BOSTON MEDICAL CENTER CORPORATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: BOSTON MEDICAL CENTER CORPORATION (EIN 04-3314093)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-12
IRS object ID: 202242249349301729
Schema version: 2020v4.2
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 C
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	2022-08-12T12:08:08-05:00	ReturnTs
Tax Period End	2021-09-30	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	2020-10-01	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	2022-08-12	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	STEPHANIE LONCZAK	PreparerPersonNm
PTIN	P01880207	PTIN
Phone	6179881000	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	0	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$1,980,326,659	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 COSISTENTLY EXCELLENT AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	30	VotingMembersGoverningBodyCnt
Voting Members Independent	26	VotingMembersIndependentCnt
Total Employee	10051	TotalEmployeeCnt
Total Volunteers	260	TotalVolunteersCnt
Total Gross UBI	$12,058,856	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$5,854,577	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$133,609,173	PYContributionsGrantsAmt
CY Contributions Grants	$150,978,125	CYContributionsGrantsAmt
PY Program Service Revenue	$1,699,081,795	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,752,717,825	CYProgramServiceRevenueAmt
PY Investment Income	$23,248,318	PYInvestmentIncomeAmt
CY Investment Income	$58,583,174	CYInvestmentIncomeAmt
PY Other Revenue	$25,204,705	PYOtherRevenueAmt
CY Other Revenue	$13,153,610	CYOtherRevenueAmt
PY Total Revenue	$1,881,143,991	PYTotalRevenueAmt
CY Total Revenue	$1,975,432,734	CYTotalRevenueAmt
PY Grants And Similar Paid	$26,453,637	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$28,222,126	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$666,076,602	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$754,442,410	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$7,718,033	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,090,128,408	PYOtherExpensesAmt
CY Other Expenses	$1,133,792,944	CYOtherExpensesAmt
PY Total Expenses	$1,782,658,647	PYTotalExpensesAmt
CY Total Expenses	$1,916,457,480	CYTotalExpensesAmt
PY Revenues Less Expenses	$98,485,344	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$58,975,254	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,742,184,683	TotalAssetsBOYAmt
Total Assets EOY	$2,744,742,937	TotalAssetsEOYAmt
Total Liabilities BOY	$1,418,261,968	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,324,215,116	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,323,922,715	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,420,527,821	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	$1,775,786,795	ExpenseAmt
Revenue	$1,752,717,825	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	$27,865,007	ExpenseAmt
Grant	$27,865,007	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	$357,119	ExpenseAmt
Grant	$357,119	GrantAmt
Desc	BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO FOREIGN ORGANIZATIONS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,804,008,921	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	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	397	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	10051	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	30	GoverningBodyVotingMembersCnt
Independent Voting Member	26	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	PETER THUKU	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6176387494	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 (45 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	7.50	Yes (X)	Yes (X)	$2,235,565	$0	$35,988
JENNIFER TSENG MD
TRUSTEE	1.00	54.00	Yes (X)		$0	$1,040,916	$39,753
DAVID COLEMAN MD
TRUSTEE	1.00	54.00	Yes (X)		$0	$885,740	$34,897
DAVID AMENT
TRUSTEE (UNTIL 5/11/2021)	1.00	2.00	Yes (X)		$0	$0	$0
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	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	1.00	Yes (X)		$0	$0	$0
RANDI CUTLER
TRUSTEE	1.00	1.00	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
TRICIA GLYNN
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
EILENE GRAYKEN
TRUSTEE (UNTIL 5/11/2021)	1.00	0.00	Yes (X)		$0	$0	$0
JOHN T HAILER
TRUSTEE (AS OF 5/11/2021)	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
MANUEL LOPES
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
FRED LOWERY
TRUSTEE (AS OF 5/11/2021)	1.00	0.00	Yes (X)		$0	$0	$0
RICHARD MARKS
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
DEVIN MCCOURTY
TRUSTEE (AS OF 2/9/2021)	1.00	0.00	Yes (X)		$0	$0	$0
LAUREN NENTWICH
TRUSTEE (AS OF 10/1/2021)	1.00	0.00	Yes (X)		$0	$0	$0
BISOLA OJIKUTU MD
TRUSTEE (AS OF 9/1/2021)	1.00	0.00	Yes (X)		$0	$0	$0
CLAIRE PERLMAN
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
MARTHA SAMUELSON
TRUSTEE/CHAIR	1.00	1.00	Yes (X)		$0	$0	$0
REV LIZ WALKER
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
ANDREW YOUNISS
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
RITA NIEVES
TRUSTEE (UNTIL 5/11/2021)	1.00	0.00	Yes (X)		$0	$0	$0
CYNTHIA SIERRA
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
MAROA VELEZ
TRUSTEE (AS OF 5/11/2021)	1.00	0.00	Yes (X)		$0	$0	$0
DAVID BECK
SVP/CHIEF LEGAL COUNSEL/CLERK	50.00	13.50		Yes (X)	$633,628	$0	$57,813
TERRI NEWSOM
SVP/CFO/TREASURER	50.00	3.00		Yes (X)	$289,055	$0	$6,385
ALASTAIR BELL
SVP OPS & STRATEGY/COO	50.00	2.00			$1,320,299	$0	$113,299	Yes (X)
RAVIN DAVIDOFF MD
SVP MEDICAL AFFAIRS AND CMO	50.00	1.50			$816,858	$0	$65,949	Yes (X)
LISA KELLY-CROSWELL
SVP/CHRO	50.00	0.00			$696,614	$0	$86,791	Yes (X)
NANCY GADEN
SVP CHIEF NURSING OFFICER	50.00	0.00			$649,873	$0	$107,465	Yes (X)
BOB BIGGIO
SVP FACILITY & SUPT SVCS	50.00	0.00			$608,832	$0	$114,203		Yes (X)
NORMAN STEIN
SVP CHIEF DEVELOPMENT OFFICER	50.00	0.00			$598,570	$0	$66,966		Yes (X)
JOE CAMILLUS
SVP AMBULATORY & PRF SVC	50.00	0.50			$544,376	$0	$101,041		Yes (X)
ARTHUR HARVEY
VP/CIO	50.00	0.00			$556,141	$0	$72,475		Yes (X)
JULIE JONCAS
VP FINANCE	50.00	0.00			$514,157	$0	$53,131		Yes (X)
CHARLES ORLANDO
FORMER SVP/CFO/TREAS	0.00	0.00			$799,474	$0	$40,493			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,263,442	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,926,656	TotReportableCompRltdOrgAmt
Total Other Compensation	$996,649	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1079	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	$44,185,748
SHC SERVICES INC
1640 W REDSTONE CTR DR	PARK CITY	UT	84098	TEMPORARY STAFFING	$15,820,002
PRICEWATERHOUSECOOPERS ADVISOR
4040 W BIY SCOUT BOULEVARD	TAMPA	FL	33607	ACCOUNTS RECEIVABLE MANAGEMENT	$11,882,795
MORRISON HEALTH CARE INC
714 SOUTHBRIDGE ST	AUBURN	MA	01501	FOOD SERVICE/ CAFETERIA MANAGEMENT	$6,094,302
CYRACOM INTERNATIONAL INC
2650 E ELVIRA SUITE 132	TUCSON	AZ	85756	TRANSLATION & INTERPRETATION SERVICES	$3,981,348

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	297	CntrctRcvdGreaterThan100KCnt
Fundraising	$4,700,447	FundraisingAmt
Government Grants	$129,331,289	GovernmentGrantsAmt
All Other Contributions	$16,946,389	AllOtherContributionsAmt
Noncash Contributions	$1,347,536	NoncashContributionsAmt
Total Contributions	$150,978,125	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	900099	$1,165,411,708	$1,165,411,708
PHARMACY	900099	$524,198,274	$512,464,456	$11,733,818
GRANT & CONTRACT REVENUE	900099	$48,134,376	$48,134,376
OTHER PROGRAM REVENUE	900099	$11,717,249	$11,717,249
NPP & PHARMACIST REVENUE	900099	$3,256,218	$3,256,218

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,752,717,825	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,785,977	TotalRevenueColumnAmt
Unrelated Business Revenue	$44,326	UnrelatedBusinessRevenueAmt
Exclusion	$14,741,651	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,739,283	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$4,305,331	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$433,952	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$433,952	TotalRevenueColumnAmt
Exclusion	$433,952	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$43,797,197	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$43,797,197	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$43,797,197	TotalRevenueColumnAmt
Unrelated Business Revenue	$280,712	UnrelatedBusinessRevenueAmt
Exclusion	$43,516,485	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$229,164	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$4,700,447	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$588,594	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$359,430	TotalRevenueColumnAmt
Exclusion	-$359,430	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PARKING	812930	$10,276,210	$10,276,210
CAFETERIA	900099	$2,802,878	$2,802,878

Field	Value	IRS element (for citing)
Other Revenue Total	$13,079,088	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,975,432,734	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,740,984,007	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$12,058,856	UnrelatedBusinessRevenueAmt
Exclusion	$71,411,746	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$27,865,007	TotalAmt
Program Services	$27,865,007	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$357,119	TotalAmt
Program Services	$357,119	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,150,704	TotalAmt
Management And General	$7,150,704	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$248,420	TotalAmt
Program Services	$248,420	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$585,640,875	TotalAmt
Program Services	$549,474,352	ProgramServicesAmt
Management And General	$32,540,647	ManagementAndGeneralAmt
Fundraising	$3,625,876	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$26,013,938	TotalAmt
Program Services	$24,407,435	ProgramServicesAmt
Management And General	$1,445,443	ManagementAndGeneralAmt
Fundraising	$161,060	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$88,262,128	TotalAmt
Program Services	$82,811,459	ProgramServicesAmt
Management And General	$4,904,212	ManagementAndGeneralAmt
Fundraising	$546,457	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$47,126,345	TotalAmt
Program Services	$44,216,036	ProgramServicesAmt
Management And General	$2,618,536	ManagementAndGeneralAmt
Fundraising	$291,773	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,848,058	TotalAmt
Program Services	$2,429,303	ProgramServicesAmt
Management And General	$5,403,870	ManagementAndGeneralAmt
Fundraising	$14,885	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$890,740	TotalAmt
Program Services	$89,682	ProgramServicesAmt
Management And General	$800,475	ManagementAndGeneralAmt
Fundraising	$583	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$84,000	TotalAmt
Management And General	$84,000	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$650,840	TotalAmt
Management And General	$650,840	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$127,735,610	TotalAmt
Program Services	$98,373,779	ProgramServicesAmt
Management And General	$27,983,069	ManagementAndGeneralAmt
Fundraising	$1,378,762	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$797,976	TotalAmt
Program Services	$723,433	ProgramServicesAmt
Management And General	$27,474	ManagementAndGeneralAmt
Fundraising	$47,069	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,266,942	TotalAmt
Program Services	$13,750,518	ProgramServicesAmt
Management And General	$365,120	ManagementAndGeneralAmt
Fundraising	$151,304	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$24,130,977	TotalAmt
Program Services	$22,640,757	ProgramServicesAmt
Management And General	$1,340,818	ManagementAndGeneralAmt
Fundraising	$149,402	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$4,966,500	TotalAmt
Program Services	$4,659,792	ProgramServicesAmt
Management And General	$275,959	ManagementAndGeneralAmt
Fundraising	$30,749	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$32,549,556	TotalAmt
Program Services	$30,539,443	ProgramServicesAmt
Management And General	$1,808,589	ManagementAndGeneralAmt
Fundraising	$201,524	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,171,703	TotalAmt
Program Services	$1,109,514	ProgramServicesAmt
Management And General	$47,181	ManagementAndGeneralAmt
Fundraising	$15,008	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$631,285	TotalAmt
Program Services	$587,194	ProgramServicesAmt
Management And General	$36,999	ManagementAndGeneralAmt
Fundraising	$7,092	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$24,519,870	TotalAmt
Program Services	$23,005,634	ProgramServicesAmt
Management And General	$1,362,426	ManagementAndGeneralAmt
Fundraising	$151,810	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$99,302,209	TotalAmt
Program Services	$93,169,755	ProgramServicesAmt
Management And General	$5,517,645	ManagementAndGeneralAmt
Fundraising	$614,809	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,399,962	TotalAmt
Program Services	$7,881,218	ProgramServicesAmt
Management And General	$466,737	ManagementAndGeneralAmt
Fundraising	$52,007	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
DRUGS	$438,382,984	$438,382,984
PHYSICIAN SERVICES	$109,638,701	$108,441,898	$1,196,363	$440
PATIENT RELATED SUPPLIE	$104,669,553	$104,624,015	$40,973	$4,565
DIRECT RESEARCH	$68,158,732	$68,158,732

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$64,996,746	TotalAmt
Program Services	$56,061,442	ProgramServicesAmt
Management And General	$8,662,446	ManagementAndGeneralAmt
Fundraising	$272,858	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,916,457,480	TotalAmt
Program Services	$1,804,008,921	ProgramServicesAmt
Management And General	$104,730,526	ManagementAndGeneralAmt
Fundraising	$7,718,033	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$43,051,623	BOYAmt
EOY	$20,037,332	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$435,188,674	BOYAmt
EOY	$470,196,193	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$17,799,534	BOYAmt
EOY	$28,217,572	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$225,678,776	BOYAmt
EOY	$169,608,461	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$97,973,088	BOYAmt
EOY	$90,547,535	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$17,336,619	BOYAmt
EOY	$19,427,967	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,202,903	BOYAmt
EOY	$6,414,876	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,107,673,170	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,117,592,096	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,040,040,940	BOYAmt
EOY	$990,081,074	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$60,636,054	BOYAmt
EOY	$54,119,501	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$264,960,518	BOYAmt
EOY	$337,430,094	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$488,954	BOYAmt
EOY	$510,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$534,827,000	BOYAmt
EOY	$558,152,332	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,742,184,683	BOYAmt
EOY	$2,744,742,937	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$209,572,605	BOYAmt
EOY	$249,971,153	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$96,242,885	BOYAmt
EOY	$36,212,006	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$439,485,579	BOYAmt
EOY	$430,802,607	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$672,960,899	BOYAmt
EOY	$607,229,350	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,418,261,968	BOYAmt
EOY	$1,324,215,116	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	$961,336,552	BOYAmt
EOY	$1,008,436,056	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$362,586,163	BOYAmt
EOY	$412,091,765	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,323,922,715	BOYAmt
EOY	$1,420,527,821	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,742,184,683	BOYAmt
EOY	$2,744,742,937	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$58,975,254	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$50,720,942	NetUnrlzdGainsLossesInvstAmt
Investment Expense	-$1,196,871	InvestmentExpenseAmt
Other Changes In Net Assets	-$11,894,219	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	$41,186,207	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$24,563,859	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$25,615,642	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$133,609,173	CurrentTaxYearMinus1YearAmt
Current Tax Year	$150,978,125	CurrentTaxYearAmt
Total	$375,953,006	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$41,186,207	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$24,563,859	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$25,615,642	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$133,609,173	CurrentTaxYearMinus1YearAmt
Current Tax Year	$150,978,125	CurrentTaxYearAmt
Total	$375,953,006	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$375,953,006	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$12,553,229	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$37,639,990	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$23,179,858	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$18,969,810	CurrentTaxYearMinus1YearAmt
Current Tax Year	$19,480,934	CurrentTaxYearAmt
Total	$111,823,821	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$273,343	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,867,255	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,809,363	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,854,577	CurrentTaxYearAmt
Total	$9,804,538	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,346,770	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,259,300	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$15,535,712	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$23,251,865	CurrentTaxYearMinus1YearAmt
Current Tax Year	$13,079,088	CurrentTaxYearAmt
Total	$64,472,735	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$562,054,100	TotalSupportAmt
Gross Receipts Rltd Activities	$7,788,994,956	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.66890	PublicSupportCY170Pct
Public Support PY170	0.57680	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	FUNDRAISING - 2016 AMOUNT: $ 294,793. CAFETERIA - 2016 AMOUNT: $ 3,861,417. 2017 AMOUNT: $ 3,830,150. 2018 AMOUNT: $ 4,290,813. 2019 AMOUNT: $ 3,300,767. 2020 AMOUNT: $ 2,802,878. PARKING - 2016 AMOUNT: $ 2,190,560. 2017 AMOUNT: $ 2,429,150. 2018 AMOUNT: $ 11,244,899. 2019 AMOUNT: $ 10,063,598. 2020 AMOUNT: $ 10,276,210. 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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$84,000	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Total Lobbying Expenditures	$84,000	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	BOSTON MEDICAL CENTER PAID DEMPSEY, LUCEY & ASSOCIATES $84,000 TO REPRESENT THE ORGANIZATION. THESE FEES WERE PAID TO THE LOBBYISTS LISTED TO ADVANCE BOSTON MEDICAL CENTER'S MISSION: "TO CONSISTENTLY PROVIDE EXCELLENT AND ACCESSIBLE HEALTH CARE SERVICES TO ALL IN NEED OF CARE, REGARDLESS OF STATUS OR ABILITY TO PAY" AS SET OUT IN CHAPTER 147 OF THE ACTS AND RESOLVES OF 1996 OF THE COMMONWEALTH OF MASSACHUSETTS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$642,296,242	BeginningYearBalanceAmt
Contributions	$127,298,970	ContributionsAmt
Investment Earnings Or Losses	$71,375,617	InvestmentEarningsOrLossesAmt
Other Expenditures	$142,059,930	OtherExpendituresAmt
Administrative Expenses	$1,901,878	AdministrativeExpensesAmt
End Year Balance	$697,009,021	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.46590	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.05540	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.47870	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	$18,306,730	OtherCostOrOtherBasisAmt
Book Value	$18,306,730	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,246,650,796	OtherCostOrOtherBasisAmt
Depreciation	$522,901,307	DepreciationAmt
Book Value	$723,749,489	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,190,729	OtherCostOrOtherBasisAmt
Depreciation	$25,068,099	DepreciationAmt
Book Value	$16,122,630	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$686,682,675	OtherCostOrOtherBasisAmt
Depreciation	$507,723,493	DepreciationAmt
Book Value	$178,959,182	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$114,842,240	OtherCostOrOtherBasisAmt
Depreciation	$61,899,197	DepreciationAmt
Book Value	$52,943,043	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$990,081,074	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	DONOR RESTRICTED INVESTMENTS	Desc
Book Value	$337,430,094	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$337,430,094	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
BOARD DESIGNATED INVESTMENTS	$341,493,471
FUNDS HELD BY TRUSTEES	$41,676,673
NONCURRENT ACCOUNTS RECEIVABLE	$6,986,812
INSURANCE RECOVERY RECEIVABLES	$38,030,610
OTHER LONG-TERM ASSETS	$41,595,450
RIGHT OF USE ASSETS- NET	$88,369,316

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$558,152,332	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
EST SETTLEMENT W/3RD PARTY PAY	$146,777,238
CAPITAL LEASE OBLIGATIONS	$81,487,832
OTHER LONG-TERM LIABILITIES	$146,369,821
PROFESSIONAL LIABILITY CLAIMS	$38,030,890
TAXABLE BONDS PAYABLE	$180,815,888
RELATED PARTY LIABILITIES	$13,747,681

Field	Value	IRS element (for citing)
Total Liability	$607,229,350	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 COMBINED 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, BMCHP, 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. CORNERSTONE HEALTH SOLUTIONS, LLC IS A TAXABLE DELAWARE LIMITED LIABILITY COMPANY. AS OF SEPTEMBER 30, 2021, ALL CONTRACTS FOR THE CORNERSTONE BUSINESS LINE ARE BETWEEN THE MEDICAL CENTER AND THE CLIENTS. ALL CONTRACT RELATED REVENUE AND EXPENSE IS 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, 2021 AND 2020. 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, 2021 AND 2020.
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, 2021 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 (15 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS	$230,735
EAST ASIA AND THE PACIFIC	0	0	INVESTMENTS	$2,451,332
EUROPE	0	0	INVESTMENTS	$8,924,620
MIDDLE EAST AND NORTH AFRICA	0	0	INVESTMENTS	$1,027,460
NORTH AMERICA	0	0	INVESTMENTS	$4,560,574
SOUTH AMERICA	0	0	INVESTMENTS	$596,778
SOUTH ASIA	0	0	INVESTMENTS	$192,732
SUB-SAHARIAN AFRICA	0	0	INVESTMENTS	$610,842
EAST ASIA AND THE PACIFIC	0	0	GRANTMAKING	$27,450
RUSSIA	0	0	GRANTMAKING	$22,035
CENTRAL AMERICA AND THE CARIBBEAN	0	0	GRANTMAKING	$14,761
SOUTH ASIA	0	0	GRANTMAKING	$58,852
SUB-SAHARIAN AFRICA	2	8	GRANTMAKING	$100,638
NORTH AMERICA	0	0	GRANTMAKING	$133,383
CENTRAL AMERICA AND THE CARIBBEAN			PROGRAM SERVICES	$9,164,097	PREMIUMS

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	2	ContinuationTotalOfficeCnt
Continuation Total Employee	8	ContinuationTotalEmployeeCnt
Total Office	2	TotalOfficeCnt
Total Employee	8	TotalEmployeeCnt
Subtotal Spent	$18,595,073	SubtotalSpentAmt
Continuation Spent	$9,521,216	ContinuationSpentAmt
Total Spent	$28,116,289	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (6 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
EAST ASIA & PACIFIC	SUBAWARD	$27,450	WIRE TRANSFER
RUSSIA	SUBAWARD	$22,035	WIRE TRANSFER
CENTRAL AMERICA & CARIBBEAN	SUBAWARD	$14,761	WIRE TRANSFER
SOUTH ASIA	SUBAWARD	$58,852	WIRE TRANSFER
SUB-SAHARAN AFRICA	SUBAWARD	$100,638	WIRE TRANSFER
NORTH AMERICA	SUBAWARD	$133,383	WIRE TRANSFER

Field	Value	IRS element (for citing)
Total501c3 Org	6	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	$2,432,190	GrossReceiptsEvent1Amt
Charitable Contri Event1	$2,307,488	CharitableContriEvent1Amt
Gross Revenue Event1	$124,702	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$357,418	OtherDirectExpensesEvent1Amt
Event2	FOOD 4 THOUGHT	Event2Nm
Gross Receipts Event2	$706,079	GrossReceiptsEvent2Amt
Charitable Contri Event2	$676,079	CharitableContriEvent2Amt
Gross Revenue Event2	$30,000	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$47,959	OtherDirectExpensesEvent2Amt
Other Events Total	8	OtherEventsTotalCnt
Gross Receipts Other Events	$1,791,342	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$1,716,880	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$74,462	GrossRevenueOtherEventsAmt
Food And Beverage Other Events	$17,891	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$165,326	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$4,929,611	GrossReceiptsTotalAmt
Charitable Contributions Tot	$4,700,447	CharitableContributionsTotAmt
Gross Revenue Total Events	$229,164	GrossRevenueTotalEventsAmt
Food And Beverage Total Events	$17,891	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$570,703	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$588,594	DirectExpenseSummaryEventsAmt
Net Income Summary	-$359,430	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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
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	$80,093,580	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,552,548	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,541,032	NetCommunityBenefitExpnsAmt
Total Expense	0.02480	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,045,469,250	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$675,208,825	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$370,260,425	NetCommunityBenefitExpnsAmt
Total Expense	0.19320	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,125,562,830	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$707,761,373	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$417,801,457	NetCommunityBenefitExpnsAmt
Total Expense	0.21800	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,863,120	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,870,624	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,992,496	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,672,568	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,112,714	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,559,854	NetCommunityBenefitExpnsAmt
Total Expense	0.02640	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	693	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$70,022,913	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,916,787	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,106,126	NetCommunityBenefitExpnsAmt
Total Expense	0.00940	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	693	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$155,558,601	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$82,900,125	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$72,658,476	NetCommunityBenefitExpnsAmt
Total Expense	0.03790	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	693	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,281,121,431	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$790,661,498	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$490,459,933	NetCommunityBenefitExpnsAmt
Total Expense	0.25590	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,375,746	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,375,746	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	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	0.00820	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,304,821	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$300,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,004,821	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$867,750	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$867,750	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$144,594	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$144,594	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$19,422,911	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$300,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,122,911	NetCommunityBenefitExpnsAmt
Total Expense	0.01000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,174,983	BadDebtExpenseAmt
Reimbursed By Medicare	$184,236,584	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$194,024,505	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,787,921	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
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
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	18	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
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	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	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.000000000000	FPGFamilyIncmLmtDscntCarePct
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/SERVICES/PATIENT-FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.BMC.ORG/SERVICES/PATIENT-FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.BMC.ORG/SERVICES/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
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION A:	THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH HAS LICENSED BOSTON MEDICAL CENTER TO OPERATE A HOSPITAL AT ONE BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118. THIS LOCATION IS (1) A LICENSED HOSPITAL, (2) PROVIDES GENERAL MEDICAL & SURGICAL TREATMENT, (3) IS A TEACHING HOSPITAL, AND (4) OPERATES AN ER 24 HOURS. WHILE THE HOSPITAL LICENSE LISTS TWO CAMPUSES, ONLY ONE CAMPUS OPERATES:1. BOSTON MEDICAL CENTER CORPORATION, MENINO PAVILION, 830-840 HARRISONAVENUE, BOSTON MA 02118BOSTON MEDICAL CENTER ALSO OPERATES THE FOLLOWING OUTPATIENT CENTERS, WHICH ARE UNDER THE HOSPITAL'S LICENSE:CODMAN SQUARE HEALTH CENTERBRIGHTON HIGH SCHOOL STUDENT HEALTH CENTERBOSTON MEDICAL CENTER RADIOLOGY AT RYAN CENTER BOSTON UNIVERSITYEAST BOSTON NEIGHBORHOOD HEALTH CENTER (10 GOVE STREET)DOTHOUSE HEALTHMADISON PARK HIGH SCHOOL STUDENT HEALTH CENTERJEREMIAH E. BURKE STUDENT HEALTH CENTERGREATER ROSLINDALE MEDICAL & DENTALLATIN ACADEMY STUDENT HEALTH CENTERTECHBOSTON ACADEMY SCHOOL HEALTH CENTERBOSTON MEDICAL CENTER RADIOLOGY AT WHITTIER STREET HEALTH CENTERBOSTON MEDICAL CENTER RADIOLOGY AT UPHAM'S CORNER HEALTH CENTERMURIEL SNOWDEN INTERNATIONAL HIGH SCHOOL HEALTH CENTERSOUTH BOSTON COMMUNITY HEALTH CENTER 386 WEST BROADWAYSOUTH BOSTON COMMUNITY HEALTH CENTER 409 WEST BROADWAYBOSTON MEDICAL CENTER SCHOOL-BASED HEALTH CENTER AT BOSTON COMMUNITY LEADERSHIP ACADEMYEAST BOSTON NEIGHBORHOOD HEALTH CENTER - 20 MAVERICK SQUAREBOSTON MEDICAL CENTER RADIOLOGY AT MATTAPAN COMMUNITY HEALTH CENTEREAST BOSTON NEIGHBORHOOD HEALTH CENTER (79 PARIS STREET)EBHS SCHOOL BASED HEALTH CENTERWINTHROP COMMUNITY HEALTH CENTERSOUTH BOSTON COMMUNITY HEALTH CENTER SEAPORT PRIMARY CARE BOSTON MEDICAL CENTER - DEPARTMENT OF FAMILY MEDICINEBOSTON MEDICAL CENTER - CROSSTOWN
BOSTON MEDICAL CENTER	PART V, SECTION B, LINE 5: FOCUS GROUPS: THIRTEEN FOCUS GROUPS WERE CONDUCTED WITH SPECIFIC POPULATIONS OF INTEREST: 12 FOCUS GROUPS WERE CONDUCTED SPECIFICALLY FOR THE COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ONE ADDITIONAL FOCUS GROUP WAS CONDUCTED BY WORK GROUP MEMBERS WHO SUBMITTED NOTES FOR THE CHNA. FOCUS GROUPS WERE 90-MINUTE SEMI-STRUCTURED CONVERSATIONS WITH APPROXIMATELY 8-12 PARTICIPANTS PER GROUP AND AIMED TO DELVE DEEPLY INTO COMMUNITY'S NEEDS, STRENGTHS, AND OPPORTUNITIES FOR THE FUTURE. FOCUS GROUPS WERE CONDUCTED WITH THE FOLLOWING POPULATION GROUPS, INCLUDING RESIDENTS OF SPECIFIC NEIGHBORHOODS: HISTORICALLY UNDERPAID FEMALE WORKERS (E.G. HOUSEKEEPERS, CHILD CARE WORKERS, HOTEL SERVICE WORKERS, ETC.); MALE LOW-WAGE WORKERS (E.G. JANITORIAL STAFF, CONSTRUCTION, ETC.); SENIORS (AGES 65+) WITH COMPLEX, CHALLENGING ISSUES (E.G. HOMEBOUND, MEDICAL COMPLICATIONS); RESIDENTS WHO ARE HOUSING INSECURE (NO PERMANENT ADDRESS OR CLOSE TO EVICTION); LATINO RESIDENTS IN EAST BOSTON (IN SPANISH); LGBTQ+ YOUTH AND YOUNG ADULTS AT RISK OF EXPERIENCING HOMELESSNESS; IMMIGRANT PARENTS OF SCHOOL AGE CHILDREN (5-18 YEARS); SURVIVORS OF VIOLENCE; MOTHERS WHO HAVE BEEN IMPACTED BY VIOLENCE; PARENTS WHO LIVE IN PUBLIC HOUSING IN DORCHESTER; CHINESE RESIDENTS LIVING IN CHINATOWN (IN CHINESE); HAITIAN RESIDENTS LIVING IN MATTAPAN (IN HAITIAN CREOLE); AND RESIDENTS IN ACTIVE SUBSTANCE USE RECOVERY.A TOTAL OF 104 COMMUNITY RESIDENTS PARTICIPATED IN FOCUS GROUPS, REPRESENTING 13 NEIGHBORHOODS ACROSS THE CITY. NEARLY HALF OF THE FOCUS GROUP PARTICIPANTS IDENTIFIED AS BLACK OR AFRICAN AMERICAN (45%), A THIRD OF PARTICIPANTS IDENTIFIED AS HISPANIC OR LATINO (34%), AND 10% IDENTIFIED AS WHITE. THE MAJORITY OF PARTICIPANTS IDENTIFIED AS FEMALE (57%), 36% IDENTIFIED AS MALE, AND 7% IDENTIFIED AS TRANSGENDER OR GENDERQUEER. ADDITIONAL DATA ON FOCUS GROUP PARTICIPANT CHARACTERISTICS CAN BE FOUND IN APPENDIX F. 15 COMMUNITY AND SOCIAL SERVICE ORGANIZATIONS LOCATED THROUGHOUT BOSTON ASSISTED WITH RECRUITING PARTICIPANTS AND/OR HOSTING FOCUS GROUPS.KEY INFORMANT INTERVIEWSA TOTAL OF 45 KEY INFORMANT INTERVIEWS WERE COMPLETED, 6 OF WHICH WERE ADDITIONAL INTERVIEWS SUBMITTED BY WORK GROUP VOLUNTEERS. INTERVIEWS WERE 45-60-MINUTE SEMI-STRUCTURED DISCUSSIONS THAT ENGAGED INSTITUTIONAL, ORGANIZATIONAL, AND COMMUNITY LEADERS AND FRONT-LINE STAFF ACROSS SECTORS. DISCUSSIONS EXPLORED INTERVIEWEES' EXPERIENCES OF ADDRESSING COMMUNITY NEEDS AND OPPORTUNITIES FOR FUTURE ALIGNMENT, COORDINATION, AND EXPANSION OF SERVICES, INITIATIVES, AND POLICIES. SECTORS REPRESENTED IN THESE INTERVIEWS INCLUDED: PUBLIC HEALTH, HEALTH CARE, HOUSING AND HOMELESSNESS, TRANSPORTATION, COMMUNITY DEVELOPMENT, FAITH, EDUCATION, PUBLIC SAFETY, ENVIRONMENTAL JUSTICE, GOVERNMENT, WORKFORCE DEVELOPMENT, SOCIAL SERVICES, FOOD INSECURITY, AND BUSINESS ORGANIZATIONAL STAFF THAT WORK WITH SPECIFIC POPULATION SUCH AS YOUTH, SENIORS, DISABLED, LGBTQ+, AND IMMIGRANTS.
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 DISORDERS, 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.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - MARGARET M SHEA RN ADULT HEALTH PROGR
RIVER STREET	MATTAPAN	MA	02126	ADULT DAYCARE
2 - SUPPORTING PARENTS & RESILIENT KIDS CT
225 RIVER STREET	MATTAPAN	MA	02126	THERAPEUTIC CENTER

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 UNDERSERVED POPULATIONS, SUCH AS THE LOW-INCOME AND THE ELDERLY, WHO RELY ON GOVERNMENT PAYERS SUCH AS MEDICAID, THE HEALTH SAFETY NET AND MEDICARE FOR THEIR COVERAGE, AND 32% 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 ELIMINATE INEQUITIES IN HEALTHCARE AMONG THE VARIOUS POPULATIONS BMC SERVES. WITH MORE THAN 24,367 ADMISSIONS AND 1,338,510 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 INCLUDING CARDIAC CARE, NEUROLOGICAL CARE, ORTHOPEDICS, GERIATRICS, WOMEN'S HEALTH, AND PEDIATRICS. THE LARGEST 24-HOUR LEVEL I TRAUMA CENTER IN NEW ENGLAND, BMC'S EMERGENCY DEPARTMENT HAD MORE THAN 120,811 PATIENT VISITS IN FY2021. 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 BMC.ACCORDING 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 2021, APPROXIMATELY 2.25% WERE UNINSURED AND COVERAGE RATES FOR PRIMARY INSURANCE WERE APPROXIMATELY: 22.74 % MEDICARE; 43.58% MEDICAID; AND 30.00% PRIVATE OR ESI. 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 2021, BMC RECOGNIZED NET FAVORABLE SETTLEMENTS FROM MEDICARE, MEDICAID, BMCHP, BLUE CROSS AND OTHER PAYORS RELATED TO PRIOR YEARS OF APPORXIMATELY $1,779,000.
PART II, COMMUNITY BUILDING ACTIVITIES:	BMC CONTRIBUTES TO THE COMMUNITY THROUGH ITS PAYMENT OF LINKAGE FEES TO THE CITY OF BOSTON. THOSE LINKAGE FEE FUNDS 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.MATTAPAN COMMUNITY HEALTH CENTER, A COMMUNITY HEALTH CENTER AFFILIATED WITH BOSTON MEDICAL CENTER, RECEIVED A TOTAL OF $8,200,000 FROM BOSTON MEDICAL CENTER DURING 2009 AND 2010 IN THE FORM OF A LOAN THAT WAS ORIGINATED ON SEPTEMBER 30, 2010. EFFECTIVE JUNE 30, 2009, $1,000,000 OF THE 2009 PORTION OF THE MATTAPAN LOAN WAS FORGIVEN. COMMENCING NOVEMBER 1, 2011, BOSTON MEDICAL CENTER AGREED TO FORGIVE TEN PERCENT OF THE REMAINING PRINCIPAL AMOUNT ($7,200,000) 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 $2,220,000 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.EAST BOSTON NEIGHBORHOOD HEALTH CENTER, A COMMUNITY HEALTH CENTERAFFILIATED WITH BOSTON MEDICAL CENTER, RECEIVED A TOTAL OF $1,000,000 FROM BOSTON MEDICAL CENTER DURING 2013 IN THE FORM OF A LOAN THAT WAS ORIGINATED EFFECTIVE JANUARY 15, 2013. COMMENCING SEPTEMBER 30, 2013, BOSTON MEDICAL CENTER 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 $500,000 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.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.SOUTH END COMMUNITY HEALTH CENTER, A COMMUNITY HEALTH CENTER AFFILIATED WITH BOSTON MEDICAL CENTER, RECEIVED A TOTAL OF $200,000 FROM BOSTON MEDICAL CENTER DURING 2017 IN THE FORM OF A LOAN THAT WAS ORIGINATED EFFECTIVE JUNE 16, 2017. COMMENCING JUNE 16, 2017, BOSTON MEDICAL CENTER AGREED TO FORGIVE ONE-THIRD OF THE ORIGINAL PRINCIPAL AMOUNT AND ACCRUED INTEREST OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING COULD BE FORGIVEN IN THREE YEARS. IN FISCAL YEAR 2018, BOSTON MEDICAL CENTER INCURRED AN EXPENSE OF $200,000 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 ARE WRITTEN OFF TO BAD DEBT AND RECORDED AS A BAD DEBT RECOVERY, REDUCING THE GROSS BAD DEBT WRITE-OFF.
PART III, LINE 3:	THE ORGANIZATION ESTIMATED $0 OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) AS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY DUE TO THE MANNER IN WHICH THE DETAIL OF THE BAD DEBT EXPENSE IS PROCESSED IN ITS SYSTEM.
PART III, LINE 4:	THE ORGANIZATION'S BAD DEBT EXPENSE IS ADDRESSED IN FOOTNOTES 1(R)(IV) AND 1(T) FOUND ON PAGES 15 AND 16 OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	MEDICARE ALLOWABLE COSTS OF $194,024,505 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:	NEEDS ASSESSMENTIN 2019, 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 CHNA-CHIP COLLABORATIVE) FORMED 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 CHNA. THIS CHNA FOCUSES ON THE SOCIAL DETERMINANTS OF HEALTH USING A HEALTH EQUITY LENS. THE INFLUENCES OF RACE, ETHNICITY, INCOME, AND GEOGRAPHY ON HEALTH PATTERNS ARE OFTEN INTERTWINED. IN THE UNITED STATES, SOCIAL, ECONOMIC, AND POLITICAL PROCESSES ASCRIBE SOCIAL STATUS BASED ON RACE AND ETHNICITY, WHICH MAY INFLUENCE OPPORTUNITIES FOR EDUCATIONAL AND OCCUPATIONAL ADVANCEMENT AND HOUSING OPTIONS, TWO FACTORS THAT PROFOUNDLY AFFECT HEALTH. INSTITUTIONAL RACISM, ECONOMIC INEQUALITY, DISCRIMINATORY POLICIES, AND HISTORICAL OPPRESSION OF SPECIFIC GROUPS ARE MANY OF THE ROOT FACTORS THAT DRIVE THE HEALTH INEQUITIES WE SEE IN THE U.S. TODAY. THE CHNA USED A PARTICIPATORY, COLLABORATIVE APPROACH THAT ENGAGED THE COMMUNITY THROUGH DIFFERENT AVENUES. OVER 100 COLLABORATIVE MEMBERS REPRESENTING HEALTH CARE, PUBLIC HEALTH, EDUCATION, COMMUNITY DEVELOPMENT, SOCIAL SERVICE, AND COMMUNITY-BASED ORGANIZATIONS PROVIDED INPUT THROUGHOUT THE CHNA PROCESS AND PLAYED AN INTEGRAL ROLE IN DATA COLLECTION EFFORTS. DATA COLLECTION EFFORTS WERE FOCUSED ON ENGAGING HARD-TO-REACH POPULATIONS WHO ARE NOT TYPICALLY ENGAGED IN THESE PROCESSES OR REPRESENTED IN THE SECONDARY DATA. EXISTING DATA WERE DRAWN FROM NATIONAL, STATE, AND CITY SOURCES, SUCH AS THE U.S. CENSUS, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, AND BOSTON PUBLIC HEALTH COMMISSION, INCLUDING DATASETS SUCH AS THE BOSTON BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BBRFSS). FOR NEW DATA COLLECTION, OVER 91 ORGANIZATIONS AND 2,500 INDIVIDUALS WERE ENGAGED IN A CHNA COMMUNITY SURVEY (N=2,404) ADMINISTERED ONLINE AND IN-PERSON IN SEVEN LANGUAGES, 13 FOCUS GROUPS WITH COMMUNITY RESIDENTS (N=104), AND 45 INTERVIEWS WITH ORGANIZATIONAL AND COMMUNITY LEADERS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY'S NEEDS, STRENGTHS, AND OPPORTUNITIES. LIKE ALL DATA GATHERING EFFORTS, THERE ARE LIMITATIONS TO THE CHNA DATA. SECONDARY DATA HAVE A TIME LAG, AND VARIOUS SOURCES MAY USE DIFFERENT DEFINITIONS FOR SIMILAR TOPICS. DATA MAY BE AGGREGATED ACROSS TIME, GEOGRAPHIES, OR POPULATION GROUPS TO PROVIDE LARGE ENOUGH SAMPLE SIZES. MORE GRANULAR ANALYSIS FOR SPECIFIC NEIGHBORHOODS OR ETHNIC GROUPS WITHIN LARGER RACIAL/ETHNIC CATEGORIES IS NOT POSSIBLE. PRIMARY DATA SUCH AS THE SURVEY AND FOCUS GROUPS USE A CONVENIENCE SAMPLE WHICH MAY NOT BE REPRESENTATIVE OF THE LARGER POPULATION.THIRTEEN FOCUS GROUPS WERE CONDUCTED WITH SPECIFIC POPULATIONS OF INTEREST: 12 FOCUS GROUPS CONDUCTED SPECIFICALLY FOR THE COLLABORATIVE CHNA AND ONE ADDITIONAL FOCUS GROUP CONDUCTED BY WORK GROUP MEMBERS WHO SUBMITTED NOTES FOR THE CHNA. FOCUS GROUPS WERE 90-MINUTE SEMI-STRUCTURED CONVERSATIONS WITH APPROXIMATELY 8-12 PARTICIPANTS PER GROUP AND AIMED TO DELVE DEEPLY INTO COMMUNITY'S NEEDS, STRENGTHS, AND OPPORTUNITIES FOR THE FUTURE. FOCUS GROUPS WERE CONDUCTED WITH THE FOLLOWING POPULATION GROUPS, INCLUDING RESIDENTS OF SPECIFIC NEIGHBORHOODS: HISTORICALLY UNDERPAID FEMALE WORKERS (E.G. HOUSEKEEPERS, CHILD CARE WORKERS, HOTEL SERVICE WORKERS, ETC.); MALE LOW-WAGE WORKERS (E.G. JANITORIAL STAFF, CONSTRUCTION, ETC.); SENIORS (AGES 65+) WITH COMPLEX, CHALLENGING ISSUES (E.G. HOMEBOUND, MEDICAL COMPLICATIONS); RESIDENTS WHO ARE HOUSING INSECURE (NO PERMANENT ADDRESS OR CLOSE TO EVICTION); LATINO RESIDENTS LIVING IN EAST BOSTON (IN SPANISH); LGBTQ+ YOUTH AND YOUNG ADULTS AT RISK OF BEING HOMELESS; IMMIGRANT PARENTS OF SCHOOL AGE CHILDREN (5-18 YEARS); SURVIVORS OF VIOLENCE; MOTHERS WHO HAVE BEEN IMPACTED BY VIOLENCE; PARENTS LIVING IN PUBLIC HOUSING IN DORCHESTER; CHINESE RESIDENTS LIVING IN CHINATOWN (IN CHINESE); HAITIAN RESIDENTS LIVING IN MATTAPAN (IN HAITIAN CREOLE); AND RESIDENTS IN ACTIVE SUBSTANCE USE RECOVERY.A TOTAL OF 104 COMMUNITY RESIDENTS PARTICIPATED IN FOCUS GROUPS, REPRESENTING 13 NEIGHBORHOODS ACROSS THE CITY. NEARLY HALF OF FOCUS GROUP PARTICIPANTS IDENTIFIED AS BLACK OR AFRICAN AMERICAN (45%), A THIRD OF PARTICIPANTS IDENTIFIED AS HISPANIC OR LATINO (34%), AND 10% IDENTIFIED AS WHITE. THE MAJORITY OF PARTICIPANTS IDENTIFIED AS FEMALE (57%), 36% IDENTIFIED AS MALE, AND 7% IDENTIFIED AS TRANSGENDER OR GENDERQUEER. ADDITIONAL DATA ON FOCUS GROUP PARTICIPANT CHARACTERISTICS CAN BE FOUND IN APPENDIX F. FIFTEEN COMMUNITY AND SOCIAL SERVICE ORGANIZATIONS LOCATED THROUGHOUT BOSTON ASSISTED WITH RECRUITING PARTICIPANTS AND/OR HOSTING FOCUS GROUPS.A TOTAL OF 45 KEY INFORMANT INTERVIEWS WERE COMPLETED, SIX OF WHICH WERE ADDITIONAL INTERVIEWS SUBMITTED BY WORK GROUP VOLUNTEERS. INTERVIEWS WERE 45-60-MINUTE SEMI-STRUCTURED DISCUSSIONS THAT ENGAGED INSTITUTIONAL, ORGANIZATIONAL, AND COMMUNITY LEADERS AND FRONT-LINE STAFF ACROSS SECTORS. DISCUSSIONS EXPLORED INTERVIEWEES' EXPERIENCES OF ADDRESSING COMMUNITY NEEDS AND OPPORTUNITIES FOR FUTURE ALIGNMENT, COORDINATION, AND EXPANSION OF SERVICES, INITIATIVES, AND POLICIES. SECTORS REPRESENTED IN THESE INTERVIEWS INCLUDED: PUBLIC HEALTH, HEALTH CARE, HOUSING AND HOMELESSNESS, TRANSPORTATION, COMMUNITY DEVELOPMENT, FAITH, EDUCATION, PUBLIC SAFETY, ENVIRONMENTAL JUSTICE, GOVERNMENT, WORKFORCE DEVELOPMENT, SOCIAL SERVICES, FOOD INSECURITY, BUSINESS ORGANIZATIONAL STAFF THAT WORK WITH SPECIFIC POPULATION SUCH AS YOUTH, SENIORS, DISABLED, LGBTQ+, AND IMMIGRANTS. KEY FINDINGS THAT EMERGED FROM THE CHNA INCLUDED HEALTH CARE ACCESS AND UTILIZATION, CHRONIC DISEASES AND RISK FACTORS, MENTAL HEALTH AND SUBSTANCE USE DISORDERS, 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 10% OR MORE OF THE POPULATION RESIDING IN THE HOSPITAL SERVICE AREA. CURRENTLY, THE HOSPITAL TRANSLATES THE NOTICES INTO ENGLISH, PORTUGUESE, SPANISH, 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 2021 FISCAL YEAR, BIRTH SISTERS PROVIDED SUPPORT FOR 254 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 2021, THE CATALYST CLINIC RECEIVED APPROXIMATELY 88 REFERRALS TO THE CLINIC; 718 REFERRALS HAVE BEEN RECEIVED SINCE THE PROGRAM'S INCEPTION. CHILD LIFE PROGRAM (CLP): THE CHILD LIFE PROGRAM ASSISTS CHILDREN AND FAMILIES IN MANAGING THE STRESSES ASSOCIATED WITH HOSPITALIZATION AND ILLNESS. ALL CLP TEAM MEMBERS ARE TRAINED DEVELOPMENTAL SPECIALISTS, AIMING TO SUPPORT CHILDREN AND FAMILIES THROUGH THE HOSPITAL EXPERIENCE. THE GOALS OF THE CLP ARE TO: HELP CHILDREN EXPRESS THEIR FEELINGS THROUGH PLAY IN A SAFE AND SUPPORTIVE ENVIRONMENT; ADVOCATE FOR CHILDREN, OFFERING SUPPORT TO EFFECTIVELY WORK THROUGH PAIN MANAGEMENT; OFFER CHILDREN DEVELOPMENTALLY APPROPRIATE CHOICES THAT INCREASE FEELINGS OF INDEPENDENCE, SELF-ESTEEM, AND TRUST; AND ASSIST WITH IMPLEMENTATION OF COPING TECHNIQUES DURING STRESSFUL SITUATIONS. THE CLP CURRENTLY COVERS THE AREAS OF INPATIENT PEDIATRICS AND THE PEDIATRIC INTENSIVE CARE UNIT, PEDIATRIC AMBULATORY CARE CLINIC INCLUDING SPECIALTY CLINICS, PEDIATRIC EMERGENCY DEPARTMENT, PEDIATRIC OTOLARYNGOLOGY CLINIC AND OPERATING AREAS FOR PEDIATRIC SURGERY. THE TEAM REMAINS A CONSULT SERVICE FOR PEDIATRIC CASES IN THE NICU, RADIOLOGY, TRAUMA SERVICES, AND OBYGN AS WELL AS FOR BEREAVEMENT SUPPORT WORKING WITH CHILDREN OF ADULT FAMILIES.CHILD PASSENGER SAFETY PROGRAM: BMC RECOGNIZES AND USES THE CENTER FOR DISEASE CONTROL AND PREVENTION'S CHILD PASSENGER SAFETY RECOMMENDATIONS. MASSACHUSETTS STATE LAW REQUIRES THAT ALL CHILDREN UNDER AGE 8 AND LESS THAN 57 INCHES TALL BE PROPERLY FASTENED AND SECURED IN A FEDERALLY APPROVED CAR SEAT OR BOOSTER SEAT. BMC REQUIRES ALL NEWBORNS LEAVING THE HOSPITAL HAVE AN APPROPRIATE CAR SEAT PRIOR TO DISCHARGE HOME. THE DIVISION OF TRAUMA PARTNERS WITH THE PUBLIC SAFETY OFFICE TO PROVIDE CHILD SAFETY SEAT INSTALLATION AND INSPECTION FREE OF CHARGE. PUBLIC SAFETY OFFICERS ARE TRAINED CHILD PASSENGER SAFETY TECHNICIANS (CPSTS) WHO HAVE BEEN CERTIFIED IN CORRECT INSTALLATION OF CHILD SAFETY SEATS AND ARE RE-CERTIFIED EVERY 2 YEARS. BMC'S CPSTS ARE RESPONSIBLE FOR AND CAPABLE OF: SECURING CHILDREN IN APPROPRIATE CHILD RESTRAINT SYSTEMS; INSTALLING CHILD RESTRAINT SYSTEMS IN MULTIPLE TYPES OF VEHICLES; EDUCATING OTHERS ON HOW TO CORRECTLY INSTALL CHILD RESTRAINT SYSTEMS IN VEHICLES AND HOW TO PROPERLY RESTRAIN CHILDREN IN MOTOR VEHICLES; AND ORGANIZING, COORDINATING OR ASSISTING AT INSPECTION STATIONS AND CHECKUP EVENTS. IN FY21, THE CHILD PASSENGER SAFETY PROGRAM INSTALLED OR PROVIDED EDUCATION ON APPROXIMATELY 100 CAR SEATS.CLOTHING BANK: BMC'S SOCIAL WORKERS ACCESS THE CLOTHING BANK IN REAL TIME WHEN A PROVIDER CONTACTS SOCIAL WORK ABOUT A BASIC CLOTHING NEED (SWEATPANTS, SHIRTS, UNDERWEAR, SOCKS, SHOES, AND WINTER COATS) FOR A LOW-INCOME PATIENT.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 BMC HEALTHNET PLAN, BMC'S HEALTH INSURANCE PROGRAM, TO TEST ALTERNATIVE PAYMENT MODELS TO ULTIMATELY REDEFINE VALUE IN PEDIATRIC CARE.CRIBS FOR KIDS: BMC PARTNERS WITH THE NATIONAL CRIBS FOR KIDS PROGRAM, WHERE ITS MISSION IS TO PROVIDE CRIBS TO BABIES WHOSE MOTHERS COULD NOT AFFORD THEM OTHERWISE AND EDUCATE MOTHERS ABOUT THE DANGERS OF UNSAFE SLEEP ENVIRONMENTS. BMC PROVIDES FREE PACK-AND-PLAYS AND CRIBS TO FAMILIES WHO DO NOT OTHERWISE HAVE A SAFE SPACE FOR THEIR BABY TO SLEEP. THIS PROGRAM IS FUNDED THROUGH THE INJURY PREVENTION TRAUMA DEVELOPMENT FUND. IN FY21, THE CRIBS FOR KIDS PROGRAM AT BMC PROVIDED PACK AND PLAYS TO APPROXIMATELY 50 FAMILIES.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 383 CLIENTS DURING FISCAL YEAR 2021. OF THESE CLIENTS, 189 RECEIVED HOUSING SEARCH AND PLACEMENT SERVICES; 169 RECEIVED HOUSING STABILIZATION SERVICES; AND 70 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 CHILDREN ARE TREATED ANNUALLY BY THE GROW CLINIC. IN FY2021, THERE WERE 93 NEW PATIENTS. FORTY-EIGHT PERCENT (48%) 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 1,041 TOTAL CLINIC VISITS DURING THIS PERIOD. APPROXIMATELY 15% OF PATIENT FAMILIES WERE HOMELESS AND LIVING IN SHELTERS. CLINICIANS MADE 326 HOME VISITS IN FY21. ALL PATIENTS DEMONSTRATED IMPROVED GROWTH, AND 80% DEMONSTRATED SIGNIFICANT WEIGHT IMPROVEMENT.
PART VI, LINE 6:	BMC HEALTHNET PLANBMC HEALTHNET PLAN 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 20 YEARS OF EXPERIENCE DELIVERING ACCESSIBLE CARE TO COMPLEX POPULATIONS. BMC HEALTHNET PLAN SERVES OVER 313,777 MEMBERS ACROSS MASSACHUSETTS. IT ALSO PROVIDES HEALTH COVERAGE TO MEDICAID MEMBERS IN NEW HAMPSHIRE, WHERE IT OPERATES AS WELL SENSE HEALTH PLAN. 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 NEARLY 240 BU SCHOOL OF MEDICINE STUDENTS USING HEALTH CENTER EDUCATION PROGRAMS (PRE-COVID), 78 RESIDENTS HAVING LONGITUDINAL AMBULATORY EXPERIENCE AT CHCS IN 2022 AND 38 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 BMC HEALTHNET PLAN.COVID-19 INITIATIVES: OVER THE LAST YEAR, BHN, BMC AND THE HEALTH CENTERS CONTINUED TO COLLABORATE ON: 1. EFFORTS TO MITIGATE THE SPREAD THROUGH VACCINE SUPPLY DISTRIBUTION, WORKFLOW DEVELOPMENT AND STAFFING OF VACCINE CLINICS 2. SURGE PLANNING AND 'RETURN' TO PRIMARY CARE, ESPECIALLY FOR PATIENTS WITH CHRONIC CONDITIONS WHOSE CARE AND TREATMENT HAD BEEN DEFERRED DURING THE PANDEMIC
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 CURRENTLY HAS A ROSTER OF 32 PARTICIPANTS 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.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 FY21. ADDITIONALLY, THE PROGRAM TRAINS OVER 1,000 INDIVIDUALS ANNUALLY. PEDIATRIC COMPREHENSIVE CARE PROGRAM (CCP): CCP SERVED A PANEL OF APPROXIMATELY 600 CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND THEIR FAMILIES IN FY21. THE CLINICAL STAFF INTEGRATES PRIMARY CARE WITH SPECIALTY CARE AND SOCIAL SERVICES FOR CHILDREN WITH NEURODEVELOPMENTAL AND EMOTIONAL/BEHAVIORAL NEEDS RELATED TO PRE-TERM BIRTH, CONGENITAL SYNDROMES AND CHRONIC HEALTH CONDITIONS, AND/OR HAVE EXPERIENCED TRAUMA AS A RESULT OF ABUSE AND/OR NEGLECT, PARENTAL ABANDONMENT, DOMESTIC VIOLENCE, AND PARENTAL SUBSTANCE USE DISORDER. MANY OF THE CHILDREN SEEN IN THE CCP HAVE COMPLEX OVERLAPPING HEALTH, DEVELOPMENT AND EMOTIONAL/BEHAVIORAL ISSUES. MANY LOW-INCOME PARENTS OF SPECIAL NEEDS CHILDREN TEND TO ENGAGE HAPHAZARDLY AND EPISODICALLY WITH THE HEALTHCARE SYSTEM AND FAIL TO RECEIVE APPROPRIATE FOLLOW-UP CARE AND INTERVENTION. THESE PARENTS OFTEN FACE ECONOMIC HARDSHIPS, EDUCATIONAL BARRIERS, PSYCHOSOCIAL STIGMA, AND SOCIAL ISOLATION AS THEY TRY TO COPE WITH THEIR CHILDREN'S NEEDS AND ATTEMPT TO MAINTAIN STABILITY FOR THEIR FAMILIES. THIS HAS BEEN ESPECIALLY TRUE DURING THE PANDEMIC, AND WE HAVE UTILIZED TELEMEDICINE AND OTHER TOOLS TO OFFSET THE DECREASED ACCESS TO CARE EXPERIENCED BY SOME FAMILIES. THE CCP, WITH ITS MULTIDISCIPLINARY APPROACH, SEES FROM 6 TO 8 PATIENTS PER PROVIDER PER SESSION, CONSIDERABLY LESS THAN THE 10-12 PATIENTS PER SESSION REGULARLY SEEN IN THE PEDIATRIC CLINIC. ADDITIONALLY, THESE TEAM PRIMARY CARE VISITS ALLOW FOR ATTENTION TO ROUTINE HEALTH MAINTENANCE AS WELL AS UPDATING COMPLEX CARE COORDINATION; PATIENTS MAY ALSO SEE A NEUROLOGIST, PULMONOLOGIST, NUTRITIONIST, GASTROENTEROLOGIST, BEHAVIORAL HEALTH CLINICIAN, AND/OR A PEDIATRIC ENDOCRINOLOGIST, WHEN INDICATED. THE PROGRAM ALSO UTILIZED A FAMILY NAVIGATOR AS MAINSTAYS OF THEIR CAPACITY TO ACHIEVE HIGH-TOUCH CARE MANAGEMENT AND ADDRESS THE SOCIAL DETERMINANTS OF HEALTH. THIS "ONE STOP SHOPPING" MODEL OF CARE PROMOTES COMMUNICATION BETWEEN ALL MEMBERS OF THE CHILD'S HEALTHCARE TEAM.
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. A 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. PATIENTS ARE GIVEN A PERSONALIZED PAIN MANAGEMENT PLAN TO BEST FIT THEIR INDIVIDUAL 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. FISCAL YEAR 2021 CONTINUED TO POSE MANY CHALLENGES AND MANY NEW OPPORTUNITIES TO THE HEALTHCARE SYSTEM, AND THE PEDIATRIC PAIN CLINIC WAS CERTAINLY NO EXCEPTION. THE TEAM MOVED INTO A NEW SPACE ON SHAPIRO 8 AND THE CLINIC HAS NEARLY RETURNED TO PRE-PANDEMIC SERVICE CAPACITY. THE CLINIC HAS RESUMED PHYSICAL THERAPY EVALUATIONS FOR ALL NEW PATIENTS ON MONDAY MORNINGS, WHICH WAS OFFERED PRE-PANDEMIC. AN ACUPUNCTURE TEAM CONTINUES TO BRING NEW INTERNS FOR ROTATIONS. A THE CLINIC OFFERED A KARATE PROGRAM TO PATIENTS, BUT THIS WAS PAUSED DURING THE OMICRON SURGE. MOST SIGNIFICANTLY, THE PEDIATRIC NURSE ASSIGNED TO OUR TEAM IS NOW A FULL TIME NURSE IN THE PEDIATRIC SPECIALTY GROUP; THIS CHANGE MEANS SHE WILL CONTRIBUTE TO PAIN CLINIC WORK IN ADDITION TO SUPPORTING OTHER SPECIALTY CLINICS. THE TEAM WAS ALSO ABLE TO PURCHASE NEW BIOFEEDBACK EQUIPMENT WITH A GENEROUS DONATION FROM A LOCAL GROUP, MUCH TO THE APPRECIATION OF OUR PATIENTS AND CLINICIANS. IN FY 2022, THE TEAM WILL LOOK TO POST A POSITION FOR A PART-TIME PRACTICE COORDINATOR, WHO WILL FURTHER SUPPORT OUT PROGRAM.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 4,948 PEOPLE EACH MONTH. IN FY21, THE FOOD PANTRY PROVIDED NUTRITIOUS FOOD TO 59,380 GREATER BOSTON RESIDENTS. APPROXIMATELY 9,500 POUNDS OF FOOD SUPPLIES ARE REQUIRED WEEKLY TO STOCK THE PANTRY SHELVES AT BMC. THIS EQUATES TO APPROXIMATELY 8 POUNDS OF GROCERIES PER PERSON. THE TEACHING KITCHEN ADAPTED TO ACCOMMODATE COVID-19 PREVENTION RECOMMENDATIONS AND PROTOCOLS. CLASSES WERE SHIFTED TO AN ENTIRELY REMOTE MODEL, INCLUDING BOTH LIVE AND PRE-RECORDED FORMATS, AND WERE OFFERED FOR FREE TO PATIENTS, STAFF, AND THE GENERAL COMMUNITY. WEEKLY INSTAGRAM STORIES AND TIKTOKS ENTITLED "THURSDAYS IN MY HOME KITCHEN" WERE LAUNCHED TO REACH THE WIDER COMMUNITY. RECIPES CONTINUED TO FOCUS ON LIMITING TOTAL CALORIES, EMPHASIZING LEAN AND PLANT BASED PROTEIN SOURCES, AND USING WHOLE FOOD INGREDIENTS. MEAL IDEAS WERE CENTERED AROUND STAPLE FOODS PROVIDED BY THE FOOD PANTRY AND NON-PERISHABLE FOODS TO HELP REDUCE TRIPS TO THE GROCERY STORE. COMPARED TO LAST YEAR, THE NUMBER OF CLASSES OFFERED INCREASED FROM AN AVERAGE OF 12 CLASSES PER MONTH TO AN AVERAGE OF 22 CLASSES PER MONTH, AND PARTICIPATION RATES REMAINED AN AVERAGE 8-15 PARTICIPANTS PER CLASS. IN AN INFORMAL QUALITY IMPROVEMENT SURVEY, PARTICIPANTS REPORTED PREFERRING REMOTE LEARNING FOR CONVENIENCE FACTORS INCLUDING CHILD CARE AND TRANSPORTATION, AS WELL AS ENJOYING THE HOME-COOK ATMOSPHERE AND FINDING IT MORE RELATABLE. 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. THE 2021 FARMING SEASON FOUND THE FARM OPENING UP IN SOME CAPACITY TO THE PUBLIC. THE FARM HOSTED FREE EMPLOYEE GARDENING 101 CLASSES AS WELL AS YOGA ON THE FARM. THE FARM ALSO HOSTED TOURS FOR THE PUBLIC AND EMPLOYEES THROUGHOUT THE FARMING SEASON, BOTH VIRTUAL AND IN PERSON. FOR A SECOND YEAR THE FARM HOSTED AN INTERNSHIP PROGRAM FOR PEOPLE LOOKING TO LEARN THE INS AND OUTS OF ROOFTOP FARMING AND GROWING FOOD FOR A HOSPITAL. THE FARM PRODUCED AROUND 3,500 POUNDS OF FRESH PRODUCE IN THE 2021 GROWING SEASON, WITH ABOUT 75% GOING TO THE FOOD PANTRY AND THE REST TO BMC'S CAFETERIAS AND PATIENT PLATES.PEDIATRIC MOBILE SERVICES: WITH PEDIATRIC IN-PERSON VISITS DROPPING SIGNIFICANTLY DURING THE SURGE OF COVID-19 CASES, BMC PEDIATRICIANS GRAPPLED WITH HOW TO STAY CONNECTED TO THEIR MOST VULNERABLE PEDIATRIC PATIENTS AND FAMILIES WHO WERE AT-RISK NOW, MORE THAN EVER. THOUGH SWITCHING TO TELEHEALTH ALLOWED PROVIDERS TO MEET THE NEEDS OF SOME OF THEIR PATIENTS, IT STILL LEFT THEM UNABLE TO PROVIDE ESSENTIAL VACCINATIONS AND OTHER CRITICAL FOLLOW-UP CARE TO FAMILIES FEARFUL OF COMING TO THE HOSPITAL. BREWSTER AMBULANCE SERVICE STEPPED FORWARD WITH A SOLUTION, GENEROUSLY DONATING AN AMBULANCE TO THE TEAM OF PROVIDERS, NURSES AND STAFF WHO DID HOUSE CALLS FOR FAMILIES LIVING IN NEARBY BOSTON NEIGHBORHOODS. FOR FAMILIES NOT COMFORTABLE COMING INTO THE HOSPITAL DUE TO COVID-19, BMC PEDIATRICS OFFERED PHYSICAL EXAMS, VACCINES, AND BLOOD WORK IN A MOBILE UNIT IN BOSTON NEIGHBORHOODS. THE MOBILE UNIT PARTNERED WITH PROJECT REACH TO PROVIDE UNMET MATERIAL NEEDS TO FAMILIES THAT THEY VISITED. EACH FAMILY SCHEDULED FOR THE MOBILE UNIT UNDERWENT A NEEDS ASSESSMENT AND RECEIVED BAGS THAT WERE CUSTOMIZED BY PROJECT REACH STAFF TO MEET PATIENTS' NEEDS. BAGS INCLUDED DIAPERS, WIPES, HYGIENE PRODUCTS, FACE MASKS, CHILDREN'S BOOKS AND TOYS, AMONG OTHER NECESSITIES. IN FEBRUARY OF 2021, THE PEDIATRICS DEPARTMENT PARTNERED WITH COLLEAGUES IN OBSTETRICS TO LAUNCH 'CURBSIDE CARE FOR MOMS AND BABIES'. THIS INNOVATIVE PROGRAM PROVIDED DYADIC, COMPREHENSIVE, HIGH-TOUCH CARE TO BOTH MOTHERS AND THEIR NEWBORNS IN THE FIRST 6 WEEKS WEEKS OF LIFE AT THE CURB! SERVICES INCLUDE: NEWBORN ASSESSMENT, LACTATION SUPPORT, MATERNAL BLOOD PRESSURE SCREENING, POSTPARTUM DEPRESSION SCREENING AND REFERRAL, AND CONTRACEPTION COUNSELING AND PROVISION. IN SPRING, THE MOBILE UNIT TEAM BEGAN ACTIVELY OUTREACHING TO PATIENTS TO PROVIDE COVID VACCINATION TO ALL ELIGIBLE PATIENTS. FOLLOWING UP IN THE FALL, THE MOBILE UNIT DELIVERED FLU VACCINATION TO PEDIATRIC PATIENTS WITH SEVERE ASTHMA AND SICKLE CELL DISEASE--KEEPING PATIENTS AT-RISK FOR COVID OUT OF THE HOSPITAL AND PROTECTING THEM FROM THE FLU. FROM AUGUST THROUGH DECEMBER 2020 THE MOBILE PROGRAM DELIVERED 25-30 BAGS OF SUPPLIES AND FOOD PER WEEK, AND FROM JANUARY THROUGH JULY 2021, APPROXIMATELY 12-20 BAGS PER WEEK.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 JUNE 2021, PROJECT REACH STAFF CONNECTED WITH THE FAMILIES OF OVER 1,000 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 FY21, PROJECT RESPECT SUPPORTED MORE THAN 210 MOTHER/CHILD DYADS.STREETCRED: BMC'S STREETCRED PROGRAM ADDRESSES CHILD POVERTY BY LINKING LOW- TO MODERATE-INCOME (LMI) PEDIATRIC PATIENT FAMILIES TO ANTI-POVERTY SAFE-NET PROGRAMS. STREETCRED PROVIDES FREE TAX-PREPARATION SERVICES THROUGH WELL-TRAINED STAFF AND VOLUNTEERS WHO WORK WITH FAMILIES TO PREPARE THEIR TAXES AND ACCESS THE EITC AND OTHER TAX-BASED PROGRAMS, FOR EXAMPLE, SNAP OR THE FAFSA FOR WHICH THEY MAY BE ELIGIBLE. THE UNITED STATES FEDERAL EARNED INCOME TAX CREDIT (EITC) IS A REFUNDABLE TAX CREDIT FOR LMI WORKING INDIVIDUALS, PARTICULARLY THOSE WITH CHILDREN. IN FY21 THE STREETCRED PROGRAM PREPARED 283 TAX RETURNS FOR BMC FAMILIES, WHICH LED TO RETURNING $767,043 IN TAX REFUNDS. UNDER OUR MEDICAL TAX COLLABORATIVE NETWORK, STREETCRED PREPARED ABOUT 1,100 TAX RETURNS, WHICH PROVIDED $2,769,852 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 2020 AND 2021, 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 INITIATIVETEAM 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 FOUR 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 2021, 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 76% OF GOOD GRIEF'S PATIENTS IN 2021.HOUSINGIN 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, THROUGH WHICH BHA INVESTS FUNDS TO IMPROVE THE HEALTH, SAFETY, AND COMFORT OF THEIR RESIDENTS. FURTHER, BMC ALSO PROVIDED SUPPORT TO COVER SOME STAFFING TIME FOR ONE OF BHA'S STAFF MEMBERS. BMC ALSO INVESTED IN THE METROPOLITAN AREA PLANNING COUNCIL (MAPC), THE EVALUATOR FOR BMC'S DON. IN THIS ROLE, MAPC DEVELOPS AND IMPLEMENTS AN EVALUATION PLAN TO ASSESS THE IMPACTS AND EFFECTS OF BMC'S MULTI-YEAR DON FOCUSED ON IMPROVING HOUSING STABILITY. THE EVALUATION WILL SEEK TO ASCERTAIN HOW THE VARIOUS INVESTMENTS IN HOUSING STABILITY INDIVIDUALLY AND COLLECTIVELY ADDRESS CONDITIONS ASSOCIATED WITH HEALTH OUTCOMES AND WITH PERFORMANCE OF THE ORGANIZATIONS INVOLVED IN THE PROCESS.THE HOUSING TO HEALTH PROGRAM IN THE DEPARTMENT OF PEDIATRICS AT BOSTON MEDICAL CENTER HAS SUCCESSFULLY DEPLOYED A MULTIDIMENSIONAL STRATEGY FOR RESPONDING TO A RANGE OF HOUSING AND HOMELESSNESS ISSUES AMONG PATIENT FAMILIES. IN 2021, 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 IN 2021 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: THROUGHOUT FY 2021, PROGRAM OFFERINGS TO PATIENTS/SURVIVORS WERE DELIVERED ALMOST ENTIRELY VIA ZOOM. OFFERINGS INCLUDED AN ARRAY OF SIXTEEN (16) MONTHLY SUPPORT GROUPS BY CANCER TYPE (E.G., BREAST, GI, HEAD & NECK); POPULATION TYPE (E.G., MEN, SPANISH-SPEAKING), OTHER DISEASE (E.G., SICKLE CELL, AMYLOIDOSIS); AND RELATED SUPPORT (E.G., OSTOMY, CAREGIVER, BEREAVEMENT). ALSO PROVIDED TO ALL CLIENTS WERE 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, 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.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.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 FY21. 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.
SCHEDULE H, PART VI, LINE 5 (CONTINUATION):	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 FY21 THE CVRT SERVED 1,146 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 FY21 THE MULTI-LINGUAL TEAM OF 4 SAFETY AND SUPPORT ADVOCATES ASSISTED 384 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, 71% WERE PATIENTS REFERRED BY BMC PROVIDERS, 4% WERE BMC EMPLOYEES, AND 25% WERE SELF-REFERRALS OR REFERRED BY COMMUNITY AND GOVERNMENT PROGRAMS THAT ASSIST DV SURVIVORS.DURING FY21 THE DV PROGRAM MAINTAINED AN ON-SITE PRESENCE, WITH A HYBRID MODEL OF STAFFING ALLOWING FOR ADVOCATES TO MAINTAIN ADEQUATE AND COMFORTABLE SPACING IN THE OFFICE WHEN MEETING WITH CLIENTS, AS WELL AS TO MAINTAIN THE CAPACITY TO WORK FROM HOME. WE ALSO BEGAN OFFERING SUPPORT GROUPS IN ENGLISH AND SPANISH VIA ZOOM, WHICH HAVE BEEN WELL ATTENDED AND WELL RECEIVED. THE PROGRAM SAW AN INCREASE IN COVID-RELATED NEEDS FOR BASIC ASSISTANCE WITH FOOD, HOUSING, TRANSPORTATION, AND MANY OTHER FORMS OF EMERGENCY FINANCIAL ASSISTANCE. THE DV PROGRAM MANAGER CONTINUED PROVIDING ROUTINE ORIENTATION SESSIONS WITH NEW STAFF AND INTERNS FROM SEVERAL DISCIPLINES/DEPARTMENTS THROUGHOUT THE YEAR, SOME IN PERSON AND SOME CONTINUING VIA ZOOM FORMAT. 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. VIAP HAS SEEN A SHARP INCREASE IN THE DEMAND FOR SERVICES DURING FY21. (IT IS SIGNIFICANT TO NOTE THAT BMC RECEIVES 70% OF THE CITY'S GUNSHOT AND STABBING VICTIMS.) DURING THIS PERIOD 382 VICTIMS WERE SERVED, INCLUDING 185 GUNSHOT AND 197 STABBING VICTIMS. THERE WERE 286 FAMILY MEMBERS SERVED THROUGH OUR FAMILY SUPPORT COMPONENT, AS WELL AS 27 FAMILIES OF HOMICIDE VICTIMS. SURVIVORS RECEIVED A SPECTRUM OF SERVICES, INCLUDING EMPLOYMENT HELP (330 SERVICES PROVIDED AND 21 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 (4 OBTAINED THEIR HISET AND 5 COMPLETED JOB TRAINING). MEDICAL ASSISTANCE INCLUDED ACCESSING PRIMARY CARE, PT, REHABILITATION, NURSING SERVICES (FOR 117 VICTIMS), SUBSTANCE USE AND MEDICATION MANAGEMENT. ADDITIONAL ASSISTANCE INCLUDED HELP WITH FOOD INSECURITY, TRANSPORTATION, OBTAINING A DRIVER'S LICENSE, SOCIAL SECURITY CARD, AND REGISTERING TO VOTE. VIAP'S STAFF WELLNESS PROGRAM HAS INCLUDED TRAININGS, TEAM BUILDING, AND OTHER ESSENTIAL SUPPORTIVE RESOURCES. MENTAL HEALTH AND SUBSTANCE USE DISORDERMENTAL HEALTH DIVERSION INITIATIVE (MHDI) OR CRIMINAL JUSTICE DIVERSION PROGRAM (DMH): OVER THE COURSE OF FY21, BOSTON MEDICAL CENTER'S MENTAL HEALTH COURT PROGRAM SERVED CLIENTS IN THREE BOSTON MUNICIPAL COURTS, BMC CENTRAL DIVISION, WEST ROXBURY DISTRICT COURT AND ROXBURY DISTRICT COURT. OVER THAT TIME, WITHIN BMC CENTRAL THERE WERE 125 CLIENTS SERVED, 65 OF WHOM WERE NEW REFERRALS AND 60 OF WHOM WERE CARRIED OVER FROM FY20. A TOTAL OF THIRTY SIX CLIENTS MET ALL REQUIREMENTS AND GRADUATED FROM THE PROGRAM. ON AVERAGE, BMC CENTRAL RECEIVES THREE NEW REFERRALS EACH WEEK.IN WEST ROXBURY THERE WERE A TOTAL OF TWENTY NINE NEW REFERRALS, BRINGING THE TOTAL NUMBER OF CLIENTS SERVED UP TO SIXTY NINE, WITH FORTY CLIENTS BEING CARRIED OVER FROM FY20. A TOTAL OF TWENTY THREE CLIENTS GRADUATED. THE WEST ROXBURY DIVISION RECEIVES ON AVERAGE FIVE NEW REFERRALS A MONTH. IN ROXBURY, A TOTAL OF NINE CLIENTS GRADUATED. OF NOTE, A FULLTIME CLINICIAN WAS HIRED FOR THE ROXBURY COURT AND SINCE THAT TIME, REFERRALS HAVE INCREASED EXPONENTIALLY WHICH WILL BE REFLECTIVE IN THE FY22 DATA. CUMULATIVELY, AT THE END OF THE FISCAL YEAR THERE WERE APPROXIMATELY 15 PENDING REFERRALS. ON AVERAGE, MENTAL HEALTH COURT CLIENTS ARE SEEN IN SESSION ONCE MONTHLY, THOUGH EACH CLIENT'S ACUITY IS TAKEN INTO CONSIDERATION WHEN SCHEDULING THEIR FOLLOWING APPEARANCE AND CLIENTS CAN BE SEEN SOONER IF APPROPRIATE. IN BMC CENTRAL AND WEST ROXBURY THIS MEANS THAT THERE MIGHT BE UPWARDS OF 12-15 CLIENTS APPEARING BEFORE THE JUDGE AT EACH WEEKLY SESSION.*OVERALL NUMBERS (REFERRALS AND TOTAL PARTICIPANTS) MAY BE LOWER THAN PREVIOUS YEARS, DUE TO THE COVID-19 PANDEMIC, WHICH OCCURRED MID-MARCH THROUGH THE END OF THIS FISCAL YEAR.FASTER PATHS: FASTER PATHS RAPIDLY EVALUATES, MOTIVATES, AND REFERS PATIENTS WITH SUBSTANCE USE DISORDERS TO A COMPREHENSIVE CARE NETWORK OF INPATIENT AND OUTPATIENT DETOXIFICATION, TREATMENT, AND AFTERCARE SERVICES INTEGRATED WITH MENTAL HEALTH AND MEDICAL CARE. THE GOAL OF FASTER PATHS IS TO INCORPORATE AND BUILD UPON THE EXISTING SUBSTANCE USE SERVICES PROVIDED BY BMC, FILLING THE GAPS IN CARE TO CREATE A SEAMLESS CONTINUUM. BACKED BY 24/7 ACCESS VIA THE BMC EMERGENCY DEPARTMENT (ED), FASTER PATHS ENHANCES EXISTING CAPACITY TO: TRIAGE PATIENTS INTO MEDICAL CARE; PROVIDE MEDICAL AND PSYCHIATRIC EXAMINATIONS TO MATCH PATIENTS WITH THE RIGHT LEVEL OF CARE; AND ENSURE ACCESS TO MEDICATION THERAPY. LICENSED ALCOHOL AND DRUG COUNSELORS FROM BMC'S PROJECT ASSERT FROM 8 AM TO 12 AM DAILY PROVIDE INTAKE, 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'S TEAM OF RECOVERY COACHES AND ADDICTION COUNSELORS PROVIDE SAME-DAY ACCESS AND SUPPORT TO HELP PATIENTS ACCESS EVIDENCE-BASED TREATMENT. A KEY FEATURE OF THE CENTER IS WEEKDAY ACCESS TO MEDICATION FOR ADDICTION TREATMENT (MAT) IN THE FASTER PATHS OUTPATIENT CLINIC. ADDICTION NURSES OVERSEE THE OFFICE INITIATION OF MAT, INCLUDING BUPRENORPHINE/NALOXONE INDUCTION AND INJECTABLE NALTREXONE, WITH MONDAY-FRIDAY BUPRENORPHINE/NALOXONE ADMINISTRATION AVAILABLE FOR PATIENTS WHO NEED MAT AND ARE AWAITING PLACEMENT IN AN OBAT OR A METHADONE MAINTENANCE PROGRAM. BOSTON PUBLIC HEALTH COMMISSION'S (BPHC'S) PAATHS (PROVIDING ACCESS TO ADDICTION TREATMENT, HOPE, AND SUPPORT) RECOVERY NAVIGATOR ASSIST WITH LINKAGES TO EXTERNAL MAT PROGRAMS AND OTHER COMMUNITY SERVICES. 95 PATIENTS WERE INITIATED ON MEDICATIONS/ MAT AND OF THESE, 117 WERE TRANSFERRED TO MAINTENANCE PROGRAMS, AND 207 WERE PLACED AND TRANSPORTED TO ACUTE TREATMENT PROGRAMS/DETOX. IN FY2021, FASTER PATHS SERVED 1227 UNIQUE PATIENTS FOR 4008 CLINICAL VISITS. 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.
SCHEDULE H, PART VI, LINE 5 (CONTINUATION):	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 FY21, PROJECT ASSERT SERVED 1712 WHOM HAD 3289 LADC VISITS. BASED ON SCREENING AND PATIENT PREFERENCE FOR TREATMENT, THE FOLLOWING SERVICES WERE PROVIDED: 713 UNIQUE PATIENTS WERE PLACED IN DETOX/ACUTE TREATMENT SERVICES AND BECAUSE OF MULTIPLE VISITS THERE WERE A TOTAL OF 1204 DETOX PLACEMENT AMONG THESE PATIENTS); 1029 UNIQUE PATIENTS WERE REFERRED TO NA/AA; 774 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 1007 NALOXONE RESCUE KITS TO PATIENTS AND 671 WERE OFFERED AND REFUSED. A TOTAL OF 1552 PATIENTS RECEIVED OVERDOSE EDUCATION ON HOW TO RECOGNIZE AND PREVENT AN OPIOID OVERDOSE. IN ADDITION, 175 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 FY21, SOFAR SERVED 196 FAMILIES, WITH 266 MOTHER-CHILD DYADS. VACCINATION UPTAKE: EARLY 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. HOUSING AND ADDICTION TREATMENT: THE COLLIDING EPIDEMICS AND PANDEMICS OF HOMELESSNESS, OPIOID USE DISORDER (OUD), AND COVID-19 ALONGSIDE UPSTREAM HEALTH ISSUES AND CURRENT AND HISTORIC FLAWS IN HOUSING MODELSHAVE LED TO A PUBLIC HEALTH CRISIS AT MASS AND CASS (MASSACHUSETTS AVENUE AND MELNEA CASS BOULEVARD), A FEW BLOCKS FROM BOSTON MEDICAL CENTER. UNLIKE PRIOR ATTEMPTS TO DISPERSE THE ENCAMPMENTS OF PEOPLE EXPERIENCING HOMELESSNESS FINDING SUITABLE HOUSING AND ADDICTION TREATMENT OPTIONS WERE KEY PARTS OF THE LATEST STRATEGY.PART OF ADDRESSING THIS COMPLEX PUBLIC HEALTH CRISIS IS IDENTIFYING THE NEEDS OF THE PEOPLE WHO ARE EXPERIENCING HOMELESSNESS. THE PEOPLE WHO WERE SLEEPING AT MASS AND CASS WERE TYPICALLY PEOPLE WITH VERY HIGH RATES OF SUBSTANCE USE DISORDER AND CO-OCCURRING MENTAL HEALTH CONDITIONS, INCLUDING PSYCHOTIC DISORDERS AND HIGH RATES OF TRAUMA.BMC AND THE CITY OF BOSTON IMPLEMENTED AN ACTION-ORIENTED APPROACH TO ADDRESSING THE COMPLEX CRISIS AT MASS AND CASS. THE INITIATIVE INCLUDED TWO CLINICAL PROGRAMS AS WELL AS CRISIS HOUSING, CREATING A THREE-PRONGED APPROACH: TRANSITIONAL CARE CENTER (TCC), ALSO KNOWN AS A BRIDGE CLINIC; STABILIZATION CARE CENTER (SCC); AND LOW-THRESHOLD CRISIS HOUSING BEDS. THESE INITIATIVES FUNCTIONED IN CONJUNCTION OR INDIVIDUALLY, DEPENDING ON A PERSON'S NEEDS.THE TCC OPERATED AS AN URGENT CARE CENTER TO TREAT SUDINCLUDING STARTING MEDICATIONS FOR ADDICTIONMANAGING WITHDRAWAL, AND TREATING CO-OCCURRING ISSUES, SUCH AS ACUTE MENTAL HEALTH SYMPTOMS AND INCREASED RISK OF HIV AND HEPATITIS C.THE SCC FUNCTIONED AS A SORT OF TRIAGE CENTER FOR ACUTE NEEDS, SO THAT CLINICIANS COULD DETERMINE THE BEST PATH FOR THAT PERSON EXPERIENCING HOMELESSNESS. VISITS TO THE SCC WERE INTENDED TO BE SHORT-STAY, LESS THAN 24 HOURS, WHERE PEOPLE WERE STABILIZED AND OBSERVED IF THEY CAME IN WITH SYMPTOMS. BOTH THE TRANSITIONAL CARE AND STABILIZATION CARE CENTERS WERE CO-LOCATED WITH THE LOW-THRESHOLD HOUSING PROGRAM WITH APPROXIMATELY 60 BEDS. THE FACILITY OPERATED AS HOUSING, BUT UNLIKE TRADITIONAL SHELTER OPTIONS, IT PROVIDED STABILIZATION SERVICES TO SUPPORT ADDICTION RECOVERY. ULTIMATELY, PEOPLE WHO FOUND SHELTER AT THE FACILITY WERE TRANSITIONED INTO PERMANENT HOUSING.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (108 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
WEILL MEDICAL COLLEGE OF RESEARCH
ACCOUNTING DEPT 100 BROADWAY 8TH FL	FL	NEW YORK	NY	10005	131623978	501(C)(3)	$126,335	SUBAWARD
INSTITUTE FOR HEALTH &RECOVERY
349 BROADWAY		CAMBRIDGE	MA	02139	043086647	501(C)(3)	$7,940	SUBAWARD
CAMBRIDGE HEALTH ALLIANCE MYSTIC CENTER
10 PRESIDENTS LANDING 5TH FLOOR		MEDFORD	MA	02155	043320571	501(C)(3)	$149,327	SUBAWARD
HENNEPIN HEALTHCARE RESEARCH INSTITUTE
701 PARK AVENUE SUITE PP7700		MINNEAPOLIS	MN	55415	411677920	501(C)(3)	$68,495	SUBAWARD
BROCKTON AREA MULTI-SERVICES INC
10 CHRISTYS DR		BROCKTON	MA	02301	042562377	501(C)(3)	$102,645	SUBAWARD
AMERICAN ACADEMY OF PEDIATRICS
141 NORTHWEST POINT BLVD		ELK GROVE VILLAGE	IL	600070747	362275597	501(C)(3)	$143,944	SUBAWARD
RAND CORPORATION
1776 MAIN ST PO BOX 2138		SANTA MONICA	CA	904072138	951958142	501(C)(3)	$86,005	SUBAWARD
HARBOR HEALTH SERVICE INC
398 NEPONSET AVE		DORCHESTER	MA	02122	237100550	501(C)(3)	$139,010	SUBAWARD
RUTGERS THE STATE UNIVERSITY
DBA RUTGERS BIOMED HEALTH SCI 65	DAVIDSON ROAD	PISCATAWAY	NJ	08554	462354111	501(C)(3)	$32,816	SUBAWARD
DUDLEY ST NEIGHBRHD INITIATIVE
550 DUDLEY STREET		ROXBURY	MA	02119	042859066	501(C)(3)	$22,954	SUBAWARD
ASIAN WOMEN FOR HEALTH INC
83 WALLACE ST		SOMERVILLE	MA	02144	320390494	501(C)(3)	$41,667	SUBAWARD
THE REGENTS OF THE UNIVERSITY OF COLORADO
1800 GRANT STREET SUITE 600		DENVER	CO	80203	846000555	501(C)(3)	$59,817	SUBAWARD
MASSACHUSETTS GENERAL HOSPITAL
55 FRUIT STREET		BOSTON	MA	02114	042697983	501(C)(3)	$566,995	SUBAWARD
JOHNS HOPKINS UNIVERSITY
3910 KESWICK RD		BALTIMORE	MD	21211	520595110	501(C)(3)	$169,697	SUBAWARD
HARVARD UNIVERSITY
1350 MASSACHUSETTS AVE		CAMBRIDGE	MA	02138	042103580	501(C)(3)	$152,053	SUBAWARD
SIGNATURE HEALTHCARE CORP
680 CENTRE STREET		BROCKTON	MA	023023395	042103554	501(C)(3)	$48,603	SUBAWARD
VINFEN CORP
1050 COMMONWEALTH AVE STE 200		BOSTON	MA	02215	042632219	501(C)(3)	$374,967	SUBAWARD
UNIVERSITY OF MASSACHUSETTS
55 LAKE AVENUE NORTH		WORCESTER	MA	01655	043167352	115	$152,667	SUBAWARD
MASS GENERAL PHYSICIANS
399 REVOLUTION DRIVE NO 645		SOMERVILLE	MA	02145	042807148	501(C)(3)	$225,000	SUBAWARD
SOCIAL SCIENCE RESEARCH AND EVALUATION INC (SSRE)
84 MILL STREET		LINCOLN	MA	017731706	222551337	501(C)(3)	$61,012	SUBAWARD
BETH ISRAEL DEACONESS HOSPITAL MILTON
199 REEDSDALE ROAD		MILTON	MA	02186	042103604	501(C)(3)	$14,043	SUBAWARD
BOSTON UNIVERSITY
715 ALBANY ST STE 580		BOSTON	MA	021182528	042103547	501(C)(3)	$4,333,424	SUBAWARD
UNIVERSITY OF WASHINGTON
4300 ROOSEVELT WAY NE SUITE 300		SEATTLE	WA	98195	916001537	115	$137,951	SUBAWARD
BRIGHAM & WOMENS HOSPITAL INC
399 REVOLUTION DRIVE NO 645		SOMERVILLE	MA	02145	042312909	501(C)(3)	$126,391	SUBAWARD
US CIVILIAN RESEARCH AND DEVELOPMENT FOUNDATION
1776 WILSON BOULEVARD		ARLINGTON	VA	22209	541773406	501(C)(3)	$375,142	SUBAWARD
HOLYOKE MEDICAL CENTER INC
575 BEECH STREET		HOLYOKE	MA	01040	222520073	501(C)(3)	$46,742	SUBAWARD
DREXEL UNIVERSITY
3201 ARCH ST STE 420		PHILADELPHIA	PA	19104	231352630	501(C)(3)	$44,753	SUBAWARD
THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
700 FANNIN STREET		HOUSTON	TX	77030	741761309	115	$71,532	SUBAWARD
REGENTS OF THE UNIV OF CALIFORNIA
DBA U OF CALIFORNIA SAN DIEGO 9500	GILMAN DRIVE	LA JOLLA	CA	920930953	956006144	501(C)(3)	$100,352	SUBAWARD
RHODE ISLAND HOSPITAL
593 EDDY STREET		PROVIDENCE	RI	029034926	050258954	501(C)(3)	$53,703	SUBAWARD
EMORY UNIVERSITY OFFICE OF GRANTS CONTRACTS
1599 CLIFTON ROAD 4TH FL		ATLANTA	GA	30322	580566256	501(C)(3)	$39,928	SUBAWARD
MCLEAN HOSPITAL CORPORATION
115 MILL ST		BELMONT	MA	024789106	042697981	501(C)(3)	$201,038	SUBAWARD
ACADEMIC PEDIATRIC ASSOCIATION
6728 OLD MCLEAN VILLAGE DRIVE		MCLEAN	VA	22101	510202446	501(C)(3)	$20,698	SUBAWARD
BROWN UNIVERSITY
OFFICE OF CONTROLLER BOX J		PROVIDENCE	RI	02912	050258809	501(C)(3)	$13,276	SUBAWARD
UNIVERSITY OF N CAROLINA OFFICE OF CONTRACTS GRANTS
CB 1350 104 AIRPORT DRIVE SUITE	2200	CHAPEL HILL	NC	275991350	566001393	501(C)(3)	$390,883	SUBAWARD
MASS INSTITUTE OF TECHNOLOGY
DBA DIVISION OF COMPARATIVE	MEDICINE BUILDING 16-849	CAMBRIDGE	MA	02139	042103594	501(C)(3)	$38,934	SUBAWARD
WASHINGTON UNIVERSITY
SCHOOL OF MEDICINE 700 ROSEDALE	AVENUE CB1034	SAINT LOUIS	MO	631121408	430653611	501(C)(3)	$32,251	SUBAWARD
YALE UNIVERSITY SCHOOL OF MED
2 WHITNEY AVE6TH FLOOR		NEW HAVEN	CT	06510	060646973	501(C)(3)	$130,220	SUBAWARD
JOSLIN DIABETES CENTER
ONE JOSLIN PL		BOSTON	MA	02215	042203836	501(C)(3)	$22,656	SUBAWARD
CHILD & FAMILY SERVICES INC
3057 ACUSHNET AVENUE		NEW BEDFORD	MA	02745	042104754	501(C)(3)	$445,664	SUBAWARD
UNIVERSITY OF NEW MEXICO (HSC)
1 UNIVERSITY OF NEW MEXICO MSC01	1300	ALBUQUERQUE	NM	87131	856000642	115	$42,989	SUBAWARD
CHILDREN'S HOSPITAL OF BOSTON
300 LONGWOOD AVENUE		BOSTON	MA	02115	042774441	501(C)(3)	$53,212	SUBAWARD
CITY OF SPRINGFIELD DEPT OF HEALTH AND HUMAN SERVICES
95 STATE STREET SUITE 201		SPRINGFIELD	MA	01103	046001415	501(C)(3)	$16,374	SUBAWARD
VANDERBILT UNIVERSITY
PMB 406310 2301 VANDERBILT PLACE		NASHVILLE	TN	372406310	620476822	501(C)(3)	$21,348	SUBAWARD
NORTH SUFFOLK MENTAL HEALTH ASSOCIATION
301 BROADWAY AVE		CHELSEA	MA	02150	042317215	501(C)(3)	$2,524,883	SUBAWARD
UNIVERSITY OF MICHIGAN
5082 WOLVERINE TOWER 3003 S STATE	STREET	ANN HARBOR	MI	481091287	386006309	501(C)(3)	$77,532	SUBAWARD
HEALTH RESOURCES IN ACTION
2 BOYLSTON STREET 4TH FLOOR		BOSTON	MA	02116	042229839	501(C)(3)	$44,850	SUBAWARD
BOSTON HEALTHCARE FOR THE HOMELESS PROGRAM INC
780 ALBANY ST		BOSTON	MA	02114	043160480	501(C)(3)	$10,000	SUBAWARD
BAY COVE HUMAN SERVICES
66 CANAL ST 3RD FLOOR FLOOR 2		BOSTON	MA	02114	042518575	501(C)(3)	$6,896,102	SUBAWARD
UNIVERSITY OF MARYLAND
BALTIMORE FOUNDATION INC 621 W	LOMBARD ST3RD FLOOR	BALTIMORE	MD	21201	311678679	501(C)(3)	$39,679	SUBAWARD
EAST BOSTON NHC
10 GOVE STREET		EAST BOSTON	MA	02128	237425849	501(C)(3)	$29,304	SUBAWARD
STEWARD ST ANNE'S HOSPITAL CO
1900 N PEARL STREET 2400		DALLAS	TX	75201	272473637	501(C)(3)	$54,800	SUBAWARD
NORTHEASTERN UNIVERSITY
360 HUNTINGTON AVENUE		BOSTON	MA	02115	041679980	501(C)(3)	$316,265	SUBAWARD
BOSTON HOUSING AUTHORITY
52 CHAUNCY STREET 7TH FLOOR		BOSTON	MA	02111	046001907	501(C)(3)	$22,232	SUBAWARD
NORTHWESTERN UNIVERSITY
3-707 MAIL CODE S207		CHICAGO	IL	606113008	362167817	501(C)(3)	$26,176	SUBAWARD
BRANDEIS UNIVERSITY
OFFICE OF GRANTS ADMIN MAILSTOP 116		WALTHAM	MA	022549110	042103552	501(C)(3)	$172,200	SUBAWARD
UNIVERSITY OF WISCONSIN SYSTEM
21 NORTH PARK STREET ROOM 6234		MADISON	WI	537151218	391805963	170(C)(1)	$33,606	SUBAWARD
NORTHEAST BEHAVIORAL HEALTH CO
199 ROSEWOOD DRIVE SUITE 250		DANVERS	MA	01923	042777145	501(C)(3)	$6,790	SUBAWARD
CODMAN SQUARE HEALTH CTR
637 WASHINGTON STREET		DORCHESTER	MA	02124	042678774	501(C)(3)	$13,223	SUBAWARD
COMMONWEALTH OF MA DEPARTMENT OF PUBLIC HEALTH DIVISION OF FOOD & DRUGS
305 SOUTH STREET		JAMAICA PLAIN	MA	02130	046002284	115	$725,270	SUBAWARD
THIRD SECTOR NEW ENGLAND INC
89 SOUTH STREET 7TH FLOOR		BOSTON	MA	02111	042261109	501(C)(3)	$40,358	SUBAWARD
TUFTS UNIVERSITY
169 HOLLAND STREET		SOMERVILLE	MA	02144	042103634	501(C)(3)	$384,676	SUBAWARD
ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE
800 MARSHALL SLOT 512-26 C-SNAP	LITTLE ROCK SITE Q3	LITTLE ROCK	AK	72202	710694931	501(C)(3)	$45,605	SUBAWARD
ACTION FOR BOSTON COMMUNITY DEVELOPMENT INC
178 TREMONT STREET 2ND FLOOR		BOSTON	MA	02111	042304133	501(C)(3)	$41,946	SUBAWARD
DANA FARBER CANCER INSTITUTE
450 BROOKLINE AVE BP418		BOSTON	MA	022156084	042263040	501(C)(3)	$247,850	SUBAWARD
SOUTH BOSTON CHC
409 WEST BROADWAY		SOUTH BOSTON	MA	02127	042682152	501(C)(3)	$36,388	SUBAWARD
BIDMC - BETH ISRAEL DEACONESS
330 BROOKLINE AVE MISC A/R - OTHER	A/R BR-3	BOSTON	MA	02215	042103881	501(C)(3)	$487,153	SUBAWARD
UNIVERSITY OF CALIFORNIA
SAN FRANCISCO 500 PARNASSUS AVE MU	200-W	SAN FRANCISCO	CA	941430244	946036493	501(C)(3)	$59,174	SUBAWARD
BAYSTATE MEDICAL CENTER
140 HIGH STREET C		SPRINGFIELD	MA	01199	042790311	501(C)(3)	$109,131	SUBAWARD
TRUSTEES OF THE UNIVERSITY OF OF PENNSYLVANIA
3400 SPRUCE STREET 6 WEST GATES	6041	PHILADELPHIA	PA	19104	231352685	501(C)(3)	$110,136	SUBAWARD
HOLYOKE HEALTH CENTER INC
230 MAPLE STREET ATTN KATHLEEN	LEBLANC	HOLYOKE	MA	01040	042492730	501(C)(3)	$166,839	SUBAWARD
UNIVERSITY OF PITTSBURGH
200 MEYRAN AVE SUITE 200		PITTSBURGH	PA	15213	250965591	501(C)(3)	$29,765	SUBAWARD
UNIVERSITY SYSTEM OF NH
56 OLD SUNCOOK RD STE 2		CONCORD	NH	03301	026000937	501(C)(3)	$29,120	SUBAWARD
BROCKTON NEIGHBORHOOD HEALTH
63 MAIN STREET		BROCKTON	MA	02301	043165044	501(C)(3)	$203,892	SUBAWARD
LOWELL COMMUNITY HEALTH CTR
161 JACKSON ST		LOWELL	MA	01852	042881348	501(C)(3)	$107,864	SUBAWARD
UNIVERSITY OF SOUTH CALIFORNIA
UNIVERSITY GARDENS SUITE 205		LOS ANGELES	CA	900898006	951642394	501(C)(3)	$51,816	SUBAWARD
ELON UNIVERSITY
100 CAMPUS DRIVE		ELON	NC	27244	560532303	501(C)(3)	$23,456	SUBAWARD
CHC OF CAPE CODE
107 COMMERCIAL ST		MASHPEE	MA	02649	043370560	501(C)(3)	$366,766	SUBAWARD
SEATTLE CHILDREN'S HOSPITAL
4800 SAND POINT WAY NE		SEATTLE	WA	98105	910564748	501(C)(3)	$143,646	SUBAWARD
CONNECTICUT CHILDREN'S MED CTR
10 COLUMBUS BLVD		HARTFORD	CT	06106	060646755	501(C)(3)	$25,247	SUBAWARD
EQUAL HOPE
300 S ASHLAND AVE STE 202		CHICAGO	IL	60607	262264895	501(C)(3)	$9,100	SUBAWARD
STANFORD UNIVERSITY
WELLMD CENTER 1520 PAGE MILL ROAD		PALO ALTO	CA	943045156	941156365	501(C)(3)	$50,618	SUBAWARD
FLORIDA INTERNATIONAL UNIVERSITY
11200 SW 8TH STREET CSC319		MIAMI	FL	33199	650177616	501(C)(3)	$572,217	SUBAWARD
JEWISH VOCATIONAL SERVICES
105 CHAUNCY ST		BOSTON	MA	02111	042104357	501(C)(3)	$40,506	SUBAWARD
PLYMOUTH COUNTY OUTREACH HOPE
INC PO BOX 401		BRIDGEWATER	MA	02333	460970650	501(C)(3)	$622,399	SUBAWARD
WESTERN MASSACHUSETTS TRAINING
187 HIGH STREET SUITE 202		HOLYOKE	MA	01040	237450656	501(C)(3)	$370,349	SUBAWARD
CITY OF SALEM
93 WASHINGTON STREET		SALEM	MA	01970	046001413	501(C)(3)	$350,382	SUBAWARD
SPANISH AMERICAN CENTER INC
112 SPRUCE STREET		LEOMINSTER	MA	01453	042761759	501(C)(3)	$486,264	SUBAWARD
UNIVERSITY OF KENTUCKY
RESEARCH FOUNDATION 109 KINKEAD	HALL	LEXINGTON	KY	405060057	616033693	501(C)(3)	$7,618	SUBAWARD
BERKSHIRE REGIONAL PLANNING
COMMISSION 1 FENN STREET		PITTSFIELD	MA	01201	042430187	115	$41,800	SUBAWARD
ACTION FOR EQUITY INC
367 WASHINGTON STREET		DORCHESTER	MA	02124	844687278	501(C)(3)	$148,466	SUBAWARD
COMMUNITY HEALTHLINK INC
72 JAQUES AVE		WORCESTER	MA	01610	042626179	501(C)(3)	$160,935	SUBAWARD
CITY OF NORTHHAMPTON
212 MAIN STREET		NORTHAMPTON	MA	01060	046001406	501(C)(3)	$49,396	SUBAWARD
GREATOR LOWELL HEALTH ALLIANCE OF CHNA
55 TECHNOLOGY DRIVE		LOWELL	MA	01851	270408037	501(C)(3)	$276,703	SUBAWARD
CITY OF NEW BEDFORD
133 WILLIAM STREET		NEW BEDFORD	MA	02740	046001402	115	$42,087	SUBAWARD
NORTH SHORE CMTY HEALTH CTR
27 CONGRESS STREET STE 513		SALEM	MA	01970	042610447	501(C)(3)	$596,611	SUBAWARD
FAMILYAID BOSTON INC
3815 WASHINGTON STREET		BOSTON	MA	02130	042105756	501(C)(3)	$75,000	SUBAWARD
UNIVERSITY OF HAWAII
2440 CAMPUS ROAD BOX 368		HONOLULU	HI	968222234	996000354	115	$149,571	SUBAWARD
PROOF ALLIANCE
1876 MINNEHAHA AVENUE WEST		SAINT PAUL	MN	55104	411904618	501(C)(3)	$104,384	SUBAWARD
PALO ALTO VETERANS INST FOR RESEARCH
3801 MIRANDA AVENUE 151P		PALO ALTO	CA	943040038	770207331	501(C)(3)	$15,001	SUBAWARD
NOUS FOUNDATION INC
ACP DECISIONA 195 CARLTON ROAD		WABAN	MA	02468	271871373	501(C)(3)	$153,775	SUBAWARD
NORTH SHORE HEALTH PROJECT
5 CENTER STREET		GLOUCESTER	MA	01930	222978638	501(C)(3)	$50,000	SUBAWARD
GANDARA MENTAL HEALTH CENTER INC
147 NORMAN STREER		WEST SPRINGFIELD	MA	01089	042622756	501(C)(3)	$21,000	SUBAWARD
AIDS SUPPORT GROUP OF CAPE COD
96-98 BRADFORD STREET		PROVINCETOWN	MA	02657	042908722	501(C)(3)	$58,742	SUBAWARD
WAKE FOREST UNIV HEALTH SCIENCES
MEDICAL CENTER BOULEVARD		WINSTONSALEM	NC	27157	223849199	501(C)(3)	$55,341	SUBAWARD
BRIDGEWATER STATE UNIVERSITY
131 SUMMER STREET		BRIDGEWATER	MA	02325	043010428	501(C)(3)	$31,998	SUBAWARD
TEEN CHALLENGE NEW ENGLAND
1311 MAIN STREET		BROCKTON	MA	02301	042401399	501(C)(3)	$59,513	SUBAWARD
KULA NO NA PO'E HAWAII
2150 TANTALUS DRIVE		HONOLULU	HI	96813	990305781	501(C)(3)	$45,646	SUBAWARD

Field	Value	IRS element (for citing)
Total501c3 Org	108	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	RESEARCH ADMINISTRATION USES INFOR CLOUSUITE 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	0	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 (15 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	$1,225,640	$0	$788,400	$0	$221,525	$0	$19,000	$0	$16,988	$0	$2,271,553	$0	$0	$0
ALASTAIR BELL
SVP OPS & STRATEGY/COO	$738,680	$0	$483,250	$0	$98,369	$0	$102,000	$0	$11,299	$0	$1,433,598	$0	$60,600	$0
JENNIFER TSENG MD
TRUSTEE	$0	$1,005,433	$0	$32,970	$0	$2,513	$0	$32,970	$0	$6,783	$0	$1,080,669	$0	$0
DAVID COLEMAN MD
TRUSTEE	$0	$842,931	$0	$32,970	$0	$9,839	$0	$32,970	$0	$1,927	$0	$920,637	$0	$0
RAVIN DAVIDOFF MD
SVP MEDICAL AFFAIRS AND CMO	$515,387	$0	$229,950	$0	$71,521	$0	$19,950	$0	$45,999	$0	$882,807	$0	$0	$0
CHARLES ORLANDO
FORMER SVP/CFO/TREAS	$491,974	$0	$300,000	$0	$7,500	$0	$5,864	$0	$34,629	$0	$839,967	$0	$0	$0
LISA KELLY-CROSWELL
SVP/CHRO	$472,813	$0	$171,550	$0	$52,251	$0	$69,240	$0	$17,551	$0	$783,405	$0	$32,130	$0
NANCY GADEN
SVP CHIEF NURSING OFFICER	$443,342	$0	$160,600	$0	$45,931	$0	$65,730	$0	$41,735	$0	$757,338	$0	$28,800	$0
BOB BIGGIO
SVP FACILITY & SUPT SVCS	$422,174	$0	$155,125	$0	$31,533	$0	$63,975	$0	$50,228	$0	$723,035	$0	$16,000	$0
DAVID BECK
SVP/CHIEF LEGAL COUNSEL/CLERK	$418,099	$0	$156,950	$0	$58,579	$0	$19,950	$0	$37,863	$0	$691,441	$0	$0	$0
NORMAN STEIN
SVP CHIEF DEVELOPMENT OFFICER	$398,078	$0	$146,000	$0	$54,492	$0	$22,800	$0	$44,166	$0	$665,536	$0	$0	$0
JOE CAMILLUS
SVP AMBULATORY & PRF SVC	$371,089	$0	$135,050	$0	$38,237	$0	$57,538	$0	$43,503	$0	$645,417	$0	$22,500	$0
ARTHUR HARVEY
VP/CIO	$416,151	$0	$119,720	$0	$20,270	$0	$49,080	$0	$23,395	$0	$628,616	$0	$9,200	$0
JULIE JONCAS
VP FINANCE	$377,444	$0	$102,200	$0	$34,513	$0	$35,511	$0	$17,620	$0	$567,288	$0	$26,067	$0
TERRI NEWSOM
SVP/CFO/TREASURER	$206,555	$0	$75,000	$0	$7,500	$0	$0	$0	$6,385	$0	$295,440	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B

BOSTON MEDICAL CENTER PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CERTAIN EXECUTIVES. AMOUNTS ARE CREDITED TO PARTICIPANTS' ACCOUNTS EACH YEAR. PLAN AMOUNTS ARE SUBJECT TO FORFEITURE AND PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE PLAN AGREEMENT. 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 FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING EXECUTIVES IN CALENDAR YEAR 2020: WALSH - $195,563 BECK - $50,310 BIGGIO - $23,359 BELL - $83,946 DAVIDOFF - $61,425 KELLY-CROSSWELL - $43,213 GADEN - $37,470 STEIN - $46,800 HARVEY - $12,385 CAMILLUS - $31,122 JONCAS - $27,109 BOSTON MEDICAL CENTER PROVIDED A 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN TO DAVID BECK, SENIOR VICE PRESIDENT, CHIEF LEGAL COUNSEL, AND CLERK OF BOSTON MEDICAL CENTER. DAVID BECK REACHED THE PLAN RETIREMENT AGE IN 2019 AND 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, THE REMAINING $50,310 WAS PAID TO DAVID BECK IN CASH IN 2020. BOSTON MEDICAL CENTER PROVIDED A SEPARATE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO KATHLEEN E. WALSH, PRESIDENT AND CEO AS OF MARCH 1, 2010. PURSUANT TO THE TERMS OF THE AGREEMENT, CERTAIN AMOUNTS WERE CREDITED TO THE PRESIDENT AND CEO'S ACCOUNT IN PRIOR YEARS. THESE AMOUNTS ARE SUBJECT TO FORFEITURE AND PAYMENT WILL BE MADE ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE AGREEMENT. FOR CALENDAR YEAR 2020 $195,563 WAS VESTED AND IS 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 2020 PERFORMANCE BONUS PAYOUTS WERE APPROVED BY THE COMMITTEE AFTER IT REVIEWED THE 2020 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	Bond DefeasedBondDefeasedAmt	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	$51,830,000	$29,775,000	$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	$3,785,000		$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 25, 2017, 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	$7,969,185	RetiredAmt
Total Proceeds	$13,688,734	TotalProceedsAmt
In Reserve Fund	$56,948	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	$248,420	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	$53,019	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	29	ContributionCnt
Noncash Contributions Rpt F990	$1,040,198	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	3	ContributionCnt
Noncash Contributions Rpt F990	$164,156	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR ESTIMATE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	MISCELLANEOUS	3	$81,745	DONOR ESTIMATE
Yes (X)	GIFT CERTIFICATE	5	$8,418	DONOR ESTIMATE

Field	Value	IRS element (for citing)
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	RITA NIEVES KATHLEEN E. WALSH BISOLA OJIKUTU, M.D. BUSINESS RELATIONSHIP - THE OFFICERS AND/OR TRUSTEES ABOVE ARE ALSO TRUSTEES AND/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, 2021 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	AN INDEPENDENT COMMITTEE, FORMED OF INDIVIDUALS WHOSE COMPENSATION IS NOT IN ISSUE, DETERMINES THE COMPENSATION OF OFFICERS, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES. THE COMMITTEE MEMBERS ARE NOT UNDER THE CONTROL OR DIRECTION OF ANY BMC EXECUTIVE SEEKING COMPENSATION. THE COMPENSATION PLAN IS SUPPORTED BY COMPARABLE DATA, WHICH INCLUDES COMPENSATION PAID FOR COMPARABLE POSITIONS BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, COMPENSATION SURVEYS COMPILED INDEPENDENTLY, AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE BMC EXECUTIVE. THE INDEPENDENT COMMITTEE'S ASSESSMENT OF THESE CONSIDERATIONS ARE CONTAINED IN THE MINUTES OF THE COMMITTEE MEETING. THE REVIEW PROCESS INCLUDES - AND MINUTES INDICATE - DISCUSSIONS AND EVALUATIONS OF EACH EXECUTIVE'S PRIOR PERFORMANCE, QUALIFICATION, AND EXPERIENCE. EXECUTIVES ARE NOT PRESENT FOR THE INDEPENDENT COMMITTEE'S DISCUSSIONS AND 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 BENEFITS, NON-SERVICE 1,725,684. TRANSFER TO AFFILIATES -28,000,000. PERIODIC PENSION COSTS 14,380,613. ROUNDING -516.

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	$841,043	$100,916,080	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 (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BMC HEALTH SYSTEMS INC
R	$28,000,000	FMV
BOSTON UNIVERSITY AFFILIATED PHYSICIANS INC
Q	$347,000	FMV
BMC INSURANCE COMPANY LTD
P	$6,314,000	FMV
BMC HEALTH SYSTEM INC
D	$17,592,000	FMV
BMC INTEGRATED CARE SERVICES
Q	$2,630,909	FMV
UNIVER DEVELOPMENT FOUNDATION INC
S	$1,835,758	FMV