2017-08-14T10:46:09-05:00 2016-09-30 PricewaterhouseCoopers LLP 101 SEAPORT BOULEVARD BOSTON MA 02210 990 2015-10-01 043314093 BOSTON MEDICAL CENTER % KAITLYN CLIFFORD BOST 6174141628 88 EAST NEWTON STREET BOSTON MA 02118 JULIE JONCAS VP FOR FINANCE 6174141628 2017-08-11 true GWEN SPENCER P00641463 6175305000 2017-08-09 2015 2021-01-29 14:40:06Z KATHLEEN E WALSH 88 EAST NEWTON STREET BOSTON MA 02118 1250301321 false X www.bmc.org X 1996 MA 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. 29 23 7905 521 0 -8941 21671288 22129256 1090353215 1202780951 81219903 20163000 4893992 4518517 1198138398 1249591724 22171726 22378469 0 0 515094242 566714368 42500 77000 4196402 601345869 664196566 1138654337 1253366403 59484061 -3774679 2169778000 2205872000 1003718000 1049817000 1166060000 1156055000 X BOSTON MEDICAL CENTER'S MISSION IS TO PROVIDE CONSISTENTLY EXCELLENT AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY. false false 1107035787 1202780951 SEE SCHEDULE O. 21859637 21859637 BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO ORGANIZATIONS WITHIN THE US. 518832 518832 BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO FOREIGN ORGANIZATIONS. 1129414256 true true false true false false false false false true true true false true true false false true false true true true false true true false true true true false true true true false false false false false false false true true true true false false false true true true false false true 762 0 true 7905 true true true true CA CJ BD EI LT UK false false false true true false false false false X 29 23 true false false false true false true true true false false true true true true true true true true false MA X KAITLYN CLIFFORD 6174149507 88 EAST NEWTON STREET BOSTON MA 02118 X KAREN H ANTMAN MD TRUSTEE 1.0 2.0 X 0 801054 35937 WILLIAM J HALPIN JR TRUSTEe 1.0 2.0 X 0 0 0 Randi Cutler trustee 1.0 0.0 X 0 0 0 MARTHA S SAMUELSON TRUSTEE 1.0 1.0 X 0 0 0 STEVEN d levy TRUSTEE (UNTIL 5/10/16) 1.0 0.0 X 0 0 0 RICHARD SLIFKA TRUSTEE 1.0 1.0 X 0 0 0 david L coleman md TRUSTEE 1.0 55.0 X 0 662243 37572 JOHN T HAILER trustee 1.0 0.0 X 0 0 0 KATHLEEN E WALSH PRESIDENT/CEO 50.0 7.5 X X 1410618 0 97132 PAUL EGERMAN TRUSTEE 1.0 0.0 X 0 0 0 PEGGY KOENIG TRUSTEE (UNTIL 5/20/16) 1.0 1.0 X 0 0 0 JAMES S PHALEN TRUSTEE 1.0 1.0 X 0 0 0 MARK NUNNELLY TRUSTEE (Until 5/20/16) 1.0 1.0 X 0 0 0 CLAIRE PERLMAN TRUSTEE 1.0 0.0 X 0 0 0 DAVID AMENT TRUSTEE 1.0 2.0 X 0 0 0 JAMES BLUE TRUSTEE 1.0 2.0 X 0 0 0 SANDRA COTTERELL TRUSTEE 1.0 2.0 X 0 0 0 GERARD DOHERTY MD TRUSTEE 1.0 55.0 X 0 984333 106683 RUTH ELLEN FITCH TRUSTEE 1.0 0.0 X 0 0 0 MELANIE FOLEY TRUSTEE 1.0 0.0 X 0 0 0 MANUEL LOPES TRUSTEE 1.0 2.0 X 0 0 0 Jane Mendez TRUSTEE 1.0 0.0 X 0 0 0 Huy Nguyen TRUSTEE (UNTIL 2/1/16) 1.0 0.0 X 0 0 0 Andrew Youniss TRUSTEE 1.0 0.0 X 0 0 0 Edmond English TRUSTEE 1.0 0.0 X 0 0 0 ANITA BEKENSTEIN TRUSTEE (SINCE 2/16/16) 1.0 0.0 X 0 0 0 AZRA KANJI TRUSTEE (SINCE 11/10/15) 1.0 0.0 X 0 0 0 BARRY BOCK TRUSTEE (SINCE 5/10/16) 1.0 0.0 X 0 0 0 KAREN KAMES TRUSTEE (SINCE 5/10/16) 1.0 0.0 X 0 0 0 MONICA VALDES LUPI TRUSTEE (SINCE 2/1/16) 1.0 0.0 X 0 0 0 PATRICIA PATRICK TRUSTEE (SINCE 11/10/15) 1.0 0.0 X 0 0 0 PIERRE CREMIEUX TRUSTEE (SINCE 5/10/16) 1.0 1.0 X 0 0 0 RICHARD MARKS TRUSTEE (SINCE 2/16/16) 1.0 0.0 X 0 0 0 DAVID BECK SVP/CHIEF LEGAL COUNSEL/CLERK 50.0 10.5 X 457312 0 64425 RICHARD SILVERIA SVP FIN/CFO/TREAS 50.0 4.5 X 629090 0 81747 RAVIN DAVIDOFF SR VP MED AFFAIRS/CMO 50.0 2.5 X 576619 0 83967 STANLEY HOCHBERG SR. VP Qlty, Safety, and Tech 50.0 2.0 X 524066 0 37352 NORMAN STEIN SVP CHIEF DEVELOPMENT OFFICER 50.0 0.0 X 452141 0 55790 Alastair Bell SVP Ops & Strtgy/COO 50.0 1.0 X 661247 0 53050 Nancy Gaden SVP Chief Nursing Officer 50.0 0.0 X 427522 0 67097 Lisa Kelly-Croswell SVP CHRO 50.0 0.0 X 458450 0 46911 BOB BIGGIO VP FACILITY 50.0 0.0 X 390908 0 68752 THOMAS TRAYLOR VP OF FED, STATE, LOCAL PROG 50.0 1.0 X 546266 0 74315 Joe Camillus VP Ambulatory Optn & Prof Svcs 50.0 0.0 X 357397 0 61945 Cindy Charylulu VP Revenue Cycle 50.0 0.0 X 340208 0 44832 JohN Lindstedt VP Finance 50.0 0.0 X 329592 0 66872 7561436 2447630 1084379 1396 false true false CARDINAL HEALTH PHARMACY 7000 CARDINAL PLACE DUBLIN OH 43017 PHARMACY 107998746 SUFFOLK CONSTRUCTION COMPANY 65 ALLERTON STREET BOSTON MA 02119 CONSTRUCTION 81794822 BOSTON UNIVERSITY 715 ALBANY STREET SUITE 580 BOSTON MA 021182528 SHARED RESEARCH SVCS 66758972 SHAWMUT WOODWORKING SUPPLY 560 HARRISON AVE BOSTON MA 02118 CONSTRUCTION 34335190 EMCOR SERVICES NORTHEAST 80 HAWES WAY STOUGHTON MA 02072 MECHANICAL/HVAC 8910901 346 5449493 141197 16538566 1284681 22129256 PATIENT SVC REVENUE 900099 972381583 972381583 PHARMACY REVENUE 900099 127236205 127236205 GRANT/CONTRACT REVENUE 900099 98555606 98555606 MEDICARE SHARED SAVINGS SURPLUS 900099 4217885 4217885 OTHER PROGRAM REVENUE 900099 389672 389672 1202780951 16267000 16267000 0 0 134528 113465 21063 0 21063 21063 3581000 315000 3581000 315000 3896000 3896000 402744 5449493 596132 -193388 -193388 0 0 CAFETERIA 900099 3107101 3107101 PARKING 812930 1583741 1583741 4690842 1249591724 1202780951 24681517 21859637 21859637 0 518832 518832 0 9402037 8085751 1053786 262500 143541 143541 436084726 375139986 58675903 2268837 22333358 19210451 2983389 139518 63914119 54978701 8536129 399289 34836587 29959464 4659539 217584 0 1799337 1799337 1910754 1910754 287115 246919 40196 77000 77000 0 71892034 61827148 9864127 200759 1912949 1645136 267813 15439830 13278253 2045001 116576 877683 754807 122876 21767171 18719767 3047404 30798430 26486649 4298223 13558 235315 202370 25520 7425 0 940380 808726 123427 8227 24110721 20735220 3320537 54964 0 77916538 67008222 10550146 358170 6168845 5305206 863639 PHYSICIAN SERVICES 102262793 102262793 DIRECT RESEARCH 77459337 77459337 PATIENT RELATED SUPPLIES 65294899 65294899 DRUGS 107675316 107675316 55447119 49950666 5424458 71995 1253366403 1129414256 119755745 4196402 65018000 46367000 17655000 142777000 28959000 14387000 218354000 110970000 0 0 0 0 150710000 123063000 8316000 8277000 18530000 22172000 1625953000 868397000 660061000 757556000 107066000 116996000 198841000 197367000 0 0 0 0 696268000 665940000 2169778000 2205872000 160983000 156621000 0 0 19890000 23451000 523720000 582326000 0 0 0 0 0 0 78256000 67732000 220869000 219687000 1003718000 1049817000 X 835249000 843587000 314551000 296218000 16260000 16250000 1166060000 1156055000 2169778000 2205872000 X -3774679 23026000 -6476424 -22779897 X false true X true true true X 10023360 9605331 22774364 21671288 22129256 86203599 0 0 10023360 9605331 22774364 21671288 22129256 86203599 2680674 83522925 16477086 20582917 18578225 17746128 16401528 89785884 525994 27985 0 0 0 553979 4154501 4521602 5410940 5441957 5093586 24622586 201166048 5293171885 0.41519 0.38155 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 162758 false true 124357 287115 false SCHEDULE C, PART II-B, LINE 1 BOSTON MEDICAL CENTER PAYS DUES TO AMERICA'S ESSENTIAL HOSPITALS, MASSACHUSETTS HOSPITAL ASSOCIATION, AND AMERICAN HOSPITAL ASSOCIATION, AND A PORTION OF THE DUES ARE ALLOCATED TO LOBBYING EFFORTS. THE PORTION OF THE DUES THAT WAS ALLOCATED TO LOBBYING EFFORTS WAS $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. false false 618328530 42882728 16736661 2178355 642296242 671956753 9615073 60452156 2791140 618328530 663410609 59523521 48287389 2689988 671956753 612745109 59267481 6211967 2390014 663410609 470341198 81100000 68886188 5377065 2205212 612745109 0.51060 0.02530 0.46410 false false 6302000 6302000 633681000 254791000 378890000 23302000 9335000 13967000 0 0 962668000 604271000 358397000 757556000 DONOR RESTRICTED INVESTMENTS 197367000 F 197367000 OTHER LT ASSETS 208761000 FUNDS HELD BY TRUSTEES 38000000 FOR FUNDED DEPRECIATION 330691000 BOND INDENTURE 40850000 NONCURRENT NOTES RECEIVABLE 8998000 INSURANCE RECOVERY RECEIVABLES 38640000 665940000 0 EST SETTLEMENT W/3RD PARTY PAY 52697000 LT DEBT AND OBL-CAPITAL LEASE 50740000 OTHER LONG-TERM LIABILITIES 77610000 PROFESSIONAL LIABILITY CLAIMS 38640000 219687000 1256544189 23026000 -16187000 6839000 1249705189 -113465 -113465 1249591724 1237292868 113465 113465 1237179403 16187000 16187000 1253366403 SCHEDULE D, PART V, LINE 4 - GENERAL ENDOWMENT THE GENERAL ENDOWMENT INCLUDES FUNDS FROM A NUMBER OF SOURCES WITH VARIOUS RESTRICTIONS ON USE AND TREATMENT. THE ENDOWMENT FUNDS HAVE BEEN CONTRIBUTED FOR SPECIFIC PURPOSES INCLUDING CONSTRUCTION, MAINTENANCE, RESEARCH, CLINICAL CARE, EDUCATION, DEVELOPMENT, STAFFING, SALARIES, LABORATORY EQUIPMENT AND SUPPLIES, AND CONVALESCENT CARE. SCHEDULE D, PART X, LINE 2 THE ORGANIZATION'S FINANCIAL STATEMENTS 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 true North America Grantmaking 189197 South America Grantmaking 183205 Sub-Saharan Africa 2 7 Grantmaking 112298 East Asia and the Pacific Grantmaking 19981 Russia and the Newly Independent States Grantmaking 14151 North America Investments 46560377 Europe (Including Iceland and Greenland) Investments 29502094 Central America and the Caribbean Investments 11438883 Central America and the Caribbean Program Services PREMIUMS 9257648 2 7 2 7 97277834 97277834 North America SUBAWARD 44000 Wire Transfr Russia and the Newly Independent States Subaward 14151 WIRE TRANSFR East Asia and the Pacific Subaward 19981 WIRE TRANSFR South America SUBAWARD 183205 WIRE TRANSFR Sub-Saharan Africa SUBAWARD 99501 WIRE TRANSFR Sub-Saharan Africa SUBAWARD 12796 WIRE TRANSFR North America SUBAWARD 145197 WIRE TRANSFR 7 true false true false true false SCHEDULE F, PART I, LINE 2 THE PRINCIPAL INVESTIGATOR AND ADMINISTRATOR APPROVE ALL SUBCONTRACT INVOICES, INCLUDING THOSE FROM A FOREIGN COUNTRY. THE FOREIGN SUBCONTRACT RECIPIENT HAS A BUDGET TO WHICH INVOICES ARE MATCHED TO ENSURE THAT ALL SPENDING IS APPROPRIATE. ADDITIONALLY, THE ORGANIZATION'S PRINCIPAL INVESTIGATORS REGULARLY CONTACT THE FOREIGN SUBCONTRACT RECIPIENTS TO MONITOR THE PROGRESS OF THE RECIPIENTS' WORK. SCHEDULE F, PART II, LINE 1 FOREIGN EXPENDITURES ARE SEPARATELY IDENTIFIED ON THE ORGANIZATION'S GENERAL LEDGER. X X X X X X X true Blue Sky Entertainment Mayo Bowl false 649000 65000 584000 33 Munroe LLC Catwalk false 330286 12000 318286 979286 77000 902286 MA GALA 3476289 3239923 236366 208007 90000 47000 14725 FOOD FOR THOUGH 1304326 1274626 29700 42962 18994 4 1071622 934944 136678 11353 60353 59214 14700 28824 5852237 5449493 402744 11353 268360 192176 61700 62543 596132 -193388 88 EAST NEWTON STREET BOSTON MA 02118 true true X true X false true true false false 55521 90344115 58462111 31882004 0.02540 494997 385694338 347989630 37704708 0.03010 550518 476038453 406451741 69586712 0.05550 15790645 9467021 6323624 0.00500 49775300 13736684 36038616 0.02880 600 89126711 76004868 13121843 0.01050 123000 31170 91830 0.00010 600 154815656 99239743 55575913 0.04440 600 550518 630854109 505691484 125162625 0.09990 17977 17977 2 15930000 15930000 0.01270 831000 831000 0.00070 16 8558313 9752719 -1194406 0.00100 1 878845 878845 0.00070 2 663510 663510 0.00050 21 26879645 9752719 17126926 0.01360 true 18407142 189257943 193830433 -4572490 X true true 1 1 BOSTON MEDICAL CENTER 88 EAST NEWTON STREET BOSTON MA 02118 http://www.bmc.org V112 X X X X X BOSTON MEDICAL CENTER 1 false false true X X X X X X X X X 15 true false false true X SEE SCHEDULE H, PART V, SECTION C X true 15 true SEE SCHEDULE H, PART V, SECTION C false true X 200. 0. X X true true X true X X X true X false X true X false false 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. 2 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 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. true NORTHEASTERN UNIVERSITY 360 HUNTINGTON AVENUE BOSTON MA 02115 041679980 501(c)(3) 317525 Subaward BOSTON UNIVERSITY 715 ALBANY STREET BOSTON MA 02118 042103547 501(c)(3) 3044699 Subaward HARVARD UNIVERSITY 677 HUNTINGTON AVENUE BOSTON MA 02115 042103580 501(c)(3) 135937 Subaward MASS INSTITUTE OF TE 77 MASSACHUSETTS AVENUE NE 49-4097 CAMBRIDGE MA 02139 042103594 501(c)(3) 98418 Subaward TUFTS UNIVERSITY 715 ALBANY STREET BOSTON MA 02118 042103634 501(c)(3) 219808 Subaward BETH ISRAEL DEACONESS PO BOX 3784 BOSTON MA 02241 042103881 501(c)(3) 243062 Subaward FORSYTH DENTAL INFIRM 245 FIRST STREET CAMBRIDGE MA 02142 042104230 501(c)(3) 51907 Subaward JOSLIN DIABETES CENTE ONE JOSLIN PLACE BOSTON MA 02215 042203836 501(c)(3) 49420 Subaward THIRD SECTOR NEW ENGL 89 SOUTH STREET 7TH FL BOSTON MA 02111 042261109 501(c)(3) 368833 Subaward BRIGHAM & WOMENS HOSP PO BOX 3149 BOSTON MA 02241 042312909 501(c)(3) 201062 Subaward NORTH SUFFOLK MENTAL 301 BROADWAY AVENUE CHELSEA MA 02150 042317215 501(c)(3) 3769611 Subaward BAY COVE HUMAN SERVIC 66 CANAL STREET BOSTON MA 02114 042518575 501(c)(3) 5513361 Subaward JUSTICE RESOURCE INST 160 GOULD ST SUITE 300 NEEDHAM MA 02494 042526357 501(c)(3) 30000 Subaward BROCKTON AREA MULTI-S 10 CHRISTYS DRIVE BROCKTON MA 02301 042562377 501(c)(3) 128465 Subaward WILLIAM JAMES COLLEGE ONE WELLS AVENUE NEWTON MA 02459 042620216 501(c)(3) 30000 Subaward VINFEN CORP PO BOX 5059 BOSTON MA 02206 042632219 501(c)(3) 301804 Subaward CODMAN SQUARE HEALTH 637 WASHINGTON STREET BOSTON MA 02124 042678774 501(c)(3) 102002 Subaward MASSACHUSETTS GENERAL 55 FRUIT STREET BOSTON MA 02114 042697983 501(c)(3) 124532 Subaward PROJECT HOPE 550 DUDLEY STREET ROXBURY MA 02119 042748880 501(c)(3) 19724 Subaward BRAIN INJURY ASSOCO 30 LYMAN ST SUITE 10 WESTBOROUGH MA 01581 042753269 501(c)(3) 50374 Subaward CHILDREN'S HOSPITAL O 300 LONGWOOD AVENUE BOSTON MA 02115 042774441 501(c)(3) 360279 Subaward BAYSTATE MEDICAL CENT 759 CHESTNUT ST SPRINGFIELD MA 01199 042790311 501(c)(3) 1047322 Subaward MGH NEUROGENETICS DNA 185 CAMBRIDGE STREET BOSTON MA 02110 042807148 501(c)(3) 275000 Subaward INSTITUTE FOR HEALTH 349 BROADWAY CAMBRIDGE MA 02139 043086647 501(c)(3) 30825 Subaward BROCKTON NEIGHBORHOOD 63 MAIN STREET BROCKTON MA 02301 043165044 501(c)(3) 28229 Subaward UNIVERSITY OF MASSACH 55 LAKE AVENUE NORTH WORCESTER MA 01655 043167352 115 19465 Subaward JONATHAN O COLE MENTA 115 MILL STREET BELMONT MA 02178 043282088 501(c)(3) 13500 Subaward CENTER FOR COMMUNITY 360 HUNTINGTON AVENUE 222 YMCA BOSTON MA 02115 043286409 501(c)(3) 33228 Subaward CAMBRIDGE HEALTH ALLI 1493 CAMBRIDGE STREET CAMBRIDGE MA 02139 043320571 501(c)(3) 356946 Subaward BRAZELTON TOUCHPOINTS 1295 BOYLSTON ST SUITE 320 BOSTON MA 02115 043327682 501(c)(3) 53020 Subaward PTC THERAPEUTICS INC 100 CORPORATE COURT SOUTH PLAINFIELD NJ 07080 043416587 59027 Subaward BEDFORD VA RESEARCH C 200 SPRINGS ROADMS151 Building 12 BEDFORD MA 01730 043512440 501(c)(3) 144209 Subaward BOSTON HOUSING AUTHOR 52 CHAUNCY STREET BOSTON MA 02111 046001907 501(c)(3) 14710 Subaward BUTLER HOSPITAL 345 BLACKSTONE BLVD PROVIDENCE RI 02906 050258812 501(c)(3) 77441 Subaward RHODE ISLAND HOSPITAL 593 EDDY ST PROVIDENCE RI 02903 050258954 501(c)(3) 101887 Subaward YOUTH & FAMILY ENRICH 1234 HYDE PARK AVENUE HYDE PARK MA 02136 050588064 501(c)(3) 51599 Subaward YALE UNIVERSITY SCHOOL PO BOX 1873 NEW HAVEN CT 06508 060646973 501(c)(3) 41337 Subaward INSTITUTE FOR HEALTH 349 BROADWAY CAMBRIDGE MA 02139 113764559 501(c)(3) 33883 Subaward WEILL MEDICAL COLLEGE 1300 YORK AVENUE NEW YORK NY 10005 131623978 501(c)(3) 55390 Subaward ALBERT EINSTEIN COLLEGE 500 WEST 185TH STREET NEW YORK NY 10033 131624225 501(c)(3) 290779 Subaward EVERY MOTHER INC PO BOX 615 GREENVILLE MS 38702 205325053 501(c)(3) 30000 Subaward COOPER HEALTH SYSTEM 1 COOPER PLZ CAMDEN NJ 08103 210634462 501(c)(3) 43200 Subaward THE UNIVERSITY OF RHODE ISLAND 75 LOWER COLLEGE ROAD KINGSTON RI 02881 223011455 115 10071 Subaward WAKE FOREST UNIVERIST 1834 WAKE FOREST ROAD WINSTONSALEM NC 27157 223849199 501(c)(3) 56941 Subaward DREXEL UNIVERSITY 3141 CHESTNUT STREET PHILADELPHIA PA 19104 231352630 501(c)(3) 24000 Subaward TRUSTEES OF THE UNIV 3451 WALNUT STREET SUITE 305 PHILADELPHIA PA 19104 231352685 501(c)(3) 17995 Subaward DOTHOUSE HEALTH INC 1353 DORCHESTER AVENUE DORCHESTER MA 02122 237125970 501(c)(3) 93341 Subaward UPHAM'S CORNER HEALTH 415 COLUMBIA ROAD DORCHESTER MA 02125 237211732 501(c)(3) 13080 Subaward THE PENNSYLVANIA STAT ONE OLD MAIN UNIVERSITY PARK PA 16802 246000376 501(c)(3) 49381 Subaward THE FOUNDATION FOR MU 18444 N 25TH AVENUE PHOENIX AZ 85023 270170045 501(c)(3) 21400 Subaward UNIVERSITY OF MARYLAND PO BOX 41428 BALTIMORE MD 21203 311678679 501(c)(3) 20534 Subaward NORTHWESTERN UNIVERSITY 633 CLARK STREET EVANSTON IL 60208 362167817 501(c)(3) 787509 Subaward UNIVERSITY OF CHICAGO 11030 SOUTH LANGLEY AVE CHICAGO IL 60628 362177139 501(c)(3) 49755 Subaward UNIVERSITY OF MICHIGAN 3003 S STATE STREET ANN ARBOR MI 48109 386006309 501(c)(3) 85038 Subaward MINNEAPOLIS MED RESEA 600 SHAPIRO BUILDING MINNEAPOLIS MN 55404 411677920 501(c)(3) 38885 Subaward REACHING OUR SISTERS 3614 COLUMBIA PKWY DECATUR GA 30034 452803568 501(c)(3) 99368 Subaward RUTGERS THE STATE UN 65 DAVIDSON ROAD PISCATAWAY NJ 08854 462354111 501(c)(3) 1369822 Subaward JOHN HOPKINS UNIVERSITY 600 WOLFE STREET BALTIMORE MD 21287 520595110 501(c)(3) 174507 Subaward MID-ATLANTIC PERMANEN 2101 E JEFFERSON ST ROCKVILLE MD 20849 521196226 501(c)(3) 11676 Subaward NATIONAL LEAGUE OF CI 1301 PENNSYLVANIA VVENUE NW WASHINGTON DC 20004 526055762 501(c)(3) 52923 Subaward MEDSTAR HEALTH RESEARCH 6525 BELCREST ROAD HYATTSVILLE MD 20782 526056274 501(c)(3) 25549 Subaward EAST CAROLINA UNVERSITY 2200 S CHARLES BLVD GREENVILLE NC 27858 566000403 501(c)(3) 15413 Subaward UNIVERSITY OF N CAROLINA CB 13501 CHAPEL HILL NC 27599 566001393 501(c)(3) 173268 Subaward EMORY UNIVERSITY 1762 CLIFTON RD SUITE 1400 ATLANTA GA 30322 580566256 501(c)(3) 175715 Subaward GEORGIA STATE UNIVERS 33 GILMER STREET ATLANTA GA 30303 586002050 115 27221 Subaward VANDERBILT UNIVERSITY GIFT PROCESSING VU STATION B 3577 NASHVILLE TN 37235 620476822 501(c)(3) 107982 Subaward ARKANSAS CHILDREN'S H 800 MARSHALL SLOT 512 LITTLE ROCK AR 72202 710694931 501(c)(3) 42859 Subaward SEATTLE BIOMEDICAL RE 307 WESTLAKE AVE N STE 500 SEATTLE WA 98109 910961784 501(c)(3) 210363 Subaward UNIVERSITY OF WASHING BOX 359505 GIFT SERVICES SEATTLE WA 98195 916001537 115 61754 Subaward UNIVERSITY OF CALIFOR 500 PARNASSUS AVE MU 200-W SAN FRANCISCO CA 94143 946036493 501(c)(3) 17835 Subaward REGENTS OF THE U OF C 2760 FIFTH AVENUE SAN DIEGO CA 92103 956006144 501(c)(3) 42262 Subaward UNIVERSITY HEALTH NET 140 ELLINGTON ST LONGMEADOW MA 01106 986000971 501(c)(3) 11179 Subaward UNIVERSITY OF MARYLAND (UMBF) PO BOX 41428 Baltimore Foundation BALTIMORE MD 21203 311678679 501(c)(3) 10194 Subaward 68 5 SCHEDULE I, PART I, LINE 2 BOSTON MEDICAL CENTER MONITORS ALL SPONSORED PROGRAM GRANTS UTILIZING INTERNAL ELECTRONIC TRACKING SYSTEMS. DEPARTMENT STAFF MONITOR THE SYSTEM. GRANTS ADMINISTRATION WORKS CLOSELY WITH THE DEPARTMENT STAFF TO ENSURE THAT EXPENDITURES ARE APPROPRIATE AND ALLOWABLE PER THE AWARD CONTRACT AND NOTICE OF GRANT AWARD. X false true X X X X X X false true false false false false false true false KAREN H ANTMAN MD TRUSTEE 0 731500 0 0 0 69554 0 35255 0 682 0 836991 0 0 david L coleman md TRUSTEE 0 449282 0 0 0 212961 0 35255 0 2317 0 699815 0 0 BOB BIGGIO VP FACILITY 314252 0 66523 0 10133 0 33950 0 34802 0 459660 0 5400 0 RAVIN DAVIDOFF SR VP MED AFFAIRS/CMO 457602 0 95589 0 23428 0 50610 0 33357 0 660586 0 16142 0 STANLEY HOCHBERG SR. VP Qlty, Safety, and Tech 412219 0 75469 0 36378 13250 24102 561418 0 15333 NORMAN STEIN SVP CHIEF DEVELOPMENT OFFICER 364634 0 76062 0 11445 0 48278 0 7512 0 507931 0 7903 0 THOMAS TRAYLOR VP OF FED, STATE, LOCAL PROG 439402 0 80807 0 26057 0 39952 0 34363 0 620581 0 13972 0 DAVID BECK SVP/CHIEF LEGAL COUNSEL/CLERK 375145 77781 4386 43250 21175 521737 1333 RICHARD SILVERIA SVP FIN/CFO/TREAS 501057 0 104391 0 23642 0 48750 0 32997 0 710837 0 16342 0 KATHLEEN E WALSH PRESIDENT/CEO 1012006 0 286563 0 112049 0 91925 0 5207 0 1507750 0 50875 0 GERARD DOHERTY MD TRUSTEE 0 438369 0 0 0 545964 0 35255 0 71428 0 1091016 0 0 Alastair Bell SVP Ops & Strtgy/COO 539750 0 118719 0 2778 0 49850 0 3200 0 714297 0 0 0 Joe Camillus VP Ambulatory Optn & Prof Svcs 293296 0 61406 0 2695 0 31283 0 30662 0 419342 0 0 0 Cindy Charylulu VP Revenue Cycle 279289 0 58336 0 2583 0 22800 0 22032 0 385040 0 0 0 JohN Lindstedt VP Finance 275798 0 51211 0 2583 0 41350 0 25522 0 396464 0 0 0 Nancy Gaden SVP Chief Nursing Officer 351057 0 73687 0 2778 0 34100 0 32997 0 494619 0 0 0 Lisa Kelly-Croswell SVP CHRO 374616 0 81056 0 2778 0 37470 0 9441 0 505361 0 0 0 SCHEDULE J, PART I, LINE 1A AND 1B UNDER THE TERMS OF HER EMPLOYMENT AGREEMENT, THE ORGANIZATION'S PRESIDENT AND CEO RECEIVED REIMBURSEMENT FOR CERTAIN 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. A MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AU 042456011 57586ELD1 2009-08-14 101485000 CURRENT REFUNDING OF SERIES M3-B false false true B MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 57583URP5 2012-06-14 117490498 REFUNDING OF PRIOR BONDS true false false C MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 57583U6Q6 2015-04-08 167471151 FIN PROJ/ FUND RES, PAY ISSUE COST false false false D MASSACHUSETTS DEVELOPMENT FINANCE AUTHORITY 043431814 57584XWT4 2016-09-22 203977951 FIN NEW PROJ/ADV REFUND PRIOR BOND false false false A 4481542 0 13688734 90235 0 0 0 0 0 0 13688734 0 true false true true B 21585000 44875000 117498730 5206513 0 0 1684889 0 0 0 115813841 0 true false false true C 0 0 168042685 15283542 226325 0 2007035 0 0 130976407 201311 19348065 false false false true D 0 0 206332522 0 0 175404988 1195875 0 0 0 0 29731658 false true false true A false true true false 0 false false true B 0 C true true true true true 0 false false true D true true true true true 0.00400 0.00400 false false true A false false true true true false 0 false 0 false true B false true false false false false 0 true AIG MATCHED FUNDING 27.19 true true C false true false false false false 0 false 0 false true D false true false false false false 0 false 0 true true A true B true C true D true 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. ANAESTHESIA ASSOCIATES OF MA SEE PART V 8650495 MEDICAL SERVICES false HANNAH LEAVER DAUGHTER OF TRUSTEE 143541 EMPLOYMENT AGREEMENT false SCHEDULE L, PART IV, LINE 1 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. X 7 10845 DONOR ESTIMATE X DONOR ESTIMATE X 9145 DONOR ESTIMATE X 13 1132923 proceeds of stock X 15 3559 DONOR ESTIMATE X 35 2034 DONOR ESTIMATE X Jewelry 4 1082 DONOR ESTIMATE X GIFT CERTIFICATES & TKTS 158 81282 DONOR ESTIMATE X TRAVEL 40 43061 DONOR ESTIMATE X Toys 6 750 DONOR ESTIMATE 0 false true false SCHEDULE M, PART I, COLUMN (B) THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. 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) BOSTON MEDICAL CENTER HEALTH PLAN INC 529 Main St Suite 500 Charlestown MA 02129 043373331 INSURANCE MA 501(c)(3) 11 A-I BMCHS true UNIVER DEVELOPMENT FOUNDATION INC 88 EAST NEWTON STREET BOSTON MA 02118 043101957 REAL ESTATE MA 501(c)(3) 11 A-I BMC true BMC INSURANCE CO LTD OF VERMONT 126 College Street BURLINGTON VT 05401 201810549 INSURANCE VT 501(c)(3) 11 A-I BMC 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 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 true BU RADIATION ONCOLOGY INC 1 BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 810716773 HEALTHCARE MA 501(c)(3) IIC III-FI N/A false THE BOSTON HEALTHNET CORPORATION 660 HARRISON AVENUE 3RD FLOOR BOSTON MA 02118 043279836 SUPPORT SVCS. MA 501(C)(3) 11-BII NA false BMC NAB BUS TR 85 CONCORD ST BOSTON MA 02118 266368869 PROPERTY MGMT MA BMC RELATED -4648262 121838498 false 0 0.90000 BMC INSURANCE COMPANY LTD 10 MAIN STREET GRAND CAYMAN CJ 980375219 INSURANCE CJ BMC C-CORP 83989445 0.70000 true CHARITABLE REMAINDER TRUST (3) SUPPORT MA BMC TRUST true true true false true true false false false false false false true true true true true true false false BOSTON UNIVERSITY AFFILIATED PHYSICIANS INC M,N,O 1877000 FINANCIAL NEED BMC INSURANCE COMPANY OF VERMONT B 10000000 NET ASSET TRANS BOSTON MEDICAL CENTER HEALTH PLAN INC L 137071000 INSURANCE RATES BMC INSURANCE COMPANY LTD Q 9257648 BOOK BOSTON MEDICAL CENTER HEALTH PLAN INC D 20000000 LINE OF CREDIT BOSTON MEDICAL CENTER HEALTH PLAN INC A 12667 INTERET ON LOC BOSTON MEDICAL CENTER HEALTH PLAN INC Q 206000 FMV