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        <Explanation>FOR THE YEAR ENDED SEPTEMBER 30, 2012, THE ORGANIZATION PAID $178,230 IN MEMBERSHIP DUES TO MEMBER ORGANIZATIONS WHICH MAY ENGAGE IN LOBBYING ACTIVITIES ON BEHALF OF ITS MEMBERS. THEREFORE, A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES.</Explanation>
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      <OtherLiabilities>
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      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PREMIUM DEFICIENCY RESERVE</Description>
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      </OtherLiabilities>
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      <Form990ScheduleJPartIII>
        <Identifier>SCHEDULE J, PART I, LINE 3</Identifier>
        <Explanation>BOSTON MEDICAL CENTER HEALTH PLAN (BMCHP) RELIED ON BOSTON MEDICAL CENTER (BMC), A RELATED ORGANIZATION OF BMCHP, TO ESTABLISH ITS PRESIDENT/CEO'S COMPENSATION. ALL METHODS INCLUDED ON LINE 3 ARE UTILIZED BY BMC TO ESTABLISH THE PRESIDENT/CEO'S COMPENSATION. SCHEDULE J, PART I, LINE 4A IN CONNECTION WITH THE TERMINATION OF THE AGREEMENT BETWEEN THE HARWICH GROUP, LLC AND BMCHP, KAREN FIFER FERRY, FORMER EXECUTIVE DIRECTOR, RECEIVED A SEVERANCE PAYMENT OF $256,500 DURING CALENDAR YEAR 2011. SCHEDULE J, PART I, LINE 4B CERTAIN EXECUTIVES DISCLOSED ON THE BMCHP FORM 990, PART VII AND SCHEDULE J, PART II ARE COMPENSATED BY BMC, A RELATED ORGANIZATION, FOR SERVICES TO BMC. 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/OR 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 68TH BIRTHDAY. THE AMOUNT THAT BECAME VESTED AND WAS PAID TO THOMAS TRAYLOR IN CALENDAR YEAR 2011 WAS $50,757. 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, THE PRESIDENT AND CEO WAS CREDITED A ONE TIME PAYMENT THAT SUBJECT TO CERTAIN CONDITIONS VESTED EFFECTIVE DECEMBER 1, 2011. IN ADDITION, CERTAIN AMOUNTS ARE CREDITED TO PRESIDENT AND CEO'S ACCOUNT EACH YEAR. THESE AMOUNTS ARE SUBJECT TO FORFEITURE AND PAYMENT WILL BE MADE ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE AGREEMENT. THE APPLICABLE ACCRUED AMOUNTS ARE REFLECTED IN SCHEDULE J, PART II, COLUMN C. BMC PROVIDED A NON-QUALIFIED DEFINED BENEFIT PLAN TO CERTAIN EXECUTIVES. THE ESTIMATED ANNUAL INCREASE IN ACTUARIAL VALUE OF $70,485 FOR THOMAS TRAYLOR IS REFLECTED IN SCHEDULE J, PART II, COLUMN C. SCHEDULE J, PART I, LINE 6A BOSTON MEDICAL CENTER HEALTH PLAN PAID COMPENSATION CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION BASED ON THE ACHIEVEMENT OF VARIOUS GOALS. THESE COMPENSATION AMOUNTS ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(II).</Explanation>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>FORM 990, PART I, LINE 1 &amp; PART III, LINE 1</Identifier>
        <Explanation>THE CORPORATION IS ORGANIZED AND SHALL OPERATE AS A NONPROFIT CORPORATION EXCLUSIVELY FOR THE BENEFIT OF AND TO SUPPORT BOSTON MEDICAL CENTER CORPORATION AND TO PROVIDE ACCESS TO EFFECTIVE, EFFICIENT MEDICAL CARE AMONG LOW INCOME, UNDERSERVED, DISABLED, ELDERLY AND OTHER VULNERABLE RESIDENTS OF THE COMMUNITY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, LINE 2</Identifier>
        <Explanation>KATHLEEN E. WALSH IS THE PRESIDENT/CEO OF BOSTON MEDICAL CENTER (BMC). CERTAIN INDIVIDUALS LISTED IN PART VII, SECTION A ARE EMPLOYEES OF BMC, A RELATED ORGANIZATION OF BOSTON MEDICAL CENTER HEALTH PLAN, INC. (BMCHP). KAREN ANTMAN, M.D. IS A KEY EMPLOYEE OF BOSTON UNIVERSITY (BU). JAMES M. BECKER, M.D. AND DAVID COLEMAN, M.D. ARE EMPLOYEES OF BU. CERTAIN BOARD MEMBERS OF BMCHP ALSO SERVE ON THE BOARD OF BMC INSURANCE COMPANY, A RELATED ORGANIZATION OF BMCHP.</Explanation>
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      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, LINES 6 &amp; 7</Identifier>
        <Explanation>BMC IS THE SOLE MEMBER OF BMCHP. BMC HAS THE RIGHT TO MAKE DECISIONS ON BEHALF OF BMCHP AND HAS THE RIGHT TO ELECT BMCHP'S TRUSTEES, WHO ALSO SERVE AS BMC'S TRUSTEES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, LINE 11B</Identifier>
        <Explanation>BOSTON MEDICAL CENTER HEALTH PLAN'S (BMCHP) TAX RETURN IS PREPARED BY PRICEWATERHOUSECOOPERS LLP (PWC) AND REVIEWED BY BMCHP'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, BMCHP'S INTERNAL MANAGEMENT AND PWC PRESENT THE FORM 990 TO BMC'S AUDIT COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, LINE 12</Identifier>
        <Explanation>CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2012 WERE DISTRIBUTED BY THE ORGANIZATION'S LEGAL DEPARTMENT. THE CHIEF COMPLIANCE OFFICER QUERIES TRUSTEES AND OFFICERS ON AT LEAST AN ANNUAL BASIS REGARDING RELATIONSHIPS THAT MAY CREATE POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS ALL DISCLOSURES AND DETERMINES WHETHER THERE ARE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER INFORMS THE GENERAL COUNSEL OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE GENERAL COUNSEL ADVISES THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION ACCORDINGLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, LINE 15A &amp; B</Identifier>
        <Explanation>BOSTON MEDICAL CENTER HEALTH PLAN (BMCHP) RELIED ON BOSTON MEDICAL CENTER (BMC), A RELATED ORGANIZATION OF BMCHP, TO ESTABLISH ITS PRESIDENT/CEO'S COMPENSATION. BMC'S PROCESS FOR DETERMINING COMPENSATION OF ITS TOP MANAGEMENT AND KEY EMPLOYEES INCLUDES PERFORMING STANDARD BENCHMARKING, USING PUBLIC DATA AND SALARY SURVEYS FROM SOURCES INCLUDING MERCER AND THE HAY GROUP, BOTH AT THE TIME OF HIRE AND AGAIN WHEN OTHER THAN STANDARD INCREASES ARE CONSIDERED. DATA COLLECTED ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE CONSISTING OF INDEPENDENT PERSONS AND DELIBERATIONS AND DECISIONS ARE CONTEMPORANEOUSLY SUBSTANTIATED. EFFECTIVE FEBRUARY 27, 2012, SCOTT O'GORMAN BECAME PRESIDENT OF BMCHP AND THE ORGANIZATION FOLLOWED THE ABOVE OUTLINED PROCESS IN DETERMINING HIS COMPENSATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, LINE 19</Identifier>
        <Explanation>OTHER THAN AS REQUIRED BY LAW, BOSTON MEDICAL CENTER HEALTH PLAN DOES NOT MAKE DOCUMENTS PUBLICLY AVAILABLE. HOWEVER, THE RESTATED ARTICLES OF THE ORGANIZATION ARE POSTED ON THE SECRETARY OF THE COMMONWEALTH'S WEBSITE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VII, SECTION A, LINE 1A, # 28, 30, &amp; 31</Identifier>
        <Explanation>SCOTT O'GORMAN - INTERIM EXEC DIRECTOR (10/3/11-2/26/12); PRESIDENT (AS OF 02/27/12) THOMAS TRAYLOR - TREASURER/INTRM EX DIR (UNTIL 10/2/11) LAURIE DORAN - INTERIM CFO (10/3/11-3/21/12); CFO (AS OF 3/22/12) FORM 990, PART XI, LINE 5 CHANGE IN NET UNREALIZED GAIN ON INVESTMENTS $12,804,084 TRANSFER TO AFFILIATE ($50,000,000) _____________ ($37,195,916)</Explanation>
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