BOSTON MEDICAL CENTER CORPORATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: BOSTON MEDICAL CENTER CORPORATION (EIN 04-3314093)
Tax period: 2021-10-01 to 2022-09-30
Filed: 2023-08-15
IRS object ID: 202332279349301503
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-08-15T08:56:43-05:00	ReturnTs
Tax Period End	2022-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	60 SOUTH STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02111	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	043314093	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BOSTON MEDICAL CENTER CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BOST	BusinessNameControlTxt
Phone	6174141628	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE BOSTON MEDICAL CENTER PLACE	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02118	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID BECK	PersonNm
Person Title	SVP/CHIEF LEGAL COUNSEL/CLERK	PersonTitleTxt
Phone	6176387653	PhoneNum
Signature	2023-08-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DAVID	PersonFirstNm
Person Last	BECK	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ZELJKO POPOVIC	PreparerPersonNm
PTIN	P01795951	PTIN
Phone	6179881000	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KATHLEEN E WALSH	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE BOSTON MEDICAL CENTER PLACE	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02118	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,144,769,537	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BMC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1996	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	BOSTON MEDICAL CENTER'S MISSION IS TO PROVIDE CONSISTENTLY EXCELLENT AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	29	VotingMembersGoverningBodyCnt
Voting Members Independent	25	VotingMembersIndependentCnt
Total Employee	11396	TotalEmployeeCnt
Total Volunteers	506	TotalVolunteersCnt
Total Gross UBI	$6,495,327	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$2,356,068	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$150,978,125	PYContributionsGrantsAmt
CY Contributions Grants	$65,960,590	CYContributionsGrantsAmt
PY Program Service Revenue	$1,752,717,825	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,952,312,192	CYProgramServiceRevenueAmt
PY Investment Income	$58,583,174	PYInvestmentIncomeAmt
CY Investment Income	$107,094,899	CYInvestmentIncomeAmt
PY Other Revenue	$13,153,610	PYOtherRevenueAmt
CY Other Revenue	$15,692,917	CYOtherRevenueAmt
PY Total Revenue	$1,975,432,734	PYTotalRevenueAmt
CY Total Revenue	$2,141,060,598	CYTotalRevenueAmt
PY Grants And Similar Paid	$28,222,126	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$28,853,390	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$754,442,410	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$791,352,868	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$10,911,937	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,133,792,944	PYOtherExpensesAmt
CY Other Expenses	$1,308,246,524	CYOtherExpensesAmt
PY Total Expenses	$1,916,457,480	PYTotalExpensesAmt
CY Total Expenses	$2,128,452,782	CYTotalExpensesAmt
PY Revenues Less Expenses	$58,975,254	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$12,607,816	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,744,742,937	TotalAssetsBOYAmt
Total Assets EOY	$2,456,189,580	TotalAssetsEOYAmt
Total Liabilities BOY	$1,324,215,116	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,200,629,757	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,420,527,821	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,255,559,823	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	BOSTON MEDICAL CENTER'S MISSION IS TO PROVIDE CONSISTENTLY EXCELLENT AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,868,140,233	ExpenseAmt
Revenue	$1,952,312,192	RevenueAmt
Desc	THE STATUTE THAT AUTHORIZED THE CREATION OF BOSTON MEDICAL CENTER REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 514-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

Field	Value	IRS element (for citing)
Expense	$27,465,409	ExpenseAmt
Grant	$27,465,409	GrantAmt
Desc	BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO ORGANIZATIONS WITHIN THE US.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,387,981	ExpenseAmt
Grant	$1,387,981	GrantAmt
Desc	BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO FOREIGN ORGANIZATIONS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,896,993,623	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	Yes (1)	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (1)	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	1590	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	11396	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	CA	ForeignCountryCd
Foreign Country	UK	ForeignCountryCd
Foreign Country	LT	ForeignCountryCd
Foreign Country	EI	ForeignCountryCd
Foreign Country	BD	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	29	GoverningBodyVotingMembersCnt
Independent Voting Member	25	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KAREN FINE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6176387406	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE BOSTON MEDICAL CENTER PLACE	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02118	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (48 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KATHLEEN E WALSH
PRESIDENT & CEO	50.00	2.50	Yes (X)	Yes (X)	$2,513,421	$0	$43,856
JENNIFER TSENG MD
TRUSTEE	1.00	54.00	Yes (X)		$0	$992,645	$3,746
DAVID COLEMAN MD
TRUSTEE	1.00	54.00	Yes (X)		$0	$828,346	$2,429
KAREN ANTMAN MD
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
ANITA BEKENSTEIN
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
BARRY BOCK
TRUSTEE (UNTIL 7/03/22)	1.00	0.00	Yes (X)		$0	$0	$0
RYAN CARROLL
TRUSTEE (AS OF 5/10/2022)	1.00	0.00	Yes (X)		$0	$0	$0
NADINE CHAKAR
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
ENRIQUE COLBERT
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
SANDRA COTTERELL
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
PIERRE CREMIEUX
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
RANDI CUTLER
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MANISHI DESAI
TRUSTEE (AS OF 6/15/2022)	1.00	4.00	Yes (X)		$0	$0	$0
PAUL EGERMAN
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
RUTH ELLEN FITCH
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
MELANIE FOLEY
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
MICHAEL GAINES
TRUSTEE (UNTIL 6/23/22)	1.00	0.00	Yes (X)		$0	$0	$0
TRICIA GLYNN
TRUSTEE (UNTIL 5/10/22)	1.00	1.00	Yes (X)		$0	$0	$0
JOHN T HAILER
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
KAREN KAMES
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
AZRA KANJI
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
FRED LOWERY
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
MANUEL LOPES
TRUSTEE (UNTIL 10/29/21)	1.00	2.00	Yes (X)		$0	$0	$0
RICHARD MARKS
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
DEVIN MCCOURTY
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
MICHELLE NADOW
TRUSTEE (AS OF 5/10/2022)	1.00	0.00	Yes (X)		$0	$0	$0
LAUREN NENTWICH
TRUSTEE (UNTIL 6/15/2022)	1.00	4.00	Yes (X)		$0	$0	$0
BISOLA OJIKUTU MD
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
CLAIRE PERLMAN
TRUSTEE (UNTIL 5/10/2022)	1.00	0.00	Yes (X)		$0	$0	$0
MARTHA SAMUELSON
TRUSTEE/CHAIR	1.00	1.00	Yes (X)		$0	$0	$0
CYNTHIA SIERRA
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
MAROA VELEZ
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
REV LIZ WALKER
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
GREGORY WILMOT
TRUSTEE (AS OF 8/9/2022)	1.00	0.00	Yes (X)		$0	$0	$0
ANDREW YOUNISS
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
TERRI NEWSOM
SVP/CFO/TREASURER	50.00	3.00		Yes (X)	$934,731	$0	$129,464
DAVID BECK
SVP/CHIEF LEGAL COUNSEL/CLERK	50.00	3.50		Yes (X)	$641,355	$0	$58,909
ALASTAIR BELL
SVP OPS & STRATEGY/COO	50.00	1.00			$1,478,397	$0	$150,279	Yes (X)
RAVIN DAVIDOFF MD
SVP MEDICAL AFFAIRS AND CMO	50.00	1.50			$852,887	$0	$67,143	Yes (X)
NANCY GADEN
SVP CHIEF NURSING OFFICER	50.00	0.00			$696,756	$0	$110,553	Yes (X)
LISA KELLY-CROSWELL
SVP/CHRO	50.00	0.00			$688,902	$0	$94,845	Yes (X)
ARTHUR HARVEY
VP/CIO	50.00	0.00			$660,015	$0	$107,619		Yes (X)
BOB BIGGIO
SVP FACILITY & SUPT SVCS	50.00	0.00			$632,592	$0	$116,597		Yes (X)
JOE CAMILLUS
SVP AMBULATORY & PRF SVC	50.00	0.50			$614,274	$0	$110,469		Yes (X)
DAVID TWITCHELL
VP AND CHIEF PHARMACY OFFICER	50.00	0.00			$497,748	$0	$81,952		Yes (X)
THEA JAMES
VP OF MISSION AND ASSOCIATE CMO	50.00	0.00			$559,452	$0	$64,875		Yes (X)
NORMAN STEIN
FORMER SVP CHIEF DEVELOPMENT OFFICER	0.00	0.00			$400,000	$0	$1,477			Yes (X)
JULIE JONCAS
FORMER VP FINANCE	0.00	0.00			$348,704	$0	$12,144			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,519,234	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,820,991	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,156,357	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1611	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BOSTON UNIVERSITY
ONE SILBER WAY	BOSTON	MA	02215	RESEARCH & OTHER SHARED SERVICES	$56,684,394
PRICEWATERHOUSECOOPERS ADVISOR
4040 W BOY SCOUT BOULEVARD	TAMPA	FL	33607	ACCOUNTS RECEIVABLE MANAGEMENT	$25,214,571
SHC SERVICES INC
1640 W REDSTONE CTR DR	PARK CITY	UT	84098	TEMPORARY STAFFING	$19,220,343
MAXIM HEALTHCARE STAFFING
7227 LEE DEFOREST DRIVE	COLUMBIA	MD	21046	TEMPORARY STAFFING	$7,947,616
BAY COVE HUMAN SERVICES
66 CANAL ST 3RD FLOOR	BOSTON	MA	02114	BEHAVIORAL HEALTH SERVICES	$7,249,536

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	233	CntrctRcvdGreaterThan100KCnt
Fundraising	$3,329,456	FundraisingAmt
Government Grants	$46,202,877	GovernmentGrantsAmt
All Other Contributions	$16,428,257	AllOtherContributionsAmt
Noncash Contributions	$3,319,055	NoncashContributionsAmt
Total Contributions	$65,960,590	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	900099	$1,194,338,042	$1,194,338,042
PHARMACY	900099	$603,108,982	$596,825,177	$6,283,805
GRANT & CONTRACT REVENUE	900099	$128,832,849	$128,832,849
OTHER PROGRAM REVENUE	900099	$22,776,745	$22,776,745
NPP & PHARMICIST REVENUE	900099	$3,255,574	$3,255,574

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,952,312,192	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,834,966	TotalRevenueColumnAmt
Unrelated Business Revenue	$122,177	UnrelatedBusinessRevenueAmt
Exclusion	$13,712,789	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$5,104,917	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,192,133	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,912,784	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,912,784	TotalRevenueColumnAmt
Exclusion	$1,912,784	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$23,441,946	SecuritiesAmt
Other	$69,817,987	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$23,441,946	SecuritiesAmt
Other	$69,817,987	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$93,259,933	TotalRevenueColumnAmt
Unrelated Business Revenue	$89,345	UnrelatedBusinessRevenueAmt
Exclusion	$93,170,588	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$118,640	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$3,329,456	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$516,806	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$398,166	TotalRevenueColumnAmt
Exclusion	-$398,166	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PARKING	812930	$10,868,987	$10,868,987
CAFETERIA	900099	$3,309,312	$3,309,312

Field	Value	IRS element (for citing)
Other Revenue Total	$14,178,299	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,141,060,598	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,946,028,387	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,495,327	UnrelatedBusinessRevenueAmt
Exclusion	$122,576,294	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$27,465,409	TotalAmt
Program Services	$27,465,409	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$1,387,981	TotalAmt
Program Services	$1,387,981	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,062,829	TotalAmt
Management And General	$5,062,829	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$206,765	TotalAmt
Program Services	$206,765	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$619,351,482	TotalAmt
Program Services	$540,551,383	ProgramServicesAmt
Management And General	$74,530,662	ManagementAndGeneralAmt
Fundraising	$4,269,437	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$26,049,954	TotalAmt
Program Services	$22,755,490	ProgramServicesAmt
Management And General	$3,115,968	ManagementAndGeneralAmt
Fundraising	$178,496	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$90,503,452	TotalAmt
Program Services	$79,140,560	ProgramServicesAmt
Management And General	$10,739,701	ManagementAndGeneralAmt
Fundraising	$623,191	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$50,178,386	TotalAmt
Program Services	$43,832,468	ProgramServicesAmt
Management And General	$6,002,092	ManagementAndGeneralAmt
Fundraising	$343,826	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$8,609,501	TotalAmt
Program Services	$1,948,170	ProgramServicesAmt
Management And General	$6,646,818	ManagementAndGeneralAmt
Fundraising	$14,513	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,459,158	TotalAmt
Program Services	$737,228	ProgramServicesAmt
Management And General	$716,741	ManagementAndGeneralAmt
Fundraising	$5,189	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$538,917	TotalAmt
Management And General	$538,917	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$171,894,526	TotalAmt
Program Services	$120,796,174	ProgramServicesAmt
Management And General	$47,941,917	ManagementAndGeneralAmt
Fundraising	$3,156,435	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$379,230	TotalAmt
Program Services	$340,362	ProgramServicesAmt
Management And General	$12,351	ManagementAndGeneralAmt
Fundraising	$26,517	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$12,077,686	TotalAmt
Program Services	$10,503,865	ProgramServicesAmt
Management And General	$1,477,770	ManagementAndGeneralAmt
Fundraising	$96,051	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$29,804,991	TotalAmt
Program Services	$26,035,638	ProgramServicesAmt
Management And General	$3,565,127	ManagementAndGeneralAmt
Fundraising	$204,226	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$4,224,803	TotalAmt
Program Services	$3,690,504	ProgramServicesAmt
Management And General	$505,350	ManagementAndGeneralAmt
Fundraising	$28,949	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$37,812,865	TotalAmt
Program Services	$32,627,079	ProgramServicesAmt
Management And General	$4,904,817	ManagementAndGeneralAmt
Fundraising	$280,969	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,725,122	TotalAmt
Program Services	$980,964	ProgramServicesAmt
Management And General	$1,713,584	ManagementAndGeneralAmt
Fundraising	$30,574	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,142,362	TotalAmt
Program Services	$1,041,228	ProgramServicesAmt
Management And General	$82,663	ManagementAndGeneralAmt
Fundraising	$18,471	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$23,414,985	TotalAmt
Program Services	$20,453,758	ProgramServicesAmt
Management And General	$2,800,786	ManagementAndGeneralAmt
Fundraising	$160,441	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$104,260,248	TotalAmt
Program Services	$91,074,751	ProgramServicesAmt
Management And General	$12,471,099	ManagementAndGeneralAmt
Fundraising	$714,398	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$17,594,041	TotalAmt
Program Services	$15,368,972	ProgramServicesAmt
Management And General	$2,104,513	ManagementAndGeneralAmt
Fundraising	$120,556	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
DRUGS	$501,513,589	$501,481,060	$32,529
PHYSICIAN SERVICES	$136,775,860	$128,548,392	$8,227,921	-$453
PATIENT RELATED SUPPLIE	$100,264,408	$103,303,798	-$3,043,888	$4,498
DIRECT RESEARCH	$74,918,489	$74,917,830	$632	$27

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$78,835,743	TotalAmt
Program Services	$47,803,794	ProgramServicesAmt
Management And General	$30,396,323	ManagementAndGeneralAmt
Fundraising	$635,626	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,128,452,782	TotalAmt
Program Services	$1,896,993,623	ProgramServicesAmt
Management And General	$220,547,222	ManagementAndGeneralAmt
Fundraising	$10,911,937	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$20,037,332	BOYAmt
EOY	$117,953,834	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$470,196,193	BOYAmt
EOY	$167,341,237	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$28,217,572	BOYAmt
EOY	$30,640,295	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$169,608,461	BOYAmt
EOY	$217,933,251	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$90,547,535	BOYAmt
EOY	$60,105,321	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$19,427,967	BOYAmt
EOY	$24,483,909	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,414,876	BOYAmt
EOY	$6,053,001	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,157,875,228	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,184,640,777	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$990,081,074	BOYAmt
EOY	$973,234,451	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$54,119,501	BOYAmt
EOY	$43,564,952	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$337,430,094	BOYAmt
EOY	$298,095,538	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$510,000	BOYAmt
EOY	$510,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$558,152,332	BOYAmt
EOY	$516,273,791	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,744,742,937	BOYAmt
EOY	$2,456,189,580	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$249,971,153	BOYAmt
EOY	$283,352,896	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$36,212,006	BOYAmt
EOY	$31,563,893	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$430,802,607	BOYAmt
EOY	$422,642,694	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$180,000,000	BOYAmt
EOY	$180,000,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$427,229,350	BOYAmt
EOY	$283,070,274	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,324,215,116	BOYAmt
EOY	$1,200,629,757	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,008,436,056	BOYAmt
EOY	$909,333,701	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$412,091,765	BOYAmt
EOY	$346,226,122	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,420,527,821	BOYAmt
EOY	$1,255,559,823	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,744,742,937	BOYAmt
EOY	$2,456,189,580	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$12,607,816	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$156,494,149	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	-$12,878,422	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	-$8,203,243	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$24,563,859	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$25,615,642	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$133,609,173	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$150,978,125	CurrentTaxYearMinus1YearAmt
Current Tax Year	$65,960,590	CurrentTaxYearAmt
Total	$400,727,389	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$24,563,859	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$25,615,642	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$133,609,173	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$150,978,125	CurrentTaxYearMinus1YearAmt
Current Tax Year	$65,960,590	CurrentTaxYearAmt
Total	$400,727,389	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$400,727,389	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$37,639,990	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$23,179,858	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$18,969,810	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$19,480,934	CurrentTaxYearMinus1YearAmt
Current Tax Year	$18,817,706	CurrentTaxYearAmt
Total	$118,088,298	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$273,343	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,867,255	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,809,363	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,854,577	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,357,068	CurrentTaxYearAmt
Total	$12,161,606	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,259,300	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$15,535,712	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$23,251,865	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$13,079,088	CurrentTaxYearMinus1YearAmt
Current Tax Year	$14,178,299	CurrentTaxYearAmt
Total	$72,304,264	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$603,281,557	TotalSupportAmt
Gross Receipts Rltd Activities	$8,448,264,068	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.66420	PublicSupportCY170Pct
Public Support PY170	0.66890	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	FormAndLineReferenceDesc
Explanation	CAFETERIA - 2017 AMOUNT: $ 3,830,150. 2018 AMOUNT: $ 4,290,813. 2019 AMOUNT: $ 3,300,767. 2020 AMOUNT: $ 2,802,878. 2021 AMOUNT: $ 3,309,312. PARKING - 2017 AMOUNT: $ 2,429,150. 2018 AMOUNT: $ 11,244,899. 2019 AMOUNT: $ 10,063,598. 2020 AMOUNT: $ 10,276,210. 2021 AMOUNT: $ 10,868,987. GAIN ON SALE OF TAX CREDITS - 2019 AMOUNT: $ 9,887,500.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$709,074,381	BeginningYearBalanceAmt
Contributions	$285,759,688	ContributionsAmt
Investment Earnings Or Losses	$25,210,971	InvestmentEarningsOrLossesAmt
Other Expenditures	$292,657,917	OtherExpendituresAmt
Administrative Expenses	$2,525,081	AdministrativeExpensesAmt
End Year Balance	$724,862,042	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$697,009,021	BeginningYearBalanceAmt
Contributions	$21,885,406	ContributionsAmt
Investment Earnings Or Losses	$40,783,482	InvestmentEarningsOrLossesAmt
Other Expenditures	$47,477,741	OtherExpendituresAmt
Administrative Expenses	$3,125,787	AdministrativeExpensesAmt
End Year Balance	$709,074,381	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.47800	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.06370	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.45830	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,987,068	OtherCostOrOtherBasisAmt
Book Value	$15,987,068	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,229,032,175	OtherCostOrOtherBasisAmt
Depreciation	$536,482,603	DepreciationAmt
Book Value	$692,549,572	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$38,246,977	OtherCostOrOtherBasisAmt
Depreciation	$26,764,875	DepreciationAmt
Book Value	$11,482,102	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$714,862,372	OtherCostOrOtherBasisAmt
Depreciation	$553,462,986	DepreciationAmt
Book Value	$161,399,386	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$159,746,636	OtherCostOrOtherBasisAmt
Depreciation	$67,930,313	DepreciationAmt
Book Value	$91,816,323	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$973,234,451	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	DONOR RESTRICTED INVESTMENTS	Desc
Book Value	$298,095,538	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$298,095,538	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
BOARD DESIGNATED INVESTMENTS	$287,808,741
FUNDS HELD BY TRUSTEES	$40,472,208
CURRENT PORTION OF EST SETTLEMENT W/3RD PARTY PAY	$10,611,883
INSURANCE RECOVERY RECEIVABLES	$42,463,776
OTHER LONG-TERM ASSETS	$37,188,136
RIGHT OF USE ASSETS - FINANCE AND OPERATING	$97,729,047

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$516,273,791	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ESTIMATED SETTLEMENTS WITH THIRD PARTY PAYERS	$60,414,810
OTHER CURRENT LIABILITIES	$45,687,925
OBLIGATIONS UNDER FINANCING LEASES	$7,836,980
OBLIGATIONS UNDER OPERATING LEASES	$95,529,249
OTHER LONG-TERM LIABILITIES	$61,865,661
DUE TO RELATED PARTIES	$11,735,649

Field	Value	IRS element (for citing)
Total Liability	$283,070,274	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 CORPORATION, THE MEDICAL CENTER, WELLSENSE, UDF, ECMF, BUAP, FACULTY AND THE PLANS, BACO, BMCICS, AND BMCIC OF VERMONT 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 THE HEALTH SYSTEM CORPORATION FOR TAX PURPOSES AND ALL TAXABLE ACTIVITIES OF CLEARWAY ARE ATTRIBUTED TO AND REPORTED AT THE HEALTH SYSTEM CORPORATION. ALL CONTRACT RELATED REVENUE AND EXPENSE WERE RECORDED AT THE MEDICAL CENTER AND EVALUATED FOR UNRELATED BUSINESS INCOME TAX (UBIT). THE HEALTH SYSTEM 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, 2022 AND 2021. THE HEALTH SYSTEM ANNUALLY ASSESSES WHETHER IT MUST RECOGNIZE AN UNRELATED BUSINESS INCOME TAX EXPENSE (UBIT). THE AMOUNTS RECOGNIZED AS UBIT EXPENSE WERE NOT MATERIAL TO THE HEALTH SYSTEM'S CONSOLIDATED OPERATIONS OR CHANGES IN NET ASSETS FOR THE YEARS ENDED SEPTEMBER 30, 2022 AND 2021.
SCHEDULE D, PART V, LINE 2	PRESENTATION 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, 2022 AUDITED FINANCIAL STATEMENTS CLASSIFY NET ASSETS AS EITHER NET ASSETS WITHOUT DONOR RESTRICTIONS, OR NET ASSETS WITH DONOR RESTRICTIONS. FOR PURPOSES OF SCHEDULE D, 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

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (13 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS	$105,251
EAST ASIA AND THE PACIFIC	0	0	INVESTMENTS	$1,995,772
EUROPE	0	0	INVESTMENTS	$6,847,857
MIDDLE EAST AND NORTH AFRICA	0	0	INVESTMENTS	$1,101,903
NORTH AMERICA	0	0	INVESTMENTS	$3,742,746
SOUTH AMERICA	0	0	INVESTMENTS	$402,140
SUB-SAHARIAN AFRICA	0	0	INVESTMENTS	$681,385
EAST ASIA AND THE PACIFIC	0	0	GRANTMAKING	$82,350
EUROPE	0	0	GRANTMAKING	$56,689
NORTH AMERICA	0	0	GRANTMAKING	$117,064
RUSSIA	0	0	GRANTMAKING	$166,227
SOUTH ASIA	0	0	GRANTMAKING	$157,455
SUB-SAHARIAN AFRICA	2	15	GRANTMAKING	$808,196

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	2	ContinuationTotalOfficeCnt
Continuation Total Employee	15	ContinuationTotalEmployeeCnt
Total Office	2	TotalOfficeCnt
Total Employee	15	TotalEmployeeCnt
Subtotal Spent	$14,959,404	SubtotalSpentAmt
Continuation Spent	$1,305,631	ContinuationSpentAmt
Total Spent	$16,265,035	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (6 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Non Cash AssistanceNonCashAssistanceAmt
EAST ASIA & PACIFIC	SUBAWARD	$82,350	WIRE TRANSFER	$0
EUROPE	SUBAWARD	$56,689	WIRE TRANSFER	$0
NORTH AMERICA	SUBAWARD	$117,064	WIRE TRANSFER	$0
RUSSIA	SUBAWARD	$166,227	WIRE TRANSFER	$0
SOUTH ASIA	SUBAWARD	$157,455	WIRE TRANSFER	$0
SUB-SAHARAN AFRICA	SUBAWARD	$808,196	WIRE TRANSFER	$0

Field	Value	IRS element (for citing)
Total501c3 Org	14	Total501c3OrgCnt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 ON THE ORGANIZATION'S GENERAL LEDGER.
PART III ACCOUNTING METHOD:

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA	Event1Nm
Gross Receipts Event1	$2,490,506	GrossReceiptsEvent1Amt
Charitable Contri Event1	$2,434,556	CharitableContriEvent1Amt
Gross Revenue Event1	$55,950	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$43,897	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$110,591	FoodAndBeverageEvent1Amt
Entertainment Event1	$90,386	EntertainmentEvent1Amt
Other Direct Expenses Event1	$185,210	OtherDirectExpensesEvent1Amt
Event2	PATRIOTS EVENT	Event2Nm
Gross Receipts Event2	$362,500	GrossReceiptsEvent2Amt
Charitable Contri Event2	$348,900	CharitableContriEvent2Amt
Gross Revenue Event2	$13,600	GrossRevenueEvent2Amt
Other Events Total	4	OtherEventsTotalCnt
Gross Receipts Other Events	$595,090	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$546,000	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$49,090	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$2,500	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$69,855	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$10,075	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$4,292	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$3,448,096	GrossReceiptsTotalAmt
Charitable Contributions Tot	$3,329,456	CharitableContributionsTotAmt
Gross Revenue Total Events	$118,640	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$46,397	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$180,446	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$100,461	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$189,502	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$516,806	DirectExpenseSummaryEventsAmt
Net Income Summary	-$398,166	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$147,965,374	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,448,304	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$86,517,070	NetCommunityBenefitExpnsAmt
Total Expense	0.04060	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,164,061,122	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$670,686,992	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$493,374,130	NetCommunityBenefitExpnsAmt
Total Expense	0.23180	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,312,026,496	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$732,135,296	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$579,891,200	NetCommunityBenefitExpnsAmt
Total Expense	0.27240	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,216,207	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,624,459	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,591,748	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$71,435,476	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,906,577	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,528,899	NetCommunityBenefitExpnsAmt
Total Expense	0.02420	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	854	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$79,944,146	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$60,577,289	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,366,857	NetCommunityBenefitExpnsAmt
Total Expense	0.00910	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	854	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$172,595,829	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$96,108,325	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,487,504	NetCommunityBenefitExpnsAmt
Total Expense	0.03590	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	854	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,484,622,325	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$828,243,621	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$656,378,704	NetCommunityBenefitExpnsAmt
Total Expense	0.30830	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$160,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$160,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$15,730,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,730,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00740	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$996,468	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$300,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$696,468	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$878,875	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$878,875	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$159,913	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$159,913	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$17,925,256	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$300,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,625,256	NetCommunityBenefitExpnsAmt
Total Expense	0.00830	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,312,590	BadDebtExpenseAmt
Reimbursed By Medicare	$156,822,886	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$179,836,703	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$23,013,817	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BOSTON MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE BOSTON MEDICAL CENTER PLACE	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02118	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://WWW.BMC.ORG	WebsiteAddressTxt
State License	V112	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BOSTON MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.BMC.ORG/CARE-OUR-COMMUNITY	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTPS://WWW.BOSTONCHNA.ORG/	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.BMC.ORG/CARE-OUR-COMMUNITY	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.BMC.ORG/PATIENT-FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.BMC.ORG/PATIENT-FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.BMC.ORG/PATIENT-FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 AVENUE 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 CENTER	PART 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-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.
BOSTON MEDICAL CENTER	PART 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 CENTER	PART 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 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 AND SUBSTANCE USE DISORDER, VIOLENCE, HOUSING AFFORDABILITY, 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 13H: SCHEDULE H, PART V, SECTION B, LINE 13AFOR 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 OF 40% (REGARDLESS OF INCOME LEVEL, ETC.) IF THE PAYMENTS ARE MADE WITHIN THE FIRST 30 DAYS FROM SERVICE.SCHEDULE H, PART V, SECTION B, LINE 13HBY 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 (CONNECTORCARE, MEDICAID, OR HEALTH SAFETY NET) 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.
PART V, SECTION B	THE PREVIOUS CHNA WAS CONDUCTED DURING FISCAL 2018-2019, WITH THE APPROVAL OF THE CHNA IN 2019 AND THE APPROVAL OF THE ASSOCIATED IMPLEMENTATION STRATEGY IN EARLY FISCAL 2020. THE CURRENT CHNA WAS APPROVED IN 2022 AND THE ASSOCIATED IMPLEMENTATION STRATEGY WAS THEN APPROVED IN EARLY FISCAL 2023.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - MARGARET M SHEA RN ADULT HEALTH PROGR
RIVER STREET	MATTAPAN	MA	02126	ADULT DAYCARE
2 - BOSTON EMERGENCY SERVICES TEAM (BEST)
85 EAST NEWTON STREET	BOSTON	MA	02118	DEPARTMENT OF MENTAL HEALTH-LICENSED COMMUNITY CRISIS STABILIZATION SERVICE
3 - BMC BROCKTON BEHAVIORAL HEALTH CENTER
10 MEADOWBROOK ROAD	BROCKTON	MA	02301	BUREAU OF SUBSTANCE ADDICTION SERVICES-CERTIFIED CLINICAL STABILIZATION SRVC
4 - BOSTON MEDICAL CENTER COMMUNITY BEHAVIOR
850 HARRISON AVE - DOWLING BLDG 7TH	BOSTON	MA	02118	BUREAU OF SUBSTANCE ADDICTION SERVICES	FL

Supplemental Information Detail SupplementalInformationDetail (19 entries)

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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 OF 40% (REGARDLESS OF INCOME LEVEL, ETC.) IF THE PAYMENTS ARE MADE WITHIN THE FIRST 30 DAYS FROM SERVICE.INTRODUCTIONTHE STATUTE THAT CREATED BOSTON MEDICAL CENTER (BMC) REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 514-BED, URBAN ACADEMIC MEDICAL CENTER. IT EMPHASIZES COMMUNITY-BASED, ACCESSIBLE CARE AND IS GROUNDED BY ITS 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. 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 59% OF OUR PATIENTS 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. 32% 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 MORE THAN 25,816 ADMISSIONS AND 1 MILLION PATIENT VISITS PER YEAR, 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 HAS MORE THAN 139,577 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 18% 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 BMCACCORDING TO THE MASSACHUSETTS HEALTH INSURANCE SURVEY'S 2020 RESEARCH BRIEF, AN ESTIMATE OF 2.9% OF RESIDENTS WERE UNINSURED AND 92% OF MASSACHUSETTS RESIDENTS HAD COVERAGE DURING THE SURVEY OF WHICH 55.9% REPORTED EMPLOYER-SPONSORED INSURANCE (ESI) AND 43% REPORTED OTHER NON-ESI. STILL, INSURED RESIDENTS IN FAIR OR POOR HEALTH HAVE HIGH RATES OF AFFORDABILITY ISSUES WITH 25.5% REPORTING CHALLENGES PAYING THEIR MEDICAL BILLS. OF BMC'S PATIENTS IN 2022, MEDICAID MAKES UP 46.46%, MEDICARE IS 22.63%, UNINSURED IS 2.38%, PRIVATE COMMERCIAL IS 27.64%, WITH THE REMAINDER OF 0.89% 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 2022, BMC RECOGNIZED NET FAVORABLE SETTLEMENTS FROM MEDICARE, MEDICAID, WELLSENSE, BLUE CROSS AND OTHER PAYORS RELATED TO PRIOR YEARS OF APPORXIMATELY $6,300,000.
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:ACCORDING TO THE DEVELOPMENT IMPACT PROJECT AGREEMENT FOR THE MOAKLEY CENTER ADDITION AND INPATIENT BUILDING PHASE I TRANSPORT BRIDGE PROJECT BETWEEN BOSTON MEDICAL CENTER AND THE BOSTON REDEVELOPMENT AUTHORITY, DATED MAY 5, 2014, BMC AGREES TO PAY LINKAGE FEES OF $25,746, ENDING IN 2022 TO THE NEIGHBORHOOD JOBS TRUST.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 $15.8 MILLION IN OPERATING SUPPORT TO THE BOSTON HEALTHNET HEALTH CENTERS EACH YEAR. OTHER NET SUBSIDIES INCLUDE MOSTLY ECONOMIC DEVELOPMENT, COMMUNITY HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT.
PART III, LINE 2:	SCHEDULE H, PART III, LINE 3 REPORTS BAD DEBT EXPENSE AT COST. PATIENT PAYMENTS ON ACCOUNTS 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 1(U) FOUND ON PAGES 17 AND 18 OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	MEDICARE ALLOWABLE COSTS OF $179,836,703 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 WITH HEALTH. 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 REPRESENT THE MOST RECENT DATA AVAILABLE, AND IN SEVERAL CASES OVERLAP 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 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-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 ACCESS BIRTH 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 HAS REQUIRED SHIFTS IN SERVICE PROVISION, MOST NOTABLY, THROUGH THE UTILIZATION OF VIRTUAL SUPPORT STRATEGIES TO BUILD CONNECTION BEFORE AND AFTER BIRTH. DURING THE 2022 FISCAL YEAR, BIRTH SISTERS PROVIDED SUPPORT FOR 245 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 2022, THE CATALYST CLINIC RECEIVED APPROXIMATELY 107 REFERRALS TO THE CLINIC; 825 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 AIMED AT FAMILIES WITH NEWBORNS, AND IS COLLECTING DATA TO UNDERSTAND ITS IMPACT. THE PILOT LAUNCHED IN JANUARY 2020 AND HAS SINCE ENROLLED 100 FAMILIES. ULTIMATELY, A FINANCIALLY SUSTAINABLE MODEL WILL BE SCALED TO THE LARGER PRIMARY CARE PRACTICE. IN ADDITION, THE CENTER IS PARTNERING WITH WELLSENSE, BMC'S HEALTH INSURANCE PROGRAM, TO TEST ALTERNATIVE PAYMENT MODELS TO ULTIMATELY REDEFINE VALUE IN PEDIATRIC CARE. ELDERS LIVING AT HOME PROGRAM (ELAHP): THE GOAL OF ELAHP IS TO HELP OLDER ADULTS WHO ARE HOMELESS OR AT RISK FOR HOMELESSNESS SECURE AND MAINTAIN A PERMANENT RESIDENCE AND LIVE AS INDEPENDENTLY AS POSSIBLE. ELAHP SERVED 613 CLIENTS DURING FISCAL YEAR 2022. OF THESE CLIENTS, 340 RECEIVED HOUSING SEARCH AND PLACEMENT SERVICES; 112 RECEIVED HOUSING STABILIZATION SERVICES; AND 161 RECEIVED HOMELESSNESS PREVENTION ASSISTANCE. OVER THE LAST 12 YEARS, THE SUCCESS RATE OF ELAHP'S STABILIZATION SERVICES IS 98%. AN ADDITIONAL 157 CLIENTS WERE SERVED THROUGH THE LIVING WELL AT HOME PROJECT, 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. SOME CLIENTS RECEIVED MORE THAN ONE TYPE OF SERVICE. ALL CLIENTS SUFFER FROM AT LEAST ONE CHRONIC ILLNESS, AND 96% SUFFER FROM TWO OR MORE DISABLING MEDICAL CONDITIONS.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 FY2022, THERE WERE 101 NEW PATIENTS. FORTY-FIVE PERCENT (45%) OF CLINIC PATIENTS WERE 12 MONTHS OF AGE OR YOUNGER; THE AVERAGE AGE AT REFERRAL WAS 24 MONTHS; AND THE AVERAGE LENGTH OF TREATMENT WAS 28 MONTHS. THERE WERE 1,054 TOTAL CLINIC VISITS DURING THIS PERIOD. APPROXIMATELY 20% OF PATIENT FAMILIES WERE HOMELESS AND LIVING IN SHELTERS. CLINICIANS MADE 238 HOME VISITS IN FY22. 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 344,000 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, THE BOSTON UNIVERSITY 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 2022 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, 8 BOSTON HEALTHNET COMMUNITY HEALTH CENTERS 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.VACCINATION UPTAKEEARLY IN ITS TRAJECTORY, THE COVID-19 PANDEMIC REVEALED GROSS INEQUITIES IN THE UPTAKE OF VACCINATIONS BY BLACK AND LATINX PEOPLE ACROSS THE US, WITH DEADLY CONSEQUENCES. BETWEEN DECEMBER 2020 AND NOVEMBER 2021, 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 PROVIDING VACCINE ACCESS AS WELL AS HEALTH EDUCATION TO RESIDENTS OF THE CITY'S MOST IMPOVERISHED NEIGHBORHOODS.BMC ESTABLISHED SEVEN COMMUNITY-BASED VACCINATION CLINICS AND CONDUCTED 99 INDIVIDUAL MOBILE VACCINATION EVENTS IN ADDITION TO VACCINATION OPPORTUNITIES ON THE MEDICAL CAMPUS TO REACH THE HEALTH EQUITY GOALS IN HISTORICALLY DISINVESTED COMMUNITIES. THE VACCINATION PROGRAM ADMINISTERED OVER 100,000 FIRST DOSES. 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. BOSTON MEDICAL CENTER (BMC) SUCCESSFULLY IMPLEMENTED A ROBUST MOBILE COVID-19 VACCINATION ACCESS AND OUTREACH PROGRAM FOCUSED ON ENSURING EQUITABLE ACCESS TO THE VACCINE AND THAT COMMUNITIES COULD BE VACCINATED IN PLACES THAT THEY KNOW AND TRUST. IN ORDER TO MAXIMIZE THE IMPACT OF OUR OUTREACH RESOURCES, BMC MAPPED ADDRESSES OF UNVACCINATED BMC PATIENTS TO IDENTIFY "HOTSPOTS" OF VACCINE HESITANCY. BMC LEVERAGED RELATIONSHIPS WITH EXISTING COMMUNITY PARTNERS AND FORMED PARTNERSHIPS WITH NEW ONES. THESE COLLABORATIONS ENABLED INCREASED ACCESS TO VACCINES FOR COMMUNITIES IN NEED AND THE SUCCESSFUL IMPLEMENTATION OF HIGH-TOUCH OUTREACH, EDUCATION, AND VACCINATION "POP UP" EVENTS. THE BMC MOBILE COVID-19 VACCINATION TEAM BROUGHT VACCINATION APPOINTMENTS DIRECTLY TO PATIENTS' NEIGHBORHOODS THROUGH "POP UP" EVENTS, CURBSIDE VACCINATIONS, AND HOME-BASED VACCINATIONS.BMC RAN MORE THAN 175 MOBILE, "POP-UP" VACCINATION EVENTS FROM JULY THROUGH DECEMBER 2021 IN BROCKTON AND BOSTON. EVENTS IN BROCKTON INCLUDED PARTNERSHIPS WITH CHURCHES, COMMUNITY HEALTH CENTERS, AND NUMEROUS AMBULANCE CURBSIDE VACCINATIONS. AS THESE EVENTS WERE HELD IN CONVENIENT LOCATIONS WITHIN THE RESPECTIVE COMMUNITIES, INCLUDING COMMUNITY ORGANIZATIONS, CHURCHES, AND SCHOOLS, AND WITH THE SUPPORT OF BMC'S COMMUNITY VACCINE NETWORK WHICH HELPED PATIENTS TO SECURE VACCINE APPOINTMENTS, OUR EFFORTS WERE HIGHLY EFFECTIVE IN REMOVING BARRIERS TO VACCINATION. VACCINE UPTAKE IN COMMUNITIES DISPROPORTIONALLY IMPACTED BY THE PANDEMIC IMPROVED FOLLOWING THE VACCINATION PROGRAM. BETWEEN JULY 15TH AND DECEMBER 4TH, BMC'S MOBILE VACCINATION EFFORTS ADMINISTERED 4,337 DOSES OF THE COVID-19 VACCINE. OF THE 1,844 FIRST DOSE VACCINES ADMINISTERED, 68% WERE GIVEN TO PEOPLE IN THE TOP THREE SOCIAL VULNERABILITY INDEX (SVI) DECILES AND 55% WERE ADMINISTERED TO BLACK (32%) AND LATINX (23%) PATIENTS. BMC'S MOBILE VACCINATION TEAM WAS COMPRISED OF MULTILINGUAL AND MULTICULTURAL REGISTERED NURSES FROM THE LOCAL COMMUNITY WHO WERE ABLE TO COMMUNICATE WITH PATIENTS IN THEIR PREFERRED LANGUAGES AND EFFECTIVELY ADDRESS VACCINE HESITANCY, PROVIDE CULTURALLY COMPETENT EDUCATION, AND NAVIGATE PATIENTS TO THE POP-UP EVENTS AND VACCINATION SITES. THESE NURSES WERE ABLE TO FACILITATE PATIENT-CENTERED CONVERSATIONS AND DEVELOP RAPPORT, CREATING SPACE FOR PATIENTS TO OPEN UP ABOUT THEIR CONCERNS AND PAST HEALTHCARE TRAUMAS. 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: THE PROGRAM HOLDS A LICENSE UNDER THE DEPARTMENT OF PUBLIC HEALTH AND OFFERS FAMILIES PEACE OF MIND AND A SUPPORT SYSTEM TO HELP THEM CARE DAILY FOR A FAMILY MEMBER UNABLE TO FUNCTION ALONE DURING THE DAY. THE PROGRAM OFFERS INTERVENTION PROGRAMS THAT PROVIDE SERVICES IN AN AMBULATORY, HOME-LIKE SETTING FOR ADULTS WHO DO NOT REQUIRE 24-HOUR INSTITUTIONAL CARE BUT, BECAUSE OF PHYSICAL AND/OR MENTAL IMPAIRMENT, ARE NOT COMPLETELY ABLE TO LIVE INDEPENDENTLY OR REMAIN AT HOME, ALLOWING FAMILY MEMBERS THE OPPORTUNITY TO CONTINUE TO WORK WHILE THEIR LOVED ONE IS AT A PROGRAM DURING THE DAY. A REFERRED PARTICIPANT CAN LOOK FORWARD TO PROGRAM OFFERINGS SUCH AS NURSING INTERVENTIONS, SOCIAL SERVICES, THERAPEUTIC ACTIVITIES, AND TRANSPORTATION TO AND FROM THE PROGRAM.DUE TO COVID-19, THE PROGRAM CLOSED IN-PERSON PROGRAMING IN MARCH 2020, WITH STAFF MAINTAINING CLOSE CONTACT VIA TELEPHONIC REMOTE SERVICES. CLIENTS BEGAN TO RETURN TO IN-PERSON SERVICES IN OCTOBER 2020, WITH ONLY 4-6 CLIENTS PER DAY THROUGH THE WINTER OF 2020-2021. REMOTE SERVICES CONTINUED THROUGH FALL OF 2021 INCLUDING CLIENTS JOINING US FROM HOME VIA ZOOM FOR BINGO AND OTHER ACTIVITY PROGRAMS. BY THE END OF DECEMBER 2021 ALL CLIENTS RETURNED TO IN-PERSON PROGRAMING AND TO THEIR AUTHORIZED &/OR SCHEDULED PREFERENCE OF 2-5 DAYS PER WEEK. THE PROGRAM SERVED AN AVERAGE ROSTER OF 33 PARTICIPANTS DURING 2022 WITH AN AVERAGE OF 20 CLIENTS PER DAY IN ATTENDANCE. DURING THIS TIME PERIOD THE PROGRAM ALSO WELCOMED NEW STAFF INCLUDING A NEW PROGRAM DIRECTOR, SOCIAL WORKER, NURSES AND PROGRAM AIDES.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 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 11,000 FAMILY REFERRALS SINCE ITS INCEPTION IN 2007 AND APPROXIMATELY 1,500 IN FY22. ADDITIONALLY, THE PROGRAM TRAINS OVER 1,000 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 TEAM OF EXPERTS WORK CLOSELY WITH EACH PATIENT'S PRIMARY CARE PHYSICIAN, 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 PAIN MANAGEMENT PLAN TO BEST FIT THEIR NEEDS. STRATEGIES AND PARENTING SUPPORT ARE ALSO OFFERED FOR FAMILIES WHO MAY TRAVEL A LONG DISTANCE TO RECEIVE THIS SPECIALIZED CARE. THE TEAM COMMUNICATES WITH SCHOOLS AND OUTSIDE PROVIDERS TO ENSURE COMPREHENSIVE AND COLLABORATIVE CARE.PREVENTIVE FOOD PANTRY, TEACHING KITCHEN, AND ROOFTOP FARM: 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. DUE TO THE COVID-19 PANDEMIC, THERE HAVE BEEN DECREASED NUMBERS OF PEOPLE VISITING BMC. HOWEVER, THE FOOD PANTRY HAS CONTINUED TO PROVIDE NUTRITIONAL FOOD PRESCRIPTIONS TO APPROXIMATELY 5,643 PEOPLE EACH MONTH. IN FY22, WE PROVIDED FOOD TO 67,712 PEOPLE. WE DISPENSED APPROX. 10,500 POUNDS OF FOOD EACH WEEK. THIS EQUATES TO APPROXIMATELY 8 POUNDS OF GROCERIES PER PERSON. 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 PREP, 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 FY 2022, THE FARM GREW OVER 4,000 LBS OF FOOD VALUED AT $18,000 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. PROJECT REACH: AN INITIATIVE CREATED AS A RESULT OF THE COVID-19 PANDEMIC WAS LAUNCHED TO ASSESS THE WELL-BEING OF ALL BMC PEDIATRIC PATIENTS WHO WERE QUARANTINING IN THEIR HOMES. DURING ASSESSMENTS, THE TEAM LEARNED THAT 15% OF PEDIATRIC FAMILIES WERE NOT ABLE TO LEAVE THEIR HOUSES DUE TO POSITIVE COVID-19 DIAGNOSES, CHILDCARE NEEDS OR RISK TO VULNERABLE FAMILY MEMBERS, LEAVING THEM IN DIRE NEED OF FOOD AND SUPPLIES. IN RESPONSE, PROJECT REACH QUICKLY PARTNERED WITH THE MOBILE TEAM TO EXPAND ON HOME VISITS TO INCLUDE DELIVERIES OF FOOD, HYGIENE ITEMS, CLEANING SUPPLIES AND OTHER SERVICES SUCH AS STRESS MANAGEMENT, FINANCIAL EDUCATION, MUSIC CLASSES AND STORY TIMES FOR CHILDREN. FROM OCTOBER 2020 THROUGH SEPTEMBER 2022, PROJECT REACH STAFF CONNECTED WITH THE FAMILIES OF OVER 1,500 PATIENTS FOR ASSESSMENT OF NEED AND SUPPORTS TO ADDRESS THEM, INCLUDING FOOD INSECURITY.
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 SCHOOL OF MEDICINE. PROJECT RESPECT PROVIDES A UNIQUE SERVICE OF COMPREHENSIVE OBSTETRIC AND SUBSTANCE USE DISORDER TREATMENT FOR PREGNANT WOMEN AND THEIR NEWBORNS IN MASSACHUSETTS. THE MAJORITY OF PROJECT RESPECT'S PATIENTS ARE IN RECOVERY FROM OPIOID ADDICTION. IN-PATIENT, MONITORED, ACUTE SUBSTANCE WITHDRAWAL TREATMENT AND INDUCTION OF OPIOID MAINTENANCE THERAPIES FOR PREGNANT WOMAN 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 WOMEN IN RECOVERY. PROJECT RESPECT TREATS AN AVERAGE OF 120-150 PATIENTS PER MONTH, WITH 6-10 NEW PATIENTS PER MONTH. IN FY22, PROJECT RESPECT SUPPORTED MORE THAN 220 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 CHILD VISITS 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 MEDICAL TAX COLLABORATIVE, STREETCRED HAS PREPARED 6,000 TAX RETURNS, WHICH PROVIDED $14 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 HAS ONLY BEEN AMPLIFIED THROUGH THE PANDEMIC. AS THESE CRITICAL BEHAVIORAL HEALTH SERVICES PROVIDED A SUPPORTIVE CONNECTION TO CARE FOR MANY FAMILIES THROUGH 2022, 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: THE CHILD MENTAL HEALTH INITIATIVE-TEAM UP-IS A PARTNERSHIP BETWEEN BMC AND SEVEN REGIONAL COMMUNITY HEALTH CENTERS THAT SEEKS TO INTEGRATE MENTAL HEALTH CARE WITH PRIMARY CARE FOR CHILDREN SO THAT FAMILIES CAN RECEIVE ALL CARE IN ONE PLACE. ENGAGEMENT WITH THE TEAM UP MODEL OCCURS: WHEN A PARENT BRINGS IN A CHILD WITH BEHAVIORAL HEALTH ISSUES; WHEN A PRIMARY CARE PROVIDER REFERS A CHILD WITH BEHAVIORAL HEALTH ISSUES; WHEN A PRIMARY CARE PROVIDER EXPRESSES CONCERNS ABOUT A FAMILY; WHEN A CHILD OR FAMILY EXPERIENCES A NEW MAJOR STRESSOR (E.G., PARENTAL SEPARATION, DIAGNOSIS OF A SERIOUS ILLNESS); AND AFTER A COMPREHENSIVE PSYCHOSOCIAL AND BEHAVIORAL HEALTH ASSESSMENT DURING A WELL-CHILD VISIT IN THE PRIMARY CARE SETTING. THE GOAL OF TEAM UP IS TO PROMOTE POSITIVE CHILD HEALTH AND WELL-BEING THROUGH INNOVATION AND CONSISTENT DELIVERY OF EVIDENCE-BASED INTEGRATED CARE. BMC SUPPORTS IMPLEMENTATION OF THE TEAM UP MODEL THROUGH A LEARNING COMMUNITY THAT PROVIDES PRACTICE TRANSFORMATION SUPPORT AND CLINICAL TRAINING. BMC IS ALSO UNDERTAKING AN EVALUATION OF THE MODEL; DATA ARE USED TO GUIDE IMPLEMENTATION AND ASSESS THE IMPACT OF THE MODEL.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 FIVE YEARS PROCEEDING, 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 2022, OVER 220 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. MOREOVER, THE COVID-19 PANDEMIC HAS RESULTED IN DISPROPORTIONATELY HIGH RATES OF HOSPITALIZATION AND DEATH AMONG BLACK AND AFRICAN AMERICAN AND HISPANIC AND LATINO PERSONS, AND CHILDREN FROM THESE RACIAL AND ETHNIC GROUPS COMPRISED ABOUT 76% OF GOOD GRIEF'S PATIENTS TO DATE.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 ELDERS LIVING AT HOME PROGRAM AND AND DEEPER COLLABORATION WITH BOSTON AND CAMBRIDGE HOUSING AUTHORITY ON SUPPORTIVE HOUSING PROGRAMS. THE FOLLOWING ADDRESSES THE SECOND OF THESE MULTI-YEAR COMMITMENTS.
SCHEDULE H, PART VI, LINE 5 (CONTINUATION):	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 WENT US 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 ELDERS LIVING 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.BMC PROVIDED A THREE-MONTH EXTENSION TO THE COMMUNITY BUILDERS (TCB) TO CONTINUE THE PARTNERSHIP WHICH ALLOWS FOR BMC TO SUPPORT SERVICE PROVISION AT THE NEW FRANKLIN APARTMENTS. TCB IMPLEMENTS A PLACE-BASED MODEL THAT USES STABLE HOUSING AS A PLATFORM FOR RESIDENTS AND NEIGHBORHOODS TO ACHIEVE SUCCESS. THIS ON-SITE HOUSING WORKER DOES ANNUAL ASSESSMENTS OF RESIDENTS' NEEDS IN THE COMMUNITY, AND DEVELOPS PERSONALIZED PLANS TO CONNECTING RESIDENTS TO THOSE RESOURCES. IN ADDITION, WHEN RESOURCES GAPS EXIST, THE ONSITE HOUSING WORKER WILL DEVELOP NEW RESOURCES. EXAMPLES INCLUDE AN ONSITE FOOD PANTRY WHERE RESIDENTS STAFF THE PANTRY TO ASSIST OTHER RESIDENTS, AND USING COMMUNITY ROOMS IN THE HOUSING DEVELOPMENT FOR AFTER SCHOOL PROGRAMMING, EXERCISE CLASSES AND EVEN COVID-TESTING.BMC INVESTED $330,431 IN THE INNOVATIVE STABLE HOUSING INITIATIVE, LED BY HEALTH RESOURCES IN ACTION (HRIA). THROUGH THIS PARTNERSHIP, HRIA HAS SUCCESSFULLY FACILITATED 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, ROXBURY. BMC INVESTED IN THE BOSTON HOUSING AUTHORITY (BHA) TO SUPPORT THEIR REASONABLE ACCOMMODATIONS FUND, THOROUGH 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. THIS MODEL INCLUDED TWO FULL-TIME HOUSING NAVIGATORS WITH DEEP EXPERTISE IN SUPPORTING FAMILIES TO ACCESS HOUSING-RELATED PROGRAMS AND SOLUTIONS. THESE 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. SPECIFICALLY, FUNDED PARTNERSHIPS WITH METRO HOUSING BOSTON, FAMILYAID BOSTON AND MEDICAL-LEGAL PARTNERSHIP BOSTON (MLPB) SERVED TO ADDRESS A RANGE OF PATIENT FAMILY NEEDS. FOR EXAMPLE, METRO HOUSING CONNECTED BMC FAMILIES WITH RENTAL ASSISTANCE FOR ARREARAGES. FAMILYAID BOSTON WORKED WITH BMC FAMILIES TO ACCESS PRIORITY HOUSING VOUCHERS AND PROVIDE STABILIZATION SERVICES; THEY RECENTLY WORKED WITH BMC AND BOSTON CHILDREN'S HOSPITAL TO ESTABLISH THE HOSPITAL EMERGENCY HOUSING PROGRAM, WHICH OFFERS RAPID RESPONSE SHELTER OPTIONS FOR FAMILIES WITH NO SAFE SHELTERING OPTIONS WHO WOULD OTHERWISE BE FORCED TO STAY OVERNIGHT IN A LOCAL EMERGENCY ROOM. FINALLY, MLPB PROVIDED REGULAR LEGAL PROBLEM-SOLVING TRAININGS TO FRONTLINE STAFF WORKING WITH FAMILIES AS WELL AS CASE-SPECIFIC LEGAL CONSULTATION. CHRONIC DISEASES AND RISK FACTORSCANCER SUPPORT GROUPS: OFFERINGS INCLUDE AN ARRAY OF SIXTEEN (16) MONTHLY SUPPORT GROUPSBY 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 FIVE (5) ONGOING SUPPORT ACTIVITIES FOR MIND/HAND/BODY/NUTRITION THAT MET WEEKLY TO MONTHLY. ADDITIONALLY, EACH QUARTER SAW A VARIETY OF FOUR TO SIX (4-6) FEATURED PROGRAMS IN ART/THEATER/MUSIC. ONE OF THESE FEATURED PROGRAMS SPANNED FIVE MONTHS AND PRODUCED A PROFESSIONALLY-SHOT VIDEO AND A HARDCOVER BOOK SAMPLING PARTICIPANTS' ARTWORK AND CULMINATED WITH A PUBLIC CELEBRATION. THE CANCER & SICKLE CELL SUPPORT PROGRAMS ALSO PROVIDED A FREE WEEKLY ACUPUNCTURE CLINIC FOR PATIENTS CURRENTLY OR RECENTLY IN TREATMENT.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 A MONTHLY CLASS; AND SEVERAL OUTSIDE VENDORS CONTRACTED FOR THE FEATURED ART PROGRAMS. BECAUSE OF INCREASED REFERRALS OF PATIENTS TO THE PROGRAM, NUMBERS IN TERMS OF PARTICIPATION LEVEL REMAINED CONSISTENT WITH PREVIOUS YEARS DESPITE SOME EFFECT OF ZOOM FATIGUE AND ZOOM AVERSION. BECAUSE THE PROGRAMS RAN ALMOST ENTIRELY BY ZOOM IN 2021, SECONDARY COSTS SUCH AS FOR FOOD AND SUPPLIES WERE VERY MINIMAL COMPARED TO THE YEARS BEFORE THE COVID PANDEMIC, WHEN MEETINGS WERE ALL HELD IN PERSON. IN 2022, IN PERSON MEETINGS BEGAN AGAIN CREATING A GROWTH IN THIS PROGRAM, INCLUDING SPEND. 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 400 FAMILIES IN FY22. 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 FY22 THE CVRT SERVED 491 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 FY22 THE MULTI-LINGUAL TEAM OF 4 SAFETY AND SUPPORT ADVOCATES ASSISTED 457 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 75% WERE PATIENTS REFERRED BY BMC PROVIDERS, 2% WERE BMC EMPLOYEES, AND 23% WERE SELF-REFERRALS OR REFERRED BY COMMUNITY AND GOVERNMENT PROGRAMS THAT ASSIST DV SURVIVORS. DURING FY22 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 59 PRESENTATIONS AND OTHER TYPES OF TRAINING TO OVER 1,000 PARTICIPANTS, MOST OF WHOM WERE BMC STAFF AND PROVIDERS, AS WELL AS A FEW STUDENT AND COMMUNITY GROUPS.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 WITHIN 48 HOURS OF ADMISSION 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. DURING FY22, VIAP PROVIDED ESSENTIAL SERVICES TO SURVIVORS OF GUNSHOTS AND STABBINGS, AND THEIR FAMILY MEMBERS. (IT IS SIGNIFICANT TO NOTE THAT BMC RECEIVES 70% OF THE CITY'S GUNSHOT AND STABBING VICTIMS.) DURING THIS PERIOD 407 VICTIMS WERE SERVED, INCLUDING 194 GUNSHOT AND 213 STABBING VICTIMS. THERE WERE 326 FAMILY MEMBERS SERVED THROUGH OUR FAMILY SUPPORT COMPONENT, AS WELL AS 31 FAMILIES OF HOMICIDE VICTIMS. SURVIVORS RECEIVED A SPECTRUM OF SERVICES, INCLUDING EMPLOYMENT HELP (268 SERVICES PROVIDED AND 18 NEW JOBS OBTAINED); BEHAVIORAL AND MENTAL HEALTH CARE (80% IN SHORT-TERM THERAPY AND 40% IN LONG TERM); AND LEGAL ASSISTANCE. VIAP ASSISTED WITH HOUSING APPLICATIONS; EDUCATION (6 OBTAINED THEIR HISET AND 9 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 DIVISION INITIATIVE (MHDI) OR CRIMINAL JUSTICE DIVISION PROGRAM (DMH): THROUGHOUT FY22 FISCAL YEAR (OCTOBER 2021-SEPTEMBER 2022), BOSTON MEDICAL CENTER CONTINUED TO STAFF THE THREE BOSTON MUNICIPAL COURT MENTAL HEALTH COURT SESSIONS LOCATED WITHIN BMC CENTRAL DIVISION, WEST ROXBURY DISTRICT COURT AND ROXBURY DISTRICT COURT. SESSIONS CONTINUE TO BE WELL UTILIZED WITH A TOTAL OF TWO HUNDRED AND THIRTY (230) CLIENTS BEING SERVED ACROSS ALL THREE COURTS OVER THE COURSE OF THE FISCAL YEAR.IN TOTAL, ALL THREE SESSIONS COMPLETED INTAKES FOR AND ACCEPTED ONE HUNDRED AND TWENTY THREE (123) NEW CLIENTS. THERE WERE LESS THAN TEN REFERRALS RECEIVED AND NOT COMPLETED, DUE TO VARIOUS REASONS TO INCLUDE THE CLIENT'S INACCESSIBILITY DUE TO INCARCERATION AND THE CLIENT'S DECLINE OF SERVICES. THERE ARE CURRENTLY SIXTEEN (16) REFERRALS PENDING THROUGHOUT ALL THREE SESSIONS, WITH NINE OF THE SIXTEEN ALREADY SCHEDULED FOR INTAKE COMPLETION. STAFF CONTINUE TO OUTREACH THE REMAINING SEVEN IN ORDER TO SCHEDULE THEIR INTAKES AND IT IS ANTICIPATED THAT THE NINE CURRENTLY SCHEDULED WILL BE ACCEPTED INTO SESSION.THE SESSION'S SUCCESS CAN BE DEMONSTRATED THROUGH THE NUMBER OF PROGRAM GRADUATES, OR CLIENTS WHO HAVE MET ALL LEGAL AND PROGRAMMATIC EXPECTATIONS. DURING FY22 THE THREE SESSIONS GRADUATED A TOTAL OF FIFTY-FOUR (54) CLIENTS. BMC-CENTRAL REMAINS THE LARGEST SESSION WITH 2-3 NEW REFERRALS EACH WEEK, AND A TOTAL OF FIFTY-TWO (52) NEW CLIENTS OVER THE YEAR. WEST ROXBURY AND ROXBURY AVERAGE 1-2 NEW REFERRALS A WEEK, AND SINCE FILLING A VACANCY IN BOTH COURTS, THE TOTAL NUMBER OF PARTICIPANTS CONTINUES TO RISE AS PROVEN IN THE INCREASE OF NEW REFERRALS FROM FY21 TO FY22.
SCHEDULE H, PART VI, LINE 5 (CONTINUATION):	FASTER PATHS: FASTER PATHS IS THE LOW-BARRIER SUBSTANCE USE DISORDER BRIDGE CLINIC AT 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 INCLUDING 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'S) PAATHS (PROVIDING ACCESS TO ADDICTION TREATMENT, HOPE, AND SUPPORT) PROGRAM, TO FACILITATE CONNECTIONS TO COMMUNITY SERVICES. IN CY 2022, FASTER PATHS SERVED APPROXIMATELY 1,300 UNIQUE PATIENTS FOR 3,600 VISITS. CARE INCLUDED 950 SUBLINGUAL BUPRENORPHINE/NALOXONE PRESCRIPTIONS PROVIDED FOR 329 UNIQUE PATIENTS, 130 LONG-ACTING INJECTABLE BUPRENORPHINE PRESCRIPTIONS ADMINISTERED TO 81 UNIQUE PATIENTS, 11 LONG-ACTING INJECTABLE NALTREXONE INJECTION, 748 PATIENTS WITH OPIOID WITHDRAWAL TREATED WITH METHADONE AND REFERRED TO AN OPIOID TREATMENT PROGRAM OR OTHER APPROPRIATE ONGOING CARE, 23 PATIENTS WITH BENZODIAZEPINE USE DISORDER WHO RECEIVED OUTPATIENT MEDICALLY MANAGED WITHDRAWAL, 364 NALOXONE KITS PRESCRIBED AND 58 NALOXONE KITS DIRECTLY DISTRIBUTED IN CLINIC. INFECTION SCREENING, TREATMENT, AND PREVENTION SERVICES INCLUDED NEARLY 450 HIV TESTS, 400 HCV TESTS, AND 500 SYPHILIS, CHLAMYDIA, AND GONORRHEA TESTS; 18 PATIENTS WITH HIV WERE TREATED WITH ANTIRETROVIRAL THERAPY AND 79 PATIENTS RECEIVED HIV PRE- OR POST-EXPOSURE PROPHYLAXIS FOR HIV PREVENTION. ADDITIONALLY, FASTER PATHS BEGAN TO OFFER SAFER SMOKING EQUIPMENT ALONGSIDE OTHER HARM REDUCTION SUPPLIES AND BEGAN TO OFFER INTEGRATED LONG-ACTING REVERSIBLE CONTRACEPTION (E.G., CONTRACEPTION IMPLANTS). THE SUCCESS OF THE FASTER PATHS MODEL HAS INSPIRED REPLICATION IN OTHER BRIDGE CLINICS, INCLUDING THE TRANSITIONAL CARE CENTER AT 891 MASSACHUSETTS AVENUE IN CONJUNCTION WITH LOW-THRESHOLD HOUSING. 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. DURING THE BMC FY22, PROJECT ASSERT SERVED 1910 WHOM HAD 3153 LADC /RECOVERY SUPPORT NAVIGATORS VISITS. BASED ON SCREENING AND PATIENT PREFERENCE FOR TREATMENT, THE FOLLOWING SERVICES WERE PROVIDED: 795 UNIQUE PATIENTS WERE PLACED IN DETOX/ACUTE TREATMENT SERVICES AND BECAUSE OF MULTIPLE VISITS THERE WERE A TOTAL OF 1204 DETOX / CSS LEVEL OF CARE PLACEMENT AMONG THESE PATIENTS; 785 UNIQUE PATIENTS WERE REFERRED TO NA/AA; 984 PATIENTS WERE PROVIDED WITH TRANSPORTATION SERVICES. SHELTER SERVICES WERE PROVIDED DURING 242 VISITS. PROJECT ASSERT LADCS ALSO EDUCATED PATIENTS AT RISK FOR OPIOID OVERDOSE AND DISTRIBUTED 1107 NALOXONE RESCUE KITS TO PATIENTS AND 586 WERE OFFERED AND REFUSED. A TOTAL OF 2,356 PATIENTS RECEIVED OVERDOSE EDUCATION ON HOW TO RECOGNIZE AND PREVENT AN OPIOID OVERDOSE. IN ADDITION, 105 PATIENTS WERE REFERRED AND SEEN IN OUR MAT MEDICATION FOR ADDICTION TREATMENT CLINIC.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 EXPANDS ON THE MULTIDISCIPLINARY PRENATAL CARE PROVIDED BY PROJECT RESPECT FOR PREGNANT WOMEN WITH OPIOID USE DISORDER. 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 FY22, SOFAR SERVED SERVED 215 FAMILIES, WITH 312 INDIVIDUAL CHILDREN ENROLLED.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (112 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
ACADEMIC PEDIATRIC ASSOCIATION
6728 OLD MCLEAN VILLAGE DRIVE	MCLEAN	VA	22101	510202446	501(C)(3)	$17,400	$0	SUBAWARD
ACTION FOR EQUITY INC
367 WASHINGTON STREET	DORCHESTER	MA	02124	844687278	501(C)(3)	$248,169	$0	SUBAWARD
ADMINISTRATORS OF THE TULANE
EDUCATIONAL FUND 6823 ST CHARLES	NEW ORLEANS	LA	70118	720423889	501(C)(3)	$10,000	$0	SUBAWARD	AVE
AID SUPPORT GROUP OF CAPE COD
96-98 BRADFORD STREET	PROVINCETOWN	MA	02657	042908722	501(C)(3)	$13,991	$0	SUBAWARD
AMERICAN ACADEMY OF PEDIATRICS
141 NORTHWEST POINT BLVD	ELK GROVE VILLAGE	IL	600070747	362275597	501(C)(3)	$206,527	$0	SUBAWARD
ARKANSAS CHILDREN'S HOSPITAL
RESEARCH INSTITUTE 800 MARSHALL	LITTLE ROCK	AR	72202	710694931	501(C)(3)	$30,609	$0	SUBAWARD	SLOT 512-26 C-SNAP LITTLE ROCK SITE
ASIAN WOMEN FOR HEALTH INC
83 WALLACE ST	SOMERVILLE	MA	02144	320390494	501(C)(3)	$47,372	$0	SUBAWARD
BAY COVE HUMAN SERVICES
66 CANAL ST 3RD FLOOR	BOSTON	MA	02114	042518575	501(C)(3)	$1,235,804	$0	SUBAWARD
BAY STATE COMM SERVICES INC
1120 HANCOCK STREET	QUINCY	MA	02169	042468492	501(C)(3)	$32,736	$0	SUBAWARD
BAYSTATE MEDICAL CENTER
140 HIGH STREET C	SPRINGFIELD	MA	01199	042790311	501(C)(3)	$73,607	$0	SUBAWARD
BERKSHIRE REGIONAL PLANNING
COMMISSION 1 FENN STREET	PITTSFIELD	MA	01201	042430187	501(C)(3)	$29,188	$0	SUBAWARD
BIDMC - BETH ISRAEL DEACONESS
330 BROOKLINE AVE MISC A/R - OTHER	BOSTON	MA	02215	042103881	501(C)(3)	$363,824	$0	SUBAWARD	A/R BR-3
BOSTON HOUSING AUTHORITY
52 CHAUNCY STREET 7TH FLOOR	BOSTON	MA	02111	046001907	501(C)(3)	$12,699	$0	SUBAWARD
BOSTON UNIVERSITY
OFFICE OF FINANCIAL AFFAIRS 715	BOSTON	MA	021182528	042103547	501(C)(3)	$5,508,578	$0	SUBAWARD	ALBANY ST STE 580
BRANDEIS UNIVERSITY
OFFICE OF GRANTS ADMIN MAILSTOP 116	WALTHAM	MA	022549110	042103552	501(C)(3)	$230,999	$0	SUBAWARD
BRIDGEWATER STATE UNIVERSITY
131 SUMMER STREET	BRIDGEWATER	MA	02325	043010428	501(C)(3)	$459,508	$0	SUBAWARD
BRIGHAM & WOMENS HOSPITAL INC
RESEARCH MANAGEMENT 75 FRANCIS	BOSTON	MA	02115	042312909	501(C)(3)	$287,461	$0	SUBAWARD	STREET
BROCKTON AREA MULTI-SERVICES
INC 10 CHRISTYS DR	BROCKTON	MA	02301	042562377	501(C)(3)	$151,314	$0	SUBAWARD
BROCKTON NEIGHBORHOOD HEALTH
63 MAIN STREET	BROCKTON	MA	02301	043165044	501(C)(3)	$442,395	$0	SUBAWARD
BROWN UNIVERSITY
OFFICE OF CONTROLLER BOX J	PROVIDENCE	RI	02912	050258809	501(C)(3)	$33,033	$0	SUBAWARD
CHC OF CAPE COD
107 COMMERCIAL ST	MASHPEE	MA	02649	043370560	501(C)(3)	$541,343	$0	SUBAWARD
CHILDREN'S HOSPITAL OF BOSTON
300 LONGWOOD AVENUE	BOSTON	MA	02115	042774441	501(C)(3)	$87,422	$0	SUBAWARD
CHILDREN'S HOSPITAL OF PHILLY
3401 CIVIC CENTER BLVD	PHILADELPHIA	PA	19104	231352166	501(C)(3)	$82,570	$0	SUBAWARD
CITY OF NEW BEDFORD
133 WILLIAM STREET	NEW BEDFORD	MA	02740	046001402	115	$40,272	$0	SUBAWARD
CITY OF NORTHHAMPTON
212 MAIN STREET	NORTHAMPTON	MA	01060	046001406	501(C)(3)	$63,261	$0	SUBAWARD
CITY OF SALEM
93 WASHINGTON STREET	SALEM	MA	01970	046001413	501(C)(3)	$642,988	$0	SUBAWARD
CITY OF SPRINGFIELD DEPT OF
HEALTH AND HUMAN SERVICES 95 STATE	SPRINGFIELD	MA	01103	046001415	501(C)(3)	$36,609	$0	SUBAWARD	STREET SUITE 201
CLEVELAND CLINIC LABORATORIES
PO BOX 74222	CLEVELAND	OH	44194	340714585	501(C)(3)	$37,780	$0	SUBAWARD
COMMONWEALTH OF MASSACHUSETTS
DEPARTMENT OF PUBLIC HEALTH	JAMAICA PLAIN	MA	02130	046002284	115	$682,211	$0	SUBAWARD	DIVISION OF FOOD AND DRUGS 305 SOUT
COMMUNITY HEALTHLINK INC
72 JAQUES AVENUE	WORCESTER	MA	01610	042626179	501(C)(3)	$72,830	$0	SUBAWARD
CONNECTICUT CHILDREN'S MED CTR
10 COLUMBUS BLVD	HARTFORD	CT	06106	060646755	501(C)(3)	$52,166	$0	SUBAWARD
DANA FARBER CANCER INSTITUTE
450 BROOKLINE AVE BP418	BOSTON	MA	022156084	042263040	501(C)(3)	$685,193	$0	SUBAWARD
DARTMOUTH COLLEGE
37 DEWEY FIELD ROAD STE 6015	HANOVER	NH	037651471	020222111	501(C)(3)	$108,510	$0	SUBAWARD
DOTHOUSE HEALTH INC
1353 DORCHESTER AVENUE	DORCHESTER	MA	02122	237125970	501(C)(3)	$80,025	$0	SUBAWARD
DREXEL UNIVERSITY
3201 ARCH ST STE 420	PHILADELPHIA	PA	19104	231352630	501(C)(3)	$48,809	$0	SUBAWARD
DUDLEY ST NEIGHBRHD INITIATIVE
550 DUDLEY STREET	ROXBURY	MA	02119	042859066	501(C)(3)	$200,153	$0	SUBAWARD
EAST BOSTON NHC
10 GOVE STREET	EAST BOSTON	MA	02128	237425849	501(C)(3)	$86,641	$0	SUBAWARD
ELON UNIVERSITY
100 CAMPUS DRIVE	ELON	NC	27244	560532303	501(C)(3)	$40,604	$0	SUBAWARD
EMORY UNIVERSITY
OFFICE OF GRANTS CONTRACTS 1599	ATLANTA	GA	30322	580566256	501(C)(3)	$33,702	$0	SUBAWARD	CLIFTON ROAD 4TH FL
FAMILY SVCS OF MERRIMACK VALLEY
430 NORTH CANAL STREET	LAWRENCE	MA	01840	042104054	501(C)(3)	$19,766	$0	SUBAWARD
FAMILYAID BOSTON INC
3815 WASHINGTON STREET	BOSTON	MA	02130	042105756	501(C)(3)	$75,000	$0	SUBAWARD
FLORIDA INTERNATIONAL UNIV
11200 SW 8TH STREET CSC319	MIAMI	FL	33199	650177616	501(C)(3)	$277,985	$0	SUBAWARD
GREATER LOWELL HEALTH ALLIANCE
55 TECHNOLOGY DRIVE	LOWELL	MA	01851	270408037	501(C)(3)	$671,357	$0	SUBAWARD
HARBOR HEALTH SERVICE INC
398 NEPONSET AVE	DORCHESTER	MA	02122	237100550	501(C)(3)	$137,797	$0	SUBAWARD
HARVARD PILGRIM HEALTH CARE
1600 CROWN COLONY DR	QUINCY	MA	02169	042452600	501(C)(3)	$5,888	$0	SUBAWARD
HARVARD UNIVERSITY
OFFICE OF SPONSORED PROGS HOLYOKE	CAMBRIDGE	MA	02138	042103580	501(C)(3)	$123,911	$0	SUBAWARD	CENTER 1350 MASSACHUSETTS AVE
HEALTH RESOURCES IN ACTION INC
2 BOYLSTON STREET 4TH FLOOR	BOSTON	MA	02116	042229839	501(C)(3)	$114,143	$0	SUBAWARD
HEBREW COLLEGE
160 HERRICK ROAD	NEWTON CENTRE	MA	02459	042104300	501(C)(3)	$15,000	$0	SUBAWARD
HOLYOKE HEALTH CENTER INC
230 MAPLE STREET ATTN KATHLEEN	HOLYOKE	MA	01040	042492730	501(C)(3)	$94,078	$0	SUBAWARD	LEBLANC
HOLYOKE MEDICAL CENTER INC
ATTN PAUL BARRETT PHARMACY 575	HOLYOKE	MA	01040	222520073	501(C)(3)	$48,635	$0	SUBAWARD	BEECH STREET
INSTITUTE FOR HEALTHCARE
IMPROVEMENT 53 STATE STREET 19TH	BOSTON	MA	02109	383017223	501(C)(3)	$118,864	$0	SUBAWARD	FLOOR
JEWISH VOCATIONAL SERVICES
ATTN ACCOUNTING DEPARTMENT 105	BOSTON	MA	02111	042104357	501(C)(3)	$170,784	$0	SUBAWARD	CHAUNCY ST
JOHNS HOPKINS UNIVERSITY
SCHOOL OF MEDICINE DEPT HEALTH	BALTIMORE	MD	21210	520595110	501(C)(3)	$92,737	$0	SUBAWARD	POLICY MGMT 624 N BROADWAY RM 627
JOSLIN DIABETES CENTER
ONE JOSLIN PL	BOSTON	MA	02215	042203836	501(C)(3)	$26,618	$0	SUBAWARD
LOWELL COMMUNITY HEALTH CTR
161 JACKSON ST	LOWELL	MA	01852	042881348	501(C)(3)	$126,726	$0	SUBAWARD
MASS INSTITUTE OF TECHNOLOGY
DBA DIVISION OF COMPARATIVE	CAMBRIDGE	MA	02139	042103594	501(C)(3)	$119,267	$0	SUBAWARD	MEDICINE BUILDING 16-849
MASSACHUSETTS GENERAL HOSPITAL
55 FRUIT STREET	BOSTON	MA	02114	042697983	501(C)(3)	$869,667	$0	SUBAWARD
MCLEAN HOSPITAL CORPORATION
115 MILL ST	BELMONT	MA	024789106	042697981	501(C)(3)	$107,194	$0	SUBAWARD
METROPOLITAN AREA PLANNING COUNCIL
60 TEMPLE PLACE	BOSTON	MA	02111	042472296	501(C)(3)	$68,000	$0	SUBAWARD
NEW YORK UNIVERSITY
105 EAST 17TH STREET 4TH FL	NEW YORK	NY	10003	135562308	501(C)(3)	$45,138	$0	SUBAWARD
NORTH CAROLINA STATE UNIVERSITY
2601 WOLF VILLAGE WAY	RALEIGH	NC	27607	566000756	501(C)(3)	$9,089	$0	SUBAWARD
NORTH SHORE CMTY HEALTH CTR
27 CONGRESS STREET STE 513	SALEM	MA	01970	042610447	501(C)(3)	$1,138,133	$0	SUBAWARD
NORTH SUFFOLK MENTAL HEALTH
ASSOCIATION 301 BROADWAY AVE	CHELSEA	MA	02150	042317215	501(C)(3)	$453,208	$0	SUBAWARD
NORTHEASTERN UNIVERSITY
360 HUNTINGTON AVENUE	BOSTON	MA	02115	041679980	501(C)(3)	$151,165	$0	SUBAWARD
NORTHERN ARIZONA UNIVERSITY
525 S BEAVER STREET SCIENCE ANNEX	FLAGSTAFF	AZ	86011	742579628	115	$30,500	$0	SUBAWARD	BLDG 20 4TH FLOOR
NORTHSHORE UNIVERSITY HEALTH SYSTEM
9455 EAGLE WAY	CHICAGO	IL	606781094	362167060	501(C)(3)	$28,353	$0	SUBAWARD
NOUS FOUNDATION INC
ACP DECISIONA 195 CARLTON ROAD	WABAN	MA	02468	271871373	501(C)(3)	$576,284	$0	SUBAWARD
PALO ALTO VETERANS INST
FOR RESEARCH 3801 MIRANDA AVENUE	PALO ALTO	CA	943040038	770207331	501(C)(3)	$103,867	$0	SUBAWARD	151P
PLYMOUTH COUNTY OUTREACH HOPE
INC PO BOX 401	EAST BRIDGEWATER	MA	02333	460970650	501(C)(3)	$766,022	$0	SUBAWARD
PROOF ALLIANCE
1876 MINNEHAHA AVE WEST	SAINT PAUL	MN	55104	411904618	501(C)(3)	$210,644	$0	SUBAWARD
RAND CORPORATION
1776 MAIN ST PO BOX 2138	SANTA MONICA	CA	904072138	951958142	501(C)(3)	$30,158	$0	SUBAWARD
REGENTS OF THE UNIV OF CALIFORNIA
DBA UNIV OF CALIFORNIA SAN DIEGO	LA JOLLA	CA	920930953	956006144	501(C)(3)	$110,608	$0	SUBAWARD	9500 GILMAN DRIVE
RHODE ISLAND HOSPITAL
593 EDDY STREET	PROVIDENCE	RI	029034923	050258954	501(C)(3)	$49,523	$0	SUBAWARD
SEATTLE CHILDREN'S HOSPITAL
4800 SAND POINT WAY NE	SEATTLE	WA	98105	910564748	501(C)(3)	$331,786	$0	SUBAWARD
SIGNATURE HEALTHCARE CORP
680 CENTRE STREET	BROCKTON	MA	023023395	042103554	501(C)(3)	$71,640	$0	SUBAWARD
SOCIAL SCIENCE RESEARCH AND
EVALUATION INC SSRE 84 MILL STREET	LINCOLN	MA	017731706	222551337	501(C)(3)	$87,796	$0	SUBAWARD
SOUTHWEST BOSTON SENIOR SVC
DBA ETHOS 555 AMORY STREET	JAMAICA PLAIN	MA	02130	237304163	501(C)(3)	$5,923	$0	SUBAWARD
SPANISH AMERICAN CENTER INC
112 SPRUCE STREET	LEOMINSTER	MA	01453	042761759	501(C)(3)	$655,848	$0	SUBAWARD
STANFORD UNIVERSITY
WELLMD CENTER 1520 PAGE MILL ROAD	PALO ALTO	CA	943045156	941156365	501(C)(3)	$144,482	$0	SUBAWARD
TEEN CHALLENGE NEW ENGLAND
1311 MAIN STREET	BROCKTON	MA	02301	042401399	501(C)(3)	$73,217	$0	SUBAWARD
THE FEINSTEIN INSTITUTES FOR MEDICAL RESEARCH
972 BRUSH HOLLOW ROAD 5TH FLOOR	WESTBURY	NY	11590	112673595	501(C)(3)	$169,375	$0	SUBAWARD
THE FULL FRAME INITIATIVE INC
308 MAIN STREET SUITE 2A	GREENFIELD	MA	01301	300592577	501(C)(3)	$78,245	$0	SUBAWARD
THE PENNSYLVANIA STATE UNIV
DEPT OF VETERINARY AND BIOMEDICAL	UNIVERSITY PARK	PA	168023500	246000376	115	$13,227	$0	SUBAWARD	SCIENCES-COLLEGE OF AGRICULTURAL SC
THE REGENTS OF THE UNIVERSITY OF COLORADO
OF COLORADO 1800 GRANT STREET SUITE	DENVER	CO	80203	846000555	501(C)(3)	$96,411	$0	SUBAWARD	600
THE UNIVERSITY OF TEXAS HEALTH
SCIENCE CENTER AT HOUSTON 700	HOUSTON	TX	77030	741761309	115	$10,732	$0	SUBAWARD	FANNIN STREET
TRUSTEES OF THE UNIVERSITY OF
OF PENNSYLVANIA 3400 SPRUCE STREET	PHILADELPHIA	PA	19104	231352685	501(C)(3)	$146,025	$0	SUBAWARD	6 WEST GATES 6041
TUFTS UNIVERSITY
NEMCH 096 171 HARRISON AVENUE	BOSTON	MA	02111	042103634	501(C)(3)	$381,180	$0	SUBAWARD
UNIV OF N CAROLINA AT CHAPEL HILL
OFFICE OF CONTRACTS GRANTS CB 1350	CHAPEL HILL	NC	275991350	566001393	501(C)(3)	$735,549	$0	SUBAWARD	104 AIRPORT DRIVE SUITE 2200
UNIVERSITY OF CALIFORNIA
SAN FRANCISCO 500 PARNASSUS AVE MU	SAN FRANCISCO	CA	941430244	946036493	501(C)(3)	$131,674	$0	SUBAWARD	200-W
UNIVERSITY OF HAWAII
2440 CAMPUS ROAD BOX 368	HONOLULU	HI	968222234	996000354	115	$290,441	$0	SUBAWARD
UNIVERSITY OF IOWA
DSHB DEPT BIOLOGICAL SCIENCES 436	IOWA CITY	IA	522421324	426004813	115	$6,740	$0	SUBAWARD	BB
UNIVERSITY OF KENTUCKY
RESEARCH FOUNDATION 109 KINKEAD	LEXINGTON	KY	405060057	616033693	501(C)(3)	$17,527	$0	SUBAWARD	HALL
UNIVERSITY OF LOUISVILLE
CONTROLLERS OFFICE SERVICE COMPLEX	LOUISVILLE	KY	40292	611014882	115	$22,199	$0	SUBAWARD	BUILDING
UNIVERSITY OF MASSACHUSETTS
55 LAKE AVENUE NORTH	WORCESTER	MA	01655	043167352	115	$444,446	$0	SUBAWARD
UNIVERSITY OF MICHIGAN
5082 WOLVERINE TOWER 3003 S STATE	ANN HARBOR	MI	481091287	386006309	501(C)(3)	$95,109	$0	SUBAWARD	STREET
UNIVERSITY OF NEW MEXICO (HSC)
1 UNIVERSITY OF NEW MEXICO MSC01	ALBUQUERQUE	NM	87131	856000642	115	$89,877	$0	SUBAWARD	1300
UNIVERSITY OF PITTSBURGH
ATTN NICOLE KAEFER 200 MEYRAN AVE	PITTSBURGH	PA	15213	250965591	501(C)(3)	$592,236	$0	SUBAWARD	SUITE 200
UNIVERSITY OF SOUTH CALIFORNIA
UNIVERSITY GARDENS SUITE 205	LOS ANGELES	CA	900898006	951642394	501(C)(3)	$56,539	$0	SUBAWARD
UNIVERSITY OF WASHINGTON
4300 ROOSEVELT WAY NE SUITE 300	SEATTLE	WA	98195	916001537	115	$316,466	$0	SUBAWARD
UNIVERSITY SYSTEM OF NH
DBA UNH INST ON DISABILITY 56 OLD	CONCORD	NH	03301	026000937	501(C)(3)	$12,710	$0	SUBAWARD	SUNCOOK RD STE 2
US CIVILIAN RESEARCH AND
DEVELOPMENT FOUNDATION 1776 WILSON	ARLINGTON	VA	22209	541773406	501(C)(3)	$67,372	$0	SUBAWARD	BOULEVARD SUITE 300
VANDERBILT UNIVERSITY
PMB 406310 2301 VANDERBILT PLACE	NASHVILLE	TN	372406310	620476822	501(C)(3)	$19,772	$0	SUBAWARD
VANDERBILT UNIVERSITY MEDICAL CTR
1161 21ST AVE SOUTH D-3300 MEDICAL	NASHVILLE	TN	372325445	352528741	501(C)(3)	$102,987	$0	SUBAWARD	CENTER NORTH
VINFEN CORP
1050 COMMONWEALTH AVE STE 200	BOSTON	MA	02215	042632219	501(C)(3)	$258,717	$0	SUBAWARD
VITAL CXNS INC
133 BRIDGE ST	NEWTON	MA	02458	301255787	501(C)(3)	$5,162	$0	SUBAWARD
WAKE FOREST UNIV HEALTH SCIENCES
MEDICAL CENTER BOULEVARD	WINSTONSALEM	NC	27157	223849199	501(C)(3)	$69,456	$0	SUBAWARD
WALK BOSTONSRS
OLD CITY HALL 45 SCHOOL STREET	BOSTON	MA	02108	223061699	501(C)(3)	$53,365	$0	SUBAWARD
WASHINGTON UNIVERSITY
SCHOOL OF MEDICINE 700 ROSEDALE	SAINT LOUIS	MO	631121408	430653611	501(C)(3)	$15,973	$0	SUBAWARD	AVENUE CB1034
WEILL MEDICAL COLLEGE OF
CORNELL UNIVERSITY C/O RESEARCH	NEW YORK	NY	10005	131623978	501(C)(3)	$106,724	$0	SUBAWARD	ACCOUNTING DEPT 100 BROADWAY 8TH FL
WESTERN MASSACHUSETTS TRAINING
187 HIGH STREET SUITE 202	HOLYOKE	MA	01040	237450656	501(C)(3)	$1,442,507	$0	SUBAWARD
YALE UNIVERSITY SCHOOL OF MED
2 WHITNEY AVE6TH FLOOR	NEW HAVEN	CT	06510	060646973	501(C)(3)	$127,918	$0	SUBAWARD
YMCA OF GREATER BOSTON
DORCHESTER FAMILY BRANCH 776	DORCHESTER	MA	02124	042103551	501(C)(3)	$50,000	$0	SUBAWARD	WASHINGTON STREET

Field	Value	IRS element (for citing)
Total501c3 Org	112	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	RESEARCH 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

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KATHLEEN E WALSH
PRESIDENT & CEO	$1,331,211	$0	$881,056	$0	$301,154	$0	$20,300	$0	$23,556	$0	$2,557,277	$0	$0	$0
ALASTAIR BELL
SVP OPS & STRATEGY/COO	$828,644	$0	$530,304	$0	$119,449	$0	$138,250	$0	$12,029	$0	$1,628,676	$0	$68,000	$0
TERRI NEWSOM
SVP/CFO/TREASURER	$635,183	$0	$282,048	$0	$17,500	$0	$100,177	$0	$29,287	$0	$1,064,195	$0	$0	$0
JENNIFER TSENG MD
TRUSTEE	$0	$990,048	$0	$0	$0	$2,597	$0	$600	$0	$3,146	$0	$996,391	$0	$0
RAVIN DAVIDOFF MD
SVP MEDICAL AFFAIRS AND CMO	$525,772	$0	$236,250	$0	$90,865	$0	$20,300	$0	$46,843	$0	$920,030	$0	$0	$0
DAVID COLEMAN MD
TRUSTEE	$0	$820,438	$0	$0	$0	$7,908	$0	$600	$0	$1,829	$0	$830,775	$0	$0
NANCY GADEN
SVP CHIEF NURSING OFFICER	$429,469	$0	$215,000	$0	$52,287	$0	$67,300	$0	$43,253	$0	$807,309	$0	$29,500	$0
LISA KELLY-CROSWELL
SVP/CHRO	$462,306	$0	$169,952	$0	$56,644	$0	$70,900	$0	$23,945	$0	$783,747	$0	$32,500	$0
ARTHUR HARVEY
VP/CIO	$457,724	$0	$176,250	$0	$26,041	$0	$74,900	$0	$32,719	$0	$767,634	$0	$9,500	$0
BOB BIGGIO
SVP FACILITY & SUPT SVCS	$408,123	$0	$159,375	$0	$65,094	$0	$67,285	$0	$49,312	$0	$749,189	$0	$32,500	$0
JOE CAMILLUS
SVP AMBULATORY & PRF SVC	$408,955	$0	$159,375	$0	$45,944	$0	$65,189	$0	$45,280	$0	$724,743	$0	$23,500	$0
DAVID BECK
SVP/CHIEF LEGAL COUNSEL/CLERK	$424,344	$0	$155,488	$0	$61,523	$0	$20,300	$0	$38,609	$0	$700,264	$0	$27,100	$0
THEA JAMES
VP OF MISSION AND ASSOCIATE CMO	$400,560	$0	$120,000	$0	$38,892	$0	$14,500	$0	$50,375	$0	$624,327	$0	$0	$0
DAVID TWITCHELL
VP AND CHIEF PHARMACY OFFICER	$340,056	$0	$155,000	$0	$2,692	$0	$35,700	$0	$46,252	$0	$579,700	$0	$0	$0
NORMAN STEIN
FORMER SVP CHIEF DEVELOPMENT OFFICER	$0	$0	$0	$0	$400,000	$0	$892	$0	$585	$0	$401,477	$0	$0	$0
JULIE JONCAS
FORMER VP FINANCE	$0	$0	$0	$0	$348,704	$0	$335	$0	$11,809	$0	$360,848	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINES 4A-B

LINE 4A: NORMAN STEIN AND JULIE JONCAS LEFT THE ORGANIZATION ON 12/30/2020. NORMAN STEIN'S HAD A 2-YEAR SEVERANCE ARRANGEMENT AND JULIE JONCAS HAD A 1-YEAR SEVERANCE ARRANGEMENT. THEIR SEVERANCE AMOUNTS ARE 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 2018 AND BECAME VESTED AND WERE PAID IN 2021: BIGGIO - $53,652 BELL - $99,834 KELLY-CROSSWELL - $45,797 GADEN - $42,133 HARVEY - $13,387 CAMILLUS - $34,501 BOSTON MEDICAL CENTER PROVIDED A 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN TO DAVID BECK, RAVIN DAVIDOFF, AND KATHLEEN WALSH. ALL THREE 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, 2021 CONTRIBUTIONS OF $51,600, $78,750, AND $270,000 WERE PAID IN CASH TO DAVID BECK, RAVIN DAVIDOFF, AND KATHLEEN WALSH, RESPECTIVELY, IN 2021. THESE AMOUNTS ARE REFLECTED IN SCHEDULE J, PART II, COLUMN (B)(III).

PART I, LINE 7

BMC HAS AN ANNUAL EXECUTIVE PERFORMANCE INCENTIVE PLAN. PERFORMANCE TARGETS AND PAYOUT METRICS ARE ESTABLISHED AND APPROVED BY THE COMPENSATION COMMITTEE AT THE BEGINNING OF EACH PERFORMANCE CYCLE. FISCAL YEAR 2021 PERFORMANCE BONUS PAYOUTS WERE APPROVED BY THE COMMITTEE AFTER IT REVIEWED THE 2021 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 ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MDFA 2012 SERIES C
A	043431814	57583URP5	2012-06-04	$117,490,498	REFUNDING OF 1998 BONDS	Yes (1)	0	0
MDFA 2015 SERIES D
B	043431814	57583U6Q6	2015-04-08	$167,471,151	FINANCE CAPITAL PROJECTS	0	0	0
MDFA 2016 SERIES E
C	043431814	57584XWT4	2016-09-22	$203,977,951	FINANCE NEW PROJECTS	0	0	0
MDFA 2017 SERIES F
D	043431814	57584X6Z9	2017-12-20	$45,272,849	FINANCE CAPITAL PROJECTS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr
A	$84,605,000	$117,498,730	$4,416,013	$1,684,889	$115,813,841	Yes (1)	0	Yes (1)	Yes (1)
B		$168,001,143	$16,313,245	$2,007,935	$201,311	0	0	Yes (1)	Yes (1)	$226,325	$150,355,290	2016
C	$6,975,000	$206,393,981		$1,673,571	$175,673,681	0	Yes (1)	Yes (1)	Yes (1)		$29,046,728	2017
D	$5,435,000	$45,971,835		$272,257		0	0	0	Yes (1)	$9,238	$45,690,339	2019

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00000	0.00000	0.00000	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00600		0.00600	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)				Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
AIG MATCHED FUNDING
A	Yes (1)	0	0	Yes (1)	27.190000000000	Yes (1)	Yes (1)	Yes (1)
(no name)
B	0	0	0	0			0	Yes (1)	0	0	Yes (1)
(no name)
C	0	0	0	0			Yes (1)	Yes (1)	0	0	Yes (1)
(no name)
D	0	0	0	0			0	Yes (1)	Yes (1)	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
COLUMN A	PART I(F): THE PRIOR BONDS WERE ISSUES ON JULY 8, 1998, BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY.
PART II, LINE 3:	THE DIFFERENCE BETWEEN TOTAL PROCEEDS IN PART II, LINE 3 AND THE ISSUE PRICE OF THE BOND ISSUE IS DUE TO INTEREST EARNED ON BOND PROCEEDS.
PART II, LINE 4:	DEBT SERVICE RESERVE FUND WAS FUNDED BY PROCEEDS OF THE PRIOR BONDS.
PART II, LINE 13:	SINCE THE PROCEEDS OF THE 2012 BONDS WERE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE.
PART III:	BECAUSE PROCEEDS OF THE BONDS WERE USED TO REFUND BONDS ISSUED BEFORE JANUARY 1, 2003, THE ISSUER IS NOT REQUIRED TO COMPLETE PART III.
PART IV, LINE 1:	THE MOST RECENT FIVE YEAR REBATE REPORT, DATED JULY 10, 2022, WAS PREPARED BY BLX GROUP, LLC.
COLUMN B	PART II, LINE 3: THE DIFFERENCE BETWEEN TOTAL PROCEEDS IN PART II, LINE 3 AND THE ISSUE PRICE OF THE BOND ISSUE IS DUE TO INTEREST EARNED ON BOND PROCEEDS. PART IV, LINE 2(C): THE MOST RECENT FIVE YEAR REBATE REPORT, DATED APRIL 27, 2020, WAS PREPARED BY BLX GROUP, LLC.
COLUMN C:	PART I(F): THE PRIOR BONDS WERE ISSUED ON JULY 1, 2008, BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY.
PART II, LINE 3:	THE DIFFERENCE BETWEEN TOTAL PROCEEDS IN PART II, LINE 3 AND THE ISSUE PRICE OF THE BOND ISSUE IS DUE TO INTEREST EARNED ON BOND PROCEEDS.
PART IV, LINE 2(C):	THE MOST RECENT FIVE YEAR REBATE REPORT, DATED OCTOBER 21, 2021, WAS PREPARED BY BLX GROUP, LLC. COLUMN D PART II, LINE 3: THE DIFFERENCE BETWEEN TOTAL PROCEEDS IN PART II, LINE 3 AND THE ISSUE PRICE OF THE BOND ISSUE IS DUE TO INTEREST EARNED ON BOND PROCEEDS. COLUMN A, PAGE 2 THE BONDS ARE PART OF A POOLED FINANCING (TOTAL PAR $101,485,000) AND THUS, EXCEPT FOR PART I, ONLY THE BORROWER'S ALLOCABLE PORTION OF $13,688,734 IS REPRESENTED. PART I(F): THE BORROWER'S PORTION OF THE BONDS REFINANCED THE PORTION OF THE ISSUER'S SERIES M3-B (2005) BONDS (ISSUES ON OCTOBER 3, 2005) ALLOCABLE TO THE BORROWER. PART II, LINE 4: THE RESERVE HAS BEEN FUNDED BY THE 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 IV, LINE 2(B): BOND PROCEEDS WERE EXPENDED TO FINANCE A CURRENT REFUNDING, WHICH HAS MET AN EXCEPTION TO THE REBATE REQUIREMENT. THE BOND PROCEEDS WERE SPENT WITHIN SIX MONTHS OF THE ISSUE DATE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MHEFA 2009 SERIES O-1	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	042456011	BondIssuerEIN
CUSIP	57586ELD1	CUSIPNum
Bond Issued	2009-08-04	BondIssuedDt
Issue Price	$101,485,000	IssuePriceAmt
Purpose	REFUNDING OF SERIES M3-B	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$8,775,717	RetiredAmt
Total Proceeds	$13,688,734	TotalProceedsAmt
In Reserve Fund	$48,134	InReserveFundAmt
Other Spent Proceeds	$13,688,734	OtherSpentProceedsAmt
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	Yes (1)	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HANNAH LEAVER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	DAUGHTER OF TRUSTEE	RelationshipDescriptionTxt
Transaction	$206,765	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV:	FormAndLineReferenceDesc
Explanation	BUSINESS 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

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$26,648	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR ESTIMATE	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	69	ContributionCnt
Noncash Contributions Rpt F990	$3,274,340	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MEAN VAL ON CONTRIB DATE	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	5	ContributionCnt
Noncash Contributions Rpt F990	$3,053	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR ESTIMATE	MethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$315	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR ESTIMATE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	TICKETS	3	$9,700	DONOR ESTIMATE
Yes (X)	GIFT CERTIFICATE	7	$3,975	DONOR ESTIMATE
Yes (X)	BEAUTY	1	$865	DONOR ESTIMATE
Yes (X)	TOYS	1	$159	DONOR ESTIMATE

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN B:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS CONTRIBUTED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART IV, LINE 12	BOSTON MEDICAL CENTER IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR BMC HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 2	KATHLEEN E. WALSH BISOLA OJIKUTU, M.D. BUSINESS RELATIONSHIP - THE OFFICERS AND TRUSTEES ABOVE ARE ALSO MEMBERS OR EMPLOYEES OF THE BOSTON PUBLIC HEALTH COMMISSION. DAVID COLEMAN, M.D. MELANIE FOLEY JENNIFER TSENG, M.D. KATHLEEN E. WALSH 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 6	THE SOLE MEMBER OF THE ORGANIZATION IS BMC HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 7B	BMC 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 11B	BOSTON MEDICAL CENTER'S FORM 990 IS PREPARED BY KPMG LLP AND REVIEWED BY BMC'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, BMC'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 12C	CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2022 WERE DISTRIBUTED BY BMC'S CORPORATE COMPLIANCE DEPARTMENT. THE CHIEF COMPLIANCE OFFICER OF BMC 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 15	BOSTON MEDICAL CENTER HEALTH SYSTEM IS A SUPPORTING ORGANIZATION OF BOTH BOSTON MEDICAL CENTER AND WELLSENSE HEALTH PLAN. ALL THREE ENTITIES HAVE THE SAME INDEPENDENT COMPENSATION COMMITTEE, FORMED OF INDIVIDUALS WHOSE COMPENSATION IS NOT IN ISSUE, THAT ESTABLISHES THE COMPENSATION OF THE PRESIDENT AND CEO AND APPROVES THE COMPENSATION OF SENIOR MANAGEMENT. THE COMMITTEE MEMBERS ARE NOT UNDER THE CONTROL OR DIRECTION OF ANY HEALTH SYSTEM, MEDICAL CENTER, OR HEALTH PLAN EXECUTIVE SEEKING COMPENSATION. THE INDIVIDUAL COMPENSATION PLANS ARE 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 HEALTH SYSTEM, MEDICAL CENTER, OR HEALTH PLAN 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 19	BOSTON MEDICAL CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS PUBLICLY AVAILABLE. HOWEVER, THE RESTATED ARTICLES OF THE ORGANIZATION ARE POSTED ON THE SECRETARY OF THE COMMONWEALTH'S CORPORATIONS WEBSITE.
FORM 990, PART XI, LINE 9:	PENSION AND OTHER ADJUSTMENTS 3,687,424. TRANSFER TO AFFILIATES -11,890,667.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
BMC HEALTH SYSTEM INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	463556853	SUPPORT SVCS.	MA	501 (C) (3)	12 B-II	BMC	Yes (1)
BMC INSURANCE CO LTD OF VERMONT
PO BOX 530 100 BANK STREET	BURLINGTON	VT	05401	201810549	INSURANCE	VT	501 (C) (3)	12 A-I	BMCHS	Yes (1)
BMC INTEGRATED CARE SERVICES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043414914	HEALTHCARE	MA	501 (C) (3)	12 A-I	BMCBACO	Yes (1)
BOSTON EMERGENCY PHYSICIAN FDN INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043286156	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BOSTON REHABILITATION MEDICINE ASSOC INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043286641	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BOSTON UNIV NEUROLOGY ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043428462	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BOSTON UNIV PLASTIC SURGERY ASSOC INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043555478	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BOSTON UNIV SURGICAL ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043291148	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BOSTON UNIVERSITY AFFILIATED PHYSICIANS
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043218267	HEALTHCARE	MA	501 (C) (3)	3	BMC	Yes (1)
BOSTON UNIVERSITY DERMATOLOGY INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043335166	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BOSTON UNIVERSITY EYE ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043137333	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BOSTON UNIVERSITY FAMILY MEDICINE INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043354353	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BOSTON UNIVERSITY PSYCHIATRY ASSOC INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043355267	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BU CARDIAC & THORACIC SURGICAL FDN INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	042966416	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BU DERMATOLOGY SUPPORT SERVICES I INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043452877	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BU DERMATOLOGY SUPPORT SERVICES II INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043452874	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BU GENERAL SURGICAL ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043265008	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BU MALLORY PATHOLOGY ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	042794543	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BU MEDICAL CENTER RADIOLOGISTS INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043283573	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BU MEDICAL CENTER UROLOGISTS INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043286643	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BU MEDICAL CTR ANESTHESIOLOGISTS INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043276227	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BU NEUROSURGICAL ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043296068	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BU OBSTETRICS & GYNECOLOGY FDN INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043067465	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BU ORTHOPAEDIC SURGICAL ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043354360	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BU RADIATION ONCOLOGY INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	810716773	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
BUMC OTOLARYNGOLOGIC FOUNDATION
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043156471	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
CHILD HEALTH FOUNDATION OF BOSTON INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	042472758	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
EVANS MEDICAL FOUNDATION INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	510172171	HEALTHCARE	MA	501 (C) (3)	12C III-FI		0	N/A
THE BOSTON HEALTHNET CORPORATION
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043279836	SUPPORT SVCS.	MA	503 (C) (3)	12 B-II		0	N/A
UNIVER DEVELOPMENT FOUNDATION INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043101957	REAL ESTATE	MA	504 (C) (3)	12 A-I	BMC	Yes (1)
FACULTY PRACTICE FOUNDATION INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043289381	MEDICAL SVCS	MA	501 (C) (3)	12 B-II		0	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Legal Domicile StateLegalDomicileStateCd
BMC INSURANCE COMPANY LTD
FIRST CARRIBEAN HOUSE 10 MAIN STRE	GRAND CAYMAN	CJ	980375219	INSURANCE	CJ	BMC	C	$980,589	$84,787,308	0.70000	Yes (1)
CHARITABLE REMAINDER TRUST - MA (3)
				SUPPORT		BMC	T				Yes (1)	MA

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BMC HEALTH SYSTEMS INC
R	$4,900,000	FMV
BMC INSURANCE COMPANY LTD
P	$3,625,000	FMV
BMC HEALTH SYSTEM INC
D	$16,226,000	FMV