2018-08-15T14:43:04-05:00 2017-09-30 134008324 PRICEWATERHOUSECOOPERS LLP 101 SEAPORT BOULEVARD BOSTON MA 02210 990 2016-10-01 043314093 BOSTON MEDICAL CENTER BOST 6174141628 88 EAST NEWTON STREET BOSTON MA 02118 JULIE JONCAS VP FOR FINANCE 6174141628 2018-08-14 1 GWEN SPENCER P00641463 6175305000 2018-08-10 2016 2022-09-23 18:48:47Z KATHLEEN E WALSH 88 EAST NEWTON STREET BOSTON MA 02118 1384758182 0 X www.bmc.org X 1996 MA SEE SCHEDULE O 29 24 8212 873 1585657 -170862 22129256 41186207 1202780951 1286759275 20163000 50277000 4518517 5581008 1249591724 1383803490 22378469 19345949 0 0 566714368 613712287 77000 77000 5512123 664196566 670162297 1253366403 1303297533 -3774679 80505957 2205872000 2249873000 1049817000 987583000 1156055000 1262290000 X 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. 0 0 1152176489 1286759275 SEE SCHEDULE O. 18511985 18511985 BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO ORGANIZATIONSWITHIN THE US. 833964 833964 BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO FOREIGNORGANIZATIONS. 1171522438 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 1 1 1 0 1 1 0 1 1 1 0 1 1 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 0 0 1 X 830 0 1 8212 1 1 1 1 CA CJ UK LT EI BD 0 0 0 1 1 0 0 0 0 X 29 24 1 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X KAITLYN CLIFFORD 6174149507 88 EAST NEWTON STREET BOSTON MA 02118 X ANDREW YOUNISS Trustee 1.00 0.00 X 0 0 0 ANITA BEKENSTEIN Trustee 1.00 0.00 X 0 0 0 AZRA KANJI Trustee 1.00 0.00 X 0 0 0 BARRY BOCK Trustee 1.00 0.00 X 0 0 0 BRENDAN MAGAURAN MD Trustee 1.00 4.00 X 0 0 0 CLAIRE PERLMAN Trustee 1.00 0.00 X 0 0 0 JANE MENDEZ Trustee (Until 10/1/16) 1.00 0.00 X 0 0 0 DAVID AMENT Trustee 1.00 2.00 X 0 0 0 DAVID COLEMAN MD Trustee 1.00 55.00 X 0 716979 36894 EDMOND ENGLISH Trustee (Until 5/9/17) 1.00 1.00 X 0 0 0 GERARD DOHERTY MD Trustee (Until 10/1/16) 1.00 55.00 X 0 836074 76635 JAMES BLUE Trustee 1.00 2.00 X 0 0 0 JAMES S PHALEN Trustee 1.00 1.00 X 0 0 0 JENNIFER TSENG MD Trustee (As of 7/1/17) 1.00 0.00 X 0 0 0 JEROD MAYO Trustee (As of 11/8/16) 1.00 0.00 X 0 0 0 JOHN T HAILER Trustee 1.00 0.00 X 0 0 0 KAREN ANTMAN MD Trustee 1.00 57.00 X 0 904440 35920 KAREN KAMES Trustee 1.00 0.00 X 0 0 0 KATHLEEN WALSH President/CEO 50.00 7.50 X X 1547808 0 182066 MANUEL LOPES Trustee 1.00 2.00 X 0 0 0 MARTHA SAMUELSON Trustee 1.00 1.00 X 0 0 0 MELANIE FOLEY Trustee 1.00 0.00 X 0 0 0 MONICA VALDES LUPI Trustee 1.00 0.00 X 0 0 0 PATRICIA PATRICK Trustee 1.00 0.00 X 0 0 0 PAUL EGERMAN Trustee 1.00 0.00 X 0 0 0 PIERRE CREMIEUX Trustee 1.00 1.00 X 0 0 0 RANDI CUTLER Trustee 1.00 0.00 X 0 0 0 RICHARD MARKS Trustee 1.00 0.00 X 0 0 0 RICHARD SLIFKA Trustee 1.00 1.00 X 0 0 0 RUTH ELLEN FITCH Trustee 1.00 0.00 X 0 0 0 SANDRA COTTERELL Trustee 1.00 2.00 X 0 0 0 WILLIAM J HALPIN JR Trustee 1.00 1.00 X 0 0 0 DAVID BECK ESQ SVP/Chief Legal Counsel/Clerk 50.00 13.50 X 462589 0 64323 RICHARD SILVERIA SVP Fin/CFO/Treas(Until 5/26/17) 50.00 4.50 X 617400 0 86907 ALASTAIR BELL SVP Ops & Strtgy/COO 50.00 0.00 X 709285 0 57410 LISA A KELLY-CROSWELL SVP Chro 50.00 0.00 X 483404 0 48931 NANCY GADEN SVP Chief Nursing Officer 50.00 0.00 X 433775 0 69607 NORMAN STEIN SVP Chief Development Officer 50.00 0.00 X 587317 0 26003 RAVIN DAVIDOFF MD SVP Medical Affairs and CMO 50.00 1.50 X 565806 0 82326 STANLEY HOCHBERG MD SVP Quality, Safety, and Tech 50.00 1.00 X 542137 0 37062 ARTHUR HARVEY VP/CIO 50.00 0.00 X 383526 0 37296 BOB BIGGIO VP Facility 50.00 0.00 X 481020 0 74041 JOE CAMILLUS VP Ambulatory Optn & Prof Svcs 50.00 0.50 X 362384 0 63893 THEA JAMES VP Missions & Associate CMO 50.00 0.00 X 381397 0 25578 THOMAS P TRAYLOR VP Fed, State, Local Prog(UTL 9/30/16) 50.00 0.00 X 541458 0 36439 8099306 2457493 1041331 1470 0 1 0 SUFFOLK CONSTRUCTION COMPANY 69 ALLERTON STREET BOSTON MA 02119 CONSTRUCTION 84823322 BOSTON UNIVERSITY 715 ALBANY STREET SUITE 580 BOSTON MA 02118 SHARED RESEARCH SVCS 67183193 SHAWMUT WOODWORKING & SUPPLY 560 HARRISON AVE BOSTON MA 02118 CONSTRUCTION 22892266 EMCOR SERVICES NORTHEAST INC 431 LEXINGTON DRIVE BUFFALO GROVE IL 60089 CONSTRUCTION 11207050 MORRISON HEALTH CARE INC 400 NORTHRIDGE ROAD SUITE 600 ATLANTA GA 30350 CAFETERIA/FOOD SERVICES 6654181 379 4720532 36465675 1613150 41186207 PATIENT SVC REVENUE 900099 1036999851 1036999851 PHARMACY REVENUE 900099 144459061 142873404 1585657 GRANT & CONTRACT REVENUE 900099 91317340 91317340 OTHER PROGRAM REVENUE 900099 13983023 13983023 1286759275 12523000 12523000 188930 158701 30229 30229 30229 37754000 0 37754000 37754000 37754000 294793 4720532 795991 -501198 -501198 CAFETERIA 900099 3861417 3861417 PARKING 812930 2190560 2190560 6051977 1383803490 1285173618 1585657 55858008 18511985 18511985 833964 833964 9197084 7909491 1025093 262500 151631 151631 472228536 406246943 63409086 2572507 23657831 20345734 3155842 156255 68735342 59112394 9175759 447189 39741863 34178002 5320175 243686 2315759 2315759 1941168 1941168 284230 244437 39793 77000 77000 72749145 62564264 9984122 200759 1443967 1241811 202156 15720740 13519836 2087451 113453 1615381 1389227 226154 23107193 19872185 3235008 29803309 25630845 4159344 13120 851992 732713 111027 8252 454070 390500 60719 2851 24110721 20735220 3320537 54964 77916538 67008222 10550146 358170 6210043 5340636 869407 DRUGS 122701125 122701125 PHYSICIAN SERVICES 120841537 120841537 PATIENT RELATED SUPPLIE 69616200 69616200 DIRECT RESEARCH EXPENSE 56164812 56164812 42314367 36390355 4922595 1001417 1303297533 1171522438 126262972 5512123 46367000 62831000 142777000 62897000 14387000 16671000 110970000 146885000 123063000 114668000 8277000 8751000 22172000 22788000 1765644000 948231000 757556000 817413000 116996000 128661000 197367000 204222000 138000 665940000 663948000 2205872000 2249873000 156621000 152206000 23451000 25508000 582326000 574902000 67732000 31961000 219687000 203006000 1049817000 987583000 X 843587000 923471000 296218000 300939000 16250000 37880000 1156055000 1262290000 2205872000 2249873000 X 80505957 18132000 -9219000 16816043 X 0 1 X 1 1 1 X 9605331 22774364 21671288 22129256 41186207 117366446 9605331 22774364 21671288 22129256 41186207 117366446 117366446 20582917 18578225 17746128 16401528 12553229 85862027 27985 27985 4521602 5410940 5441957 5093586 6346770 26814855 230071313 4318297489 0.51010 0.41520 X Schedule A, Part II, Line 10, Explanation of Other Income: FUNDRAISING - 2012 Amount: $ 472,670. 2013 Amount: $ 256,636. 2014 Amount: $ 351,712. 2015 Amount: $ 402,744. 2016 Amount: $ 294,793. CAFETERIA - 2012 Amount: $ 3,686,398. 2013 Amount: $ 3,660,028. 2014 Amount: $ 3,492,843. 2015 Amount: $ 3,107,101. 2016 Amount: $ 3,861,417. PARKING - 2012 Amount: $ 362,534. 2013 Amount: $ 1,494,276. 2014 Amount: $ 1,597,402. 2015 Amount: $ 1,583,741. 2016 Amount: $ 2,190,560. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 200080 0 1 84150 284230 0 SCHEDULE C, PART II-B, LINE 1 BOSTON MEDICAL CENTER PAYS DUES TO AMERICA'S ESSENTIAL HOSPITALS, MASSACHUSETTS HOSPITAL ASSOCIATION, AND AMERICAN HOSPITAL ASSOCIATION, AND A PORTION OF THE DUES ARE ALLOCATED TO LOBBYING EFFORTS. THE PORTION OF THE DUES THAT WAS ALLOCATED TO LOBBYING EFFORTS WAS $84,150. BMC ALSO PAID GEORGE TRAYLOR, A LOBBYIST, $140,079 TO REPRESENT THE ORGANIZATION. ADDITIONALLY, BOSTON MEDICAL CENTER PAID ROBERT WHITE ASSOCIATES $60,000 TO REPRESENT THE ORGANIZATION. THESE FEES WERE PAID TO THE LOBBYISTS LISTED TO ADVANCE BOSTON MEDICAL CENTER'S MISSION: "TO CONSISTENTLY PROVIDE EXCELLENT AND ACCESSIBLE HEALTH CARE SERVICES TO ALL IN NEED OF CARE, REGARDLESS OF STATUS OR ABILITY TO PAY" AS SET OUT IN CHAPTER 147 OF THE ACTS AND RESOLVES OF 1996 OF THE COMMONWEALTH OF MASSACHUSETTS. 0 0 642296242 127298970 71375617 142059930 1901878 697009021 618328530 42882728 16736661 2178355 642296242 671956753 9615073 60452156 2791140 618328530 663410609 59523521 48287389 2689988 671956753 612745109 59267481 6211967 2390014 663410609 0.52250 0.05430 0.42320 0 0 6302000 6302000 815899000 288019000 527880000 29943000 11192000 18751000 913500000 649020000 264480000 817413000 DONOR RESTRICTED INVESTMENTS 204222000 C 204222000 OTHER LT ASSETS 215719000 FUNDS HELD BY TRUSTEES 3189000 BOARD-DESIGNATED INVESTMENTS FOR FUNDED DEPRECIATION 367108000 BOND INDENTURE 35666000 NONCURRENT NOTES RECEIVABLE 3941000 INSURANCE RECOVERY RECEIVABLES 38325000 663948000 EST SETTLEMENT W/3RD PARTY PAY 51626000 LT DEBT AND OBL-CAPITAL LEASE 49102000 OTHER LONG-TERM LIABILITIES 63953000 PROFESSIONAL LIABILITY CLAIMS 38325000 203006000 SCHEDULE D, 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. SCHEDULE D, PART X, LINE 2 THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. 1 North America SUBAWARDS GRANTS 216980 South America SUBAWARDS GRANTS 72619 East Asia and the Pacific SUBAWARDS GRANTS 47703 Sub-Saharan Africa 2 8 SUBAWARDS GRANTS 394599 Russia and Neighboring States SUBAWARDS GRANTS 102063 Europe (Including Iceland & Greenland) INVESTMENTS 43540590 North America INVESTMENTS 57814630 Central America and the Caribbean INVESTMENTS 14099299 Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, PROGRAM SERVICES PREMIUMS 9528468 2 8 0 0 2 8 116288483 9528468 125816951 North America SUBAWARD 216980 WIRE TRANSFER South America SUBAWARD 72619 WIRE TRANSFER Sub-Saharan Africa SUBAWARD 38262 WIRE TRANSFER Sub-Saharan Africa SUBAWARD 67148 WIRE TRANSFER Sub-Saharan Africa SUBAWARD 267943 WIRE TRANSFER Sub-Saharan Africa SUBAWARD 21246 WIRE TRANSFER East Asia and the Pacific SUBAWARD 16885 WIRE TRANSFER East Asia and the Pacific SUBAWARD 30818 WIRE TRANSFER Russia and Neighboring States SUBAWARD 102063 WIRE TRANSFER 9 1 0 1 0 1 0 SCHEDULE F, PART I, LINE 2 THE PRINCIPAL INVESTIGATOR AND ADMINISTRATOR APPROVE ALL SUBCONTRACT INVOICES, INCLUDING THOSE FROM A FOREIGN COUNTRY. THE FOREIGN SUBCONTRACT RECIPIENT HAS A BUDGET TO WHICH INVOICES ARE MATCHED TO ENSURE THAT ALL SPENDING IS APPROPRIATE. ADDITIONALLY, THE ORGANIZATION'S PRINCIPAL INVESTIGATORS REGULARLY CONTACT THE FOREIGN SUBCONTRACT RECIPIENTS TO MONITOR THE PROGRESS OF THE RECIPIENTS' WORK. SCHEDULE F, PART II, LINE 1 FOREIGN EXPENDITURES ARE SEPARATELY IDENTIFIED ON THE ORGANIZATION'S GENERAL LEDGER. X X X X X X X 1 Blue Sky Entertainment 150 WASHINGTON STREET NORWELL MA 02061 MAYO BOWL, GOLF 0 361063 65000 296063 33 Munroe LLC 33 MUNROE STREET UNIT 1 LYNN MA 01901 Catwalk 0 322496 12000 310496 683559 77000 606559 MA GALA 2985572 2877598 107974 191409 36863 53930 135394 FOOD FOR THOUGHT DINNER 921060 903060 18000 60089 20161 4 1108693 939874 168819 41662 95420 5000 156063 5015325 4720532 294793 233071 192372 58930 311618 795991 -501198 1 1 X 1 X 0 1 1 0 0 81308975 31853777 49455198 0.03790 703275959 583967555 119308404 0.09150 784584934 615821332 168763602 0.12940 16776229 8915580 7860649 0.00600 63326514 14671289 48655225 0.03730 722 91317340 78018425 13298915 0.01020 722 171420083 101605294 69814789 0.05350 722 956005017 717426626 238578391 0.18290 391970 0 391970 0.00030 2 15830000 0 15830000 0.01210 16 9971027 10739399 0 0.00000 2 656087 0 656087 0.00050 20 26849084 10739399 16878057 0.01290 1 18125177 199005556 198919522 86034 X 1 1 1 1 BOSTON MEDICAL CENTER 88 EAST NEWTON STREET BOSTON MA 02118 HTTP://WWW.BMC.ORG V112 X X X X X BOSTON MEDICAL CENTER 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X www.bmc.org/ABOUT/COMMITMENT-TO-COMMUNITY.HTM X 1 15 1 www.bmc.org/ABOUT/COMMITMENT-TO-COMMUNITY.HTM 0 1 X 200.000000000000 0.000000000000 X X 1 1 X X X X 1 X HTTP://BMC.ORG/SERVICES/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM X HTTP://BMC.ORG/SERVICES/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM X HTTP://BMC.ORG/SERVICES/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM X X X X X 1 X 0 X 1 X 0 0 PART V, SECTION B, LINE 5 OVER 62 INDIVIDUALS, INCLUDING PERSONS WITH EXPERTISE IN PUBLIC HEALTH, LEADERS, REPRESENTATIVES AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS FROM THE COMMUNITY SERVED BY THE HOSPITAL WERE ENGAGED IN FOCUS GROUPS AND INTERVIEWS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, PRIORITY HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. IN TOTAL, FOUR FOCUS GROUPS AND NINE KEY INFORMANT DISCUSSIONS WERE CONDUCTED OCTOBER 2015 THROUGH FEBRUARY 2016. FOCUS GROUPS WERE HELD WITH 54 COMMUNITY RESIDENTS REPRESENTING THE FOLLOWING POPULATION SEGMENTS: SPANISH LANGUAGE SPEAKING ADULTS IN EAST BOSTON; CAPE VERDEAN CREOLE LANGUAGE SPEAKING ADULTS IN DORCHESTER; AND ENGLISH LANGUAGE SPEAKING ADULTS IN THE SOUTH END AND ROXBURY. NINE KEY INFORMANT DISCUSSIONS WERE CONDUCTED WITH INDIVIDUALS REPRESENTING THE LOCAL, REGIONAL, AND STATEWIDE LEVEL. KEY INFORMANTS REPRESENTED A NUMBER OF SECTORS INCLUDING NON-PROFIT/COMMUNITY SERVICE, CITY GOVERNMENT, HOSPITAL OR HEALTH CARE, EDUCATION, HOUSING, SUBSTANCE ABUSE, AND EMERGENCY PREPAREDNESS. FOCUS GROUP AND INTERVIEW DISCUSSIONS EXPLORED PARTICIPANTS' PERCEPTIONS OF THEIR COMMUNITIES, PRIORITY HEALTH CONCERNS, PERCEPTIONS OF PUBLIC HEALTH, PREVENTION, AND HEALTH CARE SERVICES, AND SUGGESTIONS FOR FUTURE PROGRAMMING AND SERVICES TO ADDRESS THESE ISSUES. 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 UNDERSERVED POPULATIONS IN OUR COMMUNITY. KEY FINDINGS THAT EMERGED FROM THE CHNA INCLUDED HEALTH CARE ACCESS, CHRONIC DISEASES AND RISK FACTORS, MENTAL HEALTH AND SUBSTANCE ABUSE, AND VIOLENCE. PLEASE SEE THE ATTACHED IMPLEMENTATION STRATEGY FOR DETAILS ABOUT HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN OUR MOST RECENTLY CONDUCTED CHNA. PART V, SECTION B, LINE 13A FOR PATIENTS WHO FALL OUTSIDE COMMONWEALTH ASSISTANCE PROGRAMS, PATIENTS ARE CHARGED AT THE SAME LEVELS AS INSURERS ARE CHARGED; HOWEVER, THEY ARE OFFERED A PROMPT-PAY DISCOUNT OF 40% (REGARDLESS OF INCOME LEVEL, ETC.) IF THE PAYMENTS ARE MADE WITHIN THE FIRST 30 DAYS FROM SERVICE. PART V, SECTION B, LINE 13H BY THE DEFINITION OF BMC'S FINANCIAL ASSISTANCE POLICY (FAP), PATIENTS WHO QUALIFY FOR THE FAP HAVE APPLIED FOR ONE OF THE COMMONWEALTH'S FINANCIAL ASSISTANCE PROGRAMS (CONNECTORCARE, MEDICAID, OR HEALTH SAFETY NET) OR HAVE BEEN RENDERED URGENT/EMERGENT SERVICES. IN THOSE INSTANCES, PATIENTS ARE VIEWED AS UNABLE TO PAY FOR THESE CHARGES AND THE HOSPITAL SUBMITS THE CHARGE FOR REIMBURSEMENT FROM THE HEALTH SAFETY NET. 2 1 - MARGARET M SHEA RN ADULT HEALTH PROGRAM 229 RIVER STREET MATTAPAN MA 02126 ADULT DAYCARE 2 - SUPPORTING PARENTS & RESILIENT KIDS CTR 225 RIVER STREET MATTAPAN MA 02126 THERAPEUTIC CENTER 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. INTRODUCTION THE STATUTE THAT CREATED BOSTON MEDICAL CENTER (BMC) REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 567-BED, URBAN ACADEMIC MEDICAL CENTER WHICH EMPHASIZES COMMUNITY-BASED, ACCESSIBLE CARE AND THE MISSION TO PROVIDE CONSISTENTLY ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY. BMC IS THE LARGEST SAFETY NET HOSPITAL IN NEW ENGLAND AND PROVIDES A FULL SPECTRUM OF PEDIATRIC AND ADULT CARE SERVICES FROM PRIMARY TO FAMILY MEDICINE TO ADVANCED SPECIALTY CARE.APPROXIMATELY 57% OF OUR PATIENT VISITS 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, AND 32% DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE. TO ADDRESS THE 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 DISPARITIES IN HEALTH CARE AMONG THE VARIOUS POPULATIONS BMC SERVES.WITH MORE THAN 25,840 ADMISSIONS AND 1,149,227 PATIENT VISITS LAST YEAR, BMC PROVIDES A COMPREHENSIVE RANGE OF INPATIENT, CLINICAL AND DIAGNOSTIC SERVICES IN MORE THAN 70 AREAS OF MEDICAL SPECIALTIES AND SUBSPECIALTIES. THE LARGEST 24-HOUR LEVEL I TRAUMA CENTER IN NEW ENGLAND, BMC'S EMERGENCY DEPARTMENT HAD 133,529 PATIENT VISITS IN FY17.BMC SERVES THE URBAN COMMUNITY OF GREATER BOSTON. THE MAJORITY OF THE COMMUNITIES THAT BMC SERVES ARE BOSTON CENSUS TRACTS THAT ARE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS/POPULATIONS. ALTHOUGH MASSACHUSETTS' UNIVERSAL CARE ENABLES INDIVIDUALS TO SEEK CARE AT ANY HOSPITAL, BMC REMAINS THE LARGEST SAFETY NET PROVIDER IN BOSTON AND NEW ENGLAND. THE IMPLEMENTATION OF UNIVERSAL CARE DID NOT REDUCE THE REAL NUMBER OR PERCENT OF UNDERSERVED COMMUNITIES SERVED BY BMC. IN 2012, AN ESTIMATED 21.6% OF BOSTON RESIDENTS HAD INCOMES BELOW THE FEDERAL POVERTY LEVEL.ACCORDING TO THE 2017 MASSACHUSETTS HEALTH INSURANCE SURVEY, AN ESTIMATE OF 3.7% OF RESIDENTS WERE UNINSURED AND CLOSE TO 97% OF MASSACHUSETTS RESIDENTS HAD COVERAGE DURING THE SURVEY. THE COMPOSITION OF THE LATTER IS: 16.4% MEDICAID; 57.5% EMPLOYER SPONSORED INSURANCE; AND 16.6% PUBLIC OR OTHER INSURANCE. OF BMC'S PATIENTS, NEARLY 5.08% ARE UNINSURED, AND COVERAGE RATES FOR PRIMARY INSURANCE WERE APPROXIMATELY: 16.7% MEDICARE; 49.4% MEDICAID; 28.8% PRIVATE OR EMPLOYER-SPONSORED INSURANCE; AND 0.02% OTHER INSURANCE. 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 & MEDICAID TO OBTAIN THEIR RESPECTIVE COSTS.FOR THE CALCULATION OF COMMUNITY HEALTH IMPROVEMENT SERVICES (LINE 7E) DISCRETE COSTING WAS USED. FOR THE CALCULATION OF HEALTH PROFESSIONS EDUCATION COST (LINE 7F) THE CENTERS FOR MEDICARE & MEDICAID (CMS) COST ALLOCATION METHODOLOGY PER CMS FORM 2552 WAS USED. CMS FORM 2552 IS A REQUIRED ANNUAL FILING TO THE FEDERAL GOVERNMENT.PART I, LINE 7, COLUMN FTHE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE WAS $0.DURING FISCAL YEAR 2017, THE MEDICAL CENTER RECEIVED NET UNFAVORABLE SETTLEMENTS FROM MEDICARE, MEDICAID, BMC HEALTH PLAN BLUE CROSS, AND OTHER PAYORS RELATED TO PRIOR YEARS. CHANGES INCLUDE FAVORABLE MEDICARE COST REPORT SETTLEMENTS FOR $667,000; UNFAVORABLE MEDICAID SETTLEMENT OF $623,000 AND UNFAVORABLE BLUE CROSS SETTLEMENT OF $332,000, UNFAVORABLE HEALTH PLAN SETTLEMENT OF $355,000 & OTHER UNFAVORABLE SETTLEMENT OF $426,000. Part II, Community Building Activities: BMC CONTRIBUTES TO THE COMMUNITY THROUGH ITS PAYMENT OF LINKAGE FEES TO THE CITY OF BOSTON, WHICH FUNDS PROGRAMS FOR AFFORDABLE HOUSING AND NEIGHBORHOOD HEALTH CARE. BMC ALSO PROVIDES SUBSIDIES TO BOSTON HEALTHNET, WHICH SUPPORTS COMMUNITY-BASED SERVICES.PHYSICIAL IMPROVEMENTS AND HOUSING: ACCORDING TO THE DEVELOPMENT IMPACT PROJECT AGREEMENT FOR BMC NEW AMBULATORY CARE BUILDING-SHAPIRO PROJECT BETWEEN BOSTON MEDICAL CENTER AND THE BOSTON REDEVELOPMENT AUTHORITY, DATED MAY 5, 2014, BMC PAID LINKAGE FEES OF $366,223.70 IN OCTOBER 2016, WHICH WAS THE FINAL INSTALLMENT OF BMC'S OBLIGATION TO THE NEIGHBORHOOD JOBS TRUST.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 $22,746,14, ENDING IN 2022 TO THE NEIGHBORHOOD JOBS TRUST.MATTAPAN COMMUNITY HEALTH CENTER, AN AFFILIATE OF BOSTON MEDICAL CENTER, RECEIVED A TOTAL OF $8,200,000 FROM BOSTON MEDICAL CENTER DURING 2009 AND 2010 IN THE FORM OF A LOAN THAT WAS ORIGINATED 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 SHALL FORGIVE TEN PERCENT OF THE REMAINING PRINCIPAL AMOUNT ($7,200,000) OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING SHALL BE FORGIVEN IN TEN YEARS. THE FISCAL YEAR 2017 EXPENSE RELATED TO THE FORGIVENESS OF THIS LOAN WAS $720,000.EAST BOSTON NEIGHBORHOOD HEALTH CENTER, AN AFFILIATE OF 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 SHALL FORGIVE TEN PERCENT OF THE ORIGINAL PRINCIPAL AMOUNT OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING SHALL BE FORGIVEN IN TEN YEARS. THE FISCAL YEAR 2017 EXPENSE RELATED TO THE FORGIVENESS OF THIS LOAN WAS $100,000.SOUTH BOSTON COMMUNITY HEALTH CENTER, AN AFFILIATE OF 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 SHALL FORGIVE TEN PERCENT OF THE ORIGINAL PRINCIPAL AMOUNT OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING SHALL BE FORGIVEN IN TEN YEARS. THE FISCAL YEAR 2017 EXPENSE RELATED TO THE FORGIVENESS OF THIS LOAN WAS $60,000.SOUTH END COMMUNITY HEALTH CENTER, AN AFFILIATE OF 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, 2018, BOSTON MEDICAL CENTER SHALL FORGIVE ONE-THIRD OF THE ORIGINAL PRINCIPAL AMOUNT AND ACCRUED INTEREST OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING SHALL BE FORGIVEN IN THREE YEARS. THE FISCAL YEAR 2017 EXPENSE RELATED TO THE FORGIVENESS OF THE LOAN WAS $0.CAPITAL INVESTMENTS IN BOSTON HEALTHNET: WHILE THE NEED FOR COMMUNITY-BASED SERVICES CONTINUES TO GROW, IT HAS BECOME INCREASINGLY DIFFICULT FOR HEALTH CENTERS TO MEET THE DEMAND. REIMBURSEMENT OFTEN DOES NOT COVER THE FULL COST OF CARING FOR THE COMPLEX NEEDS OF HEALTH CENTERS' DIVERSE PATIENT POPULATION. COMPOUNDING THIS PROBLEM, IN THE MID-LATE 1990S, MANY HEALTH CENTERS FOUND THEMSELVES OPERATING IN FACILITIES THAT WERE IN DESPERATE NEED OF RESTORATION OR EXPANSION. COSTLY INFORMATION TECHNOLOGY UPGRADES WERE ALSO REQUIRED TO ENHANCE MANAGEMENT EFFICIENCIES AND PATIENT CARE.IN RESPONSE TO THE HEALTH CENTERS' NEEDS, BMC PROVIDED APPROXIMATELY $16 MILLION IN OPERATING SUPPORT TO THE BOSTON HEALTHNET HEALTH CENTERS EACH YEAR. OTHER NET SUBSIDIES INCLUDE MOSTLY ECONOMIC DEVELOPMENT, COMMUNITY HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT. 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 FOOTNOTE 16 FOUND ON PAGE 39 OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS Part III, Line 8: MEDICARE ALLOWABLE COSTS OF $193,830,433 WERE CALCULATED USING THE CMS FORM 2552 METHODOLOGY OF DETERMINING MEDICARE COSTS. THIS UTILIZES THE STEP DOWN METHOD OF DETERMINING FULLY-ALLOCATED COSTS BY DISTINCT CLINICAL COST CENTERS AS DEFINED BY CMS. THESE FULLY-ALLOCATED COSTS ARE APPLIED AGAINST TOTAL CHARGES TO CALCULATE A RATIO OF COST TO CHARGES (RCC). THE RCC IS APPLIED TO MEDICARE CHARGES BY DISTINCT CLINICAL COST CENTERS TO DETERMINE THE MEDICARE COSTS. Part 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, EAEDC FOR THE DISABLED AND CHILDREN AND FULL HSN OR PATIENTS WITH CMSP OR PARTIAL HSM BELOW THE PROGRAM DEFINED FPL OR MAGI INCOME GUIDELINE OR OTHERS DETERMINED TO BE LOW-INCOME PATIENTS ARE EXEMPT FROM COLLECTION SUBJECT TO THE FOLLOWING:1. THE HOSPITAL MAY SEEK COLLECTION ACTION AGAINST ANY LOW-INCOME PATIENT, DESCRIBED ABOVE 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 FAILS TO PROVIDE PROOF OF SUCH 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 THEIR ELIGIBILITY.5. THE HOSPITALS 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 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 THREE CAMPUSES, ONLY TWO CAMPUSES OPERATE:1. BOSTON MEDICAL CENTER CORPORATION, MENINO PAVILION, 830-840 HARRISON AVENUE, BOSTON MA 02118; AND,2. BOSTON MEDICAL CENTER CORPORATION, NEWTON PAVILION, 88 EAST NEWTON STREET, 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 BASED 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 CENTER SOUTH BOSTON COMMUNITY HEALTH CENTER SEAPORT PRIMARY CARE Part VI, Line 2: NEEDS ASSESSMENTIN 2016 BOSTON MEDICAL CENTER CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), WHICH INCLUDED REVIEWING EXISTING SOCIAL, ECONOMIC, AND HEALTH DATA AMONG RESIDENTS OF BOSTON AND THOSE WHO ARE TRADITIONALLY UNDERSERVED; CONDUCTING FOCUS GROUPS WITH COMMUNITY MEMBERS; AND CONDUCTING KEY INFORMANT INTERVIEWS WITH HEALTH CARE PROVIDERS AND COMMUNITY STAKEHOLDERS. BMC'S CHNA IDENTIFIED THE HEALTH-RELATED NEEDS OF AND ASSETS IN THE COMMUNITY SERVED BY BMC THROUGH A SOCIAL DETERMINANTS OF HEALTH FRAMEWORK, WHICH DEFINES HEALTH BROADLY AND RECOGNIZES NUMEROUS FACTORS AT MULTIPLE LEVELS, FROM LIFESTYLE BEHAVIORS (E.G., HEALTHY EATING AND ACTIVE LIVING) TO CLINICAL CARE (E.G., ACCESS TO MEDICAL SERVICES) TO SOCIAL AND ECONOMIC FACTORS (E.G., POVERTY) TO THE PHYSICAL ENVIRONMENT (E.G., AIR QUALITY), WHICH HAVE AN IMPACT ON THE COMMUNITY'S HEALTH.OVER 62 INDIVIDUALS, INCLUDING PERSONS WITH EXPERTISE IN PUBLIC HEALTH, LEADERS, REPRESENTATIVES AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS FROM THE COMMUNITY SERVED BY THE HOSPITAL WERE ENGAGED IN FOCUS GROUPS AND INTERVIEWS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, PRIORITY HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS. IN TOTAL, FOUR FOCUS GROUPS AND NINE KEY INFORMANT DISCUSSIONS WERE CONDUCTED IN OCTOBER 2015 THROUGH FEBRUARY 2016. FOCUS GROUPS WERE HELD WITH 54 COMMUNITY RESIDENTS REPRESENTING THE FOLLOWING POPULATION SEGMENTS: SPANISH LANGUAGE SPEAKING ADULTS IN EAST BOSTON; CAPE VERDEAN CREOLE LANGUAGE SPEAKING ADULTS IN DORCHESTER; AND ENGLISH LANGUAGE SPEAKING ADULTS IN THE SOUTH END AND ROXBURY. NINE KEY INFORMANT DISCUSSIONS WERE CONDUCTED WITH INDIVIDUALS REPRESENTING THE LOCAL, REGIONAL, AND STATEWIDE LEVEL. KEY INFORMANTS REPRESENTED A NUMBER OF SECTORS INCLUDING NON-PROFIT/COMMUNITY SERVICE, CITY GOVERNMENT, HOSPITAL OR HEALTH CARE, EDUCATION, HOUSING, SUBSTANCE ABUSE, AND EMERGENCY PREPAREDNESS. FOCUS GROUP AND INTERVIEW DISCUSSIONS EXPLORED PARTICIPANTS' PERCEPTIONS OF THEIR COMMUNITIES, PRIORITY HEALTH CONCERNS, PERCEPTIONS OF PUBLIC HEALTH, PREVENTION, AND HEALTH CARE SERVICES, AND SUGGESTIONS FOR FUTURE PROGRAMMING AND SERVICES TO ADDRESS THESE ISSUES.EXISTING SOCIAL, ECONOMIC, AND HEALTH DATA WERE DRAWN FROM NATIONAL, STATE, COUNTY, AND LOCAL SOURCES, SUCH AS THE NATIONAL CANCER INSTITUTE, THE U.S. CENSUS, U.S. BUREAU OF LABOR STATISTICS, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, BOSTON PUBLIC HEALTH COMMISSION, AND THE BOSTON POLICE DEPARTMENT. OVER 62 INDIVIDUALS, REPRESENTING HEALTHCARE PROVIDERS, COMMUNITY STAKEHOLDERS, AND RESIDENTS WERE ENGAGED IN FOCUS GROUPS AND INTERVIEWS TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY, PRIORITY HEALTH CONCERNS, AND WHAT PROGRAMMING, SERVICES, OR INITIATIVES ARE MOST NEEDED TO ADDRESS THESE CONCERNS.KEY FINDINGS THAT EMERGED FROM THE CHNA INCLUDED HEALTH CARE ACCESS, CHRONIC DISEASES AND RISK FACTORS, MENTAL HEALTH AND SUBSTANCE ABUSE, AND VIOLENCE.UNWAVERING IN OUR COMMUNITY 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 UNDERSERVED POPULATIONS IN OUR COMMUNITY. Part VI, Line 3: THE HOSPITAL POSTS A NOTICE (SIGNS) OF AVAILABILITY OF FINANCIAL ASSISTANCE IN THE FOLLOWING LOCATIONS: I. INPATIENT, CLINIC, AND EMERGENCY DEPARTMENT AND/OR WAITING AREAS; II. PATIENT FINANCIAL COUNSELOR AREAS; III. CENTRAL ADMISSION/REGISTRATION AREAS; AND/OR IV. BUSINESS OFFICE AREAS THAT ARE OPEN TO PATIENTS. POSTED SIGNS ARE CLEARLY VISIBLE AND LEGIBLE TO PATIENTS VISITING THESE AREAS. THE HOSPITAL ALSO INCLUDES A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSITANCE 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 (E.G., MASSHEALTH, HEALTH SAFETY NET, OR FOR MEDICAL HARDSHIP) MAY QUALIFY FOR CERTAIN PLANS. PATIENTS MAY ALSO QUALIFY FOR ADDITIONAL ASSISTANCE BASED ON THE HOSPITAL'S OWN INTERNAL CRITERIA FOR FINANCIAL ASSISTANCE. FOR CASES WHERE THE HOSPITAL IS USING THE VIRTUAL GATEWAY 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 SUCH LANGUAGE IS SPOKEN BY 10% OR MORE OF THE POPULATION RESIDING IN THE HOSPITAL SERVICE AREA. CURRENTLY, THE HOSPITAL TRANSLATES THE NOTICES INTO THE FOLLOWING LANGUAGES: -ENGLISH -PORTUGUESE -SPANISH -HAITIAN CREOLE Part VI, Line 4: COMMUNITY INFORMATIONPLEASE SEE INTRODUCTION Part VI, Line 5: PROMOTION OF COMMUNITY HEALTHHEALTH CARE ACCESSBIRTH SISTERS AND CENTERING PREGNANCY: BMC HAS DEVELOPED TWO PROGRAMS, BIRTH SISTERS AND CENTERING PREGNANCY, TO IMPROVE HEALTH OUTCOMES OF CHILDBEARING WOMEN AT RISK OF POOR MATERNAL AND INFANT OUTCOMES. BIRTH SISTERS ARE WOMEN WHO ARE TRAINED TO PROVIDE SOCIAL SUPPORT AND EDUCATION TO MOTHERS FROM THEIR OWN COMMUNITIES DURING PREGNANCY, LABOR, AND THE POSTPARTUM PERIOD. THE BIRTH SISTERS PROGRAM HAS BEEN LINKED TO SIGNIFICANTLY HIGHER BREASTFEEDING RATES AND FEWER CESAREAN DELIVERIES. CENTERING PREGNANCY IS AN INNOVATIVE AND PROVEN MODEL OF CARE THAT OFFERS PRENATAL CARE IN 10 TWO-HOUR GROUP SESSIONS USING A CURRICULUM MODIFIED TO MEET THE COMPLEX SOCIAL NEEDS OF BMC'S POPULATION. AT THESE SESSIONS, BEGINNING EARLY IN THE SECOND TRIMESTER, PATIENTS RECEIVE HEALTH VISITS, PRENATAL AND PARENTING EDUCATION, AND PEER GROUP SUPPORT ALL IN ONE VISIT. THE PROGRAMS SERVED OVER 1,000 PATIENTS IN FY17.BOSTON CENTER FOR REFUGEE HEALTH AND HUMAN RIGHTS (BCRHHR): THE MISSION OF THE BCRHHR IS TO PROVIDE COMPREHENSIVE HEALTH CARE FOR REFUGEES AND SURVIVORS OF TORTURE AND RELATED TRAUMA, COORDINATED WITH LEGAL AID AND SOCIAL SERVICES; TO EDUCATE AND TRAIN AGENCIES AND PROFESSIONALS WHO SERVE THESE COMMUNITIES; TO ADVOCATE FOR THE PROMOTION OF HEALTH AND HUMAN RIGHTS IN THE UNITED STATES AND WORLDWIDE; AND TO CONDUCT CLINICAL, EPIDEMIOLOGICAL, AND LEGAL RESEARCH FOR THE BETTER UNDERSTANDING AND PROMOTION OF HEALTH AND QUALITY OF LIFE FOR SURVIVORS OF TORTURE AND RELATED TRAUMA. THE BCRHHR SERVES AN AVERAGE OF 375 PATIENTS ANNUALLY.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, A SOCIAL WORKER, A COMMUNITY OUTREACH 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 A TRANSITION FROM ADOLESCENT TO ADULT CARE WHEN APPROPRIATE. IN FISCAL YEAR 2017, THE CATALYST CLINIC RECEIVED APPROXIMATELY 213 REFERRALS TO THE CLINIC AND 268 SINCE THE PROGRAM'S INCEPTION.CHILD LIFE PROGRAM (CLP): THE CLP HELPS CHILDREN AND FAMILIES MANAGE THE STRESSES ASSOCIATED WITH HOSPITALIZATION AND ILLNESS. THE CHILD LIFE TEAM IS TRAINED TO HELP CHILDREN AND FAMILIES UNDERSTANDING THE HOSPITAL EXPERIENCE AND RELATED FEELINGS. THE GOALS OF THE CLP ARE TO: HELP CHILDREN EXPRESS THEIR FEELINGS IN A SAFE AND SUPPORTIVE ENVIRONMENT; HELP CHILDREN MANAGE PAIN EFFECTIVELY; OFFER CHILDREN CHOICES THAT INCREASE FEELINGS OF INDEPENDENCE, SELF-ESTEEM AND TRUST; AND ASSIST WITH IMPLEMENTATION OF COPING TECHNIQUES DURING STRESSFUL SITUATIONS. THE CHILD LIFE TEAM CURRENTLY COVERS THE AREAS OF INPATIENT PEDIATRICS AND THE PEDIATRIC INTENSIVE CARE UNIT AS WELL AS PEDIATRIC AMBULATORY CLINIC AND THE PEDIATRIC EMERGENCY DEPARTMENT. THE TEAM REMAINS A CONSULTING SERVICE TO CHILDREN OF ADULT FAMILIES AS NEEDED.CLOTHING BANK: BMC'S SOCIAL WORKERS ACCESS THE CLOTHING BANK IN REAL TIME WHEN A PROVIDER CONTACTS SOCIAL WORK ABOUT A BASIC CLOTHING NEED (SWEAT PANTS, SHIRTS, UNDERWEAR, SOCKS, SHOES, AND WINTER COATS) FOR A LOW-INCOME PATIENT.ELDERS LIVING AT HOME PROGRAM (ELAHP): THE GOAL OF ELHAP IS TO HELP OLDER ADULTS LOCATE AND MAINTAIN A PERMANENT RESIDENCE AND ALLOW THEM TO LIVE AS INDEPENDENTLY AS POSSIBLE. IN FY17, ELAHP SERVED 163 CLIENTS; 54 CLIENTS RECEIVED HOUSING SEARCH AND PLACEMENT SERVICES; 48 CLIENTS RECEIVED HOUSING STABILIZATION SERVICES; 50 CLIENTS RECEIVED NUTRITION SERVICES; AND 61 CLIENTS RECEIVED HOMELESSNESS PREVENTION SERVICES. ALL OF THOSE RECEIVING STABILIZATION SERVICES MAINTAINED HOUSING. NINETY PERCENT OF THOSE FACING IMMINENT THREAT OF EVICTION OR DISPLACEMENT MAINTAINED HOUSING, AND THE REMAINING 10% RECEIVED RAPID HOUSING PLACEMENT SERVICES AND TRANSITIONED TO MORE STABLE HOUSING. ONE ELDER WAS EVICTED BUT REHOUSED WITHIN TWO MONTHS. SEVENTY-TWO PERCENT OF THOSE RECEIVING HOUSING SEARCH AND PLACEMENT SERVICES WERE SUCCESSFULLY HOUSED DURING THE YEAR. MOST OF THE REMAINING 27% ARE ON HOUSING WAITING LISTS AND WILL BE HOUSED IN THE COMING YEAR. THIS WAS A 10% INCREASE FROM THE PREVIOUS YEAR.GROW CLINIC: THE GROW CLINIC WAS FOUNDED IN 1984 BY DR. DEBORAH A. FRANK AS PART OF BMC'S PEDIATRICS DEPARTMENT. 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, ACCESS TO BMC'S THERAPEUTIC FOOD PANTRY, CHILDREN'S CLOTHES, DIAPERS, BOOKS AND EDUCATIONAL TOYS, AMONG OTHER SERVICES. THERE ARE APPROXIMATELY 200 CHILDREN TREATED ANNUALLY BY THE GROW CLINIC. IN FY2017 THERE WERE 63 NEW PATIENTS. THIRTY-SEVEN PERCENT (37%) OF CLINIC PATIENTS WERE 12 MONTHS OF AGE OR YOUNGER; THE AVERAGE AGE AT REFERRAL WAS 22 MONTHS; AND THE AVERAGE LENGTH OF TREATMENT WAS 20 MONTHS. THERE WERE 903 TOTAL CLINIC VISITS DURING THIS PERIOD. APPROXIMATELY 11% OF PATIENT FAMILIES WERE HOMELESS AND LIVING IN SHELTERS. CLINICIANS MADE 679 HOME VISITS IN FY17.IMMIGRANT AND REFUGEE HEALTH PROGRAM: THE IMMIGRANT & REFUGEE HEALTH PROGRAM PROVIDES COMPREHENSIVE PRIMARY CARE SERVICES TO IMMIGRANT AND REFUGEE PATIENTS. THE TEAM OF CLINICIANS TAKES CARE OF GENERAL HEALTHCARE NEEDS THROUGH REGULAR CHECK-UPS, IMMUNIZATIONS, AND SCREENINGS, AS WELL AS PROVIDES CARE FOR ILLNESSES AND INJURIES. ALSO, IF NEEDED, THE TEAM WILL COORDINATE PATIENT CARE WITH SPECIALISTS FOR A MORE SERIOUS HEALTH ISSUE. FOREIGN AND SIGN LANGUAGE INTERPRETERS ARE AVAILABLE TO HELP PATIENTS COMMUNICATE WITH THE STAFF. THE PRACTICE PROVIDES ON-SITE INTERPRETERS AND OVER-THE-PHONE INTERPRETERS FOR MORE THAN 30 LANGUAGES. THE PROGRAM ALSO OFFERS ACCESS TO PSYCHIATRIC AND CASE MANAGEMENT SUPPORT TO PROVIDE CARE FOR THE WIDE RANGE OF PATIENT NEEDS. BOSTON MEDICAL CENTER'S IMMIGRANT AND REFUGEE HEALTH PROGRAM SEES ROUGHLY 150 NEWLY ARRIVED REFUGEES AND 50 NEW ASYLUM SEEKERS PER YEAR, AND HAS AN OVERALL LONG-TERM PRIMARY CARE POPULATION OF ABOUT 1,400.INTEGRATIVE MEDICINE: STARTED IN 2004, THE PROGRAM FOR INTEGRATIVE MEDICINE AND HEALTH CARE DISPARITIES AT BOSTON MEDICAL CENTER 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.MARGARET M. SHEA, RN ADULT HEALTH PROGRAM: THE PROGRAM HOLDS A LICENSE UNDER THE DEPARTMENT OF PUBLIC HEALTH #D06M 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. THIS ALLOWS 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. THE PROGRAM SERVES 55 INDIVIDUALS WITH A DAILY CENSUS OF 42 AND AN AVERAGE DAILY ATTENDANCE OF 29; PARTICIPANTS ATTEND THE PROGRAM UP TO FIVE TIMES PER WEEK WITH A MINIMUM REQUIREMENT OF TWO DAYS A WEEK. Part VI, Line 6: AFFILIATED HEALTH CARE SYSTEMBMC HEALTHNET PLANBOSTON MEDICAL CENTER HEALTH PLAN (BMCHP) IS A NON-PROFIT MANAGED CARE ORGANIZATION COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE COVERAGE TO UNDERSERVED POPULATIONS. IN MASSACHUSETTS, BMC HEALTHNET PLAN IS THE BUSINESS NAME FOR BOSTON MEDICAL CENTER HEALTH PLAN, INC.; OUTSIDE MASSACHUSETTS, WELL SENSE HEALTH PLAN IS THE BUSINESS NAME.BMC HEALTHNET PLAN SERVES OVER 400,000 MASSACHUSETTS RESIDENTS ACROSS FOUR PRODUCT LINES: MASSHEALTH (MEDICAID), CONNECTORCARE, QUALIFIED HEALTH PLANS, AND SENIOR CARE OPTIONS.FOR OVER 20 YEARS, BMC HEALTHNET PLAN HAS ARRANGED AND COORDINATED CARE AND SERVICES FOR LOW-INCOME, VULNERABLE POPULATIONS. BMC HEALTHNET PLAN HAS EXTENSIVE EXPERIENCE MANAGING THE HEALTH AND SOCIAL SERVICE NEEDS OF MEDICAID MEMBERS, MANY OF WHOM HAVE COMPLEX CARE AND SUPPORT NEEDS. AS PART OF THE BMC HEALTH SYSTEM THAT HAS BEEN SERVING SUFFOLK COUNTY FOR OVER 150 YEARS, BMC HEALTHNET PLAN BRINGS PARTICULAR STRENGTHS IN UNDERSTANDING AND SERVING THE DIVERSE NEEDS OF MEMBERS IN THE SERVICE AREA. IN ADDITION TO ACCESS TO BMC'S PROGRAMS AND EXPERTISE, BMC HEALTHNET PLAN HAS AN ESTABLISHED NETWORK OF SOCIAL AND COMMUNITY SERVICE ORGANIZATIONS IN THE GREATER BOSTON REGION.BOSTON HEALTHNETESTABLISHED IN 1995, BOSTON HEALTHNET (BHN) IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM COMPRISED OF BMC, THE BOSTON UNIVERSITY SCHOOL OF MEDICINE, AND 14 COMMUNITY HEALTH CENTERS (CHCS). PHYSICIANS WHO PRACTICE AT HEALTHNET LOCATIONS PROVIDE A WIDE RANGE OF COMPREHENSIVE HEALTH CARE SERVICES TO ADULT AND PEDIATRIC PATIENTS, WITH A FOCUS ON DISEASE PREVENTION AND HEALTH EDUCATION. PATIENTS RECEIVING PRIMARY CARE AT HEALTHNET SITES HAVE ACCESS TO HIGHLY TRAINED SPECIALISTS AND CUTTING-EDGE TECHNOLOGY AT BMC WHILE MAINTAINING INDIVIDUALIZED AND CULTURALLY SENSITIVE CARE IN THEIR NEIGHBORHOODS. NOW IN ITS 23RD YEAR, BHN AND ITS CHC PARTNERS HAVE EXTENDED BMC'S PRESENCE INTO BOSTON-AREA NEIGHBORHOODS, SIGNIFICANTLY IMPACTING THE HEALTH OF THEIR RESIDENTS.THE ACCOMPLISHMENTS OF THE NETWORK ARE EVIDENCED BY: THE GROWTH OF CHC ADMISSIONS TO BMC; THE ESTABLISHMENT OF AN INPATIENT ROUNDER SYSTEM FOR CHC PATIENTS; THE COLLABORATIVE DEVELOPMENT OF QUALITY IMPROVEMENT INITIATIVES; CLINICAL PROTOCOLS, AND STANDARDS OF PRACTICE; INCREASED ACCESS TO SPECIALTY SERVICES; A SUCCESSFUL PUBLIC HEALTH OUTREACH CAMPAIGN; AND THE SIGNIFICANT DEVELOPMENT AND COORDINATION OF BHN'S INFORMATION TECHNOLOGY PROGRAMS AND SERVICES.IN 1997, BOSTON HEALTHNET ESTABLISHED A COMMUNITY PHYSICIAN GROUP INPATIENT ROUNDER SYSTEM AT BMC. THE ROUNDER SYSTEM BRINGS TOGETHER PHYSICIANS FROM THE CHCS AND THE BMC DEPARTMENT OF FAMILY MEDICINE TO CARE FOR PATIENTS FROM THESE CENTERS WHILE THE ARE IN THE HOSPITAL, THEREBY COORDINATING AND ENHANCING THE QUALITY AND CONTINUITY OF CARE. IN 2008, THE ROUNDER SYSTEM WAS EXTENDED TO EVENINGS AND SEVEN DAY COVERAGE. THE AVERAGE LENGTH OF STAY FOR FY2016\7 FOR THE ROUNDER SYTEM WAS 4.78 DAYS, WHICH COMPARES FAVORABLY WITH OTHER NATIONAL AND LOCAL INDICES.EXAMPLES OF PROJECTS ON WHICH BMC AND BOSTON HEALTHNET HAVE COLLABORATED INCLUDE: INFORMATION TECHNOLOGY: SIGNIFICANT STRIDES HAVE BEEN MADE IN THE AREA OF INFORMATION TECHNOLOGY. ALL OF OUR PRIMARY AND SECONDARY PARTNER HEALTH CENTERS ARE CONNECTED TO BMC OVER HIGH-SPEED ELAN CONNECTIONS THAT PUT BMC'S CLINICAL SYSTEMS AT THE FINGERTIPS OF THE HEALTH CENTER PROVIDERS AND OTHER STAFF. IN 2001, THE PARTNERSHIP BETWEEN BMC AND THE CHCS, COUPLED WITH A SUBSTANTIAL GRANT FROM AN ANONYMOUS FOUNDATION, SUPPORTED THE IMPLEMENTATION OF THE CENTRICITY ELECTRONIC HEALTH RECORD (EHR) AT EIGHT OF THE PRIMARY PARTNER CHCS. IN 2008, IMPLEMENTATION WAS COMPLETED AT ONE SECONDARY PARTNER CHC. ADDITIONALLY, ELECTRONIC PRESCRIBING WAS IMPLEMENTED AT THE NINE CENTRICITY SITES.A THREE-YEAR, $746,246 HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) AWARD TO BOSTON HEALTHNET IN FY07 SUPPORTED THE VERTICAL INTEGRATION OF ELECTRONIC MEDICAL RECORDS AT EIGHT CHCS WITH THAT OF BMC. THIS INTEGRATION TOOK PLACE VIA IMPLEMENTATION OF A CLINICAL INFORMATION EXCHANGE (CIE) THAT NOW ALLOWS CHC PROVIDERS TO VIEW INFORMATION IN BOTH BMC AND OTHER CHC SYSTEMS THROUGH THE LOCAL PATIENT RECORD. THE CIE ALSO ALLOWS PHYSICIANS IN THE CHCS TO BETTER TRACK PATIENTS RECEIVING CARE AT BMC.IN 2008, THE NETWORK WAS A RECIPIENT OF A ONE-YEAR $543,000 HIGH-IMPACT HEALTH INFORMATION TECHNOLOGY GRANT FROM HRSA THAT ALLOWED STAFF TO IMPLEMENT AN ELECTRONIC REFERRAL MANAGEMENT SYSTEM BETWEEN THE 10 BHN PRIMARY PARTNER CHCS AND SPECIALISTS IN THE BMC DEPARTMENT OF MEDICINE. BY LEVERAGING THE TECHNOLOGY OF THE CIE, THE ERFERRAL SYSTEM ALSO MAKES IT POSSIBLE FOR THE CHCS TO SCHEDULE APPOINTMENTS, ELECTRONICALLY SUBMIT REQUIRED CLINICAL INFORMATION TO SPECIALISTS, RECEIVE ELECTRONIC INFORMATION ABOUT REFERRALS, TRACK PATIENTS' NO-SHOW RATES, AND RECEIVE RETURN SPECIALIST REPORTS THROUGH THE LOCAL EHR OR BY OPENING A WEB-BASED PRACTICE PORTAL. THE E-REFERRAL PROJECT HAS HELPED TO ELIMINATE A NUMBER OF THE INEFFICIENCIES INHERENT IN THE CURRENT REFERRAL PROCESS. DATA AVAILABLE FROM THE E-REFERRAL PORTAL SHOWS A SIGNIFICANT DECREASE IN LAG TIMES TO SPECIALTY APPOINTMENTS FOR CHC'S PATIENTS RECEIVING CARE AT BMC.IN 2009, BMC APPROVED THE EXPANSION OF THE E-REFERRAL PORTAL TO OTHER SPECIALTIES BEYOND THE DEPARTMENT OF MEDICINE. DURING 2010, THE E-REFERRAL PORTAL WAS ROLLED OUT TO ALL SPECIALITY DEPARTMENTS AS WELL AS TWO ADDITIONAL HEALTH CENTERS. IN FY2012, 49,411 REFERRALS PASSED THROUGH THE E-REFERRAL PORTAL. ON JUNE 1, 2010, BHN WAS AWARDED A TWO YEAR $2.98 MILLION HEALTH INFORMATION TECHNOLOGY (HIT) INNOVATIONS GRANT FROM THE HRSA. WITH THIS FUNDING, BHN IS INTRODUCING THE INTEGRATED DATABASE, ELECTRONIC ALERTS, AND STANDARDIZED SYSTEMS (IDEAS) PROJECT - A SERIES OF ONE-TIME HIT IMPLEMENTATIONS AND INNOVATIONS THAT WILL INCREASE THE CAPACITY OF PROVIDERS AT THE CHCS TO MANAGE LOCAL HEALTH CARE AND BUSINESS OPERATIONS. SOME ELEMENTS OF THE IDEAS PROJECT INCLUDING THE INSTALLATION OF CENTRICITY PRACTICE SOLUTIONS (CPS) -- A CLINICAL AND FINANCIAL MANAGEMENT SYSTEM FULLY INTEGRATED WITH THE CENTRICITY EHR - AT 5 CHCS, CREATION OF A CHCS DATA WAREHOUSE, CLINICAL REGISTRIES AND COMPUTERIZED PHYSICIAN ORDER ENTRY AND RESULT RETRIEVAL FOR LAB TESTS PERFORMED AT BMC AND/OR OTHER PREFERRED LABORATORIES. LEVERAGING THE DATA WAREHOUSE WITH THE REGISTRIES POSITIONS BMC AND THE CHCS TO BETTER MANAGE PATIENTS WITH CHRONIC DISEASES. THIS IMPROVED MANAGEMENT IS ESSENTIAL TO THE ACO ENVIRONMENT WITH GLOBAL PAYMENTS AND ASSOCIATED FINANCIAL RISK.THE BHN IDEAS PROJECT FACILTATES MEANINGFUL USE OF ELECTRONIC HEALTH RECORDS ACROSS ALL THREE STAGES OF MEANINGFUL USE, AS OUTLINED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. IT IS ALSO RESPONSIVE TO THE NCQA PATIENT CENTERED MEDICAL HOME REQUIREMENTS.STARTING LAST YEAR, MOST BHN COMMUNITY HEALTH CENTERS WORKED COLLABORATIVELY WITH BMC AS THEIR DESIGNATED IOO (IMPLEMENTATION AND OPTIMIZATION ORGANIZATION) THROUGH THE REGIONAL EXTENSION CENTER. THIS GOVERNMENT PROGRAM WAS ESTABLISHED TO PROVIDE ADDITIONAL ASSISTANCE TO PRIMARY CARE PROVIDERS IN EFFORTS TO REACH MEANINGFUL USE.IN 2011, BMC RECEIVED A ONE-YEAR $454,967 GRANT FOR THE BALANCED SCORECARD/SAFE SIGN-OUTS PROJECT. BMC BALANCED SCORECARD IS A CONTINUATION PROJECT TO MOVE TO THE NEXT LEVEL IN DEVELOPING A COMPUTER DASHBOARD SYSTEM TO DRILL DOWN ON PATIENT SAFETY AND QUALITY. THIS PROJECT FOCUSED ON THE PROVIDER-LEVEL METRICS DEVELOPMENT AND TESTING. SAFE SIGN-OUTS WAS A NEW SYSTEMS DEVELOPMENT PROJECT WHICH CREATED A SOFTWARE SYSTEM AND PROTOCOL FOR RESIDENT SAFE SIGN-OUTS TO PREVENT PATIENT ADVERSE EVENTS.IN 2015 AND IN COLLABORATION WITH BMC, NINE OF THE BHN CHCS BEGAN THE PROCESS OF IMPLEMENTING A NEW EHR AND PRACTICE MANAGEMENT SYSTEM THAT FACILITATES CHC AND BMC PROVIDER ACCESS TO MUTUAL PATIENTS' EHRS. A TWO-YEAR $895,965 PARTNERSHIP FOR COMMUNITY HEALTH GRANT AWARDED IN 2015 SUPPORTS BHN'S IMPROVING COMMUNITY HEALTH, AN INITIATIVE THAT LEVERAGES INFORMATICS THROUGH A PATIENT PORTAL TO ENHANCE PATIENT-ENGAGEMENT. KEY GOALS OF THE PROJECT ARE TO IMPROVE BLOOD PRESSURE MANAGEMENT AMONG PATIENTS WITH HYPERTENSION AND ENSURE THAT PATIENTS DO NOT MISS ROUTINE CANCER SCREENINGS. RESEARCH: A BHN RESEARCH SUBCOMMITTEE WAS SET UP IN 2005 TO REVIEW ALL RESEARCH PROJECTS THAT ARE PROPOSED AT THE HEALTH CENTERS; 217 PROJECTS HAVE BEEN REVIEWED TO DATE.INCREASING PATIENT ACCESS: COMMUNITY ACCESS TO BMC IS ENHANCED THROUGH A FREE SHUTTLE BUS SERVICE. FOUR BUSES CIRCULATE THROUGHOUT THE SYSTEM ON ESTABLISHED ROUTES, FROM 7 AM-7 PM, MONDAY THROUGH FRIDAY, BRINGING PATIENTS TO BMC. LAST YEAR, THESE SHUTTLE BUSES TRANSPORTED 224,451 PATIENTS AND THEIR FAMILIES BETWEEN BMC AND THE BOSTON HEALTHNET CHCS. PART VI, LINE 5 (CONTINUED) 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 TEAMS, COMPRISED OF A PROGRAM COORDINATOR, AUTISM RESOURCE SPECIALIST, MULTILINGUAL FAMILY NAVIGATOR (FN) AND TRANSITION NAVIGATOR (TN) OFFER SPECIALIZED OUTREACH, TRAINING AND ADVOCACY SERVICES, FORM EFFECTIVE PARTNERSHIPS WITH SCHOOLS, COLLABORATE WITH LOCAL SUPPORT ORGANIZATIONS AND DRAW UPON A DEEP KNOWLEDGE BASE OF SOCIAL SERVICE AGENCIES TO FACILITATE LINKAGES TO RESOURCES. THE FN WORKS INTENSELY WITH PATIENT FAMILIES TO HELP ENSURE TIMELY AND APPROPRIATE TREATMENT FOR CHILDREN, WHICH OFTEN INCLUDES FACING FINANCIAL AND ECONOMIC CONCERNS, LANGUAGE AND CULTURAL ISSUES, PATIENT-PROVIDER COMMUNICATION, HEALTH CARE SYSTEM OBSTACLES, TRANSPORTATION PROBLEMS, AND BIAS/STIGMA. OUR TN 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. THE BMC AUTISM PROGRAM ALSO HAS A WELL-ESTABLISHED SOCIAL MEDIA PRESENCE ON FACEBOOK, TWITTER, PINTEREST, AND TUMBLR - AND EACH SERVES AS FURTHER VENUES TO PROVIDE RESOURCES, INFORMATION, AND GUIDANCE TO FAMILIES. THE AUTISM PROGRAM HAS SUPPORTED OVER 6,000 FAMILY REFERRALS SINCE ITS INCEPTION IN 2007 AND APPROXIMATELY 300 IN FY17.PEDIATRIC COMPREHENSIVE CARE FOR COMPLEX CHILDREN (CCCC): CCCC SERVED A PANEL OF NEARLY 600 CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND THEIR FAMILIES IN FY17. THE CLINICAL STAFF INTEGRATES PRIMARY CARE WITH SPECIALTY CARE AND SOCIAL SERVICES FOR CHILDREN WITH NEURODEVELOPMENTAL AND EMOTIONAL/BEHAVIORAL NEEDS RELATED TO PRE-TERM BIRTH, CONGENITAL SYNDROMES AND CHRONIC HEALTH CONDITIONS, AND/OR HAVE EXPERIENCED TRAUMA AS A RESULT OF ABUSE/NEGLECT, PARENTAL ABANDONMENT, DOMESTIC VIOLENCE AND PARENTAL SUBSTANCE ABUSE. MOST OF THE CHILDREN SEEN IN THE CCCC HAVE COMPLEX OVERLAPPING HEALTH, DEVELOPMENT AND EMOTIONAL/BEHAVIORAL ISSUES.MANY LOW-INCOME PARENTS OF SPECIAL NEEDS CHILDREN TEND TO ENGAGE HAPHAZARDLY AND EPISODICALLY WITH THE HEALTHCARE SYSTEM AND FAIL TO RECEIVE APPROPRIATE FOLLOW-UP CARE AND INTERVENTION. THESE PARENTS OFTEN FACE ECONOMIC HARDSHIPS, EDUCATIONAL BARRIERS, PSYCHOSOCIAL STIGMA, AND SOCIAL ISOLATION AS THEY TRY TO COPE WITH THEIR CHILDREN'S NEEDS AND ATTEMPT TO MAINTAIN STABILITY FOR THEIR FAMILIES. THE CCCC, WITH ITS MULTIDISCIPLINARY APPROACH, SEES 6-7 PATIENTS PER PROVIDER PER SESSION, CONSIDERABLY LESS THAN THE 10-12 PATIENTS PER SESSION IN A REGULAR 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, AND/OR A PEDIATRICENDOCRINOLOGIST, WHEN INDICATED. THIS "ONE STOP SHOPPING" MODEL OF CARE PROMOTES COMMUNICATION BETWEEN ALL MEMBERS OF THE CHILD'S HEALTHCARE TEAM.PEDIATRIC PAIN CLINIC: THE PEDIATRIC PAIN CLINIC AT BOSTON MEDICAL CENTER MANAGES ACUTE, COMPLEX, AND CHRONIC PAIN IN CHILDREN FROM INFANCY TO AGE 22. OUR TEAM OF EXPERTS WORKS CLOSELY WITH EACH PATIENT'S PRIMARY CARE PHYSICIAN, AND STRIVES 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 OFFER A VARIETY OF SPECIALIZED THERAPIES. EACH PATIENT IS GIVEN A PERSONALIZED PAIN MANAGEMENT PLAN TO BEST FIT HIS OR HER 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. IN FY17 THE CLINIC TREATED APPROXIMATELY 70 PATIENTS.PREVENTIVE FOOD PANTRY AND DEMONSTRATION KITCHEN: THE PREVENTIVE FOOD PANTRY AND DEMONSTRATION KITCHEN ADDRESS HUNGER-RELATED ILLNESS AND MALNUTRITION AMONG A LOW-INCOME, LARGELY UNDERSERVED AND VULNERABLE PATIENT POPULATION OF GREATER BOSTON. INDIVIDUALS AT RISK OF MALNUTRITION ARE REFERRED TO THE PROGRAM BY BMC OR BOSTON HEALTHNET PHYSICIANS OR NUTRITIONISTS WHO PROVIDE 'PRESCRIPTIONS' FOR SUPPLEMENTAL FOOD THAT BEST PROMOTES PHYSICAL HEALTH, PREVENTS FUTURE ILLNESS, AND FACILITATES RECOVERY. THE FOOD PANTRY NOW PROVIDES NUTRITIONAL FOOD PRESCRIPTIONS TO APPROXIMATELY 6,794 PEOPLE EACH MONTH. IN FY17, THE PANTRY PROVIDED NUTRITIOUS FOOD FOR 81,524 GREATER BOSTON RESIDENTS. APPROXIMATELY 12,000 TO 18,000 POUNDS OF FOOD SUPPLIES ARE REQUIRED WEEKLY TO STOCK THE PANTRY SHELVES AT BMC. THE DEMONSTRATION KITCHEN COMPLEMENTS THE WORK OF THE PANTRY BY EDUCATING PATIENTS ABOUT NUTRITION THROUGH COOKING METHODS THAT ARE COMPATIBLE WITH THEIR MEDICAL AND DIETARY NEEDS, AS PRESCRIBED BY THEIR PHYSICIANS.PROJECT RESPECT: PROJECT RESPECT (RECOVERY, EMPOWERMENT, SOCIAL SERVICES, PRENATAL CARE, EDUCATION, COMMUNITY AND TREATMENT), IS A HIGH RISK OBSTETRICAL AND ADDICTION RECOVERY MEDICAL HOME AT BOSTON MEDICAL CENTER 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 PATIENTS ARE IN RECOVERY FROM OPIOID ADDICTION. IN-PATIENT, MONITORED, ACUTE SUBSTANCE WITHDRAWAL TREATMENT AND INDUCTION OF OPIOID MAINTENANCE THERAPIES FOR PREGNANT WOMEN SEEKING ADDICTION TREATMENT ARE PROVIDED. INTENSIVE, INDIVIDUALIZED OUT-PATIENT TREATMENT PLANS ARE OUTLINED FOR EACH PATIENT BASED ON 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. THE PROGRAM SUPPORTS APPROXIMATELY 150 MOTHER/CHILD DYADS PER YEAR.ROOFTOP GARDEN: IN APRIL 2017 BMC OPENED ITS ROOFTOP GARDEN TO MEET THE GROWING NEED TO PROVIDE OUR PATIENTS WITH MORE FRESH PRODUCE. THE ROOFTOP GARDEN IS A 7,000 SQUARE FOOT GROWING SPACE LOCATED ON TOP OF BMC'S ALBANY STREET POWER PLANT. THE GARDEN PRODUCES CROPS SUCH AS ARUGULA, BOK CHOY, RADISHES, SWISS CHARD, KALE, AND MORE. THE GARDEN IS EXPECTED TO PRODUCE APPROXIMATELY 15,000 POUNDS OF FRESH PRODUCE EACH GROWING SEASON, WHICH WILL THEN BE USED IN THE TEACHING KITCHEN AND DISTRIBUTED BY THE FOOD PANTRY.SHUTTLE BUSES/TAXIS: COMMUNITY ACCESS TO BMC IS ENHANCED THROUGH A FREE SHUTTLE BUS SERVICE. FOUR BUSES CIRCULATE THROUGHOUT THE SYSTEM ON ESTABLISHED ROUTES, FROM 7AM-7PM, MONDAY THROUGH FRIDAY, BRINGING PATIENTS TO BMC. IN FY17, THESE SHUTTLE BUSES TRANSPORTED 224,451 PATIENTS AND THEIR FAMILIES BETWEEN BMC AND THE BOSTON HEALTHNET COMMUNITY HEALTH CENTERS. THERE IS ALSO A DIRECT TAXI AND VAN HOSPITAL-TO-HOME SERVICE FOR SPECIFIC CASES.STREETCRED: BMC'S STREETCRED PROGRAM ADDRESSES CHILD POVERTY BY LINKING LOW- TO MODERATE-INCOME 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 EARNED INCOME TAX CREDIT (EITC) AND OTHER TAX BASED PROGRAMS, FOR EXAMPLE, SNAP OR THE FAFSA, FOR WHICH THEY MAY BE ELIGIBLE. THE UNITED STATES FEDERAL EITC IS A REFUNDABLE TAX CREDIT FOR LOW- TO MODERATE-INCOME WORKING INDIVIDUALS, PARTICULARLY THOSE WITH CHILDREN. IN FY17, THE STREETCRED PROGRAM FILED 562 RETURNS AND ASSISTED WITH OVER $1,140,760 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. CHRONIC DISEASES AND RISK FACTORS AVON BREAST HEALTH INITIATIVE: THE AVON BREAST HEALTH INITIATIVE AT BMC IS A CARE COORDINATION NETWORK THAT REDUCES DELAYS IN BREAST CANCER CARE DELIVERY BY ADDRESSING PATIENT-LEVEL BARRIERS TO CARE THROUGH PATIENT NAVIGATION. BMC'S PATIENT NAVIGATION MODEL TARGETS WOMEN WITH AN IDENTIFIED SCREENING ABNORMALITY, ASSESSES THEIR INDIVIDUAL BARRIERS TO CARE, UTILIZES EXISTING RESOURCES TO ADDRESS THOSE BARRIERS, AND TRACKS THEM OVER TIME TO ENSURE COMPLETION OF ALL SERVICES. THE INITIATIVE WORKS TO MITIGATE RACIAL AND ETHNIC DISPARITIES IN BREAST CANCER DIAGNOSIS AND TREATMENT. SINCE THE PROGRAM'S INCEPTION, MORE THAN 33,000 WOMEN HAVE BEEN SERVED.CANCER SUPPORT GROUPS: IN 2006, BMC ESTABLISHED THE CANCER PATIENT SUPPORT SERVICES FUND TO PROVIDE CRUCIAL SERVICES AND PROGRAMS TO COMPLEMENT PATIENTS' CLINICAL CARE. THE FUND IS USED FOR SURVIVORSHIP PROGRAMS SUCH AS SUPPORT GROUPS AND CELEBRATIONS, ASSISTANCE WITH TRANSPORTATION COSTS TO AND FROM THE HOSPITAL, PATIENT NAVIGATION, ANDTHE PROVISION OF COMPLEMENTARY THERAPIES SUCH AS YOGA AND MASSAGE. IN FY2017, THERE WERE 15 ON-SITE CANCER SUPPORT GROUPS AND ONE OFF-SITE AFFILIATED SUPPORT GROUP, AS WELL AS SEVEN ONGOING ACTIVITY GROUPS AND SEVEN FEATURES PROGRAM EACH RUNNING 1-4 TIMES THROUGHOUT THE YEAR. THERE WERE ALSO 10 ANNUAL EVENTS, INCLUDING A SURVIVORSHIP CELEBRATION AND A TRIP TO STOWE, VERMONT FOR THE WEEKEND OF HOPE.PATIENT NAVIGATION: THE PATIENT NAVIGATION PROGRAM IS DESIGNED FOR PATIENTS WITH CANCER AND CHRONIC ILLNESSES, SUCH AS DIABETES, WHO NEED SPECIAL ASSISTANCE IN NAVIGATING THE HEALTH CARE SYSTEM. PATIENT NAVIGATORS ARE INDIVIDUALS FROM THE COMMUNITIES SERVED BY BMC, WHO HAVE SPECIAL LANGUAGE SKILLS, TRAINING IN SCHEDULING, AND REFINED COMPASSION/COMMUNICATION SKILLS. PATIENT NAVIGATORS CONTACT OUR MOST VULNERABLE PATIENTS AND HELP THEM TO ACCESS THE DOCTOR VISITS AND TREATMENT THAT THEY NEED IN THE MOST EFFICIENT MANNER POSSIBLE. THIS INCLUDES ARRANGING TRANSPORTATION FOR PATIENTS, REMINDING PATIENTS ABOUT APPOINTMENTS THAT THEY HELPED THE PATIENTS TO SCHEDULE, AND CONNECTING PATIENTS TO COMMUNITY RESOURCES SUCH AS THE BMC FOOD PANTRY.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 TO LINK FAMILIES TO BASIC SERVICES INCLUDING HEALTH CARE, CHILD CARE, HOUSING, AND AFTER-SCHOOL PROGRAMS. THE CWVP PROVIDED REFERRALS, ADVOCACY, ASSESSMENT, SHORT-TERM, AND/OR LONGER-TERM CLINICAL CARE TO APPROXIMATELY 300 FAMILIES EACH YEAR. 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 SEVERAL SERVICE SECTORS AND SETTINGS, INCLUDING A PRESENTATION AT A CONFERENCE IN PRAGUE. COMMUNITY VIOLENCE RESPONSE TEAM: THE COMMUNITY VIOLENCE RESPONSE TEAM (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 PROVIDINGTHERAPEUTIC SUPPORT THROUGHOUT THE RECOVERY PROCESS AND ULTIMATELY MINIMIZING MENTAL HEALTH TRAUMA. CVRT STAFF REFLECTS THE DIVERSITY OF BMC'S PATIENT POPULATION. IN FY17, THE CVRT SERVED APPROXIMATELY 1,000 PEOPLE.DOMESTIC VIOLENCE PROGRAM (DVP): THE DVP PROVIDES TRAINING AND EDUCATION FOR STAFF, ASSISTANCE WITH HOSPITAL POLICY AND PROTOCOL DEVELOPMENT, CONSULTATION ON A VARIETY OF CLINICAL AND RESEARCH INITIATIVES, AS WELL AS DIRECT ADVOCACY/SUPPORT SERVICES FOR SURVIVORS OF DOMESTIC AND DATING ABUSE. REFERRALS COME FROM ALL INPATIENT AND OUTPATIENT SETTINGS AS WELL AS COMMUNITY PROVIDERS, AND THE PROGRAM ALSO SERVES BMC EMPLOYEES. IN FY17, THE PROGRAM'S SAFETY AND SUPPORT ADVOCATES PROVIDED APPROXIMATELY 330 VICTIMS AND SURVIVORS WITH A RANGE OF SERVICES INCLUDING CRISIS INTERVENTION/COUNSELING; RISK ASSESSMENT AND SAFETY PLANNING; ASSISTANCEWITH ACCESSING PROTECTIVE ORDERS AND VICTIM COMPENSATION; ACCOMPANIMENT TO COURT, LEGAL, MEDICAL, HOUSING AND OTHER APPOINTMENTS; REFERRAL TO COMMUNITY-BASED DOMESTIC VIOLENCE ADVOCACY/RAPE CRISIS COUNSELING, MEDICAL/MENTAL HEALTH SERVICES; EMERGENCY FINANCIAL ASSISTANCE AND OTHER SUPPORT AS NEEDED. THE PROGRAM ALSO PROVIDED ITS FIRST SUPPORT GROUP FORWOMEN IN SPANISH. ADVOCATES PROVIDED THESE SERVICES IN FOUR LANGUAGES, UTILIZING INTERPRETER SERVICES FOR ADDITIONAL LANGUAGE NEEDS, AND THE PROGRAM'S PRIMARY INFORMATIONAL BROCHURE ABOUT WHERE TO FIND HELP FOR DOMESTIC VIOLENCE IS NOW AVAILABLE IN 14 LANGUAGES. IN ADDITION TO THE DIRECT SERVICES FOR VICTIMS, THE DVP ALSO PROVIDED TRAINING ON HOW TO SUPPORT SURVIVORS OF DOMESTIC VIOLENCE SAFELY AND EFFECTIVELY TO JUST OVER 500 PROVIDERS FROM MULTIPLE DISCIPLINES ACROSS THE INSTITUTION, INCLUDING NURSING, CRIMINAL JUSTICE, MENTAL HEALTH, AND DENTAL STUDENTSAT AREA UNIVERSITIES. THE PROGRAM HAS BEEN INTEGRATED INTO NEW EMPLOYEE ORIENTATION FOR ALL NURSES, CERTIFIED NURSING ASSISTANTS, UNIT COORDINATORS, SOCIAL WORK INTERNS IN A VARIETY OF DEPARTMENTS, AND PUBLIC SAFETY OFFICERS.VIOLENCE INTERVENTION ADVOCACY PROGRAM (VIAP): IN APRIL 2006, BMC PILOTED VIAP TO PROVIDE SPECIALIZED SERVICES TO VICTIMS OF COMMUNITY VIOLENCE, USING TWO COMMUNITY HEALTH WORKERS, VIOLENCE INTERVENTION ADVOCATES, TO PROVIDE INDIVIDUAL COUNSELING, TRIAGE AND REFERRAL SERVICESFOR VICTIMS OF GUNSHOT AND STABBINGS BROUGHT TO THE BMC EMERGENCY DEPARTMENT. VIAP STAFF COLLABORATES WITH PUBLIC AND PRIVATE AGENCIES TO OFFER A BROAD SPECTRUM OF CONCRETE SERVICES TO PATIENTS RECOVERING FROM THESE VIOLENT INJURIES. VIOLENCE INTERVENTION ADVOCATES HAVE A STRONG KNOWLEDGE OF COMMUNITY RESOURCES. VIAP PROVIDED THE FOLLOWING DIRECT SERVICES AND REFERRALS TO SERVICES TO VICTIMS AND IMPACTED FAMILY MEMBERS: CRISIS INTERVENTION AND STABILIZATION; HOUSING AND TRANSPORTATION; LEGAL; EDUCATIONAL; VOCATIONAL AND LIFE SKILLS DEVELOPMENT; BEHAVIORAL HEALTH; EMPLOYMENT; AND HEALTH AND WELLNESS.MENTAL HEALTH AND SUBSTANCE ABUSEMENTAL HEALTH DIVERSION INITIATIVE (MHDI): IN FY17, THE MHDI HAS WORKED WITH 873 INDIVIDUALS WITH MENTAL HEALTH AND/OR CO-OCCURRING MENTAL HEALTH AND SUBSTANCE DEPENDENCE WHOSE ASSOCIATED BEHAVIOR BRINGS THEM TO THE ATTENTION OF LAW ENFORCEMENT AND COURTS. THE MHDI COLLABORATES WITH THE POLICE AND COURTS TO FIRST AND FOREMOST IDENTIFY INDIVIDUALS WITH THESE RISK FACTORS, AND THEN TO CONNECT THEM WITH APPROPRIATE SERVICES AND TREATMENT AS ALTERNATIVES TO ARREST AND INCARCERATION. THE MHDI TRAINS BOSTON POLICE DEPARTMENT AND MASSACHUSETTS BAY TRANSIT AUTHORITY OFFICERS TO IDENTIFY INDIVIDUALS WITH MENTAL ILLNESS AND HOW TO REFER INDIVIDUALS TO SERVICES INSTEAD OF ARRESTING THEM. AT THE COURT LEVEL, 64 MHDI PARTICIPANTS HAVE SUCCESSFULLY COMPLETED PROBATION RATHER THAN BEING INCARCERATED. FASTER PATHS: FASTER PATHS RAPIDLY EVALUATES, MOTIVATES, AND REFERS PATIENTS WITH SUBSTANCE ABUSE 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. 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 ADMINISTRATION 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 COMMISSIONS' (BPHC'S) PAATHS (PROVIDING ACCESS TO ADDICTION TREATMENT, HOPE, AND SUPPORT) RECOVERY NAVIGATOR ASSIST WITH LINKAGES TO EXTERNAL MAT PROGRAMS AND OTHER COMMUNITY SERVICES. DURING THE PROGRAM'S FIRST YEAR OF OPERATION, FASTER PATHS TREATED 1,275 PATIENTS WHO RECORDED A TOTAL OF 4,635 VISITS, DURING WHICH THEY WERE PROVIDED WITH AN ARRAY OF SERVICES. FOUR HUNDRED AND SEVEN PATIENTS WERE INITIATED ON MEDICATIONS/MAT AND OF THOSE 177 WERE TRANSFERRED TO MAINTENANCE PROGRAMS, AND 663 WERE PLACED AND TRANSPORTED TO ACUTE TREATMENT PROGRAMS/DETOX.PROJECT ASSERT (ALCOHOL & SUBSTANCE ABUSE SERVICES, EDUCATION, AND REFERRAL TO TREATMENT): PROJECT ASSERT WAS ESTABLISHED IN 1988 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 CONSULT AND COLLABORATE WITH HOSPITAL STAFF TO OFFER ED PATIENTS ALCOHOL AND DRUG SCREENING, BRIEF INTERVENTION, AND REFERRALS TO HEALTH AND SOCIAL RESOURCES, SUCH AS SUBSTANCE ABUSE TREATMENT AND PRIMARY CARE SERVICES. IN FY17, PROJECT ASSERT HAD 3,105 ED CONSULTS. AS A RESULT OF NEGOTIATIONS WITH THE PATIENTS, THE FOLLOWING SERVICES WERE PROVIDED: 1,068 PATIENTS WERE PLACED IN DETOX/ACUTE TREATEMNT SERVICES (ATS) ON THE DAY OF THEIR ED VISIT, 574 PATIENTS WERE REFERRED TO MUTUAL HELP GROUPS LIKE NA/AA, 407 WERE TRANSFERRED TO FASTER PATHS' INNOVATIVE MEDICATION FOR ADDICTION TREATMENT BRIDGE CLINIC, AND 368 WERE PROVIDED PLACEMENT AND TRANSPORTATION TO SHELTERS. PROJECT ASSERT ALSO EDUCATED PATIENTS AT RISK FOR OPIOID OVERDOSE AND DISTRIBUTED 247 NALOXONE RESCUE KITS TO ED PATIENTS. SOFAR: THE GOAL OF SOFAR (SUPPORTING OUR FAMILIES THROUGH ADDICTION AND RECOVERY) IS TO CREATE A MEDICAL HOME IN THE PEDIATRIC PRIMARY CARE 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 FY17, SOFAR SERVED 26 MOTHER-CHILD DYADS. SUPPORTING PARENTS AND RESILIENT KIDS CENTER (SPARK): THE SPARK CENTER IS A MODEL CHILDCARE PROGRAM OFFERING COMPREHENSIVE, INTEGRATED, STATE-OF-THE-ART SERVICES FOR CHILDREN AND FAMILIES WHOSE LIVES ARE AFFECTED BY MEDICAL, EMOTIONAL, AND/OR BEHAVIORAL CHALLENGES. THE PROGRAM SERVES BOSTON'S HIGHEST-RISK CHILDREN, AGES INFANT THROUGH 5 YEARS OLD, THOSE LIVING WITH COMPLICATED MEDICAL CONDITIONS (INCLUDING NEURO-DEVELOPMENTAL CHALLENGES, FAILURE TO THRIVE, AND HIV/AIDS), AS WELL AS CHILDREN WHO ARE INVOLVED WITH THE MASSACHUSETTS DEPARTMENT OF CHILDREN AND FAMILIES DUE TO SIGNIFICANT FAMILY AND SOCIAL CONCERNS (INCLUDING CHILD ABUSE AND NEGLECT, DOMESTIC VIOLENCE, ADULT SUBSTANCE ABUSE). LOCATED IN THE HEART OF MATTAPAN AND SERVING APPROXIMATELY 50-60 CHILDREN ANNUALLY, THE SPARK CENTER REPRESENTS A UNIQUE AND POWERFUL COLLABORATION BETWEEN BOSTON MEDICAL CENTER AND THE BOSTON UNIVERSITY SCHOOL OF MEDICINE, THE MASS. DEPT. OF EARLY EDUCATION AND CARE, AND SEVERAL ADDITIONAL STATE AND FEDERAL FUNDERS. AT SPARK, CHILDREN LEARN THE SKILLS AND VALUES TO SUCCEED IN SCHOOL AND TO DEVELOP PRODUCTIVE AND REWARDING ADULT LIVES. ADDITIONALLY, THE SPARK CENTER OFFERS PARENTS AND OTHER CAREGIVERS THE SUPPORT, GUIDANCE, AND COMPASSIONATE UNDERSTANDING THAT PROMOTE STRENGTH AND STABILITY IN THEIR PARENTING RESPONSIBILITIES. TEAM UP: THE CHILD MENTAL HEALTH INITIATIVE - TEAM UP - IS A PARTNERSHIP BETWEEN BOSTON MEDICAL CENTER AND THREE COMMUNITY HEALTH CENTERS (CODMAN SQUARE HEALTH CENTER, LOWELL COMMUNITY HEALTH CENTER, THE DIMOCK CENTER) THAT COMBINES 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. PART VI, LINE 6 (CONTINUED) ADVANCING MEDICAL EDUCATION: A NUMBER OF HEALTHNET CHCS ALSO SERVE AS THE PRIMARY COMMUNITY-BASED TRAINING SITES FOR BOSTON UNIVERSITY SCHOOL OF MEDICINE PEDIATRIC, FAMILY MEDICINE, PSYCHIATRY AND GENREAL MEDICINE RESIDENTS. BUSM STUDENTS AND PHYSICIAN ASSISTANTS ALSO ROUND AT THE CHCS TO SUPPLEMENT THEIR TRAINING WITH DIRECT PATIENT CONTACT. PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT BMC DOES NOT FILE A COMMUNITY BENEFITS REPORT WITH THE COMMONWEALTH OF MASSACHUSETTS. 1 NORTHEASTERN UNIVERSITY 360 Huntington Avenue Boston MA 02115 041679980 501(c)(3) 397649 Subaward BOSTON UNIVERSITY 715 Albany Street Boston MA 02118 042103547 501(c)(3) 2236563 Subaward HARVARD UNIVERSITY 677 Huntington Avenue Boston MA 02115 042103580 501(c)(3) 172886 Subaward MASS INSTITUTE OF TECH 77 MASSACHUSETTS AVENUE NE 49-4097 Cambridge MA 02139 042103594 501(c)(3) 133040 Subaward MOUNT AUBURN HOSPITAL 330 MOUNT AUBURN ST Cambridge MA 02138 042103606 501(c)(3) 15000 Subaward TUFTS UNIVERSITY 715 Albany Street Boston MA 02118 042103634 501(c)(3) 149086 Subaward BETH ISRAEL DEACONESS PO Box 3784 Boston MA 02241 042103881 501(c)(3) 502204 Subaward JOSLIN DIABETES CENTER One Joslin Place Boston MA 02215 042203836 501(c)(3) 8812 Subaward HEALTH RESOURCES IN A 95 Berkeley Street Suite 202 Boston MA 02116 042229839 501(c)(3) 15323 Subaward THIRD SECTOR NEW ENGLAND 89 SOUTH STREET 7TH FLOOR Boston MA 02111 042261109 501(c)(3) 258002 Subaward MARTHA S VINEYARD COM 111 Edgartown Rd Vineyard Haven MA 02568 042301598 501(c)(3) 33452 Subaward BRIGHAM & WOMENS HOSPITAL PO Box 3149 Boston MA 02241 042312909 501(c)(3) 46262 Subaward NORTH SUFFOLK MENTAL 301 Broadway Avenue Chelsea MA 02150 042317215 501(c)(3) 3077329 Subaward GOSNOLD INC 200 TER HEUN DR Falmouth MA 02540 042502970 501(c)(3) 47955 Subaward BAY COVE HUMAN SERVICE 66 Canal Street Boston MA 02114 042518575 501(c)(3) 4744666 Subaward BROCKTON AREA MULTI-SERVICE 10 Christys Drive Brockton MA 02301 042562377 501(c)(3) 128076 Subaward VINFEN GROUP PO Box 5059 Boston MA 02206 042632219 501(c)(3) 621283 Subaward CODMAN SQUARE HEALTH 637 Washington Street Boston MA 02124 042678774 501(c)(3) 51409 Subaward MASSACHUSETTS GENERAL 55 Fruit Street Boston MA 02114 042697983 501(c)(3) 29823 Subaward NUESTRA COMUNIDAD DEV 56 Warren Street Suite 200 Roxbury MA 02119 042741543 501(c)(3) 13664 Subaward PROJECT HOPE 550 Dudley Street Roxbury MA 02119 042748880 501(c)(3) 84349 Subaward CHILDREN'S HOSPITAL 300 Longwood Avenue Boston MA 02115 042774441 501(c)(3) 339078 Subaward NATIONAL ALLIANCE The Schraffts Center 529 Main Street Suite 1M17 Boston MA 02119 042777012 501(c)(3) 7250 Subaward BAYSTATE STOUEDICAL CENT 759 CHESTNUT ST SPRINGFIELD MA 01199 042790311 501(c)(3) 867249 Subaward MGH NEUROGENETICS DNA 185 Cambridge Street Boston MA 02110 042807148 501(c)(3) 320833 Subaward INSTITUTE FOR HEALTH 349 BROADWAY Cambridge MA 02139 043086647 501(c)(3) 48844 Subaward BROCKTON NEIGHBORHOOD 63 Main Street Brockton MA 02301 043165044 501(c)(3) 27793 Subaward UNIVERSITY OF MASSACHUSETTS 55 Lake Avenue North Worcester MA 01655 043167352 115 33634 Subaward JONATHAN O COLE MENTAL 115 Mill Street Belmont MA 02178 043282088 501(c)(3) 23500 Subaward CENTER FOR COMMUNITY 360 Huntington Avenue 222 YMCA Boston MA 02115 043286409 501(c)(3) 27875 Subaward BOSTON PUBLIC HEALTH 1010 MASSACHUSETTS AVE Boston MA 02118 043316655 501(c)(3) 99349 Subaward CAMBRIDGE HEALTH ALLIANCE 1493 Cambridge Street Cambridge MA 02139 043320571 501(c)(3) 287386 Subaward BEDFORD VA RESEARCH C 200 Springs Roadms151 Building 12 Bedford MA 01730 043512440 501(c)(3) 21266 Subaward BOSTON HOUSING AUTHORITY 52 CHAUNCY STREET Boston MA 02111 046001907 501(c)(3) 17682 Subaward BUTLER HOSPITAL 345 Blackstone Blvd Providence RI 02906 050258812 501(c)(3) 117285 Subaward RHODE ISLAND HOSPITAL 593 Eddy St Providence RI 02903 050258954 501(c)(3) 108363 Subaward YALE UNIVERSITY SCHOOL OF MEDICINE PO Box 1873 New Haven CT 06508 060646973 501(c)(3) 21915 Subaward WEILL MEDICAL COLLEGE 1300 York Avenue New York NY 10005 131623978 501(c)(3) 73870 Subaward ALBERT EINSTEIN COLLEGE 500 West 185th Street New York NY 10033 131624225 501(c)(3) 321932 Subaward RIVERSIDE RESEARCH IN 156 WILLIAM ST 9TH FLR New York NY 10038 132593244 501(c)(3) 97476 Subaward GE GLOBAL RESEARCH 1 RESEARCH CIRCLE NISKAYUNA NY 12309 140689340 Corp 24453 Subaward EVERY MOTHER INC PO BOX 615 Greenville MS 38702 205325053 501(c)(3) 20000 Subaward COOPER HEALTH SYSTEM 1 COOPER PLZ Camden NJ 08103 210634462 501(c)(3) 39600 Subaward THE UNIVERSITY OF RHODE ISLAND 75 LOWER COLLEGE ROAD KINGSTON RI 02881 223011455 115 11864 Subaward TRUSTEES OF THE UNIV 3451 Walnut Street Suite 305 Philadelphia PA 19104 231352685 501(c)(3) 49536 Subaward DOTHOUSE HEALTH INC 1353 Dorchester Avenue Dorchester MA 02122 237125970 501(c)(3) 20137 Subaward UPHAM'S CORNER HEALTH 415 Columbia Road Dorchester MA 02125 237211732 501(c)(3) 6038 Subaward UNIVERSITY OF MARYLAND PO Box 41428 Baltimore MD 21203 311678679 501(c)(3) 12306 Subaward NORTHWESTERN UNIVERSITY 633 Clark Street Evanston IL 60208 362167817 501(c)(3) 20227 Subaward UNIVERSITY OF MICHIGAN 3003 S State Street Ann Arbor MI 48109 386006309 501(c)(3) 136236 Subaward MINNEAPOLIS MED RESEARCH 600 Shapiro Building Minneapolis MN 55404 411677920 501(c)(3) 25610 Subaward REACHING OUR SISTERS 3614 COLUMBIA PKWY DECATUR GA 30034 452803568 501(c)(3) 98369 Subaward RUTGERS THE STATE UNIVERSITY 65 Davidson Road Piscataway NJ 08854 462354111 501(c)(3) 1028055 Subaward JOHN HOPKINS UNIVERSITY 600 Wolfe Street Baltimore MD 21287 520595110 501(c)(3) 57943 Subaward MID-ATLANTIC PERMANENT 2101 e JEFFERSON ST Rockville MD 20849 521196226 501(c)(3) 6174 Subaward NATIONAL LEAGUE OF CI 660 N CAPITOL ST NW STE 450 Washington DC 20001 526055762 501(c)(3) 50570 Subaward MEDSTAR HEALTH RESEARCH 6525 Belcrest Road Hyattsville MD 20782 526056274 501(c)(3) 16221 Subaward USCIVILIAN RESERACH 1776 Wilson Blvd Suite 300 Arlington VA 22209 541773406 501(c)(3) 46358 Subaward RESEARCH TRIANGLE INS 3040 E Cornwallis Road PO Box 12194 12194 Research Triangle Park NC 27709 560686338 501(c)(3) 20000 Subaward UNIVERSITY OF N CAROLINA CB 13501 Chapel Hill NC 27599 566001393 501(c)(3) 74353 Subaward EMORY UNIVERSITY 1762 Clifton Rd Suite 1400 Atlanta GA 30322 580566256 501(c)(3) 283087 Subaward GEORGIA STATE UNIVERSITY 33 GILMER STREET ATLANTA GA 30303 586002050 115 17385 Subaward VANDERBILT UNIVERSITY Gift Processing VU Station B 357727 2301 Vanderbilt Place Nashville TN 37235 620476822 501(c)(3) 202202 Subaward ARKANSAS CHILDREN'S HOSPITAL 800 Marshall Slot 512 Little Rock AR 72202 710694931 501(c)(3) 9329 Subaward SEATTLE BIOMEDICAL RESEARCH 307 Westlake Ave N Ste 500 Seattle WA 98109 910961784 501(c)(3) 418471 Subaward UNIVERSITY OF WASHINGTON Box 359505 Gift Services Seattle WA 98195 916001537 115 72434 Subaward FUTURES WITHOUT VIOLENCE 100 Montgomery Street The Presidio San Francisco CA 94129 943110973 501(c)(3) 7014 Subaward UNIVERSITY OF CALIFORNIA 220 Montgomery St Fl 5 San Francisco CA 94104 946036493 501(c)(3) 27744 Subaward REGENTS OF THE U OF C 2760 Fifth Avenue San Diego CA 92103 956006144 501(c)(3) 14427 Subaward UNIVERSITY HEALTH NET 140 ELLINGTON ST Longmeadow MA 01106 986000971 501(c)(3) 13663 Subaward DREXEL UNIVERSITY NESBITT HALL 3215 MARKET STREET PHILAdelphia PA 19104 231352630 115 34927 SUBAWARD 65 6 SCHEDULE I, PART I, LINE 2 BOSTON MEDICAL CENTER MONITORS ALL SPONSORED PROGRAM GRANTS UTILIZING INTERNAL ELECTRONIC TRACKING SYSTEMS. DEPARTMENT STAFF MONITOR THE SYSTEM. GRANTS ADMINISTRATION WORKS CLOSELY WITH THE DEPARTMENT STAFF TO ENSURE THAT EXPENDITURES ARE APPROPRIATE AND ALLOWABLE PER THE AWARD CONTRACT AND NOTICE OF GRANT AWARD. X 0 1 X X X X X X 1 1 0 0 0 0 0 1 0 DAVID COLEMAN MD Trustee 0 449475 0 0 0 267504 0 35260 0 1634 0 753873 0 0 GERARD DOHERTY MD Trustee (Until 10/1/16) 0 330945 0 0 0 505129 0 35260 0 41375 0 912709 0 0 KAREN ANTMAN MD Trustee 0 831650 0 0 0 72790 0 35260 0 660 0 940360 0 0 KATHLEEN WALSH President/CEO 1083261 0 345217 0 119330 0 177000 0 5066 0 1729874 0 74175 0 DAVID BECK ESQ SVP/Chief Legal Counsel/Clerk 375198 0 85183 0 2208 0 43650 0 20673 0 526912 0 0 0 RICHARD SILVERIA SVP Fin/CFO/Treas(Until 5/26/17) 500747 0 114325 0 2328 0 54050 0 32857 0 704307 0 0 0 ALASTAIR BELL SVP Ops & Strtgy/COO 576940 0 130017 0 2328 0 54350 0 3060 0 766695 0 0 0 LISA A KELLY-CROSWELL SVP Chro 392306 0 88770 0 2328 0 39630 0 9301 0 532335 0 0 0 NANCY GADEN SVP Chief Nursing Officer 350747 0 80700 0 2328 0 36750 0 32857 0 503382 0 0 0 NORMAN STEIN SVP Chief Development Officer 364243 0 83300 0 139774 0 18550 0 7453 0 613320 0 36184 0 RAVIN DAVIDOFF MD SVP Medical Affairs and CMO 458792 0 104686 0 2328 0 50610 0 31716 0 648132 0 0 0 STANLEY HOCHBERG MD SVP Quality, Safety, and Tech 412059 0 94150 0 35928 0 13250 0 23812 0 579199 0 0 0 ARTHUR HARVEY VP/CIO 317498 0 63733 0 2295 0 29283 0 8013 0 420822 0 0 0 BOB BIGGIO VP Facility 355577 0 123115 0 2328 0 36608 0 37433 0 555061 0 0 0 JOE CAMILLUS VP Ambulatory Optn & Prof Svcs 292889 0 67250 0 2245 0 33275 0 30618 0 426277 0 0 0 THEA JAMES VP Missions & Associate CMO 295402 0 59750 0 26245 0 3313 0 22265 0 406975 0 0 0 THOMAS P TRAYLOR VP Fed, State, Local Prog(UTL 9/30/1 327431 0 0 0 214027 0 2981 0 33458 0 577897 0 54931 0 SCHEDULE J, PART I, LINE 1A AND 1B UNDER THE TERMS OF HER EMPLOYMENT AGREEMENT, THE ORGANIZATION'S PRESIDENT AND CEO RECEIVED REIMBURSEMENT FOR CERTAIN PROFESSIONAL SERVICE FEES INCLUDING FINANCIAL PLANNING ADVICE. SUCH REIMBURSEMENTS WERE INCLUDED IN THE PRESIDENT'S TAXABLE INCOME. SCHEDULE J, PART I, LINE 4A IN CONNECTION WITH HIS DEPARTURE FROM THE ORGANIZATION, THOMAS TRAYLOR RECEIVED A TWELVE MONTH SEVERANCE AGREEMENT BEGINNING OCTOBER 1, 2016 THAT INCLUDED A CONTINUATION OF MEDICAL BENEFITS. HE RECEIVED $112,427, WHICH IS INCLUDED IN SCHEDULE J, COLUMN B(III) . SCHEDULE J, PART I, LINE 4B BOSTON MEDICAL CENTER PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CERTAIN EXECUTIVES. AMOUNTS ARE CREDITED TO PARTICIPANTS' ACCOUNTS EACH YEAR. PLAN AMOUNTS ARE SUBJECT TO FORFEITURE AND PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE PLAN AGREEMENT. BOSTON MEDICAL CENTER MAINTAINS AN EXECUTIVE BENEFIT PLAN WHICH OFFERS PARTICIPATING EXECUTIVES THE OPTION OF ANNUALLY ALLOCATING BENEFIT DOLLARS TO A SUPPLEMENTAL RETIREMENT/PRE-TAX SAVINGS ACCOUNT. AMOUNTS VEST ON SPECIFIED DATES BASED ON CONTINUED EMPLOYMENT BUT NO LATER THAN THE EXECUTIVE'S 62ND 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 2016: STANLEY HOCHBERG - $33,600 THEA JAMES - $24,000 NORMAN STEIN - $139,171 THOMAS TRAYLOR - $99,826 BMC PROVIDED A 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 2016, $100,233 WAS VESTED AND IS REFLECTED IN SCHEDULE J, PART II, COLUMN B(III). SCHEDULE J, 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. FY16 PERFORMANCE BONUS PAYOUTS ARE APPROVED BY THE COMMITTEE AT THE COMPENSATION COMMITTEE MEETING HELD ON DECEMBER 13, 2016. THE COMMITTEE REVIEWED THE FY16 PERFORMANCE RESULTS AGAINST PRE-ESTABLISHED PERFORMANCE TARGETS, AND APPROVED THE FORMULA-BASED PAYOUTS ACCORDINGLY. A MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 042456011 57586eld1 2009-08-14 101485000 CURRENT REFUNDING OF SERIES M3-B (2005) 0 0 1 B MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 57583urp5 2012-06-14 117490498 REFUNDING OF PRIOR BONDS 1 0 0 C MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 57583u6q6 2015-04-08 167471151 FINANCE CAPITAL PROJECTS, FUND A RESERVE, AND PAY COSTS OF ISSUANCE 0 0 0 D MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 57584XWT4 2016-09-22 203977951 FINANCE NEW PROJECTS AND ADVANCED REFUNDING OF PRIOR BONDS 0 0 0 A 5090259 13688734 84205 13688734 1 0 1 1 B 27645000 41850000 117498730 5206513 1684889 115813841 1 0 1 1 C 168251343 15400380 256378 2007035 150386240 201311 0 0 0 1 D 206387054 167541727 1673571 25851246 8131954 3188556 0 1 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 1 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 D 0 1 1 1 1 1 0.00600 0.00000 0.00600 0 0 1 A 0 0 1 1 1 0 0 0 1 B 1 0 0 1 AIG MATCHED FUNDING CORP 27.000000000000 1 1 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 0 0 0 1 1 A 1 B 1 C 1 D 1 COLUMN A: 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 IS REPRESENTED. PART I(F): THE BORROWER'S PORTION OF THE BONDS REFINANCED THE PORTION OF THE ISSUER'S SERIES M3-B (2005) BONDS (ISSUED ON OCTOBER 3, 2005) ALLOCABLE TO THE BORROWER. PART II, LINE 4: THE RESERVE HAS BEEN FUNDED BY PROCEEDS OF THE PRIOR BONDS. PART II, LINE 13: SINCE THE PROCEEDS OF THE BONDS WERE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBTANTIAL COMPLETION IS NOT APPLICABLE. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(B): BOND PROCEEDS WERE EXPENDED TO FINANCE A CURRENT REFUNDING, WHICH HAS MET AN EXCEPTION TO THE REBATE REQUIREMENT. NO COMPUTATION HAS BEEN MADE THAT WOULD INDICATE WHETHER ANY REBATE WOULD BE DUE ON THE PROCEEDS TRANSFERRED FROM THE PRIOR BONDS. COLUMN B: DIFFERENCE BETWEEN PART I(E) AND PART II, LINE 3 IS DUE TO INTEREST EARNED ON BOND PROCEEDS. PART I(F): THE PRIOR BONDS WERE ISSUED ON JULY 8, 1998, BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILTIES AUTHORITY. 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 HAS NOT COMPLETED PART III WITH RESPECT TO THE BONDS. PART IV, LINE 1: THE MOST RECENT FIVE YEAR REBATE REPORT, DATED JULY 25, 2017, WAS PREPARED BY BLX GROUP, LLC. COLUMN C: DIFFERENCE BETWEEN PART I (E) AND PART II, LINE 3 IS DUE TO INTEREST EARNED ON BOND PROCEEDS. PART III, LINE 7 - AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECUIRTY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. COLUMN D: PART I (F): THE PRIOR BONDS WERE ISSUED ON JULY 1, 2008, BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY. DIFFERENCE BETWEEN PART I(E) AND PART II, LINE 3 IS INTEREST EARNED ON BOND PROCEEDS. PART II, LINE 12: UNSPENT BOND PROCEEDS DEPOSITED TO THE PROJECT AND EXPENSE FUNDS. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. HANNAH LEAVER DAUGHTER OF TRUSTEE 151631 EMPLOYMENT AGREEMENT 0 SCHEDULE L, PART IV, LINE 2 NAME: HANNAH LEAVERRELATIONSHIP: DAUGHTER OF TRUSTEE MARKS.LEAVER IS EMPLOYED BY BMC. LEAVER HAS BEEN EMPLOYED BY BMC SINCE BEFORE TRUSTEE MARKS JOINED THE BMC BOARD IN 2016. X 2 1575 DONOR ESTIMATE X 350 DONOR ESTIMATE X 29039 DONOR ESTIMATE X 16 1188159 PROCEEDS OF STOCK X 7 70651 DONOR ESTIMATE X 34 87432 DONOR ESTIMATE X 1 104905 DONOR ESTIMATE X 1 1000 DONOR ESTIMATE X GIFT CERTIFICATES AND TICKETS 166 80855 DONOR ESTIMATE X TRAVEL 42 45099 DONOR ESTIMATE X JEWELRY 4 3010 DONOR ESTIMATE X TOYS 26 1075 DONOR ESTIMATE 0 1 0 Part I, Column (b): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. Form 990, Part VI, Section A, line 2 KAREN ANTMAN, M.D. DAVID COLEMAN, M.D. GERARD DOHERTY, M.D. JANE MENDEZ, M.D. BUSINESS RELATIONSHIP - KAREN ANTMAN, M.D., IS A KEY EMPLOYEE AT BOSTON UNIVERSITY; BOSTON UNIVERSITY ALSO EMPLOYS DRS. COLEMAN, DOHERTY, AND MENDEZ. HUY NGUYEN, M.D. MONICA VALDES LUPI, JD, MPH KATHLEEN E. WALSH BUSINESS RELATIONSHIP - DR. NGUYEN WAS INTERIM EXECUTIVE DIRECTOR OF THE BOSTON PUBLIC HEALTH COMMISSION AND MS. VALDES LUPI IS EXECUTIVE DIRECTOR; MS. WALSH SERVES ON THE BOARD OF HEALTH THAT GOVERNS THE COMMISSION. KAREN ANTMAN, M.D. DAVID BECK DAVID COLEMAN, M.D. GERARD DOHERTY, M.D. KATHLEEN E. WALSH BUSINESS RELATIONSHIP - EACH SERVES AS AN OFFICER OR DIRECTOR OF FACULTY PRACTICE FOUNDATION. DAVID COLEMAN, M.D. GERARD DOHERTY, M.D. KATHLEEN E. WALSH BUSINESS RELATIONSHIP - EACH SERVES AS A DIRECTOR OF BOSTON MEDICAL CENTER INSURANCE COMPANY, LTD. Form 990, Part VI, Section A, line 6 THE SOLE MEMBER OF THE ORGANIZATION IS BMC HEALTH SYSTEM, INC. (BMCHS). Form 990, Part VI, Section A, line 7b BMC HEALTH SYSTEM, INC. (BMCHS) 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 (BMC) FORM 990 IS PREPARED BY PRICEWATERHOUSECOOPERS (PWC) AND REVIEWED BY BMC'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, BMC'S INTERNAL MANAGEMENT AND PWC PRESENT THE FORM 990 TO THE AUDIT COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF 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, 2017 WERE DISTRIBUTED BY BMC'S CORPORATE COMPLIANCE DEPARTMENT. THE CHIEF COMPLIANCE OFFICER OF BMC OR HER DESIGNEE QUERIES TRUSTEES, OFFICERS AND DIRECTORS ON AT LEAST AN ANNUAL BASIS REGARDING RELATIONSHIPS THAT MAY CREATE POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER OR HER DESIGNEE REVIEWS ALL DISCLOSURES AND DETERMINES WHETHER THERE ARE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER OR HER DESIGNEE INFORMS THE 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/OR ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE BMC EXECUTIVE. THE INDEPENDENT COMMITTEE'S ASSESSMENT OF THESE CONSIDERATIONS ARE CONTAINED IN THE MINUTES OF THE COMMITTEE MEETING. THE REVIEW PROCESS INCLUDES - AND MINUTES INDICATE - DISCUSSIONS AND EVALUATIONS OF EACH EXECUTIVE'S PRIOR PERFORMANCE, QUALIFICATIONS, AND EXPERIENCE. EXECUTIVES ARE NOT PRESENT FOR THE INDEPENDENT COMMITTEE'S DISCUSSION AND VOTE ON COMPENSATION. THE MINUTES REFLECT THE FACT THAT NO EXECUTIVE WAS PRESENT. Form 990, Part VI, 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 WEBSITE. FORM 990, PART I, LINE 1 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. FORM 990, PART III, LINE 4A THE STATUTE THAT CREATED BOSTON MEDICAL CENTER (BMC) REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 487-LICENSED BED, URBAN ACADEMIC MEDICAL CENTER WHICH EMPHASIZES COMMUNITY-BASED, ACCESSIBLE CARE AND THE MISSION TO PROVIDE CONSISTENTLY ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY. BMC IS THE LARGEST SAFETY NET HOSPITAL IN NEW ENGLAND AND PROVIDES A FULL SPECTRUM OF PEDIATRIC AND ADULT CARE SERVICES FROM PRIMARY TO FAMILY MEDICINE TO ADVANCED SPECIALTY CARE. APPROXIMATELY 72% OF OUR PATIENT VISITS 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, 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 TO HELP REDUCE BARRIERS TO ACCESSING HEALTH SERVICES AND ELIMINATE DISPARITIES IN HEALTH CARE AMONG THE VARIOUS POPULATIONS BMC SERVES. PART IV, LINE 12 BOSTON MEDICAL CENTER IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR BMC HEALTH SYSTEM, INC. FORM 990, PART XI, LINE 9 PENSION RELATED CHANGES OTHER THAN PERIODIC PENSION COSTS $16,751,000 OTHER CHANGES $65,000 ROUNDING $43 TOTAL $16,816,043 BOSTON MEDICAL CENTER HEALTH PLAN INC 529 Main St Suite 500 Charlestown MA 02129 043373331 INSURANCE MA 501(c)(3) 12 A-I BMCHS 1 UNIVER DEVELOPMENT FOUNDATION INC 88 EAST NEWTON STREET BOSTON MA 02118 043101957 REAL ESTATE MA 501(c)(3) 12 A-I BMC 1 BMC INSURANCE CO LTD OF VERMONT 126 College Street BURLINGTON VT 05401 201810549 INSURANCE VT 501(c)(3) 12 A-I BMC 1 FACULTY PRACTICE FOUNDATION INC 660 HARRISON AVENUE 3RD FLOOR BOSTON MA 02118 043289381 MEDICAL SVCS MA 501(c)(3) 12 B-II N/A 0 BU MEDICAL CTR ANESTHESIOLOGISTS INC 88 EAST NEWTON STREET BOSTON MA 02118 043276227 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BOSTON EMERGENCY PHYSICIAN FDN INC 818 HARRISON AVENUE BOSTON MA 02118 043286156 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BU CARDIAC & THORACIC SURGICAL FDN INC 88 EAST NEWTON STREET BOSTON MA 02118 042966416 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BOSTON UNIVERSITY DERMATOLOGY INC 609 ALBANY STREET BOSTON MA 02118 043335166 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BU DERMATOLOGY SUPPORT SERVICES I INC 609 ALBANY STREET BOSTON MA 02118 043452877 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BU DERMATOLOGY SUPPORT SERVICES II INC 609 ALBANY STREET BOSTON MA 02118 043452874 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BOSTON UNIV SURGICAL ASSOCIATES INC 88 EAST NEWTON STREET BOSTON MA 02118 043291148 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 EVANS MEDICAL FOUNDATION INC 88 EAST NEWTON STREET BOSTON MA 02118 510172171 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BOSTON UNIVERSITY EYE ASSOCIATES INC 2005 BAY STREET SUITE 201 TAUNTON MA 02780 043137333 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BOSTON UNIVERSITY FAMILY MEDICINE INC 1 BOSTON MEDICAL CTR DOWLING 5 BOSTON MA 02118 043354353 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BU MALLORY PATHOLOGY ASSOCIATES INC 784 MASSACHUSETTS AVENUE BOSTON MA 02118 042794543 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BOSTON UNIV NEUROLOGY ASSOCIATES INC 720 HARRISON AVENUE SUITE 707 BOSTON MA 02118 043428462 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BU NEUROSURGICAL ASSOCIATES INC 88 EAST NEWTON STREET BOSTON MA 02118 043296068 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BU OBSTETRICS & GYNECOLOGY FDN INC 818 HARRISON AVENUE BOSTON MA 02118 043067465 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BU ORTHOPAEDIC SURGICAL ASSOCIATES INC 720 HARRISON AVENUE SUITE 808 BOSTON MA 02118 043354360 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BUMC OTOLARYNGOLOGIC FOUNDATION INC 88 EAST NEWTON STREET BOSTON MA 02118 043156471 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 CHILD HEALTH FOUNDATION OF BOSTON INC 818 HARRISON AVENUE DOWLING 3 BOSTON MA 02118 042472758 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BOSTON UNIV PLASTIC SURGERY ASSOC INC 88 EAST NEWTON STREET BOSTON MA 02118 043555478 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BOSTON UNIVERSITY PSYCHIATRY ASSOC INC 720 HARRISON AVENUE BOSTON MA 02118 043355267 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BU MEDICAL CENTER RADIOLOGISTS INC 88 EAST NEWTON STREET BOSTON MA 02118 043283573 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BOSTON REHABILITATION MEDICINE ASSOC INC 88 EAST NEWTON STREET BOSTON MA 02118 043286641 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BU GENERAL SURGICAL ASSOCIATES INC 88 EAST NEWTON STREET BOSTON MA 02118 043265008 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 BU MEDICAL CENTER UROLOGISTS INC 88 EAST NEWTON STREET BOSTON MA 02118 043286643 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 Boston University Affiliated Physicians 660 HARRISON AVE BOSTON MA 02118 043218267 HEALTHCARE MA 501(c)(3) 3 BMC 1 BMC HEALTH SYSTEM INC ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 463556853 SUPPORT SVCS. MA 501(C)(3) 12 B-II N/A 0 BMC INTEGRATED CARE SERVICES INC ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 043414914 HEALTHCARE MA 501(c)(3) 12A, TYPE I BMC 1 BU RADIATION ONCOLOGY INC 1 BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 810716773 HEALTHCARE MA 501(c)(3) 12C III-FI N/A 0 THE BOSTON HEALTHNET CORPORATION 660 HARRISON AVENUE 3RD FLOOR BOSTON MA 02118 043279836 SUPPORT SVCS. MA 501(C)(3) 12-BII N/A 0 BMC NAB BUS TR 85 CONCORD ST BOSTON MA 02118 266368869 PROPERTY MGMT MA BMC RELATED -3837894 118098382 0 0 0.90000 BMC INSURANCE COMPANY LTD 10 MAIN STREET GRAND CAYMAN CJ 980375219 INSURANCE CJ BMC C 90820111 0.70000 1 CHARITABLE REMAINDER TRUST (3) SUPPORT MA BMC T 1 1 0 0 1 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 BOSTON MEDICAL CENTER HEALTH PLAN INC L 167573000 FMV BOSTON MEDICAL CENTER HEALTH PLAN INC A 206000 FMV BOSTON MEDICAL CENTER HEALTH PLAN INC Q 20000000 FMV BOSTON MEDICAL CENTER HEALTH PLAN INC J 4157000 FMV BOSTON UNIVERSITY AFFILIATED PHYSICIANS INC N 2013000 FMV BMC INSURANCE COMPANY Q 4249000 FMV