BETH ISRAEL DEACONESS MEDICAL CENTER INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: BETH ISRAEL DEACONESS MEDICAL CENTER INC (EIN 04-2103881)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-08-15
IRS object ID: 201132279349304143
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-08-15T16:12:23-05:00	Timestamp
Tax Period End Date	2010-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 BERKELEY STREET	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02116	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	042103881	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Beth Israel Deaconess Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	BETH	NameControl
Phone	6176678000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	330 Brookline Ave	AddressLine1
City	Boston	City
State	MA	State
ZIP Code	02215	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	STEVEN FISHER	Name
Title	Sr VP & CFO	Title
Phone	6176678000	Phone
Date Signed	2011-08-09	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	6174372000	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Steven Fischer	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	330 Brookline Ave	AddressLine1
City	Boston	City
State	MA	State
ZIP Code	02215	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1423293042	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.bidmc.harvard.edu	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1915	YearFormation
State Legal Domicile	MA	StateLegalDomicile
Activity Or Mission Description	Tertiary Care Academic Medical Center	ActivityOrMissionDescription
Nbr Voting Members Governing Body	21	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	10493	TotalNbrEmployees
Total Nbr Volunteers	562	TotalNbrVolunteers
Total Gross UBI	4638135	TotalGrossUBI
Net Unrelated Business Txbl Income	-1972739	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	17994177	ContributionsGrantsPriorYear
Contributions Grants Current Year	19881329	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1182091340	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1260813029	ProgramServiceRevenueCY
Investment Income Prior Year	5423759	InvestmentIncomePriorYear
Investment Income Current Year	9471303	InvestmentIncomeCurrentYear
Other Revenue Prior Year	36282200	OtherRevenuePriorYear
Other Revenue Current Year	52083415	OtherRevenueCurrentYear
Total Revenue Prior Year	1241791476	TotalRevenuePriorYear
Total Revenue Current Year	1342249076	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	19518104	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	29169627	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	577135936	SalariesEtcPriorYear
Salaries Etc Current Year	607759044	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	112175	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	54750	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	8927328	TotalFundrsngExpCurrentYear
Other Expense Prior Year	634310190	OtherExpensePriorYear
Other Expenses Current Year	631568435	OtherExpensesCurrentYear
Total Expenses Prior Year	1231076405	TotalExpensesPriorYear
Total Expenses Current Year	1268551856	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	10715071	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	73697220	RevenuesLessExpensesCY
Total Assets BOY	1308744806	TotalAssetsBOY
Total Assets EOY	1397911482	TotalAssetsEOY
Total Liabilities BOY	766068638	TotalLiabilitiesBOY
Total Liabilities EOY	786723988	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	542676168	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	611187494	NetAssetsOrFundBalancesEOY
Mission Description	Tertiary Care Academic Medical Center	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	825200915	Expense
Revenue	1011915382	Revenue
Description	Clinical - See Schedule O	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	241849000	Expense
Grants	29154627	Grants
Revenue	222400164	Revenue
Description	Research - See Schedule O	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	84407159	Expense
Revenue	26497483	Revenue
Description	Teaching - See Schedule O	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	1151457074	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	1	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	1	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	1	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	1	Gaming
Hospital	1	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	1	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	425	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	10493	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	1	Form8282PropertyDisposedOf
Number Of8282 Filed	1	NumberOf8282Filed
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Form8899 Filed	0	Form8899Filed
Form1098 C Filed	0	Form1098CFiled
Nbr Voting Governing Body Members	21	NbrVotingGoverningBodyMembers
Number Independent Voting Members	16	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	AK	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	AZ	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	CO	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	FL	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	KY	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	ME	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MD	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MI	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MS	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MO	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NH	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NJ	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NM	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NC	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	ND	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OK	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	SC	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	TN	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	UT	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	WA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	6176671414	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	330 Brookline Avenue	AddressLine1
City	Boston	City
State	MA	State
ZIP Code	02215	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Anderson Carol F
Director - BIDMC	5.00	X	0	0	0
Bufferd Allan
Director & Treasurer-BIDMC	5.00	X	0	0	0	X
Chaikof MD PhD Elliot
Dir (Ex-Officio) & CHF SURGERY	60.00	X	0	0	0
CUTLER JOEL
DIRECTOR - BIDMC	5.00	X	0	0	0
HURST MDJAMES M
DIRECTOR - (EX-OFFICIO)	60.00	X	350359	350359	50497		X
JICK DANIEL J
DIRECTOR - BIDMC	5.00	X	0	0	0
KAY STEPHEN B
DIRECTOR - BIDMC	5.00	X	0	0	0
LADD EDWARD
DIR (EX-OFFICIO) - BIDMC	5.00	X	0	0	0
LEVY PAUL F
DIR, PRESIDENT & CEO-BIDMC	60.00	X	906997	0	35249	X
LEWIS HARRIET
DIRECTOR - SECRETARY/CLERK	5.00	X	0	0	0	X
LINDE DOUGLAS T
DIRECTOR - BIDMC	5.00	X	0	0	0
MacDowell Virginia
DIRECTOR - BIDMC	5.00	X	0	0	0
MANNING JACK
DIRECTOR - BIDMC	5.00	X	0	0	0
O'HANLEY RONALD
DIRECTOR - BIDMC	5.00	X	0	0	0
ROSENBERG MDSTUART A
Dir,bidmc;pres/ceo,hmfp	60.00	X	0	737586	61042
RYAN PATRICK T
DIRECTOR - BIDMC	5.00	X	0	0	0
SCHLICHTE HELEN CHIN
DIRECTOR - BIDMC	5.00	X	0	0	0
SILVERMAN LOIS E
DIR (EX-OFFICIO)-BIDMC	5.00	X	0	0	0
TURNBULL CLAYTON
DIRECTOR - BIDMC	5.00	X	0	0	0
WEENER DAVID H
DIRECTOR - BIDMC	5.00	X	0	0	0
ZEIDEL MD MARK L
DIR & CHIEF (MED)-BIDMC	60.00	X	343823	343823	60271
BUEHRENS ERIC P
EXEC VP & COO - BIDMC	60.00		646462	0	57828	X
FISCHER STEVEN
SVP & CFO- BIDMC	60.00		553079	0	43823	X
ARMSTRONG WALTER
SVP CAP FAC - BIDMC	60.00		434986	0	50111		X
MAURER RN MARSHA
SVP CLINICAL OPS - BIDMC	60.00		331493	0	35758		X
SHEEHAN JAYNE
SVP AMBULATORY - BIDMC	60.00		374201	0	37970		X
SUKHATME MDPhD VIKAS P
SVP & CAO - BIDMC	60.00		469804	40853	55425		X
ZANKMAN LISA
SVP HR - BIDMC	60.00		367312	0	38524		X
HALAMKA MD JOHN D
SVP & CMIO - BIDMC	60.00		403842	185361	40210			X
McGOVERN ESQ PATRICIA
SVP GEN COUNSEL - BIDMC	60.00		426097	0	41828			X
LAPING KRISTINE
SVP DEVELOPMENT - BIDMC	60.00		353697	0	38480			X
LIEBMAN JEFFREY H
PRES & CEO - BIDN	60.00		0	372342	34189			X
LEE ALICE
VP BUS & TRANS - BIDMC	60.00		307066	0	38261			X
ANDERSON DIANNE J
FORMER SVP - BIDMC	60.00		283279	0	32647				X
FISCHER MDJOSEF E
FORMER DIR - BIDMC	60.00		297082	0	42882				X
MOELLERING ROBERT C
FORMER - BIDMC	60.00		0	173542	6400				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6849579	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2203866	TotalReportableCompFrmRltdOrgs
Total Other Compensation	801395	TotalOtherCompensation
Number Individuals GT100 K	1025	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	1	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Harvard Medical Faculty Physc at BIDMC
375 Longwood Avenue	Boston	MA	02215	Physician Services	102214577
sodexho
POBOX 905374	charlotte	NC	28207	Food Services	5296366
william a berry & sons inc
99 conifer hill drive	danvers	MA	01923	Construction	4124354
caregroup Incorporated
suite 300 109 brookline avenue	boston	MA	02215	Management Services	4091778
turner construction company
2 seaport lane	boston	MA	022102068	General contractor	3696538

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
Fundraising Events	208391	FundraisingEvents
All Other Contributions	19672938	AllOtherContributions
Noncash Contributions	563263	NoncashContributions
Total Contributions	19881329	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Medicare/Medicaid Pati	900099	575499282	575499282
Other Clinical Patient	541700	436416100	436416100
NIH Funded Research	541700	147910223	147910223
Sponsored Research	541700	74489941	74489941
Graduate Med Education	611710	26497483	26497483

Field	Value	IRS element (for citing)
Total Program Service Revenue	1260813029	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	437390	TotalRevenueColumn
Exclusion	$437,390	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	11295682	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	512670	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	10783012	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	10783012	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	682579	UnrelatedBusinessRevenue
Exclusion	$10,100,433	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	89526812	Securities
Other	2000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	80494899	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	9031913	Securities
Other	2000	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	9033913	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	5155	UnrelatedBusinessRevenue
Exclusion	$9,028,758	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	44153	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	208391	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	32594	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	11559	TotalRevenueColumn
Exclusion	$11,559	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	12190	GrossIncomeGaming
Gaming Direct Expenses	3803	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	8387	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	8387	UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Parking Revenue	812930	18914963	23100	$18,891,863
Outreach Lab (UBIT)	621500	3445890	3445890
Health Club Revenue	900099	329436	29649	$299,787

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	18590168	TotalRevenueColumn
Unrelated Business Revenue	443375	UnrelatedBusinessRevenue
Exclusion	$18,146,793	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	41280457	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1342249076	TotalRevenueColumn
Related Or Exempt Function Income	1260813029	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4638135	UnrelatedBusinessRevenue
Exclusion	$56,916,583	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	29154627	Total
Program Services	29154627	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	15000	Total
Program Services	15000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4245343	Total
Program Services	1678914	ProgramServices
Management And General	2566429	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	506447772	Total
Program Services	466369067	ProgramServices
Management And General	36030019	ManagementAndGeneral
Fundraising	4048686	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	19439886	Total
Program Services	17594293	ProgramServices
Management And General	1670374	ManagementAndGeneral
Fundraising	175219	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	40648253	Total
Program Services	36789108	ProgramServices
Management And General	3492904	ManagementAndGeneral
Fundraising	366241	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	36977790	Total
Program Services	33467176	ProgramServices
Management And General	3177320	ManagementAndGeneral
Fundraising	333294	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	4091778	Total
Management And General	4091778	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	3476044	Total
Management And General	3476044	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	975052	Total
Management And General	975052	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	123250	Total
Management And General	123250	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	54750	Total
Fundraising	54750	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	129269696	Total
Program Services	111377216	ProgramServices
Management And General	15434714	ManagementAndGeneral
Fundraising	2457766	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1935085	Total
Program Services	407334	ProgramServices
Management And General	1524046	ManagementAndGeneral
Fundraising	3705	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	155513386	Total
Program Services	154765622	ProgramServices
Management And General	653847	ManagementAndGeneral
Fundraising	93917	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	67249392	Total
Program Services	61565444	ProgramServices
Management And General	5628935	ManagementAndGeneral
Fundraising	55013	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	425085	Total
Program Services	245677	ProgramServices
Management And General	111903	ManagementAndGeneral
Fundraising	67505	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	636887	Total
Program Services	485235	ProgramServices
Management And General	151225	ManagementAndGeneral
Fundraising	427	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	21847872	Total
Program Services	21847872	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	72513261	Total
Program Services	57896563	ProgramServices
Management And General	14478156	ManagementAndGeneral
Fundraising	138542	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	8091524	Total
Program Services	8078039	ProgramServices
Management And General	13485	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Research	61932880	61932880	0	0
CONTRACTED SERVICES	22350584	21954732	355137	40715
Bad Debt	22161214	22161214	0	0
Miscellaneous	15101636	14400920	579903	120813
uncompensated Care	13614431	13614431	0	0

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	30259378	Total
Program Services	15655710	ProgramServices
Management And General	13632933	ManagementAndGeneral
Fundraising	970735	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1268551856	Total
Program Services	1151457074	ProgramServices
Management And General	108167454	ManagementAndGeneral
Fundraising	8927328	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	415084729	BOY
EOY	507406313	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	37019624	BOY
EOY	40489539	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	130323261	BOY
EOY	130908241	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	8022365	BOY
EOY	8346643	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8555244	BOY
EOY	10040492	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1842895803	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1335162046	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	524337827	BOY
EOY	507733757	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	51822909	BOY
EOY	46006045	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	98194797	BOY
EOY	114683268	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	250000	BOY
EOY	250000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	35134050	BOY
EOY	32047184	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1308744806	BOY
EOY	1397911482	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	142501755	BOY
EOY	148844445	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	46709184	BOY
EOY	64189608	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	453021208	BOY
EOY	432855154	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	123836491	BOY
EOY	140834781	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	766068638	BOY
EOY	786723988	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	380962484	BOY
EOY	438239084	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	116935108	BOY
EOY	126058890	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	44778576	BOY
EOY	46889520	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	542676168	BOY
EOY	611187494	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1308744806	BOY
EOY	1397911482	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	0	Form4720Filed4955Tax
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$123,250	OtherActivitiesAmount
Total Lobbying Expenditures IIB	123250	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i:	Identifier
Return Reference	Explanation of Other Lobbying Activities:	ReturnReference
Explanation	See Schedule O	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	1	AgentTrusteeEtc
Additions During Year	1664809	AdditionsDuringYear
Distributions During Year	1664809	DistributionsDuringYear
Included On FS	0	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	150018022	BeginningOfYearBalance
Contributions	6925291	Contributions
Investment Earnings Or Losses	13662000	InvestmentEarningsOrLosses
Other Expenditures	9916000	OtherExpenditures
End Of Year Balance	160689313	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	148738525	BeginningOfYearBalance
Contributions	9044497	Contributions
Investment Earnings Or Losses	8406000	InvestmentEarningsOrLosses
Other Expenditures	16171000	OtherExpenditures
End Of Year Balance	150018022	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.29000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.71000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	24282879	OtherCostOrOtherBasis
Book Value	24282879	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	305981464	OtherCostOrOtherBasis
Depreciation	228394482	Depreciation
Book Value	77586982	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	503568818	OtherCostOrOtherBasis
Depreciation	260233034	Depreciation
Book Value	243335784	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	288653502	OtherCostOrOtherBasis
Depreciation	232803131	Depreciation
Book Value	55850371	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	720409140	OtherCostOrOtherBasis
Depreciation	613731399	Depreciation
Book Value	106677741	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	507733757	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	Investment through CIP	Description
Book Value	114683268	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	114683268	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
Deferred research income	$8,400,794
Funds Held in Trust	$2,586,410
Funds Managed by others	$6,206,320
Medical Malpractice	$705,000
Post Retirement Benefits	$122,936,257

Field	Value	IRS element (for citing)
Total Of Amounts	140834781	TotalOfAmounts
Total Revenue	1342249076	TotalRevenue
Total Expenses	1268551856	TotalExpenses
Excess Or Deficit For Year	73697220	ExcessOrDeficitForYear
Net Unrealized GL On Investments	12278246	NetUnrealizedGLOnInvestments
Other	-$17,464,140	OtherAmount
Total Adjustments	-5185894	TotalAdjustments
Excess Or Deficit Per FS	68511326	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	1325863000	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	1325863000	RevenueSubtotal
Other Revenues Not Included	16386076	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	16386076	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1342249076	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1262192000	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	1262192000	ExpensesSubtotal
Other Expenses Not Included	6359856	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	6359856	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	1268551856	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	ExplanationExplanation
Part XI, Line 8 - Other Adjustments:	EQUITY INTErest, limited partnership: 15459553. TRANSFER TO AFFILIATE: -1000000. TRANSFER TO AFFILIATE: -13800000. CHANGE IN PENSION FUNDED STATUS: -17743908. K-1 activity: -4353. FDS MANAGED GIFTS: -379786. rounding: 4354.
Part XII, Line 4b - Other Adjustments:	Rent: -512670. temp gifts: 2063458. perm gifts: 2110943. capital contributions: 3314608. fds managed gifts: 379786. restricted realized gains: 3950506. realized gains: 5081407. k-1 activity: 4353. Rounding: -6315.
Part XIII, Line 4b - Other Adjustments:	Rent: -512670. restricted withdrawals: 6601358. restricted investment expense: 270626. rounding: 542.

Schedule F IRS990ScheduleF

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

Accts Actvs Out US Table AcctsActvsOutUSTable (3 entries)

RegionRegion	Number Of OfficesNumberOfOffices	Number Of EmployeesNumberOfEmployees	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
East Asia and the Pacific	7	1	Program Service	Research	228780
Europe	9	0	Program Service	Research	3734425
North America	1	0	Program Service	Research	75802

Field	Value	IRS element (for citing)
Total Number Of Offices	17	TotalNumberOfOffices
Total Number Of Employees	1	TotalNumberOfEmployees
Total Amount Spent	4039007	TotalAmountSpent

Form990 Schedule F Part IV Form990ScheduleFPartIV

Field	Value	IRS element (for citing)
Identifier	Schedule F, Part IV	Identifier
Return Reference	Other Information	ReturnReference
Explanation	See Schedule O	Explanation

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Email Solicitations	X	EmailSolicitations
Phone Solicitations	X	PhoneSolicitations
In Person Solicitations	X	InPersonSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Solicitation Of Govt Grants	X	SolicitationOfGovtGrants
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	1	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

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

Field	Value	IRS element (for citing)
Activity	planned giving	Activity
Fundraiser Control Of Funds	0	FundraiserControlOfFunds
Gross Receipts	2494263	GrossReceipts
Amount Retained By Contractor	54750	AmountRetainedByContractor
Net To Organization	2439513	NetToOrganization

Field	Value	IRS element (for citing)
Total Gross Receipts	2494263	TotalGrossReceipts
Total Retained By Contractors	54750	TotalRetainedByContractors
Total Net To Organization	2439513	TotalNetToOrganization
Licensed States	AK	LicensedStates
Licensed States	AZ	LicensedStates
Licensed States	CO	LicensedStates
Licensed States	FL	LicensedStates
Licensed States	IL	LicensedStates
Licensed States	KY	LicensedStates
Licensed States	ME	LicensedStates
Licensed States	MD	LicensedStates
Licensed States	MA	LicensedStates
Licensed States	MI	LicensedStates
Licensed States	MN	LicensedStates
Licensed States	MS	LicensedStates
Licensed States	MO	LicensedStates
Licensed States	NH	LicensedStates
Licensed States	NJ	LicensedStates
Licensed States	NM	LicensedStates
Licensed States	NY	LicensedStates
Licensed States	NC	LicensedStates
Licensed States	ND	LicensedStates
Licensed States	OH	LicensedStates
Licensed States	OK	LicensedStates
Licensed States	OR	LicensedStates
Licensed States	SC	LicensedStates
Licensed States	TN	LicensedStates
Licensed States	UT	LicensedStates
Licensed States	WA	LicensedStates
Licensed States	WI	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Boston realty advisors	NameOfEvent1
Gross Receipts Event1	130955	GrossReceiptsEvent1
Charitable Contributions Event1	109680	CharitableContributionsEvent1
Gross Revenue Event1	21275	GrossRevenueEvent1
Food And Beverage Event1	11700	FoodAndBeverageEvent1
Other Direct Expenses Event1	3709	OtherDirectExpensesEvent1
Name Of Event2	A reason ride for brain cancer	NameOfEvent2
Gross Receipts Event2	97637	GrossReceiptsEvent2
Charitable Contributions Event2	74759	CharitableContributionsEvent2
Gross Revenue Event2	22878	GrossRevenueEvent2
Rent Facility Costs Event2	5880	RentFacilityCostsEvent2
Food And Beverage Event2	1189	FoodAndBeverageEvent2
Entertainment Event2	349	EntertainmentEvent2
Other Direct Expenses Event2	9767	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	23952	GrossReceiptsOtherEvents
Charitable Contrib Other Events	23952	CharitableContribOtherEvents
Gross Receipts Total	252544	GrossReceiptsTotal
Charitable Contributions Total	208391	CharitableContributionsTotal
Gross Revenue Total Events	44153	GrossRevenueTotalEvents
Rent Facility Costs Total Events	5880	RentFacilityCostsTotalEvents
Food And Beverage Total Events	12889	FoodAndBeverageTotalEvents
Entertainment Total Events	349	EntertainmentTotalEvents
Other Direct Expenses Total Events	13476	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	32594	DirectExpenseSummaryEvents
Net Income Summary	11559	NetIncomeSummary

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	12190	GrossRevenueOtherGaming
Non Cash Prizes Other Gaming	3225	NonCashPrizesOtherGaming
Other Direct Expenses Other Gaming	578	OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming	0	VolunteerLaborOtherGaming
Gross Revenue Total Gaming	12190	GrossRevenueTotalGaming
Non Cash Prizes Total Gaming	3225	NonCashPrizesTotalGaming
Other Direct Expenses Total Gaming	578	OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming	3803	DirectExpenseSummaryGaming
Net Gaming Income Summary	8387	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	MA	StatesWhereGamingConducted
Licensed	1	Licensed
License Suspended Etc	0	LicenseSuspendedEtc
Gaming With Nonmembers	0	GamingWithNonmembers
Member Of Other Entity	0	MemberOfOtherEntity
Percentage Of Gaming Own Facility	0.50000	PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility	0.50000	PercentageOfGamingOthrFacility

Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus

Field	Value	IRS element (for citing)
Business Name Line1	beth israel deaconess legal dept	BusinessNameLine1

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

Field	Value	IRS element (for citing)
Address Line1	330 brookline avenue	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02215	ZIPCode

Field	Value	IRS element (for citing)
Contract With3rd Party For Gam Rev	0	ContractWith3rdPartyForGamRev

Gaming Manager Name Business GamingManagerNameBusiness

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

Field	Value	IRS element (for citing)
Charitable Distrib Required	0	CharitableDistribRequired

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	400.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	25719893	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13064857	DirectOffsettingRevenue
Net Community Benefit Expense	12655036	NetCommunityBenefitExpense
Percent Of Total Expense	0.01020	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	124351822	TotalCommunityBenefitExpense
Direct Offsetting Revenue	101352949	DirectOffsettingRevenue
Net Community Benefit Expense	22998873	NetCommunityBenefitExpense
Percent Of Total Expense	0.01850	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	150071715	TotalCommunityBenefitExpense
Direct Offsetting Revenue	114417806	DirectOffsettingRevenue
Net Community Benefit Expense	35653909	NetCommunityBenefitExpense
Percent Of Total Expense	0.02870	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1612042	TotalCommunityBenefitExpense
Net Community Benefit Expense	1612042	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	87967389	TotalCommunityBenefitExpense
Direct Offsetting Revenue	23907517	DirectOffsettingRevenue
Net Community Benefit Expense	64059872	NetCommunityBenefitExpense
Percent Of Total Expense	0.05140	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11388418	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6306828	DirectOffsettingRevenue
Net Community Benefit Expense	5081590	NetCommunityBenefitExpense
Percent Of Total Expense	0.00410	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	224922256	TotalCommunityBenefitExpense
Net Community Benefit Expense	224922256	NetCommunityBenefitExpense
Percent Of Total Expense	0.18050	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2851860	TotalCommunityBenefitExpense
Net Community Benefit Expense	2851860	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	328741965	TotalCommunityBenefitExpense
Direct Offsetting Revenue	30214345	DirectOffsettingRevenue
Net Community Benefit Expense	298527620	NetCommunityBenefitExpense
Percent Of Total Expense	0.23960	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	478813680	TotalCommunityBenefitExpense
Direct Offsetting Revenue	144632151	DirectOffsettingRevenue
Net Community Benefit Expense	334181529	NetCommunityBenefitExpense
Percent Of Total Expense	0.26830	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	253305	TotalCommunityBuildingExpense
Net Community Building Expense	253305	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	253305	TotalCommunityBuildingExpense
Net Community Building Expense	253305	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense	$5,348,290	BadDebtExpenseAmount
Amount Reimbursed By Medicare	285080310	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	288393879	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-3313569	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
LAZ Parking Ltd
Parking	0.00000	0.00000	0.00000
United Med Systems
Lithotripsy Services	0.00000	0.00000	0.00000
Sodexho Mgmt Serv
Food Services	0.00000	0.00000	0.00000
Propoco
Hsekeep and Patient Trans	0.00000	0.00000	0.00000

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Beth Israel Deaconess Medical Center	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	330 Brookline Ave	AddressLine1
City	Boston	City
State	MA	State
ZIP Code	02215	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	0	RecordsMaintained

Recipient Table RecipientTable (102 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	EIN Of RecipientEINOfRecipient	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	IRC SectionIRCSection
AIDS Action Committee
c/o BIDMC	BOSTON	MA	02215	5000	Support Access to Care for AIDS Patients
ALBERT EINSTEIN COLLEGE OF MEDICINE
C/O BIDMC	BOSTON	MA	02215	280396	Research Sub-Award
Albert Schweitzer Fellowship
330 Brookline Avenue BR	Boston	MA	02215		To support the Schweitzer Fellowship's mission	131982786	84000	FMV	office Space and Operating Expenses
ARGONNE NATIONAL LABORATORY
C/o BIDMC	BOSTON	MA	02215	15425	Research Sub-Award
BIDMCBACH (BIDMC is the fiscal sponsor)
330 Brookline Avenue BR	Boston	MA	02215	40500	Research Sub-Award	131982786
BIOSURFACES
C/O BIDMC	BOSTON	MA	02215	79482	Research Sub-Award
BOSTON MEDICAL CENTER
C/o BIDMC	Boston	MA	02215	69249	Research Sub-Award					501(c)(3)
Boston Private Industry Council
155 Seaport Blvd 11th Floor	Boston	MA	02210	17500	Vocational Development	042879910
Boston Public Health Commission
1010 Mass Ave	Boston	MA	02118	10000	Transportation for Cancer Patients who cannot afford transport to access healthcare	043316655
Boston UniversityBoston University Medical Campus
C/o BIDMC	Boston	MA	02215	137841	Research Sub-Award					501(c)(3)
BRIGHAM AND WOMEN'S HOSPTIAL
C/o BIDMC	Boston	MA	02215	3457422	Research Sub-Award					501(c)(3)
BROAD INSTITUTE
C/o BIDMC	BOSTON	MA	02215	212759	Research Sub-Award
Brookline Mental Health Center
43 Garrsion Road	Brookline	MA	02444	4500	TO create a communications tool addressing the services provided by BMHC		13150	COST	Video Services
Carl J Shapiro Institute for Education and Research
C/O BIDMC	Boston	MA	02215		Medical Education		675000	COST	Office Space and Operating Expenses	501(c)(3)
CARNEGIE MELLON UNIVERSITY
C/o BIDMC	BOSTON	MA	02215	7973	Research Sub-Award					501(c)(3)
Children's Hospital
C/O BIDMC	Boston	MA	02215	2963239	Research Sub-Award					501(c)(3)
CLEVELAND CLINIC FOUNDATION
C/O BIDMC	BOSTON	MA	02215	30206	Research Sub-Award					501(c)(3)
COLUMBIA UNIVERSITY
C/o BIDMC	BOSTON	MA	02215	107327	Research Sub-Award					501(c)(3)
Community Care Alliance LLC
330 Brookline Avenue BR	boston	MA	02215	25000	Access to Healthcare	043441711
CONSUMER QUALITY INITIATIVES INC
C/o BIDMC	BOSTON	MA	02215	25000	Research Sub-Award
Dana Farber Cancer Institute
C/O BIDMC	Boston	MA	02215	2496208	Research Sub-Award					501(c)(3)
DANA FARBER PARTNERS CANCER CARE
C/O BIDMC	Boston	MA	02215	560663	Research Sub-Award					501(c)(3)
Dimock Community Heatlh Center dba New England Hospital
55 Dimock St	Roxbury	MA	02219	637481	Access to Healthcare	043487835
DUKE UNIVERSITY
C/O BIDMC	BOSTON	MA	02215	364741	Research Sub-Award					501(c)(3)
EMORY UNIVERSITY
C/O BIDMC	BOSTON	MA	02215	59812	Research Sub-Award					501(c)(3)
FENWAY COMMUNITY HEALTH
c/o BIDMC	Boston	MA	02215	527914	Research Sub-Award
Fenway Health
1340 Boylston St	boston	MA	02215	786991	Access to Healthcare	042510564
FORSYTH INSTITUTE
c/o BIDMC	boSTON	MA	02215	123337	Research Sub-Award
FriendshipWorks Inc
c/o BIDMC	Boston	MA	02215	10000	Vocational Support -- General Operations/3 Years	043204112
GE GLOBAL RESEARCH
c/o BIDMC	boSTON	MA	02215	172918	Research Sub-Award
GEISINGER CLINIC
c/o BIDMC	bosTON	MA	02215	22660	Research Sub-Award					501(c)(3)
GEORGIA STATE UNIV RESEARCH FOUNDATION
c/o BIDMC	bostON	MA	02215	28223	Research Sub-Award					501(c)(3)
GEORGIA STATE UNIVERSITY
c/o BIDMC	bostON	MA	02215	42672	Research Sub-Award					501(c)(3)
GROUP HEALTH COOPERATIVE
c/o BIDMC	boSTON	MA	02215	25190	Research Sub-Award
HARTFORD HOSPITAL
c/o BIDMC	boSTON	MA	02215	12000	Research Sub-Award					501(c)(3)
HARVARD CLINICAL RESEARCH INST
c/o BIDMC	Boston	MA	02215	1014171	Research Sub-Award					501(c)(3)
HARVARD PILGRIM HEALTH CARE INC
c/o BIDMC	Boston	MA	02215	24715	Research Sub-Award					501(c)(3)
HEALTH RESEARCH ASSOCIATION
c/o BIDMC	bostON	MA	02215	32616	Research Sub-Award
HEBREW REHABILITATION CENTER
c/o BIDMC	Boston	MA	02215	283880	Research Sub-Award
Hospitality Homes
c/o BIDMC	bosTON	MA	02215	10000	Community Support
Hyde Square Task Force Inc
c/o BIDMC	boSTON	MA	02215	6000	Community Support
IMEC America
c/o BIDMC	boSTON	MA	02215		To support the provision of Healthcare to those who might otherwise not receive it		131596	Fair Market Value	Medical Equipment and Supplies
INDIANA UNIVERSITY
c/o BIDMC	boSTON	MA	02215	3949	Research Sub-Award					501(c)(3)
INVICROLLC
c/o bIDMC	Boston	MA	02215	22800	Research Sub-Award
Jewish Vocational Services
333 Nahanton St	Newton Center	MA	02459	45000	English as a Second Language for Staff	042104357
JOHNS HOPKINS
c/o biDMC	bosTON	MA	02215	121424	Research Sub-Award					501(c)(3)
Joseph M Smith Community Health Center
287 Western Ave	Allston	MA	02134	233303	Access to Healthcare	237221597
JOSLIN DIABETES CENTER
c/o BIDMC	Boston	MA	02215	714788	Research Sub-Award					501(c)(3)
Kit Clark Senior Services
c/o BIDMC	bosTON	MA	02215	47500	Access to Healthcare	460516856
LAHEY CLINIC
c/o BIDMC	bosTON	MA	02215	5000	Research Sub-Award					501(c)(3)
Mass League of Community Health Centers
c/o BIDMC	boston	MA	02215	11875	Access to Healthcare	042507409
MASSACHUSETTS EYE & EAR INFIRMARY
c/o BIDMC	Boston	MA	02215	9897	Research Sub-Award					501(c)(3)
MASSACHUSETTS GENERAL HOSPITAL
c/o BIDMC	Boston	MA	02215	2238274	Research Sub-Award					501(c)(3)
MASSACHUSETTS INSTITUTE OF TECHNOLOGY
c/o BIDMC	bostON	MA	02215	606907	Research Sub-Award					501(c)(3)
MCLEAN HOSPITAL
c/o BIDMC	bostON	MA	02215	246782	Research Sub-Award					501(c)(3)
MEDICAL COLLEGE OF WISCONSIN
c/o BIDMC	boston	MA	02215	6750	Research Sub-Award					501(c)(3)
MEDICAL UNIVERSITY OF SOUTH CAROLINA
c/o BIDMC	boSTON	MA	02215	84105	Research Sub-Award					501(c)(3)
MEMORIAL SLOAN KETTERING CANCER CENTER
c/o BIDMC	bostON	MA	02215	306976	Research Sub-Award					501(c)(3)
MICHIGAN STATE UNIVERSITY
c/o BIDMC	boston	MA	02215	19665	Research Sub-Award					501(c)(3)
NATIONAL INSTITUTES OF ALLERGY
c/o BIDMC	boSTON	MA	02215	491261	Research Sub-Award
NORTH SUFFOLK MENTAL HEALTH ASSOC
c/o BIDMC	Boston	MA	02215	25671	Research Sub-Award
ON DIAGNOSTICS LLC
c/o BIDMC	boSTON	MA	02215	69441	Research Sub-Award
Outer Cape Health Services
PO Box 1944	No Eastham	MA	02651	147371	Access to Healthcare	042509828
PARTNERS HEALTHCARE
c/o BIDMC	Boston	MA	02215	476675	Research Sub-Award					501(c)(3)
PENNINGTON BIOMEDICAL RESEARCH CENTER
c/o BIDMC	boSTON	MA	02215	37650	Research Sub-Award
PHILLIPS RESEARCH NA
c/o BIDMC	boSTON	MA	02215	37605	Research Sub-Award
PRESIDENT & FELLOWS OF HARVARD COLLEGEHarvard Medical School
c/o BIDMC	bosTON	MA	02215	1432958	Research Sub-Award					501(c)(3)
PUGET SOUND BLOOD CENTER
c/o BIDMC	bosTON	MA	02215	96825	Research Sub-Award
REGENTS OF THE UNIVERSITY OF CALIFORNIA
c/o BIDMC	boston	MA	02215	157432	Research Sub-Award					501(c)(3)
REGENTS OF THE UNIVERSITY OF MICHIGAN
c/o BIDMC	bostON	MA	02215	371862	Research Sub-Award					501(c)(3)
SALK INSTITUTE OF BIOLOGICAL STUDIES
c/o BIDMC	bostoN	MA	02215	119618	Research Sub-Award
Sidney Borum Jr Health Services
130 Boylston St	BOston	MA	02116	87761	Access to Healthcare	042526357
SIEMENS CORPORATE RESEARCH INC
c/o BIDMC	boSTON	MA	02215	273861	Research Sub-Award
Sociedad Latina
c/o BIDMC	BOSTON	MA	02215	6000	Medical Escort Program Sponsorship
South Cove Community Health Center
145 South Street	BOston	MA	02111	755049	Access to Healthcare	042501818
Spaulding Rehabilitation Hospital
c/o BIDMC	Boston	MA	02215	30529	Research Sub-Award					501(c)(3)
The Boston Center for Community and Justice
c/o BIDMC	BOston	MA	02215	5000	Community Support
THE EMMES CORPORATION
c/o BIDMC	bosTON	MA	02215	44461	Research Sub-Award
TRUSTEES OF DARTMOUTH COLLEGE
c/o BIDMC	bostON	MA	02215	18372	Research Sub-Award					501(c)(3)
Tufts University Tufts Medical Center
c/o BIDMC	BOston	MA	02215	400711	Research Sub-Award					501(c)(3)
U C REGENTS of California San Francisco
c/o BIDMC	bosTON	MA	02215	229472	Research Sub-Award					501(c)(3)
UNIV OF NORTH CAROLINA AT CHAPEL HILL
c/o BIDMC	boSTON	MA	02215	97917	Research Sub-Award					501(c)(3)
UNIV OF TEXAS MEDICAL BRANCH GALVESTON
c/o BIDMC	boSTON	MA	02215	10953	Research Sub-Award					501(c)(3)
UNIVERSITY OF CALIFORNIA AT SAN DIEGO
c/o BIDMC	bosTON	MA	02215	422313	Research Sub-Award					501(c)(3)
UNIVERSITY OF ALABAMA
c/o BIDMC	bosTON	MA	02215	7380	Research Sub-Award					501(c)(3)
UNIVERSITY OF COLORADO AT DENVER
c/o BIDMC	bosTON	MA	02215	21894	Research Sub-Award					501(c)(3)
UNIVERSITY OF CONNECTICUT
c/o BIDMC	boSTON	MA	02215	273780	Research Sub-Award					501(c)(3)
UNIVERSITY OF FLORIDA BOARD OF TRUSTEES
c/o BIDMC	bosTON	MA	02215	56895	Research Sub-Award					501(c)(3)
University of Massachusetts Univ of Massachusetts Medical School
c/o BIDMC	bosTON	MA	02215	531288	Research Sub-Award					501(c)(3)
UNIVERSITY OF MIAMI
c/o BIDMC	boSTON	MA	02215	2250	Research Sub-Award					501(c)(3)
UNIVERSITY OF NEW MEXICO
c/o BIDMC	boSTON	MA	02215	120407	Research Sub-Award					501(c)(3)
UNIVERSITY OF PITTSBURGH
c/o BIDMC	bosTON	MA	02215	556835	Research Sub-Award					501(c)(3)
UNIVERSITY OF TEXAS SOUTHWESTERN Medical Branch
c/o BIDMC	boSTON	MA	02215	580784	Research Sub-Award					501(c)(3)
UNIVERSITY OF VERMONT
c/o BIDMC	bosTON	MA	02215	601902	Research Sub-Award					501(c)(3)
UNIVERSITY OF WASHINGTON
c/o BIDMC	bOSTON	MA	02215	271132	Research Sub-Award					501(c)(3)
Various Indigent Patients -- Medication via Free Care Pharmacy
c/o BIDMC	bosTON	MA	02215		To provide prescription medications to those who cannot afford to purchase them		121201	Cost	Medication
VAR PATIENTS UNABLE TO PAY -- APT FOR BONE MARROW TRANSPLANT PATIENTS
400 Brookline Ave	BOston	MA	02215		sterile housing for bone marrow trans patients		117819	Fair Market Value	Housing for Bone Marrow Transplant Patients
WAKE FOREST UNIVERSITY BAPTIST MED CTR
c/o BIDMC	boSTON	MA	02215	6750	Research Sub-Award					501(c)(3)
WASHINGTON UNIVERSITY
c/o BIDMC	boSTON	MA	02215	39941	Research Sub-Award					501(c)(3)
WAYNE STATE UNIVERSITY
c/o BIDMC	boSTON	MA	02215	275424	Research Sub-Award					501(c)(3)
WEILL CORNELL MEDICAL COLLEGE
c/o BIDMC	boSTON	MA	02215	492057	Research Sub-Award					501(c)(3)
YALE UNIVERSITY
c/o BIDMC	boSTON	MA	02215	13136	Research Sub-Award					501(c)(3)

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SUPPORT FOR RESEARCH	TypeOfGrant
Number Of Recipients	2	NumberOfRecipients
Amount Of Cash Grant	15000	AmountOfCashGrant

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	1	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	1	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
HURST MDJAMES M
328456	328456	0	0	21903	21903	19102	19102	6146	6146	375607	375607	0	0
LEVY PAUL F
700911	0	120000	0	86086	0	10000	0	25249	0	942246	0	120000	0
ROSENBERG MDSTUART A
0	574291	0	121000	0	42295	0	45938	0	15104	0	798628	0	0
ZEIDEL MD MARK L
324322	324322	0	0	19501	19501	22206	22206	7930	7929	373959	373958	0	0
BUEHRENS ERIC P
524912	0	69600	0	51950	0	6640	0	51189	0	704291	0	69600	0
FISCHER STEVEN
436677	0	47087	0	69315	0	5784	0	38039	0	596902	0	47087	0
ARMSTRONG WALTER
345997	0	30475	0	58514	0	2708	0	47403	0	485097	0	30475	0
MAURER RN MARSHA
258773	0	15609	0	57111	0	5517	0	30241	0	367251	0	15609	0
SHEEHAN JAYNE
282954	0	31550	0	59697	0	9061	2352	28909	0	412171	2352	31550	0
SUKHATME MDPhD VIKAS P
388950	33822	48300	4200	32554	2831	34590	3008	12623	1098	517017	44959	0	0
ZANKMAN LISA
258536	0	32234	0	76542	0	3691	0	34833	0	405836	0	32234	0
HALAMKA MD JOHN D
304076	185361	40307	0	59459	0	6405	0	33806	0	444053	185361	40307	0
McGOVERN ESQ PATRICIA
298831	0	41852	0	85414	0	4311	0	37517	0	467925	0	41852	0
LAPING KRISTINE
270891	0	36214	0	46592	0	3750	0	34730	0	392177	0	36214	0
LIEBMAN JEFFREY H
0	283320	0	30080	0	58942	0	4000	0	30189	0	406531	0	30080
LEE ALICE
211855	0	28807	0	66404	0	5120	0	33141	0	345327	0	0	0
ANDERSON DIANNE J
186407	0	32900	0	63972	0	4375	0	28272	0	315926	0	32900	0
FISCHER MDJOSEF E
265414	0	0	0	31668	0	16171	0	26711	0	339964	0	0	0
MOELLERING ROBERT C
0	157824	0	0	0	15718	0	0	0	6400	0	179942	0	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES
042456011	57586CDK8	2004-08-12	187125000	SEE SCH O	0	0
MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES
042456011	57586C3S2	2008-06-09	377527010	SEE SCH O	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount DefeasedAmountDefeased	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount In Reserve FundAmountInReserveFund	Amount UnspentAmountUnspent	Capital ExpendituresCapitalExpenditures
187125000	177336630	9788370	1	0	1	1
377527010	204075167	3929290	1	0	0	1	29870999	38496027	121464123

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	1	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	1	MngmentCntrctBondFinancdPrprty
Any Research Agreements	1	AnyResearchAgreements
Bond Counsel Routinely Engaged	0	BondCounselRoutinelyEngaged
Percentage Of Prvt Business Re UBI	0.00700	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00700	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	0	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	1	0	0	0	0
0	0	0	0	0	0

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
CRICORMF
DIRECTORS	22806986	SCH O	0
PATTI ROSENBERG
FAMILY MEMBER	210404	SCH O	0
SUSAN FREEDMAN MD
FAMILY MEMBER	255677	SCH O	0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	16	NumberOfContributions
Noncash Contribs Rptd F990	1896	NoncashContribsRptdF990
Method Of Determining Revenues	Sales Price	MethodOfDeterminingRevenues

Books And Publications BooksAndPublications

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	145	NoncashContribsRptdF990
Method Of Determining Revenues	Sales Price	MethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	27	NumberOfContributions
Noncash Contribs Rptd F990	563263	NoncashContribsRptdF990
Method Of Determining Revenues	Sales Price	MethodOfDeterminingRevenues

Collectibles Collectibles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	2	NumberOfContributions
Noncash Contribs Rptd F990	753	NoncashContribsRptdF990
Method Of Determining Revenues	Sales Price	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	EVENT REFRESHMENTS	1	0	N/A
X	Med Sup & Equip	3	0	N/A
X	JEWELRY	7	607	SALES PRICE
X	LUGGAGE	2	615	SALES PRICE

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	1	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	Third Party Use:	Identifier
Return Reference	Part I, Line 32b:	ReturnReference
Explanation	SEE SCHEDULE O	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (27 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section A, line 2	SEE SCH. O
Form 990, Part VI, Section A, line 6	SEE SCH. O
Form 990, Part VI, Section A, line 7b	SEE SCH. O
Form 990, Part VI, Section B, line 11	The Form 990 is reviewed by the Chief Financial Officer of Beth Israel Deaconess Medical Center (BIDMC), the Tax Director of CareGroup, which is the Member of BIDMC and Deloitte Tax, LLP. The complete Form 990 is presented to the Audit Committee of BIDMC for review and discussion. A copy of the complete return is then provided to each member of the Board of Directors of the filing entity prior to submission to the Internal Revenue Service.
Form 990, Part VI, Section B, line 12c	SEE SCH. O
Form 990, Part VI, Section B, line 15	SEE SCH. O
Form 990, Part VI, Section C, line 19	The governing documents, Conflict of Interest Policy and Financial Statements are available to the general public upon request at the following location: Beth Israel Deaconess Medical Center Offices 330 Brookline Avenue Boston, MA 02215
FORM 990, PART XI, LINE 2C	THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW OR COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.
Part III - Statement of Program Service Accomplishments	To provide extraordinary care, where the patient comes first, supported by world-class education and research. The mission of the Beth Israel Deaconess Medical Center is to serve our patient compassionately and effectively, and create a healthy future for them and their families. Our mission is supported by our commitment to personalized, excellent care for our patients; a workforce committed to individual accountability, mutual respect and collaboration; and a commitment to maintaining our financial health. Line 4 - Description of the Three Largest Program Services Line 4a - Patient Care Beth Israel Deaconess Medical Center is passionate about leading-edge patient care. Our patients can be confident they are receiving treatments that are today's gold standard of care - or innovative therapies that will become the gold standard of tomorrow. We have developed six major comprehensive care centers that allow physicians and clinical staff from multiple disciplines - such as medicine, surgery, pathology, radiology, oncology, social work, and more - to work together so that our patients are receiving the most coordinated, comprehensive care possible. These centers include a Cancer Center, a Cardiovascular Institute, a Chest Disease Center, a Digestive Disease Center, a Spine Center, and a Transplant Institute. Other notable areas where we are leading the way in patient care include vascular services for patients with diabetes complications, a center for minimally invasive surgery, a state-of-the-art emergency room and level one trauma center, ahead of the curve imaging systems, care for the most routine pregnancies to the most complex, and the first center in New England to offer a dynamic new noninvasive radiation therapy. Some of the Medical Center's key statistics for FY 2010 regarding patient volume are identified in the following table: Inpatient Discharges 41,864 Outpatient Statistics Clinic encounters 537,014 Emergency Deparment visits 55,771 Radiology exams 197,650 Ambulatory Surgery cases 13,249 Radiation Therapy treatments 20,172 Charity Care The Medical Center provides care without charge or at amounts less than its established rates to patients who meet certain criteria under its charity care policy. Because the Medical Center does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue except to the extent reimbursed by the Massachusetts Health Safety Net Trust (Health Safety Net Trust). The Medical Center also makes payments to the Health Safety Net Trust to support the delivery of charity care to patients throughout Massachusetts. These payments are reported as a component of uncompensated care expense in the consolidated statements of operations. The Medical Center's net cost of charity care, including care for emergent services provided to non-paying patients and including payments to and receipts from the Health Safety Net Trust, was $12,656,000 in 2010: Charity Care, at cost 16,353,000 Payments to Health Safety Net Trust 9,278,000 Payments from Health Safety Net Trust (12,975,000) Net Charity Care 12,656,000 Other Uncompensated Care The Medical Center also provides care to patients who participate in other programs designed to support low income families, including particularly the Medicaid program, which is jointly funded by federal and state governments. The Massachusetts Health Reform Law provided an initiative for expansion of Medicaid coverage to greater populations and for enrollment of uninsured patients in other insurance programs. Payments from Medicaid and other programs which insure low income populations do not cover the cost of services provided. In aggregate, the cost of care provided by the Medical Center for such services exceeded reimbursement by $22,999,000 in 2010. The Medical Center also treats patients who participate in the Medicare program, the federally sponsored health insurance program for elderly or disabled patients. Because payments to hospitals have not kept pace with inflation in recent years, payments to the Medical Center for those services also do not cover the costs of services provided. In aggregate, the cost of care provided by the Medical Center for such services exceeded reimbursement by $4,047,000 in 2010. As also disclosed in this Form 990 Schedule H, Hospitals, reporting community benefits and charity care, this amount is comprised of $733,373 related to the provision of subsidized health services for inpatient psychiatric patients and $3,313,569 for all other Medicare covered clinical services. Bad Debts In addition to charity care and shortfalls in providing services to patients insured under state and federal programs, the Medical Center also incurs losses related to self pay patients who fail to make payments for services or insured patients who fail to pay coinsurance or deductibles for which they are responsible under insurance contracts. Bad debt expense is included in uncompensated care expense in the consolidated financial statements, and includes the provision for accounts anticipated to be uncollectible. The estimated cost of providing such services was approximately $5,348,000 in 2010 as also disclosed in this Form 990 Schedule H, Hospitals, reporting community benefits and charity care. Line 4b - Research The mission of Beth Israel Deaconess Medical Center is to be a world-class research institution where outstanding scientists work to develop new knowledge for the betterment of the health of our local and extended communities. The research program strives to be renowned for its bench-to-bedside model of translational research and for its collaboration with industry as a pathway for transferring the fruits of research into products that improve the quality of life. We commit to maintain a collaborative culture and modern, high-quality facilities, and to take full advantage of the unique relationships that exist among the Harvard Medical School and the Harvard teaching hospitals as well as reaching out and collaborating with nationally recognized and world renowned experts in various fields. BIDMC's notable research accomplishments include consistently being ranked in the top four in National Institutes of Health (NIH) funding among independent hospitals. BIDMC scientists continue to search for improved understanding of diseases and better treatments for patients, which in turn directly impact the lives of our patients and improve BIDMC's patient care. BIDMC investigators lead more than 850 active federal and industry sponsored projects and more than 500 clinical trials. This research is led by 264 principal investigators who are Harvard Medical School Faculty; the key areas of research include vascular biology, molecular imaging, transplantation, signal transduction, cancer biology, metabolic disease, neurobiology, AIDS, and cardiology/cardiac surgery. Our extraordinary faculty has established a culture that is collaborative and oriented toward translating new knowledge into novel medical treatments and patient care. Additional detail is included in Form 990, Schedule H. Line 4c - Teaching Our devotion to teaching, respect for students, and willingness to embrace technological and clinical practice innovation make BIDMC a top choice among medical students and health care professionals. We train hundreds of medical students, interns and residents, as well as professionals in nursing, social work and the allied health sciences. The Medical Center has 9 approved residency programs with over 400 Residents and 31 Clinical Fellow Programs with over 150 Fellows. Staff physicians at BIDMC who hold faculty appointments at Harvard Medical School instruct the doctors of tomorrow through supervision of their daily patient care and a range of interactive learning experiences. The Carl J. Shapiro Institute for Education and Research at Harvard Medical School and BIDMC, a support organization of BIDMC and an integral component of the Center for Education at BIDMC, is both a "think tank" for advancing medical education and a unique training resource. Within the Center, the Carl J. Shapiro Simulation and Skills Center provides high-tech learning experiences on topics ranging from minimally invasive surgery to intensive care, and offers unique opportunities for faculty members to share years of collective experience in mastering the art of science and medicine with their students. It also offers an exceptional opportunity and extension of more traditional methods for medical students and residents to practice and hone their medical and surgical skills. Additional detail is included in this Form 990, Schedule O as it pertains to Schedule H.	Line 1 - Description of Organization's Mission
Part IV, Question 12 and 12A - Statement re Audited Financial Statements	The Boston, MA office of KPMG issued an unqualified opinion on the consolidated audited financial statements of Beth Israel Deaconess Medical Center (BIDMC) and Affiliates for fiscal year ended September 30, 2010. These statements were prepared in accordance with generally accepted accounting principles (GAAP) and included the accounts of BIDMC and its subsidiaries, Medical Care of Boston Management Corporation, d/b/a Affiliated Physicians Group, Beth Israel Deaconess Hospital - Needham, Inc., Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center, Inc., Cardiovascular Management Associates, Inc. and all entities for which these entities serve as Member. Part V, Question 2a Statement re Payroll Beth Israel Deaconess Medical Center (BIDMC) serves as the common pay agent for the following entities for which it also serves as Member or which serve as the BIDMC Member: CareGroup, Medical Care of Boston Management Corp d/b/a Affiliated Physicians Group (APG) and Beth Israel Deaconess Hospital - Needham (BIDN). In accordance with Instructions to the 2009 Form 990, BIDMC is reporting only those Forms W-2 issued to its own employees. Forms W-2 issued by BIDMC as agent for CareGroup, APG and BIDN are reported by those entities as if issued directly by them. Part V, Question 7g Contributions of Intellectual Property Beth Israel Deaconess Medical Center (BIDMC) did not receive any contributions of intellectual property and as such, was not requires to file Form 8899. Part V, Question 7h Contributions of Cars, Boats, Airplanes and Other Vehicles Beth Israel Deaconess Medical Center (BIDMC) did not receive any contributions of cars, boats, airplanes or other vehicles and as such, was not requires to file Form 1098-C Part VI Section A line 2 Business and Family Relationships The following individuals have business relationships which arise from their roles as Officers, Directors and/or Key Employees of Beth Israel Deaconess Medical Center and its affiliated entities: Carol Anderson, Elliott Chaikof, Steven Fischer, James M. Hurst, Stephen B. Kay, Virginia MacDowell, Stuart A. Rosenberg, Mark L. Zeidel, Lois Silverman, Paul F. Levy, Marsha Maurer and Vikas Sukhatme. Part VI Section A line 6 Statement re Members or Stockholders Part VI Section A line 7a Statement re Election of Members of Governing Body Part VI Section A Line 7b Statement re Decision of Governing Body Subject to Approval CareGroup, Inc. serves as the sole Member of BIDMC. According to BIDMC bylaws, CareGroup approves but does not elect members of the governing body. According to BIDMC's bylaws, as sole Member, CareGroup has the following rights: - To approve annual operating and capital budgets; - To approve unbudgeted capital expenditures in excess of five percent (5%) of the most recent approved annual capital budget; - To approve any unbudgeted capital commitment in excess of $20 Million; - To select the independent auditor to examine the financial accounts; - To approve the borrowing or incurrence of debt in any amount, other than (i) for the purpose of securing working capital from a lender approved by the Member and pursuant to then existing loan documentation containing the terms and provisions relating to such borrowing approved by the Member and, (ii) debt incurred in the ordinary course of business which is in the Member approved annual budget; - To approve any voluntary dissolution, merger or consolidation of BIDMC, the sale or transfer of all or substantially all of BIDMC's assets, the creation, acquisition or disposal of any subsidiary or affiliated corporation, or the entering into any joint venture or other partnership arrangements by BIDMC; - The power and authority to initiate and take any of the following actions: any voluntary dissolution, merger or consolidation of BIDMC, the sale or transfer of all or substantially all of BIDMC's assets, the creation, acquisition or disposal of any subsidiary or affiliated corporation, or the entering into any joint venture or other partnership arrangements by BIDMC; - The exclusive power and authority to initiate any bankruptcy or insolvency action on behalf of BIDMC or any of its subsidiaries; and, - Other powers and rights as vested by law. Part VI Section B Line 12c - Explanation of Monitoring and Enforcement of Conflicts Beth Israel Deaconess Medical Center (BIDMC) has a comprehensive Conflict of Interest Policy. In addition, Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center (HMFP) is an integrally related entity to BIDMC and employs the majority of physicians providing patient care at BIDMC. HMFP also has a comprehensive Conflict of Interest Policy. Pursuant to these policies, all Officers, Directors and Key Employees of both BIDMC and HMFP are required to complete an Annual Conflict Disclosure which is designed to require disclosure of any business relationships maintained by Officers, Directors or Key Employees and their immediate family members which may result in a conflict of interest. Pursuant to these policies, many individuals in addition to those reported on the tax returns are required to complete an Annual Conflict Disclosure. For instance, physicians on any Medical Executive Committee or with an administrative role in a department down to a Section Chief are required to disclose annually, and in the case of administrators the group required to disclose annually includes individuals down to the level of a supervisor. In addition, any individual who commences a term as an Officer, Director or Key Employee is required to complete the Annual Conflict Disclosure at the time such position commences. Because of the integral relationship between these entities, many individuals are covered by both the BIDMC and the HMFP Conflict policies and annual disclosure requirement and as such, all annual disclosures are reviewed by either the BIDMC Office of Business Conduct, the HMFP Compliance Oversight Committee, or in cases of overlapping responsibilities, the responses are reviewed by both departments for determination of any potential or actual conflict. Further, for BIDMC the relationship may be referred to the Conflict of Interest Committee, a subcommittee of the Compliance Committee, for review and management. Any activity that requires action under the Conflict of Interest Policy is subject to ongoing review and action through the BIDMC Office of Business Conduct, HMFP Compliance Oversight Committee, and the BIDMC General Counsel's office. Pursuant to the Conflict of Interest Policy, certain activities which could create Conflicts of Interest are prohibited while other types of relationships are permitted, subject to compliance with a plan to require disclosure and recusal, including appropriate documentation in the minutes. CareGroup, Inc. is the sole member of BIDMC. A summary of the Annual Disclosures is provided to the CareGroup Tax Director for review in order to completely and accurately process and complete Form 990 Schedule L, Transactions with Interested Persons.	Statement re Audited Financial Statements
Part VI Section B Line 15a and 15b	Beth Israel Deaconess Medical Center (BIDMC) has a Compensation Committee that is composed of members of the Board of Directors. All members are independent. The Compensation Committee establishes the policies and the compensation structure of the CEO, COO, CFO, Clinical Chiefs of Service, Chief Academic Officer, Chief Information Officer, General Counsel, Sr. Vice Presidents and Vice Presidents The Compensation Committee is responsible for assuring that the total compensation provided to these individuals is fair and reasonable using current and credible market practice information and that it complies with applicable legal and regulatory guidelines. In setting compensation, the Compensation Committee relied upon written compensation surveys/studies produced by an independent compensation consulting firm that regularly assesses executive compensation and benefits of similar organizations. The Compensation Committee met to review the compensation structure of the individuals described above and at that time reviewed the compensation survey prepared by the independent compensation consulting firm. To ensure independence, the Senior Vice President of Human Resources recused herself from discussions and voting related to her own compensation package and from discussions related to the President and CEO's compensation package. The Compensation Committee then voted to approve the compensation arrangements of all individuals described above EXCEPT for the CEO. The compensation package for the CEO voted by the Compensation Committee was submitted to the full Board of Directors for approval. All deliberations were contemporaneously documented in minutes. The compensation of the BIDMC CEO was then also approved by the CareGroup Compensation Committee. CareGroup is the sole member of BIDMC. Subsequent to the vote of the Committee, the outside consulting firm provided a "reasonableness letter" attesting to the independence of the Committee and reasonableness of the executive compensation. Part VI Section C Line 18 The governing documents, Conflict of Interest Policy and Financial Statements are available to the general public upon request at the following location: Beth Israel Deaconess Medical Center Offices 330 Brookline Avenue Boston, MA 02215 Part VII - Detail of Other Revenue Line 11d All other revenue Total UBI Excluded IS Support Services to Affiliates and Others 5,005,370 415,302 4,590,068 Cafetereia 4,235,722 4,235,722 BIDPO recovery 2,452,240 2,452,240 Lexington Health Center 1,535,754 1,535,754 Rebates/royalty 1,304,379 1,304,379 Brandeis Health Services 1,061,539 1,061,539 Gift shop income 770,993 770,993 Miscellaneous Other Revenue 2,224,171 28,073 2,196,098 Line 11d 18,590,168 443,375 18,146,793 Part IX - Detail of Other Expenses Telephone 2,706,874 Postage 1,934,121 Printing 2,439,115 Snow 382,129 Software 6,146,416 Storage 170,172 Minor Med Equip 1,207,714 Food 2,797,789 Membership 863,668 Taxi/Ambulance 1,325,563 Net Assets released from restriction 6,601,358 Miscellaneous 3,654,460 30,259,378 Part XI Question 2b, 2c and 2d - Financial Statements and Committee Oversight As previously reported in this filing, Beth Israel Deaconess Medical Center (BIDMC) is a public charity and a tertiary care academic medical center, exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The financial records of BIDMC are audited each year as part of the BIDMC consolidated audited financial statement process, and for the period covered by this filing the Boston, MA office of KPMG issued an unqualified opinion on these financial statements. This process is monitored and reviewed internally by the BIDMC Audit Committee. Schedule C Part II-B - Description of Lobbying Activities Beth Israel Deaconess Medical Center (BIDMC) engaged in some lobbying efforts on behalf of itself and other affiliated network entities. Additionally, BIDMC pays dues to certain membership organizations, a piece of which may be used by such organizations for lobbying activities on behalf of this institution and other similarly situated organizations. Lobbying costs associated with these combined lobbying activities was $123,250 for the fiscal year ended September 30, 2010. Total lobbying expenditures were minimal and not substantial based on revenues. Schedule D Parts IV and XIV - Custodian Arrangements Beth Israel Deaconess Medical Center (BIDMC) is the sole member of Beth Israel Deaconess Hospital - Needham (BIDN) which is a community hospital exempt under section 501(c)(3) of the Internal Revenue Code of 1986, as amended. BIDN does not maintain its own development staff and instead, as part of the relationship between the entities, the BIDMC development staff solicits and processes contributions for BIDN. Upon receipt, the contributions are deposited into a BIDMC account. At the end of each month the total of the deposits are transferred from BIDMC to BIDN. Schedule D Part V Endowment - Beth Israel Deaconess Medical Center Endowment Fund Under the Medical Center's current long-term investment spending policy, which is within the guidelines specified under Massachusetts state law, 5% of the average of the fair value of qualifying long-term investments applied to a three-year moving average with a one-year lag is appropriated as stated by the donor. During FY 2010 $982,897 was appropriated of which $153,006 was related specifically to free care. In establishing these policies, the Medical Center considered the expected return on its endowment and its programming needs. Accordingly, the Medical Center expects the current spending policy to allow its endowment to maintain its purchasing power and to provide a predictable and stable source of revenue for the annual operating budget. Additional real growth will be provided through new gifts or excess investment return. Schedule F Part IV -- Supplemental Information Grants to entities outside the United States are related to and further Beth Israel Deaconess Medical Center's (BIDMC) mission to improve the health of all patients and to engage in cutting edge research. Fund recipients provide BIDMC with reports documenting use of such funds. Schedule G Part III -- Gaming From time to time Beth Israel Deaconess Medical Center (BIDMC) offers a raffle to raise funds to further the purposes of BIDMCs mission. BIDMC registers annually for the required permit(s) and submits summaries of such activities, and the required fees, to the Commonwealth of Massachusetts. Form 990 Schedule H Part VI Supplemental Information The purpose of this Form 990 Schedule H narrative disclosure, is to help the reader understand in more detail how Beth Israel Deaconess Medical Center (BIDMC or Medical Center) cares for its community by providing Charity Care and Certain Other Community Benefits, as well as Community Building Activities. As demonstrated in this Schedule H, just under 27% of BIDMC's total expenses are incurred in providing Charity Care and Certain Other Community Benefits at Cost. BIDMC prepares an annual Community Benefit Report which is submitted to the Massachusetts Attorney General each year. That filing is available for public inspection at the Attorney General's Office and on their website and at BIDMC upon request. A copy is attached annually to the BIDMC Form 990 filing. There are some differences between the Massachusetts Attorney General definition of Charity Care and Community Benefits and the Internal Revenue Service (IRS) definition of Community Care and Community Benefits. As such, there are variances between this Schedule H disclosure and the report BIDMC filed with the Attorney General's office.	Description of Process to Determine Compensation of the Organizations CEO a
	Charity Care and Certain Other Community Benefits - Charity Care and Means Tested Government Programs Charity Care As reported in the BIDMC consolidated financial statement and in this Form 990 Schedule H, the Medical Center's net cost of charity care, including care for emergent services provided to non paying patients and including payments to and receipts from the Health Safety Net Trust, was $12,656,000 in fiscal year ended September 30, 2010 and has been reported on this Schedule H. See additional information below in this Schedule H narrative. Other Uncompensated Charity Care - Medicaid and Medicare In addition to the charity care reported above, the Medical Center also provides care to patients who participate in other programs designed to support low income families, including particularly the Medicaid program, which is jointly funded by federal and state governments. The Massachusetts Health Reform Law provided an initiative for expansion of Medicaid coverage to greater populations and for enrollment of uninsured patients in other insurance programs. Payments from Medicaid and other programs which insure low income populations do not cover the cost of services provided. During the fiscal period covered by this filing, 15.4% or 181,534 of BIDMC's patient encounters were with Medicaid patients. This translated to $101,352,942 in Medicaid revenue which was less than the cost of care provided by the Medical Center for such services by $22,999,000, as reported on this Schedule H. Medicare is the federally sponsored health insurance program for elderly or disabled patients and BIDMC provides care to patients who participate in the Medicare program. During the fiscal period covered by this filing, 23.4% or 276,243 of BIDMC's patient encounters were with Medicare patients. This translated to $287,749,641. However, because payments to hospitals through this government sponsored program have not kept pace with inflation, revenue collected was less than the cost of services by $4,046,942. Of that amount, $733,373 relates to the provision of inpatient psychiatric care and is reported on this Schedule H as a subsidized health service. Although BIDMC considers the provision of all clinical care to Medicare patients as part of its community benefit, the additional Medicare shortfall of $3,313,569 is not quantified on page 1 of the Schedule H, per the IRS instructions. Rather it has been separately reported in Schedule H Part III as required. Bad Debts In addition to charity care and shortfalls in providing services to patients insured under state and federal programs, the Medical Center also incurs losses related to self pay patients who fail to make payments for services or insured patients who fail to pay coinsurance or deductibles for which they are responsible under insurance contracts. Bad debt expense is included in uncompensated care expense in the consolidated financial statements, and includes the provision for accounts anticipated to be uncollectible. Charges for those services were $22,161,214 during the fiscal period covered by this filing and are reported as Bad Debts on Form 990 Part IX, functional expenses. The estimated cost of providing such services was approximately $5,348,290 in 2010. As required by the instructions to this Form 990 Schedule H, this amount has not been included in the calculation of Charity Care and Certain Other Community Benefits in Schedule H Part I Line 7. Rather it has been separately reported in Schedule H Part III as required. The percentages calculated in Part I Line 7 column f were based on each item of community benefit as required as a percentage of Total Expenses reported in Part IX of this Form 990 decreased by the bad debt expense based on charges also reported in the Part IX of this Form 990. BIDMC - Emergency Care Access BIDMC is the frontline caregiver providing medically necessary care for all people regardless of their ability to pay. The Hospital offers this care for all patients that come to our facility 24 hours a day, seven days a week, and 365 days a year. BIDMC - Credit and Collection Policy Guiding Principles The Hospital assists patients in obtaining financial assistance from public programs and other sources whenever appropriate. To remain viable as it fulfills its mission, the Hospital must meet its fiduciary responsibility to appropriately bill and collect for medical services provided to patients. BIDMC's credit and collection policy is designed to comply with state and federal law and regulations. BIDMC does not discriminate on the basis of race, color, national origin, citizenship, alienage, religion, creed, sex, sexual orientation, disability, or age in its policies or in its application of policies concerning the acquisition and verification of financial information, pre-admission or pre-treatment deposits, payment plans, deferred or rejected admissions, Low Income Patient status as determined by the Massachusetts Office of Medicaid, determination that a patient is low-income, or in its billing and collection practices. BIDMC does not seek legal execution against the personal residence or automobile of patients or guarantors without the express approval of the Hospital's Board of Directors on an individual, case-by-case basis BIDMC - Credit and Collection Policy - Notice of Availability of Financial Assistance and Other Coverage Options Note: BIDMC revised its Credit and Collection Policy after the close of the fiscal period covered by this filing. The disclosures here relate to the policy in effect during the fiscal year ended September 30, 2010. Financial assistance is intended to assist low-income patients who do not otherwise have the ability to pay for their health care services. Such assistance takes into account each individual's ability to contribute to the cost of his or her care. For patients that are uninsured or underinsured, BIDMC will assist them in applying for available financial assistance programs that may cover all or some of their unpaid Hospital bills. The Hospital provides this assistance for both residents and non-residents of Massachusetts; however, there may not be coverage for a Massachusetts Hospitals services through an out-of state program. In order for the Hospital to assist uninsured and underinsured patients find the most appropriate coverage options, patients must actively work with the Hospital's Financial Counselors to verify their financial and other information that could be used in determining eligibility. BIDMC advises patients of their right to (i) apply for MassHealth and Low Income Patient determination and (ii) a payment plan. BIDMC's Financial Clearance Unit (FCU) will assist patients in fulfilling their right to apply for coverage within a financial assistance program including MassHealth, Commonwealth Care, Children's Medical Security Plan, Healthy Start, Medical Hardship through the Health Safety Net, Health Safety Net and/or other financial programs as available and appropriate. BIDMC also will assist uninsured or underinsured patients, when requested or as identified through internal screening procedures, in applying for available financial assistance programs that may cover some or all of their unpaid Hospital bills. In order to help uninsured and underinsured patients find available and appropriate financial assistance programs, the Hospital will provide all patients with a general notice of the availability of programs in both the initial bill that is sent to patients who have a financial liability as well as in general notices that are posted throughout the Hospital. The Hospital will try to identify available coverage options for patients who may be uninsured or underinsured with their current insurance program when the patient is scheduling services, while the patient is in the Hospital, upon discharge, and/or for a reasonable time following discharge from the Hospital. The Hospital will direct all patients seeking information on available coverage options, or those that the Hospital determines may be eligible, to the Hospitals FCU where patient financial counselors can screen patients for eligibility in an appropriate coverage option. The Hospital will then assist the patient in applying for appropriate coverage options that are available to them. When requested, the Hospital will also provide information on how to contact the appropriate staff within the Hospital's finance office to verify the accuracy of the Hospital bill or to dispute certain charges. Contact information is printed on all patient statements. When a patient contacts the Hospital, the Hospital finance staff will notify the patient if they may 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.	CONTINUED
	For cases where the Hospital is using the Virtual Gateway application, the Hospital will assist the patient in completing the application for MassHealth, Commonwealth Care, Children's Medical Security Plan, Healthy Start, Health Safety Net, or other forms of financial assistance programs as they become part of the Virtual Gateway program, which is an internet portal designed by the Massachusetts Executive Office of Health and Human Services in order to provide the general public, medical providers, and community-based organizations with an online application for the programs offered by the Commonwealth. BIDMC - Credit and Collection Policy - Eligibility for Financial Assistance Programs BIDMC provides patients with information about financial assistance programs that are available through the Commonwealth of Massachusetts or other available programs for which the patient may be eligible, which may cover all or some of their unpaid Hospital bill. For patients that request such assistance, the Hospital assists them by screening for eligibility in an available public program and assisting them in applying for the program. These programs include, but are not limited to: MassHealth, Commonwealth Care, Children's Medical Security Plan, Healthy Start, Health Safety Net, and others. It is the patient's obligation to provide the Financial Counselors with accurate and timely information regarding their full name, address, telephone number, date of birth, social security number (if available), current health insurance coverage options, the patient's applicable financial resources, and citizenship and residency information - all to determine if the patient is eligible to apply for certain health insurance programs. If there is no specific coverage for the services provided, the Hospital will use the information to determine if the services may be covered by an applicable program that will cover certain services deemed bad debt. In addition, the Hospital will use this information to discuss eligibility for certain health insurance programs. If the patient or guarantor is unable to provide the necessary information, the Hospital may (at the patient's request) make reasonable efforts to obtain additional information from other sources. This may occur when the patient schedules services, during pre-registration, while the patient is admitted in the Hospital, upon discharge, or for a reasonable time following discharge from the Hospital. Information the Hospital obtains will be maintained in accordance with applicable federal and state privacy and security laws. The screening and application process for a public health insurance program is done through the Virtual Gateway, which is an internet portal designed by the Massachusetts Executive Office of Health and Human Services in order to provide the general public, medical providers, and community-based organizations with an online application for the programs offered by the Commonwealth. The Virtual Gateway manages the application process for the programs listed above, which is available for children, adults, seniors, veterans, homeless, and disabled individuals. In special circumstances, the Hospital may apply for the patient using a specific form designed by the Massachusetts Division of Health Care Finance and Policy. Special circumstances include individuals seeking financial assistance coverage due to being incarcerated, victims of spousal abuse, or applying due to a Medical Hardship. The Hospital specifically assists the patient in completing the application and securing the necessary documentation required by the applicable financial assistance program. Necessary documentation includes proof of: (1) annual household income (payroll stubs, record of social security payments, and a letter from the employer, tax returns, or bank statements), (2) citizenship and identity, and (3) immigration status for non-citizens (if applicable). The Hospital will then submit this documentation to the Commonwealth Office of Medicaid and assist the patient in securing any additional documentation if such is requested by the Commonwealth after completing the application. The Commonwealth places a three day time limitation on submitting all necessary documentation following the submission of the application for a program. Following this three day period, the patient must work with the Commonwealth MassHealth Enrollment Centers to secure the additional documentation needed for enrollment in the applicable financial assistance program. All Virtual Gateway applications are reviewed and processed by the Commonwealth of Massachusetts, Office of Medicaid. Special Circumstance applications are reviewed and approved by the Massachusetts Division of Health Care Finance and Policy. BIDMC has no role in the determination of program eligibility made by the Commonwealth, but at the patient's request may take a direct role in appealing or seeking information related to the coverage decisions. It is still the patient's responsibility to inform the Hospital of all coverage decisions made by the Commonwealth to ensure accurate and timely adjudication of all Hospital bills. BIDMC - Credit and Collection Policy - BIDMC Standard Collection Practices The Hospital has a fiduciary duty to seek reimbursement for services it has provided from individuals who are able to pay, from third party insurers who cover the cost of care, and from other programs of assistance for which the patient is eligible. To determine whether a patient is able to pay for the services provided as well as to assist the patient in finding alternative coverage options if they are uninsured or underinsured, BIDMC has established criteria related to billing and collecting from patients. BIDMC makes the same reasonable effort and follows the same reasonable process for collecting on bills owed by an uninsured patient as it does for all other patients. The Hospital will first show that it has a current unpaid balance that is related to services provided to the patient and not covered by a private insurer or a financial assistance program. BIDMC and/or its agents do not charge interest on an overdue balance for a Low Income Patient or any other patient. BIDMC - Credit and Collection Policy - Outside Collection Agencies BIDMC contracts with outside collection agencies to assist in the collection of certain accounts, including patient responsible amounts not resolved after issuance of Hospital bills or final notices. However, as determined through this credit and collection policy, the Hospital may assign such debt as bad debt or charity care (otherwise deemed as uncollectible) prior to 120 days if it is able to determine that the patient was unable to pay. BIDMC has a specific authorization or contract with its outside collection agencies and requires such agencies to abide by the Hospital's credit and collection policies for debts that the agency is pursuing. All outside collection agencies hired by the Hospital will provide the patient with an opportunity to file a grievance and will forward to the Hospital the results of such patient grievances. The Hospital requires that any outside collection agency that it uses is licensed by the Commonwealth of Massachusetts and that the outside collection agency also is in compliance with the Massachusetts Attorney General's Debt Collection Regulations. BIDMC - Credit and Collection Policy - Exemption from BIDMC Collection Practices BIDMC exempts patients enrolled in a public health insurance program, including but not limited to, MassHealth, Emergency Aid to the Elderly, Disabled and Children, Healthy Start, Children's Medical Security Plan with income equal to or less than 400% FPL, full and partial "Low Income Patients" as determined by the Office of Medicaid, subject to some exceptions, from any collection or billing procedures beyond the initial bill pursuant to state regulations. BIDMC - Credit and Collection Policy - Hospital Financial Assistance Programs The Hospital, pursuant to an internal review of each patient's case, may offer a patient an additional opportunity to settle their bill, which must be authorized by the Hospital's Chief Financial Officer or his designee and takes into consideration the patient's financial situation and the patient's inability to make a payment after reasonable collection actions. Any discount that is provided by the Hospital is consistent with federal and state requirements, and is not based on an effort to induce a patient to receive services from the Hospital or to generate business that is payable by a federal or state program. Such programs include: Prompt Pay Discounts for Uninsured Patients, One Time or Special Circumstance situations and Payment Plans	CONTINUED
	Charity Care and Certain Other Community Benefits - Community Health Improvement Services and Cash and In-Kind Contributions to Community Groups Community Benefits Mission Statement BIDMC is committed to our community. We have a covenant to care for the underserved and to work to change disparities in access to care and to that end the Board of Directors has charged its permanent Community Benefits Committee with authority and oversight of activities to fulfill the mission of Community Benefits. We know that to be successful we need to learn from those we serve. This Community Benefit mission is fulfilled by: - Implementing programs and services in Greater Boston and Outer Cape Cod to improve the current and future health status of medically underserved communities which are challenged by barriers in accessing and interacting effectively with the healthcare system, and impacted by other social determinants of health. - Ensuring that the medical center is welcoming and inclusive, and that all patients receive equitable care that is respectful and culturally responsive; and - Encouraging collaborative relationships with other providers and government entities to support and enhance rational and effective health policies and programs. During the fiscal year covered by this filing, BIDMC provided Community Health Improvement Services and Community Benefit Operations and Cash and In-Kind Contributions to Community Groups of $4,463,902 as reported on this Schedule H Line 7. Community Benefits Process The Board of Directors has charged its permanent Community Benefits Committee with authority and oversight of activities to fulfill the mission of Community Benefits. Specifically, the responsibilities of the Committee are to: "(i) recommend broad guidelines by which the Corporation's programs and policies serve its communities; (ii) make recommendations of policies and priorities with regard to programs that meet the health care needs of its communities; (iii) strengthen the integration of the corporation's community service activities, public health programs and its overall strategic planning efforts; (iv) review, at least annually, the extent and nature of the commitment of resources to programs targeted at improving the current and future health status of surrounding communities; (v) encourage collaborative relationships with other providers and government entities to support and enhance rational and effective public health policies and programs; (vi) discuss public policy issues and relevant legal and regulatory matters related to public health and community benefits and advise the Board of Trustees of the implications for the Corporation; and (vii) educate trustees, staff and the community about how the Corporation addresses its mission to focus on the health needs of its communities." The membership of BIDMC's Community Benefits Committee aspires to be representative of the constituencies and target populations of our programmatic endeavors including those from diverse racial and ethnic backgrounds, age, gender, sexual orientation and gender identity, as well as those from corporate and non-profit community organizations. Senior management is actively engaged in the development and implementation of the Community Benefits plan, ensuring that hospital policies and resources are allocated to support planned activities. It is not only the Board and senior leadership that are held accountable in fulfilling BIDMC's Community Benefits mission. Consistent with the medical center's core values is the recognition that the most successful community benefits programs are those that are implemented organization-wide and integrated into the very fabric of the medical center's culture, policies and procedures. It is not a stand-alone effort that is the responsibility of one staff or department but rather an orientation and value manifested throughout our structure, reflected in how we provide care here at the medical center and in affiliated practices in urban neighborhoods. Providing direction for our collective commitment and effort are the Guiding Principles as described here. Adopted by a broad-based constituency of Board, senior leadership and staff, these principles provide the framework for the execution of the plan, spearheaded by the Director of Community Benefits. The Director of Community Benefits is accountable to the General Counsel and Senior Vice President of Corporate and Community Affairs with direct access to the President/CEO. It is the responsibility of these three senior managers to ensure that Community Benefits is an effort that is addressed by the entire organization and that the needs of underserved populations are considered every day in discussions on resource allocation, policies, and program development. This is the structure and methodology employed to ensure that community benefits is not the purview of one office alone and to maximize the extent to which efforts across the organization are fulfilling the goals of community benefits. BIDMC accomplishes these goals by partnering with our community as follows: - We partner with community leaders and community-based organizations; they serve as links to the community and teachers of how we can better serve the populations they represent. In addition, we collaborate with a wide variety of organizations because healthcare services by themselves are not adequate to maximize improvement of health status. - Improving the community's health requires more than clinical services. We look to public health, prevention, and other health-related approaches not traditionally provided by many acute care hospitals. - Our commitment to the community benefits mission is as fundamental as our commitment to our patient care and academic missions. That is, rather than abandon any of these fundamental missions when budget restraints tempt us, we will constantly seek ways to fulfill all of them in as effective and efficient a manner as possible. - Community benefits programs are most successful when implemented organization-wide. Community benefits cannot succeed as a stand-alone activity. The importance of these principles and the efforts that result must be embraced by trustees, senior management and providers alike, as well as by the communities served. Community Partners The Community Benefits Plan is developed in concert with community partners, based on community self-definition of particular health concerns and issues, and integrated with available data on public health indicators. In most circumstances, our community collaborators are our seven affiliated health centers that collectively serve 90,000 patients in almost 400,000 outpatient visits annually. Seventy providers, working in 14 sites, are credentialed by BIDMC. These centers are: - Bowdoin Street Health Center - The Dimock Center - Fenway Health - Joseph M. Smith Community Health Center - Outer Cape Health Services - Sidney Borum Jr. Health Services - South Cove Community Health Center Through these collaborative partnerships, BIDMC provides annual funding that supports access to community-based primary care and specialty care as well as targeted public health interventions. These funds subsidize services and activities often provided by non-billable personnel such as case managers, interpreters or patient financial assistance representatives - all key staff to support underserved, linguistically and culturally diverse patients who are traditionally disenfranchised and isolated from the health care system. BIDMC provided combined direct grant support of $ 2,678,717 to these Community Health Centers (CHC)s.	CONTINUED
	In turn, each of these community health centers is part of a larger network of community-based health, social service, and resident organizations, facilitating BIDMC's collaboration with these groups. The Diabetes Program at Bowdoin Street Health Center is an excellent example of how this process is successfully implemented. Originally begun as the Community Healthy Heart Partnership to address cardiovascular disease, Bowdoin's providers became increasingly concerned about the co-morbid condition of diabetes. By reconfiguring its chronic disease management program to include a focus on diabetes, Bowdoin established a relationship with the world renowned Joslin Diabetes Center located adjacent to the BIDMC West Campus and was subsequently chosen as one of four health centers to receive $1.2 million to develop "best-practice" models of care for underserved patients with diabetes. The collaboration now includes input from community and specialty care providers (primary care providers from the four health centers and Joslin) as well as patients, community residents, and a funding Foundation that is committed to bringing national resources to improving care for diabetes. Additional stakeholders' voices and resources have subsequently shaped Bowdoin's development of a Healthy Food Equity Strategic Plan to sustain the Farmer's Market and implement a Corner Store Initiative. Other community constituencies are involved in the planning and execution of BIDMC's community benefits programming. As the fiscal agent for Alliance for Community Health, Boston/Chelsea/Revere/Winthrop CHNA (CHNA 19), BIDMC is an active participant in The Boston Alliance for Community Health's strategic planning process. Joining with grass-roots community groups and residents, the Boston Public Health Commission, Massachusetts Department of Public Health, and academic partners, we created a vision for both city-wide and neighborhood-based health improvement planning and action. Another important partnership is BIDMC's involvement with the Faith-Based Cancer Disparities Network. A coalition of nine churches, the Black Ministerial Alliance, the American Cancer Society, and Dana Farber/Harvard Cancer Center (of which BIDMC is a founding member), we are collectively addressing the unequal burden of cancer within communities of color. Community participation is an important operational component in many other medical center venues. The Multicultural Cancer Task Force helps shape the way in which cancer care is delivered in the hospital as well as outreach programming. This year, BIDMC created the HIV/AIDS-Related Cancer Community Advisory Board to guide work in educating community members and providers of newly available clinical and research opportunities to those HIV/AIDS patients who have increased risk and incidence of cancer. We launched a hospital-wide Patient and Family Advisory Council (PFAC), which joins existing PFACs in the Neonatal Intensive Care Unit (NICU), the Intensive Care Unit (ICU), and the Universal Access Council. In all of these groups, there is an intentional, deliberate strategy to ensure our many diverse communities-ethnic, racial, linguistic, physical ability, sexual orientation/gender identity, age, gender-are represented and included. Other community partners with which BIDMC staff join in developing and implementing community benefits health improvement efforts include: ABCD Parker Hill/Fenway Neighborhood Service Center ABCD Health Services AIDS Action Committee Albert Schweitzer Fellowship Program Alcoholics Anonymous American Cancer Society American Heart Association American Parkinson Disease Association, MA chapter American Red Cross American Stroke Association Amigos Atrius/Harvard Vanguard Bird Street Community Center BlueCross BlueShield of MA Body by Brandy Boston Alliance for Community Health Boston Area Rape Crisis Center Boston Center for Youth and Families Boston Climate Change Boston Collaborative for Food and Fitness Boston Emergency Medical Service Boston Natural Areas Network/Youth Conservation Corps Boston Parks Department Boston Police Department Boston Private Industry Council Boston Public Health Commission Boston Public Schools Boston Red Sox Foundation Boston Regional Domestic Violence Providers Boston R.O.C.K.S Out City Program Boston Senior Home Care Boston Urban Asthma Coalition Boston Visiting Nurses Association Bowdoin Street Geneva Avenue Main Streets Program Bowdoin Street Health Center Brookline Health Department Brookline Public Schools Brookline Senior Center B'Smart Buckle Up Boston Bunker Hill Community College Cambridge College Cape Verdean Adult Day Health Program Career Collaborative Children's Hospital Boston College Bound Combined Jewish Philanthropies Commonwealth Corporation Community Care Alliance Community Health Education and Resources (CHERS) Community Partners Health Access Network Cradles to Crayons CVC Unido Conference of Boston Teaching Hospitals Dana-Farber Cancer Institute Dana Farber/Harvard Cancer Center Deaf, Inc. Dorchester Bay Economic Development Corporation Dorchester CARES Dorchester Environmental Health Coalition Dorchester Housing Action Team Dorchester Lead-Safe Yard Project Dorchester Youth Collaborative Ecumenical Social Action Committee EPA New England Evercare Ethos Family Nurturing Program Fenway Health Fenway Community Development Corporation Fenway High School Federated Dorchester Neighborhood House Fitness in the City Friends of Geneva Cliffs Friendship Works Gay Men's Domestic Violence Program Geneva Avenue Working Group GOTCHA (Get Off The Corner Hanging Around) Youth Summer Program GLBT Domestic Violence Coalition Greater Boston Environmental Justice Network Greater Bowdoin/Geneva Neighborhood Association Greater Four Corners Action Collaborative Harmony on the Hill Harvard CATALYST Harvard Cooperative Program on Aging Harvard Medical School Harvard School of Public Health Harvard Pilgrim Health Care Health Care for All Health Resources in Action Healthy Homes Partnership Healthy Weight Initiative Hebrew Senior Life Hospitality Homes Hyde Square Task Force Jamaica Plain Neighborhood Development Corporation Jane Doe, Inc. Jewish Children's and Family Services Jewish Community Housing for the Elderly Jewish Community Relations Council Jewish Domestic Violence Coalition Jewish Vocational Services John D. O'Bryant School of Math and Science Joseph M. Smith Community Health Center Joslin Diabetes Center Kit Clark Senior Services Lead Action Collaborative Leventhal Sidman Jewish Community Center Louis D. Brown Peace Institute March of Dimes Massachusetts Bay Community College Massachusetts Breast Cancer Coalition Massachusetts Comprehensive Cancer Control Coalition Massachusetts Commission for the Deaf and Hard of Hearing Massachusetts Department of Children and Families Massachusetts Department of Health and Human Services Massachusetts Department of Public Health Massachusetts Department of Transitional Assistance Massachusetts Division of Medical Assistance Massachusetts Hospital Association Massachusetts Immigration and Refugee Advocacy Coalition Massachusetts League of Community Health Centers Massachusetts Prostate Cancer Coalition Massachusetts Workforce Investment Board MassCONECT Match-Up Interfaith Volunteers Mattapan Collaborative for Food and Fitness Mayhim Hayyim Medical Academic and Scientific Community Organization, Inc. (MASCO) Mission Hill Main Streets Elder Friendly Business Initiative Mission Hill Youth Collaborative Mission Works Multicultural Coalition on Aging National Parkinson Foundation Neighborhood Diabetes Program Neighborhood Health Plan Newton Senior Center New England Baptist Hospital Northeastern University Operation ABLE Outer Cape Health Services Peterborough Senior Center Project H.O.P.E. Reach Out and Read Rock, Roll & Ride/BCYF Recreation Commission Roxbury Community Alliance for Health Safe Neighborhoods Initiative, Office of the Attorney General SAGE-Boston (Stop Abuse Gain Empowerment) Sexual Assault Nurse Examiner Program Sidney Borum Jr. Health Center Sociedad Latina, Inc. South Cove Community Health Center St. Peter's Teen Center/Catholic Charities Sportsman's Tennis Club Squashbusters Steps to Success Street Safe Suffolk Law School Battered Women's Advocacy Clinic Suffolk County District Attorney's Office Teen Empowerment The Boston Foundation The Dimock Center The Food Project The Network/La Red The Partnership, Inc. The Work Place UMASS Boston, Graduate School of Nursing Uphams Corner WIC Victims Rights Law Center Vietnamese American Civic Association YMCA Black Achiever's Program	CONTINUED
	Target Populations as Listed in the BIDMC Community Benefits Report Target Populations: Low income, medically underserved in Greater Boston and Outer Cape Cod regions; Medically underserved due to access barriers related to sexual orientation, gender identity, race, ethnicity, geographic distance Basis for Selection: Community health needs assessment; public health data available from government (Massachusetts Department of Public Health, Boston Public Health Commission; federal agencies and private resources (foundations, advocacy groups); BIDMC's areas of expertise Key Accomplishments of Reporting Year Supported primary care and OB/GYN practices at the seven affiliated Community Health Centers (CHC) Increased community specialty care services and CHC based pharmacies Strengthened efforts to provide care for diverse patients through Cancer Navigators, Interpreter Services, multilingual patient education and cultural competence initiatives Note: Although BIDMC is a regional and national leader in providing interpreter services to patients to facilitate patient access to care, such expenses have not been included in the calculations on Schedule H per the instructions of this Form. In additional to the community benefits enumerated in this Schedule H, BIDMC incurred $3,043,080 of costs related to the provision of interpreter services to patients. Implemented community-based diabetes chronic disease initiatives Supported two statewide Environmental and Occupational Health and Safety Services Patient-Centered Medical Home pilot projects, including participation of three BIDMC-affiliated CHC sites. Ensured continuity of care for thousands of Aliens with Special Status through the Commonwealth Bridge program Partnered with community organization, residents, and city government to address public health safety issues in Dorchester, Massachusetts Participated in statewide inoculation program for H1N1 pandemic, administering vaccines to thousands of Boston residents, and BIDMC patients, staff and providers and volunteers. Participated in Faith-Based Cancer Disparities Network Launched new Office of Multicultural Affairs to improve recruitment/retention of house staff and faculty and promote cultural competence programs Implemented Bowdoin's Healthy Food Equity Project, including new Healthy Champions project Solidified Parkinson Support Network of Cape Cod, offering new exercise and support groups, social events and educational programs Implemented Environmental Sustainability Plan and hired new Coordinator Community Health Needs Assessment As noted above, Beth Israel Deaconess Medical Center's Community Benefits program is predicated on the notion of partnership and dialogue with its many communities. Our understanding of these communities' needs is derived from discussions with, and observations by, healthcare and health-related workers in the neighborhoods as well as more formal assessments through available public health data, focus groups, surveys, etc. These data are then augmented by demographic and health status information gleaned from a variety of sources including The Massachusetts Department of Public Health, The Boston Public Health Commission, federal resources such as the Institute of Medicine and Centers for Disease Control and Prevention, and review of literature relevant to a particular community's needs. The articulation of each specific community's needs (done in partnership between Beth Israel Deaconess Medical Center and community partners) is used to inform our decision-making about priorities for community benefits efforts. Following our core the guiding principles described above, for each priority area, we work in concert with community residents and leaders to design specific actions to be undertaken each year. Each component of the plan is thus developed and eventually woven into the annual goals and agenda for the medical center's Community Benefits Plan that is adopted by the Board of Director's Community Benefits Committee. Needs Assessment - Summary of Findings As noted above, the community partners with which Beth Israel Deaconess Medical Center works most closely are our seven affiliated CHCs. The 2009 Needs Assessment conducted with these collaborators provides the foundation for our work plan that is reviewed and updated annually with the CHC administrative and clinical leadership. The major findings articulated systems-level needs and strategies to optimize the health of underserved communities by strengthening our vertically-integrated system of care. To deliver quality care across the continuum of settings, the needs assessment supported: building the capacity of the CHCs through recruitment, retention and education of a skilled, linguistically and culturally competent workforce (providers and staff); capital infrastructure needs; and quality improvement initiatives; ensuring access to specialty and Emergency Department care at BIDMC; enhancing health information exchange processes and technologies; expanding community-based residency training and research opportunities; conjointly developing population-based public health improvement strategies and programs; supporting efforts to position BIDMC/CHC for new models of health care delivery and payment reform associated with state and federal health care reform. This systems-level analysis facilitates clinical quality improvement efforts that help patients navigate care from the community to the hospital and back, and enhances communication between providers, resulting in safer and better health outcomes. With the implementation of the Commonwealth's historic health care reform legislation, the CHCs underscored the urgency for CHCs and BIDMC to participate in all insurance products so continuity of care is not disrupted. The recommendations informed by the needs assessment speak to clinical, administrative and fiscal efficiencies and economies of scale as well as the safer and more effective health outcomes that derive from the vertical integration of the health care delivery system jointly crafted over three decades of working together. While this CHC needs assessment detailed systems-level needs, BIDMC has also conducted targeted assessments that address specific population needs that contribute to the community benefits plan. Examples of these assessments include: Healthy Food Access Project: The unprecedented rates of obesity (58%), hypertension (22%), and diabetes (8%) of adults living in the North Dorchester area prompted Bowdoin Street Health Center (BSHC) to develop a Healthy Food Equity strategic plan based on a comprehensive needs assessment. In the Bowdoin-Geneva neighborhood where more than one-third of households are car-free, there are no full-service grocery stores and limited places for residents to purchase fresh produce. Like other small corner market enterprises, the 11 food/convenience stores are not equipped to store and sell fresh, healthy foods but rather carry lower-priced pre-packaged foods. Recommendations currently being implemented include: sustaining BSHC's Farmer's Market, launching a Corner Store Initiative, and enhancing community education about healthy eating. The Latino Health Needs Assessment: a collaborative undertaking of BIDMC, the Latino Health Institute, Harvard Pilgrim Health Care, and seven Latino community-based organizations that included focus groups and health data analysis, culminating in a major symposium to develop an Action Agenda. Several program initiatives derive from this assessment and planning process including BIDMC's Latino mental health team and Sobremesa, the city's only networking group for Spanish speaking mental health clinicians that meets quarterly at BIDMC. The Parkinson Support Network (PSN) of Cape Cod: BIDMC forged an alliance of three major healthcare providers, local community-based organizations (senior-serving organizations, hospice) and individuals/families living with Parkinson disease (PD) to complete a needs and resource assessment of PD programs on Cape Cod. An area with a documented burden of disease, the Cape region is woefully underserved, particularly in education, psychosocial support and wellness/exercise programming. The PSN now offers quarterly and annual educational symposia; started a new support group in Barnstable (so there are now support groups in each of the four areas of the Cape); and provides wellness activities including dance, choral singing and drumming.	CONTINUED
	The Community Benefits Strategic Planning Process: In 2009, BIDMC completed the first phase of a multi-pronged strategic planning process. Phase I included key informant interviews with BIDMC Board members, Chiefs of Service and senior leaders as well as Community Health Center executive directors and community leaders. Recommendations of this study are integrated into the Community Benefits plan, including: enhance integration of services between the medical centers and community so we can truly offer a seamless continuum of care for patients that is safe, equitable, efficient, effective and of the highest quality; recognize the crisis in primary care by encouraging medical students/residents to pursue careers in primary care; expose residents to a community health experience during their training; frame the delivery of health care as not only caring for individuals but also healthy communities by addressing social determinants of health and incorporating more of a prevention/wellness orientation. The Community Healthy Heart Partnership: An effort that combined a wide-scale cardiovascular screening program with an analysis of available public health data and a review of the literature to document cardiovascular disease (CVD) within communities of color and to implement a community-based CVD management program. The assessment of more than 1,500 individuals indicated that a disproportionate number of adults (up to 40% in the Roxbury neighborhood) were at risk for CVD, warranting immediate education and intervention. The screening program also revealed a high incidence of diabetes as a co-morbid condition which eventually led to expansion into diabetes chronic disease management programs at three of our community health centers, as noted above. Targeted assessments such as these, in concert with ongoing dialogue with community-based organizations and the various quantitative demographic and health data publicly available drive the direction of our public health program priorities. Of special note this year is the work with the Health Equity Task Force and the Boston Public Health Commission work groups to collectively execute public health initiatives such as the city-wide H1N1 vaccination program undertaken in FY 2010 in response to and in an attempt to prevent a feared potential pandemic. Similarly, BIDMC is a strong collaborator with the Commonwealth's Executive Office of Health and Human Services and the Massachusetts League of Community Health Centers into Patient-Centered Medical Homes (PCMH) projects, aimed at transforming the way health care is delivered and reimbursed. Several of BIDMC's affiliated health centers are implementing the PCMH model as is BIDMC's ambulatory Health Care Associates Department. Massachusetts landmark health care reform legislation also informs our understanding of the communities' health needs and directs our community benefits plan. Of the estimated 450,000 uninsured residents (in 2006), a significant number were those cared for in our affiliated health centers, our hospital-based primary care clinic, and BIDMC's Emergency Department. The new health insurance products have provided access to comprehensive care for thousands and BIDMC has been actively engaged in the implementation process at both the community level and within the medical center. BIDMC's community benefits plan incorporates the research and recommendations of public policy and health departments, advocacy groups (e.g. Health Care for All), industry leaders (e.g. Massachusetts League of Community Health Centers) and our health center partners in helping existing patients transition from the Uncompensated Care Pool into these new Medicaid and Commonwealth Care managed care programs, and enrolling new patients in health care plans. Charity Care and Certain Other Community Benefits - Research As previously noted in this Form 990 Part III, part of Beth Israel Deaconess Medical Center (BIDMC or medical center) mission is to be a world-class research institution where outstanding scientists work to develop new knowledge for the betterment of the health of our local and extended communities. The research program strives to be renowned for its bench-to-bedside model of translational research and for its collaboration with industry as a pathway for transferring the fruits of research into products that improve the quality of life. BIDMC's notable research accomplishments include consistently being ranked in the top four in National Institutes of Health (NIH) funding among independent hospitals. BIDMC scientists continue to search for improved understanding of diseases and better treatments for patients, which in turn directly impact the lives of our patients and improve BIDMC's patient care. BIDMC investigators lead more than 850 active federal and industry sponsored projects and more than 500 clinical trials. This research is led by 264 principal investigators who are Harvard Medical School Faculty. The key areas of research include vascular biology, molecular imaging, transplantation, signal transduction, cancer biology, metabolic disease, neurobiology, AIDS, and cardiology/cardiac surgery. As noted in this filing, BIDMC is a teaching Hospital of Harvard Medical School committed to maintaining a collaborative culture and modern, high-quality facilities, and to taking full advantage of the unique relationships that exist among the Harvard Medical School and the Harvard teaching hospitals. BIDMC designs and implements many interdepartmental and interdisciplinary research programs within our institution. .BIDMC also reaches out and collaborates with other nationally recognized and world renowned experts in various fields all oriented toward translating new knowledge into novel medical treatments and patient care. BIDMC participates in Harvard Catalyst, the Harvard clinical and translational science center, which brings together the intellectual force, technologies, and clinical expertise at Harvard University and its academic, health care, and community partners to create connections, enable research at the cutting edge of discovery, and nurture clinical and translational researchers with the goal of improving human health. Studies by BIDMC researchers are routinely published in the world's leading scientific journals, including Nature, Science and The New England Journal of Medicine which helps to bring the research findings to patients beyond BIDMC. BIDMC engages in research in all of the following disciplines: Anesthesia, Critical Care, and Pain Medicine Emergency Medicine Medicine Allergy and Inflammation Cardiovascular Medicine Center for Vascular Biology Research Clinical Informatics Clinical Nutrition Endocrinology Experimental Medicine Gastroenterology General Medicine and Primary Care Genetics Gerontology Hematology and Oncology Hemostasis and Thrombosis Immunology Infectious Disease Interdisciplinary Medicine and Biotechnology Matrix Biology Molecular and Vascular Medicine Nephrology Pulmonology Rheumatology Signal Transduction Translational Research Transplant Immunology Viral Pathogenesis Neonatology Neurology Obstetrics and Gynecology Orthopaedic Surgery Pathology Psychiatry Radiology Surgery Cardiac Surgery Center for Minimally Invasive Surgery Neurosurgery Plastic and Reconstructive Surgery Vascular Surgery Transplant Institute During the fiscal year covered by this filing, BIDMC had net expenditures of $224,922,256 reported on this Schedule H related to research to further science and patient care, which represented 18.03% of BIDMC's total expenses. Examples of the Research Engaged in at BIDMC Below is information related to just a handful of the cutting-edge research studies and principal investigators at BIDMC. These studies are changing patient care today and tomorrow. Women's Cancers Lewis Cantley, PhD, Director of the Cancer Center and Chief of the Division of Signal Transduction at Beth Israel Deaconess Medical Center (BIDMC) and a research pioneer whose discovery of a molecular pathway known as PI3K has led to one of the most promising avenues for the development of personalized cancer therapies, is leading one of five scientific "dream teams" that have been awarded grants from a national coalition called Stand Up To Cancer (SU2C).	CONTINUED
	A charitable initiative created by the Entertainment Industry Foundation and administered through the American Association for Cancer Research (AACR), SU2C was created with the goal of getting new cancer treatments to patients in an accelerated timeframe. Following a rigorous selection process, five scientific groups -- comprised of more than 300 individuals from 20 institutions and headed up by seven leaders, four co-leaders and 27 principal researchers, as well as patient advocacy representatives -- were awarded the three-year grants. Cantley's team was awarded a $15 million grant. In an example of how BIDMC collaborates with other nationally and internationally recognized and world renowned experts in various fields all oriented toward translating new knowledge into novel medical treatments and patient care, Cantley, together with co-leaders from Memorial Sloan-Kettering Cancer Center and the University of Texas M.D. Anderson Cancer Center, will work with a group of more than 20 esteemed scientists from the country's leading cancer research institutions, including other researchers at BIDMC, to investigate the role that PI3K mutations play in women's cancers, specifically breast cancer, ovarian cancer and endometrial cancer. A key component of their work will focus on developing new approaches to more accurately predict which patients will respond positively to PI3K pathway inhibitors, a group of targeted cancer therapies currently being tested in clinical trials around the country. "I'm honored and privileged to lead this outstanding group of investigators," said Cantley and William Bosworth, Castle Professor of Medicine and a co-founder of the Systems Biology Department at Harvard Medical School. "By taking the unique approach of collaborating not only across multiple institutions but also across multiple diseases, we aim to encourage the exchange of materials and ideas between scientists and clinicians with the ultimate goal of accelerating drug approvals and providing new and efficient techniques for personalized cancer treatments." Nobel Laureate Phillip A. Sharp, PhD, of the Massachusetts Institute of Technology, who chaired the SU2C Scientific Advisory Committee overseeing the selection of the five scientific Dream Teams added, "Recent advancements in basic science and technologies have placed us on the cusp of important discoveries that can revolutionize the fight against cancer. SU2C aims to capitalize on that progress and is pushing it forward at what will be an extraordinarily quick pace. The Dream Teams bring together leading laboratory scientists and physicians, collaborating in ways that are unprecedented with a laser-like focus on research that has enormous potential to help patients and save lives." Collectively, breast cancer, ovarian cancer and endometrial cancer affect more than 3 million women throughout the U.S. with more than 200,000 new cases reported each year. Knowing that genetic aberrations in the PI3K pathway are the most frequent events underlying women's cancers, Cantley and his grant co-leaders assembled this pioneering group of basic, translational and clinical scientists working on this molecular pathway. "Our goal for this project is to identify the specific biomarker molecules that will predict which patients will be most likely to benefit from PI3K inhibitor drugs, either as single agents or in combinations with other drugs," he adds. "And because of the extraordinary level of collaboration created through the formation of this "Dream Team," this goal seems imminently possible." Genetics and Biology of Cancer The interests of Pier Paolo Pandolfi, MD, PhD and the Pandolfi Lab focus on the genetics and biology of cancer. The lab has made a number of seminal contributions to the characterization of the fusion oncoproteins and genes involved in the chromosomal translocations of acute promyelocytic leukemia (APL), as well as that of major tumor suppressors such PTEN and p53 and novel proto-oncogenes such POKEMON. Using a variety of engineered mouse lines to study the effects and interactions of these genes in vivo, the lab strives to develop models that faithfully replicate human cancers. These in turn can be utilized for the development and testing of novel treatments and therapeutics. In particular the Pandolfi Lab research interests focus on the utilization of leukemia and prostate cancer models to dissect the genetics of these diseases. By characterizing the normal function of the stem cells in these tissues, we hope to better understand how "stem cell-like" cancer initiating cells (CIC) drive tumorigenesis, and how these CICs an be targeted for eradication of the disease. ------------ Dr. Pandolfi, is the recipient of the 2011 Pezcoller Foundation-AACR (American Association of Cancer Research) International Award for Cancer Research. This award was established in 1997 to recognize a scientist of international renown who has made a major scientific discovery in either basic or translational cancer research and whose ongoing work holds promise for progress in the field of cancer. This is the second time in the award's 14-year history that a BIDMC investigator has received this prestigious honor. Dr. Lewis Cantley, whose work is noted above, previously received this award in 2005. This is the first time in the award's history that two investigators from the same institution have been recognized which speaks to BIDMC's position as a world-class leader in cancer research and to the outstanding contributions being made by the BIDMC Cancer Center in translating molecular discoveries into patient treatments. Dr. Pandolfi was recognized by the Pezcoller Foundation and the AACR for both his outstanding work in the field of cancer genetics, and for his groundbreaking development of cancer mouse models and understanding how mutations in oncogenes and tumor suppressor genes result in leukemias, lymphomas and solid tumors. "[Dr. Pandolfi's] pioneering work in developing transgenic mouse models of cancer helped lead to novel therapeutic strategies for acute promyelocytic leukemia [APL], and, today, this unique expertise in mouse-model engineering is helping to speed the clinical testing of new personalized cancer therapies." "I'm extremely honored to receive the Pezcoller award," says Pandolfi. "This is a tremendously exciting time - I would even say revolutionary - for cancer research and I'm thrilled to be a part of it. As we now clearly recognize, "cancer" is not a single disease, but is made up of many, many different mutations. While this provides us with unprecedented opportunities for developing personalized treatments, our ultimate goal is to understand and cure cancer, and this award gives us further motivation to achieve this goal as we continue to fight relentlessly for the sake of our patients." Orthopedic Surgery: Research The mission of the Orthopedic Biomechanics Laboratory (OBL) is to perform professional investigations in the basic and applied research of musculoskeletal biomechanics, while maintaining the Beth Israel Deaconess Medical Center philosophy of respect and compassion for all human and animal life. As a part of this overall mission, the laboratory provides training to students and fellows, who will become the professional researchers and health care professionals of the future. Bone Mechanics and Modeling The Bone Mechanics and Modeling program area includes experimental and computational modeling of the behavior of bone (including failure in femurs, vertebrae and trabecular bone structures). This group is actively working to validate modeling techniques to make predictions of failure loads of these bones by laboratory testing of bone specimens under varied conditions, high resolution imaging of bone architecture, and experimental techniques using image-guided assesment of bone failure. These modeling techniques are used to further understand the factors that influence fracture such as density distribution, bone geometry, and bone architecture. The program area also includes modeling of several bone/implant systems as well as modeling the mechanical consequences of space flight. This program area employs biomechanical testing, state-of-the-art micro-imaging and visualization techniques of connective tissue and biomaterials. As an example of the on-going research projects, a mathematical model which allows analysis of bone remodeling in the context of functional adaptation was recently developed. The approach incorporates micro-tomographic imaging and large-scale FEA modeling techniques. These techniques have exciting potential for revealing alterations in trabecular bone structural morphology in response to different loading and exercise regimes, dietary supplements, pharmacological interventions, or degenerative changes in subchondral bone associated with post- traumatic osteoarthritis.	CONTINUED
	Joint Kinematics, Injury and Reconstruction Sports related and everyday injuries to the knee and upper extremity are very prevalent in today's active population. This program area evaluates joint kinematics, kinetics, muscle and ligament forces and cartilage contact stresses when a joint is subjected to various physiological loading conditions. This program area also studies how sports and traumatic injuries affect the mechanics of joints and determines how well reconstruction techniques restore joint mechanics to normal. The objective is to provide guidelines for optimized joint ligamentous reconstruction and arthroplasty and post-operative rehabilitation. Cutting edge robotic technology and computational modeling techniques are used to simulate joint motion and apply external loads. Recent and current projects include studies of the effects of surgical intervention on the distribution of contact pressure in the tibio-femoral and patellfemoral joints; effect of TKA on knee joint kinematics and ligamentous tension; investigation of the stability of the acromioclavicular joint after reconstruction using different techniques; and evaluation of initial strength, fatigue strength, and graft-bone translation in anterior cruciate ligament reconstructions using a doubled gracilis semitendinosus graft technique. We are also conducting research to quantify and model the cartilage of children with hip dysplasia, 3D finite element modeling of cartilage contact mechanics, and investigations of in-vivo muscle contraction forces using 3D inverse dynamic optimization. The effect of cartilage defects on stress concentration is also being studied by this group. Etiology and Prevention of Age-Related Fractures Age-related fractures are an impending public health crisis, as persons over 80 represent the fastest growing segment of the population. To prevent these fractures, it is necessary to have a sound understanding of their etiology. While much clinical and laboratory research has focused on the loss of bone with age, our laboratory has adopted the view that fractures represent a structural failure of the bone, wherein the forces that are applied to the bone exceed its inherent strength. Therefore, we have and are continuing to perform a series of investigations related to: 1) developing ways of predicting bone strength non-invasively; 2) identifying activities that lead to fractures; and 3) determining the loads applied to the skeleton during those high-risk activities. These investigations include case-control and observational studies of risk factors for fracture; laboratory-based studies of the strength and structural capacity of human cadaveric wrists, femurs, and vertebrae; and theoretical and experimental studies of falls. In addition, we are evaluating the ability of quantitative ultrasound to assess bone architecture and micro-damage. Etiology and Prevention of Fractures Associated with Metastatic Defects and Benign Bone Defects Pathological fractures through osteolytic defects in the appendicular and axial skeleton occur in patients of all ages and are often associated with pain, loss of function and other morbidities depending on patient age, skeletal site and underlying pathology. Bone is the most common site of metastasis from cancer of the breast, prostate and lung. Moreover, 20-70% of children with benign bone tumors are at risk for fracture. In managing these patients, the orthopedist must decide if the lesion is benign or malignant and if the tumor has weakened the bone sufficiently to cause fracture. Currently no accurate method exists to predict fracture of bones weakened by metastatic or benign tumors. One focus of our laboratory is to apply structural analyses of bones with lytic defects using composite beam theory or finite element models to better predict the risk of pathologic fracture. Non-invasive imaging methods, such as MRI, QCT and DXA, are used to quantify the geometric and material properties of bones with real and simulated defects. From these images, three-dimensional structural analyses can predict the reduced load carrying capacity of the bone and in general the biomechanics of the metastatic bone defect or tumor. Experimental investigation is being conducted in parallel with clinical analysis to determine the accuracy of the non-invasively derived structural parameters used to predict pathologic fracture risk. In addition, Our CT based structural analysis for predicting fracture through a skeletal metastasis is based on the hypothesis that all bone (normal or pathologic) follows the same constitutive relationships established for rigid porous foams, i.e. the strength (Sy) and modulus of elasticity (E) of bone depend on both the bone tissue density (rho-tissue) and the bone volume fraction (Vvb) squared. The rho-tissue accounts for changes in tissue mineralization, and the Vvb accounts for changes in trabecular morphology. To the best of our knowledge, this hypothesis has never been validated for metastatic cancer bone tissue. Therefore, it was our objective to establish that the mechanical properties of metastatic cancer bone tissue were governed by the power law functions. Biomechanics of Fracture Healing and Treatment Mechanisms of bone fracture and optimization of fracture treatment are important areas of orthopaedic research. Although with proper treatment most fractures heal without significant complications, some fractures do not heal. Moreover, among various treatment options, the optimal method of treatment remains controversial. One area of active research at our laboratory is the evaluation of various methods of fracture fixation. We use an optical method to capture fracture gap motion produced by the application of loads simulating activities of daily living or phases of gait after fracture fixation with various devices. From the motion data, we perform rigid body kinematic analysis to quantify the direction and magnitude of the motion and evaluate the efficacy of the fixation methods. We have also provided an objective measure of fracture instability by defining this as the structural compliance (i.e., the amount of fracture displacement as a function of applied load). By applying loads to the flexor and extensor tendons crossing the wrist joint and monitoring fracture fragment displacement with serial CT scans, we demonstrated that fracture classification systems based on fracture pattern in Colles' fractures were unrelated to fracture instability. However, using these same techniques we have demonstrated that using more rigid fixation is not necessarily better fixation for minimizing fracture motion when treating Colles' fractures. We are also involved in the biomechanical evaluation of bioresorbable plates for metacarpal fracture fixation, and internal fixation methods for femoral shaft fractures in children. Preclinical Evaluation of Osteodynamic Agents This group performs imaging, densitometric and mechanical evaluation of bone specimens from animal studies conducted by outside collaborators to evaluate the safety and efficacy of new osteodynamic agents. Studies are carried out with adherence to strict Good Laboratory Practices (GLP) regulations set out by the Food and Drug Administration (FDA). The group members are trained in densitometric, imaging and mechanical testing techniques required by GLP study regulations. Animal models that have been evaluated include transgenic mice, rats, dogs, rabbits and non-human primates. Data have been generated for bone mineral content, apparent bone density, cross-sectional geometric properties and microstructural morphology; and variously related to material and structural mechanical properties including compressive strength of trabecular core specimens and whole vertebral bodies, bending and torsional strength of cortical bone beam specimens and whole bones including the proximal femur, hip and long bones of the appendicular skeleton. The group is constantly improving imaging protocols, analysis methods, mechanical testing techniques and the efficiency of data acquisition. Biomechanics of the Spine This program area employs mechanical testing, animal models and several imaging modalities to investigate various aspects of the biomechanics of spinal fusion, spinal instrumentation and trauma and the use of novel biomaterials in spinal surgery.	CONTINUED
	The mechanisms underlying the initiation and progression of spinal fusion processes, the use of novel methods and materials, and the optimization of internal spinal fixation devices employed to promote these processes, are important areas in spinal orthopedics. This group, employing a lateral fusion rabbit animal model, is actively involved in investigating the effects of electrical stimulation in conjunction with several artificial bone substitutes and the use of genetic engineering derived products, in promoting the process of spinal fusion. The success of fusion is being assessed using mechanical (three- and four-point bending), histological, and imaging methods (DXA, micro-CT). A multi-axial spine testing device has been developed in our lab which, when combined with non-contacting optical 3D motion measurement system, allows for the investigation and quantification of the performance of several internal spinal fixation systems under complex dynamic loads. In particular, quantifying the ability of such systems to restrict motions across the injured segments to a minimum, thought to be critical for the initiation and progression of the fusion process, is greatly facilitated by the use of this device. A second major area is the use of novel biomaterials for spinal surgery. In an ongoing collaboration with several companies, we have demonstrated the efficacy of a novel family of elastic-biopolymers in greatly reducing epidural adhesions (the adhesion and consequent tethering of the dura mater and nerve roots by fibrotic tissue, a common complication of decompressive laminectomy or discectomy surgical procedures). This family of materials is also under investigation for the reconstitution (i.e. restoration of mechanical function) of early degeneration of the intervertebral disc. Such materials hold great promise due to our ability to tailor-make these materials both with respect to their mechanical and material properties, and as carriers for biological agents. A third area of research is aimed at elucidating the underlying causes for vertebral compression fractures that are very prevalent in the elderly population. Although they cause substantial pain, deformity, and disability, there is no widely accepted treatment. The effects of high load rate in a simulated fall configuration and the vertebral material properties on the ultimate fracture load and consequent loss in the stability of the spinal segment, are being investigated. Furthermore, as part of the use of novel biomaterials, the use of several biocompatible cements and hydroxyapatite composites for augmentation of the failed vertebral body, a surgical procedure known as percutaneous veterbroplasty, is actively being assessed. For this purpose, a specially designed high rate vertebral fracture jig, used to create a simulated compression-flexion fracture, and a 5DOF stability test jig, used to assess the 3D stability of the fractured and augmented spinal segment, are employed. Lung Cancer Research The Thoracic Oncology program is involved in clinical, basic and translational research activities. Drs. Daniel G. Tenen, Susumu Kobayashi and Daniel B. Costa have made seminal observations on the basis of resistance to gefitinib and erlotinib (oral EGFR inhibitors) in lung cancer patients with somatic epidermal growth factor receptor (EGFR) mutations. The program is involved in ongoing clinical trials within the Dana-Farber/Harvard Cancer Center (DF/HCC), including those related to novel EGFR inhibitors and other targeted agents. Drs. Costa and Mark S. Huberman are principal investigators for active clinical trials at BIDMC. The Thoracic Oncology Program is a key member of the DF/HCC Lung SPORE's efforts to identify transcription factors involved in the pathogenesis of lung cancer. Drs. Costa and Tenen are co-leaders of the Lung SPORE program at D/FHCC. Main interests in basic research include: transcription factors involved in lung development and cancer, oncogenes involved non-small cell lung cancer, mechanisms of action of EGFR tyrosine kinase inhibitors, apoptosis, and EGFR mutated adenocarcinomas of the lung. Drs. Tenen and Costa are studying the studying the role of transcription factors, including C/EBP alpha and Foxa2, in normal lung differentiation, as well as in lung cancer. Dr. Costa is also involved in clinical trials and translational research towards how oncogene mutations (specifically in EGFR) and translocations affect the response to tyrosine kinase inhibitors in non-small cell lung cancer. Dr. Kobayashi is interested in studying the mechanisms of resistance caused by EGFR tyrosine kinase inhibitors; the bcl-2 family proteins, which are responsible for tyrosine kinase inhibitor-induced apoptosis; and pharmacogenomic studies of compounds capable of inducing cell differentiation of lung cancer cells. These studies will lead to new insights into mutant EGFR-driven tumorogenesis, as well as the identification of novel target pathways for therapeutic intervention in lung cancer. Bone Marrow Transplantation Research The program in Bone Marrow Transplantation (Drs. David E. Avigan, Jon Arnason, Vassiliki Boussiotis, Robin M. Joyce, James D. Levine, Jacalyn Rosenblatt, Dimitrios Tzachanis, and Jeffrey I. Zwicker) is largely involved with clinical and translational research activities. A fundamental mission of the Hematological Malignancies and Bone Marrow Transplantation program is to enhance our understanding of the basic biology of blood cancers and to translate this knowledge towards the development of effective therapies. The program conducts a broad array of research studies directed towards enhancing and refining existing therapies, as well as examining the efficacy of new treatment approaches. These include the development of clinical protocols that are conducted through the Dana-Farber/Harvard Cancer Center (DF/HCC), the Eastern Cooperative Oncology Group (ECOG), and the Clinical Trials Network. These efforts are supported by a large infrastructure of research staff required for patient monitoring, data collection, and research analysis of studies. A central area of translational scientific investigation has been the development of novel immune based therapies for the treatment of blood cancers. Bone marrow transplantation is uniquely curative for many patients with hematological malignancies due to the targeting of tumor cells by the transplanted donor immune system. However, the risks associated with this approach are considerable due to treatment related toxicity, transplant related infections, and the lack of specificity of the anti-tumor response resulting in damage of the normal tissues by the infused donor cells. Investigations into these risks have led to the development of novel strategies to minimize transplant-associated toxicity while preserving its unique efficacy. We have developed several approaches for allogeneic transplantation with reduced intensity chemotherapy regimens in which anti-tumor effects are primarily mediated by donor immune cells. This approach allows for the adoption of this potentially curative therapy in older and infirm patients who would not be able to tolerate a traditional transplant. We are also studying newer regimens that will enhance the reduction of the leukemia cell burden prior to the transplant burden, and have focused our efforts on examining how the pattern of immune recovery post-transplant effects patient outcomes. There has been strong interest in harnessing the patient's own immune system to target and eliminate cancer cells. However, tumor cells actively prevent their recognition by the immune system by creating an immunosuppressive milieu that inhibits cellular immune function. Research efforts led by Dr. David Avigan, the Program Director, and Dr. Jacalyn Rosenblatt have focused on the development of tumor vaccines that would effectively reverse the cancer cell's ability to suppress the immune system, stimulate anti-tumor immune responses, eradicate existing disease and provide long-term protection against recurrence through the development of immunologic memory against the tumor. To accomplish this effect, we are using potent immune stimulating cells known as dendritic cells (DCs), which are the native "teachers of the immune system". DCs present antigens in the context of potent costimulatory signals that are necessary for the induction of primary immune responses. As the central mediators of immune stimulation, DCs demonstrate the capacity to overcome tumor associated immune tolerance.	CONTINUED
	Through our preclinical work, we developed a vaccination system using DCs fused to whole tumor cells to produce a fusion cell that carries a broad array of tumor targets, including targets that are specific to a particular patient. Applied initially in a mouse model, we demonstrated that mice vaccinated with fusion cells developed strong anti-tumor responses, were protected from a lethal challenge of tumor cells, and, most importantly, demonstrated complete regression of established metastatic disease. We then demonstrated that fusions created with patient derived tumor cells and dendritic cells induced powerful immune responses, in vitro, against a variety of human tumors including breast cancer, ovarian cancer, and multiple myeloma. We have subsequently received approval from the FDA to study the safety and effectiveness of the fusion vaccine in patients with cancer. We established an immunotherapy program at BIDMC in which patient specific fusion vaccines are generated in our clinical immunotherapy and cell manipulation facility. This program is multidisciplinary, drawing upon the expertise of members of the Departments of Medicine (specifically, the Bone Marrow Transplant and Oncology programs), Surgery and Pathology as well as other investigators at the Harvard Cancer Center. We have successfully completed phase I/II studies in breast and renal cancer and have demonstrated immunologic and clinical responses in a subset of patients. We are currently focusing our efforts on improving the efficacy of the vaccines and have received grant support from the National Cancer Institute, Department of Defense and the Leukemia Society to study our cancer vaccine in patients with blood cancers as well as breast, melanoma, renal and ovarian carcinoma. We are conducting two studies for patients with multiple myeloma including a protocol in which patients undergo vaccination following autologous transplantation in an effort to eliminate post-transplant residual disease. Our pre-clinical work is currently focusing on efforts to reverse tumor-mediated suppression of the immune system. We are developing strategies to expand tumor reactive T cells ex vivo in an effort to generate T cell therapies for patients with acute leukemia. We are also developing other approaches for producing cancer vaccines including the use of viruses that have been manipulated to contain tumor specific genes. Another area of investigation concerns the identification of cancer stem cells in patients with blood cancers. One of the fundamental challenges of eradicating malignancy is that tumor cells are derived from a small number of stem cells that are distinct from the majority of tumor cells and appear to be more resistant to existing therapies. This may account for the observation that patients with blood cancers may respond to chemotherapy but subsequently succumb to disease recurrence. Bone marrow transplantation is potentially effective in eliminating blood cancer stem cells through their replacement by normal donor hematopoiesis. However, the chemotherapy treatment and the subsequent disruption of the patient's immune system results in significant treatment associated morbidity and mortality. Drs Rosenblatt and Avigan are examining approaches to selectively identify and isolate tumor stem cells so that we could develop novel therapeutic strategies to target these cells. Under the direction of Dr. Robin Joyce, the program has also led efforts to develop antibody-mediated therapies for non-Hodgkin's lymphoma. We have completed a study, which demonstrated disease free survival in a majority of patients treated with Rituxamab in conjunction with autologous stem cell transplantation. Dr. Joyce has also been on the forefront in studies examining the effect of anti-lymphoma antibodies bound to a radioactive material in the treatment of patients with low grade and aggressive lymphoma. Dr. Boussiotis and her laboratory are interested in: the molecular mechanisms of T cell tolerance, the role of p27kip1 in T helper and cytolytic responses, the regulation of T cell immune responses by Rap1, PI3K and its downstream pathways as therapeutic targets for T-ALL, and the reconstitution of T cell immunity after unrelated cord blood transplantation in patients with hematological malignancies. Charity Care and Certain Other Community Benefits - Graduate Medical Education BIDMC's devotion to teaching, respect for students/trainees, and willingness to embrace technological and clinical practice innovation make BIDMC a top choice among medical students and health care professionals. We train hundreds of medical students, interns and residents, as well as professionals in nursing, social work and the allied health sciences. The Medical Center has 9 approved residency programs with over 400 Residents and 31 Clinical Fellow Programs with over 150 Fellows. Staff physicians at BIDMC who hold faculty appointments at Harvard Medical School instruct the doctors of tomorrow through supervision of their daily patient care and a range of interactive learning experiences. Core Clinical Training Programs BIDMC sponsors core clinical training programs in the following fields: Anesthesiology Emergency Medicine Internal Medicine Neurology Obstetrics and Gynecology Pathology Radiology Surgery During the fiscal year covered by this filing, BIDMC had net expenditures of $64,059,872 reported on this Schedule H related to BIDMC's teaching function which represented 5.14% of BIDMC's total expenses. Residency Programs BIDMC sponsors Accreditation Council for Graduate Medical Education (ACGME) approved residency programs in each of the core clinical training programs listed above, as well as Psychiatry. Fellowship Programs In addition to the resident training programs listed above, BIDMC sponsors a wide variety of Fellowship Training Programs for eligible doctors who have completed their residency and want to engage in more specialized study. The majority of these programs (38 of 44) are ACGME approved or approved by a comparable body related to the particular subspecialty. BIDMC sponsors the following fellowship programs: Anesthesia Cardiothoracic Anesthesia Critical Care Medicine Anesthesia Pain Management Dermatology Dermatology Medicine Cardiovascular Disease Clinical Cardiac Electrophysiology Interventional Cardiology Clinical Investigator Training Program Endocrinology, Diabetes, and Metabolism Gastroenterology Transplant Hepatology General Medicine Geriatric Medicine-Gerontology Hematology / Oncology Infectious Disease Nephrology Interventional Pulmonary Pulmonary, Critical Care Rheumatology Sleep Medicine Neonatology Neonatal-Perinatal Fellowship Neurology Neurology Neuromuscular Medicine Vascular Neurology Clinical Neurophysiology, EEG and Autonomic Disorders Fellowship Obstetrics and Gynecology Reproductive Endocrinology Maternal Fetal Medicine Pathology Cytopathology Dermatopathology Hematopathology Selective Pathology Medical Microbiology Radiation Oncology Radiation Oncology Radiology Radiology Surgery Cardiothoracic Surgery Critical Care Surgery Minimally Invasive Surgery Orthopaedic Spine Podiatry Solid Organ Surgery-Transplant Plastic/Hand Surgery Orthopaedic Hand Surgery Vascular Surgery Urology Urology	CONTINUED
	Additional Information on Clinical Residency and Fellowships -- Examples Below is more detail on just a few of the specific Graduate Medical Education programs offered at BIDMC: Harvard Affiliated Emergency Medicine Residency (HAEMR) at BIDMC The Beth Israel Deaconess Medical Center Harvard Affiliated Emergency Medicine Residency is a three-year program (PGY-1 to PGY-3) affiliated with Harvard Medical School and based at Beth Israel Deaconess Medical Center (BIDMC). The BIDMC Emergency Department (ED) is a 53,000 visit per year Level I trauma center. The educational goals of the residency are to promote excellence in the clinical, academic, and administrative aspects of Emergency Medicine. Residents are taught how to be outstanding clinicians. This is accomplished through clinical experience in several busy emergency departments (residents participating in this program have the opportunity to rotate at Children's Hospital Boston, South Shore Hospital, New England Medical Center, St. Vincent's Hospital, St. Luke's Hospital, Mount Auburn Hospital and Beth Israel Deaconess Hospital-Needham) as well as through a high quality didactic program. During the clinical experience, the residents are closely supervised and given graded responsibility for patient care and ultimately for patient flow in the ED. Additionally, residents are taught how to supervise medical students and other residents and how to teach the practice of Emergency Medicine. Residents teach medical students and prehospital personnel and contribute to the didactic program. Senior residents take on the responsibility of supervising junior residents in the clinical arena. The focus of the residency program is on teaching the leadership skills necessary to direct a busy emergency department in any setting. The other major educational goal of the residency is to develop the research and academic skills required for a career in academic Emergency Medicine. Participation in research is promoted through a system of mentorship, journal club participation, and a didactic program that teaches research design and statistical methods. Residents are required to complete a research or academic project that results in a paper suitable for publication. Funding is available within the Division of Emergency Medicine at Harvard Medical School and the Department of Emergency Medicine at BIDMC. Promoting the administrative aspects of Emergency Medicine is another goal of the BIDMC Harvard Affiliated Emergency Medicine Residency. Through an EMS/Administrative rotation and a longitudinal experience in prehospital administration, residents gain experience in running a local prehospital system. This program takes advantage of the unique academic opportunities at Harvard Medical School, the Harvard teaching hospitals, and the Harvard School of Public Health. These opportunities include the outstanding experience available through Boston Children's Hospital and the Departments of Medicine, Surgery, Obstetrics and Gynecology, and Anesthesia at Beth Israel Deaconess Medical Center. Surgery: Education The Roberta and Stephen R. Weiner Department of Surgery offers education opportunities for residents, fellows and medical students in Cardiac Surgery, General Surgery, Plastic and Reconstructive Surgery, Podiatry, Trauma Surgery, Minimally Invasive Surgery, and Vascular Surgery. Students learn the most advanced techniques in a state-of-the-facility. Students also have the opportunity to learn minimally invasive techniques within our own Carl J. Shapiro Simulation and Skills Center, the first of its kind to be accredited in the country. General Surgery Residency: Education The Department of Surgery at Beth Israel Deaconess Medical Center is one of three major teaching and research units of Harvard Medical School's Department of Surgery. The program is non-pyramidal. The surgical housestaff is composed of 25 first year residents, consisting of 9 categorical (full five-year), and 16 preliminary residents (one- or two-year depending on the requirements of their chosen subspecialty). Generally there are 9 categorical, 4 non designated preliminary residents and 1 rotating plastic surgery resident at the PGY-2 level. In the PGY-3, PGY-4 and PGY-5 Chief Resident levels, there are generally 9 categorical residents. All members of the house-staff hold academic appointments as Clinical Fellows in Surgery at Harvard Medical School. The surgical training program produces the country's future surgical leaders. Clinical excellence is the foundation upon which that leadership is built, and our training programs endeavor to help young surgeons develop both technical and cognitive expertise. At all levels, the housestaff enjoy the training and practical experience in the preoperative, operative, and post-operative care of patients. The Beth Israel Deaconess program emphasizes resident-faculty interaction for educational purposes. Teaching conferences and seminars for the housestaff capitalize on working relationships developed with the attending staff. Upon completion of five years of surgical training, residents are eligible for the American Board of Surgery Examination. Outstanding specialty fellowships in plastic, cardiothoracic, pediatric, transplant, colorectal, and vascular surgery are obtained routinely by our graduates. Graduates typically enjoy superb opportunities in either private or academic practice. Didactic Teaching The program has dedicated education time, including a strong didactic conference schedule, to provide a basic foundation of surgical knowledge and skills. Required weekly conferences include: Resident Curriculum Conference / MIS Skills Lab Surgical Service Morbidity/Mortality & Surgical Grand Rounds Combined GI Conference Throughout training, a primary responsibility of senior residents is teaching more junior residents and the students on their service. They are also responsible for the assignment of cases, clinical supervision of medical students and residents, and preparing material for service and teaching conferences. Carl J. Shapiro Simulation and Skills Center The Carl J. Shapiro Simulation and Skills Center (SASC) at Beth Israel Deaconess Medical Center (BIDMC) offers the latest advances in medical simulation technology to BIDMC, neighboring institutions and the global healthcare field in a new, state-of-the-art facility. The Center provides realistic training opportunities for learners at all levels, from all disciplines, and uses progressive teaching methods to replicate real-life patient care situations, from routine procedures to acute management crises. The SASC raises the bar for major academic medical centers by providing health care students and professionals with curricula and skills training on the latest medical and surgical techniques in a state-of-the-art, technologically advanced facility. Although most health centers offer some degree of medical simulation training, the scale and scope of BIDMCs SASC make it one of the most comprehensive simulation training centers in the country. The Center includes a large teleconference room for up to 65 learners and contains live media feeds to four different operating room endosuites, allowing for teleproctoring, inter-institutional courses, and intercontinental broadcasting of Grand Rounds. The high fidelity mock operating and intensive care unit rooms used for full-body simulation feature working water and gas lines, video cameras and observation windows with state-of-the-art teleconferencing ability. Two skills lab areas are dedicated to providing learners with hands-on training for basic clinical procedures, open surgical skills, endoscopic, ultra-sonography, and laparoscopic skills with over 30 partial task trainers and high-fidelity procedural simulators. BIDMC's Carl J. Shapiro Simulation and Skills Center has been formally accredited as a Level 1 facility by the American College of Surgeons (ACS), the first in Boston and New England - and one of only seven inaugural certified centers in the United States - to provide simulation-based skills training to health care students and professionals from all medical and surgical disciplines. As an ACS Accredited Education Institute, the SASC is part of the ACS' developing network of regional education facilities designed to "specifically address the teaching, learning and assessment of technical skills using state-of-the-art educational methods and cutting-edge technology." This latest accreditation follows the Center's recent certification as one of 11 national test sites for Fundamentals of Laparoscopic Surgery (FLS) candidates. SASC faculty proctor the two-part cognitive and manual skills exam for residents, fellows and surgeons performing laparoscopic surgery.	CONTINUED
	General Surgery Pgy-1 Year The internship year focuses on the acquisition of basic principles and clinical skills in general and vascular surgery; additional rotations in the Emergency Department and subspecialty services round out the first year experience. The majority of these rotations are at Beth Israel Deaconess Medical Center, supplemented by community-based experience at Mount Auburn Hospital and St. Vincent Hospital, and pediatric experience at Children's Hospital. Pre- and post-operative patient care is emphasized under the guidance of the attending surgeons and resident staff. Interns participate in those procedures appropriate for their stage of training and can expect to perform approximately 100 major and minor cases. General Surgery Pgy-2 through Pgy-4 The second and third years of residency include longer rotations to provide more in-depth training in general surgery, thoracic and trauma surgery, as well as in critical care and endoscopy. In the fourth year, senior level experience is obtained in general surgery, vascular, transplant and pediatric surgery. Chief Residency During the fifth year of training, chief residents hone their clinical skills, performing an average of over 225 cases as surgeon in their final year. Also in their chief year, residents are encouraged to develop their administrative and teaching skills by leading didactic sessions, heading inpatient teams and teaching junior residents. One Chief Resident is selected annually to serve as administrative chief, and also serves as resident representative to the House Staff Education Committee. While most of the residency years are spent at the Beth Israel Deaconess Medical Center, that experience is rounded out with an excellent community based experience at outside rotations at nearby hospitals: Cardiac and Thoracic Surgery: Education Residency in Cardiothoracic Surgery A two-year, accredited residency in cardiothoracic surgery is offered to applicants who have completed training in general surgery. Based at Beth Israel Deaconess Medical Center (BIDMC), the program includes a rotation at the Children's Hospital and provides in-depth exposure to cardiac, esophageal, pulmonary and complex airway surgery. About Cardiothoracic Surgery With four full-time adult cardiac surgeons and two dedicated general thoracic surgeons, about 800 cardiac cases and about 600 major thoracic cases were performed at BIDMC over the past year. The varieties of operations include: VATS lobectomy and minimally invasive esophagectomy (MIE) Tracheal resection and tracheobronchoplasty Minimally invasive and "off-bypass" coronary revascularizations Aortic homografts Aortic root operations Other major aortic procedures Teaching by outstanding Harvard Medical School faculty enables the resident to become proficient in the operative and perioperative care of patients. Progress toward technical proficiency is evaluated at multiple points during the residency. Multiple educational sessions occur throughout the week on each service, including preoperative case conference, core curriculum conference, professor rounds, clinical case conference and cardiac catheterization conference. In addition, monthly journal clubs and multidisciplinary airway conferences are held. Participation in the Harvard Combined Cardiothoracic Conference is mandatory. Two-Year Program Our two-year program consists of: Six months of general thoracic surgery at BIDMC Nine months of adult cardiac surgery at BIDMC Three months of pediatric cardiac surgery at Boston Children's Hospital Six months of adult cardiothoracic surgery at BIDMC -- a chief resident experience on the adult cardiac surgery or general thoracic surgery service, a flexible designation depending on the trainee's career goals General Thoracic Surgery The first six-month block of the first year is composed of General Thoracic Surgery. Education consists of: Participation in the preoperative, operative and postoperative care of all patients, with the trainee serving as chief resident of the service Gradually increased operative autonomy, including complex minimally invasive pulmonary and esophageal operations, complex airway surgery and surgical treatment of airway disease Participation in the weekly Multidisciplinary Thoracic Clinic, followed by a conference at which thoracic surgeons, medical oncologists, radiation oncologists, pulomonologists and thoracic radiologists discuss the patients seen earlier in the day Close collaboration with Interventional Pulmonology, including a two-week rotation learning Endobronchial ultrasound (EBUS), rigid bronchoscopy with advanced endoscopic intervention, pleural ultrasound and minimally invasive pleural interventions Adult Cardiac Surgery The second six-month block of the first year is composed of Adult Cardiac Surgery. Education consists of exposure to: Coronary revascularization Valve repair and replacement Aortic surgery and repair of congenital defects seen in adult patients Repair of atrial septic defects Participation in preoperative, operative and postoperative care Residents are involved in the operative care at an early stage, but only at a time when the attending surgeon feels comfortable in allowing the resident to perform an active role. Training in transesophageal echocardiography Boston Children's Hospital During the second year, in a three-month block, the resident is at the Boston Children's Hospital, a fellow Harvard Teaching Hospital, where the resident is exposed to congenital cardiac surgery in infants, adolescents and young adult surgery. Pediatric cardiac surgery is an integral component of the specialty. Adult Cardiac Surgery During the second quarter of year two, in a three-month block, the resident is again exposed to cardiac surgery. Education consists of the following: The resident will function as the chief resident and will have primary oversight of all patients on the adult cardiac surgical service whether or not the resident participates in the operation Residents evaluate postoperatively all patients on which he/she participates in the operative care, and at this point, is the operating surgeon on the vast majority of cases Consult must be seen by the resident and the resident is expected to be involved in the decision-making process regarding indications and timing of operations Adult Cardiothoracic Surgery During the second half of year two, in a six-month block, the resident spends time on the Adult Cardiac Surgery or General Thoracic Surgery service. This will be dependent on the individual resident's eventual career focus and exposure to that point. The resident functions as the chief resident on either service. Neurosurgery The program will provide an introductory exposure to neurosurgery. In this rotation, trainees expand upon their understanding of the basic physiology of the nervous system and explore critical concepts in the pathophysiology of neurosurgical disorders. Didactic sessions have been developed to familiarize you with current research on aspects of neurosurgical treatment. Participation in patient care provides a fruitful ground for integrating knowledge of the basic neurosciences, disease pathophysiology, and clinical practices. Trainees are exposed to both in-patient and out-patient neurosurgical practices. Finally, experiences in the operating room are designed to facilitate an understanding of the basic neurosurgical techniques and etiquette. Additionally, the program is designed to offer a sampling of the neurosurgery programs available through the Harvard Medical School. Trainees rotate through the other institutions of the Harvard Medical School including Massachusetts General Hospital as well as the Brigham and Woman's Hospital neurosurgery programs. Podiatry: Education - Residency Program The Division of Podiatric Surgery sponsors a three year residency program in podiatric surgery. First Year The first year consists of a rotating surgical internship designed to prepare the new podiatric graduate with knowledge and skills to care for the general surgical and hospitalized patient. Rotations include internal medicine, emergency medicine, anesthesiology, general surgery, vascular surgery, infectious disease, radiology and rheumatology. Second and Third Year The second and third years are devoted to the development of surgical knowledge and skills. This includes surgical training in diabetic foot surgery, trauma and reconstructive surgery of the foot and ankle.	CONTINUED
	Acute Care Surgery / Surgical Critical Care : Education Our one year ACGME accredited Surgical Critical Care Fellowship at Harvard / BIDMC provides robust clinical and academic training to surgeons seeking to become leaders in Acute Care Surgery and Surgical Critical Care. The program is focused on a broad-based curriculum in trauma and surgical critical care with a multidisciplinary exposure in two high-acuity intensive care units, a Trauma Surgical ICU and a Surgical ICU. Over 2500 combined admissions per year are represented by a wide variety of general surgery subspecialties, as well as acute care surgery, cardiothoracic, neurosurgery, orthopedics, otorhinolaryngology, plastic surgery, transplant, urology, and vascular surgery. Graduating fellows will be well-trained and confident in cutting edge bedside echocardiography, a unique asset among critical care training programs. Additional critical care experience will be available in the Cardiovascular ICU, as well as local rotations in Burn and Pediatric intensive care units. A dedicated research elective allows for innovation and scientific discovery. Electives are available in acute care surgery, trauma radiology, emergency medical services, global health, or can be fashioned to individual interests. Overall, the Fellows receive a comprehensive educational experience in the management of complex patients, using modern technologies and innovative techniques in advanced airway management, conventional and non-conventional modes of ventilation, invasive and non-invasive hemodynamic monitoring, permissive hypotension, hypothermic resuscitation, and continuous renal replacement therapy. They are expected to graduate as master bedside clinicians. Center for Minimally Invasive Surgery: Education A one year clinical training program in minimally invasive surgery is offered to applicants who have completed training in general surgery. The program provides a full experience in all areas of advanced minimally invasive surgery. The emphasis is on laparoscopic gastric bypass and laparoscopic adjustable band and treatment of the morbidly obese patient. Based at the Beth Israel Deaconess Medical Center, the program includes rotations to Brigham and Women's and Massachusetts General Hospitals. Plastic and Reconstructive Surgery: Education The Division of Plastic Surgery participates in the Combined Harvard Plastic Surgery Residency Program. The BIDMC is one of the affiliate institutions in this program, which also includes the Brigham & Women's Hospital, Children's Hospital, Massachusetts General Hospital and the Shriners Burns Hospital. In addition to the Plastic Surgery Residency Program, the Division of Plastic Surgery also sponsors three post-residency fellowship programs. All of these fellowships are for one year and include the following programs: Aesthetic Plastic Surgery Fellowship Hand / Microsurgery Fellowship Peter Jay Sharp Aesthetic & Reconstructive Breast Surgery Fellowship Vascular and Endovascular Surgery: Education - Residency Program The overall goal of the vascular surgery residency program is to prepare residents to function as qualified practioners of vascular surgery at the high level of performance expected of a board-certified specialist by providing: Comprehensive clinical training in vascular surgery Basic science or clinical research experience for the resident Excellent surgical and medical care By accomplishing these goals, we hope to produce trainees who will be able to successfully pursue a career in academic surgery or enter private practice in Vascular Surgery. Overall, the program is designed with graduated responsibility and supervision at each level of training. Schedule I Part I Line 2 - Procedures for Monitoring the Use of Grant Funds in the US As previously described in greater detail in this Form 990 Schedule H, Hospitals, describing Beth Israel Deaconess Medical Center's (BIDMC) commitment to our community, BIDMC partners with community leaders and community-based organizations; they serve as links to the community and teachers of how we can better serve the populations they represent. In addition, we collaborate with a wide variety of organizations because healthcare services by themselves are not adequate to maximize improvement of health status. As such, our involvement with our community is on-going and part of that on-going relationship includes reporting on how grant funds are expended. As a recipient of federal sponsored projects, BIDMC must comply with the guidelines outlined in OMB Circular A-133. BIDMC is required by federal regulation to monitor expenses of federal funds awarded to BIDMC that are sub-contracted to another institution, organization, or individual. Federal subcontracted research grants as well as other subcontracted research grants are monitored by the Clinical Department sponsoring the activity. The Shapiro Institute for Education and Research is an organization exempt from income tax under section 501(c)(3) of the Internal Revenue Code of 1986, as amended, and a support organization of BIDMC. BIDMC's departments of fiscal services and medical education management monitor periodic spending reports sent by the Shapiro Institute for review and approval. Schedule J - Part I Question 4b Supplemental Nonqualified Retirement Plan Beth Israel Deaconess Medical Center (BIDMC) is a participating employer in the CareGroup, Inc. Annuity Retirement Plan which, under the definitions to this Form 990, is considered a supplemental nonqualified retirement plan. Participants receive both currently taxable and deferred benefits from this plan and additional information is included with the Explanatory Notes to Schedule J below. BIDMC maintains an IRC Sec. 457 plan pursuant to which eligible employees can defer part of their compensation. This plan is strictly employee funded with no employer deferrals. Under the definitions to this Form 990, this plan is considered a supplemental non-qualified retirement plan. Amounts deferred by participants are included in Form 990 Schedule J Part II Column B(iii), Other Reportable Compensation, in accordance with the instructions to this Form 990. Schedule J Part I Question 5a Compensation Contingent on the Revenues of the Organization BIDMC executive compensation packages include opportunities to earn incentive compensation based on a combination of meeting or exceeding BIDMC's objectives for quality and patient safety, BIDMC's budgeted consolidated operating margin, and meeting individual goals and objectives. The incentive compensation for each executive is reviewed and approved by the BIDMC Compensation Committee, which as previously noted, is fully staffed by independent members. BIDMC Form 990 Schedule J Additional Explanatory Footnotes for Schedule O Reportable Compensation listed in Form 990 Part VII includes Base Compensation, Bonus/Incentive Compensation and Other Reportable Compensation as reported in Form 990 Schedule J. Other Compensation listed in Form 990 Part VII includes Deferred Compensation and Non-taxable Benefits as reported in Form 990 Schedule J. Reportable Compensation: Amounts not otherwise separately noted in this return but quantified in Other Reportable Compensation include amounts from one or more of the following items: The employee's own contributions to a 401k Plan; the employee's own contributions to 403b Plan; Amounts deferred by the employee (plus earnings) under a fully vested 457(b) plan; Increase/Decrease in value of nonqualified 457(b) fully vested plan; Taxable employer-subsidized parking; Taxable Moving Expenses; Taxable Life, disability, or Long-term care insurance; and Other Taxable Retirement Benefits Deferred Compensation: Amounts not otherwise separately noted but quantified in deferred compensation include amounts from one or more of the following items: Employer Contributions to 401k Retirement Plan, Employer Contributions to 403b Retirement Plan, Employer contribution to Pension Plan Non-taxable Benefits: Amounts not otherwise separately noted but quantified in non-taxable benefits include amounts from one or more of the following non-taxable benefits: Employee contributions to health insurance, Employer contributions to health insurance, Employee contributions to flexible spending accounts for dependent care and/or medical reimbursement, Group term life insurance, Disability insurance All Directors serve without compensation or benefits. Compensation paid to Officers, Directors or Key Employees was earned for work performed in a capacity other than that of Director as denoted by the listed titles. Beth Israel Deaconess Medical Center and Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center may be referred to in these explanatory notes to Form 990 Part VII and Form 990 Schedule J as BIDMC and HMFP respectively.	CONTINUED
	Chaikof, M.D., PhD, Elliot Director (Ex-Officio) and Chief (Surgery) - BIDMC Director (Ex-Officio) and Chair (Surgery) - HMFP President, Beth Israel Deaconess Department of Surgery Foundation, Inc. (Surgery Fdn.) Director, Cardiovascular Managements Associates, Inc. (CVMA) Dr. Chaikof's term on the BIDMC Board began on August 1, 2010. Hurst, M.D., James M. Director (Ex-Officio) and Acting Chief (Surgery) - BIDMC Director (Ex-Officio) and Acting Chair (Surgery) - HMFP Acting President, Beth Israel Deaconess Department of Surgery Foundation (Surg Fdn) Director, Cardiovascular Management Associates (CVMA) Dr. Hurst's term on the BIDMC Board ended on July 31, 2010 Dr. Hurst performs services for both BIDMC and HMFP. As required by this Form 990, although Dr. Hurst is paid directly by HMFP, the portion of Dr. Hurst's compensation attributable to his services performed at BIDMC has been separately reported on this Form 990, as further outlined below. Payments reported by BIDMC: Base Compensation: 328,456 Bonus and Incentive Compensation: 0 Other Reportable Compensation: 21,903 Deferred Compensation: 19,102 Non-Taxable Benefits: 6,146 Payments reported by HMFP: Base Compensation: 328,456 Bonus and Incentive Compensation: 0 Other Reportable Compensation: 21,903 Deferred Compensation: 19,102 Non-Taxable Benefits: 6,146 Jick, Daniel J. Director - BIDMC Mr. Jick's term on the BIDMC Board ended on February 28, 2010. Kay, Stephen B. Director and Board Chair - BIDMC Director - HMFP Director (Ex-Officio) - CareGroup, Inc. Mr. Kay's term as Board Chair of the BIDMC Board began on October 1, 2009. Ladd, Edward Director (Ex-Officio)- BIDMC Mr. Ladd's term on the BIDMC Board began on December 16, 2009. Levy, Paul F. Director (Ex-Officio), President and CEO - BIDMC Director, HMFP Director, CVMA, Director, Beth Israel Anaesthesia Foundation, Inc., (BIAF) Director, Beth Israel Deaconess Department of Medicine, Inc., (BIDDM) Director, Beth Israel Deaconess Medical Center Obstetrics and Gynecology Foundation, Inc. (Ob/Gyn Fdn) Director, BIH Pathology Foundation, Inc. (Path Fdn) Director, Surg Fdn Trustee - Beth Israel Deaconess Hospital - Needham (BIDN) Mr. Levy received payments directly from CareGroup, Inc. (CareGroup) for his services rendered as President & CEO of BIDMC. CareGroup is the sole Member of BIDMC, an entity exempt from income tax under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended, and a support organization of BIDMC. As required by this Form 990, although Mr. Levy was paid directly by CareGroup, Mr. Levy's compensation has been separately reported by BIDMC on this Form 990, as further outlined below: Payments reported by BIDMC: Base Compensation: 700,911 Bonus and Incentive Compensation: 120,000 Other Reportable Compensation: 86,086 Deferred Compensation: 10,000 Non-Taxable Benefits: 25,249 Other Reportable and Deferred Compensation for Mr. Levy includes combined payments from a nonqualified retirement plan in the amount of $55,337. As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $120,000 was also previously reported as Deferred Compensation in the prior year Form 990. Ryan, Patrick T. Director - BIDMC Mr. Ryan's term on the BIDMC Board ended on May 4, 2010. Silverman, Lois E. Director (Ex-Officio) - BIDMC Ms. Silverman's term on the BIDMC Board began on December 16, 2009. Zeidel, M.D., Mark L. Director (Ex-Officio) & Chief (Medicine) - BIDMC Director (Ex-Officio) & Chair (Medicine) - HMFP Director, Medical Care of Boston Management Corp dba Affiliated Physicians Group (APG) Director, CVMA Director, Beth Israel Deaconess Department of Medicine Foundation, Inc. (BIDDM) Herrman Ludwig Blumgart Professor of Medicine at Harvard Medical School - Harvard Medical School Dr. Zeidel performs services for both BIDMC and HMFP. As required by this Form 990, although Dr. Zeidel is paid directly by HMFP, the portion of Dr. Zeidel's compensation attributable to his services performed at BIDMC has been separately reported on this Form 990, as further outlined below. Payments reported by BIDMC: Base Compensation: 324,322 Bonus and Incentive Compensation: 0 Other Reportable Compensation: 19,501 Deferred Compensation: 22,206 Non-Taxable Benefits: 7,930 Payments reported by HMFP: Base Compensation: 324,322 Bonus and Incentive Compensation: 0 Other Reportable Compensation: 19,501 Deferred Compensation: 22,206 Non-Taxable Benefits: 7,929 As required by this Form 990, compensation reported by BIDMC and HMFP for the 2009 calendar year includes the following payments from the President and Fellows of Harvard College/Harvard Medical School related to Dr. Zeidel's position as Chief of the BIDMC Department of Medicine and Herrman Ludwig Blumgart Professor of Medicine at Harvard Medical School: $137,403 Base and Other Reportable Compensation, $15,012 Deferred Compensation and $1,687 Non-Taxable Benefits. As required by this Form 990, compensation reported by BIDMC and HMFP for the 2009 calendar year includes the following payments from the Beth Israel Deaconess Department of Medicine Foundation, Inc. (BIDDM): $2,250 Base and Other Reportable Compensation. Buehrens, Eric P. Executive Vice President and Chief Operating Officer - BIDMC Payments made by BIDMC: Base Compensation: 524,912 Bonus and Incentive Compensation: 69,600 Other Reportable Compensation: 51,950 Deferred Compensation: 6,640 Non-Taxable Benefits: 51,189 Other Reportable and Deferred Compensation for Mr. Buehrens includes combined payments from a nonqualified retirement plan in the amount of $51,698. As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $69,600 was also previously reported as Deferred Compensation in the prior year Form 990. Fischer, Steven Senior Vice President and Chief Financial Officer - BIDMC Payments made by BIDMC: Base Compensation: 436,677 Bonus and Incentive Compensation: 47,087 Other Reportable Compensation: 69,315 Deferred Compensation: 5,784 Non-Taxable Benefits: 38,039 Other Reportable and Deferred Compensation for Mr. Fischer includes combined payments from a nonqualified retirement plan in the amount of $51,722 As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $47,087 was also previously reported as Deferred Compensation in the prior year Form 990. Armstrong, Walter Senior Vice President (Capital Facilities & Engineering) - BIDMC Payments made by BIDMC: Base Compensation: 345,997 Bonus and Incentive Compensation: 30,475 Other Reportable Compensation: 58,514 Deferred Compensation: 2,708 Non-Taxable Benefits: 47,403 Other Reportable and Deferred Compensation for Mr. Armstrong includes combined payments from a nonqualified retirement plan in the amount of $37,866. As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $30,475 was also previously reported as Deferred Compensation in the prior year Form 990. Maurer, R.N., Marsha Senior Vice President, Clinical Operations & Chief Nursing Officer - BIDMC Director - CVMA Payments made by BIDMC: Base Compensation: 258,773 Bonus and Incentive Compensation: 15,609 Other Reportable Compensation: 57,111 Deferred Compensation: 5,517 Non-Taxable Benefits: 30,241 Other Reportable and Deferred Compensation for Ms. Maurer includes combined payments from a nonqualified retirement plan in the amount of $37,600. As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $15,609 was also previously reported as Deferred Compensation in the prior year Form 990. Sheehan, Jayne Senior Vice President Ambulatory & Emergency Services - BIDMC Payments made by BIDMC: Base Compensation: 282,954 Incentive Compensation: 31,550 Other Reportable Compensation: 56,697 Deferred Compensation: 9,061 Non-Taxable Benefits: 28,909 Other Reportable and Deferred Compensation for Ms. Sheehan includes combined payments from a nonqualified retirement plan in the amount of $42,203. As required by this Form 990, Incentive Compensation for the 2009 calendar year in the amount of $31,550 was also previously reported as Deferred Compensation in the prior year Form 990.	CONTINUED
	Sukhatme, M.D., PhD, Vikas P. Senior Vice President & Chief Academic Officer - BIDMC Nephrologist- HMFP Victor J. Aresty Professor of Medicine, Harvard Medical School Dr. Sukhatme performs services for both BIDMC and HMFP. As required by this Form 990, although Dr. Sukhatme is paid directly by HMFP, the portion of Dr. Sukhatme's compensation attributable to his services performed at BIDMC has been separately reported on this Form 990, as further outlined below. Payments reported by BIDMC: Base Compensation: 388,950 Incentive Compensation: 48,300 Other Reportable Compensation: 32,554 Deferred Compensation: 34,590 Non-Taxable Benefits: 12,623 Payments reported by HMFP: Base Compensation: 33,822 Incentive Compensation: 4,200 Other Reportable Compensation: 2,831 Deferred Compensation: 3,008 Non-Taxable Benefits: 1,098 As required by this Form 990, compensation reported by BIDMC and HMFP for the 2009 calendar year includes the following payments from the President and Fellows of Harvard College/Harvard Medical School related to Dr. Sukhatme's position as Victor J. Aresty Professor of Medicine, Harvard Medical School: $81,979 Base and Other Reportable Compensation, $8,198 Deferred Compensation and $116 Non-Taxable Benefits. Zankman, Lisa Senior Vice President, Human Resources - BIDMC Payments made by BIDMC: Base Compensation: 258,536 Bonus and Incentive Compensation: 32,234 Other Reportable Compensation: 76,542 Deferred Compensation: 3,691 Non-Taxable Benefits: 34,833 Other Reportable and Deferred Compensation for Ms. Zankman includes combined payments from a nonqualified retirement plan in the amount of $40,641. As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $32,234 was also previously reported as Deferred Compensation in the prior year Form 990. Halamka, M.D., John D. Senior Vice President & Chief Medical Information Officer - BIDMC Chief Information Officer - Harvard Medical School Dr. Halamka performs services for both BIDMC and Harvard Medical School. As required by this Form 990, although Dr. Halamka is paid directly by BIDMC, Harvard Medical School reimbursed BIDMC for the portion of Dr. Halamka's compensation related to his role as Associate Dean for Education Technology at Harvard Medical School. The compensation attributable to each position has been separately reported on this Form 990, as further outlined below. Payments reported by BIDMC: Base Compensation: 304,076 Bonus and Incentive Compensation: 40,307 Other Reportable Compensation: 59,459 Deferred Compensation: 6,405 Non-Taxable Benefits: 33,806 Payments reported by PFHC: Base Compensation: 185,361 Bonus and Incentive Compensation: 0 Other Reportable Compensation: 0 Deferred Compensation: 0 Non-Taxable Benefits: 0 Other Reportable and Deferred Compensation for Dr. Halamka includes combined payments from a nonqualified retirement plan in the amount of $52,052. As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $40,307 was also previously reported as Deferred Compensation in the prior year Form 990. McGovern, Esq., Patricia Senior Vice President, Corporate & Community Affairs and General Counsel - BIDMC Payments made by BIDMC: Base Compensation: 298,831 Bonus and Incentive Compensation: 41,852 Other Reportable Compensation: 85,414 Deferred Compensation: 4,311 Non-Taxable Benefits: 37,517 Other Reportable and Deferred Compensation for Ms. McGovern includes combined payments from a nonqualified retirement plan in the amount of $49,444. As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $41,852 was also previously reported as Deferred Compensation in the prior year Form 990. Laping, Kristine Senior Vice President, Development - BIDMC Payments made by BIDMC: Base Compensation: 270,891 Bonus and Incentive Compensation: 36,214 Other Reportable Compensation: 46,592 Deferred Compensation: 3,750 Non-Taxable Benefits: 34,730 Other Reportable and Deferred Compensation for Ms. Laping includes combined payments from a nonqualified retirement plan in the amount of $39,513. As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $36,214 was also previously reported as Deferred Compensation in the prior year Form 990. Liebman, Jeffrey H. President & CEO - Beth Israel Deaconess Hospital Needham (BIDN) President & CEO - Medical Care of Boston Management Corp. d/b/a/ Affiliated Physicians Group (APG) Mr. Liebman performed services for both BIDN and APG. As required by this Form 990, although Mr. Liebman was paid directly by BIDMC, Mr. Liebman's compensation is separately reported by BIDN and APG, as follows: Payments reported by BIDN: Base Compensation: 141,660 Bonus and Incentive Compensation: 15,039 Other Reportable Compensation: 29,471 Deferred Compensation: 2,000 Non-Taxable Benefits: 15,095 Payments reported by APG: Base Compensation: 141,660 Incentive Compensation: 15,040 Other Reportable Compensation: 29,471 Deferred Compensation: 2,000 Non-Taxable Benefits: 15,095 Other Reportable and Deferred Compensation for Mr. Liebman includes combined payments from a nonqualified retirement plan in the amount of $43,613. As required by this Form 990, combined Bonus & Incentive Compensation for the 2009 calendar year in the amount of $30,800 was also previously reported as Deferred Compensation in the prior year Form 990. Lee, Alice Vice President, Business Transformation - BIDMC Payments made by BIDMC: Base Compensation: 211,855 Bonus and Incentive Compensation: 28,807 Other Reportable Compensation: 66,404 Deferred Compensation: 5,120 Non-Taxable Benefits: 33,141 Other Reportable and Deferred Compensation for Ms. Lee includes combined payments from a nonqualified retirement plan in the amount of $31,940. Anderson, Dianne J. Former Senior Vice President, Clinical Operations - BIDMC Former Director, CVMA Ms. Anderson served as Senior Vice President of Clinical Operations at Beth Israel Deaconess Medical Center through May 15, 2009. All payments to Ms. Anderson relate to this role. Payments made by BIDMC: Base Compensation: 186,407 Bonus and Incentive Compensation: 32,900 Other Reportable Compensation: 63,972 Deferred Compensation: 4,375 Non-Taxable Benefits: 28,272 Other Reportable and Deferred Compensation for Ms. Anderson includes combined payments from a nonqualified retirement plan in the amount of $55,192. As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $32,900 was also previously reported as Deferred Compensation in the prior year Form 990. Fischer, M.D., Josef E. Surgeon - HMFP Professor of Surgery - Harvard Medical School Former Director (Ex-Officio) and Former Chief of Surgery - BIDMC Former Chairman of Surgery - HMFP Dr. Fischer served as Director (Ex-Officio) and Chief of Surgery at Beth Israel Deaconess Medical Center through June 26, 2008. All payments to Dr. Fischer reported here relate to the position held during the period covered by this filing. As required by this Form 990, although Dr. Fischer was paid directly by HMFP, although Dr. Fischer was paid directly by HMFP, BIDMC reimbursed HMFP for his compensation. As such, Dr. Fischer's compensation has been reported on this Form 990, as further outlined below. Payments reported by BIDMC: Base Compensation: 265,414 Bonus and Incentive Compensation: 0 Other Reportable Compensation: 31,668 Deferred Compensation: 16,171 Non-Taxable Benefits: 26,711 As required by this Form 990, compensation reported by BIDMC for the 2009 calendar year includes the following payments from the President and Fellows of Harvard College/Harvard Medical School related to Dr. Fischers position as Professor of Surgery, Harvard Medical School: $143,088, Base and Other Reportable Compensation, $16,171 Deferred Compensation and $26,711 Non-Taxable Benefits. Moellering, M.D., Robert C. Physician, Infections Disease - HMFP Former Director (Ex-Officio) and Former Chief of Medicine - BIDMC Dr. Moellering served as Director (Ex-Officio) and Chief of Medicine at Beth Israel Deaconess Medical Center through June 30, 2005. All payments to Dr. Moellering reported here relate to his current role. Payments made by HMFP: Base Compensation: 157,824 Bonus and Incentive Compensation: 0 Other Reportable Compensation: 15,718 Deferred Compensation: 0 Non-Taxable Benefits: 6,400	CONTINUED
Schedule K -	CareGroup, Inc., (CareGroup) is a Massachusetts non-profit corporation exempt from income tax under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended, that serves as a support organization and oversees a regional health care delivery system comprised of teaching and community hospitals, physician groups and other caregivers. CareGroup's purposes include the support of personalized, patient centered care and excellence in medical education and research. CareGroup and some of its affiliates jointly borrow debt as an Obligated Group. The Obligated Group members are: CareGroup, Beth Israel Deaconess Medical Center (BIDMC), Mount Auburn Hospital (MAH), New England Baptist Hospital (NEBH), Beth Israel Deaconess Hospital - Needham (BIDN), Mount Auburn Professional Services (MAPS) and Medical Care of Boston Management Corp d/b/a Affiliated Physicians Group (APG). The information reported on Schedule K for Beth Israel Deaconess Medical Center (BIDMC) reflects the combined CareGroup Obligated Group debt issued after December 31, 2002 with an outstanding principal balance in excess of $100,000. Schedule K Part 1f - Description of Tax-Exempt Debt Purpose Purposes of CareGroup Series E Bonds: To finance or refinance various renovation and construction projects and capital equipment acquisitions for BIDMC To finance or refinance construction, renovation, furnishing and various other capital acquisitions for MAH's new and expanded facilities with approximately 250,000 square feet of new and renovated space to include: a new six-story acute care facility to support additional critical care and medical /surgical beds, expanded operating rooms and interventional radiology rooms and a new parking garage To finance or refinance construction, renovation, furnishing and various other capital acquisitions for NEBH's Master Facility Plan, including a new Atrium of approximately 2,740 square feet, a pre-operative and post anesthesia unit of approximately 14, 310 square feet, construction of a central sterile supply area of approximately 8,290 square feet and construction of new operating rooms of approximately 18,615 square feet; To finance or refinance construction, renovation, furnishing and various other capital acquisitions for BIDN's new and expanded facilities including an approximately 59,000 square foot project on two floors to renovate and expand services in the emergency department, inpatient units, radiology department and associated support services; To refinance $201,975,000 of debt previously issued by members of the Obligated Group, including $138,075,000 of the CareGroup Series C Bonds described below. Purposes of CareGroup Series D Bonds: Refunding of the outstanding principal balance of the Mount Auburn Hospital Series B bonds by creating an irrevocable refunding trust dated July 13, 2004 Purposes of CareGroup Series C Bonds: Refunding of the outstanding principal balance of the Beth Israel Hospital Association Series G bonds by creating an irrevocable refunding trust dated July 13, 2004 Schedule K Part II Line 8 - Year of Substantial Completion of Project(s) The projects financed and/or refinanced with tax-exempt bond financed were completed, or will be completed, on various dates. Schedule K Part III Questions 2 and 3: Facilities financed with tax-exempt bonds are primarily occupied by CareGroup and its affiliated tax-exempt entities, including but not limited to Beth Israel Deaconess Medical Center, Beth Israel Deaconess Hospital - Needham, Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center, New England Baptist Hospital, New England Baptist Medical Associates, Mount Auburn Hospital, Mount Auburn Professional Services and Medical Care of Boston Management Corp d/b/a Affiliated Physicians Group. Some financed space may contain lease arrangements, and the affiliates which own the debt financed space may opt to engage a management services company (ie cleaning, patient transport, food services) or engage in research pursuant to research agreements within tax exempt debt financed space. Any such agreements in place as of September 30, 2010 were reviewed to ensure proper accounting of any private use generated from such activities. In addition, such agreements are generally reviewed by inside counsel prior to finalizing. Schedule L Part IV Co, (d) Description of Transactions Involving Interested Persons Alan Bufferd, Treasurer of Beth Israel Deaconess Medical Center (BIDMC), sits on the Boards of CRICO, RMF, Controlled Risk Insurance Company, Ltd. (CRICO/Cayman) and Controlled Risk Insurance Company of Vermont, Inc. (A Risk Retention Group) (CRICO/VT). CRICO/VT is a wholly-owned subsidiary of CRICO/RMF. Paul Levy, served as President and Chief Executive Officer of BIDMC, Director at Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center (HMFP), and a member of the Board of Trustees at Beth Israel Deaconess Hospital-Needham (BIDN) and Harold Hestnes, Chair of the CareGroup Board of Directors both sit on the Boards of The Risk Management Foundation of the Harvard Medical Institutions, Inc. (CRICO/RMF). All CRICO/RMF and CRICO/Cayman shareholders are entities exempt from income taxes under Section 501(c) (3) of the Internal Revenue Code of 1986, as amended. CareGroup, the parent entity and a supporting organization of BIDMC, BIDN and HMFP, is a CRICO/Cayman and CRICO/RMF shareholder and through CareGroup, BIDMC purchases physician professional liability insurance and general liability insurance for BIDMC and HMFP. For the period covered by this filing, BIDMC paid combined $ 22,806,986 to CRICO and RMF for this insurance coverage. BIDN and CareGroup paid $894,954 and $614,534 respectively for this coverage. Stuart A. Rosenberg, MD, a Director (Ex-Officio) of BIDMC, and President and CEO of Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center (HMFP) is married to Patti Rosenberg, who provides network development services to Cardiovascular Management Associates, a support organization of BIDMC. Her salary and other income include: Base Compensation: $150,000 Bonus and Incentive Compensation: $5,000 Other Reportable Compensation: $27,164 Contribution to Employee Benefit Plans Includes: Deferred Compensation: $27,000 Non-Taxable Benefits: $1,240 Mark L. Zeidel, M.D., a Director (Ex-Officio) of BIDMC, and Clinical Chief of Medicine at BIDMC/Clinical Chair of Medicine at HMFP, is married to Susan Freedman, MD, a physician employed by Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center (HMFP) and Medical Care of Boston Management Corp, dba Affiliated Physicians Group (APG). HMFP is integrally related to BIDMC and APG is a support organization of BIDMC. Her salary and other income includes: Base Compensation: $200,000 Other Reportable Compensation: $25,611 Contribution to Employee Benefit Plans Includes: Deferred Compensation: $24,000 Non-Taxable Benefits: $6,066 Schedule M Part I - Question 32a As reported in this Form 990, Beth Israel Deaconess Medical Center (BIDMC) is the sole Member of Beth Israel Deaconess Hospital - Needham (BIDN) and BIDMC helps to support BIDN's activities by providing development services to BIDN. Annually BIDN holds a fundraising event. BIDMC assists BIDN board members and other volunteers plan and conduct this event. A component of the event is a charity auction for which BIDMC retains an auctioneer. BIDN reimburses BIDMC for this cost. Schedule M Part II - Supplemental Information Line 25 - Beth Israel Deaconess Medical Center (BIDMC) received a donation of refreshments which were consumed at a fundraising event. The donation did not meet BIDMC's definition of gifts to be recorded in the financial statements of BIDMC, and therefore are not included in this Form 990, Part VIII, line 1g. Line 26 - BIDMC received three donations of Medical Equipment and Supplies. The items are used in patient care, and do not meet BIDMC's definition of gifts to be recorded in the financial statements of BIDMC. Accordingly, these gifts are not included in this Form 990, Part VIII, line 1g.	Explanatory Statement

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (29 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Assoc Phys Harvard Med Fac Phy at BIDMC
375 Longwood Ave	Boston	MA	02215	320058309	To provide emergency medical services	MA	501(c)(3)	Line 11a, I	Harvard Med Fac Phys at BIDMC
BI Anaesthesia Foundation Inc
330 Brookline Ave	Boston	MA	02215	042997215	Patient care, research and teaching missions of BIDMC, HFMP and HMS	MA	501(c)(3)	Line 11a, I	HMFP at BIDMC
BI Community Foundation Inc
330 Brookline Ave	Boston	MA	02215	042776678	Inactive Corporation	MA	501(c)(3)	Line 7	none
BI Deaconess Department of Medicine Foundation Inc
330 Brookline Ave	Boston	MA	02215	043079630	Patient care, research and teaching missions of BIDMC, HFMP and HMS	MA	501(c)(3)	Line 11a, I	HMFP at BIDMC
BI Deaconess Department of Neonatology Foundation Inc
330 Brookline Ave	Boston	MA	02215	208253452	Patient care, research and teaching missions of BIDMC, HFMP and HMS	MA	501(c)(3)	Line 11a, I	HMFP at BIDMC
BI Deaconess Department of Neurology Foundation Inc
330 Brookline Ave	Boston	MA	02215	043030397	Patient care, research and teaching missions of BIDMC, HFMP and HMS	MA	501(c)(3)	Line 11a, I	HMFP at BIDMC
BI Deaconess Department of Orthopaedic Surgery Foundation Inc
330 Brookline Ave	Boston	MA	02215	204974585	Patient care, research and teaching missions of BIDMC, HFMP and HMS	MA	501(c)(3)	Line 11a, I	HMFP at BIDMC
BI Deaconess Department of Surgery Foundation Inc
110 Francis Street	Boston	MA	02215	020671240	Patient care, research and teaching missions of BIDMC, HFMP and HMS	MA	501(c)(3)	Line 11a, I	HMFP at BIDMC
BI Deaconess Hospital Needham Inc
148 Chestnut St	Needham	MA	02492	043229679	Hospital for the treatment, care and relief of sick and suffering persons.	MA	501(c)(3)	Line 3	Beth Israel Deaconess Medical Center Inc
BIDMC and Children's Hospital Medical Care Corp
300 Longwood Ave	Boston	MA	02215	043200113	Outpatient ambulatory care center in Lexington, MA	MA	501(c)(3)	Line 11a, I	none
BIDMC Obstetrics and Gynecology Foundation Inc
330 Brookline Ave	Boston	MA	02215	042794855	Patient care, research and teaching missions of BIDMC, HFMP and HMS	MA	501(c)(3)	Line 11a, I	HMFP at BIDMC
BI Dermatology Foundation Inc
330 Brookline Ave	Boston	MA	02215	043117601	Patient care, research and teaching missions of BIDMC, HFMP and HMS	MA	501(c)(3)	Line 11a, I	HMFP at BIDMC
BIH Pathology Foundation Inc
330 Brookline Ave	Boston	MA	02215	222548374	Patient care, research and teaching missions of BIDMC, HFMP and HMS	MA	501(c)(3)	Line 11a, I	HMFP at BIDMC
BIH Radiologic Foundation Inc
330 Brookline Ave	Boston	MA	02215	042571853	Patient care, research and teaching missions of BIDMC, HFMP and HMS	MA	501(c)(3)	Line 11a, I	HMFP at BIDMC
Cardiovascular Assoc Phys of HMFP at BIDMC Inc
185 Pilgrim Road Bost	Boston	MA	02215	043208878	Specialized cardiovascular med svcs to patients of Cardio Vsucal Institutes	MA	501(c)(3)	Line 11a, I	HMFP at BIDMC
Cardiovascular Management Associates Inc
185 Pilgrim Road	Boston	MA	02215	208550792	Facilitate comp cardiovascular care, edu, and research, within BIDMC, HMFP	MA	501(c)(3)	Line 11a, I	Beth Israel Deaconess Medical Center Inc
CareGroup Inc
109 Brookline Ave	Boston	MA	02215	222629185	Develop and coordinate integrated health care delivery system	MA	501(c)(3)	Line 11d, III-O	none
Carl J Shapiro Institute
330 Brookline Ave	Boston	MA	02215	043326928	Develop innv prog and models for teaching and research	MA	501(c)(3)	Line 11a, I	none
Continuing Edu Program dba BID Dept of Psych Fdn
401 Park Dr	Boston	MA	02215	043242952	Patient care, research and teaching missions of BIDMC, HFMP and HMS	MA	501(c)(3)	Line 11a, I	HMFP at BIDMC
Joslin Clinic Inc
One Joslin Place	Boston	MA	02215	222984590	To provide specialty medical and research services for diabetes	MA	501(c)(3)	Line 11a, I	none
Med Care of Boston Mgmt Corp dba Affiliated Phys Group
400 Hunnewell St	Needham	MA	02494	042810972	Medical Services Organization	MA	501(c)(3)	Line 9	Beth Israel Deaconess Medical Center Inc
Mount Auburn Hospital
330 Mount Auburn St	Cambridge	MA	02138	042103606	Hospital for the treatment, care and relief of sick and suffering persons	MA	501(c)(3)	Line 3	CareGroup Inc
Mount Auburn Professional Services Inc
330 Mount Auburn St	Cambridge	MA	02138	043026897	Offering medical care in general and specialized practices	MA	501(c)(3)	Line 11a, I	Mount Auburn Hospital
New England Baptist Hospital
125 Parker Hill Ave	Boston	MA	02120	042103612	Orthopedic specialty hospital	MA	501(c)(3)	Line 3	CareGroup Inc
New England Baptist Medical Associates Inc
125 Parker Hill Ave	Boston	MA	02120	043326928	Outpatient medical services to the various communities serviced by NEBH	MA	501(c)(3)	Line 3	New England Baptist Hospital Inc
Riverbrook Corporation
109 Brookline Ave	Boston	MA	02215	042828955	To hold title to property for CareGroup, Inc.	MA	501(c)(2)		CareGroup Inc
Harvard Medical Collaborative Inc
25 Shattuck St	Boston	MA	02115	043476764	Coordinate and provide stategic planning opp for HMS	MA	501(c)(3)	Line 11a, I	none
Harvard Medical Faculty Physicians at BIDMC Inc
375 Longwood Ave	Boston	MA	02215	222768204	General and specialized medical services to the patients of BIDMC and others	MA	501(c)(3)	Line 9	Beth Israel Deaconess Medical Center Inc
Heart Center of Metrowest Inc
99 Lincoln St	Boston	MA	01702	030390670	To provide outpatient medical services to the metrowest communities	MA	501(c)(3)	Line 9	Cardiovascular Management Associates Inc

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Code VCodeVAmount
CG Clin Rsrch LLC
109 Brookline Ave	Boston	MA	02215	300228711	To participate in a clinical research partnership	MA	770451	0	1
CG Inv Ptsp LLP
109 Brookline Ave	Boston	MA	02215	043278109	Investment Partnership	MA	321635303	0	0	BIDMC	Excluded	8310687	$78,144
Phys Prof Svcs LLP
10 Cabot Road	Medford	MA	02155	043275078	To provide medical billing services	MA		0	0	See Sch O	Related
Advanced Vascular Care LLC
375 Longwood Ave	boston	MA	02215	261647880	To provide medical support services	MA		0	0	Harvard Medical Faculty Physicians at BIDMC	Related
Beth Israel Deaconess Physician Organization LLC
110 Francis Street	boston	MA	02215	043426253	Coordinated, safe and cost effective patient care at BIDMC	MA		0	0	Harvard Medical Faculty Physicians at BIDMC	Related
Be-Well Body Scan LLC
25 Boylston Street	Chestnut Hill	MA	02215	260051016	To Operate a diagnostic imaging center	MA		0	0	BIH Radiologic Foundation Inc	related

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity
BIDMCCGSMC JV Inc
400 Hunnewell St	Needham	MA	02494	264426847	Inactive corporation	MA	NONE	C
Chestnut HealthCare Alliance Inc
148 Chestnut St	Needham	MA	02494	043265117	Physician/Hospital Organization	MA	NONE	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg