CHRONIC DISEASES AND RISK FACTORS, MENTAL HEALTH ANDSUBSTANCE USE DISORDER, VIOLENCE, HOUSING AFFORDABILITY, AND ENVIRONMENTAL HEALTH. FOR DETAILED INFORMATION ABOUT EACH OF THE PROGRAMS AND INITIATIVES THAT ADDRESSED THESE NEEDS LAST YEAR, PLEASE SEE SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION, PROMOTION OF COMMUNITY HEALTH BELOW. BOSTON MEDICAL CENTER:PART V, SECTION B, LINE 13A: FOR PATIENTS WHO FALL OUTSIDE COMMONWEALTH ASSISTANCE PROGRAMS, PATIENTS ARE CHARGED AT THE SAME LEVELS AS INSURERS ARE CHARGED; HOWEVER, THEY ARE OFFERED A PROMPT-PAY DISCOUNT (REGARDLESS OF INCOME LEVEL, ETC.) BASED ON THE UNCOMPENSATED CARE COST TO CHARGE RATIO IF THE PAYMENTS ARE MADE WITHIN THE FIRST 30 DAYS FROM THE AGREEMENT.
BOSTON MEDICAL CENTERPART V, SECTION B, LINE 13H: BY THE DEFINITION OF BMC'S FINANCIAL ASSISTANCE POLICY, PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE HAVE APPLIED FOR ONE OF THE COMMONWEALTH'S FINANCIAL ASSISTANCE PROGRAMS (MASSHEALTH, MEDICAID, HEALTH SAFETY NET, ETC.) OR HAVE BEEN PROVIDED URGENT/EMERGENT SERVICES. IN THOSE INSTANCES, PATIENTS ARE VIEWED AS UNABLE TO PAY FOR THESE CHARGES AND THE HOSPITAL SUBMITS THE CHARGE FOR REIMBURSEMENT FROM THE HEALTH SAFETY NET.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
1 - MARGARET M SHEA RN ADULT DAY HEALTH PRO
229 RIVER STREETBOSTONMA02126ADULT DAY HEALTH PROGRAM
2 - BOSTON EMERGENCY SERVICES TEAM (BEST)
85 EAST NEWTON STREETBOSTONMA02118DEPARTMENT OF MENTAL HEALTH-LICENSED COMMUNITY CRISIS STABILIZATION SERVICE
3 - BMC BROCKTON BEHAVIORAL HEALTH CENTER
10 MEADOWBROOK ROADBROCKTONMA02301BUREAU OF SUBSTANCE ADDICTION SERVICES-CERTIFIED CLINICAL STABILIZATION SRVC
4 - BOSTON MEDICAL CENTER COMMUNITY BEHAVIOR
850 HARRISON AVE - DOWLING BLDG 7THBOSTONMA02118BUREAU OF SUBSTANCE ADDICTION SERVICESFL

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:FOR PATIENTS WHO FALL OUTSIDE COMMONWEALTH ASSISTANCE PROGRAMS, PATIENTS ARE CHARGED AT THE SAME LEVELS AS INSURERS ARE CHARGED; HOWEVER, THEY ARE OFFERED A PROMPT-PAY DISCOUNT (REGARDLESS OF INCOME LEVEL, ETC.) BASED ON THE UNCOMPENSATED CARE COST TO CHARGE RATIO IF THE PAYMENTS ARE MADE WITHIN THE FIRST 30 DAYS FROM THE AGREEMENT.INTRODUCTIONTHE STATUTE THAT CREATED BOSTON MEDICAL CENTER (BMC) REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 594-BED, URBAN ACADEMIC MEDICAL CENTER. IT EMPHASIZES COMMUNITY-BASED, ACCESSIBLE CARE AND IS GROUNDED BY ITS MISSION TO PROVIDE CONSISTENTLY ACCESSIBLE HEALTH SERVICESTO 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. DRIVEN BY THE SOCIAL DETERMINANTS OF HEALTH THAT IMPACT HEALTH OUTCOMES AMONG OUR PATIENTS AND COMMUNITY, THE GOAL OF OUR COMMUNITY HEALTH IMPROVEMENT ACTIVITIES, OR COMMUNITY BENEFITS, IS TO IMPROVE COMMUNITY HEALTH.APPROXIMATELY 73% OF OUR INPATIENT DISCHARGES AND OUTPATIENT VISITS ARE FROM GROUPS THAT HAVE BEEN ECONOMICALLY AND SOCIALLY MARGINALIZED AND WHO RELY ON GOVERNMENT PAYERS, SUCH AS MEDICAID, THE HEALTH SAFETY NET, AND MEDICARE, FOR THEIR COVERAGE. ALMOST 30% OF OUR PATIENTS DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE. TO ADDRESS THE HEALTH NEEDS OF ITS DIVERSE PATIENT POPULATION, BMC PROVIDES A WIDE RANGE OF SERVICES BEYOND THE TRADITIONAL MEDICAL MODEL. THESE PROGRAMS, INCLUDING BUT NOT LIMITED TO PATIENT NAVIGATION AND A FOOD PANTRY, HELP REDUCE BARRIERS TO ACCESSING HEALTH SERVICES AND ULTIMATELY ELIMINATE INEQUITIES IN HEALTHCARE AMONG THE PATIENT POPULATIONS BMC SERVES.WITH APPROXIMATELY 26,000 ADMISSIONS AND MORE THAN 1.1 MILLION PATIENT VISITS, 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 APPROXIMATELY 122,000 PATIENT VISITS ANNUALLY.BMC SERVES THE URBAN COMMUNITY OF GREATER BOSTON. THE MAJORITY OF THE COMMUNITIES THAT BMC SERVES ARE LOCATED IN BOSTON CENSUS TRACTS THAT ARE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS/POPULATIONS. ALTHOUGH MASSACHUSETTS' UNIVERSAL CARE ENABLES INDIVIDUALS TO SEEK CARE AT ANY HOSPITAL, BMC REMAINS THE LARGEST SAFETY NET PROVIDER IN BOSTON AND NEW ENGLAND. AN ESTIMATED 17.5% OF BOSTON RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL. THE IMPLEMENTATION OF UNIVERSAL CARE DID NOT REDUCE THE REAL NUMBER OR PERCENT OF UNDERSERVED COMMUNITIES SERVED BY BMC. ACCORDING TO THE CENTER FOR HEALTH INFORMATION AND ANALYSIS (CHIA) MASSACHUSETTS HEALTH INSURANCE SURVEY'S 2023 RESEARCH BRIEF, AN ESTIMATE OF 1.7% OF RESIDENTS WERE UNINSURED DURING THE SURVEY OF WHICH 67.2% REPORTED EMPLOYER-SPONSORED INSURANCE (ESI) AND 31.9% REPORTED OTHER NON-ESI. STILL, INSURED RESIDENTS IN FAIR OR POOR HEALTH HAVE HIGH RATES OF AFFORDABILITY ISSUES WITH 14.8% REPORTING SPENDING A HIGH SHARE OF FAMILY INCOME ON OUT-OF-POCKET HEALTHCARE SPENDING. OF BMC'S PATIENTS IN 2023, MEDICAID MAKES UP 48.9%, MEDICARE IS 22.4%, UNINSURED IS 2.4%, PRIVATE COMMERCIAL IS 25.4%, WITH THE REMAINDER OF 0.9% ACCOUNTED FOR BY OTHER GOVERNMENT AND WORKERS COMP.PART I, LINE 5C:THE ORGANIZATION'S CHARITY CARE DID NOT EXCEED BUDGETED AMOUNTS. THE BUDGETED AMOUNTS ARE PREDICTED CHARITY CARE AMOUNTS. THE ORGANIZATION DID NOT HAVE ANY EXCESS FUNDS.
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 RATIO IS MULTIPLIED BY THE CHARGES FOR CHARITY CARE AND 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 SERVICES (CMS) COST ALLOCATION METHODOLOGY (CMS FORM 2552) WAS USED. CMS FORM 2552 IS A REQUIRED ANNUAL FILING TO THE FEDERAL GOVERNMENT.PART I, LINE 7, COLUMN F:THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE WAS $0.DURING FISCAL YEAR 2023, BMC RECOGNIZED NET FAVORABLE SETTLEMENTS FROM MEDICARE, MEDICAID, WELLSENSE, BLUE CROSS AND OTHER PAYORS RELATED TO PRIOR YEARS OF APPROXIMATELY $8,971,000.
PART II, COMMUNITY BUILDING ACTIVITIES:BMC CONTRIBUTES TO THE COMMUNITY THROUGH ITS PAYMENT OF LINKAGE FEES TO THE CITY OF BOSTON. THOSE LINKAGE FEES FUND SUPPORT PROGRAMS FOR AFFORDABLE HOUSING AND NEIGHBORHOOD HEALTH CARE. BMC ALSO PROVIDES SUBSIDIES TO BOSTON HEALTHNET, WHICH SUPPORTS COMMUNITY-BASED SERVICES.PHYSICAL IMPROVEMENTS AND HOUSING:SOUTH BOSTON COMMUNITY HEALTH CENTER, A COMMUNITY HEALTH CENTER AFFILIATED WITH BOSTON MEDICAL CENTER, RECEIVED A TOTAL OF $600,000 FROM BOSTON MEDICAL CENTER DURING 2016 IN THE FORM OF A LOAN THAT WAS ORIGINATED EFFECTIVE JANUARY 26, 2016. COMMENCING JANUARY 26, 2017, BOSTON MEDICAL CENTER AGREED TO FORGIVE TEN PERCENT OF THE ORIGINAL PRINCIPAL AMOUNT OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING COULD BE FORGIVEN IN TEN YEARS. IN FISCAL YEAR 2018, BOSTON MEDICAL CENTER INCURRED AN EXPENSE OF $540,000 TO FULLY RESERVE AGAINST THE NOTE RECEIVABLE AS IT WAS DETERMINED THAT NO FUTURE PAYMENTS WERE ANTICIPATED ON THE LOAN. THE LOAN AND RESPECTIVE RESERVE IS ACCOUNTED FOR ON THE BALANCE SHEET, ANNUALLY, EACH IS REDUCED BY THE FORGIVABLE AMOUNT.CAPITAL INVESTMENTS IN BOSTON HEALTHNET:WHILE THE NEED FOR COMMUNITY-BASED SERVICES CONTINUES TO GROW, IT HAS BECOME INCREASINGLY DIFFICULT FOR COMMUNITY 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 PROVIDED APPROXIMATELY $16.9 MILLION IN DIRECT OPERATING SUPPORT TO THE BOSTON HEALTHNET HEALTH CENTERS IN FISCAL YEAR 2023 WITH $21.3 MILLION IN TOTAL SUPPORT FOR THE COMMUNITY HEALTH CENTERS FOR THAT SAME PERIOD. OTHER NET SUBSIDIES INCLUDE MOSTLY ECONOMIC DEVELOPMENT, COMMUNITY HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT.
PART III, LINE 2:SCHEDULE H, PART III, LINE 3 REPORTS BAD DEBT EXPENSE AT COST. PATIENT PAYMENTS ON ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT ARE RECORDED AS A BAD DEBT RECOVERY, REDUCING THE GROSS BAD DEBT WRITE-OFF.
PART III, LINE 3:THE ORGANIZATION ESTIMATED $0 OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) AS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY DUE TO THE MANNER IN WHICH THE DETAIL OF THE BAD DEBT EXPENSE IS PROCESSED IN ITS SYSTEM.
PART III, LINE 4:THE ORGANIZATION'S BAD DEBT EXPENSE IS ADDRESSED IN FOOTNOTES 2(S)(IV) AND 2(U) FOUND ON PAGES 16 AND 17 OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:MEDICARE ALLOWABLE COSTS OF $171,285,639 WERE CALCULATED USING THE CMS FORM 2552 METHODOLOGY OF DETERMINING MEDICARE COSTS. THIS USES 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. THE RATIO OF COST TO CHARGES IS APPLIED TO MEDICARE CHARGES BY DISTINCT CLINICAL COST CENTERS TO DETERMINE THE MEDICARE COSTS.
PART III, LINE 9B:POPULATIONS EXEMPT FROM COLLECTION ACTIVITIESTHE HOSPITAL WILL NOT REQUIRE PRE-ADMISSION OR PRE-TREATMENT DEPOSITS FROM INDIVIDUALS REQUIRING EMERGENCY SERVICES OR DETERMINED TO BE LOW-INCOME. THE FOLLOWING INDIVIDUALS AND PATIENT POPULATIONS ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES BEYOND THE INITIAL BILL PURSUANT TO STATE REGULATIONS:A. PATIENTS WITH MASSHEALTH, EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN OF THE DISABLED, CHILDREN, AND FULL HEALTH SAFETY NET OR PATIENTS WITH COUNTY MEDICAL SERVICES PROGRAM OR PARTIAL HEPATOSPLENOMEGALY BELOW THE PROGRAM-DEFINED FEDERAL POVERTY LEVEL OR MODIFIED ADJUSTED GROSS INCOME GUIDELINE, OR OTHERS DETERMINED TO BE LOW-INCOME PATIENTS ARE EXEMPT FROM COLLECTION SUBJECT TO:1. THE HOSPITAL MAY SEEK COLLECTION ACTION AGAINST ANY LOW-INCOME PATIENT FOR THEIR REQUIRED CO-PAYMENTS AND DEDUCTIBLES THAT ARE SET FORTH BY EACH SPECIFIC PROGRAM.2. THE HOSPITAL MAY SEEK COLLECTION TO ALLOW A PATIENT TO MEET THE COMMONWEALTH ONE-TIME DEDUCTIBLE.3. THE HOSPITAL MAY ALSO INITIATE BILLING OR COLLECTION FOR A LOW-INCOME PATIENT WHO ALLEGES THAT HE OR SHE IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COSTS OF THE HOSPITAL SERVICES, BUT WHO FAILS TO PROVIDE PROOF OF HIS OR HER PARTICIPATION AND WHOSE INSURANCE CANNOT BE VERIFIED IN THE HOSPITAL ELIGIBILITY SYSTEM. UPON RECEIPT OF SATISFACTORY PROOF THAT A PATIENT IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM, INCLUDING RECEIPT OR VERIFICATION FROM THE INSURANCE CARRIER, THE HOSPITAL SHALL CEASE ITS BILLING OR COLLECTION ACTIVITIES.4. THE HOSPITAL MAY CONTINUE COLLECTION ACTION ON ANY LOW-INCOME PATIENT FOR SERVICES RENDERED PRIOR TO THE LOW-INCOME PATIENT DETERMINATION, PROVIDED THAT THE CURRENT LOW-INCOME PATIENT STATUS HAS BEEN TERMINATED OR EXPIRED. HOWEVER, ONCE A PATIENT IS DETERMINED ELIGIBLE AND ENROLLED IN THE HEALTH SAFETY NET, MASSHEALTH, OR CERTAIN FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL CEASE COLLECTION ACTIVITY FOR SERVICES PROVIDED PRIOR TO THE BEGINNING OF THE PATIENT'S ELIGIBILITY.5. THE HOSPITAL MAY SEEK COLLECTION ACTION AGAINST ANY OF THE PATIENTS PARTICIPATING IN THE PROGRAMS LISTED ABOVE FOR NON-COVERED SERVICES THAT THE PATIENT HAS AGREED TO BE RESPONSIBLE FOR, PROVIDED THAT THE HOSPITAL OBTAINED THE PATIENT'S PRIOR WRITTEN CONSENT TO BE BILLED FOR THE SERVICE.
PART VI, LINE 2:IN 2022 AND FOR THE SECOND TIME, BMC CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN COLLABORATION WITH COMMUNITY ORGANIZATIONS, BOSTON RESIDENTS, HEALTH CENTERS, HOSPITALS AND THE BOSTON PUBLIC HEALTH COMMISSION. THE BOSTON COMMUNITY HEALTH NEEDS ASSESSMENT-COMMUNITY HEALTH IMPROVEMENT PLAN COLLABORATIVE (THE COLLABORATIVE) FORMED IN 2019 TO UNDERTAKE THE FIRST BOSTON-WIDE CHNA AND CHIP. FOCUSING ON THE SOCIAL DETERMINANTS OF HEALTH AND USING A HEALTH EQUITY LENS, THE COLLABORATIVE EMPLOYED A PARTICIPATORY APPROACH THAT ENGAGED THE COMMUNITY IN EVERY STEP OF THE 2019 AND 2022 CHNAS.METHODSTHIS CHNA FOCUSES ON THE SOCIAL DETERMINANTS OF HEALTH AND IS GUIDED BY A HEALTH EQUITY LENS. IN THE U.S., SOCIAL, ECONOMIC, AND POLITICAL PROCESSES WORK TOGETHER TO ASSIGN SOCIAL STATUS BASED ON RACE AND ETHNICITY, WHICH MAY AFFECT ACCESS TO OPPORTUNITIES, SUCH AS EDUCATIONAL AND OCCUPATIONAL MOBILITY AND HOUSING OPTIONS, EACH OF WHICH ARE INTIMATELY LINKED WITHHEALTH. HISTORICAL OPPRESSION, INSTITUTIONAL RACISM, DISCRIMINATORY POLICIES, AND ECONOMIC INEQUALITY ARE SEVERAL ROOT FACTORS THAT SHAPE HEALTH INEQUITIES ACROSS THE U.S.REVIEW OF SECONDARY DATATHE 2022 BOSTON CHNA DATA GATHERING EFFORT INCLUDED A REVIEW OF EXISTING SECONDARY DATA ON SOCIAL, ECONOMIC, AND HEALTH INDICATORS. THESE INDICATORS PROVIDE INSIGHTS INTO PATTERNS ACROSS BOSTON, BY BOSTON NEIGHBORHOOD, AND BY POPULATION GROUPS WITHIN BOSTON. SECONDARY DATA SOURCES INCLUDED U.S. CENSUS/AMERICAN COMMUNITY SURVEY, VITAL STATISTICS (BIRTH/DEATH RECORDS), HOSPITAL CASE MIX DATA, BOSTON BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BBRFSS), BBRFSS COVID-19 HEALTH EQUITY SURVEY, YOUTH RISK BEHAVIOR SURVEY (YRBS), AND THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH BUREAU OF SUBSTANCE ADDICTION SERVICES TREATMENT DATA. THE SECONDARY DATA WORK GROUP OF THE COLLABORATIVE INCLUDED 16 MEMBERS REPRESENTING A RANGE OF ORGANIZATIONS, INCLUDING HOSPITALS, HEALTH CENTERS, AND LOCAL PUBLIC HEALTH. THE SECONDARY DATA WORK GROUP'S CHARGE WAS TO PROVIDE GUIDANCE ON SECONDARY DATA APPROACH AND INDICATORS AND FOSTER CONNECTIONS WITH KEY NETWORKS AND GROUPS TO PROVIDE RELEVANT DATA.TO IDENTIFY THE LIST OF SOCIAL, ECONOMIC, AND HEALTH INDICATORS, SECONDARY DATA WORK GROUP MEMBERS REVIEWED THE INDICATOR LIST FROM THE 2019 BOSTON CHNA AND PRIORITIZED WHICH INDICATORS SHOULD BE REVISITED FOR THE 2022 REPORT. THE SECONDARY DATA WORK GROUP ENGAGED IN MULTIPLE DISCUSSIONS AND PRIORITIZED THE SECONDARY DATA THAT ALIGNED WITH THE 2019 PRIORITY AREAS THAT COVID-19 HAD A DISPROPORTIONATE IMPACT ON, AND/OR WHERE THERE WERE THE GREATEST INEQUITIES BY RACE/ETHNICITY, NEIGHBORHOOD, OR OTHER CHARACTERISTICS.SECONDARY DATA IN THE 2022 CHNA REPRESENTS THE MOST RECENT DATA AVAILABLE, AND IN SEVERAL CASES OVERLAPS WITH DATA INCLUDED IN THE 2019 CHNA DUE TO THE NEED TO COMBINE DATA ACROSS YEARS TO LOOK AT PATTERNS BY NEIGHBORHOOD AND SOCIAL AND DEMOGRAPHIC FACTORS. QUALITATIVE DISCUSSIONS (DESCRIBED IN THE SECTION THAT FOLLOWS) BUILD UPON THE SECONDARY DATA BY SHEDDING LIGHT ON RESIDENTS' RECENT EXPERIENCES WITH AND PERSPECTIVES ON MANY FACTORS,INCLUDING THE SOCIAL DETERMINANTS OF HEALTH AND HOW THESE ISSUES HAVE BEEN AFFECTED BY THE COVID-19 PANDEMIC.QUALITATIVE DISCUSSIONS AND COMMUNITY ENGAGEMENT THE COMMUNITY ENGAGEMENT WORK GROUP INCLUDES 24 MEMBERS REPRESENTING A RANGE OF ORGANIZATIONS, INCLUDING HEALTH CENTERS, LOCAL PUBLIC HEALTH, COMMUNITY DEVELOPMENT, COMMUNITY-BASED ORGANIZATIONS, AND HOSPITALS. THE WORK GROUP'S CHARGE IS TO PROVIDE GUIDANCE ON THE APPROACH TO COMMUNITY ENGAGEMENT, INPUT ON PRIMARY DATA COLLECTIONS METHODS, AND SUPPORT WITH LOGISTICS FOR PRIMARY DATA COLLECTION. THE COLLABORATIVE'S COMMUNITY ENGAGEMENT WORK GROUP LED EFFORTS TO GAIN INSIGHT INTO COMMUNITY NEEDS AND STRENGTHS AS WELL AS PRIORITIES FROM COMMUNITY LEADERS AND RESIDENTS, ESPECIALLY AMONG THOSE WHERE THERE HAS BEEN A GAP IN REPRESENTATION IN PREVIOUS PROCESSES. ALTOGETHER, THEY FACILITATED 29 VIRTUAL AND IN-PERSON FOCUS GROUP DISCUSSIONS WITH A TOTAL OF 309 RESIDENTS WHO HAVE BEEN DISPROPORTIONATELY BURDENED BY SOCIAL, ECONOMIC, AND HEALTH CHALLENGES INCLUDING: YOUTH AND ADOLESCENTS, OLDER ADULTS, PERSONS WITH DISABILITIES, LOW-RESOURCED INDIVIDUALS AND FAMILIES, LGBTQIA+ POPULATIONS, RACIALLY/ETHNICALLY DIVERSE POPULATIONS (E.G., AFRICAN AMERICAN, LATINO,HAITIAN, CAPE VERDEAN, VIETNAMESE, CHINESE), LIMITED-ENGLISH SPEAKERS, IMMIGRANT AND ASYLEE COMMUNITIES, FAMILIES AFFECTED BY INCARCERATION AND/OR VIOLENCE, AND VETERANS. SOME FOCUS GROUPS WERE CONDUCTED IN LANGUAGES OTHER THAN ENGLISH, INCLUDING SPANISH, CHINESE, AND VIETNAMESE.COLLABORATIVE MEMBERS CONDUCTED KEY INFORMANT INTERVIEWS WITH 62 INDIVIDUALS. THESE REPRESENTED A CROSS-SECTION OF SECTORS TO IDENTIFY AREAS OF ACTION AND PERSPECTIVES ON THE COMMUNITY. THESE INTERVIEWEES INCLUDED LEADERS AND STAFF FROM PUBLIC HEALTH, HEALTH CARE, BEHAVIORAL HEALTH, THE FAITH COMMUNITY, IMMIGRANT SERVICES, HOUSING ORGANIZATIONS, ECONOMIC DEVELOPMENT, COMMUNITY DEVELOPMENT, RACIAL JUSTICE ORGANIZATIONS, SOCIAL SERVICE ORGANIZATIONS, EDUCATION, COMMUNITY COALITIONS, THE BUSINESS COMMUNITY, CHILDCARE CENTERS, ELECTED GOVERNMENT OFFICES, AND OTHERS.ADDITIONALLY, COLLABORATIVE MEMBERS CONDUCTED FOUR 90-MINUTE VIRTUAL COMMUNITY LISTENING SESSIONS IN JANUARY 2022. A TOTAL OF 122 COMMUNITY MEMBERS PARTICIPATED IN THESE FOUR SESSIONS. THESE SESSIONS OCCURRED MID-WAY INTO THE CHNA PROCESS AND PROVIDED AN OPPORTUNITY TO GATHER FEEDBACK AND INSIGHTS ON PRELIMINARY DATA FINDINGS AND POTENTIAL PRIORITIES AT THIS POINT IN TIME. DURING THESE SESSIONS, COLLABORATIVE MEMBERS SHARED PRELIMINARY THEMES FROM FOCUS GROUPS, INTERVIEWS, AND THE REVIEW OF SECONDARY DATA. THE PARTICIPANTS DISCUSSED THEIR REACTIONS AND FEEDBACK TO THESE PRELIMINARY FINDINGS IN SMALL GROUPS AND IDENTIFIED AREAS THAT WERE THEIR HIGHEST PRIORITY FOR ACTION.TO DEEPEN UNDERSTANDING OF ISSUES THAT WERE SALIENT TO RESPONDENTS, INTERVIEW, FOCUS GROUP, AND COMMUNITY LISTENING SESSION DISCUSSION GUIDES USED OPEN-ENDED QUESTIONS AND DID NOT ASK ABOUT SPECIFIC TOPICS. COMMUNITY ENGAGEMENT WORK GROUP MEMBERS AND THEIR PARTNERS CONDUCTED THE FOCUS GROUPS AND INTERVIEWS, AND THEN SUMMARIZED THE KEY THEMES FROM THE DISCUSSIONS THEY FACILITATED. THESE SUMMARIES WERE THEN ANALYZED TO IDENTIFY COMMON THEMES AND SUB-THEMES ACROSS POPULATION GROUPS AS WELL AS UNIQUE CHALLENGES AND PERSPECTIVES IDENTIFIED BY POPULATIONS AND SECTORS, WITH AN EMPHASIS ON DIVING DEEP INTO THE ROOT CAUSES OF INEQUITIES. FREQUENCY AND INTENSITY OF DISCUSSIONS ON A SPECIFIC TOPIC WERE KEY INDICATORS USED FOR EXTRACTING MAIN THEMES.KEY FINDINGS THAT EMERGED FROM THE CHNA INCLUDED HEALTH CARE ACCESS AND UTILIZATION, CHRONIC DISEASES AND RISK FACTORS, MENTAL HEALTH AND SUBSTANCE USE DISORDER, VIOLENCE, HOUSING AFFORDABILITY, AND ENVIRONMENTAL HEALTH.UNWAVERING IN OUR COMMITMENT TO ADDRESS THE HEALTH NEEDS OF OUR COMMUNITY, BMC PROVIDES A WIDE RANGE OF PROGRAMS BEYOND THE TRADITIONAL MEDICAL MODEL TO ADDRESS THESE SOCIAL DETERMINANTS OF HEALTH. CORE TO FULFILLING OUR PUBLIC HEALTH MISSION AND CONSISTENT WITH THE CHNA FINDINGS, THE GOALS OF OUR COMMUNITY BENEFITS PROGRAM ARE TO IMPROVE ACCESS TO HEALTH SERVICES AND IMPROVE HEALTH OUTCOMES FOR UNDER-RESOURCED POPULATIONS IN OUR COMMUNITY.
PART VI, LINE 3:THE HOSPITAL POSTS NOTICES OF AVAILABILITY OF FINANCIAL ASSISTANCE IN: I. INPATIENT, CLINIC, AND EMERGENCY DEPARTMENT AND WAITING AREAS; II. PATIENT FINANCIAL COUNSELOR AREAS; III. CENTRAL ADMISSION/REGISTRATION AREAS; IV. BUSINESS OFFICE AREAS THAT ARE OPEN TO PATIENTS. POSTED NOTICES ARE CLEARLY VISIBLE AND LEGIBLE TO PATIENTS VISITING THESE AREAS. THE HOSPITAL ALSO INCLUDES A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IN ALL INITIAL BILLS. WHEN THE PATIENT CONTACTS THE HOSPITAL, THE PATIENT FINANCIAL SERVICES STAFF NOTIFIES THE PATIENT IF THEY QUALIFY FOR A PAYMENT PLAN. A PATIENT WHO IS ENROLLED IN A PUBLIC FINANCIAL ASSISTANCE PROGRAM (FOR EXAMPLE, 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 APPLICATION, THE HOSPITAL ASSISTS THE PATIENT IN COMPLETING THE APPLICATION FOR MASSHEALTH CONNECTORCARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTH START, HEALTH SAFETY NET, OR OTHER FORMS OF FINANCIAL ASSISTANCE PROGRAMS AS THEY BECOME PART OF THE VIRTUAL GATEWAY PROGRAM. ALL SIGNS AND NOTICES ARE TRANSLATED INTO LANGUAGES OTHER THAN ENGLISH IF A LANGUAGE IS SPOKEN BY 5% OR MORE OF THE POPULATION RESIDING IN THE HOSPITAL SERVICE AREA. CURRENTLY, THE HOSPITAL TRANSLATES THE NOTICES INTO ENGLISH, PORTUGUESE, SPANISH, VIETNAMESE, AND HAITIAN CREOLE.
PART VI, LINE 4:COMMUNITY INFORMATIONPLEASE SEE INTRODUCTION.
PART VI, LINE 5:PROMOTION OF COMMUNITY HEALTHHEALTH CARE ACCESSBIRTH SISTERS: BIRTH SISTERS ARE COMMUNITY MEMBERS TRAINED BY BMC TO PROVIDE SUPPORT TO PREGNANT BMC PATIENTS FROM THEIR OWN COMMUNITIES DURING PREGNANCY, CHILDBIRTH AND EARLY PARENTHOOD. BIRTH SISTERS OFFER CHILDBIRTH AND PARENTING EDUCATION, CONNECT THEIR CLIENTS TO COMMUNITY AND HOSPITAL-BASED RESOURCES, PROVIDE CONTINUOUS LABOR SUPPORT, AND SUPPORT THEIR CLIENTS IN THE EARLY POSTPARTUM PERIOD. THE BIRTH SISTERS PROGRAM HAS BEEN LINKED TO SIGNIFICANTLY HIGHER BODY/BREASTFEEDING RATES AND FEWER CESAREAN BIRTHS. THE PANDEMIC REQUIRED SHIFTS IN SERVICE PROVISION, MOST NOTABLY, THROUGH THE UTILIZATION OF VIRTUAL SUPPORT STRATEGIES TO BUILD CONNECTION BEFORE AND AFTER BIRTH. DURING THE 2023 FISCAL YEAR, BIRTH SISTERS PROVIDED SUPPORT FOR 210 PATIENTS.CATALYST CLINIC: IN MAY 2016, BOSTON MEDICAL CENTER LAUNCHED THE CATALYST CLINIC (CENTER FOR ADDICTION TREATMENT FOR ADOLESCENT/YOUNG ADULTS WHO USE SUBSTANCES), A PROGRAM DESIGNED TO TREAT YOUNG PEOPLE AGED 25 AND UNDER WHO ARE STRUGGLING WITH SUBSTANCE USE, OR WHO HAVE EXPERIMENTED WITH DRUGS AND ALCOHOL AND MAY BE AT RISK FOR DEVELOPING AN ADDICTION.THE CATALYST CLINIC TEAM WORKS TO PROVIDE INTERDISCIPLINARY, TEAM-BASED CARE THAT INCLUDES PHYSICIANS, A NURSE, TWO SOCIAL WORKERS, A RECOVERY SUPPORT NAVIGATOR AND A PROGRAM MANAGER. THE CATALYST CLINIC TEAM WORKS TOGETHER TO OFFER ASSESSMENT, DIAGNOSIS, AND TREATMENT OF VARIOUS SUBSTANCE USE DISORDERS, AS WELL AS FACILITATES THE TRANSITION FROM ADOLESCENT TO ADULT CARE WHEN APPROPRIATE. IN FISCAL YEAR 2023, THE CATALYST CLINIC RECEIVED APPROXIMATELY 114 REFERRALS TO THE CLINIC; 839 REFERRALS HAVE BEEN RECEIVED SINCE THE PROGRAM'S INCEPTION.THE CENTER FOR THE URBAN CHILD AND HEALTHY FAMILY (THE CENTER): THE CENTER, LAUNCHED IN 2016, IS CATALYZING BMC'S VISION OF MAKING BOSTON ONE OF THE HEALTHIEST CITIES IN THE WORLD BY ENSURING EVERY CHILD HAS AN EQUAL OPPORTUNITY TO BE HEALTHY AND ACHIEVE THEIR FULL POTENTIAL. AS SUCH, THE CENTER IS CREATING A SYSTEM OF PEDIATRIC HEALTH CARE THAT ACTIVELY PROMOTES HEALTH EQUITY AND ERADICATES DISPARITIES. AS AN INNOVATION HUB WITHIN THE DEPARTMENT OF PEDIATRICS, THE CENTER CREATES AND TESTS INNOVATIVE HEALTH CARE DELIVERY MODELS, WORKING IN PARTNERSHIP WITH FAMILIES, COMMUNITIES AND OTHER CHILD- AND FAMILY-SERVING SECTORS.THE CENTER HAS SET A GOAL THAT BY 2028, ALL CHILDREN CARED FOR BY BMC PEDIATRICS WILL BE HEALTHY AND READY TO LEARN WITH ADEQUATE SUPPORTS TO THRIVE BY AGE FIVE. TO ACHIEVE THIS GOAL, THE CENTER CO-DEVELOPED A NEW MODEL OF PEDIATRIC PRIMARY CARE, THE PEDIATRIC PRACTICE OF THE FUTURE, WITH FAMILIES AND PEDIATRIC PROVIDERS. THIS MODEL SUPPORTS WHOLE FAMILY DEVELOPMENT WITH ATTENTION TO FACTORS INFLUENCING WELL-BEING AND BRINGING TOGETHER CARE IN A SYSTEMATIC, EQUITABLE WAY TO PROMOTE WELLNESS THROUGHOUT THE LIFE COURSE. THE CENTER IS PILOTING THE NEW MODEL INITIALLY AIMED AT FAMILIES WITH NEWBORNS, AND IS COLLECTING DATA TO UNDERSTAND ITS IMPACT. THE PILOT LAUNCHED IN JANUARY 2020 AND HAS SINCE ENROLLED 1100 PATIENTS. ULTIMATELY, A FINANCIALLY SUSTAINABLE MODEL WILL BE SCALED TO THE LARGER PRIMARY CARE PRACTICE. IN ADDITION, THE CENTER IS SUPPORTING AN INTEGRATED MEDICAL HOME FOR FAMILIES IMPACTED BY SUBSTANCE USE DISORDER AND AN INNOVATIVE ASTHMA CARE PROGRAM TARGETED AT OUR URBAN PEDIATRIC POPULATION.LIVING WELL AT HOME (LWAH, FORMERLY ELDERS LIVING AT HOME PROGRAM): THE GOAL OF LWAH IS TO HELP OLDER ADULTS AND PERSONS WITH DISABILITIES WHO ARE HOMELESS OR AT RISK FOR HOMELESSNESS SECURE AND MAINTAIN A PERMANENT RESIDENCE AND LIVE AS INDEPENDENTLY AS POSSIBLE. LWAH SERVED OVER 650 CLIENTS DURING FISCAL YEAR 2023 IN HOUSING HOUSING SEARCH AND PLACEMENT SERVICES. OF THESE CLIENTS, 355 WERE NEWLY ENROLLED DURING THE FISCAL YEAR, AND 189 WERE HOUSED OR HAD THEIR TENANCY PRESERVED. THE SUCCESS RATE OF LWAH'S STABILIZATION SERVICES IN OUR BOSTON HOUSING AUTHORITY SUPPORTIVE HOUSING PROGRAM IS 98%. IN 2023, AN ADDITIONAL 176 CLIENTS WERE SERVED THROUGH A COMMUNITY-BASED COMPLEX CARE MANAGEMENT PILOT DESIGNED TO IMPROVE HEALTH OUTCOMES FOR FRAIL RESIDENTS OF AN ELDERLY/DISABLED HOUSING COMPLEX IN ROXBURY AND ANOTHER IN CAMBRIDGE.GROW CLINIC: THE GROW CLINIC WAS FOUNDED IN 1984 WITHIN BMC'S DEPARTMENT OF PEDIATRICS. THE PRIMARY GOAL OF THE GROW CLINIC IS TO PROVIDE COMPREHENSIVE MULTIDISCIPLINARY MEDICAL, NUTRITIONAL, SOCIAL SERVICES AND DEVELOPMENTAL SUPPORT 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 ILLNESS, POVERTY, AND OTHER FAMILY STRESSORS. THE EFFECTS OF FTT INCLUDE SHORTENED ATTENTION SPANS, EMOTIONAL PROBLEMS, DELAYED COGNITIVE DEVELOPMENT, LASTING GROWTH FAILURE, AND FREQUENT SERIOUS ILLNESS, WHICH CAN RESULT IN HOSPITALIZATION. THE GROW CLINIC PROVIDES MEDICAL TREATMENT, NUTRITIONAL ASSESSMENT, HOME HEALTH EDUCATION, SOCIAL SERVICE ADVOCACY, DEVELOPMENTAL REFERRALS, AND ACCESS TO BMC'S THERAPEUTIC FOOD PANTRY, NUTRITIONAL SUPPLEMENTS, CHILDREN'S CLOTHES, DIAPERS, BOOKS AND EDUCATIONAL TOYS, AMONG OTHER SERVICES. APPROXIMATELY 200 FAMILIES ARE TREATED ANNUALLY BY THE GROW CLINIC. IN FY2023, THERE WERE 90 NEW PATIENTS. FORTY-FIVE PERCENT (45%) OF CLINIC PATIENTS WERE 12 MONTHS OF AGE OR YOUNGER; THE AVERAGE AGE AT REFERRAL WAS 22 MONTHS; AND THE AVERAGE LENGTH OF TREATMENT WAS 28 MONTHS. THERE WERE 818 TOTAL CLINIC VISITS DURING THIS PERIOD. APPROXIMATELY 12% OF PATIENT FAMILIES WERE HOMELESS AND LIVING IN SHELTERS. CLINICIANS MADE 20 HOME VISITS IN FY23. ALL PATIENTS DEMONSTRATED IMPROVED GROWTH, AND 80% DEMONSTRATED SIGNIFICANT WEIGHT IMPROVEMENT.
PART VI, LINE 6:BOSTON MEDICAL CENTER HEALTH PLAN, INC., DOING BUSINESS AS WELLSENSE HEALTH PLAN (WELLSENSE)WELLSENSE IS A NON-PROFIT HEALTH PLAN THAT PROVIDES HEALTH INSURANCE COVERAGE TO MASSACHUSETTS RESIDENTS, INCLUDING LOW INCOME, UNDERSERVED, DISABLED AND ELDERLY POPULATIONS. IT WAS ESTABLISHED IN 1997 BY BMC AND HAS MORE THAN 25 YEARS OF EXPERIENCE DELIVERING ACCESSIBLE CARE TO COMPLEX POPULATIONS. WELLSENSE SERVES OVER 639,000 MEMBERS ACROSS MASSACHUSETTS. IT ALSO PROVIDES HEALTH COVERAGE TO MEDICAID MEMBERS IN NEW HAMPSHIRE.BOSTON HEALTHNET (BHN)THE BOSTON HEALTHNET (BHN) HEALTH CENTER NETWORK REPRESENTS A FUNDAMENTAL PARTNERSHIP BETWEEN BOSTON MEDICAL CENTER AND THE COMMUNITY HEALTH CENTERS (CHCS) TO FULFILL A SHARED COMMITMENT TO THE MOST VULNERABLE AND DIVERSE PATIENTS SERVED. ESTABLISHED IN 1995, BHN IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM COMPRISED OF BMC, BOSTON UNIVERSITY'S CHOBANIAN & AVEDISIAN SCHOOL OF MEDICINE AND 12 COMMUNITY HEALTH CENTERS. THE PARTNERSHIP HAS BECOME A NATIONAL MODEL FOR COMMUNITY HEALTH CARE NETWORKS, ESPECIALLY THOSE SERVING URBAN, UNDERSERVED AND WORKING CLASS POPULATIONS BHN'S COMMUNITY HEALTH CENTER PARTNERS PROVIDE OUTREACH, PREVENTION, PRIMARY CARE, SPECIALTY CARE AND DENTAL SERVICES AT SITES LOCATED THROUGHOUT BOSTON'S COMMUNITIES AS WELL AS ATTLEBORO, QUINCY, TAUNTON, AND WINTHROP, THEREBY EXTENDING BMC'S PRESENCE INTO THESE NEIGHBORHOODS. PHYSICIANS WORKING IN THE HEALTH CENTERS ARE CREDENTIALED MEMBERS OF BMC'S MEDICAL STAFF. HEALTH CENTER PATIENTS HAVE ACCESS TO HIGHLY TRAINED SPECIALISTS AND CUTTING-EDGE TECHNOLOGY AT BMC WHILE PROVIDING INDIVIDUALIZED AND CULTURALLY SENSITIVE CARE IN THEIR OWN NEIGHBORHOODS.THE ACCOMPLISHMENTS OF THE NETWORK ARE EVIDENCED BY:NOTABLE SHARE OF BMC VOLUME ORIGINATING FROM THE HEALTH CENTERS;COLLABORATIVE DEVELOPMENT OF QUALITY IMPROVEMENT INITIATIVES, CLINICAL PROTOCOLS, AND STANDARDS OF PRACTICE;DEGREE OF FACILITATION AND COORDINATION OF HEALTH INFORMATION TECHNOLOGY TRAINING, COMMUNICATION AND OPTIMIZATION ACROSS THE HEALTH CENTER NETWORK WITH NINE OF THE BHN HEALTH CENTERS ON THE SAME ELECTRONIC HEALTH RECORD.IN ADDITION, THE COMMUNITY HEALTH CENTER PARTNERSHIP EXTENDS INTO CLINICIAN TRAINING AND JOINT HIRING WITH BU SCHOOL OF MEDICINE STUDENTS USING HEALTH CENTER EDUCATION PROGRAMS, RESIDENTS HAVING LONGITUDINAL AMBULATORY EXPERIENCE AT CHCS DURING 2023 AND PROVIDERS JOINTLY HIRED BY HEALTH CENTERS AND BU FAMILY MEDICINE ACROSS SIX HEALTH CENTERS.OTHER AREAS DEMONSTRATING THE LONGSTANDING AND DEEP PARTNERSHIP INCLUDE: GOVERNANCE: COMMUNITY HEALTH CENTERS ARE NOTABLY INVOLVED IN BMC GOVERNANCE WITH REPRESENTATION ON BMC'S BOARD OF TRUSTEES, TWO COMMITTEES OF THE BMC BOARD OF TRUSTEES AND THREE HOSPITAL COMMITTEES.RESEARCH: FOR OVER 15 YEARS, A RESEARCH COLLABORATIVE COMPRISED OF BHN, COMMUNITY HEALTH CENTERS AND BOSTON UNIVERSITY CLINICAL TRANSLATIONAL SCIENCE INSTITUTE HAS EXISTED IN ORDER TO ADVANCE HEALTH RELATED RESEARCH IN THE COMMUNITY, INCLUDE THE COMMUNITY VOICE IN RESEARCH PROJECTS AND FACILITATE CLINICIAN ENGAGEMENT IN THE RESEARCH PROCESS.ACO PARTICIPATION: CURRENTLY, 10 COMMUNITY HEALTH CENTERS AND FOUR HOSPITALS IN OUR MASSHEALTH ACO PROGRAM PARTICIPATE IN BACO. BACO'S PARTICIPANTS ARE COLLECTIVELY ACCOUNTABLE FOR THE QUALITY AND COST OF THE CARE THEY PROVIDE. BACO'S MOST SIGNIFICANT RISK ARRANGEMENT IS WITH THE MASSHEALTH ACO PROGRAM. WITH ITS PARTICIPATION IN THE MASSHEALTH ACO PROGRAM, BACO BECAME CLINICALLY AND FINANCIALLY INTEGRATED WITH BMC HEALTH SYSTEM, WHICH INCLUDES BMC, BOSTON UNIVERSITY MEDICAL GROUP, AND WELLSENSE.COVID-19 RESPONSE THE COVID-19 PANDEMIC REVEALED GROSS INEQUITIES IN THE UPTAKE OF VACCINATIONS BY BLACK AND LATINX PEOPLE ACROSS THE US, WITH DEADLY CONSEQUENCES. BMC LED LOCAL EFFORTS TO CLOSE THESE DISPARITIES IN BOSTON BY IMPLEMENTING COMMUNITY-BASED VACCINATION SITES IN CHURCHES AND COMMUNITY CENTERS, ORGANIZING MOBILE VACCINATION EVENTS AT SCHOOLS, GROCERY STORES AND COMMUNITY EVENTS, AND BY PROVIDING VACCINE ACCESS AS WELL AS HEALTH EDUCATION TO RESIDENTS OF THE CITY'S MOST IMPOVERISHED NEIGHBORHOODS.THESE EVENTS WERE CRITICAL IN PROVIDING ACCESS TO VACCINES IN LOCATIONS WITH THE HIGHEST SOCIAL VULNERABILITY INDEX (SVI), IDENTIFIED USING THE US CENSUS DATA INCLUDING SOCIOECONOMIC STATUS, HOUSEHOLD COMPOSITION AND DISABILITY, SOCIAL/ECONOMIC MINORITY STATUS, LANGUAGE, UNEMPLOYMENT, AND OTHER FACTORS AFFECTING COMMUNITY HEALTH. TO BUILD CONFIDENCE IN COVID-19 VACCINES AND IN THE HEALTHCARE SYSTEM, BMC PARTNERED WITH AFFILIATED HEALTH CENTERS, COMMUNITY PARTNERS, STATE AND LOCAL HEALTH DEPARTMENTS, AND THE COMMONWEALTH OF MASSACHUSETTS. AS FEATURED IN A SCHOLARLY ARTICLE IN MAY OF 2022 IN THE ANNALS OF INTERNAL MEDICINE, THE BMC VACCINATION INITIATIVE HAS SHOWN THE IMPORTANCE OF HAVING LEADERSHIP AND WORKFORCE COMMITMENT TO HEALTH EQUITY AND COMMUNITY ENGAGEMENT. AS A RESULT, BMC IS NOW PART OF THE COMMUNITY ENGAGED ALLIANCE OF THE NATIONAL INSTITUTES OF HEALTH, AIMED AT INCREASING VACCINE CONFIDENCE AND ENGAGEMENT IN RESEARCH.
SCHEDULE H, PART VI, LINE 5 (CONTINUATION):IMMIGRANT AND REFUGEE HEALTH CENTER (IHRC): THE IHRC CONNECTS ALL OF BMC'S EXISTING PROGRAMS AND EXPERTISE IN IMMIGRANT AND REFUGEE HEALTH CARE INTO ONE CENTRAL POINT OF ENTRY. THROUGH THE IHRC, ANY IMMIGRANT PATIENT CAN BE CONNECTED WITH ALL OF THE MEDICAL, MENTAL HEALTH AND SOCIAL SERVICES THAT THEY NEED TO HEAL, REBUILD, AND THRIVE. THIS INCLUDES SPECIALIZED PRIMARY CARE SERVICES FOR IMMIGRANT AND REFUGEE PATIENTS INCLUDING REGULAR CHECK-UPS, IMMUNIZATIONS AND SCREENINGS; SPECIALIZED, TRAUMA-INFORMED MENTAL HEALTH CARE FOR IMMIGRANT AND REFUGEE AND TAILORED OBSTETRICS AND GYNECOLOGICAL CARE FOR IMMIGRANT AND REFUGEE PATIENTS, INCLUDING PREGNANCY AND POSTPARTUM CARE, ANNUAL CHECK-UPS, GYNECOLOGIC CARE, CONTRACEPTION COUNSELING, SURGICAL CONSULTATION AND CONSULTATIONS REGARDING FEMALE GENITAL CIRCUMCISION. WE ALSO RECOGNIZE THAT NAVIGATING THE US HEALTHCARE SYSTEM CAN BE CHALLENGING. OUR CASE MANAGEMENT TEAM PARTNERS WITH OUR PATIENTS TO CONNECT THEM WITH THE MEDICAL AND SOCIAL SERVICES THEY NEED (FROM IMMIGRATION LEGAL NEEDS, TO CAREER DEVELOPMENT, TO FOOD AND HOUSING SUPPORT) IN A SUPPORTIVE ENVIRONMENT THAT IS SPECIFICALLY TAILORED TO MEET THE UNIQUE NEEDS OF OUR PATIENTS. FOREIGN AND SIGN LANGUAGE INTERPRETERS ARE AVAILABLE TO HELP PATIENTS COMMUNICATE WITH THE STAFF. THE PRACTICE PROVIDES ON-SITE INTERPRETERS AND PHONE-BASED INTERPRETERS FOR MORE THAN 250 LANGUAGES. IN THE PAST YEAR, THE IHRC SERVED FOR OVER 2,000 IMMIGRANT, REFUGEE, AND ASYLUM SEEKING PATIENTS, DELIVERING APPROXIMATELY 6,400 CLINICAL VISITS ANNUALLY.MARGARET M. SHEA RN ADULT DAY HEALTH PROGRAM: LICENSED UNDER THE DEPARTMENT OF PUBLIC HEALTH, BMC'S MARGARET M. SHEA RN ADULT DAY HEALTH PROGRAM IS AN INTERDISCLIPLANARY BASED PROGRAM THAT PROMOTES OUR CLIENT'S ACHIEVING AND MAINTAINING THEIR HIGHEST LEVEL OF FUNCTIONING WHILE PROVIDING SUPPORT TO THE CLIENTS AND THEIR CARE GIVERS TO ENABLE THEM TO REMAIN IN THE COMMUNITY. THIS IS ACHIEVED BY PROVIDING HOLISTIC CARE TO MEET THE INDIVIDUAL CLIENT'S PHYSICAL, COGNITIVE, SOCIAL AND EMOTIONAL NEEDS WTIHIN A GROUP SETTING. THE PROGRAM SERVED AN AVERAGE ROSTER OF 33 PARTICIPANTS DURING 2023 WITH AN AVERAGE OF APPROXIMATELY 20 CLIENTS PER DAY IN ATTENDANCE DURING THIS TIME PERIOD. ADDITIONALLY, THE PROGRAM ALSO WELCOMED A NEWLY CREATED CERTIFIED THERAPEUTIC RECREATION SPECIALIST POSITION TO EXPAND THE THERAPEUTIC ACTIVITY PROGRAMS THAT ARE OFFERED.PROGRAM FOR INTEGRATIVE MEDICINE AND HEALTH CARE DISPARITIES (INTEGRATIVE MEDICINE): STARTED IN 2004, THE PROGRAM FOR INTEGRATIVE MEDICINE AND HEALTH CARE DISPARITIES AT BMC COMBINES CONVENTIONAL MEDICAL TREATMENT, COMPLEMENTARY THERAPIES, AND LIFESTYLE CHANGES. THE CORE PURPOSE OF THIS PROGRAM IS TO PIONEER A WIDELY ACCESSIBLE, MULTICULTURAL, CROSS-DISCIPLINARY, NATIONAL MODEL OF INTEGRATIVE HEALTH FOR ALL THROUGH CLINICAL SERVICES, EDUCATION, RESEARCH AND ADVOCACY. COMPLEMENTARY THERAPIES INCLUDE YOGA, MASSAGE, ACUPUNCTURE, HERBAL THERAPY, DIETARY SUPPLEMENTS, MEDITATION, HYPNOSIS, CHI GUNG, TAI CHI, AND REIKI. THE PROGRAM OFFERS ALL CLINICAL SERVICES AND CLASSES AT LITTLE OR NO COST.CONVENTIONAL TREATMENTS MAY INCLUDE PRESCRIPTION MEDICATION, X-RAYS, SURGICAL PROCEDURES, PHYSICAL, AND OCCUPATIONAL THERAPY. HISTORICALLY, COMPLEMENTARY THERAPIES WERE NOT PART OF CONVENTIONAL MEDICINE; HOWEVER, CERTAIN THERAPIES ARE BECOMING MORE COMMON IN HEALTHCARE TODAY BECAUSE KNOWLEDGE AND RESEARCH ABOUT THEIR EFFECTIVENESS CONTINUES TO GROW.PEDIATRIC ASSESSMENT OF COMMUNICATION CLINIC (AUTISM PROGRAM): THE AUTISM PROGRAM AT BMC IS A MULTIDISCIPLINARY, MULTI-TIERED, COMPREHENSIVE AND CULTURALLY COMPETENT PROGRAM THAT IS UNIQUELY EQUIPPED TO MEET THE COMPLEX NEEDS OF PATIENTS AND FAMILIES. OUR TEAM, COMPRISED OF A PROGRAM DIRECTOR AND ASSOCIATE DIRECTOR, AUTISM RESOURCE SPECIALISTS, TRANSITION SPECIALIST, RESEARCH COORDINATOR AND AUTISM FRIENDLY HOSPITAL PROJECT COORDINATOR, OFFERS SPECIALIZED OUTREACH, TRAINING AND ADVOCACY SERVICES. IN ADDITION, THE TEAM FORMS EFFECTIVE PARTNERSHIPS WITH SCHOOLS, COLLABORATES WITH LOCAL SUPPORT ORGANIZATIONS AND DRAWS UPON A DEEP KNOWLEDGE BASE OF SOCIAL SERVICE AGENCIES TO FACILITATE LINKAGES TO RESOURCES AND SUPPORTS WHILE DEVELOPING AND SCALING UP NOVEL INTERVENTIONS TO MEET GAPS IN SERVICES. OUR AUTISM RESOURCE SPECIALISTS WORK INTENSELY WITH PATIENT FAMILIES TO HELP ENSURE TIMELY AND APPROPRIATE TREATMENT FOR CHILDREN, WHICH OFTEN INCLUDES PROVIDING SUPPORT FOR THOSE FACING FINANCIAL BARRIERS, LINGUISTIC NEEDS AND CULTURAL ISSUES; ENHANCING PATIENT-PROVIDER COMMUNICATION; NAVIGATING HEALTH CARE SYSTEM OBSTACLES; AS WELL AS ACCESSING STATE AND GOVERNMENTAL BENEFITS. ADDITIONALLY, STAFF PROVIDE INDIVIDUALIZED BEHAVIOR CONSULTATION AND PARENT TRAINING TO STRENGTHEN CHILDREN'S COMMUNICATION AND RELATED SKILL-BUILDING AND REDUCE CHALLENGING BEHAVIORS. OUR TRANSITION SPECIALIST PROVIDES TRANSITION-AGED YOUTH (14-22 YEARS OLD) AND THEIR FAMILIES WITH INFORMATION, GUIDANCE, AND RESOURCES REGARDING THE TRANSITION FROM SCHOOL SERVICES TO ADULT LIFE AND DISCUSSES TOPICS SUCH AS GOAL SETTING, SCHOOL IEP PLANNING, ADULT SERVICES, AND LIFE SKILLS DEVELOPMENT. OUR ADULT RESOURCE SPECIALIST PARTNERS WITH ADULT CLINICAL SETTINGS TO ASSIST ADULTS OF ALL AGES AND THEIR CARE PROVIDERS AND FAMILIES TO GAIN ACCESS TO RESOURCES AND SUPPORT SYSTEMS NEEDED TO CONTINE TO THRIVE THROUGHOUT ADULTHOOD.OUR AUTISM FRIENDLY INITIATIVE (AFI) IS RECOGNIZED AS A NATIONAL AND INTERNATIONAL LEADER IN IMPROVING THE HEALTHCARE EXPERIENCE FOR PATIENTS WITH AUTISM SPECTRUM DISORDER (ASD) AND THEIR FAMILIES. OUR AFI HAS SUCCESSFULLY DEVELOPED AND IMPLEMENTED A RANGE OF INTERVENTIONS ACROSS THE DOMAINS OF INDIVIDUALIZING PATIENT CARE, MODIFYING THE SENSORY ENVIRONMENT, STAFF TRAINING, AND PATIENT/FAMILY ACCOMMODATIONS. THE AUTISM PROGRAM ALSO HAS A WELL-ESTABLISHED SOCIAL MEDIA PRESENCE ON FACEBOOK AND INSTAGRAM-BOTH OF WHICH SERVE AS ADDITIONAL AVENUES TO PROVIDE RESOURCES, INFORMATION, AND GUIDANCE TO FAMILIES. THE AUTISM PROGRAM HAS SUPPORTED OVER 14,000 FAMILY REFERRALS SINCE ITS INCEPTION IN 2007 AND APPROXIMATELY 1,800 IN FY23. ADDITIONALLY, THE PROGRAM TRAINS OVER 1,500 INDIVIDUALS ANNUALLY.
SCHEDULE H, PART VI, LINE 5 (CONTINUATION):PEDIATRIC PAIN CLINIC: BMC'S PEDIATRIC PAIN CLINIC MANAGES ACUTE, COMPLEX, AND CHRONIC PAIN IN CHILDREN FROM INFANCY TO AGE 22. OUR INTERDISCIPLINARY TEAM OF EXPERTS WORKS CLOSELY WITH EACH PATIENT AND FAMILY STRIVING TO HELP CHILDREN REGAIN NORMAL LIVES AND PARTICIPATE IN TYPICAL AGE-APPROPRIATE ACTIVITIES. THE PEDIATRIC PAIN CLINIC IS ABLE TO TREAT A WIDE VARIETY OF CONDITIONS, AND OFFERS A VARIETY OF SPECIALIZED THERAPIES. EACH PATIENT IS GIVEN A PERSONALIZED PLAN TO BEST FIT THEIR NEEDS WHICH INCLUDES NON-PHARMACOLOGIC STRATEGIES AND PARENTING SUPPORT. THE TEAM REGULARLY COMMUNICATES WITH SCHOOLS AND OUTSIDE PROVIDERS TO ENSURE COMPREHENSIVE AND COLLABORATIVE CARE.NOURISHING OUR COMMUNITY: THE PREVENTIVE FOOD PANTRY AND TEACHING KITCHEN ADDRESS HUNGER-RELATED ILLNESS AND MALNUTRITION AMONG A LOW-INCOME, LARGELY UNDERSERVED PATIENT POPULATION WITHIN 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 PANTRY STAFF MEMBERS ARE FLUENT IN 4 LANGUAGES AND HAVE BEEN ESSENTIAL IN ASSISTING BMC'S MANY REFUGEE AND IMMIGRANT PATIENTS. THE FOOD PANTRY HAS CONTINUED TO PROVIDE NUTRITIONAL FOOD PRESCRIPTIONS TO APPROXIMATELY 6,134 PEOPLE EACH MONTH. IN FY23. WE PROVIDED FOOD TO 73,616 PEOPLE, AND DISPENSED APPROXIMATELY 11,000 POUNDS OF FOOD EACH WEEK. THIS EQUATES TO APPROXIMATELY 8 POUNDS OF GROCERIES PER PERSON. 50% OF THE FOOD DISPENSED ARE PERISHABLE ITEMS, WHICH ARE OFTEN LACKING IN THEIR DIET BECAUSE OF THE COST.THE TEACHING KITCHEN: OFFERS IN PERSON, VIRTUAL, AND HYBRID CLASSES TO PATIENTS, STAFF, STUDENTS, AND PARTNERING COMMUNITY ORGANIZATIONS. RE-CURRING CLASSES IN THE TEACHING KITCHEN INCLUDE HEALTHY HABITS, WELLNESS AND THE TEACHING KITCHEN, WEIGHT LOSS SURGERY PREPARATION, COOKING FOR RECOVERY, FOOD EXPLORERS, CUISINES OF THE WORLD AND MORE. NEW STRATEGIC PARTNERSHIPS HAVE BEEN MADE THROUGHOUT THE HOSPITAL TO FURTHER INTEGRATE INTO CLINICAL CARE. FOR EXAMPLE, AN INNOVATIVE CLASS WITH THE GROW CLINIC OFFERS NUTRITION AND CULINARY EDUCATION FOR PREGNANT AND POSTPARTUM PEOPLE TO SUPPORT PREGNANCY AND BABIES. PARTNERSHIPS WITH THE GRAYKEN CENTER'S START CLINIC AND CATALYST CLINIC SUPPORT FOLKS WITH SUBSTANCE USE DISORDER TO BUILD HEALTHY EATING HABITS AND GAIN CONFIDENCE IN FOOD PREPARATION USING ACCESSIBLE FOODS. THESE CLINICALLY INTEGRATED CLASSES ENHANCE CARE AND PROVIDE ADDITIONAL EDUCATION, SUPPORT, AND COMMUNITY TO ADDRESS THE NUTRITIONAL NEEDS OF OUR PATIENT POPULATION. RECIPES FEATURE STAPLE FOODS PROVIDED BY THE FOOD PANTRY, AND CULTURALLY COMPETENT FOODS FOR OUR DIVERSE COMMUNITY. RESEARCH EFFORTS CONTINUE TO GROW, INCLUDING A QUALITY IMPROVEMENT PROJECT ASSESSING PATIENTS' FOOD PREFERENCES AND ENVIRONMENT, THE FEASIBILITY OF TEACHING KITCHEN CLASSES IN CLINICAL CARE, AND RESEARCH ON HEALTH OUTCOMES. IN APRIL 2017, BMC OPENED ITS ROOFTOP FARM, TO MEET OUR PATIENTS' GROWING NEED FOR FRESH PRODUCE. THE ROOFTOP FARM HAS 2,400 SQUARE FEET OF GROWING SPACE, AND IS LOCATED ON TOP OF BMC'S ALBANY STREET POWER PLANT. THE FARM PRODUCES CROPS SUCH AS SPINACH, COLLARDS, BOK CHOY, RADISHES, SWISS CHARD, KALE, TOMATOES, AND MUCH MORE. IN ADDITION TO PRODUCE, THE FARM ALSO HAS 4 BEEHIVES WHICH PROVIDE 20-100 POUNDS OF HONEY TO THE HOSPITAL EACH SEASON. AS OF 2022 THE FARM HAS BEEN FULLY OPEN TO THE PUBLIC, HOSTING OVER 1000 VISITORS TO THE FARM LAST SEASON FOR TOURS, GARDENING CLASSES, YOGA, AND COOKING CLASSES. THE FARM CONTINUED TO HOST AN INTERNSHIP PROGRAM FOR PEOPLE LOOKING TO LEARN THE INS AND OUTS OF ROOFTOP FARMING AND GROWING FOOD FOR A HOSPITAL. IN FY2023, THE FARM GREW OVER 4,035 LBS OF FOOD VALUED AT $27,000 FOR THE HOSPITAL. MORE THAN HALF OF THE FOOD WENT TO THE FOOD PANTRY, WITH THE REST GOING TO THE HOSPITAL CAFETERIA AND WEEKLY FARMERS' MARKET. THE FARMERS MARKET, HOSTED EVERY TUESDAY IN THE SHAPIRO BUILDING, SERVES PATIENTS AND STAFF FRESH FARM PRODUCE AT A SUBSIDIZED RATE.
SCHEDULE H, PART VI, LINE 5 (CONTINUATION):PROJECT RECOVERY, EMPOWERMENT, SOCIAL SERVICES, PRENATAL CARE, EDUCATION, COMMUNITY AND TREATMENT (PROJECT RESPECT): PROJECT RESPECT IS A HIGH RISK OBSTETRICAL AND ADDICTION RECOVERY MEDICAL HOME AT BMC AND BOSTON UNIVERSITY'S CHOBANIAN & AVEDISIAN SCHOOL OF MEDICINE. PROJECT RESPECT PROVIDES A UNIQUE SERVICE OF COMPREHENSIVE OBSTETRIC AND SUBSTANCE USE DISORDER TREATMENT FOR BIRTHING PEOPLE AND THEIR NEWBORNS IN MASSACHUSETTS. PROJECT RESPECT SUPPORTS PATIENTS WITH ALL TYPES OF SUBSTANCE USE DISORDERS, AND THE MAJORITY OF PROJECT RESPECT'S PATIENTS ARE IN RECOVERY FROM OPIOID ADDICTION. IN-PATIENT, MONITORED, ACUTE SUBSTANCE WITHDRAWAL TREATMENT AND INDUCTION OF MEDICATIONS FOR OPIOID USE DISORDER FOR BIRTHING PEOPLE SEEKING ADDICTION TREATMENT ARE PROVIDED. INTENSIVE, INDIVIDUALIZED OUT-PATIENT TREATMENT PLANS ARE OUTLINED FOR EACH PATIENT TAILORED TO THE SEVERITY OF THEIR DISEASE AND THEIR RECOVERY PROGRESS. THE OUT-PATIENT MEDICAL HOME MODEL PROVIDES ON-SITE, COLLABORATIVE, AND MULTIDISCIPLINARY CARE FOR PREGNANT AND POST-PARTUM PATIENTS IN RECOVERY. PROJECT RESPECT TREATS AN AVERAGE OF 120-150 PATIENTS PER MONTH, WITH 6-10 NEW PATIENTS PER MONTH. IN FY23- PROJECT RESPECT SUPPORTED MORE THAN 300 MOTHER/CHILD DYADS.STREETCRED: BMC'S STREETCRED PROGRAM ADDRESSES FINANCIAL AND HEALTH INEQUITIES BY LINKING LOW- TO MODERATE-INCOME (LMI) PEDIATRIC PATIENT FAMILIES TO ANTI-POVERTY SAFE-NET PROGRAMS AND ASSET BUILDING TOOLS. STREETCRED PROVIDES AN ECONOMIC BUNDLE OF SERVICES DURING WELL CHILDVISITS IN THE FIRST YEAR OF LIFE, WHICH INCLUDES FREE TAX-PREPARATION SERVICES THROUGH WELL-TRAINED STAFF AND VOLUNTEERS WHO WORK WITH FAMILIES TO PREPARE THEIR TAXES AND ACCESS THE EITC. THE UNITED STATES FEDERAL EARNED INCOME TAX CREDIT (EITC) IS A REFUNDABLE TAX CREDIT FOR LMI WORKING INDIVIDUALS, PARTICULARLY THOSE WITH CHILDREN. UNDER OUR HEALTH BY WEALTH COLLECTIVE, STREETCRED HAS PREPARED OVER 8,000 TAX RETURNS, WHICH PROVIDED IN EXCESS OF $17 MILLION IN TAX REFUNDS. THESE TAX REFUNDS CAN HAVE A PROFOUND POSITIVE IMPACT ON A FAMILY'S HOUSEHOLD BUDGET AND, IN CASES OF FINANCIAL STRESS, ALLEVIATE SIGNIFICANT FINANCIAL BURDEN.SUPPORTING PARENTS AND RESILIENT KIDS CENTER (SPARK): THE SPARK CENTER HAS A LONG AND STORIED HISTORY OF PROVIDING INNOVATIVE CARE TO THOSE MOST IN NEED. THROUGH MARCH 2020, THE SPARK CENTER CARRIED OUT THIS MISSION THROUGH AN EDUCATION AND CARE PROGRAM FOR INFANTS AND TODDLERS WHOSE LIVES WERE AFFECTED BY COMPLEX OVERLAPPING HEALTH, EMOTIONAL, BEHAVIORAL, AND DEVELOPMENTAL CHALLENGES. AS A RESULT OF THE COVID-19 PANDEMIC, THE SPARK CENTER PIVOTED FROM CHILDCARE PROGRAMMING TOWARD EXPANDING CHILDHOOD OUTPATIENT BEHAVIORAL HEALTH SERVICES, A NEED THAT WAS ONLY AMPLIFIED THROUGH THE PANDEMIC. AS THESE CRITICAL BEHAVIORAL HEALTH SERVICES PROVIDED A SUPPORTIVE CONNECTION TO CARE FOR MANY FAMILIES, THE SPARK CENTER SIMULTANEOUSLY INITIATED A RE-ENVISIONING OF ITSELF AND ITS UNIQUE, COMMUNITY-BASED SETTING.IN AUGUST 2021, SPARK REOPENED AS THE HOME TO A NUMBER OF SPECIALTY PROGRAMS WITHIN BMC'S DEPARTMENT OF PEDIATRICS, ALL WITH THE OVERARCHING MISSION TO PROVIDE HIGH-QUALITY, EVIDENCED-BASED CARE. AT PRESENT, SPARK OFFERS NEURODEVELOPMENTAL ASSESSMENTS AND PSYCHOLOGICAL EVALUATIONS THROUGH THE DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS (DBP) TO IDENTIFY CHILDREN'S SPECIFIC EMOTIONAL, BEHAVIORAL, AND COGNITIVE CHALLENGES. MULTIDISCIPLINARY PROVIDERS, INCLUDING PEDIATRICIANS, ADVANCED PRACTICE CLINICIANS, PSYCHOLOGISTS, AND AUTISM RESOURCE SPECIALISTS, WORK COLLABORATIVELY WITH CAREGIVERS TO ACCESS SPECIAL EDUCATION SERVICES AND OTHER VITAL THERAPEUTIC SUPPORTS AS EARLY AS POSSIBLE TO IMPROVE CHILDHOOD OUTCOMES. ADDING TO THE CONTINUUM OF SPECIALIZED CHILDREN'S SERVICES, THE SPARK CENTER IS THE HOME OF THE EARLY CHILDHOOD BEHAVIOR THERAPY PROGRAM AND THE GOOD GRIEF PROGRAM AND IS A CLINICAL SITE FOR THE CHILD WITNESS TO VIOLENCE PROJECT. THESE PROGRAMS OFFER AN ARRAY OF TRAUMA-INFORMED, EVIDENCE-BASED THERAPY INTERVENTIONS FOR CHILDREN AND FAMILIES ROOTED IN TWO-GENERATION APPROACHES THAT UTILIZE THE CAREGIVER-CHILD RELATIONSHIP TO FOSTER HEALTHY CHILD DEVELOPMENT. THE SYNERGISTIC COLOCATION OF THESE SERVICES MAKES THE SPARK CENTER A FACILITY THAT PROVIDES BEST-PRACTICE CARE TO CHILDREN AND FAMILIES IMPACTED BY COMPLEX DEVELOPMENTAL AND BEHAVIORAL CHALLENGES, GRIEF AND LOSS, AND DOMESTIC VIOLENCE AND OTHER FORMS OF INTERPERSONAL VIOLENCE.IN ADDITION, SPARK SERVES AS AN OUTLET FOR PEDIATRIC INFECTIOUS DISEASE CASE MANAGEMENT AND CONCRETE RESOURCE SUPPORT, VIA THEIR INTEGRATED FOOD PANTRY. SPARK IS ALSO THE LOCATION OF A MONTHLY CLINIC, PROJECT POSITIVE HOPE, WHICH PROVIDES COORDINATED SERVICES FROM OBSTETRICS AND GYNECOLOGY, ADULT INFECTIOUS DISEASE AND PEDIATRIC INFECTIOUS DISEASE SPECIALISTS WITH ON-SITE CASE MANAGEMENT, PHARMACIST COUNSELING, AND PEER SUPPORT. WITH THE ABOVE ABUNDANCE OF INNOVATIVE CLINICAL SERVICES, THE SPARK CENTER HAS BECOME AN EXCEPTIONAL TRAINING SITE FOR MENTAL HEALTH CLINICIANS AND DBP TRAINEES. THE CLINICAL TRAINING OFFERED THROUGH THE SPARK CENTER WORKS TO ENHANCE THE SKILLS AND EXPERTISE OF THE FIELD OF PROVIDERS SUPPORTING CHILDREN AND FAMILIES WITH COMPLEX BEHAVIORAL AND DEVELOPMENTAL CHALLENGES AND PSYCHOSOCIAL SITUATIONS.TEAM UP: TEAM UP FOR CHILDREN TRANFORMING AND EXPANDING ACCESS TO MENTAL HEALTH CARE IN URAN PEDIATRICS IS A PEDIATRIC INTEGRATED BEHAVIORAL HEALTH INITIATIVE DESIGNED TO EQUIP PEDIATRIC PRIMARY CARE PRACTICES TO DELIVER EVIDENCE-INFORMED, TRAUMA-RESPONSIVE, INTEGRATED BEHAVIORAL HEALTHCARE IN STRUCTURALLY MARGINALIZED COMMUNITIES. THE TEAM UP CLINICAL MODEL FOCUSES ON PREVENTION, PROMOTION, EARLY IDENTIFICATION OF SOCIAL, DEVELOPMENTAL, AND BEHAVIORAL HEALTH ISSUES, AND PROMPT ACCESS TO CARE. WHILE THE MAJORITY OF MODELS ARE BASED ON INITIATING CARE AT THE POINT OF DIAGNOSIS, OUR GOAL THROUGH CONSISTENT SCREENING AND MONITORING FROM BIRTH TO YOUNG ADULTHOOD-IS TO ADDRESS EMERGING ISSUES BEFORE THEY REACH A CRISIS POINT. BMC'S TEAM UP SCALING AND SUSTAINABILITY CENTER PROVIDES PRIMARY CARE PRACTICES WITH EVERYTHING THEY NEED TO OVERCOME ROADBLOCKS AND IMPLEMENT THE TEAM UP CLINICAL MODEL. ACCESS TO THE TEAM UP LEARNING COMMUNITY GIVES HEALTH CENTERS IN-DEPTH, ONGOING CLINICAL TRAINING AND PRACTICE TRANSFORMATION SUPPORT, WITH DATA-DRIVEN TECHNICAL ASSISTANCE CUSTOMIZED TO THE PRACTICE. LEARNING COMMUNITY SUPPORT LASTS THROUGHOUT THE IMPLEMENTATION PERIOD AND BEYOND, WITH THE ENGAGEMENT INTENSITY HIGHEST AT THE BEGINNING OF THE PROJECT AND DECREASING AS SITES TRANSITION TOWARD SUSTAINING INDEPENDENT OPERATIONS. TEAM UP'S ROBUST EVALUATION ARM HAS PUBLISHED OVER TEN PEER-REVIEWED ARTICLES, DEMONSTRATING POSITIVE OUTCOMES FOR CHILDREN AND FAMILIES, THE HEALTH CARE WORKFORCE, AND SYSTEM-WIDE UTLIZIATION OF PRIMARY CARE SERVICES. GOOD GRIEF: THE GOOD GRIEF PROGRAM PROVIDES TRAUMA-INFORMED, CULTURALLY RESPONSIVE THERAPEUTIC SERVICES TO CHILDREN (AGE 0-18) IMPACTED BY DEATH AND ACUTE LOSS. AS ONE OF THE ONLY CHILDREN'S GRIEF AND LOSS PROGRAMS WITHIN THE CITY OF BOSTON, GOOD GRIEF WORKS TIRELESSLY TO BEST SERVE URBAN CHILDREN AND YOUTH WHO HAVE SUFFERED MULTIPLE, TRAUMATIC LOSSES. GOOD GRIEF SERVES CHILDREN AND THEIR FAMILIES IN A HOLISTIC WAY, RECOGNIZING THAT SIGNIFICANT LOSS IS ALWAYS ACCOMPANIED BY SECONDARY LOSSES THAT ARE DESTABILIZING, DISORIENTING, AND DAUNTING. OUR SMALL CLINICAL TEAM WORKS WITH FAMILIES TO SUPPORT THEIR MENTAL AND EMOTIONAL HEALTH NEEDS WHILE ALSO MITIGATING OTHER LOSS-RELATED STRESSORS AND STRUCTURAL DETERMINANTS OF HEALTH THEY MAY EXPERIENCE AND WHICH AFFECT OVERALL HEALTH (E.G., CHALLENGES AT SCHOOL, HOUSING/FOOD/FINANCIAL INSECURITY, IMMIGRATION-RELATED NEEDS, ETC.).IN 2017, THE GOOD GRIEF PROGRAM SHIFTED ITS PRIMARY FOCUS FROM TRAINING AND CONSULTATION WITH COMMUNITY-BASED ORGANIZATIONS TO PROVIDING DIRECT CLINICAL SERVICES TO CHILDREN IMPACTED BY SIGNIFICANT LOSS. IN THE SUBSEQUENT YEARS, THE NUMBER OF CHILDREN REFERRED TO AND SERVED BY THE PROGRAM HAS GROWN QUICKLY. WHEN CLINICAL SERVICES WERE OPENED IN AUGUST 2017, 26 CHILDREN WERE REFERRED IN A FIVE MONTH PERIOD. IN 2023, APPROXIMATELY 200 CHILDREN WERE REFERRED TO GOOD GRIEF. THE EXPONENTIAL GROWTH OF THE PROGRAM HAS BEEN FUELED BY MANY FACTORS INCLUDING THE DEARTH OF HIGH-QUALITY CHILDREN'S GRIEF SERVICES IN BOSTON AND GOOD GRIEF'S RELIABLE REPUTATION AMONG MEMBERS OF THE COMMUNITY AND OTHER SERVICE ORGANIZATIONS.
SCHEDULE H, PART VI, LINE 5 (CONTINUATION):HOUSING IN FISCAL YEAR 2018 BMC LAUNCHED A MULTI-YEAR INVESTMENT IN A SUPPORTIVE HOUSING STRATEGY AS PART OF OUR DETERMINATION OF NEED (DON) COMMUNITY HEALTH INITIATIVE (CHI). THIS PROJECT WAS DESIGNED WITH AS A MULTI-PRONGED APPROACH TO IMPACT AFFORDABLE HOUSING AND AFFORDABLE HOUSING WITH SUPPORTS IN BOSTON. THIS PORTFOLIO INCLUDES NEW FUNDING FOR INTERNAL HOUSING NAVIGATION SUPPORT IN THE PEDIATRIC AND COMPLEX CARE MANAGEMENT, EXPANSION OF THE LIVING WELL AT HOME PROGRAM (FORMERLY KNOWN AS THE ELDERS LIVING AT HOME PROGRAM) AND DEEPER COLLABORATION WITH BOSTON AND CAMBRIDGE HOUSING AUTHORITY ON SUPPORTIVE HOUSING PROGRAMS. THE FOLLOWING ADDRESSES THE SECOND OF THESE MULTI-YEAR COMMITMENTS. BMC INVESTED $1.35M IN A LOAN TO THE COMMUNITY ECONOMIC DEVELOPMENT ASSISTANCE CORPORATION (CEDAC). THE PURPOSE OF THIS LOAN IS TO PARTIALLY CAPITALIZE LOANS UNDER THE ACCELERATING INVESTMENTS IN HEALTH COMMUNITIES (AIHC) INITIATIVE. THROUGH THIS, CEDAC WILL PROVIDE SUBORDINATE LOANS TO THREE AFFORDABLE HOUSING DEVELOPMENTS. THIS INVESTMENT SERVES AS CRITICAL "GAP" FINANCING TO ALLOW ALL THE DIFFERENT FINANCING TO BE EXECUTED AT THE SAME TIME AND THEREFORE FOR CONSTRUCTION ON NEW AFFORDABLE HOUSING TO BEGIN BEFORE HOUSING COSTS INCREASE FURTHER. THE LOANS ARE LONG TERM, 20+ YEARS COMMITMENTS TO MATCH AND LEVERAGE THE CITY AND STATE INVESTMENTS IN THESE PROJECTS. BMC INVESTED $69,012 IN THE CAMBRIDGE HEALTH ALLIANCE (CHA) TOWARDS A COMMUNITY WELLNESS ADVOCATE AT THE MANNING APARTMENT COMPLEX. THE COMMUNITY WELLNESS ADVOCATE PROVIDED INDIVIDUALIZED CASE MANAGEMENT AND SUPPORT TO RESIDENTS OF MANNING HOUSE TO IMPROVE HEALTH OUTCOMES FOR THESE RESIDENTS. BMC ALSO INVESTED $65,219 IN A COMMUNITY WELLNESS REGISTERED NURSE (RN) AS PART OF THE LIVING WELL AT HOME PROGRAM. THE RN WORKED WITH THE CHA AND MANNING HOUSE STAFF TO IMPROVE RESIDENTS' ACCESS TO SERVICES AND SUPPORT, AND SERVED AS THE PRIMARY LIAISON BETWEEN BMC AND OTHER HEALTH CARE PROVIDERS. THIS PARTNERSHIP ENDED IN APRIL 2023, AND HAS BEEN SUSTAINED BY CAMBRIDGE HOUSING AUTHORITY. IN FISCAL YEAR 2022, BMC COMPLETED ITS LAST INVESTMENT OF $330,431 IN THE INNOVATIVE STABLE HOUSING INITIATIVE, BY HEALTH RESOURCES IN ACTION (HRIA). THROUGH THIS PARTNERSHIP, HRIA HAS CONTINUED TO SUCCESSFULLY FACILITATE A COMMUNITY ENGAGEMENT PROCESS THAT HAS BROUGHT TOGETHER HOUSING ADVOCATES, HEALTHCARE PROVIDERS, AND COMMUNITY RESIDENTS TO DESIGN AND IMPLEMENT A PARTICIPATORY GRANTMAKING PROCESS FOCUSED ON HOUSING STABILITY AND ECONOMIC MOBILITY. BMC INVESTED IN THE HEALTHY NEIGHBORHOOD EQUITY FUND, A $22.35 MILLION PRIVATE EQUITY FUND LED BY THE CONSERVATION LAW FOUNDATION AND THE MASSACHUSETTS HOUSING INVESTMENT CORPORATION. IT IS BASED ON A SOCIALLY RESPONSIBLE INVESTMENT MODEL THAT CONSIDERS THE COMMUNITY, ENVIRONMENTAL, AND HEALTH BENEFITS AS WELL AS THE FINANCIAL RISKS AND RETURNS. BOSTON PROJECTS INCLUDE TREADMARK, ASHMONT, DORCHESTER AND BARTLETT STATION, DUDLEY SQUARE, AND ROXBURY. BMC INVESTED IN THE BOSTON HOUSING AUTHORITY (BHA) TO SUPPORT THEIR REASONABLE ACCOMMODATIONS FUND, THROUGH WHICH BHA INVESTS FUNDS TO IMPROVE THE HEALTH, SAFETY, AND COMFORT OF THEIR RESIDENTS. FURTHER, BMC ALSO PROVIDED SUPPORT TO COVER SOME STAFFING TIME FOR ONE OF BHA'S STAFF MEMBERS. BMC ALSO INVESTED IN THE METROPOLITAN AREA PLANNING COUNCIL (MAPC), THE EVALUATOR FOR BMC'S DON. IN THIS ROLE, MAPC DEVELOPS AND IMPLEMENTS AN EVALUATION PLAN TO ASSESS THE IMPACTS AND EFFECTS OF BMC'S MULTI-YEAR DON FOCUSED ON IMPROVING HOUSING STABILITY. THE EVALUATION WILL SEEK TO ASCERTAIN HOW THE VARIOUS INVESTMENTS IN HOUSING STABILITY INDIVIDUALLY AND COLLECTIVELY ADDRESS CONDITIONS ASSOCIATED WITH HEALTH OUTCOMES AND WITH PERFORMANCE OF THE ORGANIZATIONS INVOLVED IN THE PROCESS. THE HOUSING TO HEALTH PROGRAM IN THE DEPARTMENT OF PEDIATRICS AT BOSTON MEDICAL CENTER HAS SUCCESSFULLY DEPLOYED A MULTIDIMENSIONAL STRATEGY FOR RESPONDING TO A RANGE OF HOUSING AND HOMELESSNESS ISSUES AMONG PATIENT FAMILIES. PEDIATRIC NAVIGATORS WORK CLOSELY WITH FAMILIES TO ENTER SHELTER, RESOLVE HOUSING QUALITY ISSUES, APPLY FOR RENTAL ASSISTANCE AND SUBSIDIZING HOUSING, AND CONNECT WITH LEGAL AND COMMUNITY-BASED SERVICES IN ADDITION TO OTHER WRAPAROUND SUPPORTS. THE WORK OF THE NAVIGATORS WAS BOLSTERED BY KEY EXTERNAL PARTNERSHIPS WITHIN HOUSING TO HEALTH. FOR EXAMPLE, MLPB PROVIDED REGULAR LEGAL PROBLEM-SOLVING TRAININGS TO FRONTLINE STAFF WORKING WITH FAMILIES AS WELL AS CASE-SPECIFIC LEGAL CONSULTATION.BMC HAS EMBARKED ON SUPPORTING SMALL BUSINESSES, PARTICULARLY BLACK, INDIGENOUS AND PEOPLE OF COLOR OWNED BUSINESSES IN THE BOSTON AREA. BMC PROVIDED A $1 MILLION DOLLAR ZERO INTEREST LONG TERM LOAN TO NUBIAN MARKETS, A $500,000 RECOVERABLE GRANT TO CITYFRESH FOODS AND A $40,300 INVESTMENT IN BOSTON IMPACT INITIATIVE.TO SUPPORT COMMUNITY OWNERSHIP, BMC DID CAPITAL GRANTS OF $200K TO BOSTON NEIGHBORHOOD COMMUNITY LAND TRUST, $300K FOR THE NEIGHBORHOOD BIRTHING CENTER AND $100K TO KIDDIE'S CORNER CHILDCARE CENTER EXPANSION IN THE MATTAPAN NEIGHBORHOOD OF BOSTON.
SCHEDULE H, PART VI, LINE 5 (CONTINUATION):CHRONIC DISEASES AND RISK FACTORSSUPPORT PROGRAMS FOR CANCER AND SICKLE CELL SUPPORT PROGRAMS: SUPPORT PROGRAM OFFERINGS INCLUDED AN ARRAY OF SIXTEEN (16) MONTHLY SUPPORT GROUPS BY CANCER TYPE (E.G., BREAST, GI, HEAD & NECK); POPULATION TYPE (E.G., MEN, SPANISH-SPEAKING); OTHER DISEASE (E.G., SICKLE CELL, AMYLOIDOSIS); AND RELATED SUPPORT (E.G., OSTOMY, CAREGIVER, BEREAVEMENT). ALSO PROVIDED TO ALL CLIENTS WERE SIX (6) ONGOING SUPPORT ACTIVITIES THAT MET WEEKLY TO MONTHLY (FOUR DIFFERENT BODY/MIND CLASSES AND ARTS & CRAFTS AND COOKING CLASSES). ALL OF THESE SUPPORT GROUPS AND ACTIVITIES WERE HELD VIA ZOOM. ADDITIONALLY, EACH QUARTER SAW A VARIETY OF FOUR TO SIX (4-6) FEATURED PROGRAMS IN ART-MAKING, WRITING, THEATER, OUTDOOR GAMES, COMEDY, MINDFUL HEALING, AND COMMUNICATION. SOME OF THESE MET IN PERSON AND SOME VIA ZOOM. NOW POST-PANDEMIC, HAVING THE CAPACITY FOR LARGER GROUPS TO MEET AGAIN IN PERSON, TWO LARGE CELEBRATORY ANNUAL EVENTS RETURNED: THE HOLIDAY PARTY AND THE (16TH ANNUAL) SURVIVORS CELEBRATION LUNCHEON. THE FREE WEEKLY ACUPUNCTURE CLINIC FOR PATIENTS CURRENTLY OR RECENTLY IN TREATMENT ALSO CONTINUED THROUGH THE YEAR.ALL PROGRAMS WERE MANAGED AND IMPLEMENTED BY THE PROGRAM MANAGER AND ONE PROGRAM ASSISTANT; TWO IN-HOUSE SOCIAL WORKERS WHO EACH FACILITATED ONE OF THE REGULAR MONTHLY GROUPS; A HIGHLY EXPERIENCED LICENSED ACUPUNCTURIST; BMC REGISTERED DIETITIANS FOR THE MONTHLY COOKING CLASS; AND SEVERAL OUTSIDE VENDORS CONTRACTED FOR THE FEATURED ART PROGRAMS. ONCE THE PROGRAMS TRANSITIONED TO ZOOM AT THE BEGINNING OF THE COVID PANDEMIC, COSTS SIGNIFICANTLY DECREASED, AS NEITHER FOOD NOR TRANSPORTATION NEEDED TO BE PROVIDED TO PARTICIPANTS. DURING THIS YEAR, SUCH COSTS INCREASED WITH MORE IN-PERSON MEETINGS AND ESPECIALLY WITH THE TWO LARGE EVENTS. HOWEVER, THESE COSTS STILL REMAINED SIGNIFICANTLY LOWER THAN PRE-PANDEMIC LEVELS.PATIENT NAVIGATION (PN): BMC'S PN PROGRAM WAS LAUNCHED IN 2005. THE MAIN FOCUS OF THIS PROGRAM IS TO IDENTIFY AND OVERCOME BARRIERS THAT PLAY A KEY ROLE IN A PATIENT'S TREATMENT COMPLIANCE AND COMPLETION. PATIENT NAVIGATORS DO THIS BY PROVIDING ADVOCACY AND CASE MANAGEMENT TO ONCOLOGY PATIENTS WHO HAVE AT LEAST ONE IDENTIFIED BARRIER TO CARE AND ARE UNDERGOING ACTIVE CANCER TREATMENT. PNS WORK TO EMPOWER PATIENTS BY LINKING THEM TO A BROAD RANGE OF SERVICES INCLUDING, BUT NOT LIMITED TO, ONCOLOGY SUPPORT SERVICES, TRANSPORTATION, FINANCIAL ASSISTANCE, AND APPROPRIATE COMMUNITY RESOURCES.
SCHEDULE H, PART VI, LINE 5 (CONTINUATION):VIOLENCECHILD WITNESS TO VIOLENCE PROJECT (CWVP): CWVP IS A NATIONALLY-RECOGNIZED AND AWARD-WINNING MENTAL HEALTH COUNSELING, OUTREACH, AND CONSULTATION PROGRAM. CWVP SPECIALIZES IN INTERVENTION WITH VERY YOUNG CHILDREN EXPOSED TO DOMESTIC OR COMMUNITY VIOLENCE. THE PROGRAM OFFERS BOTH SHORT- AND LONG-TERM EVIDENCE-BASED TREATMENTS THAT REPRESENT BEST PRACTICE IN SERVING THE NEEDS OF TRAUMATIZED CHILDREN AND THEIR FAMILIES. THE PROGRAM PROVIDES A FLEXIBLE COMBINATION OF SERVICES, INCLUDING RESOURCE ADVOCACY, AND IT LINKS FAMILIES TO BASIC SERVICES SUCH AS HEALTH CARE, CHILDCARE, HOUSING, AND AFTER-SCHOOL PROGRAMS. THE CWVP PROVIDED REFERRALS, ADVOCACY, ASSESSMENT, SHORT-TERM, AND/OR LONGER-TERM CLINICAL CARE TO APPROXIMATELY 325 FAMILIES IN FY23. IN ADDITION TO ITS CLINICAL SERVICES, CWVP IS ENGAGED IN EXTENSIVE LOCAL, STATEWIDE, AND NATIONAL TRAINING EFFORTS TO RAISE THE STANDARD OF CARE FOR YOUNG CHILDREN EXPERIENCING THE TRAUMATIC EFFECTS OF VIOLENCE. THE STAFF HAVE DELIVERED NUMEROUS TRAININGS ACROSS MULTIPLE STATES AND ABROAD TO MENTAL HEALTH AND OTHER PROVIDERS ACROSS SERVICE SECTORS AND SETTINGS.COMMUNITY VIOLENCE RESPONSE TEAM (CVRT): THE CVRT ADDRESSES THE GREAT NEED FOR SERVICES FOR VICTIMS OF COMMUNITY VIOLENCE AND THEIR FAMILIES, AS WELL AS FAMILY SURVIVORS OF HOMICIDE VICTIMS FROM THE GREATER BOSTON AREA. FREE, CULTURALLY SENSITIVE, FAMILY-FOCUSED CLINICAL SERVICES PROVIDED BY THE CVRT INCLUDE CRISIS INTERVENTION, ADVOCACY, CASE MANAGEMENT, AND TRAUMA-FOCUSED COUNSELING FOR ADULTS, ADOLESCENTS, AND CHILDREN (WITH A FOCUS ON AGE EIGHT AND OVER). CVRT SEEKS TO REDUCE THE EFFECTS OF TRAUMA BY PROVIDING THERAPEUTIC SUPPORT THROUGHOUT THE RECOVERY PROCESS AND ULTIMATELY MINIMIZING MENTAL HEALTH TRAUMA. CVRT STAFF REFLECTS THE DIVERSITY OF BMC'S PATIENT POPULATION. IN FY23 THE CVRT SERVED 653 PEOPLE.DOMESTIC VIOLENCE PROGRAM (DVP): THE DVP PROVIDES DIRECT ADVOCACY SERVICES FOR VICTIMS OF DOMESTIC VIOLENCE, AS WELL AS TRAINING AND EDUCATION FOR STAFF, STUDENTS, AND COMMUNITY GROUPS INTERESTED IN LEARNING MORE ABOUT DOMESTIC VIOLENCE, ITS IMPACT ON HEALTH ACROSS THE LIFESPAN, AND THE ROLE WE ALL CAN PLAY IN ADDRESSING IT. IN FY23 THE MULTI-LINGUAL TEAM OF 4 SAFETY AND SUPPORT ADVOCATES ASSISTED 613 VICTIMS AND SURVIVORS WITH A RANGE OF SERVICES INCLUDING CRISIS INTERVENTION/COUNSELING; RISK ASSESSMENT AND SAFETY PLANNING; ASSISTANCE WITH ACCESSING PROTECTIVE ORDERS AND VICTIM COMPENSATION; ACCOMPANIMENT TO COURT, LEGAL, MEDICAL, HOUSING AND OTHER APPOINTMENTS; REFERRAL TO COMMUNITY-BASED DV ADVOCACY/RAPE CRISIS COUNSELING, MEDICAL/MENTAL HEALTH SERVICES; EMERGENCY FINANCIAL ASSISTANCE; AND OTHER SUPPORT AS NEEDED. OF THOSE SERVED, APPROXIMATELY 72% WERE PATIENTS REFERRED BY BMC PROVIDERS, 3% WERE BMC EMPLOYEES, AND 25% WERE SELF-REFERRALS OR REFERRED BY COMMUNITY AND GOVERNMENT PROGRAMS THAT ASSIST DV SURVIVORS AND THEIR CHILDREN.DURING FY23 THE DV PROGRAM ALSO OFFERED A SERIES OF 6 WEEK SUPPORT GROUPS IN BOTH ENGLISH AND SPANISH FOR WOMEN-IDENTIFIED SURVIVORS. THE PROGRAM MANAGER (WHO IS ALSO THE PROGRAM'S PRIMARY TRAINER/PRESENTER) PROVIDED 50 PRESENTATIONS AND OTHER TYPES OF TRAINING TO APPROXIMATELY 800 PARTICIPANTS, MOST OF WHOM WERE BMC STAFF AND PROVIDERS, AS WELL AS A FEW STUDENT AND COMMUNITY GROUPS. PRESENTATION TOPICS INCLUDED ORIENTATION TO THE DV PROGRAM, EDUCATION ABOUT THE DYNAMICS AND HEALTH IMPACT OF DOMESTIC VIOLENCE, AND FOCUSED SKILL BUILDING AND BEST PRACTICES FOR ASSESSING AND RESPONDING TO THOSE WHO HAVE EXPERIENCED DOMESTIC VIOLENCE.VIOLENCE INTERVENTION ADVOCACY PROGRAM (VIAP): CONCEIVED IN 2006 TO HELP STEM THE TIDE OF BOSTON'S GUN AND KNIFE VIOLENCE, VIAP HAS BECOME A VITAL COMPONENT OF VIOLENCE INTERVENTION IN THE CITY AND BEYOND. VIAP'S PURPOSE IS TO HELP VICTIMS HEAL SO THEY CAN AVOID FUTURE VIOLENCE AND BUILD A POSITIVE FUTURE. TO ACCOMPLISH THIS, PATIENT VICTIMS AND THEIR FAMILIES ARE PAIRED WITH A TEAM COMPRISED OF A CASE MANAGER, A MENTAL HEALTH CLINICIAN, AND A FAMILY SUPPORT ADVOCATE TO HELP THEM OVERCOME BARRIERS AND TURN THEIR LIVES AROUND. A POWERFUL VIAP INNOVATION IS THAT THE INTERVENTION WITH THE PATIENT BEGINS IN THE SAFETY OF THE HOSPITAL, WHERE THEY ARE VISITED BY A VIOLENCE INTERVENTION ADVOCATE IN REAL TIME, IN THE TRAUMA BAY, TO INITIATE CASE MANAGEMENT, TAKING ADVANTAGE OF THE "TEACHABLE MOMENT" ASSOCIATED WITH VIOLENT INJURY. AS THE VICTIM HEALS, THE VIAP TEAM CONTINUES A COMPREHENSIVE TREATMENT PROGRAM THAT INCLUDES SAFETY PLANNING, COUNSELING, JOB AND EDUCATIONAL TRAINING, MENTAL HEALTH, AND FAMILY SUPPORT SERVICES FOR BOTH THE VICTIM AND THEIR FAMILY MEMBERS.DURING FY23, VIAP PROVIDED ESSENTIAL SERVICES TO SURVIVORS OF GUNSHOTS AND STABBINGS, AND THEIR FAMILY MEMBERS. (IT IS SIGNIFICANT TO NOTE THAT IN FY23 BMC RECEIVED 65% OF THE CITY'S GUNSHOT AND STABBING VICTIMS.) DURING THIS PERIOD 271 NEW VICTIMS WERE SERVED, INCLUDING 101 GUNSHOT AND 170 STABBING VICTIMS. THERE WERE 247 FAMILY MEMBERS SERVED THROUGH OUR FAMILY SUPPORT COMPONENT, AS WELL AS 22 FAMILIES OF HOMICIDE VICTIMS. SURVIVORS RECEIVED A SPECTRUM OF SERVICES, INCLUDING EMPLOYMENT HELP (212 SERVICES PROVIDED AND 11 NEW JOBS OBTAINED); BEHAVIORAL AND MENTAL HEALTH CARE (60% IN SHORT-TERM THERAPY AND 20% IN LONG TERM); AND LEGAL ASSISTANCE. VIAP ASSISTED WITH HOUSING APPLICATIONS; EDUCATION (4 OBTAINED THEIR HISET AND 7 COMPLETED JOB TRAINING). MEDICAL ASSISTANCE INCLUDED ACCESSING PRIMARY CARE, PT, REHABILITATION, NURSING SERVICES, SUBSTANCE USE AND MEDICATION MANAGEMENT. ADDITIONAL ASSISTANCE INCLUDED HELP WITH FOOD INSECURITY, TRANSPORTATION, OBTAINING A DRIVER'S LICENSE, SOCIAL SECURITY CARD, AND REGISTERING TO VOTE. VIAP'S STAFF WELLNESS PROGRAM HAS INCLUDED TRAININGS, TEAM BUILDING, AND OTHER ESSENTIAL SUPPORTIVE RESOURCES.MENTAL HEALTH AND SUBSTANCE USE DISORDERMENTAL HEALTH DIVERSION INITIATIVE (MHDI) OR CRIMINAL JUSTICE DIVERSION PROGRAM (DMH): THROUGHOUT FY23 (NOTE THAT THIS ENCOMPASSES JULY 1-JUNE 30 FOR THESE PROGRAMS AS THEY ARE ON THE ACADEMIC YEAR) , BOSTON MEDICAL CENTER CONTINUED TO STAFF THE THREE BOSTON MUNICIPAL COURT MENTAL HEALTH COURT SESSIONS LOCATED WITHIN THE CENTRAL DIVISION, THE WEST ROXBURY DIVISION AND THE ROXBURY DIVISION. SESSIONS CONTINUE TO BE WELL UTILIZED WITH A TOTAL OF 219 CLIENTS BEING SERVED ACROSS ALL THREE COURTS OVER THE COURSE OF THE FISCAL YEAR.IN TOTAL, ALL THREE SESSIONS COMPLETED INTAKES FOR AND ACCEPTED 116 NEW CLIENTS. AT THE END OF THE FISCAL YEAR, THERE WERE 13 NEW REFERRALS PENDING THROUGHOUT ALL THREE SESSIONS. THE SESSION'S SUCCESS CAN BE DEMONSTRATED THROUGH A VARIETY OF MEANS, INCLUDING THE NUMBER OF PROGRAM GRADUATES (CLIENTS WHO HAVE MET ALL LEGAL AND PROGRAMMATIC EXPECTATIONS). DURING FY23 THE THREE SESSIONS GRADUATED A TOTAL OF 35 CLIENTS. BMC CENTRAL REMAINS THE LARGEST SESSION WITH 2-3 NEW REFERRALS PER WEEK; WEST ROXBURY AND ROXBURY AVERAGE 1-2 NEW REFERRALS PER WEEK.
SCHEDULE H, PART VI, LINE 5 (CONTINUATION):FASTER PATHS: FASTER PATHS IS THE LOW-BARRIER SUBSTANCE USE DISORDER BRIDGE CLINIC AT BOSTON MEDICAL CENTER (BMC). OPEN SEVEN DAYS PER WEEK, FASTER PATHS OFFERS SAME-DAY, ON-DEMAND CARE BY ADDICTION MEDICINE AND NURSING SPECIALISTS, INCLUDING INITIATION AND CONTINUATION OF MEDICATIONS FOR OPIOID USE DISORDER (MOUD), MEDICATIONS FOR OTHER SUBSTANCE USE DISORDERS, OUTPATIENT MEDICALLY MANAGED WITHDRAWAL, REFERRAL TO INPATIENT MEDICALLY MANAGED WITHDRAWAL, INFECTION SCREENING, TREATMENT AND PREVENTION SERVICES, AND OVERDOSE PREVENTION. AFTER STABILIZATION, FASTER PATHS PATIENTS ARE REFERRED TO A COMPREHENSIVE NETWORK OF BMC AND COMMUNITY SERVICES FOR LONG-TERM CARE, INCLUDING PRIMARY AND BEHAVIORAL HEALTH CARE AND LONG-TERM MOUD. THE FASTER PATHS PROGRAM COLLABORATES CLOSELY WITH LICENSED ALCOHOL AND DRUG COUNSELORS FROM BMC'S PROJECT ASSERT, WHO PROVIDE PSYCHO-SOCIAL ASSESSMENTS AND REFERRALS TO AN ARRAY OF ADDICTION TREATMENT SERVICES AND SHELTERS, OVERDOSE PREVENTION EDUCATION AND NALOXONE, HARM REDUCTION SERVICES, AND TRANSPORTATION. THE RAPID ACCESS PROGRAM, WHICH INCLUDES A TEAM OF RECOVERY COACHES AND ADDICTION COUNSELORS, IS ALSO A CLOSE PARTNER. SPECIFIC MEDICATIONS AVAILABLE IN FASTER PATHS 7 DAYS/WEEK INCLUDE SUBLINGUAL BUPRENORPHINE/NALOXONE, MONTHLY INJECTABLE BUPRENORPHINE, MONTHLY INJECTABLE NALTREXONE, AND METHADONE ADMINISTRATION FOR OPIOID WITHDRAWAL FOR UP TO 72 HOURS WITH LINKAGE TO AN OPIOID TREATMENT PROGRAM. IN ADDITION TO THE INTERNAL COLLABORATIONS, FASTER PATHS PARTNERS CLOSELY WITH COMMUNITY PROGRAMS INCLUDING THE BOSTON PUBLIC HEALTH COMMISSION'S (BPHC) PROVIDING ACCESS TO ADDICTION TREATMENT, HOPE, AND SUPPORT (PAATHS) PROGRAM, TO FACILITATE CONNECTIONS TO COMMUNITY SERVICES. IN A TWELVE-MONTH PERIOD, FASTER PATHS SERVED APPROXIMATELY 1,100 UNIQUE PATIENTS FOR 4,180 VISITS. CARE INCLUDED APPROXIMATELY 1,122 SUBLINGUAL BUPRENORPHINE/NALOXONE PRESCRIPTIONS, 232 LONG-ACTING INJECTABLE BUPRENORPHINE ADMINISTRATIONS, 21 LONG-ACTING INJECTABLE NALTREXONE ADMINISTRATIONS, AND 2,221 METHADONE ADMINISTRATIONS. ADDITIONALLY, 138 NALOXONE KITS WERE PRESCRIBED AND 334 NALOXONE KITS DIRECTLY DISTRIBUTED IN CLINIC. INFECTION SCREENING, TREATMENT, AND PREVENTION SERVICES INCLUDED 612 HIV TESTS AND 1,152 SYPHILIS, CHLAMYDIA, AND GONORRHEA TESTS; 25 PATIENTS WITH HIV WERE TREATED WITH ANTIRETROVIRAL THERAPY AND 98 PATIENTS RECEIVED HIV PRE- OR POST-EXPOSURE PROPHYLAXIS FOR HIV PREVENTION. ADDITIONALLY, FASTER PATHS CONTINUES TO OFFER HARM REDUCTION SUPPLIES AND LONG-ACTING REVERSIBLE CONTRACEPTION (E.G., CONTRACEPTION IMPLANTS). THE SUCCESS OF THE FASTER PATHS MODEL HAS INSPIRED REPLICATION IN OTHER BRIDGE CLINICS.ALCOHOL & SUBSTANCE ABUSE SERVICES, EDUCATION, AND REFERRAL TO TREATMENT (PROJECT ASSERT): PROJECT ASSERT WAS ESTABLISHED IN 1994 TO PROVIDE GREATER ACCESS TO SUBSTANCE USE TREATMENT IN THE EMERGENCY DEPARTMENT (ED) SETTING AND HAS EXPANDED TO INCLUDE A VARIETY OF SOCIAL AND COMMUNITY HEALTHCARE SUPPORT SERVICES. BASED IN THE ED, PROJECT ASSERT COUNSELS PATIENTS WHOSE ALCOHOL AND/OR DRUG USE WAS DIRECTLY AND INDIRECTLY IMPLICATED IN THEIR NEED FOR EMERGENCY SERVICES. LICENSED ALCOHOL AND DRUG COUNSELORS (LADCS) CONSULT AND COLLABORATE WITH HOSPITAL STAFF TO OFFER ED PATIENTS ALCOHOL AND DRUG SCREENING, BRIEF INTERVENTION, COUNSELING ON TREATMENT OPTIONS AND REFERRALS TO HEALTH AND SOCIAL RESOURCES SUCH AS SUD TREATMENT AND PRIMARY CARE SERVICES. IN FY23, 1,270 PATIENTS HAD 2,268 ENCOUNTERS WITH RECOVERY SUPPORT NAVIGATORS AT PROJECT ASSERT. OF THOSE ENCOUNTERS, 30% OF THE PATIENTS IDENTIFIED AS BLACK, 20% IDENTIFIED AS HISPANIC, AND 50% IDENTIFIED AS WHITE. 700 PATIENTS WERE DEEMED AT HIGH RISK FOR SUBSTANCE USE BASED ON RESULTS FROM THE TAPS SCREENER ASSESSMENT. 1,154 ENCOUNTERS HAVE DOCUMENTED REFERRALS TO RECOVERY COACH SERVICES, FASTER PATHS (MAT), DETOX/WITHDRAWAL MANAGEMENT, AND CLINICAL STABILIZATION SERVICES (CSS). 536 UBER RIDES WERE BOOKED FOR TRANSPORTATION TO EXTERNAL SERVICES SUCH AS CSS AND DETOX. PROJECT ASSERT MIRRORS THE SAME POPULATION SEEN IN THE ED FOR SUDS TREATMENT. SUPPORTING OUR FAMILIES THROUGH ADDICTION AND RECOVERY (SOFAR): THE GOAL OF SOFAR IS TO CREATE A MEDICAL HOME IN THE PEDIATRIC PRIMARY CARE CLINIC FOR MOTHERS IN RECOVERY AND THEIR CHILDREN. SOFAR HOUSES A MULTIDISCIPLINARY TEAM OF PHYSICIANS, SOCIAL WORKERS, PATIENT NAVIGATORS, NURSE PRACTITIONERS, AND COORDINATORS WHO PROVIDE HIGH-QUALITY, COORDINATED MEDICAL AND PSYCHOSOCIAL CARE FOR FAMILIES TO MAXIMIZE THEIR ABILITY TO SUCCESSFULLY NAVIGATE PARENTING AND SUBSTANCE USE RECOVERY. SOFAR PROVIDES ONGOING SUPPORT FOR FAMILIES TO ENHANCE CHILD DEVELOPMENT AS WELL AS ONGOING SUPPORT FOR RECOVERY, WITH ACCESS TO SPECIALTY CARE AND SOCIAL SERVICES. IN FY23, SOFAR HAD APPROXIMATELY 325 PATIENTS ENROLLED IN THE CLINIC.
PART VI, LINE 7BMC DOES NOT FILE A COMMUNITY BENEFITS REPORT WITH THE COMMONWEALTH OF MASSACHUSETTS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (115 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
AID SUPPORT GROUP OF CAPE COD
96-98 BRADFORD STREETPROVINCETOWNMA02657042908722501(C)(3)$7,202$0SUBAWARD
ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE
800 MARSHALL SLOT 512-26C-SNAPLITTLE ROCKAK72202710694931501(C)(3)$75,055$0SUBAWARDLITTLE ROCK SITE Q3
BAY COVE HUMAN SERVICES
66 CANAL ST 3RD FLOORBOSTONMA02114042518575501(C)(3)$422,120$0SUBAWARD
BAY STATE COMMUNITY SERVICES INC
1120 HANCOCK STREETQUINCYMA02169042468492501(C)(3)$251,599$0SUBAWARD
BERKSHIRE MEDICAL CENTER DENTAL CLINIC
725 NORTH STPITTSFIELDMA01201042791396501(C)(3)$94,476$0SUBAWARD
BERKSHIRE REGIONAL PLANNING COMMISSION
1 FENN STREETPITTSFIELDMA01201042430187501(C)(3)$269,672$0SUBAWARD
BIDMC BETH ISRAEL DEACONESS
330 BROOKLINE AVE MISC A/R - OTHERBOSTONMA02215042103881501(C)(3)$397,710$0SUBAWARDA/R BR-3
BOSTON HEALTHCARE FOR THE HOMELESS PROGRAM INC
780 ALBANY STBOSTONMA02118043160480501(C)(3)$20,000$0SUBAWARD
BOSTON HOUSING AUTHORITY
52 CHAUNCY STREET 7TH FLOORBOSTONMA02111046001907501(C)(3)$40,945$0SUBAWARD
BOSTON UNIVERSITY OFFICE OF FINANCIAL AFFAIRS
715 ALBANY ST STE 580BOSTONMA021182528042103547501(C)(3)$6,164,041$0SUBAWARD
BRANDEIS UNIVERSITY OFFICE OF GRANTS ADMIN
MAILSTOP 116WALTHAMMA022549110042103552501(C)(3)$176,201$0SUBAWARD
BRIDGEWATER STATE UNIVERSITY
131 SUMMER STREETBRIDGEWATERMA02325043010428501(C)(3)$167,561$0SUBAWARD
BRIGHAM & WOMENS HOSPITAL INC RESEARCH MANAGEMENT
75 FRANCIS STREETBOSTONMA02115042312909501(C)(3)$407,261$0SUBAWARD
BROCKTON AREA MULTI SERVICES INC
10 CHRISTYS DRBROCKTONMA02301042562377501(C)(3)$143,476$0SUBAWARD
BROCKTON NEIGHBORHOOD HEALTH
63 MAIN STREETBROCKTONMA02301043165044501(C)(3)$78,745$0SUBAWARD
BROWN UNIVERSITY OFFICE OF CONTROLLER
BOX JPROVIDENCERI02912050258809501(C)(3)$173,880$0SUBAWARD
CAMBRIDGE HEALTH ALLIANCE
10 PRESIDENTS LANDING 5TH FLOORMEDFORDMA02155043320571115$91,590$0SUBAWARD
CHILDREN'S HOSPITAL OF BOSTON
300 LONGWOOD AVENUEBOSTONMA02115042774441501(C)(3)$83,939$0SUBAWARD
CITY OF NEW BEDFORD
133 WILLIAM STREETNEW BEDFORDMA02740046001402115$60,393$0SUBAWARD
CITY OF NORTHHAMPTON
212 MAIN STREETNORTHAMPTONMA01060046001406501(C)(3)$40,455$0SUBAWARD
CITY OF SPRINGFIELD DEPT OF HEALTH AND HUMAN SERVICES
95 STATE STREET SUITE 201SPRINGFIELDMA01103046001415501(C)(3)$122,413$0SUBAWARD
CLEVELAND CLINIC LABORATORIES
PO BOX 74222CLEVELANDOH44194340714585501(C)(3)$37,780$0SUBAWARD
CLINICAL & SUPPORT OPTIONS INC
8 ATWOOD DRIVE SUITE 301NORTHAMPTONMA01060042206041501(C)(3)$69,631$0SUBAWARD
CODMAN SQUARE HEALTH CTR
637 WASHINGTON STREETDORCHESTERMA02124042678774501(C)(3)$10,000$0SUBAWARD
COMAGINE HEALTH
10700 MERIDIAN AVENUE N SUITE 100SEATTLEWA981339008911072875501(C)(3)$255,260$0SUBAWARD
COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH DIVISION OF FOOD
305 SOUTH STREETJAMAICA PLAINMA02130046002284115$728,795$0SUBAWARD
COMMUNITY HEALTH CENTER OF CAPE COD
107 COMMERCIAL STMASHPEEMA02649043370560501(C)(3)$237,830$0SUBAWARD
COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY INC
102 MAIN STREETGREENFIELDMA01301043312968501(C)(3)$117,240$0SUBAWARD
COMMUNITY LABOR UNITED INC
8 BEACON ST 5TH FLOORBOSTONMA02108203404034501(C)(3)$280,000$0SUBAWARD
CONNECTICUT CHILDREN'S MEDICAL CENTER
10 COLUMBUS BLVDHARTFORDCT06106060646755501(C)(3)$42,658$0SUBAWARD
DANA FARBER CANCER INSTITUTE
450 BROOKLINE AVE BP418BOSTONMA022156084042263040501(C)(3)$334,098$0SUBAWARD
DARTMOUTH COLLEGE
37 DEWEY FIELD ROAD STE6015HANOVERNH037651471020222111501(C)(3)$136,087$0SUBAWARD
DOTHOUSE HEALTH INC
1353 DORCHESTER AVENUEDORCHESTERMA02122237125970501(C)(3)$40,449$0SUBAWARD
DREXEL UNIVERSITY
3201 ARCH ST STE 420PHILADELPHIAPA19104231352630501(C)(3)$72,559$0SUBAWARD
DUDLEY STREET NEIGHBORHOOD INITIATIVE
550 DUDLEY STREETROXBURYMA02119042859066501(C)(3)$174,858$0SUBAWARD
EAST BOSTON NEIGHBORHOOD HEALTH CENTER
10 GOVE STREETEAST BOSTONMA02128237425849501(C)(3)$71,415$0SUBAWARD
EMORY UNIVERSITY OFFICE OF GRANTS AND CONTRACTS
1599 CLIFTON ROAD 4TH FLATLANTAGA30322580566256501(C)(3)$17,690$0SUBAWARD
EQUAL HOPE
300 S ASHLAND AVE STE 202CHICAGOIL60607262264895501(C)(3)$10,010$0SUBAWARD
FAMILY SERVICES OF MERRIMACK VALLEY
430 NORTH CANAL STREETLAWRENCEMA01840042104054501(C)(3)$108,823$0SUBAWARD
FAMILYAID BOSTON INC
3815 WASHINGTON STREETBOSTONMA02130042105756501(C)(3)$68,750$0SUBAWARD
FLORIDA INTERNATIONAL UNIVERSITY
11200 SW 8TH STREET CSC319MIAMIFL33199650177616501(C)(3)$18,684$0SUBAWARD
GREATER LOWELL HEALTH ALLIANCE OF CHNA
55 TECHNOLOGY DRIVELOWELLMA01851270408037501(C)(3)$560,304$0SUBAWARD
HARBOR HEALTH SERVICE INC
398 NEPONSET AVEDORCHESTERMA02122237100550501(C)(3)$37,500$0SUBAWARD
HEALTH RESOURCES IN ACTION INC
2 BOYLSTON STREET 4TH FLOORATTN MSBOSTONMA02116042229839501(C)(3)$94,470$0SUBAWARDBORA TORO
HENNEPIN HEALTHCARE RESEARCH
701 PARK AVENUE SUITE PP7700MINNEAPOLISMN55415411677920501(C)(3)$61,817$0SUBAWARD
HEPATITIS EDUCATION PROJECT
1621 SOUTH JACKSON STREET SUITE 201SEATTLEWA98144911658691501(C)(3)$18,193$0SUBAWARD
HOLYOKE HEALTH CENTER INC
230 MAPLE STREET ATTN KATHLEENHOLYOKEMA01040042492730501(C)(3)$55,814$0SUBAWARDLEBLANC
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1 GUSTAVE L LEVY PLACE BOX 1070NEW YORKNY10029136171197501(C)(3)$28,130$0SUBAWARD
INSTITUTE FOR HEALTHCARE IMPROVEMENT
53 STATE STREET 19TH FLOORBOSTONMA02109383017223501(C)(3)$79,243$0SUBAWARD
JEWISH VOCATIONAL SERVICES
ATTN ACCOUNTING DEPARTMENT 105BOSTONMA02111042104357501(C)(3)$233,813$0SUBAWARDCHAUNCY ST
JOSLIN DIABETES CENTER
ONE JOSLIN PLBOSTONMA02215042203836501(C)(3)$126,313$0SUBAWARD
KAISER FOUNDATION HOSPITALS DBA KAISER FOUNDATION RESEARCH INSTITUTE
1800 HARRISON ST 16TH FLROAKLANDCA946123433941105628501(C)(3)$19,703$0SUBAWARD
LAHEY CLINIC
41 MALL ROAD FINANCE OFFICEBURLINGTONMA01805042704683501(C)(3)$11,704$0SUBAWARD
LOWELL COMMUNITY HEALTH CTR
161 JACKSON STLOWELLMA01852042881348501(C)(3)$37,500$0SUBAWARD
MANET COMMUNITY HEALTH CENTER
110 W SQUANTUM STREETN QUINCYMA02171042646695501(C)(3)$129,805$0SUBAWARD
MASSACHUSETTS GENERAL HOSPITAL
55 FRUIT STREETBOSTONMA02114042697983501(C)(3)$494,227$0SUBAWARD
MASSACHUSETTS INSTITUTE OF TECHNOLOGY DBA DIVISION OF COMPARATIVE MEDICINE
16-849CAMBRIDGEMA02139042103594501(C)(3)$119,374$0SUBAWARD
MCLEAN HOSPITAL CORPORATION
115 MILL STBELMONTMA024789106042697981501(C)(3)$132,420$0SUBAWARD
NEW YORK UNIVERSITY
105 EAST 17TH STREET 4TH FLNEW YORKNY10003135562308501(C)(3)$103,654$0SUBAWARD
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
550 FIRST AVENUENEW YORKNY10016135562309501(C)(3)$121,766$0SUBAWARD
NORTH SHORE COMMUNITY HEALTH CENTER
1027 CONGRESS STREET STE513SALEMMA01970042610447501(C)(3)$13,994$0SUBAWARD
NORTH SUFFOLK MENTAL HEALTH ASSOCIATION
301 BROADWAY AVECHELSEAMA02150042317215501(C)(3)$121,726$0SUBAWARD
NORTHEASTERN UNIVERSITY
360 HUNTINGTON AVENUEBOSTONMA02115041679980501(C)(3)$149,315$0SUBAWARD
NORTHERN BERKSHIRE COMMUNITY COALITION INC
61 MAIN STREET SUITE 218NORTH ADAMSMA01247043446578501(C)(3)$16,333$0SUBAWARD
NORTHSHORE UNIVERSITY HEALTH SYSTEM
9455 EAGLE WAYCHICAGOIL606781094362167060501(C)(3)$36,431$0SUBAWARD
NORTHWESTERN UNIVERSITY DIVISION OF ALLERGY IMMUNOLOGYTARRY
BLDG 3-707 MAIL CODE S207CHICAGOIL606113008362167817501(C)(3)$33,704$0SUBAWARD
NOUS FOUNDATION INC ADVANCE CARE PLANNING DECISIONS
195 CARLTON ROADWABANMA02468271871373501(C)(3)$255,763$0SUBAWARD
OREGON HEALTH & SCIENCE UNIVERSITY
3181 SW SAM JACKSON PARK RDPORTLANDOR97239931176109115$23,468$0SUBAWARD
PALO ALTO VETERANS INSTITUTE FOR RESEARCH
3801 MIRANDA AVENUE151PPALO ALTOCA943040038770207331501(C)(3)$54,732$0SUBAWARD
PLYMOUTH COUNTY OUTREACH HOPE INC
PO BOX 401EAST BRIDGEWATERMA02333460970650501(C)(3)$99,920$0SUBAWARD
PROOF ALLIANCE
1876 MINNEHAHA AVE WESTSUITE 395SAINT PAULMN55104411904618501(C)(3)$241,643$0SUBAWARD
RAND CORPORATION
1776 MAIN ST PO BOX 2138SANTA MONICACA904072138951958142501(C)(3)$21,956$0SUBAWARD
REGENTS OF THE UNIV OF CALIFORNIA DBA UNIV OF CALIFORNIA SAN DIEGO
9500 GILMAN DRIVELA JOLLACA920930953956006144501(C)(3)$81,718$0SUBAWARD
RHODE ISLAND HOSPITAL
593 EDDY STREETPROVIDENCERI029034923050258954501(C)(3)$56,474$0SUBAWARD
RUTGERS THE STATE UNIVERSITY DBA RUTGERS BIOMEDICAL HEALTH SCIENCES
65 DAVIDSON ROADPISCATAWAYNJ08554462354111501(C)(3)$14,422$0SUBAWARD
SOCIAL SCIENCE RESEARCH AND EVALUATION INC (SSRE)
84 MILL STREETLINCOLNMA017731706222551337501(C)(3)$45,447$0SUBAWARD
SPANISH AMERICAN CENTER INC
112 SPRUCE STREETLEOMINSTERMA01453042761759501(C)(3)$159,470$0SUBAWARD
STANFORD UNIVERSITY WELL MD CENTER
1520 PAGE MILL ROADPALO ALTOCA943045156941156365501(C)(3)$92,383$0SUBAWARD
STANLEY STREET TREATMENT AND RESOURCES INC
386 STANLEY STREETFALL RIVERMA02724042604426501(C)(3)$95,627$0SUBAWARD
TEEN CHALLENGE NEW ENGLAND
1311 MAIN STREETBROCKTONMA02301042401399501(C)(3)$42,144$0SUBAWARD
THE BRIEN CENTER FOR MENTAL HEALTH & SUBSTANCE ABUSE SERVICES INC
359 FENN STREETPITTSFIELDMA01201042081870501(C)(3)$58,477$0SUBAWARD
THE FEINSTEIN INSTITUTES FOR MEDICAL RESEARCH
972 BRUSH HOLLOW ROAD5TH FLOORWESTBURYNY11590112673595501(C)(3)$426,722$0SUBAWARD
THE FULL FRAME INITIATIVE INC
308 MAIN STREETSUITE 2AGREENFIELDMA01301300592577501(C)(3)$32,881$0SUBAWARD
THE QUEEN'S MEDICAL CENTER
1301 PUNCHBOWL STREETHONOLULUHI96813990073524501(C)(3)$7,822$0SUBAWARD
THE REGENTS OF THE UNIVERSITY OF COLORADO
1800 GRANT STREET SUITE 600DENVERCO80203846000555501(C)(3)$70,896$0SUBAWARD
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
615 WEST 131ST STREET 3RD FLNEW YORKNY10027135598093501(C)(3)$110,908$0SUBAWARD
THE UNIVERSITY OF RHODE ISLAND
75 LOWER COLLEGE ROADKINGSTONRI02881223011455115$36,641$0SUBAWARD
TRANSLATION GENOMICS RESEARCH INSTITUTE
445 N 5TH STREET SUITE 600PHOENIXAZ85004753065445501(C)(3)$10,368$0SUBAWARD
TRICOUNTY COMMUNITY NETWORK
724 NORTH ADAMS STREET SUITE 203POTTSTOWNPA19464232684794501(C)(3)$15,000$0SUBAWARD
TUFTS MEDICAL CENTER INC
800 WASHINGTON STREETBOSTONMA02111043400617501(C)(3)$7,865$0SUBAWARD
TUFTS UNIVERSITY NEMCH
096171 HARRISON AVENUEBOSTONMA02111042103634501(C)(3)$279,399$0SUBAWARD
UNIVERSITY OF ARIZONA
888 NORTH EUCLID AVE ROOM 510TUCSONAZ857194824742652689115$9,142$0SUBAWARD
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
500 PARNASSUS AVE MU 200-WSAN FRANCISCOCA941430244946036493501(C)(3)$259,136$0SUBAWARD
UNIVERSITY OF FLORIDA
720 SW 2ND AVE SUITE 575 ATTNGAINESVILLEFL32601596002052501(C)(3)$16,157$0SUBAWARDCONTINUING MEDICAL EDUCATION
UNIVERSITY OF HAWAII
2440 CAMPUS ROAD BOX 368HONOLULUHI968222234996000354115$30,526$0SUBAWARD
UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION
109 KINKEAD HALLLEXINGTONKY405060057616033693501(C)(3)$7,025$0SUBAWARD
UNIVERSITY OF LOUISVILLE CONTROLLER'S OFFICE
SERVICE COMPLEX BUILDINGLOUISVILLEKY40292611014882115(1)$67,108$0SUBAWARD
UNIVERSITY OF MASSACHUSETTS
55 LAKE AVENUE NORTHWORCESTERMA01655043167352115$379,829$0SUBAWARD
UNIVERSITY OF NEVADA LAS VEGAS BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDU
4505 S MARYLAND PARKWAYLAS VEGASNV89154886000024501(C)(3)$20,988$0SUBAWARD
UNIVERSITY OF NEW MEXICO (HSC)
1 UNIVERSITY OF NEW MEXICO MSC01ALBUQUERQUENM87131856000642115$52,281$0SUBAWARD1300
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL OFFICE OF CONTRACTS AND GRANTS
CB 1350104 AIRPORT DRIVE SUITE 2200CHAPEL HILLNC275991350566001393501(C)(3)$781,877$0SUBAWARD
UNIVERSITY OF PITTSBURGH
ATTN NICOLE KAEFER 200 MEYRAN AVEPITTSBURGHPA15213250965591501(C)(3)$517,723$0SUBAWARDSUITE 200
UNIVERSITY OF SOUTH CALIFORNIA UNIVERSITY GARDENS
SUITE 205LOS ANGELESCA900898006951642394501(C)(3)$158,788$0SUBAWARD
UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE
85 SOUTH PROSPECT STBURLINGTONVT05405030179440501(C)$29,864$0SUBAWARD
UNIVERSITY OF WASHINGTON
4300 ROOSEVELT WAY NESUITE 300SEATTLEWA98195916001537115$124,205$0SUBAWARD
UNIVERSITY OF WISCONSIN SYSTEM
21 NORTH PARK STREET ROOM 6234MADISONWI537151218391805963115$5,595$0SUBAWARD
UNIVERSITY SYSTEM OF NH DBA UNH INSTITUTE ON DISABILITY
56 OLD SUNCOOK RD STE 2CONCORDNH03301026000937501(C)(3)$13,767$0SUBAWARD
US CIVILIAN RESEARCH AND DEVELOPMENT FOUNDATION
1776 WILSON BOULEVARD SUITE 300ARLINGTONVA22209541773406501(C)(3)$28,572$0SUBAWARD
VINFEN CORP
1050 COMMONWEALTH AVE STE 200BOSTONMA02215042632219501(C)(3)$1,032,996$0SUBAWARD
WAKE FOREST UNIVERSITY HEALTH SCIENCES
MEDICAL CENTER BOULEVARDWINSTONSALEMNC27157223849199501(C)(3)$87,411$0SUBAWARD
WALK BOSTONSRS OLD CITY HALL
45 SCHOOL STREETBOSTONMA02108223061699501(C)(3)$83,240$0SUBAWARD
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
700 ROSEDALE AVENUE CB1034SAINT LOUISMO631121408430653611501(C)(3)$16,517$0SUBAWARD
WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY
100 BROADWAY 8TH FLNEW YORKNY10005131623978501(C)(3)$147,925$0SUBAWARD
WESTERN MASSACHUSETTS TRAINING
187 HIGH STREET SUITE 202HOLYOKEMA01040237450656501(C)(3)$268,856$0SUBAWARD
YALE UNIVERSITY SCHOOL OF MEDICINE
2 WHITNEY AVE 6TH FLOORNEW HAVENCT06510060646973501(C)(3)$101,377$0SUBAWARD
FieldValueIRS element (for citing)
Total501c3 Org115Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationRESEARCH ADMINISTRATION USES INFOR CLOUDSUITE FINANCIALS AND DASH BOARD GEAR REPORTING SYSTEMS TO MONITOR ALL GRANT FUNDING. IN ADDITION, PRINCIPLE INVESTIGATORS AND DEPARTMENT ADMINISTRATORS HAVE SYSTEM ACCESS SO THEY ARE ABLE TO REVIEW THEIR FUNDING AND EXPENDITURES REGULARLY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KATHLEEN E WALSH
PRESIDENT/TRUSTEE (THRU 2/28/23)$1,403,783$0$566,720$0$285,093$0$21,350$0$6,816$0$2,283,762$0$0$0
ALASTAIR BELL MD
INTERIM PRES./TRUSTEE (AS OF 3/1/23)$907,901$0$301,070$0$88,458$0$148,381$0$8,119$0$1,453,929$0$71,000$0
NICOLE FAUCHER
PRESIDENT, CLEARWAY HEALTH, LLC$342,420$0$750,000$0$4,038$0$28,000$0$26,562$0$1,151,020$0$0$0
JENNIFER TSENG MD
TRUSTEE$0$1,046,318$0$0$0$2,634$0$35,306$0$3,160$0$1,087,418$0$0
TERRI NEWSOM
SVP/CFO/TREASURER$646,295$0$197,340$0$2,500$0$106,650$0$33,062$0$985,847$0$0$0
DAVID MCANENY
SVP/CHIEF MEDICAL OFFICER$599,195$0$180,000$0$60,000$0$0$0$27,512$0$866,707$0$0$0
JOE CAMILLUS
SVP AMBULATORY & PRF SVC$485,790$0$171,125$0$34,502$0$76,668$0$44,796$0$812,881$0$24,800$0
LISA KELLY-CROSWELL
SVP/CHRO$502,175$0$122,705$0$44,560$0$73,000$0$33,028$0$775,468$0$36,050$0
DAVID COLEMAN MD
TRUSTEE (THRU 11/14/22)$0$718,490$0$0$0$6,649$0$35,306$0$1,589$0$762,034$0$0
NANCY GADEN
SVP OF CLINICAL OPERATIONS/CNO$477,691$0$117,300$0$41,008$0$69,850$0$35,134$0$740,983$0$32,600$0
ARTHUR HARVEY
VP/CIO$485,982$0$119,850$0$16,303$0$77,750$0$32,759$0$732,644$0$12,600$0
ROBERT BIGGIO
SVP/CHIEF SUSTAINABILITY/RE OFFICER$436,383$0$108,375$0$44,428$0$72,350$0$48,461$0$709,997$0$32,000$0
DAVID BECK
SVP/CHIEF LEGAL COUNSEL/CL$458,767$0$113,850$0$55,383$0$21,350$0$30,711$0$680,061$0$0$0
PAUL JOSEPH BOUCHER
REGISTERED NURSE$173,877$0$0$0$425,898$0$16,980$0$13,339$0$630,094$0$0$0
NORMAN STEIN
FORMER SVP CHIEF DEVELOPMENT OFFICER$0$0$0$0$400,000$0$0$0$0$0$400,000$0$0$0
MANISHI DESAI
TRUSTEE$0$285,375$0$1,883$0$432$0$30,606$0$13,016$0$331,312$0$0
ANTHONY HOLLENBERG MD
TRUSTEE (AS OF 11/14/22)$0$118,734$0$112,000$0$7,006$0$0$0$2,436$0$240,176$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINES 4A-BLINE 4A: NORMAN STEIN LEFT THE ORGANIZATION ON 12/30/2020. NORMAN STEIN HAD A 2-YEAR SEVERANCE ARRANGEMENT. HIS SEVERANCE AMOUNT IS REPORTED ON SCHEDULE J, PART II, COLUMN (B)(III). LINE 4B: BOSTON MEDICAL CENTER PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CERTAIN EXECUTIVES. AMOUNTS ARE CREDITED TO PARTICIPANTS' ACCOUNTS EACH YEAR. PLAN AMOUNTS ARE SUBJECT TO FORFEITURE AND PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE PLAN AGREEMENT. AMOUNTS VEST ON SPECIFIED DATES BASED ON CONTINUED EMPLOYMENT BUT NO LATER THAN THE EXECUTIVE'S SIXTY-SECOND BIRTHDAY. AMOUNTS ACCRUED IN THE PLAN ARE REPORTED IN SCHEDULE J, PART II, COLUMN C. THE AMOUNTS REPORTED FOR THE EXECUTIVES BELOW WERE CONTRIBUTED IN 2019 AND BECAME VESTED AND WERE PAID IN 2022. THE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III): BELL - $88,458 KELLY-CROSWELL - $42,695 GADEN - $39,238 HARVEY - $12,688 CAMILLUS - $30,848 BOSTON MEDICAL CENTER PROVIDED A 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN TO DAVID BECK, KATHLEEN WALSH AND DAVID MCANENY. THESE EXECUTIVES HAVE REACHED THE PLAN RETIREMENT AGE AND HAVE VESTED 100% IN THE PLAN. IN ADDITION, PURSUANT TO THE TERMS OF THE PLAN, ONCE THE PLAN PARTICIPANT REACHES THE PLAN RETIREMENT AGE, ALL FUTURE CONTRIBUTIONS ARE MADE IN CASH. ACCORDINGLY, 2022 CONTRIBUTIONS OF $53,400, $277,500, AND $60,000 WERE PAID IN CASH TO DAVID BECK, KATHLEEN WALSH, AND DAVID MCANENY, RESPECTIVELY, IN 2022. THESE AMOUNTS ARE REFLECTED IN SCHEDULE J, PART II, COLUMN (B)(III).
PART I, LINE 7BMC HAS AN ANNUAL EXECUTIVE PERFORMANCE INCENTIVE PLAN. PERFORMANCE TARGETS AND PAYOUT METRICS ARE ESTABLISHED AND APPROVED BY THE COMPENSATION COMMITTEE AT THE BEGINNING OF EACH PERFORMANCE CYCLE. FISCAL YEAR 2022 PERFORMANCE BONUS PAYOUTS WERE APPROVED BY THE COMMITTEE AFTER IT REVIEWED THE 2022 PERFORMANCE RESULTS AGAINST PRE ESTABLISHED PERFORMANCE TARGETS, AND APPROVED THE FORMULA-BASED PAYOUTS ACCORDINGLY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MDFA 2015 SERIES D
A04343181457583U6Q62015-04-08$167,471,151FINANCE CAPITAL PROJECTS000
MDFA 2016 SERIES E
B04343181457584XWT42016-09-22$203,977,951FINANCE NEW PROJECTS000
MDFA 2017 SERIES F
C04343181457584X6Z92017-12-20$45,272,849FINANCE CAPITAL PROJECTS000
MHEFA 2009 SERIES O-1
D04245601157586ELD12009-08-14$101,485,000REFUNDING OF SERIES M3-B00Yes (1)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmt
A$168,011,143$16,196,171$226,325$2,007,035$150,355,290$201,311201600Yes (1)Yes (1)
B$206,393,981$1,673,571$29,046,728$175,673,68120170Yes (1)Yes (1)Yes (1)$10,305,000
C$45,971,835$9,238$272,257$45,690,339201900Yes (1)Yes (1)$5,435,000
D$13,688,734$43,486$13,688,734Yes (1)0Yes (1)Yes (1)$9,494,690

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePct
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)00Yes (1)
B0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)00Yes (1)0.005000.00500
C0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)00Yes (1)0.000000.00000
D00Yes (1)Yes (1)000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B000Yes (1)000Yes (1)Yes (1)
C000Yes (1)0000Yes (1)
D00Yes (1)Yes (1)Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
COLUMN A:PART I(F) - BONDS FINANCED CAPITAL PROJECTS, FUNDED A RESERVE, AND PAID COSTS OF ISSUANCE. PART II, LINE 3 - THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART III, LINE 7 - AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(C) - THE MOST RECENT FIVE YEAR REBATE REPORT, DATED APRIL 27, 2020, WAS PREPARED BY BLX GROUP, LLC.
COLUMN B:PART I(F) - BONDS FINANCED CAPITAL PROJECTS AND ADVANCED REFUNDED PRIOR BONDS (ISSUED ON JULY 1, 2008) BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY. PART II, LINE 3 - THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART III, LINE 7 - AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(C) - THE MOST RECENT FIVE YEAR REBATE REPORT, DATED OCTOBER 21, 2021, WAS PREPARED BY BLX GROUP, LLC.
COLUMN C:PART I(F) - BONDS WERE ISSUED TO FINANCE CAPITAL PROJECTS. PART II, LINE 3 - THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART III, LINE 7 - AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(C) - THE FIFTH YEAR REBATE REPORT WAS PREPARED ON SEPTEMBER 26, 2022.
COLUMN D:BONDS ARE PART OF A POOLED FINANCING (TOTAL PAR $101,485,000) AND THUS, EXCEPT FOR PART I, ONLY THE BORROWER'S ALLOCABLE PORTION IS REPRESENTED. PART I(F) - 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. PART II, LINE 4 - THE RESERVE HAS BEEN FUNDED BY PROCEEDS OF THE PRIOR BONDS. PART II, LINE 13 - SINCE THE PROCEEDS OF THE BONDS WERE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART III, LINE 7 - AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(B) - BOND PROCEEDS WERE EXPENDED TO FINANCE A CURRENT REFUNDING, WHICH HAS MET AN EXCEPTION TO THE REBATE REQUIREMENT. NO COMPUTATION HAS BEEN MADE THAT WOULD INDICATE WHETHER ANY REBATE WOULD BE DUE ON THE PROCEEDS TRANSFERRED FROM THE PRIOR BONDS.
COLUMN A, ENTITY 2:PART I(F) - BONDS FINANCED CAPITAL PROJECTS, CURRENT REFUNDED PRIOR BONDS (ISSUED ON JUNE 14, 2012), AND PAID COSTS OF ISSUANCE. PART II, LINE 3 - THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART III, LINE 7 - AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(B) - THE PORTION OF BOND PROCEEDS USED TO CURRENT REFUND PRIOR BONDS HAS MET AN EXCEPTION TO THE REBATE REQUIREMENT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MDFA 2023 SERIES GBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN043431814BondIssuerEIN
CUSIP57584Y4U0CUSIPNum
Bond Issued2023-02-28BondIssuedDt
Issue Price$242,274,160IssuePriceAmt
PurposeFINANCE CAPITAL PROJECTSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$500,000RetiredAmt
Total Proceeds$246,699,360TotalProceedsAmt
Issuance Costs From Proceeds$2,295,024IssuanceCostsFromProceedsAmt
Capital Expenditures$71,152,105CapitalExpendituresAmt
Other Spent Proceeds$17,978,105OtherSpentProceedsAmt
Unspent$155,274,126UnspentAmt
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research AgreementsYes (1)AnyResearchAgreementsInd
Engage Bond Counsel ResearchYes (1)EngageBondCounselResearchInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HANNAH LEAVERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionDAUGHTER OF TRUSTEERelationshipDescriptionTxt
Transaction$279,614TransactionAmt
TransactionEMPLOYMENTTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV:FormAndLineReferenceDesc
ExplanationBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: HANNAH LEAVER, DAUGHTER OF TRUSTEE MARKS, IS EMPLOYED BY BMC. LEAVER HAS BEEN EMPLOYED BY BMC SINCE BEFORE TRUSTEE MARKS JOINED THE BMC BOARD IN 2016.ExplanationTxt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$73,436NoncashContributionsRptF990Amt
Method Of Determining RevenuesDONOR ESTIMATEMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution27ContributionCnt
Noncash Contributions Rpt F990$2,331,502NoncashContributionsRptF990Amt
Method Of Determining RevenuesMEAN VAL ON CONTRIB DATEMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution16ContributionCnt
Noncash Contributions Rpt F990$12,326NoncashContributionsRptF990Amt
Method Of Determining RevenuesDONOR ESTIMATEMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution4ContributionCnt
Noncash Contributions Rpt F990$75,120NoncashContributionsRptF990Amt
Method Of Determining RevenuesDONOR ESTIMATEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)GIFT CERTIFICATE52$47,835DONOR ESTIMATE
Yes (X)BEAUTY8$14,046DONOR ESTIMATE
Yes (X)TOYS21$10,323DONOR ESTIMATE
Yes (X)TICKETS5$5,200DONOR ESTIMATE
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PART I, COLUMN B:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS CONTRIBUTED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART IV, LINE 12BOSTON MEDICAL CENTER IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR BMC HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 2KATHLEEN E. WALSH (THRU 2/28/23) BISOLA OJIKUTU, M.D. ALASTAIR BELL, M.D. BUSINESS RELATIONSHIP - THE OFFICERS AND TRUSTEES ABOVE ARE ALSO MEMBERS OR EMPLOYEES OF THE BOSTON PUBLIC HEALTH COMMISSION. DAVID COLEMAN, M.D. (THRU 11/14/22) MELANIE FOLEY JENNIFER TSENG, M.D. KATHLEEN E. WALSH (THRU 2/28/23) BUSINESS RELATIONSHIP - THE OFFICERS AND/OR TRUSTEES ABOVE ARE ALSO TRUSTEES OF BOSTON MEDICAL CENTER INSURANCE COMPANY, LTD. MARTHA SAMUELSON PIERRE CREMIEUX BUSINESS RELATIONSHIP - THE TRUSTEES ABOVE ARE ALSO TRUSTEES, OFFICERS, AND/OR EMPLOYEES OF ANALYSIS GROUP.
FORM 990, PART VI, SECTION A, LINE 4THE CHANGES TO THE HOSPITAL BYLAWS ARE SUMMARIZED BELOW. 1. MOVE FROM TWO CLASSES OF 10 INDEPENDENT TRUSTEES EACH TO ONE CLASS OF 20 INDEPENDENT TRUSTEES 2. DELETE REQUIRED NOTICE OF MEETINGS FOR TRUSTEES EMERITI AND JUST SAY THEY "MAY ATTEND" BOARD MEETINGS 3. ADD HEALTH SYSTEM PRESIDENT TO THE HOSPITAL BOARD OF TRUSTEES 4. ADOPT CONSISTENT DESCRIPTION OF "PRESIDENT" IN THE HOSPITAL AND HEALTH PLAN BYLAWS 5. ADOPT CONSISTENT LANGUAGE PROVIDING AUTHORITY FOR PRESIDENT AND TREASURER TO EXECUTE DOCUMENTS 6. CLARIFY THAT THE BYLAWS ALLOW (1) EMAIL FOR WRITTEN CONSENTS AND FOR PROVIDING NOTICE, AND (2) VIDEO CONFERENCES FOR MEETINGS
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE ORGANIZATION IS BMC HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 7BBMC HEALTH SYSTEM HAS THE RIGHT TO TAKE CERTAIN ACTIONS INCLUDING, BUT NOT LIMITED TO, THE APPROVAL OF BUDGETS, MERGERS, ACQUISITIONS, AND INDEBTEDNESS.
FORM 990, PART VI, SECTION B, LINE 11BBOSTON MEDICAL CENTER'S FORM 990 IS PREPARED BY KPMG LLP AND REVIEWED BY BMC HEALTH SYSTEM'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, BMC HEALTH SYSTEM'S INTERNAL MANAGEMENT AND KPMG PRESENT THE FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO THE FORM BEING FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2023 WERE DISTRIBUTED BY BMC HEALTH SYSTEM'S CORPORATE COMPLIANCE DEPARTMENT. THE CHIEF COMPLIANCE OFFICER OF BMC HEALTH SYSTEM OR THE CHIEF COMPLIANCE OFFICER'S 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 THE CHIEF COMPLIANCE OFFICER'S DESIGNEE REVIEWS ALL DISCLOSURES AND DETERMINES WHETHER THERE ARE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER OR THE CHIEF COMPLIANCE OFFICER'S DESIGNEE INFORMS THE CHIEF LEGAL COUNSEL OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF LEGAL COUNSEL ADVISES THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION ACCORDINGLY.
FORM 990, PART VI, SECTION B, LINE 15BOSTON MEDICAL CENTER'S INDEPENDENT COMPENSATION COMMITTEE, FORMED OF INDIVIDUALS WHOSE COMPENSATION IS NOT IN ISSUE, ESTABLISHES THE COMPENSATION OF THE PRESIDENT AND APPROVES THE COMPENSATION OF SENIOR MANAGEMENT. THE COMMITTEE MEMBERS ARE NOT UNDER THE CONTROL OR DIRECTION OF ANY MEDICAL CENTER EXECUTIVE SEEKING COMPENSATION. THE INDIVIDUAL EXECUTIVE COMPENSATION IS SUPPORTED BY COMPARABLE DATA, WHICH INCLUDES COMPENSATION PAID FOR COMPARABLE POSITIONS BY SIMILARLY SITUATED ORGANIZATIONS (BOTH TAXABLE AND TAX-EXEMPT), INDEPENDENTLY COMPILED COMPENSATION SURVEYS, AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE BOSTON MEDICAL CENTER EXECUTIVE. THE COMMITTEE MAY ALSO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT AS PART OF THE COMPENSATION-SETTING PROCESS. THE INDEPENDENT COMMITTEE'S ASSESSMENTS OF THESE CONSIDERATIONS ARE CONTAINED IN THE MINUTES OF THE COMMITTEE MEETINGS. THE REVIEW PROCESS INCLUDES, AND THE MINUTES INDICATE, DISCUSSIONS AND EVALUATIONS OF EACH EXECUTIVE'S PRIOR PERFORMANCE, QUALIFICATIONS, AND EXPERIENCE. THE EXECUTIVES ARE NOT PRESENT FOR THE INDEPENDENT COMMITTEE'S DISCUSSIONS OR THE COMMITTEE'S VOTE ON COMPENSATION. THE MINUTES REFLECT THE FACT THAT NO EXECUTIVE WAS PRESENT.
FORM 990, PART VI, SECTION C, LINE 19BOSTON MEDICAL CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS PUBLICLY AVAILABLE. HOWEVER, THE RESTATED ARTICLES OF THE ORGANIZATION ARE POSTED ON THE SECRETARY OF THE COMMONWEALTH'S CORPORATIONS WEBSITE.
FORM 990, PART XI, LINE 9:PENSION AND OTHER ADJUSTMENTS -855,714. PERIODIC PENSION COSTS 5,448,961. OTHER NON-OPS 2,558,340.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
BMC HEALTH SYSTEM INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118463556853SUPPORT SVCS.MA501 (C) (3)12 B-IIBMCYes (1)
BMC INSURANCE CO LTD OF VERMONT
PO BOX 530 100 BANK STREETBURLINGTONVT05401201810549INSURANCEVT501 (C) (3)12 A-IBMCHSYes (1)
BMC INTEGRATED CARE SERVICES INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043414914HEALTHCAREMA501 (C) (3)12 A-IBMCBACOYes (1)
BOSTON EMERGENCY PHYSICIAN FDN INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043286156HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BOSTON REHABILITATION MEDICINE ASSOC INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043286641HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BOSTON UNIV NEUROLOGY ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043428462HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BOSTON UNIV PLASTIC SURGERY ASSOC INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043555478HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BOSTON UNIV SURGICAL ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043291148HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BOSTON UNIVERSITY AFFILIATED PHYSICIANS
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043218267HEALTHCAREMA501 (C) (3)3BMCYes (1)
BOSTON UNIVERSITY DERMATOLOGY INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043335166HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BOSTON UNIVERSITY EYE ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043137333HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BOSTON UNIVERSITY FAMILY MEDICINE INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043354353HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BOSTON UNIVERSITY PSYCHIATRY ASSOC INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043355267HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BU CARDIAC & THORACIC SURGICAL FDN INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118042966416HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BU DERMATOLOGY SUPPORT SERVICES I INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043452877HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BU DERMATOLOGY SUPPORT SERVICES II INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043452874HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BU GENERAL SURGICAL ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043265008HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BU MALLORY PATHOLOGY ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118042794543HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BU MEDICAL CENTER RADIOLOGISTS INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043283573HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BU MEDICAL CENTER UROLOGISTS INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043286643HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BU MEDICAL CTR ANESTHESIOLOGISTS INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043276227HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BU NEUROSURGICAL ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043296068HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BU OBSTETRICS & GYNECOLOGY FDN INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043067465HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BU ORTHOPAEDIC SURGICAL ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043354360HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BU RADIATION ONCOLOGY INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118810716773HEALTHCAREMA501 (C) (3)12C III-FI0N/A
BUMC OTOLARYNGOLOGIC FOUNDATION
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043156471HEALTHCAREMA501 (C) (3)12C III-FI0N/A
CHILD HEALTH FOUNDATION OF BOSTON INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118042472758HEALTHCAREMA501 (C) (3)12C III-FI0N/A
EVANS MEDICAL FOUNDATION INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118510172171HEALTHCAREMA501 (C) (3)12C III-FI0N/A
THE BOSTON HEALTHNET CORPORATION
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043279836SUPPORT SVCS.MA503 (C) (3)12 B-II0N/A
FACULTY PRACTICE FOUNDATION INC
ONE BOSTON MEDICAL CENTER PLBOSTONMA02118043289381MEDICAL SVCSMA501 (C) (3)12 B-II0N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndLegal Domicile StateLegalDomicileStateCd
BMC INSURANCE COMPANY LTD
878 WEST BAY ROAD PO BOX 1159GRAND CAYMANCJ980375219INSURANCECJBMCC$1,064,592$98,102,9970.70000Yes (1)
CHARITABLE REMAINDER TRUST - MA (3)
SUPPORTBMCTYes (1)MA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BMC INSURANCE COMPANY LTD
P$5,902,939FMV
BMC HEALTH SYSTEM INC
D$14,235,727FMV
BMC HEALTH SYSTEM INC
P$160,957,605FMV

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.