BOSTON MEDICAL CENTER CORPORATION: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: BOSTON MEDICAL CENTER CORPORATION (EIN 04-3314093)
Tax period: 2024-10-01 to 2025-09-30
Filed: 2026-08-14
IRS object ID: 202602269349302250
Schema version: 2024v5.5
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 D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-08-14T10:55:39-05:00	ReturnTs
Tax Period End	2025-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	60 SOUTH STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02111	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	043314093	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	BOST	BusinessNameControlTxt
Phone	6174141628	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE BOSTON MEDICAL CENTER PLACE	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02118	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ANKUR AGRAWAL	PersonNm
Person Title	SVP/CFO/TREASURER	PersonTitleTxt
Phone	6174141628	PhoneNum
Signature	2026-08-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KRISTIN ANDERSON	PreparerPersonNm
PTIN	P01231300	PTIN
Phone	6179881000	PhoneNum
Preparation	2026-08-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ANTHONY HOLLENBERG MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE BOSTON MEDICAL CENTER PLACE	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02118	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,540,946,372	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BMC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1996	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	24	VotingMembersGoverningBodyCnt
Voting Members Independent	20	VotingMembersIndependentCnt
Total Employee	12148	TotalEmployeeCnt
Total Volunteers	580	TotalVolunteersCnt
Total Gross UBI	$1,801,627	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$294,862	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$26,484,573	PYContributionsGrantsAmt
CY Contributions Grants	$36,596,650	CYContributionsGrantsAmt
PY Program Service Revenue	$2,528,877,780	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,878,026,228	CYProgramServiceRevenueAmt
PY Investment Income	$32,645,067	PYInvestmentIncomeAmt
CY Investment Income	$47,203,682	CYInvestmentIncomeAmt
PY Other Revenue	$12,517,960	PYOtherRevenueAmt
CY Other Revenue	$13,111,983	CYOtherRevenueAmt
PY Total Revenue	$2,600,525,380	PYTotalRevenueAmt
CY Total Revenue	$2,974,938,543	CYTotalRevenueAmt
PY Grants And Similar Paid	$17,866,158	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$13,272,965	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$966,812,413	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,047,439,183	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$10,517,441	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,656,822,597	PYOtherExpensesAmt
CY Other Expenses	$1,909,306,985	CYOtherExpensesAmt
PY Total Expenses	$2,641,501,168	PYTotalExpensesAmt
CY Total Expenses	$2,970,019,133	CYTotalExpensesAmt
PY Revenues Less Expenses	-$40,975,788	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,919,410	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,832,076,979	TotalAssetsBOYAmt
Total Assets EOY	$3,048,333,186	TotalAssetsEOYAmt
Total Liabilities BOY	$1,438,600,051	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,640,883,677	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,393,476,928	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,407,449,509	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	BOSTON MEDICAL CENTER'S MISSION IS TO PROVIDE CONSISTENTLY EXCELLENT AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$2,591,094,867	ExpenseAmt
Revenue	$2,876,427,389	RevenueAmt
Desc	THE STATUTE THAT AUTHORIZED THE CREATION OF BOSTON MEDICAL CENTER REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 654-LICENSED BED, URBAN ACADEMIC MEDICAL CENTER WHICH EMPHASIZES COMMUNITY-BASED, ACCESSIBLE CARE AND THE MISSION TO PROVIDE CONSISTENTLY ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY. BMC IS THE LARGEST SAFETY NET HOSPITAL IN NEW ENGLAND AND PROVIDES A FULL SPECTRUM OF PEDIATRIC AND ADULT CARE SERVICES FROM PRIMARY TO FAMILY MEDICINE TO ADVANCED SPECIALTY CARE. BOSTON MEDICAL CENTER IS DEDICATED TO PROVIDING ACCESSIBLE HEALTH CARE. NEARLY 75 PERCENT OF OUR PATIENTS COME FROM UNDERSERVED POPULATIONS, SUCH AS THE LOW-INCOME AND ELDERLY, WHO RELY ON GOVERNMENT PAYERS SUCH AS MEDICAID, THE HEALTH SAFETY NET, AND MEDICARE FOR THEIR COVERAGE; 27 PERCENT DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE. TO ADDRESS THE HEALTH NEEDS OF DIVERSE PATIENT POPULATIONS, BMC PROVIDES A WIDE RANGE OF SERVICES BEYOND THE TRADITIONAL MEDICAL MODEL. THESE PROGRAMS, INCLUDING PATIENT NAVIGATION AND A FOOD PANTRY, HELP TO REDUCE BARRIERS TO ACCESS TO HEALTH SERVICES AND ELIMINATE DISPARITIES IN HEALTH CARE AMONG VARIOUS POPULATIONS THAT BMC SERVES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$13,272,965	ExpenseAmt
Grant	$13,272,965	GrantAmt
Desc	BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO ORGANIZATIONS WITHIN THE U.S. AS WELL AS FOREIGN ORGANIZATIONS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$2,604,367,832	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	Yes (1)	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (1)	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	965	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	12148	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	LT	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	24	GoverningBodyVotingMembersCnt
Independent Voting Member	20	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KAREN FINE	PersonNm
Phone	6176387406	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE BOSTON MEDICAL CENTER PLACE	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02118	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ALASTAIR BELL MD
BMCHS PRESIDENT & CEO/TRUSTEE	50.00	4.00	Yes (X)	Yes (X)	$1,919,294	$0	$280,079
ANTHONY HOLLENBERG MD
PRESIDENT/TRUSTEE	50.00	1.00	Yes (X)	Yes (X)	$1,207,284	$0	$16,695
MARTHA SAMUELSON
CHAIR/TRUSTEE	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
KAREN ANTMAN MD
TRUSTEE (THRU 7/1/25)	1.00	2.00	Yes (X)		$0	$0	$0
ANITA BEKENSTEIN
TRUSTEE (THRU 5/13/25)	1.00	0.00	Yes (X)		$0	$0	$0
REV WILLIE BODRICK II
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
MARY BOYD
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
RYAN CARROLL
TRUSTEE (THRU 5/13/25)	1.00	0.00	Yes (X)		$0	$0	$0
NADINE CHAKAR
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
ENRIQUE COLBERT
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
TODD COZZENS
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
PIERRE CREMIEUX
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
RANDI CUTLER
TRUSTEE (THRU 5/13/25)	1.00	1.00	Yes (X)		$0	$0	$0
MANISHI DESAI
TRUSTEE	1.00	1.00	Yes (X)		$284,472	$0	$44,667
PAUL EGERMAN
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
ALIK FARBER
TRUSTEE (AS OF 10/2/24)	1.00	1.00	Yes (X)		$0	$0	$0
GUY FISH
TRUSTEE (AS OF 2/11/25)	1.00	1.00	Yes (X)		$0	$0	$0
VICKI JACKSON MD
PHYS-IN-CHIEF/TRUSTEE (AS OF 9/2/25)	50.00	1.00	Yes (X)		$0	$0	$0
KAREN KAMES
TRUSTEE (THRU 5/13/25)	1.00	0.00	Yes (X)		$0	$0	$0
AZRA KANJI
TRUSTEE (THRU 5/13/25)	1.00	0.00	Yes (X)		$0	$0	$0
FRED LOWERY
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
RICHARD MARKS
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
DEVIN MCCOURTY
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
MICHELLE NADOW
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
BISOLA OJIKUTU MD
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
CYNTHIA SIERRA
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
PATRICK SMITH
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
TED TRUSCOTT
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MODDIE TURAY
TRUSTEE (AS OF 5/13/25)	1.00	0.00	Yes (X)		$0	$0	$0
GREGORY WILMOT
TRUSTEE (THRU 4/2/25)	1.00	2.00	Yes (X)		$0	$0	$0
ANDREW YOUNISS
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
JESSE SOUWEINE
SVP/CTO, TREASURER (THRU 11/12/24)	50.00	3.00		Yes (X)	$718,620	$0	$71,281
DAVID BECK
SVP/CHIEF LEGAL COUNSEL/CLERK	50.00	5.00		Yes (X)	$730,210	$0	$58,015
ANKUR AGRAWAL
BMCHS SVP/CFO,TREAS (AS OF 11/12/24)	50.00	1.00		Yes (X)	$374,760	$0	$3,757
DAVID MCANENY
SVP/CHIEF MEDICAL OFFICER	50.00	1.00			$877,850	$0	$43,242	Yes (X)
LISA KELLY-CROSWELL
SVP/CHIEF HR OFFICER	50.00	0.00			$721,697	$0	$119,335	Yes (X)
NANCY GADEN
SVP/CNO	50.00	0.00			$710,127	$0	$60,946	Yes (X)
RAVIN DAVIDOFF MD
SVP/EXECUTIVE MEDICAL DIRECTOR	50.00	2.00			$388,184	$0	$53,660	Yes (X)
JOE CAMILLUS
SVP/CHIEF OPERATING OFFICER	50.00	1.00			$844,176	$0	$162,316		Yes (X)
JOY BROWN
SVP/CHIEF DIGITAL INFO OFFICER	50.00	0.00			$959,611	$0	$53,519		Yes (X)
ROBERT BIGGIO
SVP/CHIEF SUSTAINABIILTY/RE OFFICER	50.00	0.00			$723,680	$0	$89,978		Yes (X)
SARAH ARBELAEZ
SVP/HOSPITAL INTEGRATION	50.00	0.00			$656,455	$0	$84,756		Yes (X)
NICOLE FAUCHER
PRESIDENT, CLEARWAY HEALTH, LLC	0.00	50.00			$661,847	$0	$69,429		Yes (X)
TERRI NEWSOM
FORMER SVP/CFO/TREASURER	0.00	0.00			$652,826	$0	$9,121			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,431,093	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,220,796	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2407	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BOSTON UNIVERSITY
715 ALBANY STREET SUITE 580	BOSTON	MA	021182528	RESEARCH & OTHER SHARED SERVICES	$63,814,182
SHC SERVICES INC
1640 W REDSTONE CTR DR SUITE 200	PARK CITY	UT	84098	TEMPORARY STAFFING	$53,152,514
WALSH BROTHERS INCORPORATED
210 COMMERCIAL STREET	BOSTON	MA	02109	BUILDING CONTRACTOR	$35,600,442
PRICEWATERHOUSECOOPERS ADVISORS
4040W BOY SCOUT BOULEVARD	TAMPA	FL	33607	ACCOUNTS RECEIVABLE MANAGEMENT	$28,561,744
MIDDLESEX INTERIORS INC
50 OLD TYNG ROAD UNIT 5	TYNGSBOROUGH	MA	01879	BUILDING CONTRACTOR	$9,249,168

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	211	CntrctRcvdGreaterThan100KCnt
Fundraising	$2,424,104	FundraisingAmt
All Other Contributions	$34,172,546	AllOtherContributionsAmt
Noncash Contributions	$998,262	NoncashContributionsAmt
Total Contributions	$36,596,650	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	622110	$1,735,839,872	$1,735,839,872
PHARMACY REVENUE	621330	$991,738,036	$990,139,197	$1,598,839
GRANT & CONTRACT REVENUE	900099	$114,296,971	$114,296,971
OTHER PROGRAM REVENUE	900099	$36,151,349	$36,151,349

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,878,026,228	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,829,310	TotalRevenueColumnAmt
Unrelated Business Revenue	$202,788	UnrelatedBusinessRevenueAmt
Exclusion	$17,626,522	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$9,258,409	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$10,878,170	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$1,619,761	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,619,761	TotalRevenueColumnAmt
Exclusion	-$1,619,761	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$583,591,923	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$554,217,551	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$29,374,372	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,374,372	TotalRevenueColumnAmt
Exclusion	$29,374,372	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$1,581,495	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$2,424,104	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$912,108	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$669,387	TotalRevenueColumnAmt
Exclusion	$669,387	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PARKING	812930	$9,689,770	$9,689,770
CAFETERIA	722510	$4,372,587	$4,372,587

Field	Value	IRS element (for citing)
Other Revenue Total	$14,062,357	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,974,938,543	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,876,427,389	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,801,627	UnrelatedBusinessRevenueAmt
Exclusion	$60,112,877	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$11,777,654	TotalAmt
Program Services	$11,777,654	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$1,495,311	TotalAmt
Program Services	$1,495,311	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,455,933	TotalAmt
Management And General	$9,455,933	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$329,423	TotalAmt
Program Services	$329,423	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$813,772,871	TotalAmt
Program Services	$717,542,814	ProgramServicesAmt
Management And General	$90,780,244	ManagementAndGeneralAmt
Fundraising	$5,449,813	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$29,328,573	TotalAmt
Program Services	$25,564,881	ProgramServicesAmt
Management And General	$3,569,613	ManagementAndGeneralAmt
Fundraising	$194,079	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$125,462,392	TotalAmt
Program Services	$109,361,992	ProgramServicesAmt
Management And General	$15,270,165	ManagementAndGeneralAmt
Fundraising	$830,235	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$69,089,991	TotalAmt
Program Services	$60,223,776	ProgramServicesAmt
Management And General	$8,409,019	ManagementAndGeneralAmt
Fundraising	$457,196	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,848,761	TotalAmt
Program Services	$2,160,024	ProgramServicesAmt
Management And General	$673,053	ManagementAndGeneralAmt
Fundraising	$15,684	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$2,322,559	TotalAmt
Program Services	$1,114,659	ProgramServicesAmt
Management And General	$1,200,128	ManagementAndGeneralAmt
Fundraising	$7,772	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$393,668	TotalAmt
Management And General	$393,668	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$147,734,550	TotalAmt
Program Services	$113,628,494	ProgramServicesAmt
Management And General	$32,624,072	ManagementAndGeneralAmt
Fundraising	$1,481,984	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,766,700	TotalAmt
Program Services	$2,419,168	ProgramServicesAmt
Management And General	$329,694	ManagementAndGeneralAmt
Fundraising	$17,838	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,202,744	TotalAmt
Program Services	$18,406,318	ProgramServicesAmt
Management And General	$3,619,022	ManagementAndGeneralAmt
Fundraising	$177,404	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$64,504,875	TotalAmt
Program Services	$56,227,062	ProgramServicesAmt
Management And General	$7,850,959	ManagementAndGeneralAmt
Fundraising	$426,854	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$33,587,982	TotalAmt
Program Services	$29,277,687	ProgramServicesAmt
Management And General	$4,088,030	ManagementAndGeneralAmt
Fundraising	$222,265	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,423,818	TotalAmt
Program Services	$2,327,206	ProgramServicesAmt
Management And General	$1,064,376	ManagementAndGeneralAmt
Fundraising	$32,236	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,382,200	TotalAmt
Program Services	$1,210,159	ProgramServicesAmt
Management And General	$152,033	ManagementAndGeneralAmt
Fundraising	$20,008	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$27,053,676	TotalAmt
Program Services	$23,581,918	ProgramServicesAmt
Management And General	$3,292,733	ManagementAndGeneralAmt
Fundraising	$179,025	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$110,982,172	TotalAmt
Program Services	$96,739,997	ProgramServicesAmt
Management And General	$13,507,762	ManagementAndGeneralAmt
Fundraising	$734,413	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$13,604,839	TotalAmt
Program Services	$11,858,950	ProgramServicesAmt
Management And General	$1,655,860	ManagementAndGeneralAmt
Fundraising	$90,029	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
DRUGS	$849,140,350	$849,140,350
PHYSICIAN SERVICES	$207,940,202	$203,989,804	$3,950,398
MEDICAL SUPPLIES	$135,572,559	$135,517,248	$52,459	$2,852
DIRECT RESEARCH	$89,158,039	$89,158,039

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$194,687,291	TotalAmt
Program Services	$41,314,898	ProgramServicesAmt
Management And General	$153,194,639	ManagementAndGeneralAmt
Fundraising	$177,754	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,970,019,133	TotalAmt
Program Services	$2,604,367,832	ProgramServicesAmt
Management And General	$355,133,860	ManagementAndGeneralAmt
Fundraising	$10,517,441	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	-$7,360,633	BOYAmt
EOY	-$2,768,393	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$90,588,591	BOYAmt
EOY	$149,569,007	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$30,559,895	BOYAmt
EOY	$25,958,821	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$426,500,319	BOYAmt
EOY	$418,880,492	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$87,857,740	BOYAmt
EOY	$307,526,575	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$29,208,456	BOYAmt
EOY	$34,239,435	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,499,315	BOYAmt
EOY	$5,301,418	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,316,615,654	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,284,766,395	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,037,022,413	BOYAmt
EOY	$1,031,849,259	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$392,400,231	BOYAmt
EOY	$357,811,883	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$515,490,342	BOYAmt
EOY	$536,783,905	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$230,000	BOYAmt
EOY	$230,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$224,080,310	BOYAmt
EOY	$182,950,784	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,832,076,979	BOYAmt
EOY	$3,048,333,186	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$307,929,861	BOYAmt
EOY	$339,037,522	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$26,044,529	BOYAmt
EOY	$32,103,559	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$619,025,143	BOYAmt
EOY	$610,178,959	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$180,952,000	BOYAmt
EOY	$180,653,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$304,648,518	BOYAmt
EOY	$478,910,637	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,438,600,051	BOYAmt
EOY	$1,640,883,677	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$989,115,507	BOYAmt
EOY	$974,137,142	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$404,361,421	BOYAmt
EOY	$433,312,367	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,393,476,928	BOYAmt
EOY	$1,407,449,509	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,832,076,979	BOYAmt
EOY	$3,048,333,186	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,919,410	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$24,611,201	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	-$16,331,104	DonatedServicesAndUseFcltsAmt
Investment Expense	-$495,241	InvestmentExpenseAmt
Other Changes In Net Assets	$1,268,315	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$150,978,125	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$65,960,590	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$31,735,184	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$26,484,573	CurrentTaxYearMinus1YearAmt
Current Tax Year	$36,596,650	CurrentTaxYearAmt
Total	$311,755,122	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$150,978,125	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$65,960,590	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$31,735,184	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$26,484,573	CurrentTaxYearMinus1YearAmt
Current Tax Year	$36,596,650	CurrentTaxYearAmt
Total	$311,755,122	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$311,755,122	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$19,480,934	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$18,817,706	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$23,601,276	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$25,315,433	CurrentTaxYearMinus1YearAmt
Current Tax Year	$26,884,931	CurrentTaxYearAmt
Total	$114,100,280	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,854,577	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,357,068	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,004,697	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$388,600	CurrentTaxYearMinus1YearAmt
Current Tax Year	$963,865	CurrentTaxYearAmt
Total	$10,568,807	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$13,079,088	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$14,178,299	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$13,180,285	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$13,629,249	CurrentTaxYearMinus1YearAmt
Current Tax Year	$14,062,357	CurrentTaxYearAmt
Total	$68,129,278	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$504,553,487	TotalSupportAmt
Gross Receipts Rltd Activities	$11,378,438,718	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.61790	PublicSupportCY170Pct
Public Support PY170	0.67710	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	FormAndLineReferenceDesc
Explanation	CAFETERIA - 2020 AMOUNT: $ 2,802,878. 2021 AMOUNT: $ 3,309,312. 2022 AMOUNT: $ 3,574,036. 2023 AMOUNT: $ 4,070,474. 2024 AMOUNT: $ 4,372,587. PARKING - 2020 AMOUNT: $ 10,276,210. 2021 AMOUNT: $ 10,868,987. 2022 AMOUNT: $ 9,606,249. 2023 AMOUNT: $ 9,558,775. 2024 AMOUNT: $ 9,689,770.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$793,193,144	BeginningYearBalanceAmt
Contributions	$23,601,232	ContributionsAmt
Investment Earnings Or Losses	$67,390,680	InvestmentEarningsOrLossesAmt
Other Expenditures	$58,421,857	OtherExpendituresAmt
Administrative Expenses	$888,909	AdministrativeExpensesAmt
End Year Balance	$824,874,290	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$684,563,310	BeginningYearBalanceAmt
Contributions	$16,847,855	ContributionsAmt
Investment Earnings Or Losses	$129,418,418	InvestmentEarningsOrLossesAmt
Other Expenditures	$36,887,955	OtherExpendituresAmt
Administrative Expenses	$748,484	AdministrativeExpensesAmt
End Year Balance	$793,193,144	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$629,469,229	BeginningYearBalanceAmt
Contributions	$222,103,699	ContributionsAmt
Investment Earnings Or Losses	$63,592,898	InvestmentEarningsOrLossesAmt
Other Expenditures	$229,602,767	OtherExpendituresAmt
Administrative Expenses	$999,749	AdministrativeExpensesAmt
End Year Balance	$684,563,310	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$733,043,065	BeginningYearBalanceAmt
Contributions	$145,547,509	ContributionsAmt
Investment Earnings Or Losses	-$95,022,779	InvestmentEarningsOrLossesAmt
Other Expenditures	$155,578,825	OtherExpendituresAmt
Administrative Expenses	-$1,480,259	AdministrativeExpensesAmt
End Year Balance	$629,469,229	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$633,839,832	BeginningYearBalanceAmt
Contributions	$363,954,719	ContributionsAmt
Investment Earnings Or Losses	$108,079,400	InvestmentEarningsOrLossesAmt
Other Expenditures	$370,977,505	OtherExpendituresAmt
Administrative Expenses	$1,853,381	AdministrativeExpensesAmt
End Year Balance	$733,043,065	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.48800	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.40460	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.10740	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,626,946	OtherCostOrOtherBasisAmt
Book Value	$14,626,946	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,425,472,616	OtherCostOrOtherBasisAmt
Depreciation	$672,234,012	DepreciationAmt
Book Value	$753,238,604	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$75,067,247	OtherCostOrOtherBasisAmt
Depreciation	$37,132,776	DepreciationAmt
Book Value	$37,934,471	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$634,720,098	OtherCostOrOtherBasisAmt
Depreciation	$495,296,119	DepreciationAmt
Book Value	$139,423,979	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$166,728,747	OtherCostOrOtherBasisAmt
Depreciation	$80,103,488	DepreciationAmt
Book Value	$86,625,259	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,031,849,259	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
OTHER SECURITIES (BOARD-DESIGNATED)	$243,378,038	F
OTHER SECURITIES (DONOR-RESTRICTED)	$293,405,867	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$536,783,905	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
SETTLEMENTS WITH 3RD PARTY PAYORS - CURRENT	$5,715,291
INSURANCE RECOVERIES RECEIVABLE	$44,008,391
RIGHT OF USE ASSETS - FINANCE AND OPERATING LEASES	$91,623,849
OTHER LONG-TERM ASSESTS	$41,603,253

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$182,950,784	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
SETTLEMENTS WITH 3RD PARTY PAYORS	$40,002,601
OTHER CURRENT LIABILITIES	$64,101,471
FINANCE/OPERATING LIABILITIES	$100,281,411
OTHER LONG-TERM LIABILITIES	$48,482,297
DUE TO RELATED PARTIES	$182,034,466
PROFESSIONAL LIABILITY CLAIMS	$44,008,391

Field	Value	IRS element (for citing)
Total Liability	$478,910,637	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	GENERAL ENDOWMENT 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.
PART X, LINE 2:	BOSTON MEDICAL CENTER IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF BMC HEALTH SYSTEM (BMCHS). THESE STATEMENTS INCLUDE THE FOLLOWING LANGUAGE REGARDING LIABILITY FOR UNCERTAIN TAX POSITIONS WITHIN THE INCOME TAXES FOOTNOTE. BMCHS RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED AS OF SEPTEMBER 30, 2025 AND 2024. BMCHS ANNUALLY ASSESSES WHETHER IT MUST RECOGNIZE UBIT EXPENSE. THE AMOUNTS RECOGNIZED AS UBIT EXPENSE WERE NOT MATERIAL TO BMCHS'S CONSOLIDATED OPERATIONS OR CHANGES IN NET ASSETS FOR THE YEARS ENDED SEPTEMBER 30, 2025 AND 2024.
SCHEDULE D, PART V, LINE 2:	PRESENTATION OF ENDOWMENT ASSETS BOSTON MEDICAL CENTER HAS ADOPTED ASU 2016-14, PRESENTATION OF THE FINANCIAL STATEMENTS FOR NOT-FOR-PROFIT ENTITIES. AS A RESULT, THE SEPTEMBER 30, 2025 AUDITED FINANCIAL STATEMENTS CLASSIFY NET ASSETS AS EITHER NET ASSETS WITHOUT DONOR RESTRICTIONS, OR NET ASSETS WITH DONOR RESTRICTIONS. FOR PURPOSES OF SCHEDULE D, PART V, LINE 2, BOSTON MEDICAL CENTER HAS REPORTED ENDOWMENT FUNDS WITHOUT DONOR RESTRICTIONS AS BOARD DESIGNATED OR QUASI-ENDOWMENT, AND ENDOWMENT FUNDS WITH DONOR RESTRICTIONS AS PERMANENT ENDOWMENT OR TEMPORARY RESTRICTED ENDOWMENT, RESPECTIVELY.

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (15 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS	$233,137
EAST ASIA AND THE PACIFIC	0	0	INVESTMENTS	$3,082,576
EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	INVESTMENTS	$8,370,944
MIDDLE EAST AND NORTH AFRICA	0	0	INVESTMENTS	$1,734,210
NORTH AMERICA	0	0	INVESTMENTS	$5,728,266
RUSSIA AND NEIGHBORING STATES	0	0	INVESTMENTS	$764,750
SOUTH AMERICA	0	0	INVESTMENTS	$655,731
SOUTH ASIA	0	0	INVESTMENTS	$28,908
SUB-SAHARAN AFRICA	0	0	INVESTMENTS	$506,976
CENTRAL AMERICA AND THE CARIBBEAN	0	0	GRANTMAKING	$97,710
NORTH AMERICA	0	0	GRANTMAKING	$108,284
RUSSIA AND NEIGHBORING STATES	0	0	GRANTMAKING	$177,219
SOUTH AMERICA	0	0	GRANTMAKING	$78,737
SOUTH ASIA	0	0	GRANTMAKING	$42,046
SUB-SAHARAN AFRICA	2	20	GRANTMAKING	$991,315

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	2	ContinuationTotalOfficeCnt
Continuation Total Employee	20	ContinuationTotalEmployeeCnt
Total Office	2	TotalOfficeCnt
Total Employee	20	TotalEmployeeCnt
Subtotal Spent	$20,598,522	SubtotalSpentAmt
Continuation Spent	$2,002,287	ContinuationSpentAmt
Total Spent	$22,600,809	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (13 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Non Cash AssistanceNonCashAssistanceAmt
CENTRAL AMERICA AND THE CARIBBEAN	RESEARCH SUBAWARD	$97,710	WIRE TRANSFER	$0
NORTH AMERICA	RESEARCH SUBAWARD	$12,055	WIRE TRANSFER	$0
NORTH AMERICA	RESEARCH SUBAWARD	$96,229	WIRE TRANSFER	$0
RUSSIA AND NEIGHBORING STATES	RESEARCH SUBAWARD	$141,549	WIRE TRANSFER	$0
RUSSIA AND NEIGHBORING STATES	RESEARCH SUBAWARD	$35,670	WIRE TRANSFER	$0
SOUTH ASIA	RESEARCH SUBAWARD	$42,046	WIRE TRANSFER	$0
SOUTH AMERICA	RESEARCH SUBAWARD	$43,617	WIRE TRANSFER	$0
SOUTH AMERICA	RESEARCH SUBAWARD	$6,345	WIRE TRANSFER	$0
SOUTH AMERICA	RESEARCH SUBAWARD	$22,430	WIRE TRANSFER	$0
SOUTH AMERICA	RESEARCH SUBAWARD	$6,345	WIRE TRANSFER	$0
SUB-SAHARAN AFRICA	RESEARCH SUBAWARD	$352,216	WIRE TRANSFER	$0
SUB-SAHARAN AFRICA	RESEARCH SUBAWARD	$11,039	WIRE TRANSFER	$0
SUB-SAHARAN AFRICA	RESEARCH SUBAWARD	$628,060	WIRE TRANSFER	$0

Field	Value	IRS element (for citing)
Total501c3 Org	13	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.
PART I, LINE 3:	ACCRUAL METHOD OF ACCOUNTING
PART II, LINE 1 ACCOUNTING METHOD:	FOREIGN EXPENDITURES ARE SEPARATELY IDENTIFIED IN THE ORGANIZATION'S ACCOUNTING RECORDS.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY COUNSELLING SERVICE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	527 MADISON AVE FL 5	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10022	ZIPCd

Field	Value	IRS element (for citing)
Activity	FUNDRAISING CONSULTANT	ActivityTxt
Fundraiser Control Of Funds	0	FundraiserControlOfFundsInd
Gross Receipts	$0	GrossReceiptsAmt
Retained By Contractor	$449,761	RetainedByContractorAmt
Net To Organization	-$449,761	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Retained By Contractors	$449,761	TotalRetainedByContractorsAmt
Total Net To Organization	-$449,761	TotalNetToOrganizationAmt
Licensed States	MA	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA	Event1Nm
Gross Receipts Event1	$3,030,952	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,789,684	CharitableContriEvent1Amt
Gross Revenue Event1	$1,241,268	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$214,860	RentFacilityCostsEvent1Amt
Entertainment Event1	$19,480	EntertainmentEvent1Amt
Other Direct Expenses Event1	$328,583	OtherDirectExpensesEvent1Amt
Event2	GOLF	Event2Nm
Gross Receipts Event2	$316,019	GrossReceiptsEvent2Amt
Charitable Contri Event2	$242,339	CharitableContriEvent2Amt
Gross Revenue Event2	$73,680	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$90,606	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$49,754	FoodAndBeverageEvent2Amt
Entertainment Event2	$22,944	EntertainmentEvent2Amt
Other Direct Expenses Event2	$30,076	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$658,628	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$392,081	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$266,547	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$3,100	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$23,835	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$128,870	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$4,005,599	GrossReceiptsTotalAmt
Charitable Contributions Tot	$2,424,104	CharitableContributionsTotAmt
Gross Revenue Total Events	$1,581,495	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$308,566	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$73,589	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$42,424	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$487,529	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$912,108	DirectExpenseSummaryEventsAmt
Net Income Summary	$669,387	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$175,169,574	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,245,098	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$107,924,476	NetCommunityBenefitExpnsAmt
Total Expense	0.03630	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,160,876,459	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,132,821,163	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,055,296	NetCommunityBenefitExpnsAmt
Total Expense	0.00940	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,336,046,033	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,200,066,261	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$135,979,772	NetCommunityBenefitExpnsAmt
Total Expense	0.04570	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,947,572	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,595,237	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,352,335	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$96,509,864	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,755,735	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,754,129	NetCommunityBenefitExpnsAmt
Total Expense	0.02480	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	981	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$63,196,834	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,163,429	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,033,405	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	981	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$183,654,270	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$88,514,401	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$95,139,869	NetCommunityBenefitExpnsAmt
Total Expense	0.03200	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	981	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,519,700,303	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,288,580,662	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$231,119,641	NetCommunityBenefitExpnsAmt
Total Expense	0.07770	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$60,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,060,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,060,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00540	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$561,102	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$561,102	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$867,750	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$867,750	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$727,560	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$727,560	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,276,412	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,276,412	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$14,409,536	BadDebtExpenseAmt
Reimbursed By Medicare	$184,878,789	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$225,271,736	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$40,392,947	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE BOSTON MEDICAL CENTER PLACE	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02118	ZIPCd

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	25	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.BMC.ORG/CARE-OUR-COMMUNITY	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, PAGE 8	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.BMC.ORG/CARE-OUR-COMMUNITY	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.BMC.ORG/PATIENT-FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.BMC.ORG/PATIENT-FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.BMC.ORG/PATIENT-FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION A:	BOSTON MEDICAL CENTER (BMC) IS LICENSED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH TO OPERATE A HOSPITAL AT ONE BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118. BMC IS (1) A LICENSED HOSPITAL, (2) PROVIDES GENERAL MEDICAL AND SURGICAL TREATMENT, (3) IS A TEACHING HOSPITAL, AND (4) OPERATES AN EMERGENCY DEPARTMENT 24 HOURS PER DAY. THE MAIN CAMPUS OF BMC IS LOCATED AT THE MENINO PAVILION, 830-840 HARRISON AVENUE, BOSTON, MASSACHUSETTS. AN INPATIENT SATELLITE HOSPITAL KNOWN AS BMC BROCKTON BEHAVIORAL HEALTH CENTER IS LOCATED AT 34 NORTH PEARL STREET, BROCKTON, MASSACHUSETTS. ANOTHER LOCATION AT 249 RIVER STREET, MATTAPAN, MASSACHUSETTS IS LISTED ON BMC'S DEPARTMENT OF PUBLIC HEALTH LICENSE, BUT THIS LOCATION HAS BEEN OUT OF SERVICE SINCE 1996.THE FOLLOWING OUTPATIENT SATELLITES ARE ALSO LISTED ON BMC'S DEPARTMENT OF PUBLIC HEALTH HOSPITAL LICENSE:1. CODMAN SQUARE HEALTH CENTER2. BRIGHTON HIGH SCHOOL STUDENT HEALTH CENTER3. BOSTON MEDICAL CENTER RADIOLOGY AT RYAN CENTER BOSTON UNIVERSITY4. NEIGHBORHEALTH - EAST BOSTON - 10 GOVE STREET5. DOTHOUSE HEALTH6. MADISON PARK HIGH SCHOOL STUDENT HEALTH CENTER7. DR. ALBERT D. HOLLAND HIGH SCHOOL OF TECHNOLOGY HEALTH CENTER8. GREATER ROSLINDALE MEDICAL & DENTAL9. LATIN ACADEMY STUDENT HEALTH CENTER10. TECHBOSTON ACADEMY SCHOOL HEALTH CENTER11. BOSTON MEDICAL CENTER RADIOLOGY AT UPHAM'S CORNER HEALTH CENTER12. MURIEL SNOWDEN INTERNATIONAL HIGH SCHOOL HEALTH CENTER13. SOUTH BOSTON COMMUNITY HEALTH CENTER - 386 WEST BROADWAY14. BOSTON COMMUNITY LEADERSHIP ACADEMY HEALTH CENTER15. SOUTH BOSTON COMMUNITY HEALTH CENTER - 409 WEST BROADWAY16. NEIGHBORHEALTH - EAST BOSTON - 20 MAVERICK SQUARE17. NEIGHBORHEALTH - EAST BOSTON - 79 PARIS STREET18. BOSTON MEDICAL CENTER RADIOLOGY AT WHITTIER STREET HEALTH CENTER19. NEIGHBORHEALTH SCHOOL BASED HEALTH CENTER20. NEIGHBORHEALTH - WINTHROP21. SOUTH BOSTON COMMUNITY HEALTH CENTER SEAPORT PRIMARY CARE22. BOSTON MEDICAL CENTER - FAMILY MEDICINE23. BOSTON MEDICAL CENTER - CROSSTOWN24. BMC REHABILITATION SERVICES - HYDE PARK25. NEIGHBORHEALTH - SOUTH END - 1601 WASHINGTON STREET26. NEIGHBORHEALTH - SOUTH END - 400 SHAWMUT AVE27. CURBSIDE CARE PROGRAM AT BOSTON MEDICAL CENTER (MOBILE UNIT)28. BMC REHABILITATION, ORTHOPEDICS & IMAGING - 39B DISTRICT AVENUE29. BOSTON MEDICAL CENTER COMMUNITY BEHAVIORAL HEALTH SERVICES (BEST)30. ACUTE HOSPITAL CARE AT HOME (SPECIAL PROJECT)31. SATELLITE BLOOD BANK MANSFIELD FIRE DEPARTMENT (SPECIAL PROJECT)32. SATELLITE BLOOD BANK CANTON FIRE DEPARTMENT (SPECIAL PROJECT)BMC IS LICENSED BY THE MASSACHUSETTS DEPARTMENT OF MENTAL HEALTH FOR INPATIENT PSYCHIATRY SERVICES LOCATED AT BMC BROCKTON BEHAVIORAL HEALTH CENTER, AN INPATIENT SATELLITE LOCATED AT 34 NORTH PEARL STREET, BROCKTON, MASSACHUSETTS.
BOSTON MEDICAL CENTER	PART V, SECTION B, LINE 5: QUALITATIVE DISCUSSIONS AND COMMUNITY ENGAGEMENT: BOSTON MEDICAL CENTER IS A FOUNDING MEMBER OF THE BOSTON COMMUNITY HEALTH COLLABORATIVE (HEREINAFTER "BCHC OR "THE COLLABORATIVE"), A PARTNERSHIP OF BOSTON HEALTH INSTITUTIONS AND COMMUNITY ORGANIZATIONS, BACKED BY THE BOSTON PUBLIC HEALTH COMMISSION, THAT COMPLETES A ROBUST CHNA EVERY THREE YEARS. EACH MEMBER'S CHARGE IS TO PROVIDE GUIDANCE ON THE APPROACH TO COMMUNITY ENGAGEMENT, INPUT ON PRIMARY DATA COLLECTIONS METHODS, AND SUPPORT WITH LOGISTICS FOR PRIMARY DATA COLLECTION. WITH REPRESENTATION ON THE COLLABORATIVE'S STEERING COMMITTEE, BMC LENDS ADDITIONAL EXPERTISE TO OVERSEE THE PROCESS OF DATA COLLECTION, ANALYSIS, INTERPRETATION, PRIORITIZATION, AND THE DISSEMINATION OF FINDINGS. THE COLLABORATIVE LED EFFORTS TO GAIN INSIGHT INTO COMMUNITY NEEDS AND STRENGTHS AS WELL AS PRIORITIES FROM COMMUNITY LEADERS AND RESIDENTS, ESPECIALLY AMONG THOSE WHERE THERE HAS BEEN A GAP IN REPRESENTATION IN PREVIOUS PROCESSES. THE CHNA WAS PREPARED BY BOSTON PUBLIC HEALTH COMMISSION, WITH THE SUPPORT OF A THIRD-PARTY CONSULTANT, HEALTH RESOURCES IN ACTION (HRIA) TO SUPPORT DATA COLLECTION, ANALYSIS, SYNTHESIS AND REPORT PRODUCTION. THIS PARTNERSHIP AND HRIA'S SUPPORT THAT THE ASSESSMENT REFLECTS RIGOROUS METHODOLOGY AND COMMUNITY INPUT.ALTOGETHER, THE COLLABORATIVE ENGAGED 62 RESIDENTS THROUGH EIGHT IN-PERSON AND VIRTUAL FOCUS GROUPS CONDUCTED IN A RANGE OF LANGUAGES AND ACROSS VARIOUS IDENTITIES, PRIMARILY THOSE WHO HAVE BEEN DISPROPORTIONATELY BURDENED BY SOCIAL, ECONOMIC, AND HEALTH CHALLENGES, INCLUDING YOUTH AND ADOLESCENTS, OLDER ADULTS, PERSONS WITH DISABILITIES, LOW-RESOURCED INDIVIDUALS AND FAMILIES, LGBTQIA+ POPULATIONS, RACIALLY/ETHNICALLY DIVERSE POPULATIONS (FOR EXAMPLE AFRICAN AMERICAN, LATINO, HAITIAN, CAPE VERDEAN, VIETNAMESE, CHINESE), LIMITED-ENGLISH SPEAKERS, IMMIGRANT AND ASYLEE COMMUNITIES, FAMILIES AFFECTED BY INCARCERATION OR VIOLENCE, AND VETERANS. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH 13 INDIVIDUALS AND 28 COMMUNITY PARTNERS WERE ENGAGED THROUGH FIVE ADDITIONAL FOCUS GROUPS. THESE LEADERS REPRESENTED A CROSS SECTION OF SECTORS (COMMUNITY PARTNERS, SYSTEMS EXPERTS, COMMUNITY LEADERS) TO IDENTIFY AREAS OF ACTION AND PERSPECTIVES ON THE COMMUNITY. INTERVIEWEES INCLUDED LEADERS AND STAFF FROM PUBLIC HEALTH, HEALTH CARE, BEHAVIORAL HEALTH, THE FAITH COMMUNITY, IMMIGRANT SERVICES, HOUSING ORGANIZATIONS, ECONOMIC DEVELOPMENT, COMMUNITY DEVELOPMENT, RACIAL JUSTICE ORGANIZATIONS, SOCIAL SERVICE ORGANIZATIONS, EDUCATION, COMMUNITY COALITIONS, THE BUSINESS COMMUNITY, CHILDCARE CENTERS, AND ELECTED GOVERNMENT OFFICES. HRIA CONDUCTED THE FOCUS GROUPS AND INTERVIEWS, AND THEN SUMMARIZED AND ANALYZED THE DISCUSSIONS TO IDENTIFY COMMON THEMES ACROSS POPULATION GROUPS AS WELL AS UNIQUE CHALLENGES AND PERSPECTIVES IDENTIFIED BY POPULATIONS AND SECTORS, WITH AN EMPHASIS ON UNDERSTANDING THE CAUSES OF INEQUITIES. FREQUENCY AND INTENSITY OF DISCUSSIONS ON A SPECIFIC TOPIC WERE KEY INDICATORS USED FOR EXTRACTING MAIN THEMES. THE COLLABORATIVE ALSO CONDUCTED AN EXTENSIVE COMMUNITY SURVEY AND COLLECTED 1,866 RESPONSES. THE SURVEY WAS OFFERED IN A RANGE OF LANGUAGES AND SHARED AT COMMUNITY EVENTS. BMC'S COMMUNITY ENGAGEMENT TEAM TABLED AT MANY EVENTS AND ENCOURAGED RESIDENTS TO COMPLETE THE SURVEY. THE TEAM ALSO WENT DOOR-TO-DOOR TO ENCOURAGE SURVEY PARTICIPATION TO INCREASE DATA REPRESENTATION IN COMMUNITIES BMC SERVES.THE BOSTON COMMUNITY HEALTH COLLABORATIVE'S QUANTITATIVE DATA GATHERING EFFORT INCLUDED A REVIEW OF EXISTING SECONDARY DATA ON SOCIAL, ECONOMIC, AND HEALTH INDICATORS. THESE INDICATORS PROVIDE INSIGHTS INTO PATTERNS ACROSS BOSTON, BY BOSTON NEIGHBORHOOD, AND BY POPULATION GROUPS WITHIN BOSTON. SECONDARY DATA FOR THIS CHNA WERE GATHERED TO UNDERSTAND HEALTH OUTCOMES, HEALTH BEHAVIORS, AND SOCIAL DETERMINANTS OF HEALTH. EXISTING DATA WERE DRAWN FROM NATIONAL, STATE, AND CITY SOURCES, INCLUDING THE BOSTON BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BBRFSS), YOUTH RISK BEHAVIOR SURVEY (YRBS), THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH COMMUNITY HEALTH EQUITY SURVEY, THE U.S. CENSUS AMERICAN COMMUNITY SURVEY, VITAL RECORDS, AND THE ACUTE HOSPITAL CASE MIX DATABASE FROM THE CENTER FOR HEALTH INFORMATION AND ANALYSIS. THE SECONDARY DATA WORK GROUP PROVIDED INPUT TO PRIORITIZE THE LIST OF INDICATORS INCLUDED IN THIS 2025 CHNA BY CONSIDERING THE FOLLOWING CRITERIA: WHETHER THE INDICATORS CAN HELP DRIVE COLLECTIVE ACTION, HAVE A PREVENTION ORIENTATION, AND ARE NOT DUPLICATIVE OF OTHER RECENT AND EASILY ACCESSIBLE REPORTS. ALL SECONDARY DATA ON BIRTH AND DEATH RECORDS, BBRFSS, YRBS, AND ACUTE HOSPITAL CASE MIX WERE ANALYZED BY THE RESEARCH AND EVALUATION OFFICE OF THE BOSTON PUBLIC HEALTH COMMISSION. OTHER DATA WERE ANALYZED BY THE ORGANIZATIONS CITED IN THE DATA SOURCE. THE FOLLOWING RECENT REPORTS AND ASSESSMENTS PROVIDE DETAILED DATA ON SPECIFIC TOPICS, POPULATIONS, AND/OR GEOGRAPHIES AND WERE ALSO REVIEWED TO INFORM THIS CHNA PROCESS: ADVANCING LGBTQIA+ EQUITY IN BOSTON, BOSTON OPIOID SETTLEMENT COMMUNITY ENGAGEMENT REPORT, CITY OF BOSTON FOOD RECOVERY ASSESSMENT, FRANCISCAN CHILDREN'S CHNA, YOUTH SPEAKS BOSTON, WEAVING WELL-BEING: A NEW PARADIGM FOR MENTAL HEALTH AND WELLNESS, ELEVATING VOICES OF OVERDOSE SURVIVORS LIVING ON THE STREET, ALLSTON BRIGHTON NEEDS ASSESSMENT, AND FOOD ACCESS IN ALLSTON-BRIGHTON. KEY THEMES FROM THESE RECENT AND RELATED REPORTS AND ASSESSMENTS WERE SUMMARIZED TO UNDERSTAND ALIGNMENT WITH EMERGING THEMES FROM THIS PROCESS. ADDITIONALLY, BMC CREATED A SUPPLEMENT FOCUSED ON BEHAVIORAL, MENTAL HEALTH, AND SUBSTANCE USE TO ASSESS NEEDS FOR THE COMMUNITIES AROUND OUR BROCKTON BEHAVIORAL HEALTH CENTER. SECONDARY DATA USED FOR THIS SUPPLEMENT INCLUDED MASSACHUSETTS BUREAU OF SUBSTANCE ABUSE SERVICES AND THE 2024 CENTER FOR HEALTH INFORMATION AND ANALYSIS (CHIA) ANNUAL REPORT ON THE MASSACHUSETTS HEALTH CARE SYSTEM. THE REGION FOR THIS SUPPLEMENT WAS METRO SOUTH, WHICH DIFFERED FROM OUR MAIN CAMPUS CHNA. WE ARE CONDUCTING A FULL CHNA IN THIS REGION IN 2026.SECONDARY DATA IN THE 2025 CHNA REPRESENTS THE MOST RECENT DATA AVAILABLE, AND IN SEVERAL CASES OVERLAPS WITH DATA INCLUDED IN THE 2022 CHNA DUE TO THE NEED TO COMBINE DATA ACROSS YEARS TO LOOK AT PATTERNS BY NEIGHBORHOOD AND SOCIAL AND DEMOGRAPHIC FACTORS.
BOSTON MEDICAL CENTER	PART V, SECTION B, LINE 6A: BMC CONDUCTED THE CHNA WITH THE FOLLOWING HOSPITALS: BETH ISRAEL LAHEY HEALTH (BETH ISRAEL DEACONESS MEDICAL CENTER AND NEW ENGLAND BAPTIST HOSPITAL), BOSTON CHILDREN'S HOSPITAL, MASS GENERAL BRIGHAM (BRIGHAM AND WOMEN'S FAULKNER HOSPITAL, BRIGHAM AND WOMEN'S HOSPITAL, MASSACHUSETTS EYE AND EAR INFIRMARY, MASSACHUSETTS GENERAL HOSPITAL), DANA-FARBER CANCER INSTITUTE, AND TUFTS MEDICAL CENTER.
BOSTON MEDICAL CENTER	PART V, SECTION B, LINE 6B: BOSTON MEDICAL CENTER ALSO CONDUCTED THE CHNA WITH THE FOLLOWING NON-HOSPITAL ORGANIZATIONS: BOSTON PUBLIC HEALTH COMMISSION, FENWAY HEALTH, MADISON PARK DEVELOPMENT CORPORATION, NEIGHBORHEALTH, MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS, URBAN EDGE, AND YMCA OF GREATER BOSTON.BOSTON MEDICAL CENTER:PART V, SECTION B, LINE 7B: HTTPS://WWW.BOSTON.GOV/GOVERNMENT/CABINETS/BOSTON-PUBLIC-HEALTH-COMMISSION/RACIAL-JUSTICE-AND-HEALTH-EQUITY/BOSTONCHNA
BOSTON MEDICAL CENTER	PART V, SECTION B, LINE 11: BMC, UNWAVERING IN ITS COMMITMENT TO ADDRESS THE HEALTH NEEDS OF ITS COMMUNITY, PROVIDES A WIDE RANGE OF PROGRAMS BEYOND THE TRADITIONAL MEDICAL MODEL. CORE TO FULFILLING BMC'S PUBLIC HEALTH MISSION AND CONSISTENT WITH THE CHNA FINDINGS, THE GOALS OF ITS COMMUNITY BENEFITS PROGRAM ARE TO IMPROVE ACCESS TO HEALTH SERVICES AND IMPROVE HEALTH OUTCOMES FOR UNDER-RESOURCED POPULATIONS IN ITS COMMUNITY. THE CHNA THAT WAS COMPLETED DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2025, AND THE ASSOCIATED IMPLEMENTATION STRATEGY ADOPTED FROM THIS PROCESS WERE DESIGNED TO INFORM BMC'S COMMUNITY BENEFITS INITIATIVES DURING THE FISCAL YEARS ENDING SEPTEMBER 30, 2026; SEPTEMBER 30, 2027; AND SEPTEMBER 30, 2028. THROUGHOUT THE CHNA PROCESS, COMMUNITY RESIDENTS, LEADERS, SERVICE PROVIDERS, AND PUBLIC HEALTH PROFESSIONALS PROVIDED THEIR INSIGHT INTO CHALLENGES AND OPPORTUNITIES TO SUPPORT THE HEALTH OF BOSTON COMMUNITIES. ANALYSIS OF DATA FROM KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND THE COMMUNITY SURVEY SUGGEST THAT MANY OF THE PRIORITIES HIGHLIGHTED IN PREVIOUS CHNA PROCESSES PERSIST, AND EMERGING CHALLENGES HIGHLIGHT THE NEED FOR DEEPER COLLABORATION AND ACTION ACROSS PARTNERS AND SECTORS. THE RESULTING PRIORITIES REFLECT COMPLEX, SYSTEMIC CHALLENGES AND COMMUNITY CONDITIONS THAT REQUIRE SUSTAINED COLLABORATION AND A STRONG COMMITMENT TO WORKING IN PARTNERSHIP WITH COMMUNITIES TO ADVANCE HEALTH EQUITY AND CREATE MEANINGFUL, LONG-TERM CHANGE. THE BCHC STEERING COMMITTEE FOCUSED ON FOUR PRIORITIES, WHICH FORM THE FOUNDATION FOR THE COLLABORATIVE'S 2025-28 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP): HOUSING, ECONOMIC MOBILITY, FOOD INSECURITY, AND ACCESS TO HEALTH CARE. SIMILAR TO PREVIOUS CHNA PROCESSES IN BOSTON, HOUSING AFFORDABILITY AND MENTAL HEALTH/SUBSTANCE MISUSE RISE TO THE TOP AS KEY CONCERNS. HOUSING CONCERNS WERE RAISED IN ALMOST ALL INTERVIEWS AND FOCUS GROUP DISCUSSIONS. ECONOMIC INSECURITY, AND ITS IMPACT SPECIFICALLY ON MENTAL HEALTH, EMERGES AS A TOP CONCERN. "ECONOMIC INSECURITY AND EMPLOYMENT" RANKED AS THE FOURTH-MOST IMPORTANT CONCERN IN THE MOST RECENT COMMUNITY SURVEY, COMPARED TO A RANK OF ELEVENTH IN THE 2019 CHNA COMMUNITY SURVEY. THE HIGH COST OF CHILDCARE REMAINS A BURDEN, ESPECIALLY FOR LOW-INCOME FAMILIES. ACCESS TO AFFORDABLE AND HEALTHY FOOD ALSO EMERGES AS A KEY CONCERN. RATES OF FOOD INSECURITY ARE RISING. INTERVIEW AND FOCUS GROUP PARTICIPANTS DISCUSSED NUMEROUS BARRIERS TO ACCESSING AND AFFORDING HEALTHY FOODS IN THEIR COMMUNITIES. CLIMATE CHANGE AND THE RESULTING ANXIETY ARE EMERGING AS KEY CONCERNS THAT WILL CONTINUE TO IMPACT BOSTON RESIDENTS. WHILE A MAJORITY OF BOSTON RESIDENTS ARE INSURED AND HAVE A PRIMARY CARE PROVIDER, CHALLENGES RELATED TO HEALTH CARE ACCESS WERE ALSO RAISED, INCLUDING STRUCTURAL CHALLENGES (WAITLISTS/WAIT TIMES, PROVIDER TURNOVER, ETC.) AND CHALLENGES RELATED TO ENGAGEMENT WITH HEALTH CARE PROVIDERS OR STAFF (E.G., LACK OF CULTURAL HUMILITY). BMC HAS ADDED TWO ADDITIONAL AREAS OF FOCUS TO OUR CHIP: VIOLENCE AND TRAUMA, AND BEHAVIORAL, MENTAL HEALTH, AND SUBSTANCE USE DISORDER (SUD). THE INCLUSION OF VIOLENCE AND TRAUMA STEMS FROM THE GEOGRAPHIC AREAS IN WHICH BMC'S PATIENT POPULATION RESIDES, WHERE POPULATIONS ARE ROUTINELY EXPOSED TO VIOLENCE. THE INCLUSION OF BEHAVIORAL, MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) DERIVES FROM THE GROWING MENTAL HEALTH EPIDEMIC THAT HAS LARGELY AFFECTED BMC'S PATIENT POPULATION. IN 2021, BMC HEALTH SYSTEM PURCHASED A FORMER NURSING HOME IN BROCKTON, MASSACHUSETTS, WHICH IS NOW OPERATING AS BROCKTON BEHAVIORAL HEALTH CENTER. THE CENTER PROVIDES INPATIENT CARE AND IS DESIGNED TO MEET MASSHEALTH PATIENTS' NEEDS AROUND CO-OCCURRING BEHAVIORAL HEALTH AND SUD. THESE HEALTH CONCERNS ARE SIGNIFICANT IN THE REGION IT SERVES, THE METRO SOUTH REGION, WHICH WARRANTED ITS INCLUSION.PRIORITY AREA: HOUSINGBOSTON MEDICAL CENTER'S LIVING WELL AT HOME (LWAH) IS THE HOSPITAL'S HOUSING SERVICES PROGRAM. CREATED FROM A 2022 MERGER OF TWO ESTABLISHED PROGRAMS, ELDERS LIVING AT HOME, WHICH HAD SERVED THE COMMUNITY SINCE 1986, AND THE HOUSING PRESCRIPTIONS PROGRAM, LWAH ADDRESSES HOUSING INSECURITY THROUGH COMPREHENSIVE SUPPORT SERVICES. THE PROGRAM'S CLIENTS RANGE IN AGE FROM TEENS TO INDIVIDUALS OVER 80. CLIENTS ARE REFERRED THROUGH BMC'S PRIMARY CARE PROVIDERS OR VIA CONTRACTS WITH THE CITY OF BOSTON AND THE STATE EXECUTIVE OFFICE OF ELDER AFFAIRS FOR INDIVIDUALS 55 AND OVER WHO ARE UNHOUSED OR AT RISK OF LOSING THEIR HOUSING.OPERATING UNDER THREE CORE PILLARS, PRE-TENANCY SUPPORT, POST-TENANCY STABILIZATION, AND EVICTION PREVENTION, LWAH PROVIDES BEHAVIORAL HEALTH SUPPORT, CASE MANAGEMENT, AND INDIVIDUALIZED SERVICE PLANS. IN FY25, THE PROGRAM HOUSED OR PREVENTED EVICTION FOR 167 HOUSEHOLDS AND PROVIDED CASE MANAGEMENT SERVICES TO 940 CLIENTS, WITH THE MAJORITY BEING VERY LOW INCOME AND APPROXIMATELY HALF AGED 60 OR OLDER.OVER THE NEXT THREE YEARS, BMC AIMS TO MAINTAIN CURRENT PROGRAMMING, EXPAND SERVICE CAPACITY FOR KEY POPULATIONS, EXPLORE NEW PERMANENT SUPPORTIVE HOUSING PARTNERSHIPS, EXPAND TRANSITIONAL HOUSING OPPORTUNITIES FOR HIGHEST-RISK CLIENTS, AND CONTINUE TO PROVIDE CLINICAL SERVICES ALONGSIDE HOUSING.PRIORITY AREA: FOOD INSECURITYTHE PREVENTIVE FOOD PANTRY AND TEACHING KITCHEN ADDRESS HUNGER-RELATED ILLNESS AND FOOD INSECURITY AMONG A LOW-INCOME, LARGELY UNDERSERVED PATIENT POPULATION WITHIN GREATER BOSTON. INDIVIDUALS ARE REFERRED TO THE PROGRAM BY THEIR PROVIDER WHO PROVIDES A "PRESCRIPTION" FOR SUPPLEMENTAL FOOD THAT BEST PROMOTES PHYSICAL HEALTH, PREVENTS FUTURE ILLNESS, AND FACILITATES RECOVERY. THE PANTRY STAFF MEMBERS ARE FLUENT IN 4 LANGUAGES AND HAVE BEEN ESSENTIAL IN ASSISTING BMC'S MANY REFUGEE AND IMMIGRANT PATIENTS. THE FOOD PANTRY HAS CONTINUED TO PROVIDE NUTRITIONAL FOOD PRESCRIPTIONS TO APPROXIMATELY 7,271 PEOPLE EACH MONTH. IN FY25, WE PROVIDED FOOD TO 87,256 PEOPLE, AND DISPENSED APPROX. 11,000 POUNDS OF FOOD EACH WEEK. 50% OF THE FOOD DISPENSED ARE PERISHABLE ITEMS, WHICH PATIENTS ARE OFTEN LACKING IN THEIR DIET BECAUSE OF THE COST.WITH NEARLY 8,000 SQUARE FEET OF ROOFTOP GROWING SPACE ACROSS TWO URBAN FARMS, BMC HARVESTED OVER 10,000 POUNDS OF CULTURALLY RELEVANT PRODUCE IN FY25, VALUED AT OVER $65,000, WHILE WELCOMING MORE THAN 1,500 VISITORS FOR HANDS-ON EDUCATION AND CONNECTION. THIS FRESH FOOD DIRECTLY SUPPORTS BMC'S PREVENTIVE FOOD PANTRY, ROSIE'S PLACE (A NEARBY WOMEN'S SHELTER), OUR LOW-COST FARMERS MARKET, THE BMC TEACHING KITCHEN, CAFETERIA, AND PATIENT MEALS. TO FURTHER SUPPORT HEALTHY CHOICES, THE BMC TEACHING KITCHEN OFFERS MORE THAN 18 MONTHLY CLASSES BOTH IN-PERSON AND VIRTUAL WHERE AN AVERAGE OF 189 MONTHLY PARTICIPANTS BUILD CULINARY SKILLS AND LEARN TO PREPARE MEDICALLY APPROPRIATE, AFFORDABLE, AND CULTURALLY RELEVANT MEALS. BY WEAVING THESE THREE INITIATIVES TOGETHER, NOURISHING OUR COMMUNITY STRENGTHENS LOCAL FOOD SYSTEMS, REDUCES DISPARITIES IN ACCESS TO NUTRITION, AND DEMONSTRATES HOW HOSPITALS CAN LEAD NATIONALLY IN TREATING FOOD AS MEDICINE.OVER THE NEXT THREE YEARS, BMC WILL CONTINUE TO LEVERAGE FOOD AS MEDICINE TO IMPROVE FOOD ACCESS FOR ALL, INVEST IN A SUSTAINABLE LOCAL FOOD SYSTEM, AND EMPOWER COMMUNITIES THROUGH SKILL-BUILDING EDUCATION. WE WILL DO THIS BY PROVIDING HEALTHY FOOD, NUTRITION SERVICES, HOME DELIVERY OF FOOD, AND NAVIGATION OF BENEFITS TO PATIENTS. WE WILL ALSO INCREASE DIET-APPROPRIATE FOODS AND RESOURCES FOR CHRONIC DISEASES THROUGH OUR TEACHING KITCHEN AND INCREASE SUPPLY OF HEALTHY FOODS AVAILABLE THROUGH OUR FARM AND ENGAGING WITH COMMUNITY AND BUSINESS LEADERS.PRIORITY AREA: ECONOMIC MOBILITYBMC HAS MADE INTENTIONAL INVESTMENTS TO INCREASE LOCAL ECONOMIC MOBILITY TO IMPROVE HEALTH OUTCOMES NOT ONLY FOR INDIVIDUALS, BUT ALSO FOR NEIGHBORHOODS AND COMMUNITIES AS A WHOLE. TO REIMAGINE BOSTON'S JOBS ECOSYSTEM, BMC LAUNCHED THE BOSTON OPPORTUNITY SYSTEM (BOS) COLLABORATIVE, A COMMUNITY-DRIVEN INITIATIVE, TO DEVELOP EMPLOYMENT OPPORTUNITIES IN HISTORICALLY DISINVESTED BOSTON NEIGHBORHOODS. BMC ALSO ENGAGES LOCAL COMMUNITY MEMBERS IN JOB TRAINING TO EXPAND AND DIVERSIFY THE WORKFORCE THROUGH PROGRAMS LIKE BMC HEALTHCARE FELLOWS, A PROGRAM THAT WORKS WITH SELF-IDENTIFIED PATIENTS TO PROVIDE JOB TRAINING FOR HIGH DEMAND HEALTHCARE OR LIFE SCIENCE ROLES AND PLACE THEM INTO FULL TIME EMPLOYMENT AT BMC OR A PARTNER COMPANY. CURRENTLY, OVER 55 PERCENT OF BMC EMPLOYEES IDENTIFY AS PEOPLE OF COLOR.
BOSTON MEDICAL CENTER	PART V, SECTION B, LINE 13H: UNDER BMC'S FINANCIAL ASSISTANCE POLICY, PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE HAVE APPLIED FOR ONE OF THE COMMONWEALTH'S FINANCIAL ASSISTANCE PROGRAMS (MASSHEALTH, MEDICAID, HEALTH SAFETY NET, ETC.) OR HAVE BEEN PROVIDED URGENT/EMERGENT SERVICES. IN THOSE INSTANCES, PATIENTS ARE VIEWED AS UNABLE TO PAY FOR THESE CHARGES AND THE HOSPITAL SUBMITS THE CHARGE FOR REIMBURSEMENT FROM THE HEALTH SAFETY NET.
PART V, SECTION B, LINE 11 (CONTINUATION):	A KEY PROGRAM THAT ILLUMINATES THESE INTENTIONAL INVESTMENTS IS BMC'S ECONOMIC JUSTICE HUB. THE ECONOMIC JUSTICE HUB, LAUNCHED IN 2023, BUILDS ON THE HOSPITAL'S APPROACH TO ADDRESSING ECONOMIC INEQUITY UNDER THREE PILLARS: EXPANDING BMC'S NATIONALLY RECOGNIZED TAX AND FINANCIAL SERVICES PROGRAM STREETCRED, CREATING PATHWAYS TO WELL-PAYING JOBS, AND FUNDING AN ANALYSIS ON THE "CLIFF EFFECT," THE CORRELATION BETWEEN INCREASED INCOME AND LOSS OF PUBLIC BENEFITS. THE GOAL OF THE ECONOMIC JUSTICE HUB IS TO CREATE SYSTEMIC CHANGE SO ALL FAMILIES CAN THRIVE. TO DATE, WE HAVE ENROLLED OVER 1,700 FAMILIES (OVER 5,400 PEOPLE) IN OUR ECONOMIC BUNDLE WITH AN ESTIMATED $3 MILLION/YEAR IN RESOURCES CLAIMED. WE HAVE RETURNED OVER $6.4 MILLION IN TAX REFUNDS TO FAMILIES AT BMC ALONE. OUR HEALTH BY WEALTH COLLECTIVE HAS 37 MEMBERS IN 13 STATES AND D.C.; IT HAS RETURNED $35 MILLION IN TAX REFUNDS TO OVER 20,000 FAMILIES. HOUSED IN BMC'S PEDIATRICS DEPARTMENT, THE HUB ALSO CREATES JOB OPPORTUNITIES WITH FLEXIBLE SCHEDULES FOR UNDEREMPLOYED PARENTS FROM LOW-INCOME, HISTORICALLY DISINVESTED COMMUNITIES INCLUDING TRAINING PARTICIPANTS AS FINANCIAL NAVIGATORS, PEER EDUCATORS, AND FINANCIAL COACHES FOR OTHER FAMILIES IN PEDIATRICS UNDER STREETCRED. ONCE TRAINED, PARTICIPANTS GAIN SKILLS TO SEEK OTHER JOBS WITHIN BMC OR BEYOND. OVER THE NEXT THREE YEARS, BMC WILL OPEN PATHWAYS TO EMPLOYMENT AND PROFESSIONAL ADVANCEMENT FOR OUR COMMUNITY MEMBERS. WE WILL DO THIS BY PROVIDING WORKFORCE DEVELOPMENT OPPORTUNITIES FOR EMPLOYMENT AND SKILLS TRAINING AT BMC AS WELL AS MAINTAINING PATHWAYS FOR CAREER ADVANCEMENT AND EDUCATION FOR BMC EMPLOYEES. FOR PATIENTS, WE WILL INCREASE AWARENESS AND ACCESS OF ECONOMIC TOOLS AND RESOURCES FOR FAMILIES, MAINTAIN/EXPAND SUSTAINABILITY PROGRAMMING AVAILABLE THROUGH NAVIGATION AND COMMUNITY BUILDING, AND PROMOTE RESILIENT NEIGHBORHOODS WITH ENHANCED OPPORTUNITIES FOR COMMUNITY INPUT.PRIORITY: ACCESS TO HEALTH CARE BOSTON MEDICAL CENTER HAS A RICH HISTORY OF CREATING AND EXPANDING ACCESS TO MEDICAL CARE, DATING BACK TO 1864 AS BOSTON CITY HOSPITAL. BMC HAS CONTINUED TO HONOR THAT LEGACY BY DEVELOPING PROGRAMS AND PARTNERSHIPS THAT INCREASE ACCESS TO CARE, HOUSED IN OUR POPULATION HEALTH AND VALUE BASED CARE TEAMS. THIS APPROACH IMPROVES HEALTH OUTCOMES WHILE MAKING HEALTH CARE MORE SUSTAINABLE AND AFFORDABLE. BY IDENTIFYING GAPS IN PREVENTIVE CARE AND CHRONIC DISEASE MANAGEMENT EARLY, BMC'S VALUE-BASED CARE TEAM HELPS PATIENTS AVOID COSTLY EMERGENCY VISITS AND HOSPITAL STAYS, AND ENSURES HIGHER-QUALITY, LONGER-TERM OUTCOMES ACROSS POPULATIONS. OUR COMPLEX CARE MANAGEMENT PROGRAM TEAM PROVIDES INTENSIVE CARE MANAGEMENT SERVICES FOR PATIENTS WITH CHRONIC MEDICAL CONDITIONS, SUBSTANCE USE OR BEHAVIORAL HEALTH CHALLENGES, OR SOCIAL BARRIERS TO HEALTH AND HAS DEMONSTRATED IMPROVED HEALTH OUTCOMES AND REDUCED HOSPITAL UTILIZATION. OUR INTEGRATED BEHAVIORAL HEALTH TEAM PROVIDES SHORT-TERM TREATMENT FOR BEHAVIORAL HEALTH CONDITIONS IN PRIMARY CARE SETTINGS, BREAKING DOWN BARRIERS TO CARE AND HELPING PATIENTS AND PCPS ALIKE MANAGE THESE CONDITIONS. OUR HEALTH EQUITY ACCELERATOR ENGAGED 4,000 PATIENTS IN HEALTH EQUITY PROGRAMS TO IMPROVE HEALTH OUTCOMES IN CLINICAL AREAS WHERE WE SEE THE GREATEST DISPARITIES AND SAW IMPRESSIVE OUTCOMES SUCH AS 50% REDUCTION IN DIABETES INEQUITY IN SIX MONTHS AND 20% REDUCTION IN POSTPARTUM HYPERTENSION READMISSIONS THANKS TO OUR REMOTE BLOOD PRESSURE MONITORING PROGRAM.A CORNERSTONE OF THIS WORK IS THE PATIENT NAVIGATOR. PATIENT NAVIGATORS PLAY A CRITICAL ROLE IN ENSURING PATIENTS ACCESS VITAL PREVENTIVE SCREENINGS, PRIMARY CARE VISITS, AND CHRONIC CONDITION MANAGEMENT. THROUGH PERSONALIZED OUTREACH, THEY BUILD TRUSTED RELATIONSHIPS WITH PATIENTS, PROVIDE EDUCATION ON SCREENINGS LIKE MAMMOGRAMS, A1C CHECKS, AND COLON CANCER TESTS, AND BREAK DOWN BARRIERS SUCH AS TRANSPORTATION, INSURANCE, AND LANGUAGE ACCESS. THEY SERVE AS A CONSISTENT POINT OF CONTACT, OFFERING CULTURALLY RESPONSIVE GUIDANCE THAT HELPS PATIENTS FEEL SUPPORTED THROUGHOUT THEIR CARE JOURNEY. FOR EXAMPLE, IN FY25, PATIENT NAVIGATORS CONDUCTED OUTREACH TO 10,000 PATIENTS, LEADING TO 4,500 COMPLETED CANCER SCREENINGS FOR PRIMARY CARE PATIENTS. BY COMBINING DIRECT ENGAGEMENT WITH DATA-DRIVEN TRACKING AND NAVIGATION, PATIENT NAVIGATORS ARE HELPING TRANSFORM CARE DELIVERY AT BMC REDUCING DISPARITIES, IMPROVING EQUITY, AND FULFILLING THE HOSPITAL'S MISSION TO MAKE HIGH-QUALITY CARE ACCESSIBLE TO ALL.OVER THE NEXT THREE YEARS, BMC WILL CONTINUE TO PROVIDE EQUITABLE AND ACCESSIBLE WRAPAROUND CARE AND SERVICES THAT MEET LOW-RESOURCED PATIENTS AND COMMUNITIES WHERE THEY ARE (STAYING TRUE TO OUR MISSION AND DNA). WE WILL INCREASE SCREENING RATES FOR CHRONIC DISEASES IN LEADING AREAS OF MORTALITY THROUGH INTERVENTIONS SUCH AS THE HEALTH EQUITY ACCELERATOR, VALUE-BASED CARE TEAMS, AND PROSTATE CANCER SCREENING VAN. WE WILL SUPPORT AND STRENGTHEN OUR COMMUNITY ADVISORY STRUCTURES AND CHRONIC CONDITION CARE COORDINATION PATHWAYS. WE WILL CONTINUE TO SUSTAIN WRAPROUND SUPPORTS SUCH AS TRANSPORTATION, NAVIGATION, AND CONNECTION TO COMMUNITY RESOURCES THROUGH INITIATIVES LIKE THRIVE SDOH SCREENING AND PROGRAMMING TO HELP PATIENTS ACCESS SERVICES AND IMPROVE HEALTH OUTCOMES. AND WE WILL INCREASE SERVICES TO PATIENTS IN THE COMMUNITIES IN WHICH THEY LIVE AND WORK THROUGH OUR MANY COMMUNITY HEALTH PARTNERSHIPS AND MOBILE CARE.PRIORITY AREA: VIOLENCE AND TRAUMAIN RESPONSE TO OUR COMMUNITY'S NEED, BMC HAS BUILT SEVERAL PROGRAMS DEDICATED TO VIOLENCE AND TRAUMA. FOR EXAMPLE, SINCE 2006, BMC'S VIOLENCE INTERVENTION ADVOCACY PROGRAM (VIAP) HAS RESPONDED TO ALL GUNSHOT AND STAB WOUND PATIENTS IN THE HOSPITAL'S EMERGENCY DEPARTMENT. IN FY25, VIAP RESPONDED TO 252 NEWLY INJURED INDIVIDUALS (STAB AND GUNSHOT WOUNDS), 439 UNIQUE CLIENTS (DIRECT VICTIMS AND FAMILY MEMBERS), AND HAD A TOTAL OF 3,124 SERVICE ENCOUNTERS WITH VICTIMS AND FAMILIES. SINCE 2006 THE PROGRAM HAS RESPONDED TO OVER 7,900 NEW INJURIES. THE TEAM WORKS TO GUIDE VICTIMS OF COMMUNITY VIOLENCE THROUGH PHYSICAL AND EMOTIONAL RECOVERY USING A TRAUMA-INFORMED APPROACH TO CARE, INCLUDING THROUGH CRISIS INTERVENTION, MENTAL HEALTH SERVICES, ONGOING CASE MANAGEMENT, FAMILY SUPPORT SERVICES, AND MORE. THE LONG-TERM GOAL IS TO EMPOWER PATIENTS WITH SKILLS, SERVICES, AND OPPORTUNITIES SO THAT THEY MAY REDUCE VIOLENT REINJURY AND FUTURE VIOLENCE ENACTMENT CONTRIBUTING TO BUILDING SAFER AND HEALTHIER COMMUNITIES.IN THE NEXT THREE YEARS, BMC WILL CONTINUE TO PROVIDE CULTURALLY SENSITIVE PROGRAMMING FOR INDIVIDUALS IMPACTED BY VIOLENCE AT HOME OR IN THEIR COMMUNITIES. WE WILL CONTINUE TO SUPPORT VICTIMS OF VIOLENCE BY PROVIDING CASE MANAGEMENT AND FAMILY ADVOCACY SERVICES FROM COMMUNITY HEALTH WORKERS WITH LIVED EXPERIENCE. WE WILL PROVIDE BOTH INPATIENT AND OUTPATIENT THERAPEUTIC SERVICES FOR PATIENTS, FAMILIES, AND COMMUNITY MEMBERS EXPOSED TO VIOLENCE THROUGH OUR PROGRAMS SUCH AS CHILD WITNESS TO VIOLENCE PROGRAM AND THE COMMUNITY VIOLENCE RESPONSE TEAM. WE WILL PROVIDE DIRECT ADVOCACY SERVICES TO THOSE HARMED BY DOMESTIC VIOLENCE, INCLUDING CARE OR CASE ESCALATION AS NEEDED.PRIORITY AREA: BEHAVIORAL, MENTAL HEALTH, AND SUBSTANCE USE DISORDER (SUD)WHILE OPIOID-RELATED OVERDOSE DEATHS IN MASSACHUSETTS AND BOSTON SAW SIGNIFICANT DECLINES IN THE LAST FEW YEARS, PERSISTENT RACIAL DISPARITIES IN OVERDOSE DEATHS AND THE CONTINUED PREVALENCE OF FENTANYL IN THE DRUG SUPPLY REMAIN CONCERNS FOR BOSTON MEDICAL CENTER'S PATIENT POPULATION. INCREASED TREATMENT ACCESS AND INVESTMENTS IN HARM REDUCTION APPROACHES LIKE THOSE DEVELOPED AND DELIVERED BY BMC ARE WORKING TO DECREASE OVERALL OVERDOSE DEATHS AND REMAIN A STEADFAST COMMITMENT BY BMC EXPERTS AND LEADERS. SIMULTANEOUSLY, BMC PROVIDERS AND TEAMS ARE WORKING TO ADDRESS CO-OCCURRING MENTAL HEALTH CONCERNS THROUGH CULTURALLY SENSITIVE, TRAUMA-INFORMED CARE. BMC'S GRAYKEN CENTER FOR ADDICTION, A NATIONAL LEADER IN ADDICTION MEDICINE, RESEARCH, POLICY, AND ADVOCACY, PROVIDES CUTTING-EDGE SUBSTANCE USE DISORDER TREATMENT. THE GRAYKEN CENTER USES BEST PRACTICES, MOST OF WHICH ARE DEVELOPED AT BMC, TO TREAT APPROXIMATELY 2,500 PATIENTS PER MONTH OF ALL AGES THROUGH VARIOUS HOSPITAL- AND COMMUNITY-BASED PROGRAMS.THE HOSPITAL'S OFFICE-BASED ADDICTION TREATMENT (OBAT) PROGRAM, ESTABLISHED IN 2003, CURRENTLY SERVES MORE THAN 800 PATIENTS, WITH 7,542 PATIENT VISITS IN THE FIRST THREE QUARTERS OF 2025, MAKING IT THE LARGEST HOSPITAL-BASED ADDICTION TREATMENT PROGRAM IN NEW ENGLAND. PATIENTS RECEIVE SPECIALIZED TREATMENT FOR THEIR SUBSTANCE USE DISORDER INTEGRATED WITHIN A PRIMARY CARE SETTING, ALLOWING ALL THEIR MEDICAL NEEDS TO BE ADDRESSED BY A TEAM OF PROVIDERS.
PART V, SECTION B, LINE 11 (CONTINUATION):	AS PART OF BMC'S MISSION TO PROVIDE COMPREHENSIVE, HOLISTIC CARE, AND TO HELP FILL AN IMPORTANT UNMET NEED IN MASSACHUSETTS, BMC BROCKTON BEHAVIORAL HEALTH CENTER PROVIDES INNOVATIVE CARE TO PEOPLE WITH CO-OCCURRING SUBSTANCE USE DISORDERS AND MENTAL ILLNESS. THE CENTER PROVIDES SPECIALIZED, CULTURALLY COMPETENT CARE TO PATIENTS IN TWO ACUTE INPATIENT PSYCHIATRIC UNITS AND ONE CLINICAL STABILIZATION SERVICE, DELIVERED BY AN EXPERT TEAM REFLECTING THE MAKEUP OF THE COMMUNITIES WE SERVE. OUR TWO ACUTE INPATIENT PSYCHIATRIC UNITS SERVE PATIENTS AGED 16 AND UP WHO POSE AN IMMINENT RISK TO THEMSELVES OR OTHERS.IN THE NEXT THREE YEARS, WE WILL CONTINUE TO PROVIDE CULTURALLY SENSITIVE, MULTI-COMPONENT PROGRAMMING FOR INDIVIDUALS WITH BEHAVIORAL, MENTAL HEALTH, AND/OR SUD THAT INCLUDE DISEASE EDUCATION, COGNITIVE BEHAVIORAL THERAPY, AND WRAPAROUND SOCIAL AND LIFESTYLE SUPPORTS TO ENCOURAGE RECOVERY. WE WILL INCREASE ACCESS FOR DUAL-DIAGNOSIS PATIENTS (CO-OCCURRING SUD AND MENTAL HEALTH) WITH THE GOAL OF LOWERING READMISSION RATES (AND RELAPSE RATES) BY MAINTAINING CURRENT PROGRAMMING AND EXPLORING AREAS FOR EXPANSION. WE WILL ALSO MAINTAIN AND EXPAND CURRENT MENTAL HEALTH SERVICES FOR YOUTH. FINALLY WE ARE IN THE PROCESS OF CONDUCTING A FULL CHNA IN THE METRO SOUTH REGION (LOCATION OF BMC BROCKTON BEHAVIORAL HEALTH CENTER AND BMC-SOUTH) TO FULLY UNDERSTAND ALL HEALTH NEEDS IN THAT COMMUNITY.PART V, SECTION B, LINE 13A: FOR PATIENTS WHO FALL OUTSIDE THE COMMONWEALTH'S ASSISTANCE PROGRAMS, PATIENTS ARE CHARGED AT THE SAME LEVELS AS INSURERS ARE CHARGED, BUT THEY ARE OFFERED A PROMPT-PAY DISCOUNT (REGARDLESS OF INCOME LEVEL) BASED ON THE UNCOMPENSATED CARE COST TO CHARGE RATIO IF THE PAYMENTS ARE MADE WITHIN THE FIRST 30 DAYS FROM THE AGREEMENT.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - MARGARET M SHEA RN ADULT DAY HEALTH PRO
229 RIVER STREET	MATTAPAN	MA	02126	ADULT DAY HEALTH PROGRAM
2 - BOSTON EMERGENCY SERVICES TEAM (BEST)
85 EAST NEWTON STREET	BOSTON	MA	02118	DEPARTMENT OF MENTAL HEALTH-LICENSED COMMUNITY CRISIS STABILIZATION SERVICE
3 - BMC BROCKTON BEHAVIORAL HEALTH CENTER
34 NORTH PEARL STREET	BROCKTON	MA	02301	BUREAU OF SUBSTANCE ADDICTION SERVICES-CERTIFIED CLINICAL STABILIZATION SRVC
4 - BOSTON MEDICAL CENTER COMMUNITY BEHAVIOR
850 HARRISON AVENUE DOWLING BLDG FL	BOSTON	MA	02118	BUREAU OF SUBSTANCE ADDICTION SERVICES	7

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	FOR PATIENTS WHO FALL OUTSIDE THE COMMONWEALTH'S ASSISTANCE PROGRAMS, PATIENTS ARE CHARGED AT THE SAME LEVELS AS INSURERS ARE CHARGED, BUT THEY ARE OFFERED A PROMPT-PAY DISCOUNT (REGARDLESS OF INCOME LEVEL) BASED ON THE UNCOMPENSATED CARE COST TO CHARGE RATIO IF THE PAYMENTS ARE MADE WITHIN THE FIRST 30 DAYS FROM THE AGREEMENT.PART I, LINE 5C:THE ORGANIZATION'S CHARITY CARE DID NOT EXCEED BUDGETED AMOUNTS. THE BUDGETED AMOUNTS ARE PREDICTED CHARITY CARE AMOUNTS. THE ORGANIZATION DID NOT HAVE ANY EXCESS FUNDS.
PART I, LINE 7:	FOR THE CALCULATION OF COSTS OF CHARITY CARE (LINE 7A) AND 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 RATIO IS MULTIPLIED BY THE CHARGES FOR CHARITY CARE AND 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 SERVICES (CMS) COST ALLOCATION METHODOLOGY (CMS FORM 2552) WAS USED. CMS FORM 2552 IS A REQUIRED ANNUAL FILING TO THE FEDERAL GOVERNMENT.PART I, LINE 7, COLUMN F: THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE WAS $0. DURING FISCAL YEAR 2025, BMC RECOGNIZED NET UNFAVORABLE SETTLEMENTS FROM MEDICARE, MEDICAID, WELLSENSE, BLUE CROSS AND OTHER PAYORS RELATED TO PRIOR YEARS OF APPROXIMATELY ($14,227,000).
PART II, COMMUNITY BUILDING ACTIVITIES:	BMC CONTRIBUTES TO THE COMMUNITY THROUGH ITS PAYMENT OF LINKAGE FEES TO THE CITY OF BOSTON. THOSE LINKAGE FEES FUND SUPPORT PROGRAMS FOR AFFORDABLE HOUSING AND NEIGHBORHOOD HEALTH CARE. BMC ALSO PROVIDES SUBSIDIES TO BOSTON HEALTHNET, WHICH SUPPORTS COMMUNITY-BASED SERVICES.CAPITAL INVESTMENTS IN BOSTON HEALTHNET:WHILE THE NEED FOR COMMUNITY-BASED SERVICES CONTINUES TO GROW, IT HAS BECOME INCREASINGLY DIFFICULT FOR COMMUNITY 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 PROVIDED APPROXIMATELY $16.9 MILLION IN DIRECT OPERATING SUPPORT TO THE BOSTON HEALTHNET HEALTH CENTERS IN FISCAL YEAR 2025 WITH $17.3 MILLION IN TOTAL SUPPORT FOR THE COMMUNITY HEALTH CENTERS FOR THAT SAME PERIOD. OTHER NET SUBSIDIES INCLUDE MOSTLY ECONOMIC DEVELOPMENT, COMMUNITY HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT.
PART III, LINE 2:	SCHEDULE H, PART III, LINE 3 REPORTS BAD DEBT EXPENSE AT COST. PATIENT PAYMENTS ON ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT ARE RECORDED AS A BAD DEBT RECOVERY, REDUCING THE GROSS BAD DEBT WRITE-OFF.
PART III, LINE 3:	THE ORGANIZATION ESTIMATED $0 OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) AS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY DUE TO THE MANNER IN WHICH THE DETAIL OF THE BAD DEBT EXPENSE IS PROCESSED IN ITS SYSTEM.
PART III, LINE 4:	THE ORGANIZATION'S BAD DEBT EXPENSE IS ADDRESSED IN FOOTNOTES 2(S)(IV) AND 2(T) FOUND ON PAGES 19 AND 20 OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	MEDICARE ALLOWABLE COSTS OF $225,271,736 WERE CALCULATED USING THE CMS FORM 2552 METHODOLOGY OF DETERMINING MEDICARE COSTS. THIS USES 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. THE RATIO OF COST TO CHARGES IS APPLIED TO MEDICARE CHARGES BY DISTINCT CLINICAL COST CENTERS TO DETERMINE THE MEDICARE COSTS.
PART III, LINE 9B:	POPULATIONS EXEMPT FROM COLLECTION ACTIVITIESTHE HOSPITAL WILL NOT REQUIRE PRE-ADMISSION OR PRE-TREATMENT DEPOSITS FROM INDIVIDUALS REQUIRING EMERGENCY SERVICES OR DETERMINED TO BE LOW-INCOME. THE FOLLOWING INDIVIDUALS AND PATIENT POPULATIONS ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES BEYOND THE INITIAL BILL PURSUANT TO STATE REGULATIONS:A. PATIENTS WITH MASSHEALTH, EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN OF THE DISABLED, CHILDREN, AND FULL HEALTH SAFETY NET OR PATIENTS WITH COUNTY MEDICAL SERVICES PROGRAM OR PARTIAL HEPATOSPLENOMEGALY BELOW THE PROGRAM-DEFINED FEDERAL POVERTY LEVEL OR MODIFIED ADJUSTED GROSS INCOME GUIDELINE, OR OTHERS DETERMINED TO BE LOW-INCOME PATIENTS ARE EXEMPT FROM COLLECTION SUBJECT TO:1. THE HOSPITAL MAY SEEK COLLECTION ACTION AGAINST ANY LOW-INCOME PATIENT FOR THEIR REQUIRED CO-PAYMENTS AND DEDUCTIBLES THAT ARE SET FORTH BY EACH SPECIFIC PROGRAM.2. THE HOSPITAL MAY SEEK COLLECTION TO ALLOW A PATIENT TO MEET THE COMMONWEALTH ONE-TIME DEDUCTIBLE.3. THE HOSPITAL MAY ALSO INITIATE BILLING OR COLLECTION FOR A LOW-INCOME PATIENT WHO ALLEGES THAT HE OR SHE IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COSTS OF THE HOSPITAL SERVICES, BUT WHO FAILS TO PROVIDE PROOF OF HIS OR HER PARTICIPATION AND WHOSE INSURANCE CANNOT BE VERIFIED IN THE HOSPITAL ELIGIBILITY SYSTEM. UPON RECEIPT OF SATISFACTORY PROOF THAT A PATIENT IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM, INCLUDING RECEIPT OR VERIFICATION FROM THE INSURANCE CARRIER, THE HOSPITAL SHALL CEASE ITS BILLING OR COLLECTION ACTIVITIES.4. THE HOSPITAL MAY CONTINUE COLLECTION ACTION ON ANY LOW-INCOME PATIENT FOR SERVICES RENDERED PRIOR TO THE LOW-INCOME PATIENT DETERMINATION PROVIDED THAT THE CURRENT LOW-INCOME PATIENT STATUS HAS BEEN TERMINATED OR EXPIRED. HOWEVER, ONCE A PATIENT IS DETERMINED ELIGIBLE AND ENROLLED IN THE HEALTH SAFETY NET, MASSHEALTH, OR CERTAIN FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL CEASE COLLECTION ACTIVITY FOR SERVICES PROVIDED PRIOR TO THE BEGINNING OF THE PATIENT'S ELIGIBILITY.5. THE HOSPITAL MAY SEEK COLLECTION ACTION AGAINST ANY OF THE PATIENTS PARTICIPATING IN THE PROGRAMS LISTED ABOVE FOR NON-COVERED SERVICES THAT THE PATIENT HAS AGREED TO BE RESPONSIBLE FOR, PROVIDED THAT THE HOSPITAL OBTAINED THE PATIENT'S PRIOR WRITTEN CONSENT TO BE BILLED FOR THE SERVICE.
PART VI, LINE 2:	NEEDS ASSESSMENTIN ADDITION TO THE CHNA PROCESS, BMC HAS EXTENSIVE EXPERIENCE AND INTERNAL STRUCTURES FOR ASSESSING COMMUNITY NEEDS. WE HAVE A ROBUST TRADITION OF USING PATIENT DATA AND COMMUNITY INPUT TO INFORM SYSTEM DIRECTION AND STRATEGY. BMC DESIGNS HEALTHCARE WITH AND FOR PATIENTS AND COMMUNITIES BY INTERROGATING RACIAL DISPARITIES AT THE ROOT CAUSE. BMC IS INVESTED IN DEVELOPING INNOVATIVE INTERVENTIONS TO CLOSE THE GAPS IN HEALTH EQUITY BY INTENTIONALLY BRINGING OUR COMMUNITIES TO THE TABLE. WE ACTIVELY SEEK PATIENT INPUT, VALUE THEIR EXPERIENCES, AND ENGAGE IN COMMUNITY CONVERSATIONS. BMC IS DEDICATED TO DEVELOPING AND SUPPORTING MEDICAL PROFESSIONALS THAT ADVANCE SCIENTIFIC DISCOVERY AND IMPLEMENT SCALABLE APPROACHES AND INNOVATIVE SOLUTIONS THAT CAN IMPROVE HEALTH AND WELLBEING.BMC'S PATIENT ENGAGEMENT OFFICE MANAGES A VERY ACTIVE PATIENT FAMILY ADVISORY COMMITTEE WHICH MEETS 2X/MONTH AND PROVIDES INPUT ON A VARIETY OF ISSUES REGARDING PATIENT EXPERIENCE. IN ADDITION, OUR HEALTH QUALITY & EQUITY COMMITTEE (HQEC) SERVES AS A SHARED FORUM FOR LEADERS ACROSS CLINICAL, OPERATIONAL, AND COMMUNITY-FACING TEAMS TO ALIGN ON EQUITY PRIORITIES, REDUCE SILOS, AND COORDINATE STRATEGIES, REINFORCING A MORE INTEGRATED AND SYSTEM-WIDE APPROACH TO ADVANCING HEALTH EQUITY. THIS COMMITTEE ALSO HAS PATIENT MEMBERSHIP REPRESENTATION. THIS PAST YEAR, THE HQEC INFORMED A MORE EXPANSIVE COMMUNITY ENGAGEMENT APPROACH AND SUPPORTED THE EXPANSION OF PATIENT INSIGHT GROUPS ACROSS DEPARTMENTS. BMC'S OFFICE OF COMMUNITY ENGAGEMENT AND EXTERNAL AFFAIRS HOSTS A BUSY CALENDAR OF EVENTS BOTH BMC-MANAGED AND COMMUNITY-RUN WHERE WE ENGAGE WITH COMMUNITY MEMBERS AND COLLECT INPUT. THROUGH THE EQUITY PARTNERSHIP NETWORK, YOUTH ADVISORY BOARD, AND OTHER COMMUNITY-FACING GROUPS, THE OFFICE OF COMMUNITY ENGAGEMENT AND EXTERNAL AFFAIRS WORKS TO MAINTAIN A CONTINUOUS FEEDBACK LOOP WITH RESIDENTS, PATIENTS, AND LOCAL PARTNERS. THIS ENSURES THAT OUR HEALTH EQUITY STRATEGIES BOTH WITHIN THE HOSPITAL AND ACROSS THE NEIGHBORHOODS WE SERVE ARE INFORMED BY THE LIVED EXPERIENCES OF COMMUNITY MEMBERS.IN ADDITION TO WORKING WITH LARGE ANCHOR INSTITUTIONS, BMC IS DEEPLY COMMITTED TO SUPPORTING SMALLER COMMUNITY-BASED ORGANIZATIONS, GRASSROOTS LEADERS, AND NEIGHBORHOOD GROUPS. THESE PARTNERSHIPS HELP US REACH POPULATIONS THAT MAY NOT REGULARLY ENGAGE WITH LARGER INSTITUTIONS, ALLOWING US TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, PROMOTE WELLNESS, AND IMPROVE ACCESS TO PREVENTIVE SERVICES WITHIN TRUSTED LOCAL SETTINGS. FOR EXAMPLE, OUR HEART OF COMMUNITIES PROGRAM (A PARTNERSHIP BETWEEN BMC, MASS GENERAL BRIGHAM AND MATTAPAN COMMUNITY HEALTH CENTER) MEETS WITH COMMUNITY PARTNERS BI-MONTHLY, QUARTERLY, OR MONTHLY (DEPENDING ON OUR RELATIONSHIP WITH THEM, ONGOING WORK THEY HAVE IN THE COMMUNITY, AND ALIGNMENT WITH OUR WORK). SOME OF THESE PARTNERS INCLUDE MATTAPAN FOOD AND FITNESS COALITION, IFSI, URBAN FARMING INSTITUTE, CUMMINS HIGHWAY NEIGHBORHOOD ASSOCIATION, AND GREATER MATTAPAN NEIGHBORHOOD COUNCIL. DURING THESE SESSIONS, OUR PARTNERS SHARE INSIGHTS ON COMMUNITY PRIORITIES, RESULTS FROM ANY SURVEYS OR COMMUNITY WORK THEY ARE UNDERTAKING AND WE SHARE THEMES FROM OUR PATIENT ENGAGEMENT SURVEYS THAT CAN INFORM THEIR PROGRAMMING. THESE BIDIRECTIONAL SESSIONS INFORM OUR PROGRAMMING AND APPROACH TO COMMUNITY ENGAGEMENT. WE ALSO HOSTED A COMMUNITY CONVERSATION IN JANUARY 2025 WHICH KICKSTARTED OUR PROGRAM AND LOOK FORWARD TO HOSTING ANOTHER THIS YEAR.IN 2017, BMC IMPLEMENTED THRIVE, A FIRST-IN-NATION SOCIAL DETERMINANTS OF HEALTH SCREENING PROGRAM. THRIVE ASSESSES PATIENTS FOR HOUSING AND FOOD INSECURITY, EDUCATION ACCESS, AND OTHER UNDERLYING NEEDS THAT CONTRIBUTE TO POOR HEALTH OUTCOMES. THE THRIVE SCREENER IS NOW ACTIVE IN ALL AMBULATORY AND ED SETTINGS AT BMC AND HAS BEEN ROLLED OUT TO OUR COMMUNITY HOSPITALS AT BRIGHTON AND SOUTH AS WELL. THRIVE HAS BEEN ACKNOWLEDGED FOR EXCELLENCE AND PRESENTED AS AN EXAMPLE MODEL BY THE JOINT COMMISSION. THRIVE NOW IN ITS NINTH YEAR, PROVIDES IMPORTANT COMMUNITY DATA TO INFORM SYSTEM STRATEGY.FOUNDED IN 2021, OUR HEALTH EQUITY ACCELERATOR IS AN AMBITIOUS INITIATIVE THAT AIMS TO ELIMINATE THE RACE-BASED HEALTH EQUITY GAPS THAT EXISTS THROUGHOUT HEALTHCARE SYSTEMS IN THE U.S. THE ACCELERATOR'S APPROACH INTEGRATES THREE FOUNDATIONAL DRIVERS OF HEALTHCARE THAT ARE OFTEN SILOED: RESEARCH, CLINICAL CARE, AND COMMUNITY. WE CO-CREATE PROGRAMMING WITH PATIENTS AND COMMUNITY MEMBERS, AN INNOVATIVE MODEL TO THE HEALTHCARE SECTOR. AS A RESULT, BMC IS IMPROVING LIFE EXPECTANCY AND QUALITY OF LIFE AMONG DIFFERENT RACES AND ETHNICITIES BY ADDRESSING THE MAJOR DISPARITIES IN FIVE CLINICAL CARE AREAS: PREGNANCY AND MATERNAL HEALTH, CANCER, INFECTIOUS DISEASES, CHRONIC CONDITIONS, AND BEHAVIORAL HEALTH. THIS APPROACH ALLOWS US TO RAISE THE STANDARD OF CARE FOR ALL PATIENTS.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE HOSPITAL POSTS NOTICES OF AVAILABILITY OF FINANCIAL ASSISTANCE IN: (1) INPATIENT, CLINIC, AND EMERGENCY DEPARTMENT AND WAITING AREAS, (2) PATIENT FINANCIAL COUNSELOR AREAS, (3) CENTRAL ADMISSION/REGISTRATION AREAS, AND (4) BUSINESS OFFICE AREAS THAT ARE OPEN TO PATIENTS. POSTED NOTICES ARE CLEARLY VISIBLE AND LEGIBLE TO PATIENTS VISITING THESE AREAS. THE HOSPITAL ALSO INCLUDES A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IN ALL INITIAL BILLS. WHEN A PATIENT CONTACTS THE HOSPITAL, THE PATIENT FINANCIAL SERVICES STAFF NOTIFIES THE PATIENT IF THEY QUALIFY FOR A PAYMENT PLAN. A PATIENT WHO IS ENROLLED IN A PUBLIC FINANCIAL ASSISTANCE PROGRAM (FOR EXAMPLE, 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 USES THE VIRTUAL GATEWAY APPLICATION, THE HOSPITAL HELPS THE PATIENT COMPLETE THE APPLICATION FOR MASSHEALTH CONNECTORCARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTH START, HEALTH SAFETY NET, OR OTHER FORMS OF FINANCIAL ASSISTANCE PROGRAMS AS THEY BECOME PART OF THE VIRTUAL GATEWAY PROGRAM. ALL SIGNS AND NOTICES ARE TRANSLATED INTO LANGUAGES OTHER THAN ENGLISH IF A LANGUAGE IS SPOKEN BY 5% OR MORE OF THE POPULATION RESIDING IN THE HOSPITAL SERVICE AREA. CURRENTLY, THE HOSPITAL TRANSLATES THE NOTICES INTO ENGLISH, PORTUGUESE, SPANISH, VIETNAMESE, AND HAITIAN CREOLE.
PART VI, LINE 4:	COMMUNITY INFORMATIONTHE STATUTE THAT CREATED BMC REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 654-BED, URBAN ACADEMIC MEDICAL CENTER. IT EMPHASIZES COMMUNITY-BASED, ACCESSIBLE CARE AND IS GROUNDED BY ITS 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. DRIVEN BY THE SOCIAL DETERMINANTS OF HEALTH THAT AFFECT HEALTH OUTCOMES AMONG BMC'S PATIENTS AND COMMUNITY, THE GOAL OF BMC'S COMMUNITY HEALTH IMPROVEMENT ACTIVITIES, OR COMMUNITY BENEFITS, IS TO IMPROVE COMMUNITY HEALTH.APPROXIMATELY 70% OF BMC'S INPATIENT DISCHARGES AND OUTPATIENT VISITS ARE FROM GROUPS THAT HAVE BEEN ECONOMICALLY AND SOCIALLY MARGINALIZED AND WHO RELY ON GOVERNMENT PAYERS, SUCH AS MEDICAID, THE HEALTH SAFETY NET, AND MEDICARE, FOR THEIR COVERAGE. ALMOST 30% OF BMC'S PATIENTS 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 AND A FOOD PANTRY, HELP REDUCE BARRIERS TO HEALTH SERVICES AND ULTIMATELY ELIMINATE INEQUITIES IN HEALTHCARE AMONG THE PATIENT POPULATIONS BMC SERVES.WITH 24,921 ADMISSIONS AND NEARLY 1.24 MILLION OUTPATIENT VISITS, 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 HAS APPROXIMATELY 105,477 PATIENT VISITS ANNUALLY.BMC SERVES THE URBAN COMMUNITY OF GREATER BOSTON. THE MAJORITY OF THE COMMUNITIES THAT BMC SERVES ARE LOCATED IN BOSTON CENSUS TRACTS THAT ARE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS/POPULATIONS. ALTHOUGH MASSACHUSETTS' UNIVERSAL CARE ENABLES INDIVIDUALS TO SEEK CARE AT ANY HOSPITAL, BMC REMAINS THE LARGEST SAFETY NET PROVIDER IN BOSTON AND NEW ENGLAND. AN ESTIMATED 16.6% OF BOSTON RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL. THE IMPLEMENTATION OF UNIVERSAL CARE DID NOT REDUCE THE REAL NUMBER OR PERCENT OF UNDERSERVED COMMUNITIES SERVED BY BMC.ACCORDING TO THE CENTER FOR HEALTH INFORMATION AND ANALYSIS (CHIA) MASSACHUSETTS HEALTH INSURANCE SURVEY'S 2025 RESEARCH BRIEF, AN ESTIMATED 2.1% OF RESIDENTS WERE UNINSURED DURING THE SURVEY OF WHICH 66.3% REPORTED EMPLOYER-SPONSORED INSURANCE (ESI) AND 33.7% REPORTED OTHER NON-ESI. STILL, INSURED RESIDENTS IN FAIR OR POOR HEALTH HAVE HIGH RATES OF AFFORDABILITY ISSUES WITH 12.6% REPORTING SPENDING A HIGH SHARE OF FAMILY INCOME ON OUT-OF POCKET HEALTHCARE SPENDING. OF BMC'S PATIENTS IN 2025, MEDICAID MAKES UP 46.2%, MEDICARE 22.6%, UNINSURED 0.9%, AND PRIVATE COMMERCIAL 29.3%, WITH THE REMAINDER OF 1.0% ACCOUNTED FOR BY OTHER GOVERNMENT AND WORKERS COMP.
PART VI, LINE 5:	COMMUNITY HEALTH PROMOTIONIN ADDITION TO THE PRIORITY AREAS OUTLINED IN OUR IMPLEMENTATION PLAN, BMC CONTINUES TO BE COMMITTED TO THE MANY WRAPAROUND SERVICES AND PROGRAMS PREVIOUSLY REPORTED ON. WE CONTINUE TO GO BEYOND TYPICAL HEALTHCARE, REMOVING BARRIERS TO CARE BY PAIRING DEEP CLINICAL EXPERTISE WITH A PROFOUND COMMITMENT TO ADDRESS THE SOCIAL AND STRUCTURAL DRIVERS OF HEALTH, ENSURING PATIENTS ARE NOT JUST TREATED BUT EMPOWERED TO THRIVE. MANY OF OUR PROGRAMS AND SERVICES GO BEYOND WHAT GOVERNMENT OR INSURANCE REIMBURSEMENT WILL FUND. OUR MISSION DRIVES US TO DO THE MOST WITH LIMITED RESOURCES. WITH PHILANTHROPIC FUNDING, WE HAVE SUCCESSFULLY SCALED INNOVATIONS THAT SUPPORT OUR PATIENT POPULATION. BMC'S PROGRAMS OFTEN BECOME NATIONAL MODELS OR ARE EMBEDDED IN POLICY DESIGN AT THE STATE LEVEL BECAUSE WE HAVE PROVEN THEIR EFFECTIVENESS. SOME OF OUR MOST INNOVATIVE PROGRAMS INCLUDE LWAH (HOUSING PROGRAM INTEGRATED WITH CLINICAL CARE MANAGEMENT), OBAT AND TECHNICAL ASSISTANCE (OFFICE-BASED ADDICTION TREATMENT WE'VE SCALED TO SUPPORT PROVIDERS ACROSS THE NATION WITH OUR DEEP EXPERTISE IN ADDICTION MEDICINE), AND TEAM UP (PEDIATRIC INTEGRATED BEHAVIORAL HEALTH SERVICES SCALED TO 20+ HEALTH CENTERS, SERVES 65,000 CHILDREN ANNUALLY AND HAS TRAINED OVER 1,251 HEALTHCARE WORKERS). ADDITIONALLY, LONGSTANDING PROGRAMS SUCH AS THE GROW CLINIC (SUPPORT FOR FAMILIES AND CHILDREN WITH FAILURE TO THRIVE), PROJECT RESPECT (ADDICTION TREATMENT FOR PREGNANT PATIENTS), IMMIGRANT AND REFUGEE HEALTH CENTER (WRAPAROUND CARE FOR ASYLUM SEEKERS, REFUGEES, AND MIGRANTS, INCLUDES SUPPORT WITH JOB SKILLS AND EDUCATION), AND FASTER PATHS (ADDICTION URGENT CARE) ARE ALL CRITICAL TO MEETING OUR PATIENTS WHERE THEY ARE WITH THE SERVICES THEY NEED.BMC IS AT THE HEART OF BOSTON MEDICAL CENTER HEALTH SYSTEM (BMCHS), WHICH SERVES AS AN ANCHOR OF HEALTH CARE PAYMENT AND DELIVERY TO LOW-INCOME POPULATIONS IN THE REGION. THROUGH OUR WELLSENSE HEALTH PLAN, WE PROVIDE COVERAGE TO OVER 700,000 MEMBERS IN MASSACHUSETTS AND NEW HAMPSHIRE, INCLUDING ABOUT 40% OF THE MEDICAID PATIENTS IN BOTH STATES. THIS PROVIDES A UNIQUE PLATFORM FOR US TO SPREAD BMC'S EXPERTISE IN PROVIDING HIGH-QUALITY COORDINATED CARE TO LOW-INCOME POPULATIONS. FOR EXAMPLE, THROUGH OUR POPULATION HEALTH SERVICES TEAM, WE PROVIDE BEST PRACTICE AND OPERATIONAL SUPPORT TO PRIMARY CARE PROVIDERS STATEWIDE WHO ARE PART OF EIGHT ACOS THAT PARTNER WITH BMCHS (VIA WELLSENSE AS A MANAGED CARE ENTITY, COVERING ALMOST 500,000 MASSHEALTH MEMBERS) TO HELP THEM STRENGTHEN QUALITY, MANAGE COST, AND IMPROVE OUTCOMES. FURTHERMORE, BMC ALWAYS STEPS UP WHEN THERE IS NEED. DURING THE COVID-19 PANDEMIC, WE CREATED TEMPORARY HOUSING FOR UNHOUSED PATIENTS WHO HAD TESTED POSITIVE AND COULDN'T RETURN TO SHELTERS, AND WE SET UP VACCINE CLINICS IN COMMUNITIES WHERE OUR PATIENTS LIVE TO BUILD TRUST AND ENSURE ACCESS. WE CONTINUE TO LEAD THE WORK AT MASS & CASS, A REGIONAL ISSUE CONCENTRATED NEAR BMC'S CAMPUS, WORKING WITH THE CITY OF BOSTON AND COMMUNITY PARTNERS TO CONNECT INDIVIDUALS TO ADDICTION RESOURCES AND SHIFT THIS POPULATION HEALTH ISSUE. MORE RECENTLY, WE TOOK OVER TWO DISTRESSED HOSPITALS LEFT BARE FROM THE STEWARD BANKRUPTCY, STABILIZING OPERATIONS, PRESERVING ESSENTIAL SERVICES AND 4,000 JOBS, AND IMPLEMENTING MAJOR SYSTEM IMPROVEMENTS.BMC CONTINUES TO MAKE COMMUNITY INVESTMENTS THROUGH OUR DETERMINATION OF NEED WORK, DEMONSTRATING OUR COMMITMENT TO THOUGHTFUL COMMUNITY ENGAGEMENT. THE COMMUNITY ADVISORY BOARD (CAB) HAS BEEN INSTRUMENTAL IN DEVELOPING THE STRATEGY AND DESIGNATING FOUR KEY PRIORITIES FOR INVESTMENTS, INCLUDING: COMMUNITY OWNERSHIP AND POWER; CLIMATE RESILIENCE AND HEALTHY HOMES; WORKFORCE DEVELOPMENT; AND FINANCIAL EDUCATION AND ASSET BUILDING. AFTER SETTING THESE PRIORITIES, BMC ESTABLISHED A FUNDING ALLOCATION COMMITTEE A SUBSET OF CAB MEMBERS WITH ADDITIONAL COMMUNITY HEALTH EXPERTS TO REVIEW AND MAKE ALLOCATION COMMITMENTS. IN FY25, THE FUNDING ALLOCATION COMMITTEE EVALUATED VARIOUS PROJECTS FOR FUNDING, AND BEGAN DUE DILIGENCE PROCESSES ON POTENTIAL GRANTEES. IN FY26, BMC SEEKS TO DISBURSE FUNDING TO SELECTED MUNICIPALITIES AND NON-PROFIT ORGANIZATIONS.
PART VI, LINE 6:	AFFILIATED HEALTH CAREBOSTON MEDICAL CENTER HEALTH PLAN, INC., DOING BUSINESS AS WELLSENSE HEALTH PLAN (WELLSENSE):WELLSENSE IS A NON-PROFIT HEALTH PLAN THAT PROVIDES HEALTH INSURANCE COVERAGE TO MASSACHUSETTS RESIDENTS, INCLUDING LOW INCOME, UNDERSERVED, DISABLED AND ELDERLY POPULATIONS. IT WAS ESTABLISHED IN 1997 BY BMC AND HAS MORE THAN 25 YEARS OF EXPERIENCE DELIVERING ACCESSIBLE CARE TO COMPLEX POPULATIONS. WELLSENSE SERVES OVER 639,000 MEMBERS ACROSS MASSACHUSETTS. IT ALSO PROVIDES HEALTH COVERAGE TO MEDICAID MEMBERS IN NEW HAMPSHIRE.BOSTON HEALTHNET (BHN):THE BOSTON HEALTHNET HEALTH CENTER NETWORK REPRESENTS A FUNDAMENTAL PARTNERSHIP BETWEEN BOSTON MEDICAL CENTER (BMC) AND THE COMMUNITY HEALTH CENTERS (CHCS) TO FULFILL A SHARED COMMITMENT TO THE MOST VULNERABLE AND DIVERSE PATIENTS SERVED. ESTABLISHED IN 1995, BHN IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM COMPRISED OF BMC, THE BOSTON UNIVERSITY SCHOOL OF MEDICINE AND 12 COMMUNITY HEALTH CENTERS. THE PARTNERSHIP HAS BECOME A NATIONAL MODEL FOR COMMUNITY HEALTH CARE NETWORKS, ESPECIALLY THOSE SERVING URBAN, UNDERSERVED AND WORKING CLASS POPULATIONS BHN'S COMMUNITY HEALTH CENTER PARTNERS PROVIDE OUTREACH, PREVENTION, PRIMARY CARE, SPECIALTY CARE AND DENTAL SERVICES AT SITES LOCATED THROUGHOUT BOSTON'S COMMUNITIES AS WELL AS ATTLEBORO, QUINCY, TAUNTON, AND WINTHROP, THEREBY EXTENDING BMC'S PRESENCE INTO THESE NEIGHBORHOODS. PHYSICIANS WORKING IN THE HEALTH CENTERS ARE CREDENTIALED MEMBERS OF BMC'S MEDICAL STAFF. HEALTH CENTER PATIENTS HAVE ACCESS TO HIGHLY TRAINED SPECIALISTS AND CUTTING-EDGE TECHNOLOGY AT BMC WHILE PROVIDING INDIVIDUALIZED AND CULTURALLY SENSITIVE CARE IN THEIR OWN NEIGHBORHOODS.NOTABLE SHARE OF BMC VOLUME ORIGINATING FROM THE HEALTH CENTERS; COLLABORATIVE DEVELOPMENT OF QUALITY IMPROVEMENT INITIATIVES, CLINICAL PROTOCOLS, AND STANDARDS OF PRACTICE; DEGREE OF FACILITATION AND COORDINATION OF HEALTH INFORMATION TECHNOLOGY TRAINING, COMMUNICATION AND OPTIMIZATION ACROSS THE HEALTH CENTER NETWORK WITH NINE OF THE BHN HEALTH CENTERS ON THE SAME ELECTRONIC HEALTH RECORD.THE COMMUNITY HEALTH CENTER PARTNERSHIP EXTENDS INTO CLINICIAN TRAINING AND JOINT HIRING. THE BU CHOBANIAN & AVEDISIAN SCHOOL OF MEDICINE STUDENTS USE HEALTH CENTER EDUCATION PROGRAMS, RESIDENTS GAIN LONGITUDINAL AMBULATORY EXPERIENCE AT COMMUNITY HEALTH CENTERS AND PROVIDERS ARE JOINTLY HIRED BY HEALTH CENTERS AND BU FAMILY MEDICINE ACROSS SIX HEALTH CENTERS. OTHER AREAS DEMONSTRATING THE LONGSTANDING AND DEEP PARTNERSHIP INCLUDE: GOVERNANCE: COMMUNITY HEALTH CENTERS ARE NOTABLY INVOLVED IN BMC GOVERNANCE WITH REPRESENTATION ON BMC'S BOARD OF TRUSTEES, TWO COMMITTEES OF THE BMC BOARD OF TRUSTEES AND THREE HOSPITAL COMMITTEES.RESEARCH: FOR OVER 15 YEARS, A RESEARCH COLLABORATIVE COMPRISED OF BHN, COMMUNITY HEALTH CENTERS AND BOSTON UNIVERSITY CLINICAL TRANSLATIONAL SCIENCE INSTITUTE HAS EXISTED IN ORDER TO ADVANCE HEALTH RELATED RESEARCH IN THE COMMUNITY, INCLUDE THE COMMUNITY VOICE IN RESEARCH PROJECTS AND FACILITATE CLINICIAN ENGAGEMENT IN THE RESEARCH PROCESS.ACO PARTICIPATION: CURRENTLY, 10 BOSTON HEALTHNET COMMUNITY HEALTH CENTERS PARTICIPATE IN BACO. BACO'S PARTICIPANTS ARE COLLECTIVELY ACCOUNTABLE FOR THE QUALITY AND COST OF THE CARE THEY PROVIDE. BACO'S MOST SIGNIFICANT RISK ARRANGEMENT IS WITH THE MASSHEALTH ACO PROGRAM. WITH ITS PARTICIPATION IN THE MASSHEALTH ACO PROGRAM, BACO BECAME CLINICALLY AND FINANCIALLY INTEGRATED WITH BMC HEALTH SYSTEM, WHICH INCLUDES BMC, BOSTON UNIVERSITY MEDICAL GROUP, AND WELLSENSE.
PART VI, LINE 7	BMC DOES NOT FILE A COMMUNITY BENEFITS REPORT WITH THE COMMONWEALTH OF MASSACHUSETTS.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (64 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd
ALBERT EINSTEIN COLLEGE OF MEDICINE
1300 MORRIS PARK AVE	BRONX	NY	10461	131624225	503(C)(3)	$157,238	$0	SUBAWARD
REACHING OUR SISTERS EVERYWHERE
EVERYWHERE INC 3614 COLUMBIA PKWY	DECATUR	GA	30034	452803568	503(C)(3)	$171,273	$0	SUBAWARD
RHODE ISLAND HOSPITAL
593 EDDY STREET	PROVIDENCE	RI	02903	050258954	501(C)(3)	$5,868	$0	SUBAWARD
SOCIAL SCIENCE RESEARCH AND EVALUATION INC (SSRE)
84 MILL STREET	LINCOLN	MA	017731706	222551337	501(C)(3)	$46,079	$0	SUBAWARD
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ALABAMA CHILD DEVELOPMENT RESOU
ATTN VIVIAN MCKINLEY 651 PETER	TUSCALOOSA	AL	35401	636001138	501(C)(3)	$28,903	$0	SUBAWARD	BRYCE BLVD
THE REGENTS OF THE UNIVERSITY OF COLORADO
1800 GRANT STREET SUITE 600	DENVER	CO	80203	846000555	501(C)(3)	$147,826	$0	SUBAWARD
THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK
PO BOX 9	ALBANY	NY	12201	141368361	501(C)(3)	$35,272	$0	SUBAWARD
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NY
615 WEST 131ST STREET 3RD FL	NEW YORK	NY	10027	135598093	501(C)(3)	$137,635	$0	SUBAWARD
THE UNIVERSITY OF SOUTH FLORIDA BOARD OF TRUSTEES
4202 E FOWLER AVE SVC 1039	TAMPA	FL	33620	593102112	501(C)(3)	$11,523	$0	SUBAWARD
TRANSLATION GENOMICS RESEARCH INSTITUTE
445 N 5TH STREET SUITE 600	PHOENIX	AZ	85004	753065445	501(C)(3)	$60,214	$0	SUBAWARD
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
3400 SPRUCE STREET 6 WEST GATES	PHILADELPHIA	PA	19104	231352685	501(C)(3)	$201,274	$0	SUBAWARD	6041
TUFTS MEDICAL CENTER INC
800 WASHINGTON STREET	BOSTON	MA	02111	043400617	501(C)(3)	$106,156	$0	SUBAWARD
TUFTS UNIVERSITY NEMCH
096171 HARRISON AVENUE	BOSTON	MA	02111	042103634	501(C)(3)	$169,904	$0	SUBAWARD
UNIV OF N CAROLINA AT CHAPEL HILL OFFICE OF CONTRACTS GRANTS
CB 1350104 AIRPORT DRIVE SUITE 2200	CHAPEL HILL	NC	275991350	566001393	501(C)(3)	$346,669	$0	SUBAWARD
PROOF ALLIANCE
1876 MINNEHAHA AVE WESTSUITE 395	SAINT PAUL	MN	55104	411904618	501(C)(3)	$175,269	$0	SUBAWARD
UNIVERSITY OF ARIZONA
888 NORTH EUCLID AVE ROOM 510	TUCSON	AZ	857194824	742652689	115	$16,127	$0	SUBAWARD
UNIVERSITY OF FLORIDA
ATTN CONTINUING MEDICAL EDUCATION	GAINESVILLE	FL	32601	596002052	501(C)(3)	$68,286	$0	SUBAWARD	720 SW 2ND AVE SUITE 575
UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION
109 KINKEAD HALL	LEXINGTON	KY	405060057	616033693	501(C)(3)	$27,918	$0	SUBAWARD
UNIVERSITY OF MASSACHUSETTS
55 LAKE AVENUE NORTH	WORCESTER	MA	01655	043167352	115	$250,341	$0	SUBAWARD
UNIVERSITY OF MIAMI
1600 NW 10TH AVENUE	MIAMI	FL	33136	590624458	501(C)(3)	$26,374	$0	SUBAWARD
UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER
1 UNIVERSITY OF NEW MEXICO MSC01	ALBUQUERQUE	NM	87131	856000642	501(C)(3)	$52,892	$0	SUBAWARD	1300
UNIVERSITY OF PITTSBURGH
ATTN NICOLE KAEFER 200 MEYRAN AVE	PITTSBURGH	PA	15213	250965591	501(C)(3)	$372,319	$0	SUBAWARD	SUITE 200
UNIVERSITY OF SOUTHERN CALIFORNIA UNIVERSITY GARDENS
3500 SOUTH FIGUEROA STREET SUITE	LOS ANGELES	CA	900898006	951642394	501(C)(3)	$12,188	$0	SUBAWARD	205
UNIVERSITY OF UTAH
50 NORTH MEDICAL DR N	SALT LAKE CITY	UT	84132	876000525	501(C)(3)	$160,824	$0	SUBAWARD
UNIVERSITY OF VIRGINIA
1001 EMMET STREET N	CHARLOTTESVILLE	VA	22903	546001796	501(C)(3)	$63,599	$0	SUBAWARD
UNIVERSITY OF WASHINGTON
4300 ROOSEVELT WAY NESUITE 300	SEATTLE	WA	98195	916001537	STATE OF WASHINGTON	$15,213	$0	SUBAWARD
VETERANS MEDICAL RESEARCH FOUNDATION OF SAN DIEGO
3350 LA JOLLA VILLAGE DRIVE 151A	SAN DIEGO	CA	92161	330189397	501(C)(3)	$94,193	$0	SUBAWARD
VINFEN CORP
1050 COMMONWEALTH AVE STE 200	BOSTON	MA	02215	042632219	501(C)(3)	$767,694	$0	SUBAWARD
WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY CO RESEARCH ACCOUNTING DEPT
100 BROADWAY 8TH FL	NEW YORK	NY	10005	131623978	501(C)(3)	$61,738	$0	SUBAWARD
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
500 PARNASSUS AVE MU 200-W	SAN FRANCISCO	CA	941430244	946036493	501(C)(3)	$178,765	$0	SUBAWARD
NYU SCHOOL OF MEDICINE
550 FIRST AVENUE	NEW YORK	NY	10016	135562309	501(C)(3)	$119,762	$0	SUBAWARD
NORTHEASTERN UNIVERSITY
360 HUNTINGTON AVENUE	BOSTON	MA	02115	041679980	501(C)(3)	$87,854	$0	SUBAWARD
NORTH SUFFOLK MENTAL HEALTH ASSOCIATION
301 BROADWAY AVE	CHELSEA	MA	02150	042317215	501(C)(3)	$154,529	$0	SUBAWARD
ANN & ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO
225 E CHICAGO AVENUE BOX 26-AP	CHICAGO	IL	60611	362170833	STATE OF OREGON	$86,229	$0	SUBAWARD
BAY COVE HUMAN SERVICES
66 CANAL ST 3RD FLOOR	BOSTON	MA	02114	042518575	501(C)(3)	$218,200	$0	SUBAWARD
BIDMC BETH ISRAEL DEACONESS
330 BROOKLINE AVE MISC A/R - OTHER	BOSTON	MA	02215	042103881	501(C)(3)	$145,145	$0	SUBAWARD	A/R BR-3
BOSTON HEALTHCARE FOR THE HOMELESS PROGRAM INC
780 ALBANY ST	BOSTON	MA	02118	043160480	501(C)(3)	$131,635	$0	SUBAWARD
BOSTON HOUSING AUTHORITY
52 CHAUNCY STREET 7TH FLOOR	BOSTON	MA	02111	046001907	501(C)(3)	$15,000	$0	SUBAWARD
BOSTON PUBLIC HEALTH COMMISSION
1010 MASSACHUSETTS AVENUE 6TH FLOOR	CAMBRIDGE	MA	02138	043316655	501(C)(3)	$54,857	$0	SUBAWARD	MVP ACCT
BOSTON UNIVERSITY OFFICE OF FINANCIAL AFFAIRS
715 ALBANY STREET SUITE 580	BOSTON	MA	02118	042103547	501(C)(3)	$4,630,374	$0	SUBAWARD
BRIGHAM & WOMENS HOSPITAL INC RESEARCH MANAGEMENT
75 FRANCIS STREET	BOSTON	MA	02115	042312909	501(C)(3)	$30,430	$0	SUBAWARD
BROCKTON AREA MULTI SERVICES INC
10 CHRISTYS DR	BROCKTON	MA	02301	042562377	501(C)(3)	$338,518	$0	SUBAWARD
BROCKTON NEIGHBORHOOD HEALTH
63 MAIN STREET	BROCKTON	MA	02301	043165044	501(C)(3)	$26,464	$0	SUBAWARD
BROWN UNIVERSITY OFFICE OF CONTROLLER
BOX J	PROVIDENCE	RI	02912	050258809	501(C)(3)	$145,447	$0	SUBAWARD
CAMBRIDGE HEALTH ALLIANCE
10 PRESIDENTS LANDING 5TH FLOOR	MEDFORD	MA	02155	043320571	CITY OF CAMBRIDGE	$30,940	$0	SUBAWARD
CHILDREN'S HOSPITAL OF BOSTON
300 LONGWOOD AVENUE	BOSTON	MA	02115	042774441	501(C)(3)	$19,422	$0	SUBAWARD
CLEVELAND CLINIC LABORATORIES
PO BOX 74222	CLEVELAND	OH	44194	340714585	501(C)(3)	$26,279	$0	SUBAWARD
COMMUNITY HEALTH CENTER OF CAPE COD
107 COMMERCIAL STREET	MASHPEE	MA	02629	043370560	501(C)(3)	$34,265	$0	SUBAWARD
EAST BOSTON NHC
10 GOVE STREET	EAST BOSTON	MA	02128	237425849	501(C)(3)	$32,177	$0	SUBAWARD
EMORY UNIVERSITY OFFICE OF GRANTS CONTRACTS
1599 CLIFTON ROAD 4TH FL	ATLANTA	GA	30322	580566256	501(C)(3)	$97,218	$0	SUBAWARD
EPILEPSY FOUNDATION NEW ENGLAND
650 SUFFOLK STREET UNIT 405	LOWELL	MA	01854	222505819	501(C)(3)	$7,579	$0	SUBAWARD
EVERYDAY BOSTON INC
66 BOYNTON STREET UNIT 1L	JAMAICA PLAIN	MA	02130	822829083	501(C)(3)	$88,897	$0	SUBAWARD
FENWAY COMMUNITY HEALTH CTR
1340 BOYLSTON STREET	BOSTON	MA	02215	042510564	501(C)(3)	$22,604	$0	SUBAWARD
HARVARD UNIVERSITY OFFICE OF SPONSORED PROGSHOLYOKE CENTER
1350 MASSACHUSETTS AVE	CAMBRIDGE	MA	02138	042103580	501(C)(3)	$89,255	$0	SUBAWARD
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1 GUSTAVE L LEVY PLACE BOX 1070	NEW YORK	NY	10029	136171197	501(C)(3)	$92,283	$0	SUBAWARD
JOSLIN DIABETES CENTER
ONE JOSLIN PL	BOSTON	MA	02215	042203836	501(C)(3)	$303,002	$0	SUBAWARD
LAHEY CLINIC
41 MALL ROAD FINANCE OFFICE	BURLINGTON	MA	01805	042704683	501(C)	$47,485	$0	SUBAWARD
LOWELL COMMUNITY HEALTH CTR
161 JACKSON ST	LOWELL	MA	01852	042881348	501(C)(3)	$62,881	$0	SUBAWARD
MASS INSTITUTE OF TECHNOLOGY DBA DIVISION OF COMPARATIVEMEDICINEBUILDING
77 MASSACHUSETTS AVE 16-849	CAMBRIDGE	MA	02139	042103594	501(C)(3)	$13,393	$0	SUBAWARD
MASSACHUSETTS GENERAL HOSPITAL
55 FRUIT STREET	BOSTON	MA	02114	042697983	501(C)(3)	$128,390	$0	SUBAWARD
MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS
40 COURT STREET 10TH FLOOR	BOSTON	MA	02108	042507409	501(C)(3)	$134,878	$0	SUBAWARD
MCLEAN HOSPITAL CORPORATION
115 MILL ST	BELMONT	MA	024789106	042697981	501(C)(3)	$21,230	$0	SUBAWARD
YALE UNIVERSITY SCHOOL OF MED
2 WHITNEY AVE 6TH FLOOR	NEW HAVEN	CT	06510	060646973	501(C)(3)	$302,933	$0	SUBAWARD
UNIVERSITY OF GUAM
				980032933	GQ EQUIV 501(C)(3)	$61,453	$0	SUBAWARD		303 UNIVERSITY DRIVE	MANGILAO	GQ	96913

Field	Value	IRS element (for citing)
Total501c3 Org	64	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	BMC'S DEPARTMENT OF RESEARCH ADMINISTRATION USES INFOR CLOUDSUITE FINANCIALS AND DASH BOARD GEAR REPORTING SYSTEMS TO MONITOR ALL GRANT FUNDING. IN ADDITION, PRINCIPLE INVESTIGATORS AND DEPARTMENT ADMINISTRATORS HAVE SYSTEM ACCESS SO THEY ARE ABLE TO REVIEW THEIR FUNDING AND EXPENDITURES REGULARLY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ALASTAIR BELL MD
BMCHS PRESIDENT & CEO/TRUSTEE	$1,280,083	$0	$512,500	$0	$126,711	$0	$274,150	$0	$5,929	$0	$2,199,373	$0	$104,250	$0
ANTHONY HOLLENBERG MD
PRESIDENT/TRUSTEE	$865,633	$0	$277,200	$0	$64,451	$0	$0	$0	$16,695	$0	$1,223,979	$0	$0	$0
JOY BROWN
SVP/CHIEF DIGITAL INFO OFFICER	$584,130	$0	$325,000	$0	$50,481	$0	$42,000	$0	$11,519	$0	$1,013,130	$0	$0	$0
JOE CAMILLUS
SVP/CHIEF OPERATING OFFICER	$618,527	$0	$197,000	$0	$28,649	$0	$114,150	$0	$48,166	$0	$1,006,492	$0	$29,850	$0
DAVID MCANENY
SVP/CHIEF MEDICAL OFFICER	$611,450	$0	$176,400	$0	$90,000	$0	$10,350	$0	$32,892	$0	$921,092	$0	$0	$0
LISA KELLY-CROSWELL
SVP/CHIEF HR OFFICER	$545,700	$0	$132,600	$0	$43,397	$0	$86,550	$0	$32,785	$0	$841,032	$0	$36,900	$0
ROBERT BIGGIO
SVP/CHIEF SUSTAINABIILTY/RE OFFICER	$467,450	$0	$227,250	$0	$28,980	$0	$78,150	$0	$11,828	$0	$813,658	$0	$31,500	$0
JESSE SOUWEINE
SVP/CTO, TREASURER (THRU 11/12/24)	$509,560	$0	$196,875	$0	$12,185	$0	$60,138	$0	$11,143	$0	$789,901	$0	$0	$0
DAVID BECK
SVP/CHIEF LEGAL COUNSEL/CLERK	$535,782	$0	$133,875	$0	$60,553	$0	$24,150	$0	$33,865	$0	$788,225	$0	$0	$0
NANCY GADEN
SVP/CNO	$519,649	$0	$127,400	$0	$63,078	$0	$23,885	$0	$37,061	$0	$771,073	$0	$33,300	$0
SARAH ARBELAEZ
SVP/HOSPITAL INTEGRATION	$473,005	$0	$110,250	$0	$73,200	$0	$78,150	$0	$6,606	$0	$741,211	$0	$4,100	$0
NICOLE FAUCHER
PRESIDENT, CLEARWAY HEALTH, LLC	$421,557	$0	$238,000	$0	$2,290	$0	$61,350	$0	$8,079	$0	$731,276	$0	$0	$0
TERRI NEWSOM
FORMER SVP/CFO/TREASURER	$647,691	$0	$0	$0	$5,135	$0	$5,573	$0	$3,548	$0	$661,947	$0	$78,000	$0
RAVIN DAVIDOFF MD
SVP/EXECUTIVE MEDICAL DIRECTOR	$291,061	$0	$82,250	$0	$14,873	$0	$22,050	$0	$31,610	$0	$441,844	$0	$0	$0
ANKUR AGRAWAL
BMCHS SVP/CFO,TREAS (AS OF 11/12/24)	$271,106	$0	$100,000	$0	$3,654	$0	$0	$0	$3,757	$0	$378,517	$0	$0	$0
MANISHI DESAI
TRUSTEE	$284,040	$0	$0	$0	$432	$0	$30,478	$0	$14,189	$0	$329,139	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4A:	TERRI NEWSOM, FORMER TREASURER AND CFO OF BOSTON MEDICAL CENTER, RECEIVED A SEPARATION OF SERVICE PAYMENT FROM THE ORGANIZATION WHICH IS INCLUDED IN THE COMPENSATION AMOUNT REPORTED IN PART II.
SCHEDULE J, PART I, LINE 4B:	BMC HAS A 457(F) DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES LISTED IN SCEHDULE J, PART II.
SCHEDULE J, PART I, LINE 7:	BMC HAS AN ANNUAL EXECUTIVE PERFORMANCE INCENTIVE PLAN. PERFORMANCE TARGETS AND PAYOUT METRICS ARE ESTABLISHED AND APPROVED BY THE COMPENSATION COMMITTEE AT THE BEGINNING OF EACH PERFORMANCE CYCLE. FISCAL YEAR 2024 PERFORMANCE BONUS PAYOUTS WERE APPROVED BY THE COMMITTEE AFTER IT REVIEWED THE 2024 PERFORMANCE RESULTS AGAINST PRE ESTABLISHED PERFORMANCE TARGETS, AND APPROVED THE FORMULA-BASED PAYOUTS ACCORDINGLY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MDFA 2015 SERIES D
A	043431814	57583U6Q6	2015-04-08	$167,471,151	FINANCE CAPITAL PROJECTS	0	0	0
MDFA 2016 SERIES E
B	043431814	57584XWT4	2016-09-22	$203,977,951	FINANCE NEW PROJECTS	0	0	0
MDFA 2017 SERIES F
C	043431814	57584X6Z9	2017-12-20	$45,272,849	FINANCE CAPITAL PROJECTS	0	0	0
MHEFA 2009 SERIES O-1
D	042456011	57586ELD1	2009-08-14	$101,485,000	REFUNDING OF SERIES M3-B	0	0	Yes (1)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt
A	$168,069,007	$16,184,639	$226,325	$2,007,035	$150,355,290	$259,175	2016	0	0	Yes (1)	Yes (1)
B	$206,393,981			$1,673,571	$29,046,728	$175,673,681	2017	0	Yes (1)	Yes (1)	Yes (1)	$17,410,000
C	$45,971,835		$9,238	$272,257	$45,690,339		2019	0	0	Yes (1)	Yes (1)	$5,435,000
D	$13,688,734	$24,667				$13,688,734		Yes (1)	0	Yes (1)	Yes (1)	$11,361,501

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00500	0.00500
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
D	0	Yes (1)	Yes (1)	0		Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	0	Yes (1)
B	0	Yes (1)	0	Yes (1)	Yes (1)
C	0	Yes (1)	0	0	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I (E):	COLUMN D: BONDS ARE PART OF A POOLED FINANCING (TOTAL PAR $101,485,000) AND THUS, EXCEPT FOR PART I, ONLY THE BORROWER'S ALLOCABLE PORTION IS REPRESENTED.
PART I (F):	COLUMN A - BONDS FINANCED CAPITAL PROJECTS, FUNDED A RESERVE, AND PAID COSTS OF ISSUANCE. COLUMN B - BONDS FINANCED CAPITAL PROJECTS AND ADVANCED REFUNDED PRIOR BONDS (ISSUED ON JULY 1, 2008) BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY. COLUMN C - BONDS WERE ISSUED TO FINANCE CAPITAL PROJECTS. COLUMN D - THE BORROWER'S PORTION OF THE BONDS REFINANCED THE PORTION OF THE ISSUER'S SERIES M3-B (2005) BONDS (ISSUED ON OCTOBER 3, 2005) ALLOCABLE TO THE BORROWER. COLUMN A2 - BONDS FINANCED CAPITAL PROJECTS, CURRENT REFUNDED PRIOR BONDS (ISSUED ON JUNE 14, 2012), AND PAID COSTS OF ISSUANCE.
PART II, LINE 3:	COLUMNS A, B, C, & A2 - THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS.
PART II, LINE 4:	COLUMN D - THE RESERVE HAS BEEN FUNDED BY PROCEEDS OF THE PRIOR BONDS.
PART II, LINE 13:	COLUMN D - SINCE THE PROCEEDS OF THE BONDS WERE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE.
PART III, LINE 7:	COLUMNS A, B, C, D, & A2 - AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCCED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE.
PART IV, LINE 2B:	COLUMN D: BOND PROCEEDS WERE EXPENDED TO FINANCE A CURRENT REFUNDING, WHICH HAS MET AN EXCEPTION TO THE REBATE REQUIREMENT. NO COMPUTATION HAS BEEN MADE THAT WOULD INDICATE WHETHER ANY REBATE WOULD BE DUE ON THE PROCEEDS TRANSFERRED FROM THE PRIOR BONDS. COLUMN A2: THE PORTION OF BOND PROCEEDS USED TO CURRENT REFUND PRIOR BONDS HAS MET AN EXCEPTION TO THE REBATE REQUIREMENT.
PART IV, LINE 2C:	COLUMN A: THE MOST RECENT TEN-YEAR REBATE REPORT WAS DATED MAY 9, 2025. COLUMN B: THE MOST RECENT FIVE YEAR REBATE REPORT WAS DATED OCTOBER 21, 2021. COLUMN C: THE FIVE YEAR REBATE REPORT WAS PREPARED SEPTEMBER 26, 2022.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MDFA 2023 SERIES G	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	043431814	BondIssuerEIN
CUSIP	57584Y4U0	CUSIPNum
Bond Issued	2023-02-28	BondIssuedDt
Issue Price	$242,274,160	IssuePriceAmt
Purpose	FINANCE CAPITAL PROJECTS	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$5,835,000	RetiredAmt
Total Proceeds	$255,175,033	TotalProceedsAmt
Issuance Costs From Proceeds	$2,295,383	IssuanceCostsFromProceedsAmt
Capital Expenditures	$221,608,215	CapitalExpendituresAmt
Other Spent Proceeds	$17,978,105	OtherSpentProceedsAmt
Unspent	$13,293,330	UnspentAmt
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	Yes (1)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (1)	EngageBondCounselResearchInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	Yes (1)	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Relationship Description	DAUGHTER OF TRUSTEE	RelationshipDescriptionTxt
Transaction	$329,423	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV:	FormAndLineReferenceDesc
Explanation	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: HANNAH LEAVER, DAUGHTER OF TRUSTEE MARKS, IS EMPLOYED BY BMC. LEAVER HAS BEEN EMPLOYED BY BMC SINCE BEFORE TRUSTEE MARKS JOINED THE BMC BOARD IN 2016.	ExplanationTxt

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$1,400	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR ESTIMATE	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$42,635	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR ESTIMATE	MethodOfDeterminingRevenuesTxt

Cars And Other Vehicles CarsAndOtherVehiclesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$1,019	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR ESTIMATE	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	27	ContributionCnt
Noncash Contributions Rpt F990	$887,611	NoncashContributionsRptF990Amt
Method Of Determining Revenues	AVG. HIGH/LOW PRICE	MethodOfDeterminingRevenuesTxt

Collectibles CollectiblesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	5	ContributionCnt
Noncash Contributions Rpt F990	$3,796	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR ESTIMATE	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	11	ContributionCnt
Noncash Contributions Rpt F990	$8,446	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR ESTIMATE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	GIFT CERTIFICATE	Desc
Contribution	59	ContributionCnt
Noncash Contributions Rpt F990	$53,355	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR ESTIMATE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1	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.
FORM 990, PART IV, LINE 12:	BOSTON MEDICAL CENTER IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR BMC HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 2	THE OFFICERS AND/OR TRUSTEES BELOW HAVE A BUSINESS RELATIONSHIP WITH OTHER OFFICER(S), DIRECTOR(S), TRUSTEE(S), AND/OR KEY EMPLOYEE(S): ALASTAIR BELL, M.D. PIERRE CREMIEUX ALIK FARBER, M.D. ANTHONY HOLLENGERG, M.D. BISOLA OJIKUTU, M.D. MARTHA SAMUELSON ANDREW YOUNISS
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF THE ORGANIZATION IS BMC HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 7B	BMC HEALTH SYSTEM, INC. HAS THE RIGHT TO TAKE CERTAIN ACTIONS INCLUDING, BUT NOT LIMITED TO, THE APPROVAL OF BUDGETS, MERGERS, ACQUISITIONS, AND INDEBTEDNESS.
FORM 990, PART VI, SECTION B, LINE 11B	BOSTON MEDICAL CENTER'S (BMC) FORM 990 IS PREPARED BY KPMG LLP AND REVIEWED BY BMC'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, BMC'S INTERNAL MANAGEMENT AND KPMG PRESENT THE FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO THE FORM BEING FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2025 WERE DISTRIBUTED BY BMC'S CORPORATE COMPLIANCE DEPARTMENT. THE CHIEF COMPLIANCE OFFICER OF BMC OR THE CHIEF COMPLIANCE OFFICER'S DESIGNEE QUERIES TRUSTEES, OFFICERS, AND DIRECTORS ON AT LEAST AN ANNUAL BASIS REGARDING RELATIONSHIPS THAT MAY CREATE POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER OR THE CHIEF COMPLIANCE OFFICER'S DESIGNEE REVIEWS ALL DISCLOSURES AND DETERMINES WHETHER THERE ARE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER OR THE CHIEF COMPLIANCE OFFICER'S DESIGNEE INFORMS THE CHIEF LEGAL COUNSEL OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF LEGAL COUNSEL ADVISES THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION ACCORDINGLY.
FORM 990, PART VI, SECTION B, LINE 15	BOSTON MEDICAL CENTER'S COMPENSATION COMMITTEE, FORMED OF INDIVIDUALS WHOSE COMPENSATION IS NOT IN ISSUE, APPROVES THE COMPENSATION OF THE PRESIDENT AND SENIOR MANAGEMENT. THE COMMITTEE MEMBERS ARE NOT UNDER THE CONTROL OR DIRECTION OF ANY EXECUTIVE SEEKING COMPENSATION. THE INDIVIDUAL COMPENSATION PLANS ARE SUPPORTED BY COMPARABLE DATA, WHICH INCLUDES COMPENSATION PAID FOR COMPARABLE POSITIONS BY SIMILARLY SITUATED ORGANIZATIONS (BOTH TAXABLE AND TAX-EXEMPT), INDEPENDENTLY COMPILED COMPENSATION SURVEYS, AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE EXECUTIVE. THE COMMITTEE MAY ALSO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT AS PART OF THE COMPENSATION-SETTING PROCESS. THE INDEPENDENT COMMITTEE'S ASSESSMENTS OF THESE CONSIDERATIONS ARE CONTAINED IN THE MINUTES OF THE COMMITTEE MEETINGS. THE REVIEW PROCESS INCLUDES, AND THE MINUTES INDICATE, DISCUSSIONS AND EVALUATIONS OF EACH EXECUTIVE'S PRIOR PERFORMANCE, QUALIFICATIONS, AND EXPERIENCE. THE EXECUTIVES ARE NOT PRESENT FOR THE INDEPENDENT COMMITTEE'S DISCUSSIONS OR THE COMMITTEE'S VOTE ON COMPENSATION. THE MINUTES REFLECT THE FACT THAT NO EXECUTIVE WAS PRESENT.
FORM 990, PART VI, SECTION C, LINE 19	BOSTON MEDICAL CENTER DOES NOT TYPICALLY 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 CORPORATIONS WEBSITE.
FORM 990, PART XI, LINE 9:	PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS 1,268,315.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (31 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
BMC AFFILIATED PHYSICIANS INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043218267	MEDICAL GROUP PRACTICE	MA	501(C)(3)	3	BMCHS	0
BMC HEALTH SYSTEM INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	463556853	SUPPORT SERVICES	MA	501(C)(3)	12 B-II		0	N/A
BMC INSURANCE CO LTD OF VERMONT
PO BOX 530 100 BANK STREET	BURLINGTON	VT	05401	201810549	INSURANCE	VT	501(C)(3)	12 A-I	BMCHS	0
BMC INTEGRATED CARE SERVICES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043414914	HEALTHCARE	MA	501(C)(3)	12 A-I	BMCBACO	Yes (1)
BOSTON EMERGENCY PHYSICIAN FDN INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043286156	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BOSTON MEDICAL CENTER-BRIGHTON CORPORATION
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	994793550	HEALTHCARE	MA	501(C)(3)	LINE 3	BMCHS	Yes (1)
BOSTON MEDICAL CENTER-SOUTH CORPORATION
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	994491180	HEALTHCARE	MA	501(C)(3)	LINE 3	BMCHS	Yes (1)
BOSTON REHABILITATION MEDICINE ASSOC INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043286641	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BOSTON UNIVERSITY DERMATOLOGY INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043335166	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BOSTON UNIVERSITY EYE ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043137333	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BOSTON UNIVERSITY FAMILY MEDICINE INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043354353	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BOSTON UNIVERSITY NEUROLOGY ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043428462	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BOSTON UNIVERSITY PLASTIC SURGERY ASSOC INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043555478	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BOSTON UNIVERSITY PSYCHIATRY ASSOC INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043355267	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BOSTON UNIVERSITY SURGICAL ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043291148	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BU CARDIAC & THORACIC SURGICAL FDN INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	042966416	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BU DERMATOLOGY SUPPORT SERVICES I INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043452877	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BU DERMATOLOGY SUPPORT SERVICES II INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043452874	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BU GENERAL SURGICAL ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043265008	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BU MALLORY PATHOLOGY ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	042794543	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BU MEDICAL CENTER RADIOLOGISTS INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043283573	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BU MEDICAL CENTER UROLOGISTS INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043286643	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BU MEDICAL CTR ANESTHESIOLOGISTS INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043276227	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BU NEUROSURGICAL ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043296068	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BU OBSTETRICS & GYNECOLOGY FDN INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043067465	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BU ORTHOPAEDIC SURGICAL ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043354360	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BU RADIATION ONCOLOGY INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	810716773	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
BUMC OTOLARYNGOLOGIC FOUNDATION INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043156471	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
CHILD HEALTH FOUNDATION OF BOSTON INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	042472758	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
EVANS MEDICAL FOUNDATION INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	510172171	MEDICAL GROUP PRACTICE	MA	501(C)(3)	12C III-FI		0	N/A
FACULTY PRACTICE FOUNDATION INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043289381	MEDICAL SERVICES	MA	501(C)(3)	12 B-II		0	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
BMC INSURANCE COMPANY LTD
878 WEST BAY ROAD PO BOX 1159	GRAND CAYMAN	CJ	980375219	INSURANCE	CJ	BMC	C	$1,864,430	$122,854,010	0.70000	Yes (1)
THE BOSTON HEALTHNET CORPORATION
			043279836	SUPPORT SERVICES			C				0	ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	MA
CHARITABLE REMAINDER TRUST - MA (3)
				SUPPORT		BMC	T				Yes (1)					MA

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BMC INSURANCE COMPANY LTD
P	$9,495,050	FMV
BMC HEALTH SYSTEM INC
P	$197,655,924	FMV