2011-08-15T10:32:55-04:00 2010-09-30 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2009-10-01 043314093 BOSTON MEDICAL CENTER BOST 6174141625 88 EAST NEWTON STREET BOSTON MA 02118 RICHARD SILVERIA 6174142697 2011-08-05 true PRICEWATERHOUSECOOPERS LLP 6175305000 2011-08-05 2009 2016-02-24 21:20:13Z KATHLEEN E WALSH 88 EAST NEWTON STREET BOSTON MA 02118 1011620000 false X www.bmc.org X 1996 MA BOSTON MEDICAL CENTER'S MISSION IS TO PROVIDE CONSISTENTLY EXCELLENT AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY. 30 26 6975 495 0 0 18309059 10258928 951082121 974473842 23333000 19910000 11627915 6059575 1004352095 1010702345 12938526 14988228 0 0 440041676 456758263 0 0 2893902 563613893 568108854 1016594095 1039855345 -12242000 -29153000 1762242000 1745738000 735847000 723047000 1026395000 1022691000 BOSTON MEDICAL CENTER'S MISSION IS TO PROVIDE CONSISTENTLY EXCELLENT AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY. false false 934558686 881825000 SEE SCHEDULE O. 14573310 14573310 BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO ORGANIZATION WITHIN THE US. 414918 414918 BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO FOREIGN ORGANIZATIONS. 949546914 true true false true false false false false true true true true false true true true false false true true true true false true true false false false false false false false false false false true true false false true true true false false true 621 0 true 6975 true false true false false true true true true false false false 30 26 true false false false false false false true true false true true true true true true true true true true false MA X JOHN C LINDSTEDT 6174141625 88 EAST NEWTON STREET BOSTON MA 02118 ELAINE ULLIAN 50.0 X X 1572319 0 229903 JOEL M ABRAMS 1.0 X 0 0 0 REVEREND DR JOHN M BORDERS III 1.0 X 0 0 0 KAREN ANTMAN MD 1.0 X 0 0 0 JAMES M BECKER MD 1.0 X 0 1002335 41651 DAVID A PASSAFARO 1.0 X 0 0 0 CHRISTINE M DUNN 1.0 X 0 0 0 WILLIAM J HALPIN JR 1.0 X 0 0 0 edmond J english 1.0 X 0 0 0 Randi Cutler 1.0 X 0 0 0 ALYCE J LEE 1.0 X 0 0 0 JAMES MARTEN PHD 1.0 X 0 0 0 MARTHA S SAMUELSON 1.0 X 0 0 0 JAMES O TAYLOR MD 1.0 X 0 0 0 Thomas ALPERIN 1.0 X 0 0 0 JUAN CARLOS MORALES 1.0 X 0 0 0 STEVEN d levy 1.0 X 0 0 0 N ANTHONY COLES MD 1.0 X 0 0 0 LISA GUSCOTT 1.0 X 0 0 0 RICHARD SLIFKA 1.0 X 0 0 0 AZZIE YOUNG MPA PHD 1.0 X 0 0 0 barbara ferrer phd 1.0 X 0 0 0 david coleman md 1.0 X 0 598854 25785 SUSAN DONAHUE 1.0 X 0 0 0 CAROL SULIS MD 1.0 X 0 192728 35773 JOHN T HAILER 1.0 X 0 0 0 KATHLEEN E WALSH 50.0 X X 0 0 0 FERDINAND ALVARO JR 1.0 X 0 0 0 PAUL EGERMAN 1.0 X 0 0 0 PEGGY KOENIG 1.0 X 0 0 0 JAMES MONGAN MD 1.0 X 0 0 0 JAMES S PHALEN 1.0 X 0 0 0 RONALD L WALKER II 1.0 X 0 0 0 RONALD BARTLETT 50.0 X 1798038 0 115814 STEPHANIE LOVELL 50.0 X 543113 0 83955 LISA O'CONNOR 50.0 X 384894 0 63528 MEG ARANOW 50.0 X 751562 0 82084 RAVIN DAVIDOFF 50.0 X 534153 0 95354 PETER HEALY 50.0 X 380630 0 59926 NORMAN STEIN 50.0 X 882055 0 75703 THOMAS TRAYLOR 50.0 X 1523133 0 84277 WILLIAM BARRON 50.0 X 568609 0 105371 EDWARD CHRISTIANSEN JR 50.0 X 284357 0 30545 PAUL DREW 50.0 X 1585462 0 19660 10808325 1793917 1149329 915 true true false WILLIAM A BERRY SON INC 99 CONIFER HILL DRIVE DANVERS MA 01923 CONSTRUCTION 74302841 BOSTON UNIVERSITY 715 albany street SUITE 580 BOSTON MA 02118 SHARED RESEARCH SVCS 60416187 SUFFOLK CONSTRUCTION CO 65 ALLERTON STREET BOSTON MA 02119 CONSTRUCTION 9952252 MORRISON HEALTH CARE INC 5801 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 FOOD SVCS/CAFETERIA 5933805 BOSTON PHARMACY MANAGEMENT 24 STEVENS LANE COHASSET MA 02025 PHARMACY SERVICES 5035836 108 372803 3174167 6711958 624658 10258928 PATIENT SVC REVENUE 900099 881825000 881825000 OTHER PROGRAM REVENUE 900099 8110842 8110842 GRANT/CONTRACT REVENUE 900099 84538000 84538000 974473842 14798000 14798000 0 0 130540 122194 8346 8346 8346 5112000 5112000 5112000 5112000 2426312 372803 785836 1640476 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91027000 82234000 136825000 208210000 176607000 82701000 3142000 3508000 6300000 6251000 1146768000 645106000 499146000 501662000 54543000 45360000 151940000 171570000 568819000 614471000 1762242000 1745738000 114329000 133464000 19151000 19726000 367092000 362752000 22892000 13170000 212383000 193935000 735847000 723047000 X 627750000 619594000 382292000 386744000 16353000 16353000 1026395000 1022691000 1762242000 1745738000 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 131138 false true 98340 229478 false SCHEDULE C, PART II-B, LINE 1 BOSTON MEDICAL CENTER PAYS DUES TO NAPH, MHA, AND AHA, AND A PORTION OF THE DUES ARE ALLOCATED TO LOBBYING EFFORTS. THE PORTION OF THE DUES THAT was ALLOCATED TO LOBBYING EFFORTS WAS $98,340. BMC ALSO PAID GEORGE TRAYLOR $91,138, A LOBBYIST, TO REPRESENT THE ORGANIZATION. ADDITIONALLY, BOSTON MEDICAL CENTER PAID ROBERT WHITE ASSOCIATES $40,000 TO REPRESENT THE ORGANIZATION. THESE FEES WERE PAID TO THE LOBBYISTS LISTED TO ADVANCE BOSTON MEDICAL CENTER'S MISSION: "TO CONSISTENTLY PROVIDE EXCELLENT AND ACCESSIBLE HEALTH CARE SERVICES TO ALL IN NEED OF CARE, REGARDLESS OF STATUS OR ABILITY TO PAY" AS SET OUT IN CHAPTER 147 OF THE ACTS AND RESOLVES OF 1996 OF THE COMMONWEALTH OF MASSACHUSETTS. 427693269 54430640 46804363 121360660 1705404 405862208 431600644 31375895 33917009 1366261 427693269 0.47000 0.04000 0.49000 false false false 9456000 9456000 469716000 122755000 346961000 11711000 253000 11458000 59955000 12489000 47466000 595930000 509609000 86321000 501662000 DONOR RESTRICTED INVESTMENTS 171570000 F 171570000 OTHER LT ASSETS 18447000 FUNDS HELD BY TRUSTEES 73400000 FOR FUNDED DEPRECIATION 190836000 BOND INDENTURE 68603000 EST REC FOR FINAL SETTLEMENTS 148521000 NONCURRENT NOTES RECEIVABLE 22871000 INVESTMENT IN OTHER VENTURES 91793000 614471000 0 EST SETTLEMENT W/3RD PARTY PAYORS 27009000 LT DEBT AND OBL-CAPITAL LEASE 102368000 OTHER LONG-TERM LIABILITIES 27997000 LT ADDITIONAL PENSION LIABILITY 36561000 193935000 1010702345 1039855345 -29153000 26234000 -785000 25449000 -3704000 1037854000 26234000 26234000 1011620000 -917655 -917655 1010702345 1040773000 917655 917655 1039855345 1039855345 SCHEDULE D, PART V, LINE 4 - GENERAL ENDOWMENT THE GENERAL ENDOWMENT INCLUDES FUNDS FROM A NUMBER OF SOURCES WITH VARIOUS RESTRICTIONS ON USE AND TREATMENT. THE ENDOWMENT FUNDS HAVE BEEN CONTRIBUTED FOR SPECIFIC PURPOSES INCLUDING CONSTRUCTION, MAINTENANCE, RESEARCH, CLINICAL CARE, EDUCATION, DEVELOPMENT, STAFFING, SALARIES, LABORATORY EQUIPMENT AND SUPPLIES, AND CONVALESCENT CARE. SCHEDULE D, PART X, LINE 2 THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. SCHEDULE D, PART XI, LINE 8 PENSION RELATED CHANGES OTHER THAN PERIODIC PENSION COSTS ($ 785,000) ------------- TOTAL ($ 785,000) SCHEDULE D, PART XII, LINE 4B RENTAL EXPENSE ($ 122,194) SPECIAL EVENTS EXPENSE ($ 785,836) GAMING EXPENSE ($ 9,625) ------------- TOTAL ($ 917,655) SCHEDULE D, PART XIII, LINE 2d RENTAL EXPENSE $ 122,194 SPECIAL EVENTS EXPENSE $ 785,836 GAMING EXPENSE $ 9,625 ------------- TOTAL $ 917,655 true East Asia and the Pacific 2 Grantmaking 245000 Sub-Saharan Africa 2 5 Program Services Health Svcs Training 102659 Russia and the Newly Independent States Grantmaking 32346 Europe (Including Iceland and Greenland) Grantmaking 34913 Central America and the Caribbean Investments Europe (Including Iceland and Greenland) Investments North America Investments Central America and the Caribbean Program Services SELF-INSURANCE 9313 2 7 424231 Sub-Saharan Africa 102659 WIRE East Asia/Pacific 106710 WIRE East Asia/Pacific 95510 WIRE East Asia/Pacific 42780 WIRE Russia 32346 WIRE Europe/Iceland/Greenland 34913 WIRE 6 SCHEDULE F, PART I, LINE 2 THE PRINCIPAL INVESTIGATOR AND ADMINISTRATOR APPROVE ALL SUBCONTRACT INVOICES, INCLUDING THOSE FROM A FOREIGN COUNTRY. THE FOREIGN SUBCONTRACT RECIPIENT HAS A BUDGET TO WHICH INVOICES ARE MATCHED TO ENSURE THAT ALL SPENDING IS APPROPRIATE. ADDITIONALLY, THE ORGANIZATION'S PRINCIPAL INVESTIGATORS REGULARLY CONTACT THE FOREIGN SUBCONTRACT RECIPIENTS TO MONITOR THE PROGRESS OF THE RECIPIENTS' WORK. SCHEDULE F, PART I, LINE 3, Column F THE ORGANIZATION DOES NOT INDIVIDUALLY TRACK ITS FOREIGN EXPENDITURES OTHER THAN THOSE ASSOCIATED WITH GRANTMAKING ACTIVITIES AND THE CAPTIVE. THEREFORE, PURSUANT TO IRS GUIDANCE, DISCLOSURE IN THIS COLUMN IS NOT REQUIRED IN THE CURRENT YEAR. X X X X X X X true WEDU EVENT PLANNING false 260615 50000 210615 260615 50000 210615 ME MA GALA 1463555 192900 1270655 0 0 26525 135556 76865 48063 FOOD FR THOUGHT 928743 58902 869841 0 0 0 57693 0 57322 2 406817 121001 285816 0 0 41340 0 292218 50254 2799115 372803 2426312 0 0 67865 193249 369083 155639 785836 1640476 16760 9625 16760 9625 9625 7135 MA false RAFFLE TICKETS ARE $10.00 OR LESS; NO LICENSING FILING IS REQUIRED. false false 1.00000 0.00000 LUDIS HERRERA REBECCA SOLOMONT 88 EAST NEWTON STREET BOSTON MA 02118 false true true X true X true X true true true false false 77055 89536217 89536217 0 0.00000 346516 319670538 319670538 0 0.00000 423571 409206755 409206755 0 0.00000 20488170 3684626 16803544 0.01660 78715479 12235749 66479730 0.06580 658 90922262 88931741 1990521 0.00200 658 190125911 104852116 85273795 0.08440 658 423571 599332666 514058871 85273795 0.08440 98888 98888 0.00000 15700000 15700000 0.01550 82992 82992 0.00000 8290200 5691505 2598694 0.00260 449856 449856 0.00040 1402069 1402069 0.00140 26024005 5691505 20332499 0.01990 true 15268870 185079595 175861808 9217787 X true false BOSTON MEDICAL CENTER

88 EAST NEWTON STREET BOSTON MA 02118

X X X X X REHABILITATION UNIT CODMAN SQUARE HEALTH CENTER

637 WASHINGTON STREET BOSTON MA 02124

OUTPATIENT CHARLESTOWN HS STUDENT HEALTH CENTER

240 MEDFORD STREET BOSTON MA 02129

OUTPATIENT BRIGHTON HIGH SCHOOL STUD HEALTH CENTER

25 WARREN STREET BOSTON MA 02135

OUTPATIENT COMMONWEALTH MEDICAL GROUP OF BOS UNIV

915 COMMONWEALTH AVENUE BOSTON MA 02115

OUTPATIENT EAST BOSTON NEIGHBORHOOD HEALTH CENTER

10 GROVE STREET BOSTON MA 02128

OUTPATIENT DORCHESTER HOUSE MULTI-SERVICE CENTER

1353 DORCHESTER AVENUE BOSTON MA 02122

OUTPATIENT MADISON PARK HS STUDENT HEALTH CENTER

75 MALCOLM X BOULEVARD BOSTON MA 02120

OUTPATIENT JEREMIAH E BURKE STUDENT HEALTH CENTER

60 WASHINGTON STREET DORCHESTER MA 02128

OUTPATIENT GREATER ROSLINDALE MEDICAL & DENTAL

4199 WASHINGTON STREET ROSLINDALE MA 02131

OUTPATIENT LATIN ACADEMY STUDENT HEALTH CENTER

205 TOWNSEND STREET BOSTON MA 02121

OUTPATIENT DORCHESTER HS STUDENT HEALTH CENTER

9 PEACEVALE ROAD DORCHESTER MA 02124

OUTPATIENT HARBOR SCHOOL

11 CHARLES STREET BOSTON MA 02122

OUTPATIENT BOSTON MEDICAL CENTER DEPT OF RADIOLOGY

1125 TREMONT STREET BOSTON MA 02120

OUTPATIENT BOSTON MEDICAL CENTER DEPT OF RADIOLOGY

415 COLUMBIA ROAD DORCHESTER MA 02125

OUTPATIENT GEORGE A LEWIS MIDDLE SCH HEALTH CENTER

131 WALNUT AVENUE ROXBURY MA 02116

OUTPATIENT JOHN D O'BRYANT STUDENT HEALTH CENTER

55 MALCOLM X BOULEVARD ROXBURY MA 02120

OUTPATIENT BOSTON MEDICAL CENTER DEPT OF RADIOLOGY

720 HARRISON AVENUE BOSTON MA 02116

OUTPATIENT MURIEL SNOWDEN INTERNATIONAL HS HLTH CEN

150 NEWBURY STREET BOSTON MA 02116

OUTPATIENT BOSTON MEDICAL CENTER SCHOOL BASED HLTH

TAFT BUILDING - 20 WARREN STREET BRIGHTON MA 02135

OUTPATIENT ELDER SERVICE PLAN DISPENSING PHARMACY

26 STURGIS STREET WINTHROP MA 02152

OUTPATIENT SOUTH BOSTON COMMUNITY HEALTH CENTER

409 WEST BROADWAY SOUTH BOSTON MA 02127

OUTPATIENT SOUTH BOSTON COMMUNITY HEALTH CENTER

386 WEST BROADWAY SOUTH BOSTON MA 02127

OUTPATIENT BOSTON MEDICAL CENTER OFFERS A DISCOUNT FROM CHARGES REGARDLESS OF INCOME OR ASSETS. THE DISCOUNT IS EQUAL TO THE UNCOMPENSATED CARE COST TO CHARGE RATIO. FOR THE CALCULATION OF COSTS OF CHARITY CARE (LINE 7A) & MEDICAID COST (LINE 7B) AN OVERALL COST TO CHARGE RATIO WAS USED. A COST TO CHARGE RATIO IS DETERMINED BY DIVIDING THE TOTAL CHARGES FOR ALL SERVICES INTO THE TOTAL COST OF PROVIDING THE SERVICES. THE RESULTING RATIO IS KNOWN AS A COST TO CHARGE RATIO. THE RATIO IS MULTIPLIED BY THE CHARGES FOR CHARITY CARE & MEDICAID TO OBTAIN THEIR RESPECTIVE COSTS. FOR THE CALCULATION OF COMMUNITY HEALTH IMPROVEMENT SERVICES(LINE 7E) DISCRETE COSTING WAS USED. FOR THE CALCULATION OF HEALTH PROFESSIONS EDUCATION COST (LINE 7F) THE CENTERS FOR MEDICARE & MEDICAID (CMS) COST ALLOCATION METHODOLOGY PER CMS FORM 2552 WAS USED. CMS FORM 2552 IS A REQUIRED ANNUAL FILING TO THE FEDERAL GOVERNMENT. PART III, LINE 3: THE ORGANIZATION ESTIMATED $0 OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) AS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY DUE TO THE MANNER IN WHICH THE DETAIL OF THE BAD DEBT EXPENSE IS PROCESSED IN ITS SYSTEM. THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN LINE 7, COLUMN F WAS $29,416,189. THERE IS NO FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS. BAD DEBT EXPENSE IS EQUAL TO THE CHANGE IN THE ACCOUNT RECEIVABLE RESERVE FOR UNCOLLECTIBLE ACCOUNTS. THE AMOUNT OF THE ACCOUNT RECEIVABLE RESERVE CONSIDERS THE ACCOUNTS AGE AND PAYOR SOURCE WHEN DETERMINING THE LIKELIHOOD OF PAYMENT. FOR THE CALCULATION OF COSTS OF CHARITY CARE (LINE 7A) & MEDICAID COST (LINE 7B) AN OVERALL COST TO CHARGE RATIO WAS USED. A COST TO CHARGE RATIO IS DETERMINED BY DIVIDING THE TOTAL CHARGES FOR ALL SERVICES INTO THE TOTAL COST OF PROVIDING THE SERVICES. THE RESULTING RATIO IS KNOWN AS A COST TO CHARGE RATIO. THE RATIO IS MULTIPLIED BY THE CHARGES FOR CHARITY CARE & MEDICAID TO OBTAIN THEIR RESPECTIVE COSTS. FOR THE CALCULATION OF COMMUNITY HEALTH IMPROVEMENT SERVICES(LINE 7E) DISCRETE COSTING WAS USED. FOR THE CALCULATION OF HEALTH PROFESSIONS EDUCATION COST (LINE 7F) THE CENTERS FOR MEDICARE & MEDICAID (CMS) COST ALLOCATION METHODOLOGY PER CMS FORM 2552 WAS USED. CMS FORM 2552 IS A REQUIRED ANNUAL FILING TO THE FEDERAL GOVERNMENT. MEDICARE ALLOWABLE COSTS OF $175,861,808 WERE CALCULATED USING THE CMS FORM 2552 METHODOLOGY OF DETERMINING MEDICARE COSTS. THIS UTILIZES THE STEP DOWN METHOD OF DETERMINING FULLY ALLOCATED COSTS BY DISTINCT CLINICAL COST CENTERS AS DEFINED BY CMS. THESE FULLY ALLOCATED COSTS ARE APPLIED AGAINST TOTAL CHARGES TO CALCULATE A RATIO OF COST TO CHARGES (RCC). THE RCC IS APPLIED TO MEDICARE CHARGES BY DISTINCT CLINICAL COST CENTERS TO DETERMINE THE MEDICARE COSTS. THE ORGANIZATION IS THE FRONTLINE CAREGIVER PROVIDING MEDICALLY NECESSARY CARE FOR ALL PEOPLE REGARDLESS OF 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. THE ORGANIZATION DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, CITIZENSHIP, ALIENAGE, RELIGION, CREED, SEX, SEXUAL PREFERENCE, AGE, OR DISABILITY 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. THE HOSPITAL 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. THE HOSPITAL FOLLOWS REASONABLE COLLECTION/BILLING PROCEDURES COMMON TO THE HEALTHCARE INDUSTRY. THE FOLLOWING ARE BOSTON MEDICAL CENTER'S TWO AFFILIATED HEALTHCARE FACILITIES THAT ARE NOT REQUIRED TO BE LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED AS HEALTHCARE FACILITIES UNDER MASSACHUSETTS STATE LAW: MARGARET M. SHEA RN ADULT DAY HEALTH PROGRAM: THE MARGARET M. SHEA RN ADULT DAY HEALTH PROGRAM (FORMERLY MATTAPAN ADULT DAY HEALTH PROGRAM) OFFERS FAMILIES PEACE OF MIND AND A SUPPORT SYSTEM TO HELP THEM WITH DECISIONS INVOLVING THE CARE OF THEIR LOVED ONES. IT IS A HOLISTIC MEDICAL INTERVENTION PROGRAM THAT PROVIDES SERVICES IN AN AMBULATORY, HOME-LIKE SETTING FOR ADULTS WHO DO NOT REQUIRE 24-HOUR INSTITUTIONAL CARE, BUT BECAUSE OF PHYSICAL AND/OR MENTAL IMPAIRMENT, ARE NOT COMPLETELY ABLE TO LIVE INDEPENDENTLY. ALL PARTICIPANTS ARE REFERRED TO THE PROGRAM AND ARE SCREENED BEFORE ENTERING THE PROGRAM. SERVICES OFFERED BY THE PROGRAM INCLUDE NURSING, SOCIAL SERVICES, ACTIVITIES AND TRANSPORTATION. SPARK: BMC'S SPARK (SUPPORTING PARENTS AND RESILIENT KIDS) CENTER IS A THERAPEUTIC DAY PROGRAM FOR BOSTON'S MOST VULNERABLE CHILDREN, INCLUDING THOSE LIVING WITH HIV/AIDS; THOSE BORN VERY PREMATURELY; THOSE WHO HAVE SUFFERED PSYCHOLOGICAL TRAUMA DUE TO ABUSE/NEGLECT; AND THOSE WITH COMPLEX MEDICAL AND EMOTIONAL NEEDS. SPARK STAFF PROVIDE MEDICAL, EDUCATIONAL, NUTRITIONAL, AND MENTAL HEALTH SERVICES TO VULNERABLE CHILDREN FROM BIRTH TO AGE 22. SPARK OPERATES AN EARLY CHILDHOOD DAY PROGRAM, A SCHOOL-AGE AFTER-SCHOOL PROGRAM, A YOUNG ADULT JOB TRAINING PROGRAM AND A SUMMER CAMP PROGRAM, SERVING APPROXIMATELY 100 CHILDREN ANNUALLY WHO LIVE THROUGHOUT EASTERN MASSACHUSETTS. SPARK HELPS CHILDREN TO BUILD POSITIVE SOCIAL NETWORKS, POSITIVE SELF-REGARD AND COMMUNITY BELONGING. THE STATUTE THAT CREATED BOSTON MEDICAL CENTER (BMC) REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 508-LICENSED BED, URBAN ACADEMIC MEDICAL CENTER WHICH EMPHASIZES COMMUNITY-BASED, ACCESSIBLE CARE THE MISSION TO PROVIDE CONSISTENTLY ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY. BMC IS THE LARGEST SAFETY NET HOSPITAL IN NEW ENGLAND AND PROVIDES A FULL SPECTRUM OF PEDIATRIC AND ADULT CARE SERVICES FROM PRIMARY TO FAMILY MEDICINE TO ADVANCED SPECIALTY CARE. APPROXIMATELY 70 PERCENT OF BMC'S PATIENTS COME FROM UNDERSERVED POPULATIONS, INCLUDING LOW-INCOME FAMILIES, ELDERS, PEOPLE WITH DISABILITIES, AND IMMIGRANTS. SEVENTY PERCENT OF ALL PATIENTS ARE FROM RACIAL AND ETHNIC MINORITY POPULATIONS, AND 30 PERCENT DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE. TO ADDRESS THE HEALTH NEEDS OF ITS DIVERSE PATIENT POPULATION, BMC PROVIDES A WIDE RANGE OF SERVICES BEYOND THE TRADITIONAL MEDICAL MODEL. THESE PROGRAMS INCLUDING PATIENT NAVIGATION, INTERPRETER SERVICES, AND A FOOD PANTRY, HELP REDUCE BARRIERS TO ACCESSING HEALTH SERVICES AND ELIMINATE DISPARITIES IN HEALTH CARE AMONG THE VARIOUS POPULATIONS BMC SERVES. WITH MORE THAN 30,215 ADMISSIONS AND 844,184 PATIENT VISITS IN FY10, BMC PROVIDES A COMPREHENSIVE RANGE OF INPATIENT, CLINICAL AND DIAGNOSTIC SERVICES IN MORE THAN 70 AREAS OF MEDICAL SPECIALTIES AND SUBSPECIALTIES. THE LARGEST 24-HOUR LEVEL I TRAUMA CENTER IN NEW ENGLAND, BMC'S EMERGENCY DEPARTMENT HAD 132,348 VISITS IN FY10. BMC SERVES THE URBAN COMMUNITY OF GREATER BOSTON. THE MAJORITY OF THE COMMUNITIES THAT BMC SERVES ARE BOSTON CENSUS TRACTS THAT ARE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS/POPULATIONS. BMC'S SERVICE COMMUNITIES REPRESENT MORE THAN 50% OF THE 107 SUCH DESIGNATED TRACTS IN SUFFOLK COUNTY (COMPRISING BOSTON AND THREE TOWNS). ALTHOUGH MASSACHUSETTS' UNIVERSAL CARE ENABLES INDIVIDUALS TO SEEK CARE AT ANY HOSPITAL, BMC REMAINS THE LARGEST SAFETY NET PROVIDER IN BOSTON AND NEW ENGLAND. THE IMPLEMENTATION OF UNIVERSAL CARE DID NOT REDUCE THE REAL NUMBER OR PERCENT OF UNDERSERVED COMMUNITIES SERVED BY BMC. IN 2009, 16.9% OF BOSTON RESIDENTS HAD INCOMES BELOW THE FEDERAL POVERTY LEVEL, WHILE NEARLY HALF OF BMC'S PATIENTS HAVE INCOMES BELOW THE FEDERAL POVERTY LEVEL. ACCORDING TO THE 2010 MASSACHUSETTS HEALTH INSURANCE SURVEY (WHICH INCLUDES DATA FROM 2008-2010), 98.1% OF MASSACHUSETTS RESIDENTS HAD COVERAGE DURING THE SURVEY; 65.1% EMPLOYER SPONSORED INSURANCE; 16.4% MEDICAID; 16.6% PUBLIC OR OTHER INSURANCE; AND 1.9% OF RESIDENTS WERE UNINSURED. OF BOSTON MEDICAL CENTER'S PATIENTS, 8.49% ARE UNINSURED, AND COVERAGE RATES ARE: 32.75% MEDICAID; 24.5% PRIVATE OR OTHER INSURANCE (EMPLOYER SPONSORED AND OTHER); AND 34.26% PUBLIC. BOSTON MEDICAL CENTER'S ASSESSMENT OF THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES IS BASED ON DEMONSTRATED NEED. THE MEDICAL LEGAL PARTNERSHIP I BOSTON (MLP) IS ONE OF MANY EXAMPLES OF HOW DEMONSTRATED NEED INFORMS BOSTON MEDICAL CENTER (BMC) COMMUNITY HEALTH IMPROVEMENT ACTIVITIES AND SERVICES. IN 1993, CLINICIANS WITHIN THE DEPARTMENT OF PEDIATRICS UNDERSTOOD THAT NUTRITION AND HOME ENERGY WERE ROOT CAUSES OF POOR HEALTH AND DEVELOPMENT AMONG THEIR PREDOMINANTLY LOW-INCOME PEDIATRIC PATIENTS. IN RESPONSE, MLP INITIATED THE "ENERGY CLINIC" IN 2006 TO PROVIDE TARGETED ADVOCACY AROUND ISSUES OF NUTRITION AND HOME ENERGY. TODAY, THE MEDICAL-PARTNERSHIP IS A NATIONAL LEADER IN MEDICAL-LEGAL COLLABORATION TO ADDRESS THE ROOT CAUSES OF PEDIATRIC POOR HEALTH AND DEVELOPMENT. MLP SEEKS TO IMPROVE THE HEALTH AND WELLBEING OF PEOPLE IN POVERTY BY ADDRESSING THE NON-MEDICAL BARRIERS TO HEALTH FACED BY LOW-INCOME INDIVIDUALS. MLP ALLIES LAWYERS AND HEALTH PROFESSIONALS AND CREATES ACCESS TO LEGAL SERVICES IN THE CLINICAL SETTING TO ENSURE THAT LOW-INCOME PATIENTS' BASIC NEEDS-FOR FOOD, HOUSING, EDUCATION, HEALTH CARE, AND SAFETY/STABILITY-ARE MET. THE NATIONAL MLP NETWORK NOW EXTENDS TO MORE THAN 80 SITES ACROSS THE COUNTRY, SPANNING BOTH URBAN AND RURAL COMMUNITIES. FOR THOSE PATIENTS WHO ARE UNINSURED OR UNDERINSURED, BMC WILL ASSIST THEM 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 BILLS THAT ARE SENT TO PATIENTS AS WELL AS IN GENERAL NOTICES THAT ARE POSTED THROUGHOUT THE HOSPITAL. THE GOAL OF THESE NOTICES IS TO ASSIST PATIENTS IN APPLYING FOR COVERAGE WITHIN A FINANCIAL ASSISTANCE PROGRAM, SUCH AS MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, OR MEDICAL HARDSHIP THROUGH THE HEALTH SAFETY NET. THE HOSPITAL WILL PROVIDE, UPON REQUEST, SPECIFIC INFORMATION ABOUT THE ELIGIBILITY PROCESS TO BE A LOW INCOME PATIENT UNDER EITHER THE MASSACHUSETTS HEALTH SAFETY NET PROGRAM OR ADDITIONAL ASSISTANCE FOR PATIENTS WHO ARE LOW INCOME THROUGH THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL WILL ALSO NOTIFY THE PATIENT ABOUT AVAILABLE PAYMENT PLANS THAT MAY BE AVAILABLE TO THEM BASED ON THEIR FAMILY'S SIZE AND INCOME. 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 THEIR SERVICES, WHILE THE PATIENT IS IN THE HOSPITAL, UPON DISCHARGE, AND FOR A REASONABLE TIME FOLLOWING DISCHARGE FROM THE HOSPITAL. THE HOSPITAL REGISTRATION AND ADMISSIONS STAFF WILL DIRECT ALL PATIENTS SEEKING AVAILABLE COVERAGE OPTIONS OR FINANCIAL ASSISTANCE, TO THE HOSPITAL'S PATIENT FINANCIAL COUNSELING OFFICE TO DETERMINE IF THEY ARE ELIGIBLE AND THEN TO SCREEN FOR ELIGIBILITY IN AN APPROPRIATE COVERAGE OPTION. THE HOSPITAL WILL THEN ASSIST THE PATIENT IN APPLYING FOR THE APPROPRIATE COVERAGE OPTIONS THAT ARE AVAILABLE OR NOTIFY THEM OF THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL WILL ALSO PROVIDE INFORMATION ON HOW TO CONTACT THE APPROPRIATE STAFF WITHIN THE HOSPITAL'S PATIENT FINANCIAL SERVICES DEPARTMENT (PFS) TO VERIFY THE ACCURACY OF THE HOSPITAL BILL OR TO DISPUTE CERTAIN CHARGES. THE HOSPITAL WILL POST A NOTICE (SIGNS) OF AVAILABILITY OF FINANCIAL ASSISTANCE AS OUTLINED IN THIS CREDIT AND COLLECTION POLICY IN THE FOLLOWING LOCATIONS: I. INPATIENT, CLINIC, AND EMERGENCY DEPARTMENT AND/OR WAITING AREAS; II. PATIENT FINANCIAL COUNSELOR AREAS; III. CENTRAL ADMISSION/REGISTRATION AREAS; AND/OR IV. BUSINESS OFFICE AREAS THAT IS OPEN TO PATIENTS. POSTED SIGNS WILL BE CLEARLY VISIBLE AND LEGIBLE TO PATIENTS VISITING THESE AREAS. THE HOSPITAL WILL ALSO INCLUDE A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IN ALL INITIAL BILLS. WHEN THE PATIENT CONTACTS THE HOSPITAL, THE HOSPITAL PFS 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. PATIENTS MAY ALSO QUALIFY FOR ADDITIONAL ASSISTANCE BASED ON THE HOSPITAL'S OWN INTERNAL CRITERIA FOR FINANCIAL ASSISTANCE. FOR CASES WHERE THE HOSPITAL IS USING THE VIRTUAL GATEWAY (STATE'S PORTAL) 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. ALL SIGNS AND NOTICES SHALL BE TRANSLATED INTO LANGUAGES OTHER THAN ENGLISH IF SUCH LANGUAGE IS SPOKEN BY 10% OR MORE OF THE POPULATION RESIDING IN THE HOSPITAL SERVICE AREA. CURRENTLY, THE HOSPITAL TRANSLATES THE NOTICES INTO THE FOLLOWING LANGUAGES: ENGLISH PORTUGUESE SPANISH HAITIAN CREOLE SEE INTRODUCTION. BMC CONTRIBUTES TO THE COMMUNITY THROUGH ITS PAYMENT OF LINKAGE FEES TO THE CITY OF BOSTON, WHICH FUND PROGRAMS FOR AFFORDABLE HOUSING AND NEIGHBORHOOD HEALTH CARE. PHYSICIAN IMPROVEMENTS AND HOUSING: ACCORDING TO THE DEVELOPMENT IMPACT PROJECT AGREEMENT FOR MOAKLEY MEDICAL SERVICES BUILDING PROJECT BETWEEN BOSTON MEDICAL CENTER AND THE BOSTON REDEVELOPMENT AUTHORITY (BRA) IN 2005, BMC AGREES TO PAY SEVEN EQUAL ANNUAL LINKAGE FEES OF $74,000 TO THE NEIGHBORHOOD HOUSING TRUST TOTALING $518,000. BOSTON MEDICAL CENTER HAS AGREEMENTS WITH BOSTON ALLIANCE FOR COMMUNITY HEALTH. ACCORDING TO THE VARIOUS AGREEMENTS BMC HAS AGREED TO PAY LINKAGE FEES OF $46,892 FOR FIVE YEARS ENDING IN FISCAL YEAR 2013 TOTALING TO $234,460, $19,400 FOR FIVE YEARS ENDING IN FISCAL YEAR 2011 TOTALING TO $97,000, AND $16,700 FOR FIVE YEARS ENDING IN 2014 TOTALING TO $83,500. BOSTON MEDICAL CENTER ALSO HAS AN AGREEMENT WITH THE BRA TO PAY LINKAGE FEES FOR HOUSING OF $24,875 PER YEAR FOR 12 YEARS ENDING 2012 TOTALING TO $298,500. CAPITAL INVESTMENTS IN BOSTON HEALTHNET: WHILE THE NEED FOR COMMUNITY-BASED SERVICES CONTINUES TO GROW, IT HAS BECOME INCREASINGLY DIFFICULT FOR HEALTH CENTERS TO MEET THE DEMAND. REIMBURSEMENT OFTEN DOES NOT COVER THE FULL COST OF CARING FOR THE COMPLEX NEEDS OF HEALTH CENTERS' DIVERSE PATIENT POPULATION. COMPOUNDING THIS PROBLEM, IN THE MID-LATE 1990S MANY HEALTH CENTERS FOUND THEMSELVES OPERATING IN FACILITIES THAT WERE IN DESPERATE NEED OF RESTORATION OR EXPANSION. COSTLY INFORMATION TECHNOLOGY UPGRADES WERE ALSO REQUIRED TO ENHANCE MANAGEMENT EFFICIENCIES AND PATIENT CARE. IN RESPONSE TO THE HEALTH CENTERS' NEEDS, BMC PROVIDES MORE THAN $4 MILLION IN OPERATING SUPPORT TO THE BOSTON HEALTHNET HEALTH CENTERS EACH YEAR. SPECIAL SUPPORT FOR CHILDREN AND FAMILIES CHILD LIFE PROGRAM: THE CHILD LIFE PROGRAM AT BOSTON MEDICAL CENTER HELPS CHILDREN AND FAMILIES MANAGE THE STRESSES ASSOCIATED WITH HOSPITALIZATION AND ILLNESS. THE CHILD LIFE TEAM IS TRAINED TO HELP CHILDREN AND FAMILIES UNDERSTAND THE HOSPITAL EXPERIENCE AND RELATED FEELINGS. THE GOALS OF THE CHILD LIFE PROGRAM ARE: TO HELP CHILDREN EXPRESS THEIR FEELINGS IN A SAFE AND SUPPORTIVE ENVIRONMENT; TO HELP CHILDREN MANAGE PAIN EFFECTIVELY; TO OFFER CHILDREN CHOICES THAT INCREASE FEELINGS OF INDEPENDENCE, SELF ESTEEM AND TRUST; AND TO ASSIST WITH IMPLEMENTATION OF COPING TECHNIQUES DURING STRESSFUL SITUATIONS. CHILDREN'S HEALTHWATCH: CHILDREN'S HEALTHWATCH IS A NON-PARTISAN PEDIATRIC RESEARCH CENTER THAT MONITORS THE IMPACT OF ECONOMIC CONDITIONS AND PUBLIC POLICIES ON THE HEALTH AND WELL-BEING OF VERY YOUNG CHILDREN. CHILDREN'S HEALTHWATCH INTERVIEWS FAMILIES WITH YOUNG CHILDREN IN FIVE HOSPITALS ACROSS THE NATION, INCLUDING BMC (4,500 PATIENT INTERVIEWS IN FY10), THAT SERVE THE POOREST FAMILIES. THE DATABASE OF MORE THAN 40,000 CHILDREN, 80 PERCENT OF WHOM ARE MINORITIES, IS THE LARGEST CLINICAL DATABASE IN THE NATION ON VERY YOUNG CHILDREN LIVING IN POVERTY. DATA ARE COLLECTED ON A WIDE VARIETY OF ISSUES, INCLUDING DEMOGRAPHICS, FOOD SECURITY, PUBLIC BENEFITS, HOUSING, HOME ENERGY, AND CHILDREN'S HEALTH STATUS AND DEVELOPMENTAL RISK. WE SEEK TO PROVIDE POLICY MAKERS AND ADVOCACY GROUPS WITH THE EVIDENCE THEY NEED TO SHAPE POLICIES THAT PREVENT CHILD HUNGER AND PROMOTE CHILDREN'S HEALTH. PEDIATRIC ASSESSMENT OF COMMUNICATION CLINIC (THE AUTISM CLINIC): SINCE 2003, THE AUTISM CLINIC HAS PROVIDED EVALUATIONS AND ONGOING CARE FOR CHILDREN OF ALL AGES WHEN THERE IS A PEDIATRICIAN CONCERN ABOUT AUTISM SPECTRUM DISORDERS (ASD) AND RELATED CONDITIONS, OR WHEN THEY HAVE A PREVIOUS DIAGNOSIS OF ASD. THE PRIMARY SERVICE PROVIDED BY THE AUTISM CLINIC STAFF IS EDUCATIONAL ADVOCACY. THE AUTISM CLINIC'S EDUCATIONAL SPECIALIST PROVIDES DIRECT SUPPORT SERVICES TO PRIMARILY LOW-INCOME AND/OR IMMIGRANT FAMILIES WHO HAVE LIMITED ENGLISH PROFICIENCY AND ARE MOST CHALLENGED BY THE COMPLEX REGULATIONS GOVERNING THE SPECIAL EDUCATION SYSTEM. AS NEEDED, SHE TRAVELS TO CLASSROOMS TO OBSERVE YOUNG PATIENTS WITH AUTISM SPECTRUM DISORDER (ASD) AND TO HELP FAMILIES ACCESS THE PROPER SPECIAL EDUCATION PLACEMENT FOR THEIR CHILDREN, MUCH FASTER THAN THESE FAMILIES COULD MANAGE ON THEIR OWN. IN FY10, THE AUTISM CLINIC SERVED 75 INDIVIDUALS. BIRTH SISTERS AND PERINATAL CARE: BOSTON MEDICAL CENTER HAS DEVELOPED TWO PROGRAMS, BIRTH SISTERS AND CENTERING PREGNANCY, TO IMPROVE HEALTH OUTCOMES OF CHILDBEARING WOMEN AT RISK FOR POOR MATERNAL AND INFANT OUTCOMES. BIRTH SISTERS ARE WOMEN WHO ARE TRAINED TO PROVIDE SOCIAL SUPPORT AND EDUCATION TO MOTHERS FROM THEIR OWN COMMUNITIES DURING PREGNANCY, LABOR, AND THE POSTPARTUM PERIOD. THE BIRTH SISTERS PROGRAM HAS BEEN LINKED TO SIGNIFICANTLY HIGHER BREASTFEEDING RATES AND FEWER CESAREAN DELIVERIES. CENTERING PREGNANCY IS AN INNOVATIVE AND PROVEN MODEL OF CARE THAT OFFERS PRENATAL CARE IN 10 TWO-HOUR GROUP SESSIONS USING A DEVELOPED CURRICULUM. AT THESE SESSIONS BEGINNING EARLY IN THE SECOND TRIMESTER, PATIENTS RECEIVE HEALTH VISITS, PRENATAL AND PARENTING EDUCATION AND PEER GROUP SUPPORT ALL IN ONE VISIT. BOTH PROGRAMS SERVED 359 PATIENTS IN FY10. SPARK: BMC'S SPARK (SUPPORTING PARENTS AND RESILIENT KIDS) CENTER IS A THERAPEUTIC DAY PROGRAM FOR BOSTON'S MOST VULNERABLE CHILDREN, INCLUDING THOSE LIVING WITH HIV/AIDS; THOSE BORN VERY PREMATURELY; THOSE WHO HAVE SUFFERED PSYCHOLOGICAL TRAUMA DUE TO ABUSE/NEGLECT; AND THOSE WITH COMPLEX MEDICAL AND EMOTIONAL NEEDS. SPARK STAFF PROVIDE MEDICAL, EDUCATIONAL, NUTRITIONAL, AND MENTAL HEALTH SERVICES TO VULNERABLE CHILDREN FROM BIRTH TO AGE 22. SPARK OPERATES AN EARLY CHILDHOOD DAY PROGRAM, A SCHOOL-AGE AFTER-SCHOOL PROGRAM, A YOUNG ADULT JOB TRAINING PROGRAM AND A SUMMER CAMP PROGRAM, SERVING APPROXIMATELY 100 CHILDREN ANNUALLY WHO LIVE THROUGHOUT EASTERN MASSACHUSETTS. SPARK HELPS CHILDREN TO BUILD POSITIVE SOCIAL NETWORKS, POSITIVE SELF-REGARD AND COMMUNITY BELONGING. MEDICAL LEGAL PARTNERSHIP BOSTON: THE MEDICAL-LEGAL PARTNERSHIP|BOSTON (MLP|BOSTON) SEEKS TO IMPROVE THE HEALTH AND WELLBEING OF PEOPLE IN POVERTY BY ADDRESSING THE NON-MEDICAL BARRIERS TO HEALTH SO OFTEN FACED BY LOW-INCOME INDIVIDUALS. MLP ALLIES LAWYERS AND HEALTH PROFESSIONALS AND CREATES ACCESS TO LEGAL SERVICES IN THE CLINICAL SETTING TO ENSURE THAT LOW-INCOME PATIENTS' BASIC NEEDS-FOR FOOD, HOUSING, EDUCATION, HEALTH CARE, AND SAFETY/STABILITY-ARE MET. IN FY10, MLP|BOSTON SERVED 1,000 INDIVIDUALS. MARGARET M. SHEA RN ADULT DAY HEALTH PROGRAM: THE MARGARET M. SHEA RN ADULT DAY HEALTH PROGRAM (FORMERLY MATTAPAN ADULT DAY HEALTH PROGRAM) OFFERS FAMILIES PEACE OF MIND AND A SUPPORT SYSTEM TO HELP THEM WITH DECISIONS INVOLVING THE CARE OF THEIR LOVED ONES. IT IS A HOLISTIC MEDICAL INTERVENTION PROGRAM THAT PROVIDES SERVICES IN AN AMBULATORY, HOME-LIKE SETTING FOR ADULTS WHO DO NOT REQUIRE 24-HOUR INSTITUTIONAL CARE, BUT BECAUSE OF PHYSICAL AND/OR MENTAL IMPAIRMENT, ARE NOT COMPLETELY ABLE TO LIVE INDEPENDENTLY. ALL PARTICIPANTS ARE REFERRED TO THE PROGRAM AND ARE SCREENED BEFORE ENTERING THE PROGRAM. SERVICES OFFERED BY THE PROGRAM INCLUDE NURSING, SOCIAL SERVICES, ACTIVITIES AND TRANSPORTATION. RESPONDING TO THE NEEDS OF PATIENTS AFFECTED BY VIOLENCE CHILD PROTECTION TEAM: THE CHILD PROTECTION TEAM (CPT) IS A SPECIAL SERVICES DIVISION OF THE DEPARTMENT OF PEDIATRICS, SERVING ALL MALTREATED CHILDREN SEEN AT BMC. THE CPT HAS THREE MAJOR AREAS OF RESPONSIBILITY: (1) SUPPORTING BMC PROVIDERS TO ENSURE THAT MALTREATED CHILDREN TREATED AT BMC ARE PROTECTED; (2) IMPROVING THE EFFECTIVE IDENTIFICATION AND RESPONSE TO MALTREATMENT THROUGH INNOVATIVE RESEARCH AND PROGRAM DEVELOPMENT AT BMC AND NATIONALLY; AND (3) PROVIDING TRAINING AND EDUCATION TO PEDIATRIC HEALTH AND OTHER PROFESSIONALS IN THE RECOGNITION AND MANAGEMENT OF CHILD MALTREATMENT. THE CPT COOPERATES CLOSELY WITH COMMUNITY AND STATE AGENCIES, LAW ENFORCEMENT PERSONNEL AND THE JUDICIARY SYSTEM TO ENSURE THE BEST POSSIBLE OUTCOME FOR CHILDREN AND FAMILIES. CHILD WITNESS TO VIOLENCE PROJECT: THE CHILD WITNESS TO VIOLENCE PROJECT IS A NATIONALLY-RECOGNIZED AND AWARD-WINNING COUNSELING, OUTREACH, AND CONSULTATION PROGRAM THAT FOCUSES ON YOUNG CHILDREN (UNDER THE AGE OF 8) WHO ARE EXPOSED TO DOMESTIC OR COMMUNITY VIOLENCE. THE CWVP OFFERS A FLEXIBLE COMBINATION OF SERVICES TO CHILDREN AND THEIR FAMILIES, INCLUDING: INTENSIVE TRAUMA-FOCUSED COUNSELING THAT IS DEVELOPMENTALLY TAILORED TO VERY YOUNG CHILDREN AND THEIR PARENTS; ACCESS TO LEGAL ADVOCACY; AND ASSISTANCE WITH LINKING TO OTHER NECESSARY SERVICES INCLUDING HEALTH CARE, CHILD CARE, HOUSING, AND AFTER-SCHOOL PROGRAMS. IN 2010, THE CWVP PROVIDED TRAUMA-FOCUSED COUNSELING SERVICES TO 84 CHILDREN, AND BRIEF CONSULTATION/ADVOCACY FOR AN ADDITIONAL 200 FAMILIES. THE TRAINING/CLINICAL CONSULTATION COMPONENT OF THE PROGRAM DELIVERED 82 TRAININGS AND 90 CONSULTATIONS ACROSS MASSACHUSETTS AND 11 STATES. DOMESTIC VIOLENCE PROGRAM (DVP): THE DVP PROVIDES TRAINING AND EDUCATION FOR STAFF, ASSISTANCE WITH HOSPITAL POLICY AND PROTOCOL DEVELOPMENT, CONSULTATION ON A VARIETY OF CLINICAL AND RESEARCH INITIATIVES, AS WELL AS DIRECT ADVOCACY/SUPPORT SERVICES FOR SURVIVORS OF DOMESTIC AND DATING ABUSE. IN 2009, A SAFETY AND SUPPORT ADVOCATE POSITION WAS CREATED TO PROVIDE A RANGE OF ADVOCACY AND SUPPORT SERVICES TO PATIENTS REFERRED FROM A RANGE OF ADULT AND ADOLESCENT SETTINGS AND PROVIDERS. THE DVP SERVED 150 INDIVIDUALS IN FY10 BY PROVIDING SERVICES SUCH AS CRISIS INTERVENTION/COUNSELING; RISK ASSESSMENT AND SAFETY PLANNING; ASSISTANCE WITH ACCESSING PROTECTIVE ORDERS, VICTIM COMPENSATION; ACCOMPANIMENT TO COURT, LEGAL, MEDICAL, HOUSING AND OTHER APPOINTMENTS; REFERRAL TO COMMUNITY-BASED DV ADVOCACY/RAPE CRISIS COUNSELING, MEDICAL/MENTAL HEALTH SERVICES AND OTHER SUPPORT AS NEEDED. VIOLENCE INTERVENTION ADVOCATE PROGRAM: IN APRIL 2006, BMC PILOTED ITS VIOLENCE INTERVENTION ADVOCATE PROGRAM (VIAP) TO PROVIDE SPECIALIZED SERVICES TO VICTIMS OF VIOLENCE, USING TWO COMMUNITY HEALTH WORKERS, VIOLENCE INTERVENTION ADVOCATES, TO PROVIDE INDIVIDUAL COUNSELING, TRIAGE AND REFERRAL SERVICES FOR VICTIMS OF VIOLENCE BROUGHT TO THE BMC EMERGENCY DEPARTMENT. VIAP STAFF COLLABORATE WITH PUBLIC AND PRIVATE AGENCIES TO OFFER A BROAD SPECTRUM OF CONCRETE SERVICES TO PATIENTS RECOVERING FROM VIOLENT INJURY. EACH VIAP SITE HAS HIRED A PEER VIOLENCE INTERVENTION ADVOCATE (VIA) WITH STRONG COMMUNITY KNOWLEDGE. IN FY10, VIAP OFFERED 1,039 SERVICES (DIRECT AND REFERRALS), ADDED A FAMILY SUPPORT COORDINATOR TO THE PROJECT TEAM, AND SERVED 428 PATIENTS. COMMUNITY OUTREACH CANCER SCREENINGS: BOSTON MEDICAL CENTER OFFERS AN ANNUAL FREE CANCER SCREENING EVENT TO VULNERABLE, UNDERSERVED INDIVIDUALS IN ORDER TO PROMOTE THE EARLY DETECTION OF CANCER. BECAUSE BMC SERVES A PREDOMINANTLY MINORITY AND LOW-INCOME POPULATION ESTABLISHED IN 1995, BOSTON HEALTHNET (BHN) IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM COMPRISED OF BOSTON MEDICAL CENTER, THE BOSTON UNIVERSITY SCHOOL OF MEDICINE, AND 15 COMMUNITY HEALTH CENTERS (CHCS). PHYSICIANS WHO PRACTICE AT HEALTHNET LOCATIONS PROVIDE A WIDE RANGE OF COMPREHENSIVE HEALTH CARE SERVICES TO ADULT AND PEDIATRIC PATIENTS, WITH A FOCUS ON DISEASE PREVENTION AND HEALTH EDUCATION. PATIENTS RECEIVING PRIMARY CARE AT HEALTHNET SITES HAVE ACCESS TO HIGHLY TRAINED SPECIALISTS AND CUTTING-EDGE TECHNOLOGY AT BMC WHILE MAINTAINING INDIVIDUALIZED AND CULTURALLY SENSITIVE CARE IN THEIR NEIGHBORHOODS. NOW IN ITS 16TH YEAR, BHN AND ITS HEALTH CENTER PARTNERS HAVE EXTENDED BMC'S PRESENCE INTO BOSTON-AREA NEIGHBORHOODS, SIGNIFICANTLY IMPACTING THE HEALTH OF THEIR RESIDENTS. THE ACCOMPLISHMENTS OF THE NETWORK ARE EVIDENCED BY: THE GROWTH OF HEALTH CENTER ADMISSIONS TO BMC; THE ESTABLISHMENT OF AN INPATIENT ROUNDER SYSTEM FOR HEALTH CENTER PATIENTS; THE COLLABORATIVE DEVELOPMENT OF QUALITY IMPROVEMENT INITIATIVES, CLINICAL PROTOCOLS, AND STANDARDS OF PRACTICE; INCREASED ACCESS TO SPECIALTY SERVICES; A SUCCESSFUL PUBLIC HEALTH OUTREACH CAMPAIGN; AND THE SIGNIFICANT DEVELOPMENT AND COORDINATION OF THE NETWORK'S INFORMATION TECHNOLOGY PROGRAMS AND SERVICES. IN 1997, BOSTON HEALTHNET ESTABLISHED A COMMUNITY PHYSICIAN GROUP INPATIENT ROUNDER SYSTEM AT BMC. THE ROUNDER SYSTEM BRINGS TOGETHER PHYSICIANS FROM THE HEALTH CENTERS AND THE BMC DEPARTMENT OF FAMILY MEDICINE TO CARE FOR PATIENTS FROM THESE CENTERS WHILE THEY ARE IN THE HOSPITAL, THEREBY COORDINATING AND ENHANCING THE QUALITY AND CONTINUITY OF CARE. TODAY, 12 HEALTH CENTERS AND BMC'S DEPARTMENT OF FAMILY MEDICINE PARTICIPATE IN THE ROUNDER SYSTEM. THE SYSTEM WAS RECONFIGURED IN 2008 INTO THREE TEAMS, COMPRISED OF BMC AND CHC ATTENDING PHYSICIANS ASSISTED BY THREE NURSE PARTNERS AND FOUR PHYSICIAN ASSISTANTS. IN 2008 THE ROUNDER SYSTEM WAS EXTENDED TO EVENINGS AND SEVEN DAY COVERAGE. THE AVERAGE LENGTH OF STAY FOR THE ROUNDER SYSTEM WAS 4.39 DAYS, WHICH COMPARES FAVORABLY WITH OTHER NATIONAL AND LOCAL INDICES. BOSTON HEALTHNET HEALTH CENTER PARTNERS ARE ACTIVE COLLABORATORS ON A NUMBER OF PROJECTS AND PROGRAMS DESCRIBED IN THIS REPORT, INCLUDING THE PROSTATE CANCER SCREENING INITIATIVE, PATIENT NAVIGATION RESEARCH, THE FANTASTIC KIDS PROGRAM TO ADDRESS PEDIATRIC OVERWEIGHT, AND MEDICAL-LEGAL PARTNERSHIP. ADDITIONAL EXAMPLES OF PROJECTS ON WHICH BMC AND BOSTON HEALTHNET HAVE COLLABORATED INCLUDE: INFORMATION TECHNOLOGY SIGNIFICANT STRIDES HAVE BEEN MADE IN THE AREA OF INFORMATION TECHNOLOGY ACROSS THE NETWORK. ALL OF BOSTON HEALTHNET'S PRIMARY PARTNER HEALTH CENTERS ARE CONNECTED TO BMC OVER HIGH-SPEED T-1 LINES THAT PUT BMC'S CLINICAL SYSTEMS AT THE FINGERTIPS OF HEALTH CENTER PROVIDERS AND OTHER STAFF. IN 2001, THE PARTNERSHIP BETWEEN BMC AND THE HEALTH CENTERS, COUPLED WITH A SUBSTANTIAL GRANT FROM AN ANONYMOUS FOUNDATION, SUPPORTED THE IMPLEMENTATION OF THE CENTRICITY ELECTRONIC MEDICAL RECORD (EMR) AT EIGHT OF THE PRIMARY PARTNER HEALTH CENTERS. IN 2008 IMPLEMENTATION WAS COMPLETED AT ONE SECONDARY PARTNER HEALTH CENTER. ADDITIONALLY, ELECTRONIC PRESCRIBING WAS IMPLEMENTED AT THE NINE CENTRICITY SITES. A WORKING GROUP MEETS MONTHLY TO ADDRESS DEVELOPMENTAL ISSUES AND TO EVALUATE AND PRIORITIZE FUTURE PROJECTS. A THREE YEAR, $746,246 HRSA AWARD TO BOSTON HEALTHNET IN FY07 IS SUPPORTING THE VERTICAL INTEGRATION OF ELECTRONIC MEDICAL RECORDS AT EIGHT COMMUNITY HEALTH CENTERS WITH THAT OF BMC. THIS INTEGRATION WILL TAKE PLACE VIA IMPLEMENTATION OF A CLINICAL INFORMATION EXCHANGE (CIE) THAT WILL ALLOW COMMUNITY HEALTH CENTER PROVIDERS TO VIEW INFORMATION IN BOTH BMC AND OTHER CHC SYSTEMS THROUGH THE LOCAL PATIENT RECORD. THE CIE WILL ALLOW PHYSICIANS IN THE HEALTH CENTERS TO BETTER TRACK PATIENTS RECEIVING CARE AT BMC. IN 2008 THE NETWORK WAS A RECIPIENT OF A ONE-YEAR, $543,000 HIGH IMPACT HEALTH INFORMATION TECHNOLOGY GRANT FROM HRSA THAT WILL ALLOW ITS STAFF TO IMPLEMENT AN ELECTRONIC REFERRAL MANAGEMENT SYSTEM BETWEEN THE 10 BHN PRIMARY PARTNER CHCS AND SPECIALISTS IN THE BMC DEPARTMENT OF MEDICINE. BY LEVERAGING THE TECHNOLOGY OF THE CIE, THE EREFERRAL SYSTEM WILL ALSO MAKE IT POSSIBLE FOR THE CHCS TO SCHEDULE APPOINTMENTS, ELECTRONICALLY SUBMIT REQUIRED CLINICAL INFORMATION TO SPECIALISTS, RECEIVE ELECTRONIC INFORMATION ABOUT REFERRALS, TRACK PATIENTS' NO-SHOW RATES, AND RECEIVE RETURN SPECIALIST REPORTS THROUGH THE LOCAL EMR OR BY OPENING A WEB-BASED PRACTICE PORTAL. IN 2010, BOSTON HEALTHNET RECEIVED A TWO-YEAR, $2,986,872 GRANT FROM HRSA TO HELP COMPLETE THE TRANSFORMATION OF CURRENT HEALTH INFORMATION TECHONOLOGY CAPABILITIES INTO A TRULY INTEGRATED, HIGH-PERFORMANCE HEALTH INFORMATION EXCHANGE WITH THE CAPACITY TO HANDLE ALL NECESSARY CLINICAL, ADMINISTRATIVE AND FINANCIAL FUNCTIONS. TO THIS END, PROJECT FUNDS ARE BEING USED TO INSTALL THE CENTRICITY PRACTICE SOLUTION AT FIVE CHCS; TO IMPLEMENT IMMUNIZATION AND DIABETES REGISTRIES FOR THE ENTIRE BHN NETWORK, INCLUDING BMC; TO FULLY AUTOMATE LABORATORY ORDER ENTRY AND RESULTS RETRIEVAL FOR 12 OF THE CHCS; TO AUTOMATE REPORTING OF UNIFORM DATA SYSTEM MEASURES AND HRSA CLINICAL PERFORMANCE MEASURES IN ALL 15 CHCS; AND TO CREATE A DATA WAREHOUSE FOR THE CHCS. INCREASING PATIENT ACCESS COMMUNITY ACCESS TO BMC IS ENHANCED THROUGH A FREE SHUTTLE BUS SERVICE. FOUR BUSES CIRCULATE THROUGHOUT THE SYSTEM ON ESTABLISHED ROUTES, FROM 7AM-7PM, MONDAY THROUGH FRIDAY, BRINGING PATIENTS TO BOSTON MEDICAL CENTER. LAST YEAR, THESE SHUTTLE BUSES TRANSPORTED 188,873 PATIENTS AND THEIR FAMILIES BETWEEN BMC AND THE BOSTON HEALTHNET HEALTH CENTERS. ADVANCING MEDICAL EDUCATION A NUMBER OF HEALTHNET HEALTH CENTERS ALSO SERVE AS THE PRIMARY COMMUNITY-BASED TRAINING SITES FOR BOSTON UNIVERSITY SCHOOL OF MEDICINE PEDIATRIC, FAMILY MEDICINE, AND GENERAL MEDICINE RESIDENTS. true MAINE MEDICAL CENTER 22 Bramhall Street Portland ME 04102 010238552 501(c)(3) 25576 Subaward DREXEL SCHOOL OF PUBLIC HEALTH 1505 Race Street Philadelphia PA 19102 023135630 501(c)(3) 23190 Subaward NORTHEASTERN UNIVERSITY 360 Huntington Avenue Boston MA 02115 041679980 501(c)(3) 379548 Subaward BOSTON UNIVERSITY 715 Albany Street Boston MA 02118 042103547 501(c)(3) 2969602 Subaward YMCA OF GREATER BOSTON 776 Washington Street Dorchester MA 02124 042103551 501(c)(3) 88877 Subaward HARVARD UNIVERSITY 677 Huntington Avenue Boston MA 02115 042103580 501(c)(3) 178266 Subaward MOUNT AUBURN HOSPITAL 330 Mount Auburn Cambridge MA 02138 042103606 501(c)(3) 118138 Subaward TUFTS UNIVERSITY 171 Harrison Avenue Boston MA 02111 042103634 501(c)(3) 387193 Subaward BETH ISRAEL DEACONESS MEDICAL CENTER PO Box 3784 Boston MA 02241 042103881 501(c)(3) 354191 Subaward GREATER BOSTON LEGAL 197 Friend Street Boston MA 02114 042103907 501(c)(3) 15000 Subaward HEBREW REHABILITATION 300 First Avenue Needham MA 02494 042104298 501(c)(3) 65634 Subaward JOSLIN DIABETES CENTER One Joslin Place Boston MA 02215 042203836 501(c)(3) 68754 Subaward HEALTH RESOURCES IN ACTION 95 Berkeley Street Boston MA 02116 042229839 501(c)(3) 10416 Subaward BRIGHAM & WOMENS HOSPITAL PO Box 3149 Boston MA 02241 042312909 501(c)(3) 304743 Subaward NORTH SUFFOLK MENTAL HEALTH 301 Broadway Avenue Chelsea MA 02150 042317215 501(c)(3) 1851471 Subaward HARVARD PILGRIM HEALTH CARE 25 Shattuck Street Boston MA 02215 042452600 501(c)(3) 14903 Subaward BAY COVE HUMAN SERVICES 66 Canal Street Boston MA 02114 042518575 501(c)(3) 2822895 Subaward MATTAPAN COMMUNITY HEALTH CENTER 1425 Blue Hill Avenue Mattapan MA 02126 042544151 501(c)(3) 34420 Subaward BROCKTON AREA MULTI-SERVICES 10 Christys Drive Brockton MA 02301 042562377 501(c)(3) 16241 Subaward WHITTIER ST HEALTH CENTER 1125 Tremont Street Roxbury MA 02120 042619517 501(c)(3) 25867 Subaward VINFEN CORPORATION PO Box 5059 Boston MA 02206 042632219 501(c)(3) 77270 Subaward CODMAN SQUARE HEALTH CENTER 637 Washington Street Boston MA 02124 042678774 501(c)(3) 83577 Subaward SOUTH BOSTON COMMUNITY HEALTH CENTER 409 West Broadway South Boston MA 02127 042682152 501(c)(3) 31076 Subaward MASSACHUSETTS GENERAL HOSPITAL 55 Fruit Street Boston MA 02114 042697983 501(c)(3) 179106 Subaward LAHEY CLINIC 41 Mall Road Burlington MA 01805 042704683 501(c)(3) 81320 Subaward CHILDREN'S HOSPITAL OF BOSTON 300 Longwood Avenue Boston MA 02115 042774441 501(c)(3) 79126 Subaward NATIONAL ALLIANCE ON MENTAL ILLNESS 400 West Cummings Park Woburn MA 01801 042777012 501(c)(3) 10000 Subaward MGH NEUROGENETICS DNA DIAGNOSTIC LAB 185 Cambridge Street Boston MA 02110 042807148 501(c)(3) 191771 Subaward BOSTON VA RESEARCH INSTITUTE 150 S Huntington Ave Boston MA 02130 043081524 501(c)(3) 19599 Subaward CENTER FOR COMMUNITY HEALTH 420 Washington Street Dorchester MA 02124 043112225 501(c)(3) 75031 Subaward BROCKTON NEIGHBORHOOD HEALTH CENTER 63 Main Street Brockton MA 02301 043165044 501(c)(3) 22750 Subaward UNIVERSITY OF MASSACHUSETTS 55 Lake Avenue North Worcester MA 01655 043167352 115 233269 Subaward JONATHAN O COLE MENTAL HEALTH 115 Mill Street Belmont MA 02178 043282088 501(C)(3) 11429 Subaward BOSTON PUBLIC HEALTH COMMISSION 1010 Massachusetts Avenue C/O McLean Hospital Boston MA 02118 043316655 115 246011 Subaward SOMALI DEVELOPMENT CENTER 203-205 Green St Jamaica Plain MA 02130 043318202 501(C)(3) 29218 Subaward CAMBRIDGE HEALTH ALLIANCE 1493 Cambridge Street Cambridge MA 02139 043320571 501(c)(3) 242900 Subaward DOTWELL PO Box 220803 Dorchester MA 02122 043433538 501(c)(3) 26878 Subaward CITY OF BOSTON One Schroeder Plaza Boston MA 02120 046001380 115 14886 Subaward BUTLER HOSPITAL 345 Blackstone Blvd Providence RI 02906 050258812 501(C)(3) 117613 Subaward University Of Rhode Island 70 Lower College Road Kingston RI 02881 056000522 501(c)(3) 334513 Subaward GAYLORD HOSPITAL PO Box 400 Ste 2 Wallingford CT 06492 060646649 501(c)(3) 104929 Subaward YALE UNIVERSITY PO Box 1873 New Haven CT 06508 060646973 501(c)(3) 111308 Subaward WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY 1300 York Avenue New York NY 10005 131623978 501(c)(3) 90476 Subaward NEW YORK UNIVERSITY 550 First Avenue New York NY 10016 135562309 501(c)(3) 65995 Subaward ROOT CAUSE INSTITUTE 675 Massachusetts Ave Cambridge MA 02139 200703238 501(c)(3) 328332 Subaward COOPER HEALTH SYSTEM One Cooper Place 9th Floor Camden NJ 08103 210634462 501(c)(3) 37831 Subaward WAKE FOREST UNIVERSITY 1834 Wake Forest RD WinstonSalem NC 27157 223849199 501(c)(3) 12571 Subaward TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA 3451 Walnut Street Philadelphia PA 19104 231352685 501(c)(3) 41689 Subaward DORCHESTER HOUSE MULTI SERVICE CENTER 1353 Dorchester Avenue Dorchester MA 02122 237125970 501(c)(3) 38916 Subaward UPHAM'S CORNER HEALTH CENTER 636 Columbia Road Dorchester MA 02125 237211732 501(c)(3) 30000 Subaward EAST BOSTON NHC 10 Gove Street East Boston MA 02128 237425849 501(c)(3) 31076 Subaward THE PENNSYLVANIA STATE UNIBERSITY 110 Tech Center University Park PA 16802 246000376 501(c)(3) 13940 Subaward CONGOLESE WOMEN ASSOC NEW ENGLAND 271 Western Avenue Lynn MA 01904 300290304 501(c)(3) 36395 Subaward UNIVERSITY OF MARYLAND PO Box 41428 Baltimore MD 21203 311678679 501(c)(3) 66874 Subaward UNIVERSITY OF MICHIGAN 1301 Catherine Road Baltimore Foundation Ann Arbor MI 48109 386006309 501(c)(3) 19967 Subaward UNIVERSITY OF WISCONSIN 21 N Park Street Madison WI 53715 396006492 501(c)(3) 11732 Subaward HEALTH PARTNERS RESEARCH PO Box 1524 Suite 6401 Minneapolis MN 55440 411670163 501(c)(3) 102160 Subaward MINNEAPOLIS MEDICAL RESEARCH 914 S 8TH STREET Minneapolis MN 55404 411677920 501(c)(3) 48844 Subaward UNIVERSITY OF IOWA 105 Jessup Hall 914 South Eight Street Iowa City IA 52242 426004813 501(c)(3) 37038 Subaward WASHINGTON UNIVERSITY Campus Box 1034 St Louis MO 63112 430653611 501(c)(3) 25553 Subaward LOVELACE BIOMEDICAL & ENV RESEARCH INST 2425 Ridge Street 700 Rosedale Avenue Albuquerque NM 87108 510154068 501(c)(3) 108081 Subaward JOHN HOPKINS UNIVERSITY 600 Wolfe Street Baltimore MD 21287 520595110 501(c)(3) 36375 Subaward THE HENRY M JACKSON FOUNDATION 1401 Rockville Pike Rockville MD 20852 521317896 501(c)(3) 18485 Subaward NATIONAL CENTER FOR HEALTHY HOUSING 10320 L Patuxent PKY Columbia MD 21044 521792579 501(c)(3) 85735 Subaward GEORGE WASHINGTON UNIVERSITY 2121 First Avenue NW Washington DC 20052 530196584 501(c)(3) 19961 Subaward US CIVILIAN RESEARCH & DEVELOPMENT PO Box 630622 Suite 601 Baltimore MD 21263 541773406 501(c)(3) 222888 Subaward FLORIDA STATE UNIVERSITY 874 Traditions Way Tallahassee FL 32306 591961248 501(c)(3) 75369 Subaward HLEE MOFFITT CANCER CENTER 12902 Magnolia Drive 3rd Floor Tampa FL 33612 592451713 501(c)(3) 14275 Subaward ARKANSAS CHILDREN'S HOSPITAL 800 Marshall Slot 512 Little Rock AR 72202 710694931 501(c)(3) 60565 Subaward U OF TEXAS HEALTH SCIENCE CENTER 7703 Floyd Curl Drive Research Institute San Antonio TX 78229 741586031 501(c)(3) 19939 Subaward GROUP HEALTH COOPERATIVE 521 Wall Street Seattle WA 98121 910511770 501(c)(3) 175214 Subaward Kaiser Foundation ResEARCH INSTITUTE 1800 Harrison Street Oakland CA 94612 941105628 501(c)(3) 346006 Subaward STANFORD UNIVERSITY 450 Serra Mall 16th Floor Palo Alto CA 94304 941156365 501(c)(3) 57973 Subaward UNIVERSITY OF CALIFORNIA 505 Parnassus Ave San Francisco CA 94413 946036493 501(c)(3) 125149 Subaward NORTHWESTERN UNIVERSITY 633 Clark Street Evanston IL 60208 362167817 501(c)(3) 89402 Subaward 76 SCHEDULE I, PART I, LINE 2 Boston Medical Center monitors all sponsored program grants utilizing internal electronic tracking systems. Department staff monitor the systems. Grants Administration works closely with the department staff to ensure that expenditures are appropriate and allowable per the award contract and notice of grant award. X X X X X true true false false false false false true false ELAINE ULLIAN 907742 0 333878 0 330699 0 186299 0 43604 0 1802222 0 0 0 EDWARD CHRISTIANSEN JR 272575 0 10702 0 1080 0 19600 0 10945 0 314902 0 0 0 RONALD BARTLETT 480918 0 131250 0 1185870 0 69269 0 46545 0 1913852 0 0 0 STEPHANIE LOVELL 378529 0 98985 0 65599 0 65888 0 18067 0 627068 0 0 0 JAMES M BECKER MD 0 443265 0 0 0 559070 0 23349 0 18302 0 1043986 0 0 david coleman md 0 448473 0 0 0 150381 0 23349 0 2436 0 624639 0 0 CAROL SULIS MD 0 164657 0 0 0 28071 0 18604 0 17169 0 228501 0 0 RAVIN DAVIDOFF 384100 0 106181 0 43872 0 61523 0 33831 0 629507 0 0 0 PAUL DREW 458269 0 185467 0 941726 0 1429 0 18231 0 1605122 0 0 0 PETER HEALY 253412 0 68578 0 58640 0 27411 0 32515 0 440556 0 0 0 LISA O'CONNOR 239290 0 68578 0 77026 0 49692 0 13836 0 448422 0 0 0 NORMAN STEIN 313252 0 100980 0 467823 0 54415 0 21288 0 957758 0 0 0 THOMAS TRAYLOR 381193 0 0 0 1141940 0 56254 0 28023 0 1607410 0 0 0 MEG ARANOW 326948 0 91370 0 333244 0 50839 0 31245 0 833646 0 0 0 WILLIAM BARRON 403549 0 112818 0 52242 0 67489 0 37882 0 673980 0 0 0 SCHEDULE J, PART I, LINE 4A PAUL DREW TERMINATED HIS EMPLOYMENT AT BOSTON MEDICAL CENTER AND RECEIVED A SEVERANCE PAYMENT OF $463,656. SCHEDULE J, PART I, LINE 4B BOSTON MEDICAL CENTER PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CERTAIN EXECUTIVES. AMOUNTS ARE CREDITED TO PARTICIPANTS' ACCOUNTS EACH YEAR. PLAN AMOUNTS ARE SUBJECT TO FORFEITURE AND/OR PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE PLAN AGREEMENT. BOSTON MEDICAL CENTER MAINTAINS AN EXECUTIVE BENEFIT PLAN WHICH OFFERS PARTICIPATING EXECUTIVES THE OPTION OF ANNUALLY ALLOCATING BENEFIT DOLLARS TO A SUPPLEMENTAL RETIREMENT/PRE-TAX SAVINGS ACCOUNT. AMOUNTS VEST ON SPECIFIED DATES BASED ON CONTINUED EMPLOYMENT BUT NO LATER THAN THE EXECUTIVE'S 68TH BIRTHDAY. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING EXECUTIVES IN CALENDAR YEAR 2009: ARANOW - $308,026 BARRON - $17,227 BARTLETT - $1,159,375 DAVIDOFF - $17,780 DREW - $940,646 HEALY - $56,314 LOVELL - $50,158 O'CONNOR - $58,176 STEIN - $444,309 TRAYLOR - $1,118,617 ULLIAN - $292,279 SCHEDULE J, PART I, LINE 7 BMC SENIOR MANAGEMENT DEVELOPED THE VSSC GOAL MODEL TO MEASURE THE ORGANIZATION'S PERFORMANCE. VSSC GOALS INCLUDE MEASUREMENT OF PATIENT VOLUME (INPATIENT DISCHARGES AND OUTPATIENT CLINIC VISITS), SAFETY (DEFECT-FREE CARE AND SERVICES FOR SURGICAL PATIENTS AND PNEUMONIA PATIENTS), SATISFACTION (IMPROVE PATIENT SATISFACTION PRIVACY SCORE), AND COST (EXPENSE CONTROL AND REDUCTION). BONUSES ARE EARNED BASED UPON PERFORMANCE AGAINST THESE MEASURES. SCHEDULE J, PART II EDWARD CHRISTIANSEN, JR IS COMPENSATED FOR HIS ROLE AS VP & CHIEF RISK MANAGEMENT OFFICER AND NOT AS THE FORMER CLERK. KALTHLEEN E. WALSH WAS EMPLOYED AS OF MARCH 1, 2010 AS PRESIDENT AND CEO OF BOSTON MEDICAL CENTER. SHE DID NOT RECEIVE COMPENSATION DURING CALENDAR 2009. MASS HEALTH & EDUC FACILITIES AUTHORITY - SERIES B 042456011 57586C7T6 2008-07-01 239309847 CONSTRUCTION & EQUIPMENT false false 245175000 23163600 0 82658501 2595279 0 130892467 false false false false false false false true 0.00000 0.00000 0.00000 true false false false false false false X 4 SEE PART II X 30436 FMV X 13 594221 PROCEEDS OF STOCK 0 false true false SCHEDULE M, PART I, COLUMN (B) THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. SCHEDULE M, PART I, LINE 1 THE ORGANIZATION DOES NOT RECORD REVENUE ON ITS FINANCIAL STATEMENTS FOR WORKS OF ART UNTIL THEY ARE SOLD AT THE ORGANIZATION'S GALA, A FUNDRAISING EVENT. ONCE THE ART IS SOLD, THE REVENUE IS RECORDED AS CASH RECEIVED. THEREFORE, REVENUE FOR THESE ART CONTRIBUTIONS IS NOT INCLUDED ON FORM 990, PART VIII, LINE 1G. FORM 990, PART III, LINE 4A BOSTON MEDICAL CENTER'S MISSION IS TO "PROVIDE CONSISTENTLY EXCELLENT AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS OR ABILITY TO PAY." ABOUT 10% OF BOSTON MEDICAL CENTER'S PATIENTS ARE UNINSURED AND MORE THAN HALF HAVE AN ANNUAL INCOME BELOW $20,420. MANY PATIENTS FACE LINGUISTIC AND SOCIO-CULTURAL BARRIERS TO CARE. TO ADDRESS THE HEALTH NEEDS OF ITS DIVERSE PATIENT POPULATION, BOSTON MEDICAL CENTER PROVIDES A WIDE RANGE OF SERVICES BEYOND THE TRADITIONAL MEDICAL MODEL. THESE PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO, PATIENT NAVIGATION, INTERPRETER SERVICES, AND OTHERS THAT HELP FAMILIES MEET THEIR BASIC NEEDS FOR FOOD, CLOTHING, AND SHELTER. PART IV, LINES 12 AND 12A BOSTON MEDICAL CENTER HAS SEPARATE FINANCIAL STATEMENTS AND IS ALSO INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR BOSTON MEDICAL CENTER AND AFFILIATES. FORM 990, PART V, LINE 4B BERMUDA CANADA CAYMAN ISLANDS LESOTHO FORM 990, PART VI, LINE 2 KAREN ANTMAN, M.D. JAMES M. BECKER, M.D. DAVID COLEMAN, M.D. CAROL SULIS, M.D. BUSINESS RELATIONSHIP - ALL EMPLOYED BY BOSTON UNIVERSITY FOUR OF BOSTON MEDICAL CENTER'S TRUSTEES ALSO SERVE ON THE BOARD OF BMC INSURANCE COMPANY. FORM 990, PART VI, LINE 11A BOSTON MEDICAL CENTER'S (BMC) FORM 990 IS PREPARED BY PRICEWATERHOUSECOOPERS (PWC) AND REVIEWED BY BMC'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, BMC'S INTERNAL MANAGEMENT AND PWC PRESENT THE FORM 990 TO THE AUDIT COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2010 WERE DISTRIBUTED BY THE ORGANIZATION'S LEGAL DEPARTMENT. THE CHIEF COMPLIANCE OFFICER QUERIES TRUSTEES, OFFICERS AND DIRECTORS ON AT LEAST AN ANNUAL BASIS REGARDING RELATIONSHIPS THAT MAY CREATE POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS ALL DISCLOSURES AND DETERMINES WHETHER THERE ARE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER INFORMS THE GENERAL COUNSEL OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE GENERAL COUNSEL ADVISES THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION ACCORDINGLY. FORM 990, PART VI, LINE 15A&B AN INDEPENDENT COMMITTEE, FORMED OF INDIVIDUALS WHOSE COMPENSATION IS NOT IN ISSUE, DETERMINES THE COMPENSATION OF OFFICERS, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES. THE COMMITTEE MEMBERS ARE NOT UNDER THE CONTROL OR DIRECTION OF ANY BMC EXECUTIVE SEEKING COMPENSATION. THE COMPENSATION PLAN IS SUPPORTED BY COMPARABLE DATA, WHICH INCLUDES COMPENSATION PAID FOR COMPARABLE POSITIONS BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, COMPENSATION SURVEYS COMPILED INDEPENDENTLY, AND/OR ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE BMC EXECUTIVE. THE INDEPENDENT COMMITTEE'S ASSESSMENT OF THESE CONSIDERATIONS ARE CONTAINED IN THE MINUTES OF THE COMMITTEE MEETING. THE REVIEW PROCESS INCLUDES - AND MINUTES INDICATE - DISCUSSIONS AND EVALUATIONS OF EACH EXECUTIVE'S PRIOR PERFORMANCE, QUALIFICATIONS, AND EXPERIENCE. EXECUTIVES ARE NOT PRESENT FOR THE INDEPENDENT COMMITTEE'S DISCUSSION AND VOTE ON COMPENSATION. THE MINUTES REFLECT THE FACT THAT NO EXECUTIVE WAS PRESENT. FORM 990, PART VI, LINE 19 BOSTON MEDICAL CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS PUBLICLY AVAILABLE. HOWEVER, THE RESTATED ARTICLES OF THE ORGANIZATION ARE POSTED ON THE SECRETARY OF THE COMMONWEALTH'S WEBSITE. FORM 990, PART VII, SECTION A EDWARD CHRISTIANSEN, JR IS COMPENSATED FOR HIS ROLE AS VP AND CHIEF RISK MANAGEMENT OFFICER AND NOT AS THE FORMER CLERK. FORM 990, PART VII, SECTION A THE FOLLOWING INDIVIDUALS DEVOTED THE FOLLOWING HOURS PER WEEK TO RELATED ORGANIZATIONS DURING THE YEAR: RAVIN DAVIDOFF - 5 HOURS JAMES M. BECKER, MD - 50 HOURS DAVID COLEMAN, MD - 50 HOURS SCHEDULE K, PART III BOSTON MEDICAL CENTER HAS CONDUCTED AN EXTENSIVE ANALYSIS OF ALL ACTIVITIES CONDUCTED WITHIN ITS BOND-FINANCED FACILITIES AND HAS DETERMINED THAT THERE IS NO PRIVATE BUSINESS USE. DETERMINED THAT THERE IS NO PRIVATE BUSINESS USE. 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