BOSTON MEDICAL CENTER CORPORATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: BOSTON MEDICAL CENTER CORPORATION (EIN 04-3314093)
Tax period: 2015-10-01 to 2016-09-30
Filed: 2017-08-14
IRS object ID: 201702269349300990
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-08-14T10:46:09-05:00	ReturnTs
Tax Period End	2016-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 SEAPORT BOULEVARD	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02210	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	043314093	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% KAITLYN CLIFFORD	InCareOfNm
Business Name Control	BOST	BusinessNameControlTxt
Phone	6174141628	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	88 EAST NEWTON STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02118	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JULIE JONCAS	PersonNm
Person Title	VP FOR FINANCE	PersonTitleTxt
Phone	6174141628	PhoneNum
Signature	2017-08-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	GWEN SPENCER	PreparerPersonNm
PTIN	P00641463	PTIN
Phone	6175305000	PhoneNum
Preparation	2017-08-09	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	88 EAST NEWTON STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02118	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,250,301,321	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.bmc.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1996	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	BOSTON MEDICAL CENTER'S MISSION IS TO PROVIDE CONSISTENTLY EXCELLENT AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	29	VotingMembersGoverningBodyCnt
Voting Members Independent	23	VotingMembersIndependentCnt
Total Employee	7905	TotalEmployeeCnt
Total Volunteers	521	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$8,941	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$21,671,288	PYContributionsGrantsAmt
CY Contributions Grants	$22,129,256	CYContributionsGrantsAmt
PY Program Service Revenue	$1,090,353,215	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,202,780,951	CYProgramServiceRevenueAmt
PY Investment Income	$81,219,903	PYInvestmentIncomeAmt
CY Investment Income	$20,163,000	CYInvestmentIncomeAmt
PY Other Revenue	$4,893,992	PYOtherRevenueAmt
CY Other Revenue	$4,518,517	CYOtherRevenueAmt
PY Total Revenue	$1,198,138,398	PYTotalRevenueAmt
CY Total Revenue	$1,249,591,724	CYTotalRevenueAmt
PY Grants And Similar Paid	$22,171,726	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$22,378,469	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$515,094,242	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$566,714,368	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$42,500	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$77,000	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$4,196,402	CYTotalFundraisingExpenseAmt
PY Other Expenses	$601,345,869	PYOtherExpensesAmt
CY Other Expenses	$664,196,566	CYOtherExpensesAmt
PY Total Expenses	$1,138,654,337	PYTotalExpensesAmt
CY Total Expenses	$1,253,366,403	CYTotalExpensesAmt
PY Revenues Less Expenses	$59,484,061	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$3,774,679	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,169,778,000	TotalAssetsBOYAmt
Total Assets EOY	$2,205,872,000	TotalAssetsEOYAmt
Total Liabilities BOY	$1,003,718,000	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,049,817,000	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,166,060,000	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,156,055,000	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	BOSTON MEDICAL CENTER'S MISSION IS TO PROVIDE CONSISTENTLY EXCELLENT AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,107,035,787	ExpenseAmt
Revenue	$1,202,780,951	RevenueAmt
Desc	SEE SCHEDULE O.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$21,859,637	ExpenseAmt
Grant	$21,859,637	GrantAmt
Desc	BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO ORGANIZATIONS WITHIN THE US.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$518,832	ExpenseAmt
Grant	$518,832	GrantAmt
Desc	BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO FOREIGN ORGANIZATIONS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,129,414,256	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	Yes (true)	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	762	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7905	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CA	ForeignCountryCd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	BD	ForeignCountryCd
Foreign Country	EI	ForeignCountryCd
Foreign Country	LT	ForeignCountryCd
Foreign Country	UK	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	29	GoverningBodyVotingMembersCnt
Independent Voting Member	23	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KAITLYN CLIFFORD	PersonNm
Phone	6174149507	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	88 EAST NEWTON STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02118	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (46 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
KAREN H ANTMAN MD
TRUSTEE	1.0	2.0	Yes (X)	$0	$801,054	$35,937
WILLIAM J HALPIN JR
TRUSTEe	1.0	2.0	Yes (X)	$0	$0	$0
Randi Cutler
trustee	1.0	0.0	Yes (X)	$0	$0	$0
MARTHA S SAMUELSON
TRUSTEE	1.0	1.0	Yes (X)	$0	$0	$0
STEVEN d levy
TRUSTEE (UNTIL 5/10/16)	1.0	0.0	Yes (X)	$0	$0	$0
RICHARD SLIFKA
TRUSTEE	1.0	1.0	Yes (X)	$0	$0	$0
david L coleman md
TRUSTEE	1.0	55.0	Yes (X)	$0	$662,243	$37,572
JOHN T HAILER
trustee	1.0	0.0	Yes (X)	$0	$0	$0
KATHLEEN E WALSH
PRESIDENT/CEO	50.0	7.5	Yes (X)	$1,410,618	$0	$97,132	Yes (X)
PAUL EGERMAN
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
PEGGY KOENIG
TRUSTEE (UNTIL 5/20/16)	1.0	1.0	Yes (X)	$0	$0	$0
JAMES S PHALEN
TRUSTEE	1.0	1.0	Yes (X)	$0	$0	$0
MARK NUNNELLY
TRUSTEE (Until 5/20/16)	1.0	1.0	Yes (X)	$0	$0	$0
CLAIRE PERLMAN
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
DAVID AMENT
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
JAMES BLUE
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
SANDRA COTTERELL
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
GERARD DOHERTY MD
TRUSTEE	1.0	55.0	Yes (X)	$0	$984,333	$106,683
RUTH ELLEN FITCH
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
MELANIE FOLEY
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
MANUEL LOPES
TRUSTEE	1.0	2.0	Yes (X)	$0	$0	$0
Jane Mendez
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
Huy Nguyen
TRUSTEE (UNTIL 2/1/16)	1.0	0.0	Yes (X)	$0	$0	$0
Andrew Youniss
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
Edmond English
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
ANITA BEKENSTEIN
TRUSTEE (SINCE 2/16/16)	1.0	0.0	Yes (X)	$0	$0	$0
AZRA KANJI
TRUSTEE (SINCE 11/10/15)	1.0	0.0	Yes (X)	$0	$0	$0
BARRY BOCK
TRUSTEE (SINCE 5/10/16)	1.0	0.0	Yes (X)	$0	$0	$0
KAREN KAMES
TRUSTEE (SINCE 5/10/16)	1.0	0.0	Yes (X)	$0	$0	$0
MONICA VALDES LUPI
TRUSTEE (SINCE 2/1/16)	1.0	0.0	Yes (X)	$0	$0	$0
PATRICIA PATRICK
TRUSTEE (SINCE 11/10/15)	1.0	0.0	Yes (X)	$0	$0	$0
PIERRE CREMIEUX
TRUSTEE (SINCE 5/10/16)	1.0	1.0	Yes (X)	$0	$0	$0
RICHARD MARKS
TRUSTEE (SINCE 2/16/16)	1.0	0.0	Yes (X)	$0	$0	$0
DAVID BECK
SVP/CHIEF LEGAL COUNSEL/CLERK	50.0	10.5		$457,312	$0	$64,425	Yes (X)
RICHARD SILVERIA
SVP FIN/CFO/TREAS	50.0	4.5		$629,090	$0	$81,747	Yes (X)
RAVIN DAVIDOFF
SR VP MED AFFAIRS/CMO	50.0	2.5		$576,619	$0	$83,967		Yes (X)
STANLEY HOCHBERG
SR. VP Qlty, Safety, and Tech	50.0	2.0		$524,066	$0	$37,352		Yes (X)
NORMAN STEIN
SVP CHIEF DEVELOPMENT OFFICER	50.0	0.0		$452,141	$0	$55,790		Yes (X)
Alastair Bell
SVP Ops & Strtgy/COO	50.0	1.0		$661,247	$0	$53,050		Yes (X)
Nancy Gaden
SVP Chief Nursing Officer	50.0	0.0		$427,522	$0	$67,097		Yes (X)
Lisa Kelly-Croswell
SVP CHRO	50.0	0.0		$458,450	$0	$46,911		Yes (X)
BOB BIGGIO
VP FACILITY	50.0	0.0		$390,908	$0	$68,752			Yes (X)
THOMAS TRAYLOR
VP OF FED, STATE, LOCAL PROG	50.0	1.0		$546,266	$0	$74,315			Yes (X)
Joe Camillus
VP Ambulatory Optn & Prof Svcs	50.0	0.0		$357,397	$0	$61,945			Yes (X)
Cindy Charylulu
VP Revenue Cycle	50.0	0.0		$340,208	$0	$44,832			Yes (X)
JohN Lindstedt
VP Finance	50.0	0.0		$329,592	$0	$66,872			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,561,436	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,447,630	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,084,379	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1396	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CARDINAL HEALTH PHARMACY
7000 CARDINAL PLACE	DUBLIN	OH	43017	PHARMACY	$107,998,746
SUFFOLK CONSTRUCTION COMPANY
65 ALLERTON STREET	BOSTON	MA	02119	CONSTRUCTION	$81,794,822
BOSTON UNIVERSITY
715 ALBANY STREET SUITE 580	BOSTON	MA	021182528	SHARED RESEARCH SVCS	$66,758,972
SHAWMUT WOODWORKING SUPPLY
560 HARRISON AVE	BOSTON	MA	02118	CONSTRUCTION	$34,335,190
EMCOR SERVICES NORTHEAST
80 HAWES WAY	STOUGHTON	MA	02072	MECHANICAL/HVAC	$8,910,901

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	346	CntrctRcvdGreaterThan100KCnt
Fundraising	$5,449,493	FundraisingAmt
Government Grants	$141,197	GovernmentGrantsAmt
All Other Contributions	$16,538,566	AllOtherContributionsAmt
Noncash Contributions	$1,284,681	NoncashContributionsAmt
Total Contributions	$22,129,256	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SVC REVENUE	900099	$972,381,583	$972,381,583
PHARMACY REVENUE	900099	$127,236,205	$127,236,205
GRANT/CONTRACT REVENUE	900099	$98,555,606	$98,555,606
MEDICARE SHARED SAVINGS SURPLUS	900099	$4,217,885	$4,217,885
OTHER PROGRAM REVENUE	900099	$389,672	$389,672

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,202,780,951	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,267,000	TotalRevenueColumnAmt
Exclusion	$16,267,000	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$134,528	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$113,465	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$21,063	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,063	TotalRevenueColumnAmt
Exclusion	$21,063	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,581,000	SecuritiesAmt
Other	$315,000	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,581,000	SecuritiesAmt
Other	$315,000	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,896,000	TotalRevenueColumnAmt
Exclusion	$3,896,000	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$402,744	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$5,449,493	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$596,132	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$193,388	TotalRevenueColumnAmt
Exclusion	-$193,388	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA	900099	$3,107,101	$3,107,101
PARKING	812930	$1,583,741	$1,583,741

Field	Value	IRS element (for citing)
Other Revenue Total	$4,690,842	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,249,591,724	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,202,780,951	RelatedOrExemptFuncIncomeAmt
Exclusion	$24,681,517	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$21,859,637	TotalAmt
Program Services	$21,859,637	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$518,832	TotalAmt
Program Services	$518,832	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,402,037	TotalAmt
Program Services	$8,085,751	ProgramServicesAmt
Management And General	$1,053,786	ManagementAndGeneralAmt
Fundraising	$262,500	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$143,541	TotalAmt
Management And General	$143,541	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$436,084,726	TotalAmt
Program Services	$375,139,986	ProgramServicesAmt
Management And General	$58,675,903	ManagementAndGeneralAmt
Fundraising	$2,268,837	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$22,333,358	TotalAmt
Program Services	$19,210,451	ProgramServicesAmt
Management And General	$2,983,389	ManagementAndGeneralAmt
Fundraising	$139,518	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$63,914,119	TotalAmt
Program Services	$54,978,701	ProgramServicesAmt
Management And General	$8,536,129	ManagementAndGeneralAmt
Fundraising	$399,289	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$34,836,587	TotalAmt
Program Services	$29,959,464	ProgramServicesAmt
Management And General	$4,659,539	ManagementAndGeneralAmt
Fundraising	$217,584	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,799,337	TotalAmt
Management And General	$1,799,337	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,910,754	TotalAmt
Management And General	$1,910,754	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$287,115	TotalAmt
Program Services	$246,919	ProgramServicesAmt
Management And General	$40,196	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$77,000	TotalAmt
Fundraising	$77,000	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$71,892,034	TotalAmt
Program Services	$61,827,148	ProgramServicesAmt
Management And General	$9,864,127	ManagementAndGeneralAmt
Fundraising	$200,759	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,912,949	TotalAmt
Program Services	$1,645,136	ProgramServicesAmt
Management And General	$267,813	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,439,830	TotalAmt
Program Services	$13,278,253	ProgramServicesAmt
Management And General	$2,045,001	ManagementAndGeneralAmt
Fundraising	$116,576	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$877,683	TotalAmt
Program Services	$754,807	ProgramServicesAmt
Management And General	$122,876	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$21,767,171	TotalAmt
Program Services	$18,719,767	ProgramServicesAmt
Management And General	$3,047,404	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$30,798,430	TotalAmt
Program Services	$26,486,649	ProgramServicesAmt
Management And General	$4,298,223	ManagementAndGeneralAmt
Fundraising	$13,558	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$235,315	TotalAmt
Program Services	$202,370	ProgramServicesAmt
Management And General	$25,520	ManagementAndGeneralAmt
Fundraising	$7,425	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$940,380	TotalAmt
Program Services	$808,726	ProgramServicesAmt
Management And General	$123,427	ManagementAndGeneralAmt
Fundraising	$8,227	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$24,110,721	TotalAmt
Program Services	$20,735,220	ProgramServicesAmt
Management And General	$3,320,537	ManagementAndGeneralAmt
Fundraising	$54,964	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$77,916,538	TotalAmt
Program Services	$67,008,222	ProgramServicesAmt
Management And General	$10,550,146	ManagementAndGeneralAmt
Fundraising	$358,170	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,168,845	TotalAmt
Program Services	$5,305,206	ProgramServicesAmt
Management And General	$863,639	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
PHYSICIAN SERVICES	$102,262,793	$102,262,793
DIRECT RESEARCH	$77,459,337	$77,459,337
PATIENT RELATED SUPPLIES	$65,294,899	$65,294,899
DRUGS	$107,675,316	$107,675,316

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$55,447,119	TotalAmt
Program Services	$49,950,666	ProgramServicesAmt
Management And General	$5,424,458	ManagementAndGeneralAmt
Fundraising	$71,995	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,253,366,403	TotalAmt
Program Services	$1,129,414,256	ProgramServicesAmt
Management And General	$119,755,745	ManagementAndGeneralAmt
Fundraising	$4,196,402	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$65,018,000	BOYAmt
EOY	$46,367,000	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,655,000	BOYAmt
EOY	$142,777,000	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$28,959,000	BOYAmt
EOY	$14,387,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$218,354,000	BOYAmt
EOY	$110,970,000	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$150,710,000	BOYAmt
EOY	$123,063,000	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,316,000	BOYAmt
EOY	$8,277,000	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$18,530,000	BOYAmt
EOY	$22,172,000	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,625,953,000	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$868,397,000	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$660,061,000	BOYAmt
EOY	$757,556,000	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$107,066,000	BOYAmt
EOY	$116,996,000	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$198,841,000	BOYAmt
EOY	$197,367,000	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$696,268,000	BOYAmt
EOY	$665,940,000	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,169,778,000	BOYAmt
EOY	$2,205,872,000	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$160,983,000	BOYAmt
EOY	$156,621,000	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$19,890,000	BOYAmt
EOY	$23,451,000	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$523,720,000	BOYAmt
EOY	$582,326,000	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$78,256,000	BOYAmt
EOY	$67,732,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$220,869,000	BOYAmt
EOY	$219,687,000	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,003,718,000	BOYAmt
EOY	$1,049,817,000	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$835,249,000	BOYAmt
EOY	$843,587,000	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$314,551,000	BOYAmt
EOY	$296,218,000	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,260,000	BOYAmt
EOY	$16,250,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,166,060,000	BOYAmt
EOY	$1,156,055,000	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,169,778,000	BOYAmt
EOY	$2,205,872,000	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$3,774,679	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$23,026,000	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	-$6,476,424	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	-$22,779,897	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$10,023,360	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$9,605,331	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$22,774,364	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$21,671,288	CurrentTaxYearMinus1YearAmt
Current Tax Year	$22,129,256	CurrentTaxYearAmt
Total	$86,203,599	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$10,023,360	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$9,605,331	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$22,774,364	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$21,671,288	CurrentTaxYearMinus1YearAmt
Current Tax Year	$22,129,256	CurrentTaxYearAmt
Total	$86,203,599	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$2,680,674	SubstantialContributorsTotAmt
Public Support Total170	$83,522,925	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$16,477,086	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$20,582,917	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$18,578,225	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$17,746,128	CurrentTaxYearMinus1YearAmt
Current Tax Year	$16,401,528	CurrentTaxYearAmt
Total	$89,785,884	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$525,994	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$27,985	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$553,979	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,154,501	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,521,602	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,410,940	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$5,441,957	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,093,586	CurrentTaxYearAmt
Total	$24,622,586	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$201,166,048	TotalSupportAmt
Gross Receipts Rltd Activities	$5,293,171,885	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.41519	PublicSupportCY170Pct
Public Support PY170	0.38155	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$162,758	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$124,357	OtherActivitiesAmt
Total Lobbying Expenditures	$287,115	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	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 $124,357. BMC ALSO PAID GEORGE TRAYLOR $97,758, A LOBBYIST, TO REPRESENT THE ORGANIZATION. ADDITIONALLY, BOSTON MEDICAL CENTER PAID ROBERT WHITE ASSOCIATES $65,000 TO REPRESENT THE ORGANIZATION. THESE FEES WERE PAID TO THE LOBBYISTS LISTED TO ADVANCE BOSTON MEDICAL CENTER'S MISSION: "TO CONSISTENTLY PROVIDE EXCELLENT AND ACCESSIBLE HEALTH CARE SERVICES TO ALL IN NEED OF CARE, REGARDLESS OF STATUS OR ABILITY TO PAY" AS SET OUT IN CHAPTER 147 OF THE ACTS AND RESOLVES OF 1996 OF THE COMMONWEALTH OF MASSACHUSETTS.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
Agent Trustee Etc	false	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	false	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$618,328,530	BeginningYearBalanceAmt
Investment Earnings Or Losses	$42,882,728	InvestmentEarningsOrLossesAmt
Other Expenditures	$16,736,661	OtherExpendituresAmt
Administrative Expenses	$2,178,355	AdministrativeExpensesAmt
End Year Balance	$642,296,242	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$671,956,753	BeginningYearBalanceAmt
Investment Earnings Or Losses	$9,615,073	InvestmentEarningsOrLossesAmt
Other Expenditures	$60,452,156	OtherExpendituresAmt
Administrative Expenses	$2,791,140	AdministrativeExpensesAmt
End Year Balance	$618,328,530	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$663,410,609	BeginningYearBalanceAmt
Investment Earnings Or Losses	$59,523,521	InvestmentEarningsOrLossesAmt
Other Expenditures	$48,287,389	OtherExpendituresAmt
Administrative Expenses	$2,689,988	AdministrativeExpensesAmt
End Year Balance	$671,956,753	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$612,745,109	BeginningYearBalanceAmt
Investment Earnings Or Losses	$59,267,481	InvestmentEarningsOrLossesAmt
Other Expenditures	$6,211,967	OtherExpendituresAmt
Administrative Expenses	$2,390,014	AdministrativeExpensesAmt
End Year Balance	$663,410,609	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$470,341,198	BeginningYearBalanceAmt
Contributions	$81,100,000	ContributionsAmt
Investment Earnings Or Losses	$68,886,188	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,377,065	OtherExpendituresAmt
Administrative Expenses	$2,205,212	AdministrativeExpensesAmt
End Year Balance	$612,745,109	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.51060	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.02530	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.46410	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,302,000	OtherCostOrOtherBasisAmt
Book Value	$6,302,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$633,681,000	OtherCostOrOtherBasisAmt
Depreciation	$254,791,000	DepreciationAmt
Book Value	$378,890,000	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,302,000	OtherCostOrOtherBasisAmt
Depreciation	$9,335,000	DepreciationAmt
Book Value	$13,967,000	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$0	OtherCostOrOtherBasisAmt
Book Value	$0	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$962,668,000	OtherCostOrOtherBasisAmt
Depreciation	$604,271,000	DepreciationAmt
Book Value	$358,397,000	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$757,556,000	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	DONOR RESTRICTED INVESTMENTS	Desc
Book Value	$197,367,000	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$197,367,000	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
OTHER LT ASSETS	$208,761,000
FUNDS HELD BY TRUSTEES	$38,000,000
FOR FUNDED DEPRECIATION	$330,691,000
BOND INDENTURE	$40,850,000
NONCURRENT NOTES RECEIVABLE	$8,998,000
INSURANCE RECOVERY RECEIVABLES	$38,640,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$665,940,000	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
EST SETTLEMENT W/3RD PARTY PAY	$52,697,000
LT DEBT AND OBL-CAPITAL LEASE	$50,740,000
OTHER LONG-TERM LIABILITIES	$77,610,000
PROFESSIONAL LIABILITY CLAIMS	$38,640,000

Field	Value	IRS element (for citing)
Total Liability	$219,687,000	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$1,256,544,189	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$23,026,000	NetUnrealizedGainsInvstAmt
Other Revenue	-$16,187,000	OtherRevenueAmt
Revenue Not Reported	$6,839,000	RevenueNotReportedAmt
Revenue Subtotal	$1,249,705,189	RevenueSubtotalAmt
Other Revenues Not Included	-$113,465	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$113,465	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,249,591,724	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,237,292,868	TotExpnsEtcAuditedFinclStmtAmt
Losses Reported	$113,465	LossesReportedAmt
Expenses Not Reported	$113,465	ExpensesNotReportedAmt
Expenses Subtotal	$1,237,179,403	ExpensesSubtotalAmt
Other Expenses Not Included	$16,187,000	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$16,187,000	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,253,366,403	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART V, LINE 4 - GENERAL ENDOWMENT	FormAndLineReferenceDesc
Explanation	THE GENERAL ENDOWMENT INCLUDES FUNDS FROM A NUMBER OF SOURCES WITH VARIOUS RESTRICTIONS ON USE AND TREATMENT. THE ENDOWMENT FUNDS HAVE BEEN CONTRIBUTED FOR SPECIFIC PURPOSES INCLUDING CONSTRUCTION, MAINTENANCE, RESEARCH, CLINICAL CARE, EDUCATION, DEVELOPMENT, STAFFING, SALARIES, LABORATORY EQUIPMENT AND SUPPLIES, AND CONVALESCENT CARE. SCHEDULE D, PART X, LINE 2 THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. SCHEDULE D, PART XI, LINE 2D LOSS ON DEFEASANCE OF DEBT $16,187,000 SCHEDULE D, PART XI, LINE 4B RENTAL EXPENSE ($113,465) SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSE $113,465 SCHEDULE D, PART XII, LINE 4B LOSS ON DEFEASANCE OF DEBT $16,187,000	ExplanationTxt

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (9 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	OfficesOfficesCnt	EmployeeEmployeeCnt	Specific Services ProvidedSpecificServicesProvidedTxt
North America	Grantmaking	$189,197
South America	Grantmaking	$183,205
Sub-Saharan Africa	Grantmaking	$112,298	2	7
East Asia and the Pacific	Grantmaking	$19,981
Russia and the Newly Independent States	Grantmaking	$14,151
North America	Investments	$46,560,377
Europe (Including Iceland and Greenland)	Investments	$29,502,094
Central America and the Caribbean	Investments	$11,438,883
Central America and the Caribbean	Program Services	$9,257,648			PREMIUMS

Field	Value	IRS element (for citing)
Subtotal Offices	2	SubtotalOfficesCnt
Subtotal Employees	7	SubtotalEmployeesCnt
Total Office	2	TotalOfficeCnt
Total Employee	7	TotalEmployeeCnt
Subtotal Spent	$97,277,834	SubtotalSpentAmt
Total Spent	$97,277,834	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (7 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
North America	SUBAWARD	$44,000	Wire Transfr
Russia and the Newly Independent States	Subaward	$14,151	WIRE TRANSFR
East Asia and the Pacific	Subaward	$19,981	WIRE TRANSFR
South America	SUBAWARD	$183,205	WIRE TRANSFR
Sub-Saharan Africa	SUBAWARD	$99,501	WIRE TRANSFR
Sub-Saharan Africa	SUBAWARD	$12,796	WIRE TRANSFR
North America	SUBAWARD	$145,197	WIRE TRANSFR

Field	Value	IRS element (for citing)
Total Other Org	7	TotalOtherOrgCnt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE F, PART I, LINE 2	THE PRINCIPAL INVESTIGATOR AND ADMINISTRATOR APPROVE ALL SUBCONTRACT INVOICES, INCLUDING THOSE FROM A FOREIGN COUNTRY. THE FOREIGN SUBCONTRACT RECIPIENT HAS A BUDGET TO WHICH INVOICES ARE MATCHED TO ENSURE THAT ALL SPENDING IS APPROPRIATE. ADDITIONALLY, THE ORGANIZATION'S PRINCIPAL INVESTIGATORS REGULARLY CONTACT THE FOREIGN SUBCONTRACT RECIPIENTS TO MONITOR THE PROGRESS OF THE RECIPIENTS' WORK.
SCHEDULE F, PART II, LINE 1	FOREIGN EXPENDITURES ARE SEPARATELY IDENTIFIED ON THE ORGANIZATION'S GENERAL LEDGER.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)

ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
Blue Sky Entertainment
Mayo Bowl	false	$649,000	$65,000	$584,000
33 Munroe LLC
Catwalk	false	$330,286	$12,000	$318,286

Field	Value	IRS element (for citing)
Total Gross Receipts	$979,286	TotalGrossReceiptsAmt
Total Retained By Contractors	$77,000	TotalRetainedByContractorsAmt
Total Net To Organization	$902,286	TotalNetToOrganizationAmt
Licensed States	MA	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA	Event1Nm
Gross Receipts Event1	$3,476,289	GrossReceiptsEvent1Amt
Charitable Contri Event1	$3,239,923	CharitableContriEvent1Amt
Gross Revenue Event1	$236,366	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$208,007	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$90,000	FoodAndBeverageEvent1Amt
Entertainment Event1	$47,000	EntertainmentEvent1Amt
Other Direct Expenses Event1	$14,725	OtherDirectExpensesEvent1Amt
Event2	FOOD FOR THOUGH	Event2Nm
Gross Receipts Event2	$1,304,326	GrossReceiptsEvent2Amt
Charitable Contri Event2	$1,274,626	CharitableContriEvent2Amt
Gross Revenue Event2	$29,700	GrossRevenueEvent2Amt
Food And Beverage Event2	$42,962	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$18,994	OtherDirectExpensesEvent2Amt
Other Events Total	4	OtherEventsTotalCnt
Gross Receipts Other Events	$1,071,622	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$934,944	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$136,678	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$11,353	CashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$60,353	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$59,214	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$14,700	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$28,824	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$5,852,237	GrossReceiptsTotalAmt
Charitable Contributions Tot	$5,449,493	CharitableContributionsTotAmt
Gross Revenue Total Events	$402,744	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$11,353	CashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$268,360	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$192,176	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$61,700	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$62,543	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$596,132	DirectExpenseSummaryEventsAmt
Net Income Summary	-$193,388	NetIncomeSummaryAmt

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	88 EAST NEWTON STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02118	ZIPCd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	55521	PersonsServedCnt
Total Community Benefit Expns	$90,344,115	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,462,111	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,882,004	NetCommunityBenefitExpnsAmt
Total Expense	0.02540	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	494997	PersonsServedCnt
Total Community Benefit Expns	$385,694,338	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$347,989,630	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,704,708	NetCommunityBenefitExpnsAmt
Total Expense	0.03010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	550518	PersonsServedCnt
Total Community Benefit Expns	$476,038,453	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$406,451,741	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$69,586,712	NetCommunityBenefitExpnsAmt
Total Expense	0.05550	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,790,645	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,467,021	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,323,624	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,775,300	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,736,684	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,038,616	NetCommunityBenefitExpnsAmt
Total Expense	0.02880	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	600	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$89,126,711	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,004,868	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,121,843	NetCommunityBenefitExpnsAmt
Total Expense	0.01050	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$123,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,170	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$91,830	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	600	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$154,815,656	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$99,239,743	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,575,913	NetCommunityBenefitExpnsAmt
Total Expense	0.04440	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	600	ActivitiesOrProgramsCnt
Persons Served	550518	PersonsServedCnt
Total Community Benefit Expns	$630,854,109	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$505,691,484	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$125,162,625	NetCommunityBenefitExpnsAmt
Total Expense	0.09990	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,977	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,977	NetCommunityBenefitExpnsAmt

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$15,930,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,930,000	NetCommunityBenefitExpnsAmt
Total Expense	0.01270	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$831,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$831,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$8,558,313	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,752,719	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$1,194,406	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$878,845	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$878,845	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$663,510	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$663,510	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$26,879,645	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,752,719	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,126,926	NetCommunityBenefitExpnsAmt
Total Expense	0.01360	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$18,407,142	BadDebtExpenseAmt
Reimbursed By Medicare	$189,257,943	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$193,830,433	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,572,490	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	88 EAST NEWTON STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02118	ZIPCd

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE H, PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION A	THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH HAS LICENSED BOSTON MEDICAL CENTER TO OPERATE A HOSPITAL AT ONE BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118. THIS LOCATION IS (1) A LICENSED HOSPITAL, (2) PROVIDES GENERAL MEDICAL & SURGICAL TREATMENT, (3) IS A TEACHING HOSPITAL, AND (4) OPERATES AN ER 24 HOURS. WHILE THE HOSPITAL LICENSE LISTS 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 02118 BOSTON MEDICAL CENTER ALSO OPERATES THE FOLLOWING OUTPATIENT CENTERS, WHICH ARE UNDER THE HOSPITAL'S LICENSE: CODMAN SQUARE HEALTH CENTER BRIGHTON HIGH SCHOOL STUDENT HEALTH CENTER BOSTON MEDICAL CENTER RADIOLOGY AT RYAN CENTER BOSTON UNIVERSITY EAST BOSTON NEIGHBORHOOD HEALTH CENTER (10 GOVE STREET) DOTHOUSE HEALTH MADISON PARK HIGH SCHOOL STUDENT HEALTH CENTER JEREMIAH E. BURKE STUDENT HEALTH CENTER GREATER ROSLINDALE MEDICAL & DENTAL LATIN ACADEMY STUDENT HEALTH CENTER TECHBOSTON ACADEMY SCHOOL HEALTH CENTER BOSTON MEDICAL CENTER RADIOLOGY AT WHITTIER STREET HEALTH CENTER BOSTON MEDICAL CENTER RADIOLOGY AT UPHAM'S CORNER HEALTH CENTER MURIEL SNOWDEN INTERNATIONAL HIGH SCHOOL HEALTH CENTER SOUTH BOSTON COMMUNITY HEALTH CENTER 386 WEST BROADWAY SOUTH BOSTON COMMUNITY HEALTH CENTER 409 WEST BROADWAY BOSTON MEDICAL CENTER SCHOOL BASED CENTER AT BOSTON COMMUNITY LEADERSHIP ACADEMY EAST BOSTON NEIGHBORHOOD HEALTH CENTER - 20 MAVERICK SQUARE BOSTON MEDICAL CENTER RADIOLOGY AT MATTAPAN COMMUNITY HEALTH CENTER EAST BOSTON NEIGHBORHOOD HEALTH CENTER (79 PARIS STREET) EBHS SCHOOL BASED HEALTH CENTER WINTHROP COMMUNITY HEALTH CENTER SOUTH BOSTON COMMUNITY HEALTH CENTER SEAPORT PRIMARY CARE
Part V, Section B, line 5	Over 62 individuals, 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, LINES 7A & 10A WWW.BMC.ORG/ABOUT/COMMITMENT-TO-COMMUNITY.HTM
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 programs are to improve access to health services and improve health outcomes for underserved populations in our community. To these ends, we address and impact aspects of each of the key findings that emerged from our most recently conducted CHNA. Key findings include health care access, chronic diseases and risk factors, mental health and substance abuse, and violence.
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 (CONNECTCARE, 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. PART V, SECTION B, LINE 13A AND LINE 22D 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.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MARGARET M SHEA RN ADULT HEALTH PROGRAM
229 RIVER STREET	MATTAPAN	MA	02126	ADULT DAYCARE
SUPPORTING PARENTS & RESILIENT KIDS CTR
255 RIVER STREET	MATTAPAN	MA	02126	THERAPEUTIC CENTER

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Introduction	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. With more than 25,326 admissions and 1,108,461 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, BMCs Emergency Department had 132,148 visits in FY16. 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 2015 Massachusetts Health Insurance Survey, an estimate of 3.6% 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 BMCs patients, nearly 2.7% are uninsured, and coverage rates for primary insurance were approximately: 48.75% Medicaid; 28.61% private or other insurance (employer sponsored and other); and 18.59% public.
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. 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 RESULTING RATIO IS KNOWN AS A COST TO CHARGE RATIO. THE RATIO IS MULTIPLIED BY THE CHARGES FOR CHARITY CARE & MEDICAID TO OBTAIN THEIR RESPECTIVE COSTS. FOR THE CALCULATION OF COMMUNITY HEALTH IMPROVEMENT SERVICES(LINE 7E) DISCRETE COSTING WAS USED. FOR THE CALCULATION OF HEALTH PROFESSIONS EDUCATION COST (LINE 7F) THE CENTERS FOR MEDICARE & MEDICAID (CMS) COST ALLOCATION METHODOLOGY PER CMS FORM 2552 WAS USED. CMS FORM 2552 IS A REQUIRED ANNUAL FILING TO THE FEDERAL GOVERNMENT. PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE WAS $0. DURING FISCAL YEAR 2016, THE MEDICAL CENTER RECEIVED FAVORABLE SETTLEMENTS FROM MEDICARE RELATED TO PRIOR YEARS FOR $3,935,000; UNFAVORABLE SETTLEMENTS FROM MEDICAID FOR $1,315,000 AND BMCHP FOR $2,096,000.
PART II	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. PHYSICAL IMPROVEMENTS AND HOUSING: ACCORDING TO THE DEVELOPMENT IMPACT PROJECT AGREEMENT FOR THE MOAKLEY CENTER ADDITION AND INPATIENT BUILDING PHASE I PROJECT BETWEEN BOSTON MEDICAL CENTER AND THE BOSTON REDEVELOPMENT AUTHORITY, DATED MAY 5, 2014, BMC AGREES TO PAY LINKAGE FEES OF $17,976.50, ENDING IN 2016 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 2016 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 2016 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 2016 EXPENSE RELATED TO THE FORGIVENESS OF THIS 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 PROVIDES APPROXIMATELY $16 MILLION IN OPERATING SUPPORT TO THE BOSTON HEALTHNET HEALTH CENTERS EACH YEAR. OTHER NET SUBSIDIES INCLUDE MOSTLY ECONOMIC DEVELOPMENT, COMMUNITY HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT.
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 Organizations bad debt expense is addressed in Footnote 17 found on page 41 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 Activities The Hospital will not require pre-admission, pretreatment 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 HSN 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 CommonHealth 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 VI, LINE 2: NEEDS ASSESSMENT	In 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. BMCs 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 communitys health. Over 62 individuals, 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. 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 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. PART VI, LINE 3: The hospital will post 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 will be clearly visible and legible to patients visiting these areas. The Hospital will also include a notice about the availability of financial assistance in all initial bills. When the patient contacts the Hospital, the Hospital Patient Financial Services staff will notify 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 Hospitals own internal criteria for financial assistance. For cases where the Hospital is using the Virtual Gateway application, the Hospital will assist the patient in completing the application for MassHealth, CONNECTORCARE, Childrens Medical Security Plan, Healthy Start, Health Safety Net, or other forms of financial assistance programs as they become part of the Virtual Gateway program. All signs and notices shall be translated into languages other than English if such language is spoken by 10% or more of the population residing in the Hospital service area. Currently, the Hospital translates the notices into the following languages: -English -Portuguese -Spanish -Haitian Creole
PART VI, LINE 4: COMMUNITY INFORMATION	PLEASE SEE INTRODUCTION. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH ACCESS TO AND UTILIZATION OF HEALTH CARE Birth Sisters and Centering Pregnancy: BMC has developed two programs, Birth Sisters and Centering Pregnancy, to improve health outcomes of childbearing women at risk for poor maternal and infant outcomes. Birth Sisters are women who are trained to provide social support and education to mothers from their own communities during pregnancy, labor, and the postpartum period. The Birth Sisters program has been linked to significantly higher breastfeeding rates and fewer cesarean deliveries. Centering Pregnancy is an innovative and proven model of care that offers prenatal care in 10 two-hour group sessions using a curriculum modified to meet the complex social needs of BMCs 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 a combined 1,154 patients in FY16. 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. In Fiscal Year 2016, the BCRHHR served 374 patients. CATALYST Clinic: In May 2016, Boston Medical Center launched the CATALYST Clinic (Center for Addiction Treatment for AdoLescent/Young adults who use SubsTances), a program designed to treat young people aged 25 and under who are struggling with substance use, or who have experimented with drugs and alcohol and may be at risk for developing an addiction. The CATALYST Clinic team works to provide interdisciplinary, team-based care that includes physicians, a nurse, 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. During its first six months of operation in Fiscal Year 2016, the CATALYST Clinic received approximately 55 referrals. Child Life Program (CLP): The CLP helps children and families manage the stresses associated with hospitalization and illness. The Child Life Team is trained to help children and families understand the hospital experience and related feelings. The goals of the CLP are to: help children express their feelings in a safe and supportive environment; help children manage pain effectively; offer children choices that increase feelings of independence, self-esteem and trust; and assist with implementation of coping techniques during stressful situations. 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 consult service to children of adult families as needed. Child Mental Health Initiative: The Child Mental Health Initiative (CMHI) is a partnership between Boston Medical Center and three community health centers that combines mental health care with primary care for children, so that families can receive all care in one place. Engagement with the CMHI 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 the CMHI is to achieve practice transformation by successfully implementing evidence-based therapies and interventions in pediatric primary care at the participating community health centers (Codman Square Health Center, Lowell Community Health center, and The Dimock Center). Clothing Bank: BMCs 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 ELAHP is to help older adults locate and maintain a permanent residence and allow them to live as independently as possible. In FY16, ELAHP served 148 clients: 41 clients received housing search services; 38 clients received housing stabilization services; 50 clients received nutrition services; and 69 clients received homelessness prevention services. All of the elderly men and women placed in housing and provided housing stabilization services have remained successfully housed. All clients suffered from at least one medical disability, and 65% suffered from at least two disabling conditions. Grow Clinic: The Grow Clinic was founded in 1984 by Dr. Deborah A. Frank as part of BMCs 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 family stress. 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. In FY2016, the Grow Clinic provided medical treatment, nutritional assessment, home health education, social service advocacy, developmental referrals, access to a therapeutic food pantry, childrens clothes, diapers, books and educational toys, among other services. At any given time there were approximately 200 children being treated in-clinic. Thirty percent (30%) of clinic patients were 12 months of age or younger; the average age at referral was 29 months; and the average length of treatment was 20 months. Approximately 11% of patient families were homeless and living in shelters. There were 82 new patients during this period.
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 providing 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. If a patient needs an interpreter, they should tell a member of the staff when they schedule an appointment. Also, the Program offers access to psychiatric and case management support to provide support and care for the wide range of needs of patients. Boston Medical Centers 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 patient population of about 1,400. Margaret M. Shea RN Adult Day 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 average attendance at 29 daily; participants attend the program up to five times per week with a minimum of two days a week requirement. Pediatric Assessment of Communication Clinic (Autism Program): The Autism Program at BMC is a multidisciplinary, multi-tiered, comprehensive and culturally competent program that is uniquely equipped to meet the complex needs of patients and families. Our team, comprised of a Program 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. Our 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 Tumblrwhich each serve as further venues to provider resource information and guidance to families. In FY16, the Autism Program directly assisted approximately 144 new patients and provide regular follow-up (at least twice per year) to an additional 271 families. Pediatric Comprehensive Care for Complex Children (CCCC): CCCC served a panel of nearly 600 children with special health care needs and their families in FY16. 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 childrens needs and attempt to maintain stability for their families. The CCCC, with its multidisciplinary approach, sees from 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 pediatric endocrinologist, 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 work closely with each patient's primary care physician, striving to help children regain normal lives and participate in typical age-appropriate activities. The Pediatric Pain Clinic is able to treat a wide variety of conditions, and 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. After opening in February 2015, the Clinic has completed initial evaluations on more than 70 patients in Fiscal Year 2016, with the vast majority engaging with the clinic for multiple comprehensive follow-up visits, seeing multiple providers within the Clinic.
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 6,245 people each month. In FY16, the Pantry provided nutritious food for 72,290 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 supported approximately 150 mother/child dyads in FY16. 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 FY16, these shuttle buses transported 190,354 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: BMCs 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 FY16, the StreetCred pilot program provided over $400,000 in tax refunds to nearly 200 families visiting their pediatricians at BMC. These tax refunds can have a profound positive impact on a familys household budget and, in cases of financial stress, alleviate significant financial burden. Supporting Parents and Resilient Kids Center (SPARK): SPARK is a therapeutic day program for Bostons most vulnerable children, including those living with HIV/AIDS; those born very prematurely; those born with neonatal abstinence syndrome; those who have suffered psychological trauma due to abuse/neglect; and those with complex medical and emotional needs. SPARK staff provides medical, educational, nutritional, and mental health services to vulnerable children from birth to age 22. SPARK operates an Early Childhood Day Program, a School-Age After-School Program, a young adult Job Training Program and a Summer Camp Program, serving approximately 30 children annually who live in Greater Boston neighborhoods. SPARK helps children to reach their full neurodevelopmental potential, build positive social and emotional skills, cope proactively with health challenges, and learn how to succeed in school and beyond. Additionally, SPARK makes strong investments in families, through a variety of parent education and support programs. Chronic Diseases and Risk Factors Cancer Support Groups: In 2006, BMC established the Cancer Patient Support Services Fund to provide crucial services and programs to complement patients clinical care. The fund is used for survivorship programs such as support groups and celebrations, assistance with transportation costs to and from the hospital, patient navigation, and the provision of complementary therapies such as yoga and massage. In FY2016, there were 15 on-site cancer support groups and 1 off-site affiliated support group, as well as eight activity groups and seven featured 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, 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.
Violence	Child Protection Team (CPT): A special services division of the Department of Pediatrics, CPT serves all of BMCs maltreated pediatric patients. The CPT has three major areas of responsibility: 1) supporting BMC providers to ensure that maltreated children who receive their care at BMC are protected; 2) improving the effective identification and response to maltreatment through innovative research and program development at BMC and nationally; and 3) providing training and education to pediatric health and other professionals in the recognition and management of child maltreatment. The CPT collaborates with community and state agencies, law enforcement personnel and the judiciary system to ensure the best possible outcome for children and families. In FY16, CPT served 2,127 children at BMC. Child 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. In FY16, the CWVP provided referrals, advocacy, assessment, short-term, and/or longer-term clinical care to approximately 290 families. 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. In FY16, CWVP staff delivered approximately 85 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 providing therapeutic support throughout the recovery process and ultimately minimizing mental health trauma. CVRT staff reflects the diversity of BMCs patient population. In FY16, the CVRT served 934 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 FY16, the Programs Safety and Support Advocates provided approximately 330 victims and survivors with a range of services including crisis intervention/counseling; risk assessment and safety planning; assistance with accessing protective orders and victim compensation; accompaniment to court, legal, medical, housing and other appointments; referral to community-based 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 for women in Spanish. Advocates provided these services in four languages, utilizing Interpreter Services for additional language needs, and the Programs 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 students at 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 services for 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. In FY16, VIAP provided services to a total of 378 victims: 159 gunshot victims and 219 stabbing victims. Of these victims, 313 were male, 62 were female; three were transgender. 65% of the total victims were black, 18% Hispanic, 11% White, and 11% identified as other. Mental Health and Substance Abuse Mental Health Diversion Initiative (MHDI): In FY16, the MHDI worked with 713 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, 26 MHDI participants have successfully completed probation rather than being incarcerated. Project ASSERT stands for improving Alcohol & Substance Abuse Services, Education, and Referral to Treatment. Since 1998, Project ASSERT has been an ongoing component of safety net services at BMC's Emergency Department (ED). As members of the Project ASSERT team, Health Promotion Advocates/MA. 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 FY16, Project ASSERT had 3,875 ED and 348 Inpatient consults for a total of 4,233 visits. 1,473 (60%) of patients were placed in detox/acute treatment services (ATS) on day of their ED visit, while 1,001 could not be placed. The main reasons for inability to place patients were that no ATS beds were available (710) or patients did not have their medications (124). In addition, 167 ED patients accepted an outpatient referral, 829 referrals to Narcotics Anonymous/Alcoholics Anonymous meetings. 534 were placed in a shelter, and another 246 received a primary care appointment. Project ASSERT also educated patients at risk for opioid overdose and distributed 247 naloxone rescue kits to ED patients. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: Boston Medical Center Health Plan, Inc. Boston 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, BMCHP's business name is BMC Healthnet Plan; outside Massachusetts, Well Sense Health Plan is the business name. BMC HealthNet Plan serves about 300,000 members across three product lines: MassHealth (Medicaid), SCO, and Qualified Health Plans. BMCHP is one of the largest Medicaid health plans in Massachusetts. For 20 years, BMCHP has arranged and coordinated care and services for low-income, vulnerable populations. BMCHP 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, BMCHP brings particular strengths in understanding and serving the diverse needs of members in the service area. In addition to our access to BMCs programs and expertise, BMCHP has an established network of social and community service organizations in the Greater Boston region. Boston HealthNet Established 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 21st year, BHN and its CHC partners have extended BMCs 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 BHNs information technology programs and services. In 1997, Boston HealthNet established a Community Physician Group Inpatient Rounder System at BMC. The Rounder System brings together physicians from the CHCs and the BMC Department of Family Medicine to care for patients from these centers while they are in the hospital, thereby coordinating and enhancing the quality and continuity of care. In 2008, the Rounder System was extended to evenings and seven day coverage. The Average Length of Stay for FY 2015\6 for the Rounder System was 4.23 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 BMCs 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 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 eReferral system also makes it possible for the CHCs to schedule appointments, electronically submit required clinical information to specialists, receive electronic information about referrals, track patients no-show rates, and receive return specialist reports through the local EHR or by opening a web-based practice portal. The eReferral Project has helped to eliminate a number of the inefficiencies inherent in the current referral process. Data available from the eReferral Portal shows a significant decrease in lag times to specialty appointments for CHCs patients receiving care at BMC. In 2009, BMC approved the expansion of the eReferral Portal to other specialties beyond the Department of Medicine. During 2010, the eReferral Portal was rolled out to all specialty departments as well as two additional health centers. In FY2012, 49,411 referrals passed through the eReferral Portal.
On June 1, 2010, BHN was awarded a two year $2.98 million Health	Information Technology (HIT) innovations grant from the Health Resources and Services Administration (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 five 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 looming ACO environment with global payments and associated financial risk. The BHN IDEAS Project facilitates 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 Implementation and Optimization Organization (IOO) 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 BHNs 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; 200 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 7am-7pm, Monday through Friday, bringing patients to BMC. Last year, these shuttle buses transported 207,496 patients and their families between BMC and the Boston HealthNet CHCs. Advancing Medical Education: A number of HealthNet CHCs also serve as the primary community-based training sites for Boston University School of Medicine pediatric, family medicine, psychiatry and general medicine residents. BUSM students and physician assistants also round at the CHCs to supplement their training with direct patient contact. Line 7: State Filing of Community Benefit Report BMC does not file a community benefits report with the Commonwealth of Massachusetts.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (73 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
NORTHEASTERN UNIVERSITY
360 HUNTINGTON AVENUE	BOSTON	MA	02115	041679980	501(c)(3)	$317,525	Subaward
BOSTON UNIVERSITY
715 ALBANY STREET	BOSTON	MA	02118	042103547	501(c)(3)	$3,044,699	Subaward
HARVARD UNIVERSITY
677 HUNTINGTON AVENUE	BOSTON	MA	02115	042103580	501(c)(3)	$135,937	Subaward
MASS INSTITUTE OF TE
77 MASSACHUSETTS AVENUE NE 49-4097	CAMBRIDGE	MA	02139	042103594	501(c)(3)	$98,418	Subaward
TUFTS UNIVERSITY
715 ALBANY STREET	BOSTON	MA	02118	042103634	501(c)(3)	$219,808	Subaward
BETH ISRAEL DEACONESS
PO BOX 3784	BOSTON	MA	02241	042103881	501(c)(3)	$243,062	Subaward
FORSYTH DENTAL INFIRM
245 FIRST STREET	CAMBRIDGE	MA	02142	042104230	501(c)(3)	$51,907	Subaward
JOSLIN DIABETES CENTE
ONE JOSLIN PLACE	BOSTON	MA	02215	042203836	501(c)(3)	$49,420	Subaward
THIRD SECTOR NEW ENGL
89 SOUTH STREET 7TH FL	BOSTON	MA	02111	042261109	501(c)(3)	$368,833	Subaward
BRIGHAM & WOMENS HOSP
PO BOX 3149	BOSTON	MA	02241	042312909	501(c)(3)	$201,062	Subaward
NORTH SUFFOLK MENTAL
301 BROADWAY AVENUE	CHELSEA	MA	02150	042317215	501(c)(3)	$3,769,611	Subaward
BAY COVE HUMAN SERVIC
66 CANAL STREET	BOSTON	MA	02114	042518575	501(c)(3)	$5,513,361	Subaward
JUSTICE RESOURCE INST
160 GOULD ST SUITE 300	NEEDHAM	MA	02494	042526357	501(c)(3)	$30,000	Subaward
BROCKTON AREA MULTI-S
10 CHRISTYS DRIVE	BROCKTON	MA	02301	042562377	501(c)(3)	$128,465	Subaward
WILLIAM JAMES COLLEGE
ONE WELLS AVENUE	NEWTON	MA	02459	042620216	501(c)(3)	$30,000	Subaward
VINFEN CORP
PO BOX 5059	BOSTON	MA	02206	042632219	501(c)(3)	$301,804	Subaward
CODMAN SQUARE HEALTH
637 WASHINGTON STREET	BOSTON	MA	02124	042678774	501(c)(3)	$102,002	Subaward
MASSACHUSETTS GENERAL
55 FRUIT STREET	BOSTON	MA	02114	042697983	501(c)(3)	$124,532	Subaward
PROJECT HOPE
550 DUDLEY STREET	ROXBURY	MA	02119	042748880	501(c)(3)	$19,724	Subaward
BRAIN INJURY ASSOCO
30 LYMAN ST SUITE 10	WESTBOROUGH	MA	01581	042753269	501(c)(3)	$50,374	Subaward
CHILDREN'S HOSPITAL O
300 LONGWOOD AVENUE	BOSTON	MA	02115	042774441	501(c)(3)	$360,279	Subaward
BAYSTATE MEDICAL CENT
759 CHESTNUT ST	SPRINGFIELD	MA	01199	042790311	501(c)(3)	$1,047,322	Subaward
MGH NEUROGENETICS DNA
185 CAMBRIDGE STREET	BOSTON	MA	02110	042807148	501(c)(3)	$275,000	Subaward
INSTITUTE FOR HEALTH
349 BROADWAY	CAMBRIDGE	MA	02139	043086647	501(c)(3)	$30,825	Subaward
BROCKTON NEIGHBORHOOD
63 MAIN STREET	BROCKTON	MA	02301	043165044	501(c)(3)	$28,229	Subaward
UNIVERSITY OF MASSACH
55 LAKE AVENUE NORTH	WORCESTER	MA	01655	043167352	115	$19,465	Subaward
JONATHAN O COLE MENTA
115 MILL STREET	BELMONT	MA	02178	043282088	501(c)(3)	$13,500	Subaward
CENTER FOR COMMUNITY
360 HUNTINGTON AVENUE 222 YMCA	BOSTON	MA	02115	043286409	501(c)(3)	$33,228	Subaward
CAMBRIDGE HEALTH ALLI
1493 CAMBRIDGE STREET	CAMBRIDGE	MA	02139	043320571	501(c)(3)	$356,946	Subaward
BRAZELTON TOUCHPOINTS
1295 BOYLSTON ST SUITE 320	BOSTON	MA	02115	043327682	501(c)(3)	$53,020	Subaward
PTC THERAPEUTICS INC
100 CORPORATE COURT	SOUTH PLAINFIELD	NJ	07080	043416587		$59,027	Subaward
BEDFORD VA RESEARCH C
200 SPRINGS ROADMS151 Building 12	BEDFORD	MA	01730	043512440	501(c)(3)	$144,209	Subaward
BOSTON HOUSING AUTHOR
52 CHAUNCY STREET	BOSTON	MA	02111	046001907	501(c)(3)	$14,710	Subaward
BUTLER HOSPITAL
345 BLACKSTONE BLVD	PROVIDENCE	RI	02906	050258812	501(c)(3)	$77,441	Subaward
RHODE ISLAND HOSPITAL
593 EDDY ST	PROVIDENCE	RI	02903	050258954	501(c)(3)	$101,887	Subaward
YOUTH & FAMILY ENRICH
1234 HYDE PARK AVENUE	HYDE PARK	MA	02136	050588064	501(c)(3)	$51,599	Subaward
YALE UNIVERSITY SCHOOL
PO BOX 1873	NEW HAVEN	CT	06508	060646973	501(c)(3)	$41,337	Subaward
INSTITUTE FOR HEALTH
349 BROADWAY	CAMBRIDGE	MA	02139	113764559	501(c)(3)	$33,883	Subaward
WEILL MEDICAL COLLEGE
1300 YORK AVENUE	NEW YORK	NY	10005	131623978	501(c)(3)	$55,390	Subaward
ALBERT EINSTEIN COLLEGE
500 WEST 185TH STREET	NEW YORK	NY	10033	131624225	501(c)(3)	$290,779	Subaward
EVERY MOTHER INC
PO BOX 615	GREENVILLE	MS	38702	205325053	501(c)(3)	$30,000	Subaward
COOPER HEALTH SYSTEM
1 COOPER PLZ	CAMDEN	NJ	08103	210634462	501(c)(3)	$43,200	Subaward
THE UNIVERSITY OF RHODE ISLAND
75 LOWER COLLEGE ROAD	KINGSTON	RI	02881	223011455	115	$10,071	Subaward
WAKE FOREST UNIVERIST
1834 WAKE FOREST ROAD	WINSTONSALEM	NC	27157	223849199	501(c)(3)	$56,941	Subaward
DREXEL UNIVERSITY
3141 CHESTNUT STREET	PHILADELPHIA	PA	19104	231352630	501(c)(3)	$24,000	Subaward
TRUSTEES OF THE UNIV
3451 WALNUT STREET SUITE 305	PHILADELPHIA	PA	19104	231352685	501(c)(3)	$17,995	Subaward
DOTHOUSE HEALTH INC
1353 DORCHESTER AVENUE	DORCHESTER	MA	02122	237125970	501(c)(3)	$93,341	Subaward
UPHAM'S CORNER HEALTH
415 COLUMBIA ROAD	DORCHESTER	MA	02125	237211732	501(c)(3)	$13,080	Subaward
THE PENNSYLVANIA STAT
ONE OLD MAIN	UNIVERSITY PARK	PA	16802	246000376	501(c)(3)	$49,381	Subaward
THE FOUNDATION FOR MU
18444 N 25TH AVENUE	PHOENIX	AZ	85023	270170045	501(c)(3)	$21,400	Subaward
UNIVERSITY OF MARYLAND
PO BOX 41428	BALTIMORE	MD	21203	311678679	501(c)(3)	$20,534	Subaward
NORTHWESTERN UNIVERSITY
633 CLARK STREET	EVANSTON	IL	60208	362167817	501(c)(3)	$787,509	Subaward
UNIVERSITY OF CHICAGO
11030 SOUTH LANGLEY AVE	CHICAGO	IL	60628	362177139	501(c)(3)	$49,755	Subaward
UNIVERSITY OF MICHIGAN
3003 S STATE STREET	ANN ARBOR	MI	48109	386006309	501(c)(3)	$85,038	Subaward
MINNEAPOLIS MED RESEA
600 SHAPIRO BUILDING	MINNEAPOLIS	MN	55404	411677920	501(c)(3)	$38,885	Subaward
REACHING OUR SISTERS
3614 COLUMBIA PKWY	DECATUR	GA	30034	452803568	501(c)(3)	$99,368	Subaward
RUTGERS THE STATE UN
65 DAVIDSON ROAD	PISCATAWAY	NJ	08854	462354111	501(c)(3)	$1,369,822	Subaward
JOHN HOPKINS UNIVERSITY
600 WOLFE STREET	BALTIMORE	MD	21287	520595110	501(c)(3)	$174,507	Subaward
MID-ATLANTIC PERMANEN
2101 E JEFFERSON ST	ROCKVILLE	MD	20849	521196226	501(c)(3)	$11,676	Subaward
NATIONAL LEAGUE OF CI
1301 PENNSYLVANIA VVENUE NW	WASHINGTON	DC	20004	526055762	501(c)(3)	$52,923	Subaward
MEDSTAR HEALTH RESEARCH
6525 BELCREST ROAD	HYATTSVILLE	MD	20782	526056274	501(c)(3)	$25,549	Subaward
EAST CAROLINA UNVERSITY
2200 S CHARLES BLVD	GREENVILLE	NC	27858	566000403	501(c)(3)	$15,413	Subaward
UNIVERSITY OF N CAROLINA
CB 13501	CHAPEL HILL	NC	27599	566001393	501(c)(3)	$173,268	Subaward
EMORY UNIVERSITY
1762 CLIFTON RD SUITE 1400	ATLANTA	GA	30322	580566256	501(c)(3)	$175,715	Subaward
GEORGIA STATE UNIVERS
33 GILMER STREET	ATLANTA	GA	30303	586002050	115	$27,221	Subaward
VANDERBILT UNIVERSITY
GIFT PROCESSING VU STATION B 3577	NASHVILLE	TN	37235	620476822	501(c)(3)	$107,982	Subaward
ARKANSAS CHILDREN'S H
800 MARSHALL SLOT 512	LITTLE ROCK	AR	72202	710694931	501(c)(3)	$42,859	Subaward
SEATTLE BIOMEDICAL RE
307 WESTLAKE AVE N STE 500	SEATTLE	WA	98109	910961784	501(c)(3)	$210,363	Subaward
UNIVERSITY OF WASHING
BOX 359505 GIFT SERVICES	SEATTLE	WA	98195	916001537	115	$61,754	Subaward
UNIVERSITY OF CALIFOR
500 PARNASSUS AVE MU 200-W	SAN FRANCISCO	CA	94143	946036493	501(c)(3)	$17,835	Subaward
REGENTS OF THE U OF C
2760 FIFTH AVENUE	SAN DIEGO	CA	92103	956006144	501(c)(3)	$42,262	Subaward
UNIVERSITY HEALTH NET
140 ELLINGTON ST	LONGMEADOW	MA	01106	986000971	501(c)(3)	$11,179	Subaward
UNIVERSITY OF MARYLAND (UMBF)
PO BOX 41428	BALTIMORE	MD	21203	311678679	501(c)(3)	$10,194	Subaward	Baltimore Foundation

Field	Value	IRS element (for citing)
Total501c3 Org	68	Total501c3OrgCnt
Total Other Org	5	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Personal Services	Yes (X)	PersonalServicesInd
Written Policy Ref T And E Expnss	false	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KAREN H ANTMAN MD
TRUSTEE	$0	$731,500	$0	$0	$0	$69,554	$0	$35,255	$0	$682	$0	$836,991	$0	$0
david L coleman md
TRUSTEE	$0	$449,282	$0	$0	$0	$212,961	$0	$35,255	$0	$2,317	$0	$699,815	$0	$0
BOB BIGGIO
VP FACILITY	$314,252	$0	$66,523	$0	$10,133	$0	$33,950	$0	$34,802	$0	$459,660	$0	$5,400	$0
RAVIN DAVIDOFF
SR VP MED AFFAIRS/CMO	$457,602	$0	$95,589	$0	$23,428	$0	$50,610	$0	$33,357	$0	$660,586	$0	$16,142	$0
STANLEY HOCHBERG
SR. VP Qlty, Safety, and Tech	$412,219	$0	$75,469	$0	$36,378		$13,250		$24,102		$561,418	$0	$15,333
NORMAN STEIN
SVP CHIEF DEVELOPMENT OFFICER	$364,634	$0	$76,062	$0	$11,445	$0	$48,278	$0	$7,512	$0	$507,931	$0	$7,903	$0
THOMAS TRAYLOR
VP OF FED, STATE, LOCAL PROG	$439,402	$0	$80,807	$0	$26,057	$0	$39,952	$0	$34,363	$0	$620,581	$0	$13,972	$0
DAVID BECK
SVP/CHIEF LEGAL COUNSEL/CLERK	$375,145		$77,781		$4,386		$43,250		$21,175		$521,737		$1,333
RICHARD SILVERIA
SVP FIN/CFO/TREAS	$501,057	$0	$104,391	$0	$23,642	$0	$48,750	$0	$32,997	$0	$710,837	$0	$16,342	$0
KATHLEEN E WALSH
PRESIDENT/CEO	$1,012,006	$0	$286,563	$0	$112,049	$0	$91,925	$0	$5,207	$0	$1,507,750	$0	$50,875	$0
GERARD DOHERTY MD
TRUSTEE	$0	$438,369	$0	$0	$0	$545,964	$0	$35,255	$0	$71,428	$0	$1,091,016	$0	$0
Alastair Bell
SVP Ops & Strtgy/COO	$539,750	$0	$118,719	$0	$2,778	$0	$49,850	$0	$3,200	$0	$714,297	$0	$0	$0
Joe Camillus
VP Ambulatory Optn & Prof Svcs	$293,296	$0	$61,406	$0	$2,695	$0	$31,283	$0	$30,662	$0	$419,342	$0	$0	$0
Cindy Charylulu
VP Revenue Cycle	$279,289	$0	$58,336	$0	$2,583	$0	$22,800	$0	$22,032	$0	$385,040	$0	$0	$0
JohN Lindstedt
VP Finance	$275,798	$0	$51,211	$0	$2,583	$0	$41,350	$0	$25,522	$0	$396,464	$0	$0	$0
Nancy Gaden
SVP Chief Nursing Officer	$351,057	$0	$73,687	$0	$2,778	$0	$34,100	$0	$32,997	$0	$494,619	$0	$0	$0
Lisa Kelly-Croswell
SVP CHRO	$374,616	$0	$81,056	$0	$2,778	$0	$37,470	$0	$9,441	$0	$505,361	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 PERSONAL PROFESSIONAL SERVICE FEES INCLUDING FINANCIAL PLANNING ADVICE. SUCH REIMBURSEMENTS WERE INCLUDED IN THE PRESIDENT'S TAXABLE INCOME. 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. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING EXECUTIVES IN CALENDAR YEAR 2015: DAVID BECK - $1,608 BOB BIGGIO - $7,376 RAVIN DAVIDOFF - $20,650 STANLEY HOCHBERG - $33,600 RICH SILVERIA - $20,864 NORMAN STEIN - $8,667 THOMAS TRAYLOR - $23,279 KATHLEEN WALSH - $55,794 BMC PROVIDED A SEPARATE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO KATHLEEN E. WALSH, PRESIDENT AND CEO AS OF MARCH 1, 2010. PURSUANT TO THE TERMS OF THE AGREEMENT, 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 2015 $48,477 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. FY15 PERFORMANCE BONUS PAYOUTS ARE APPROVED BY THE COMMITTEE AT THE COMPENSATION COMMITTEE MEETING HELD ON OCTOBER 26, 2015. THE COMMITTEE REVIEWED THE FY15 PERFORMANCE RESULTS AGAINST PRE-ESTABLISHED PERFORMANCE TARGETS, AND APPROVED THE FORMULA-BASED PAYOUTS ACCORDINGLY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AU
A	042456011	57586ELD1	2009-08-14	$101,485,000	CURRENT REFUNDING OF SERIES M3-B	false	false	Yes (true)
MASSACHUSETTS DEVELOPMENT FINANCE AGENCY
B	043431814	57583URP5	2012-06-14	$117,490,498	REFUNDING OF PRIOR BONDS	Yes (true)	false	false
MASSACHUSETTS DEVELOPMENT FINANCE AGENCY
C	043431814	57583U6Q6	2015-04-08	$167,471,151	FIN PROJ/ FUND RES, PAY ISSUE COST	false	false	false
MASSACHUSETTS DEVELOPMENT FINANCE AUTHORITY
D	043431814	57584XWT4	2016-09-22	$203,977,951	FIN NEW PROJ/ADV REFUND PRIOR BOND	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$4,481,542	$0	$13,688,734	$90,235	$0	$0	$0	$0	$0	$0	$13,688,734	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$21,585,000	$44,875,000	$117,498,730	$5,206,513	$0	$0	$1,684,889	$0	$0	$0	$115,813,841	$0	Yes (true)	false	false	Yes (true)
C	$0	$0	$168,042,685	$15,283,542	$226,325	$0	$2,007,035	$0	$0	$130,976,407	$201,311	$19,348,065	false	false	false	Yes (true)
D	$0	$0	$206,332,522	$0	$0	$175,404,988	$1,195,875	$0	$0	$0	$0	$29,731,658	false	Yes (true)	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Total Private Business UseTotalPrivateBusinessUsePct
A	false	Yes (true)	Yes (true)	false	0	false	false	Yes (true)
B					0
C	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0	false	false	Yes (true)	Yes (true)
D	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00400	false	false	Yes (true)	Yes (true)	0.00400

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of GICTermOfGICPct
0
A	false	false	Yes (true)	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	false	Yes (true)	AIG MATCHED FUNDING	Yes (true)	Yes (true)	27.19
0
C	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
D	false	Yes (true)	false	false	false	false	false	0	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 substantial completion is not applicable. Part III, Line 7: As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private 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 Facilities 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.
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 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.
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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ANAESTHESIA ASSOCIATES OF MA
SEE PART V	$8,650,495	MEDICAL SERVICES	false
HANNAH LEAVER
DAUGHTER OF TRUSTEE	$143,541	EMPLOYMENT AGREEMENT	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, LINE 1	FormAndLineReferenceDesc
Explanation	NAME: ANAESTHESIA ASSOCIATES OF MA RELATIONSHIP: TRUSTEE ENGLISH'S BROTHER IS PRESIDENT. ANAESTHESIA ASSOCIATES BEGAN PROVIDING SERVICES TO BMC IN 1998. IT HAS BEEN PROVIDING SERVICES TO BMC, AND TRUSTEE ENGLISH'S BROTHER HAS BEEN PRESIDENT, SINCE BEFORE TRUSTEE ENGLISH JOINED THE BMC BOARD IN 2005. SCHEDULE L, PART IV, LINE 2 NAME: HANNAH LEAVER RELATIONSHIP: 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.	ExplanationTxt

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	7	ContributionCnt
Noncash Contributions Rpt F990	$10,845	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR ESTIMATE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Method Of Determining Revenues	DONOR ESTIMATE	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$9,145	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR ESTIMATE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	13	ContributionCnt
Noncash Contributions Rpt F990	$1,132,923	NoncashContributionsRptF990Amt
Method Of Determining Revenues	proceeds of stock	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp

Collectibles CollectiblesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	15	ContributionCnt
Noncash Contributions Rpt F990	$3,559	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR ESTIMATE	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	35	ContributionCnt
Noncash Contributions Rpt F990	$2,034	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR ESTIMATE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Jewelry	4	$1,082	DONOR ESTIMATE
Yes (X)	GIFT CERTIFICATES & TKTS	158	$81,282	DONOR ESTIMATE
Yes (X)	TRAVEL	40	$43,061	DONOR ESTIMATE
Yes (X)	Toys	6	$750	DONOR ESTIMATE

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 VI, 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, INC. 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, LINE 6 The sole member of the organization is BMC Health System, Inc. (BMCHS). FORM 990, PART VI, 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, 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, LINE 12C	CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2016 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, LINE 15 A&B	AN INDEPENDENT COMMITTEE, FORMED OF INDIVIDUALS WHOSE COMPENSATION IS NOT IN ISSUE, DETERMINES THE COMPENSATION OF OFFICERS, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES. THE COMMITTEE MEMBERS ARE NOT UNDER THE CONTROL OR DIRECTION OF ANY BMC EXECUTIVE SEEKING COMPENSATION. THE COMPENSATION PLAN IS SUPPORTED BY COMPARABLE DATA, WHICH INCLUDES COMPENSATION PAID FOR COMPARABLE POSITIONS BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, COMPENSATION SURVEYS COMPILED INDEPENDENTLY, AND/OR ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE BMC EXECUTIVE. THE INDEPENDENT COMMITTEE'S ASSESSMENT OF THESE CONSIDERATIONS ARE CONTAINED IN THE MINUTES OF THE COMMITTEE MEETING. THE REVIEW PROCESS INCLUDES - AND MINUTES INDICATE - DISCUSSIONS AND EVALUATIONS OF EACH EXECUTIVE'S PRIOR PERFORMANCE, QUALIFICATIONS, AND EXPERIENCE. EXECUTIVES ARE NOT PRESENT FOR THE INDEPENDENT COMMITTEE'S DISCUSSION AND VOTE ON COMPENSATION. THE MINUTES REFLECT THE FACT THAT NO EXECUTIVE WAS PRESENT.
FORM 990, PART VI, LINE 19	BOSTON MEDICAL CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS PUBLICLY AVAILABLE. HOWEVER, THE RESTATED ARTICLES OF THE ORGANIZATION ARE POSTED ON THE SECRETARY OF THE COMMONWEALTH'S WEBSITE.
FORM 990, PART XI, LINE 9	PENSION RELATED CHANGES OTHER THAN PERIODIC PENSION COSTS ($10,510,000) OTHER CHANGES ($1,948,000) NET ASSET TRANSFER TO BMCIC VERMONT ($10,321,000) ROUNDING ($897) -------------- TOTAL ($22,779,897)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (32 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
BOSTON MEDICAL CENTER HEALTH PLAN INC
529 Main St Suite 500	Charlestown	MA	02129	043373331	INSURANCE	MA	501(c)(3)	11 A-I	BMCHS	Yes (true)
UNIVER DEVELOPMENT FOUNDATION INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043101957	REAL ESTATE	MA	501(c)(3)	11 A-I	BMC	Yes (true)
BMC INSURANCE CO LTD OF VERMONT
126 College Street	BURLINGTON	VT	05401	201810549	INSURANCE	VT	501(c)(3)	11 A-I	BMC	Yes (true)
FACULTY PRACTICE FOUNDATION INC
660 HARRISON AVENUE 3RD FLOOR	BOSTON	MA	02118	043289381	MEDICAL SVCS	MA	501(c)(3)	11 B-II	NA	false
BU MEDICAL CTR ANESTHESIOLOGISTS INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043276227	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BOSTON EMERGENCY PHYSICIAN FDN INC
818 HARRISON AVENUE	BOSTON	MA	02118	043286156	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU CARDIAC & THORACIC SURGICAL FDN INC
88 EAST NEWTON STREET	BOSTON	MA	02118	042966416	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BOSTON UNIVERSITY DERMATOLOGY INC
609 ALBANY STREET	BOSTON	MA	02118	043335166	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU DERMATOLOGY SUPPORT SERVICES I INC
609 ALBANY STREET	BOSTON	MA	02118	043452877	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU DERMATOLOGY SUPPORT SERVICES II INC
609 ALBANY STREET	BOSTON	MA	02118	043452874	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BOSTON UNIV SURGICAL ASSOCIATES INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043291148	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
EVANS MEDICAL FOUNDATION INC
88 EAST NEWTON STREET	BOSTON	MA	02118	510172171	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BOSTON UNIVERSITY EYE ASSOCIATES INC
2005 BAY STREET SUITE 201	TAUNTON	MA	02780	043137333	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BOSTON UNIVERSITY FAMILY MEDICINE INC
1 BOSTON MEDICAL CTR DOWLING 5	BOSTON	MA	02118	043354353	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU MALLORY PATHOLOGY ASSOCIATES INC
784 MASSACHUSETTS AVENUE	BOSTON	MA	02118	042794543	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BOSTON UNIV NEUROLOGY ASSOCIATES INC
720 HARRISON AVENUE SUITE 707	BOSTON	MA	02118	043428462	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU NEUROSURGICAL ASSOCIATES INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043296068	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU OBSTETRICS & GYNECOLOGY FDN INC
818 HARRISON AVENUE	BOSTON	MA	02118	043067465	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU ORTHOPAEDIC SURGICAL ASSOCIATES INC
720 HARRISON AVENUE SUITE 808	BOSTON	MA	02118	043354360	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BUMC OTOLARYNGOLOGIC FOUNDATION INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043156471	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
CHILD HEALTH FOUNDATION OF BOSTON INC
818 HARRISON AVENUE DOWLING 3	BOSTON	MA	02118	042472758	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BOSTON UNIV PLASTIC SURGERY ASSOC INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043555478	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BOSTON UNIVERSITY PSYCHIATRY ASSOC INC
720 HARRISON AVENUE	BOSTON	MA	02118	043355267	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU MEDICAL CENTER RADIOLOGISTS INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043283573	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BOSTON REHABILITATION MEDICINE ASSOC INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043286641	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU GENERAL SURGICAL ASSOCIATES INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043265008	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU MEDICAL CENTER UROLOGISTS INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043286643	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
Boston University Affiliated Physicians
660 HARRISON AVE	BOSTON	MA	02118	043218267	HEALTHCARE	MA	501(c)(3)	3	BMC	Yes (true)
BMC HEALTH SYSTEM INC
ONE BOSTON MEDICAL CENTER PLACE	BOSTON	MA	02118	463556853	SUPPORT SVCS.	MA	501(C)(3)	11 B-II	NA	false
BMC INTEGRATED CARE SERVICES INC
ONE BOSTON MEDICAL CENTER PLACE	BOSTON	MA	02118	043414914	HEALTHCARE	MA	501(c)(3)	11A, TYPE I	BMC	Yes (true)
BU RADIATION ONCOLOGY INC
1 BOSTON MEDICAL CENTER PLACE	BOSTON	MA	02118	810716773	HEALTHCARE	MA	501(c)(3)	IIC III-FI		false	N/A
THE BOSTON HEALTHNET CORPORATION
660 HARRISON AVENUE 3RD FLOOR	BOSTON	MA	02118	043279836	SUPPORT SVCS.	MA	501(C)(3)	11-BII	NA	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	BMC NAB BUS TR	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	85 CONCORD ST	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02118	ZIPCd

Field	Value	IRS element (for citing)
EIN	266368869	EIN
Primary Activities	PROPERTY MGMT	PrimaryActivitiesTxt
Legal Domicile State	MA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	-$4,648,262	ShareOfTotalIncomeAmt
Share Of EOY Assets	$121,838,498	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$0	UBICodeVAmt
Ownership	0.90000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Legal Domicile StateLegalDomicileStateCd
BMC INSURANCE COMPANY LTD
10 MAIN STREET	GRAND CAYMAN	CJ	980375219	INSURANCE	CJ	BMC	C-CORP	$83,989,445	0.70000	Yes (true)
CHARITABLE REMAINDER TRUST (3)
				SUPPORT		BMC	TRUST			Yes (true)	MA

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

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BOSTON UNIVERSITY AFFILIATED PHYSICIANS INC
M,N,O	$1,877,000	FINANCIAL NEED
BMC INSURANCE COMPANY OF VERMONT
B	$10,000,000	NET ASSET TRANS
BOSTON MEDICAL CENTER HEALTH PLAN INC
L	$137,071,000	INSURANCE RATES
BMC INSURANCE COMPANY LTD
Q	$9,257,648	BOOK
BOSTON MEDICAL CENTER HEALTH PLAN INC
D	$20,000,000	LINE OF CREDIT
BOSTON MEDICAL CENTER HEALTH PLAN INC
A	$12,667	INTERET ON LOC
BOSTON MEDICAL CENTER HEALTH PLAN INC
Q	$206,000	FMV