Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 10-01-2010 and ending 09-30-2011
BCheck if applicable:
CName of organization
BOSTON MEDICAL CENTER
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
88 EAST NEWTON STREET
 
Room/suite
City or town, state or country, and ZIP + 4
BOSTON, MA02118
D Employer identification number

04-3314093
E Telephone number

G Gross receipts $ 977,733,010
F Name and address of principal officer:
KATHLEEN E WALSH
88 EAST NEWTON STREET
BOSTON,MA02118
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.bmc.org
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1996
M State of legal domicile: MA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: 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.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 27
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 20
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 6,854
6 Total number of volunteers (estimate if necessary) .... 6 600
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 257,588
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 234,137
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 10,258,928 11,421,383
9 Program service revenue (Part VIII, line 2g) ......... 974,473,842 944,950,551
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 19,910,000 16,200,000
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 6,059,575 4,674,796
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,010,702,345 977,246,730
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 14,988,228 19,306,772
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 456,758,263 443,215,078
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet2,507,347    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 568,108,854 542,567,880
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,039,855,345 1,005,089,730
19 Revenue less expenses. Subtract line 18 from line 12...... -29,153,000 -27,843,000
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 1,745,738,000 1,638,938,000
21 Total liabilities (Part X, line 26)............ 723,047,000 720,441,000
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 1,022,691,000 918,497,000
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s 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.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 894,408,018 including grants of $   ) (Revenue $ 944,950,551 )
SEE SCHEDULE O.
4b (Code:   ) (Expenses $ 18,933,913 including grants of $ 18,933,913 ) (Revenue $   )
BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO ORGANIZATION WITHIN THE US.
4c (Code:   ) (Expenses $ 372,859 including grants of $ 372,859 ) (Revenue $   )
BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO FOREIGN ORGANIZATIONS.
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 913,714,790
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
Yes
 
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see list of attachments
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
Yes
 
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
540
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
6,854
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletLT
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
27
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
20
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
JOHN C LINDSTEDT
88 EAST NEWTON STREET
BOSTON,MA02118
(617) 414-1625
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) JOEL M ABRAMS
TRUSTEE
 1.0 X           0 0 0
(2) REV DR JOHN M BORDERS III
TRUSTEE (UNTIL 10/27/10)
 1.0 X           0 0 0
(3) KAREN ANTMAN MD
TRUSTEE
 1.0 X           0 0 0
(4) JAMES M BECKER MD
trustee
 1.0 X           0 990,684 50,271
(5) DAVID A PASSAFARO
VICE CHAIRMAN
 1.0 X           0 0 0
(6) CHRISTINE M DUNN
TRUSTEE
 1.0 X           0 0 0
(7) WILLIAM J HALPIN JR
TRUSTEe
 1.0 X           0 0 0
(8) edmond J english
CHAIRMAN
 1.0 X           0 0 0
(9) Randi Cutler
trustee
 1.0 X           0 0 0
(10) ALYCE J LEE
vice chairman
 1.0 X           0 0 0
(11) JAMES MARTEN PHD
TRUSTEE (UNTIL 6/30/11)
 1.0 X           0 0 0
(12) MARTHA S SAMUELSON
TRUSTEE
 1.0 X           0 0 0
(13) JAMES O TAYLOR MD
TRUSTEE
 1.0 X           0 0 0
(14) Thomas ALPERIN
TRUSTEE
 1.0 X           0 0 0
(15) STEVEN d levy
TRUSTEE
 1.0 X           0 0 0
(16) LISA GUSCOTT
TRUSTEE
 1.0 X           0 0 0
(17) RICHARD SLIFKA
TRUSTEE
 1.0 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) AZZIE YOUNG MPA PHD
TRUSTEE
 1.0 X           0 0 0
(19) barbara ferrer phd
TRUSTEE
 1.0 X           0 0 0
(20) david coleman md
TRUSTEE
 1.0 X           0 620,350 35,132
(21) SUSAN DONAHUE
TRUSTEE
 1.0 X           0 0 0
(22) JOHN T HAILER
trustee
 1.0 X           0 0 0
(23) KATHLEEN E WALSH
PRESIDENT/CEO (AS OF 3/1/10)
 50.0 X   X       909,332 0 431,992
(24) FERDINAND ALVARO JR
TRUSTEE (UNTIL 5/5/11)
 1.0 X           0 0 0
(25) PAUL EGERMAN
TRUSTEE
 1.0 X           0 0 0
(26) PEGGY KOENIG
TRUSTEE
 1.0 X           0 0 0
(27) JAMES MONGAN MD
TRUSTEE (UNTIL 5/3/11)
 1.0 X           0 0 0
(28) JAMES S PHALEN
TRUSTEE
 1.0 X           0 0 0
(29) RONALD L WALKER II
TRUSTEE
 1.0 X           0 0 0
(30) MARK NUNNELLY
TRUSTEE (AS OF 4/1/11)
 1.0 X           0 0 0
(31) THEA JAMES MD
TRUSTEE
 1.0 X           0 265,143 45,489
(32) RONALD BARTLETT
VP FIN/CFO/treaS UNTIL 2/8/11
 50.0     X       570,603 0 114,946
(33) STEPHANIE LOVELL
VP/GEN COUN/clrk UNTL 12/12/11
 40.0     X       507,361 0 118,576
(34) RICHARD SILVERIA
VP FIN/CFO/TREAS(AS OF 2/8/11)
 50.0     X       78,333 0 5,060
(35) LISA O'CONNOR
VP NURSING
 50.0       X     303,602 0 86,361
(36) MEG ARANOW
VP INFO TECH/CIO
 50.0       X     388,053 0 128,548
(37) RAVIN DAVIDOFF
VP MED AFFAIRS/CMO
 45.0         X   527,696 0 129,055
(38) PETER HEALY
VP PROFESSIONAL SERVICE
 40.0         X   275,815 0 71,519
(39) NORMAN STEIN
VP DEVELOPMENT
 50.0         X   474,764 0 131,042
(40) THOMAS TRAYLOR
VP OF FED, STATE, LOCAL PROG
 25.0         X   642,124 0 180,189
(41) WILLIAM BARRON
VP QUAL & PATIENT SAFETY/CQO
 50.0         X   525,437 0 103,094
(42) ELAINE ULLIAN
PRESIDENT/CEO (UNTIL 1/31/10)
             X 2,011,053 0 193,935
(43) EDWARD CHRISTIANSEN JR
VP & CRO/FORMER CLERK
 50.0           X 284,186 0 31,015
(44) PAUL DREW
FORMER EXECUTIVE VP
             X 459,369 0 16,628
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 7,957,728 1,876,177 1,872,852
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet1,220
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
BOSTON UNIVERSITY
715 ALBANY STREET SUITE 580
BOSTON,MA021182528 		SHARED RESEARCH SVCS 57,590,224
SUFFOLK CONSTRUCTION COMPANY
99 CONIFER HILL DRIVE
DANVERS,MA01923 		CONSTRUCTION 23,791,939
FTI CONSULTING INC
200 STATE STREET 2ND FLOOR
BOSTON,MA02109 		CONSULTING 7,147,900
MORRISON HEALTH CARE INC
5801 PEACHTREE DUNWOODY ROAD
ATLANTA,GA30342 		FOOD SVCS/CAFETERIA 5,925,877
BOSTON PHARMACY MANAGEMENT
24 STEVENS LANE
COHASSET,MA02025 		PHARMACY SERVICES 4,995,963
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet131
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 3,363,977
d Related organizations...1d  
e Government grants (contributions)1e 2,868,333
f All other contributions, gifts, grants, and
similar amounts not included above1f 		5,189,073
g Noncash contributions included in lines 1a-1f:$ 406,152
h Total. Add lines 1a-1f.......MediumBullet 11,421,383
Program Service Revenue Business Code
2a PATIENT SVC REVENUE 900,099 847,270,000 847,270,000    
b OTHER PROGRAM REVENUE 900,099 9,711,551 9,711,551    
c GRANT/CONTRACT REVENUE 900,099 87,969,000 87,969,000    
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 944,950,551
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 13,370,000   257,588 13,112,412
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross Rents 133,688  
b Less: rental expenses 89,250  
c Rental income or (loss) 44,438  
d Net rental income or (loss).......MediumBullet 44,438     44,438
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 2,830,000  
b Less: cost or other basis and sales expenses    
c Gain or (loss) 2,830,000  
d Net gain or (loss)..........MediumBullet 2,830,000     2,830,000
8a Gross income from fundraising events (not including
$ 3,363,977
of contributions reported on line 1c). See Part IV, line 18 ...
a 308,617
b Less: direct expenses ...b 397,030
c Net income or (loss) from fundraising events..MediumBullet -88,413   -88,413
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a CAFETERIA 722,210 3,512,164     3,512,164
b PARKING 812,930 1,206,607     1,206,607
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 4,718,771
12 Total revenue. See Instructions....MediumBullet 977,246,730 944,950,551 257,588 20,617,208
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 18,933,913 18,933,913
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 372,859 372,859
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 7,756,395 6,700,239 1,036,765 19,391
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 16,702 16,702    
7 Other salaries and wages 342,535,806 295,090,907 45,661,037 1,783,862
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 24,374,621 21,055,631 3,258,053 60,937
9 Other employee benefits ....... 39,304,521 33,952,589 5,253,671 98,261
10 Payroll taxes ........... 29,227,033 25,247,310 3,906,655 73,068
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 1,003,148   1,003,148  
c Accounting ........... 1,125,728   1,125,728  
d Lobbying ........... 150,238 130,106 20,132  
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 0      
g Other .......... 54,363,662 47,044,066 7,279,387 40,209
12 Advertising and promotion .... 870,675 752,119 116,379 2,177
13 Office expenses ....... 15,705,875 13,575,616 2,100,630 29,629
14 Information technology ...... 3,671,539 3,171,601 490,759 9,179
15 Royalties .. 9,285,477 9,285,477    
16 Occupancy ........... 28,386,101 24,520,885 3,794,251 70,965
17 Travel ............ 1,024,946 885,905 137,081 1,960
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 854,330 732,820 113,393 8,117
20 Interest ........... 14,270,664 12,327,487 1,907,500 35,677
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 63,282,273 54,665,391 8,458,676 158,206
23 Insurance .............. 2,644,381 2,290,032 354,349  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a PHYSICIAN SERVICES 112,586,383 112,586,383    
b DIRECT RESEARCH 80,062,442 80,062,442    
c PATIENT RELATED SUPPLIES 54,805,215 54,805,215    
d DRUGS 30,202,220 30,202,220    
e PROVISION FOR BAD DEBT 33,585,564 33,585,564    
f All other expenses 34,687,019 31,721,311 2,849,999 115,709
25 Total functional expenses. Add lines 1 through 24f 1,005,089,730 913,714,790 88,867,593 2,507,347
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 29,771,000 1 76,772,000
2 Savings and temporary cash investments .......   2  
3 Pledges and grants receivable, net ......... 82,234,000 3 77,442,000
4 Accounts receivable, net ......... 208,210,000 4 120,610,000
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 82,701,000 7 88,970,000
8 Inventories for sale or use .............. 3,508,000 8 2,807,000
9 Prepaid expenses and deferred charges ............ 6,251,000 9 6,826,000
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,162,972,000
b Less: accumulated depreciation. ..... 10b 708,388,000 501,662,000 10c 454,584,000
11 Investments—publicly traded securities .......... 45,360,000 11 68,829,000
12 Investments—other securities. See Part IV, line 11 ...... 171,570,000 12 165,860,000
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 614,471,000 15 576,238,000
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,745,738,000 16 1,638,938,000
Liabilities 17 Accounts payable and accrued expenses . 133,464,000 17 122,399,000
18 Grants payable ..........   18  
19 Deferred revenue .......... 19,726,000 19 19,749,000
20 Tax-exempt bond liabilities .......... 362,752,000 20 358,177,000
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties .... 13,170,000 24 26,586,000
25 Other liabilities. Complete Part X of Schedule D..... 193,935,000 25 193,530,000
26 Total liabilities. Add lines 17 through 25..... 723,047,000 26 720,441,000
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 619,594,000 27 600,175,000
28 Temporarily restricted net assets ..... 386,744,000 28 301,969,000
29 Permanently restricted net assets ..... 16,353,000 29 16,353,000
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 1,022,691,000 33 918,497,000
34 Total liabilities and net assets/fund balances ..... 1,745,738,000 34 1,638,938,000
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
977,246,730
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
1,005,089,730
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
-27,843,000
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
1,022,691,000
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-76,351,000
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
918,497,000
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
BOSTON MEDICAL CENTER
 
Employer identification number

04-3314093
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
BOSTON MEDICAL CENTER
 
Employer identification number

04-3314093
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
BOSTON MEDICAL CENTER
  		Employer identification number

04-3314093
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
BOSTON MEDICAL CENTER
  		Employer identification number

04-3314093
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
BOSTON MEDICAL CENTER
  		Employer identification number

04-3314093
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
BOSTON MEDICAL CENTER
 
Employer identification number

04-3314093
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
150,238
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
81,177
j
Total. lines 1c through 1i ...................................
231,415
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
SCHEDULE C, PART II-B, LINE 1   BOSTON MEDICAL CENTER PAYS DUES TO NAPH, MHA, AND AHA, AND A PORTION OF THE DUES ARE ALLOCATED TO LOBBYING EFFORTS. THE PORTION OF THE DUES THAT was ALLOCATED TO LOBBYING EFFORTS WAS $81,177. BMC ALSO PAID GEORGE TRAYLOR $90,238, A LOBBYIST, TO REPRESENT THE ORGANIZATION. ADDITIONALLY, BOSTON MEDICAL CENTER PAID ROBERT WHITE ASSOCIATES $60,000 TO REPRESENT THE ORGANIZATION. THESE FEES WERE PAID TO THE LOBBYISTS LISTED TO ADVANCE BOSTON MEDICAL CENTER'S MISSION: "TO CONSISTENTLY PROVIDE EXCELLENT AND ACCESSIBLE HEALTH CARE SERVICES TO ALL IN NEED OF CARE, REGARDLESS OF STATUS OR ABILITY TO PAY" AS SET OUT IN CHAPTER 147 OF THE ACTS AND RESOLVES OF 1996 OF THE COMMONWEALTH OF MASSACHUSETTS.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BOSTON MEDICAL CENTER
 
Employer identification number

04-3314093
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 405,862,208 427,693,269 431,600,644
b Contributions ........ 127,397,784 54,430,640  
c Investment earnings or losses ... -7,312,698 46,804,363 31,375,895
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		53,911,542 121,360,660 33,917,009
f Administrative expenses .... 1,694,554 1,705,404 1,366,261
g End of year balance ...... 470,341,198 405,862,208 427,693,269
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet50.100 %
b
Permanent endowment: SchDMd Bullet3.480 %
c
Term endowment: SchDMd Bullet46.420 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   11,291,978 11,291,978
b Buildings ................   486,653,572 145,404,568 341,249,004
c Leasehold improvements ............   20,516,600 3,420,393 17,096,207
d Equipment ................   58,532,602 12,529,671 46,002,931
e Other .................   585,977,248 547,033,368 38,943,880
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 454,584,000
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) DONOR RESTRICTED INVESTMENTS 		165,860,000 F








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 165,860,000
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) OTHER LT ASSETS 187,015,250
(2) FUNDS HELD BY TRUSTEES 32,250,000
(3) FOR FUNDED DEPRECIATION 237,586,000
(4) BOND INDENTURE 69,156,000
(5) NONCURRENT NOTES RECEIVABLE 26,591,000
(6) INVESTMENT IN OTHER VENTURES 23,639,750



Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 576,238,000
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes 0
EST SETTLEMENT W/3RD PARTY PAY 27,227,000
LT DEBT AND OBL-CAPITAL LEASE 92,293,000
OTHER LONG-TERM LIABILITIES 28,874,709
LT ADDITIONAL PENSION LIABILITY 45,135,291





Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 193,530,000
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 977,246,730
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 1,005,089,730
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 -27,843,000
4 Net unrealized gains (losses) on investments .......................... 4 -24,592,000
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 -51,759,000
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 -76,351,000
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 -104,194,000
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 953,141,000
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a -24,592,000
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e -24,592,000
3 Subtract line 2e from line 1..................... 3 977,733,000
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b -486,270
c Add lines 4a and 4b....................... 4c -486,270
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 977,246,730
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 1,005,576,000
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3 1,005,576,000
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b -486,270
c Add lines 4a and 4b....................... 4c -486,270
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 1,005,089,730
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
SCHEDULE D, PART V, LINE 4 - GENERAL ENDOWMENT   THE GENERAL ENDOWMENT INCLUDES FUNDS FROM A NUMBER OF SOURCES WITH VARIOUS RESTRICTIONS ON USE AND TREATMENT. THE ENDOWMENT FUNDS HAVE BEEN CONTRIBUTED FOR SPECIFIC PURPOSES INCLUDING CONSTRUCTION, MAINTENANCE, RESEARCH, CLINICAL CARE, EDUCATION, DEVELOPMENT, STAFFING, SALARIES, LABORATORY EQUIPMENT AND SUPPLIES, AND CONVALESCENT CARE. SCHEDULE D, PART X, LINE 2 THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. SCHEDULE D, PART XI, LINE 8 TERMINATION OF NEIDL AGREEMENT ($ 68,015,000) TRANSFER FROM BMCHP $ 23,000,000 OTHER ADJUSTMENTS $ 1,836,000 PENSION RELATED CHANGES OTHER THAN PERIODIC PENSION COSTS ($ 8,580,000) ------------- TOTAL ($ 51,759,000) SCHEDULE D, PART XII, LINE 4B RENTAL EXPENSE ($ 89,250) SPECIAL EVENTS EXPENSE ($ 397,020) ------------- TOTAL ($ 486,270) SCHEDULE D, PART XIII, LINE 2d RENTAL EXPENSE $ 89,250 SPECIAL EVENTS EXPENSE $ 397,020 ------------- TOTAL $ 486,270
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BOSTON MEDICAL CENTER
 
Employer identification number

04-3314093
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
East Asia and the Pacific 0 3 Grantmaking   129,248
Sub-Saharan Africa 2 8 Program Services HEALTH SVCS TRAINING 176,861
Russia and the Newly Independent States     Grantmaking   14,510
Europe (Including Iceland and Greenland)     Grantmaking   32,668
North America     Grantmaking   19,572
Central America and the Caribbean     Program Services SELF INSURANCE 9,939
Central America and the Caribbean     Investments   4,756,449
North America     Investments   23,300,035
Europe (Including Iceland and Greenland)     Investments   10,905,900
           
           
           
           
           
           
           
           
3a Sub-total ..... 2 11 39,345,182
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 2 11 39,345,182
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
East Asia/Pacific   39,166 WIRE TRANSFR      
East Asia/Pacific   14,000 WIRE TRANSFR      
East Asia/Pacific   28,082 WIRE TRANSFR      
Sub-Saharan Africa   159,481 WIRE TRANSFR      
Sub-Saharan Africa   17,380 WIRE TRANSFR      
East Asia/Pacific   48,000 WIRE TRANSFR      
Russia   14,510 WIRE TRANSFR      
Europe/Iceland/Greenland   32,668 WIRE TRANSFR      
North America   19,572 WIRE TRANSFR      
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
0
3
Enter total number of other organizations or entities ........................MediumBullet
9
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
SCHEDULE F, PART I, LINE 2 THE PRINCIPAL INVESTIGATOR AND ADMINISTRATOR APPROVE ALL SUBCONTRACT INVOICES, INCLUDING THOSE FROM A FOREIGN COUNTRY. THE FOREIGN SUBCONTRACT RECIPIENT HAS A BUDGET TO WHICH INVOICES ARE MATCHED TO ENSURE THAT ALL SPENDING IS APPROPRIATE. ADDITIONALLY, THE ORGANIZATION'S PRINCIPAL INVESTIGATORS REGULARLY CONTACT THE FOREIGN SUBCONTRACT RECIPIENTS TO MONITOR THE PROGRESS OF THE RECIPIENTS' WORK.
SCHEDULE F, PART II, LINE 1   FOREIGN EXPENDITURES ARE SEPARATELY IDENTIFIED ON THE ORGANIZATION'S GENERAL LEDGER.
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BOSTON MEDICAL CENTER
 
Employer identification number

04-3314093
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
WEDU EVENT PLANNING   No      
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
ME, MA
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

GALA
(event type) 		(b) Event #2

FOOD FOR THOUGH
(event type) 		(c) Other Events

2
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 2,574,840 955,154 142,600 3,672,594
2 Less: Charitable
contributions . . . 		2,323,973 929,054 110,950 3,363,977
3 Gross income (line 1
minus line 2) . . . 		250,867 26,100 31,650 308,617
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .     1,200 1,200
6 Rent/facility costs . . 21,163   30,000 51,163
7 Food and beverages . . 140,286 53,053 15,373 208,712
8 Entertainment . . . 42,070     42,070
9 Other direct expenses . 76,036 14,730 3,119 93,885
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 397,030
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow -88,413
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
88 EAST NEWTON STREET
BOSTON,MA02118
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BOSTON MEDICAL CENTER
 
Employer identification number

04-3314093
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
 
No
6b
If "Yes," does the organization make it available to the public? ..............
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		  75,938 93,801,091 93,801,091 0 0 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		  282,668 321,986,638 319,405,362 2,581,276 0.270 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		  358,606 415,787,729 413,206,453 2,581,276 0.270 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    23,187,905 4,613,141 17,419,446 1.790 %
f Health professions education
(from Worksheet 5) .. 		    58,970,010 13,077,323 45,892,687 4.720 %
g Subsidized health services
(from Worksheet 6) .. 		           
h Research (from Worksheet 7) 687   95,368,479 95,368,479 0 0 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		           
jTotal Other Benefits ... 687   177,526,394 113,058,943 63,312,133 6.510 %
kTotal. Add lines 7d and 7j. .. 687 358,606 593,314,123 526,265,396 65,893,409 6.780 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     98,888 0 98,888 0.010 %
2 Economic development     15,930,000 0 15,930,000 1.640 %
3 Community support     742,992 0 742,992 0.080 %
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy     7,935,787 5,808,641 2,127,146 0.220 %
8 Workforce development     481,096 0 481,096 0.050 %
9 Other     708,384 0 708,384 0.070 %
10 Total     25,897,147 5,808,641 20,088,506 2.070 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
18,349,993
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
 
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
185,293,793
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
163,401,660
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
21,892,133
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
 
No
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 BOSTON MEDICAL CENTER
88 EAST NEWTON STREET
BOSTON,MA02118 		X X   X   X X   REHABILITATION UNIT
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:BOSTON MEDICAL CENTER
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?2
Name and address Type of Facility (Describe)
1 MARGARET M SHEA RN ADULT HEALTH PROGRAM
229 RIVER STREET
MATTAPAN,MA02126 		ADULT DAYCARE
2 MARGARET M SHEA RN ADULT HEALTH PROGRAM
229 RIVER STREET
MATTAPAN,MA02126 		ADULT DAYCARE
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
Introduction THE STATUTE THAT CREATED BOSTON MEDICAL CENTER (BMC) REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 508-LICENSED BED, URBAN ACADEMIC MEDICAL CENTER WHICH EMPHASIZES COMMUNITY-BASED, ACCESSIBLE CARE AND THE MISSION TO PROVIDE CONSISTENTLY ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY. BMC IS THE LARGEST SAFETY NET HOSPITAL IN NEW ENGLAND AND PROVIDES A FULL SPECTRUM OF PEDIATRIC AND ADULT CARE SERVICES FROM PRIMARY TO FAMILY MEDICINE TO ADVANCED SPECIALTY CARE. APPROXIMATELY 70 PERCENT OF BMC'S PATIENTS COME FROM UNDERSERVED POPULATIONS, INCLUDING LOW-INCOME FAMILIES, ELDERS, PEOPLE WITH DISABILITIES, AND IMMIGRANTS. SEVENTY PERCENT OF ALL PATIENTS ARE FROM RACIAL AND ETHNIC MINORITY POPULATIONS, AND 30 PERCENT DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE. TO ADDRESS THE HEALTH NEEDS OF ITS DIVERSE PATIENT POPULATION, BMC PROVIDES A WIDE RANGE OF SERVICES BEYOND THE TRADITIONAL MEDICAL MODEL. THESE PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO, PATIENT NAVIGATION, INTERPRETER SERVICES, AND A FOOD PANTRY, THAT HELP REDUCE BARRIERS TO ACCESSING HEALTH SERVICES AND ELIMINATE DISPARITIES IN HEALTH CARE AMONG THE VARIOUS POPULATIONS BMC SERVES. WITH MORE THAN 29,070 ADMISSIONS AND 853,343 PATIENT VISITS IN FY11, BMC PROVIDES A COMPREHENSIVE RANGE OF INPATIENT, CLINICAL AND DIAGNOSTIC SERVICES IN MORE THAN 70 AREAS OF MEDICAL SPECIALTIES AND SUBSPECIALTIES. THE LARGEST 24-HOUR LEVEL I TRAUMA CENTER IN NEW ENGLAND, BMC'S EMERGENCY DEPARTMENT HAD 128,231 VISITS IN FY11. BMC SERVES THE URBAN COMMUNITY OF GREATER BOSTON. THE MAJORITY OF THE COMMUNITIES THAT BMC SERVES ARE BOSTON CENSUS TRACTS THAT ARE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS/POPULATIONS. BMC'S SERVICE COMMUNITIES REPRESENT MORE THAN 50% OF THE 107 SUCH DESIGNATED TRACTS IN SUFFOLK COUNTY (COMPRISING BOSTON AND THREE TOWNS). ALTHOUGH MASSACHUSETTS' UNIVERSAL CARE ENABLES INDIVIDUALS TO SEEK CARE AT ANY HOSPITAL, BMC REMAINS THE LARGEST SAFETY NET PROVIDER IN BOSTON AND NEW ENGLAND. THE IMPLEMENTATION OF UNIVERSAL CARE DID NOT REDUCE THE REAL NUMBER OR PERCENT OF UNDERSERVED COMMUNITIES SERVED BY BMC. IN 2009, 17% OF BOSTON RESIDENTS HAD INCOMES BELOW THE FEDERAL POVERTY LEVEL, WHILE NEARLY HALF OF BMC'S PATIENTS HAVE INCOMES BELOW THE FEDERAL POVERTY LEVEL. ACCORDING TO THE 2010 MASSACHUSETTS HEALTH INSURANCE SURVEY (WHICH INCLUDES DATA FROM 2008-2010), 1.9% OF RESIDENTS WERE UNINSURED AND 98.1% OF MASSACHUSETTS RESIDENTS HAD COVERAGE DURING THE SURVEY. THE COMPOSITION OF THE LATTER IS: 16.4% MEDICAID; 65.1% EMPLOYER SPONSORED INSURANCE; AND 16.6% PUBLIC OR OTHER INSURANCE. OF BMC'S PATIENTS, NEARLY 4.6% ARE UNINSURED, AND COVERAGE RATES FOR PRIMARY INSURANCE WERE APPROXIMATELY: 18.8% MEDICAID; 52.9% PRIVATE OR OTHER INSURANCE (EMPLOYER SPONSORED AND OTHER); AND 23.7% PUBLIC.
LINE 1: REQUIRED DESCRIPTIONS PART I, LINE 3C ORGANIZATION OFFERS A DISCOUNT FROM CHARGES REGARDLESS OF INCOME OR ASSETS. THE DISCOUNT IS EQUAL TO THE UNCOMPENSATED CARE COST TO CHARGE RATIO. PART I, LINE 7 FOR THE CALCULATION OF COSTS OF CHARITY CARE (LINE 7A) & MEDICAID COST (LINE 7B) AN OVERALL COST TO CHARGE RATIO WAS USED. A COST TO CHARGE RATIO IS DETERMINED BY DIVIDING THE TOTAL CHARGES FOR ALL SERVICES INTO THE TOTAL COST OF PROVIDING THE SERVICES. THE RESULTING RATIO IS KNOWN AS A COST TO CHARGE RATIO. THE RATIO IS MULTIPLIED BY THE CHARGES FOR CHARITY CARE & MEDICAID TO OBTAIN THEIR RESPECTIVE COSTS. FOR THE CALCULATION OF COMMUNITY HEALTH IMPROVEMENT SERVICES(LINE 7E) DISCRETE COSTING WAS USED. FOR THE CALCULATION OF HEALTH PROFESSIONS EDUCATION COST (LINE 7F) THE CENTERS FOR MEDICARE & MEDICAID (CMS) COST ALLOCATION METHODOLOGY PER CMS FORM 2552 WAS USED. CMS FORM 2552 IS A REQUIRED ANNUAL FILING TO THE FEDERAL GOVERNMENT. PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE WAS $33,585,564.
PART II BMC CONTRIBUTES TO THE COMMUNITY THROUGH ITS PAYMENT OF LINKAGE FEES TO THE CITY OF BOSTON, WHICH FUND PROGRAMS FOR AFFORDABLE HOUSING AND NEIGHBORHOOD HEALTH CARE. BMC ALSO PROVIDES SUBSIDIES TO BOSTON HEALTHNET, WHICH SUPPORTS COMMUNITY-BASED SERVICES. PHYSICIAN IMPROVEMENTS AND HOUSING: ACCORDING TO THE DEVELOPMENT IMPACT PROJECT AGREEMENT FOR MOAKLEY MEDICAL SERVICES BUILDING PROJECT BETWEEN BOSTON MEDICAL CENTER AND THE BOSTON REDEVELOPMENT AUTHORITY IN 2005, BMC AGREES TO PAY SEVEN EQUAL ANNUAL LINKAGE FEES OF $74,012 TO THE NEIGHBORHOOD HOUSING TRUST TOTALING $518,000. BOSTON MEDICAL CENTER HAS AGREEMENTS WITH BOSTON ALLIANCE FOR COMMUNITY HEALTH. ACCORDING TO THE VARIOUS AGREEMENTS BMC HAS AGREED TO PAY LINKAGE FEES OF $46,892 FOR FIVE YEARS ENDING IN FISCAL YEAR 2013 TOTALING TO $234,460, $19,400 FOR FIVE YEARS ENDING IN FISCAL YEAR 2011 TOTALING TO $97,000, AND $16,700 FOR FIVE YEARS ENDING IN 2014 TOTALING TO $83,500. BOSTON MEDICAL CENTER ALSO HAS AN AGREEMENT WITH THE BRA TO PAY LINKAGE FEES FOR HOUSING OF $24,875 PER YEAR FOR 12 YEARS ENDING 2012 TOTALING TO $298,500. MATTAPAN COMMUNITY HEALTH CENTER, AN AFFILIATE OF BOSTON MEDICAL CENTER, RECEIVED A TOTAL OF $8,200,000 FROM BOSTON MEDICAL CENTER DURING 2009 AND 2010 IN THE FORM OF A LOAN THAT WAS ORIGINATED EFFECTIVE SEPTEMBER 30, 2010. COMMENCING NOVEMBER 1, 2011, BOSTON MEDICAL CENTER SHALL FORGIVE TEN PERCENT OF THE ORIGINAL PRINCIPAL AMOUNT OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING SHALL BE FORGIVEN IN TEN YEARS. THE FISCAL YEAR 2011 EXPENSE RELATED TO THE FORGIVENESS OF THIS LOAN WAS $660,000. CAPITAL INVESTMENTS IN BOSTON HEALTHNET: WHILE THE NEED FOR COMMUNITY-BASED SERVICES CONTINUES TO GROW, IT HAS BECOME INCREASINGLY DIFFICULT FOR HEALTH CENTERS TO MEET THE DEMAND. REIMBURSEMENT OFTEN DOES NOT COVER THE FULL COST OF CARING FOR THE COMPLEX NEEDS OF HEALTH CENTERS' DIVERSE PATIENT POPULATION. COMPOUNDING THIS PROBLEM, IN THE MID-LATE 1990S MANY HEALTH CENTERS FOUND THEMSELVES OPERATING IN FACILITIES THAT WERE IN DESPERATE NEED OF RESTORATION OR EXPANSION. COSTLY INFORMATION TECHNOLOGY UPGRADES WERE ALSO REQUIRED TO ENHANCE MANAGEMENT EFFICIENCIES AND PATIENT CARE. IN RESPONSE TO THE HEALTH CENTERS' NEEDS, BMC PROVIDES APPROXIMATELY $16 MILLION IN OPERATING SUPPORT TO THE BOSTON HEALTHNET HEALTH CENTERS EACH YEAR. OTHER NET SUBSIDIES INCLUDE MOSTLY ECONOMIC DEVELOPMENT, COMMUNITY HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT SUCH AS PROVIDING FREE SHUTTLE SERVICES FOR PATIENTS, PAYMENT FOR PHYSICIAN SERVICES UNDER CONTRACT AND JOINT HIRES OF PHYSICIANS.
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 THERE IS NO FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS. BAD DEBT EXPENSE IS EQUAL TO THE CHANGE IN THE ACCOUNT RECEIVABLE RESERVE FOR UNCOLLECTIBLE ACCOUNTS. THE AMOUNT OF THE ACCOUNT RECEIVABLE RESERVE CONSIDERS THE ACCOUNT'S AGE AND PAYOR SOURCE WHEN DETERMINING THE LIKELIHOOD OF PAYMENT. THE RATE OF COST TO CHARGES (RCC) METHODOLOGY WAS USED FOR DETERMINING BAD DEBT EXPENSE DUE TO THE LACK OF A COST ACCOUNTING SYSTEM. THE HOSPITAL'S OPERATING LOSS HAS BEEN INCLUDED AS A COMMUNITY BENEFIT. THIS IS DUE TO THE HOSPITAL'S UNIQUE PROGRAMS AND DIVERSE AND UNDERSERVED PATIENT POPULATION. PART III, LINE 8 MEDICARE ALLOWABLE COSTS OF $163,401,660 WERE CALCULATED USING THE CMS FORM 2552 METHODOLOGY OF DETERMINING MEDICARE COSTS. THIS UTILIZES THE STEP DOWN METHOD OF DETERMINING FULLY ALLOCATED COSTS BY DISTINCT CLINICAL COST CENTERS AS DEFINED BY CMS. THESE FULLY ALLOCATED COSTS ARE APPLIED AGAINST TOTAL CHARGES TO CALCULATE A RATIO OF COST TO CHARGES (RCC). THE RCC IS APPLIED TO MEDICARE CHARGES BY DISTINCT CLINICAL COST CENTERS TO DETERMINE THE MEDICARE COSTS. PART V, SECTION A BOSTON MEDICAL CENTER ALSO OPERATES THE FOLLOWING OUTPATIENT CENTERS, WHICH ARE UNDER THE HOSPITAL'S LICENSE: CODMAN SQUARE HEALTH CENTER CHARLESTOWN HS STUDENT HEALTH CENTER BRIGHTON HIGH SCHOOL STUDENT HEALTH CENTER BMC RADIOLOGY AT RYAN CENTER BOSTON UNIVERSITY EAST BOSTON NEIGHBORHOOD HEALTH CENTER (10 GROVE ST.) EAST BOSTON NEIGHBORHOOD HEALTH CENTER (20 MAVERICK SQ.) DORCHESTER HOUSE MULTI-SERVICE CENTER MADISON PARK HS STUDENT HEALTH CENTER JEREMIAH E. BURKE STUDENT HEALTH CENTER GREATER ROSLINDALE MEDICAL & DENTAL LATIN ACADEMY STUDENT HEALTH CENTER TECHBOSTON ACADEMY SCHOOL HEALTH CENTER HARBOR SCHOOL BOSTON MEDICAL CENTER DEPT. OF RADIOLOGY AT WHITTIER HEALTH CENTER BOSTON MEDICAL CENTER DEPT. OF RADIOLOGY AT UPHAM'S CORNER HEALTH CENTER JOHN D. O'BRYANT STUDENT HEALTH CENTER MURIEL SNOWDEN INTERNATIONAL HS HEALTH CENTER BMC SCHOOL BASED CENTER AT BOSTON COMMUNITY LEADERSHIP ACADEMY ELDER SERVICE PLAN DISPENSING PHARMACY SOUTH BOSTON COMMUNITY HEALTH CENTER (386 WEST BROADWAY) SOUTH BOSTON COMMUNITY HEALTH CENTER (409 WEST BROADWAY)
LINE 2: NEEDS ASSESSMENT BMC'S ASSESSMENT OF THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES IS BASED ON DEMONSTRATED NEED. THE MEDICAL LEGAL PARTNERSHIP I BOSTON (MLP) IS ONE OF MANY EXAMPLES OF HOW DEMONSTRATED NEED INFORMS BMC (BMC) COMMUNITY HEALTH IMPROVEMENT ACTIVITIES AND SERVICES. IN 1993, CLINICIANS WITHIN THE DEPARTMENT OF PEDIATRICS UNDERSTOOD THAT NUTRITION AND HOME ENERGY WERE ROOT CAUSES OF POOR HEALTH AND DEVELOPMENT AMONG THEIR PREDOMINANTLY LOW-INCOME PEDIATRIC PATIENTS. IN RESPONSE, MLP INITIATED THE "ENERGY CLINIC" IN 2006 TO PROVIDE TARGETED ADVOCACY AROUND ISSUES OF NUTRITION AND HOME ENERGY. TODAY, MLP IS A NATIONAL LEADER IN MEDICAL-LEGAL COLLABORATION TO ADDRESS THE ROOT CAUSES OF PEDIATRIC POOR HEALTH AND DEVELOPMENT. MLP SEEKS TO IMPROVE THE HEALTH AND WELLBEING OF PEOPLE IN POVERTY BY ADDRESSING THE NON-MEDICAL BARRIERS TO HEALTH FACED BY LOW-INCOME INDIVIDUALS. MLP ALLIES LAWYERS AND HEALTH PROFESSIONALS AND CREATES ACCESS TO LEGAL SERVICES IN THE CLINICAL SETTING TO ENSURE THAT LOW-INCOME PATIENTS' BASIC NEEDS-FOR FOOD, HOUSING, EDUCATION, HEALTH CARE, AND SAFETY/STABILITY-ARE MET. THE NATIONAL MLP NETWORK NOW EXTENDS TO MORE THAN 80 SITES ACROSS THE COUNTRY, SPANNING BOTH URBAN AND RURAL COMMUNITIES.
LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE FOR THOSE PATIENTS WHO ARE UNINSURED OR UNDERINSURED, BMC WILL ASSIST THEM IN APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER SOME OR ALL OF THEIR UNPAID HOSPITAL BILLS. IN ORDER TO HELP UNINSURED AND UNDERINSURED PATIENTS FIND AVAILABLE AND APPROPRIATE FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL PROVIDE ALL PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE BILLS THAT ARE SENT TO PATIENTS AS WELL AS IN GENERAL NOTICES THAT ARE POSTED THROUGHOUT THE HOSPITAL. THE GOAL OF THESE NOTICES IS TO ASSIST PATIENTS IN APPLYING FOR COVERAGE WITHIN A FINANCIAL ASSISTANCE PROGRAM, SUCH AS MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, OR MEDICAL HARDSHIP THROUGH THE HEALTH SAFETY NET. THE HOSPITAL WILL PROVIDE, UPON REQUEST, SPECIFIC INFORMATION ABOUT THE ELIGIBILITY PROCESS TO BE A LOW INCOME PATIENT UNDER EITHER THE MASSACHUSETTS HEALTH SAFETY NET PROGRAM OR ADDITIONAL ASSISTANCE FOR PATIENTS WHO ARE LOW INCOME THROUGH THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL WILL ALSO NOTIFY THE PATIENT ABOUT AVAILABLE PAYMENT PLANS THAT MAY BE AVAILABLE TO THEM BASED ON THEIR FAMILY'S SIZE AND INCOME. THE HOSPITAL WILL TRY TO IDENTIFY AVAILABLE COVERAGE OPTIONS FOR PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED WITH THEIR CURRENT INSURANCE PROGRAM WHEN THE PATIENT IS SCHEDULING THEIR SERVICES, WHILE THE PATIENT IS IN THE HOSPITAL, UPON DISCHARGE, AND FOR A REASONABLE TIME FOLLOWING DISCHARGE FROM THE HOSPITAL. THE HOSPITAL REGISTRATION AND ADMISSIONS STAFF WILL DIRECT ALL PATIENTS SEEKING AVAILABLE COVERAGE OPTIONS OR FINANCIAL ASSISTANCE, TO THE HOSPITAL'S PATIENT FINANCIAL COUNSELING OFFICE TO DETERMINE IF THEY ARE ELIGIBLE AND THEN TO SCREEN FOR ELIGIBILITY IN AN APPROPRIATE COVERAGE OPTION. THE HOSPITAL WILL THEN ASSIST THE PATIENT IN APPLYING FOR THE APPROPRIATE COVERAGE OPTIONS THAT ARE AVAILABLE OR NOTIFY THEM OF THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL WILL ALSO PROVIDE INFORMATION ON HOW TO CONTACT THE APPROPRIATE STAFF WITHIN THE HOSPITAL'S PATIENT FINANCIAL SERVICES DEPARTMENT (PFS) TO VERIFY THE ACCURACY OF THE HOSPITAL BILL OR TO DISPUTE CERTAIN CHARGES. THE HOSPITAL WILL POST A NOTICE (SIGNS) OF AVAILABILITY OF FINANCIAL ASSISTANCE AS OUTLINED IN THIS CREDIT AND COLLECTION POLICY IN THE FOLLOWING LOCATIONS: I. INPATIENT, CLINIC, AND EMERGENCY DEPARTMENT AND/OR WAITING AREAS; II. PATIENT FINANCIAL COUNSELOR AREAS; III. CENTRAL ADMISSION/REGISTRATION AREAS; AND/OR IV. BUSINESS OFFICE AREAS THAT IS OPEN TO PATIENTS. POSTED SIGNS WILL BE CLEARLY VISIBLE AND LEGIBLE TO PATIENTS VISITING THESE AREAS. THE HOSPITAL WILL ALSO INCLUDE A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IN ALL INITIAL BILLS. WHEN THE PATIENT CONTACTS THE HOSPITAL, THE HOSPITAL PFS STAFF WILL NOTIFY THE PATIENT IF THEY MAY QUALIFY FOR A PAYMENT PLAN. A PATIENT WHO IS ENROLLED IN A PUBLIC FINANCIAL ASSISTANCE PROGRAM (E.G., MASSHEALTH, HEALTH SAFETY NET, OR FOR MEDICAL HARDSHIP) MAY QUALIFY FOR CERTAIN PLANS. PATIENTS MAY ALSO QUALIFY FOR ADDITIONAL ASSISTANCE BASED ON THE HOSPITAL'S OWN INTERNAL CRITERIA FOR FINANCIAL ASSISTANCE. FOR CASES WHERE THE HOSPITAL IS USING THE VIRTUAL GATEWAY (STATE'S PORTAL) APPLICATION, THE HOSPITAL WILL ASSIST THE PATIENT IN COMPLETING THE APPLICATION FOR MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, OR OTHER FORMS OF FINANCIAL ASSISTANCE PROGRAMS AS THEY BECOME PART OF THE VIRTUAL GATEWAY PROGRAM. ALL SIGNS AND NOTICES SHALL BE TRANSLATED INTO LANGUAGES OTHER THAN ENGLISH IF SUCH LANGUAGE IS SPOKEN BY 10% OR MORE OF THE POPULATION RESIDING IN THE HOSPITAL SERVICE AREA. CURRENTLY, THE HOSPITAL TRANSLATES THE NOTICES INTO THE FOLLOWING LANGUAGES: ENGLISH PORTUGUESE SPANISH HAITIAN CREOLE
LINE 4: COMMUNITY INFORMATION SEE INTRODUCTION. LINE 5: PROMOTION OF COMMUNITY HEALTH SPECIAL SUPPORT FOR CHILDREN AND FAMILIES: CHILD LIFE PROGRAM (CLP): THE CLP HELPS CHILDREN AND FAMILIES MANAGE THE STRESSES ASSOCIATED WITH HOSPITALIZATION AND ILLNESS. THE CHILD LIFE TEAM IS TRAINED TO HELP CHILDREN AND FAMILIES UNDERSTAND THE HOSPITAL EXPERIENCE AND RELATED FEELINGS. THE GOALS OF THE CLP ARE TO: HELP CHILDREN EXPRESS THEIR FEELINGS IN A SAFE AND SUPPORTIVE ENVIRONMENT; HELP CHILDREN MANAGE PAIN EFFECTIVELY; OFFER CHILDREN CHOICES THAT INCREASE FEELINGS OF INDEPENDENCE, SELF ESTEEM AND TRUST; AND ASSIST WITH IMPLEMENTATION OF COPING TECHNIQUES DURING STRESSFUL SITUATIONS. CHILDREN'S HEALTH WATCH (CHW): CHW IS A NON-PARTISAN PEDIATRIC RESEARCH CENTER THAT MONITORS THE IMPACT OF ECONOMIC CONDITIONS AND PUBLIC POLICIES ON THE HEALTH AND WELL-BEING OF VERY YOUNG CHILDREN. CHW INTERVIEWS FAMILIES WITH YOUNG CHILDREN IN FIVE HOSPITALS ACROSS THE NATION, INCLUDING BMC (5,500 PATIENT INTERVIEWS IN FY11), THAT SERVE THE POOREST FAMILIES. THE DATABASE OF MORE THAN 44,000 CHILDREN, 80 PERCENT OF WHOM ARE MINORITIES, IS THE LARGEST CLINICAL DATABASE IN THE NATION ON VERY YOUNG CHILDREN LIVING IN POVERTY. DATA ARE COLLECTED ON A WIDE VARIETY OF ISSUES, INCLUDING DEMOGRAPHICS, FOOD SECURITY, PUBLIC BENEFITS, HOUSING, HOME ENERGY, AND CHILDREN'S HEALTH STATUS AND DEVELOPMENTAL RISK. WE SEEK TO PROVIDE POLICY MAKERS AND ADVOCACY GROUPS WITH THE EVIDENCE THEY NEED TO SHAPE POLICIES THAT PREVENT CHILD HUNGER AND PROMOTE CHILDREN'S HEALTH. PEDIATRIC ASSESSMENT OF COMMUNICATION CLINIC (THE AUTISM CLINIC): SINCE 2003, THE AUTISM CLINIC HAS PROVIDED EVALUATIONS AND ONGOING CARE FOR CHILDREN OF ALL AGES WHEN THERE IS A PEDIATRICIAN CONCERN ABOUT AUTISM SPECTRUM DISORDER (ASD) AND RELATED CONDITIONS, OR WHEN THEY HAVE A PREVIOUS DIAGNOSIS OF ASD. THE PRIMARY SERVICE PROVIDED BY THE AUTISM CLINIC STAFF IS EDUCATIONAL ADVOCACY. THE AUTISM CLINIC'S EDUCATIONAL SPECIALIST PROVIDES DIRECT SUPPORT SERVICES TO PRIMARILY LOW-INCOME AND/OR IMMIGRANT FAMILIES WHO HAVE LIMITED ENGLISH PROFICIENCY AND ARE MOST CHALLENGED BY THE COMPLEX REGULATIONS GOVERNING THE SPECIAL EDUCATION SYSTEM. AS NEEDED, SHE TRAVELS TO CLASSROOMS TO OBSERVE YOUNG PATIENTS WITH ASD AND TO HELP FAMILIES ACCESS THE PROPER SPECIAL EDUCATION PLACEMENT FOR THEIR CHILDREN, MUCH FASTER THAN THESE FAMILIES COULD MANAGE ON THEIR OWN. IN FY11, THE AUTISM CLINIC EVALUATED MORE THAN 300 NEW PATIENTS AND PROVIDED REGULAR FOLLOW-UP TO AN ADDITIONAL 400 FAMILIES. BIRTH SISTERS AND PERINATAL CARE: BMC HAS DEVELOPED TWO PROGRAMS, BIRTH SISTERS AND CENTERING PREGNANCY, TO IMPROVE HEALTH OUTCOMES OF CHILDBEARING WOMEN AT RISK FOR POOR MATERNAL AND INFANT OUTCOMES. BIRTH SISTERS ARE WOMEN WHO ARE TRAINED TO PROVIDE SOCIAL SUPPORT AND EDUCATION TO MOTHERS FROM THEIR OWN COMMUNITIES DURING PREGNANCY, LABOR, AND THE POSTPARTUM PERIOD. THE BIRTH SISTERS PROGRAM HAS BEEN LINKED TO SIGNIFICANTLY HIGHER BREASTFEEDING RATES AND FEWER CESAREAN DELIVERIES. CENTERING PREGNANCY IS AN INNOVATIVE AND PROVEN MODEL OF CARE THAT OFFERS PRENATAL CARE IN 10 TWO-HOUR GROUP SESSIONS USING A BMC-DEVELOPED CURRICULUM. AT THESE SESSIONS BEGINNING EARLY IN THE SECOND TRIMESTER, PATIENTS RECEIVE HEALTH VISITS, PRENATAL AND PARENTING EDUCATION AND PEER GROUP SUPPORT ALL IN ONE VISIT. THE PROGRAMS SERVICED A COMBINED 442 PATIENTS IN FY11. SUPPORTING PARENTS AND RESILIENT KIDS CENTER (SPARK): SPARK IS A THERAPEUTIC DAY PROGRAM FOR BOSTON'S MOST VULNERABLE CHILDREN, INCLUDING THOSE LIVING WITH HIV/AIDS; THOSE BORN VERY PREMATURELY; THOSE WHO HAVE SUFFERED PSYCHOLOGICAL TRAUMA DUE TO ABUSE/NEGLECT; AND THOSE WITH COMPLEX MEDICAL AND EMOTIONAL NEEDS. SPARK STAFF PROVIDE MEDICAL, EDUCATIONAL, NUTRITIONAL, AND MENTAL HEALTH SERVICES TO VULNERABLE CHILDREN FROM BIRTH TO AGE 22. SPARK OPERATES AN EARLY CHILDHOOD DAY PROGRAM, A SCHOOL-AGE AFTER-SCHOOL PROGRAM, A YOUNG ADULT JOB TRAINING PROGRAM AND A SUMMER CAMP PROGRAM, SERVING APPROXIMATELY 100 CHILDREN ANNUALLY WHO LIVE THROUGHOUT EASTERN MASSACHUSETTS. SPARK HELPS CHILDREN TO BUILD POSITIVE SOCIAL NETWORKS, POSITIVE SELF-REGARD AND COMMUNITY BELONGING. ADDITIONALLY, THE PROGRAM PROVIDES PARENTING EDUCATION AND SUPPORT. MEDICAL LEGAL PARTNERSHIP BOSTON (MLP-BOSTON): MLP-BOSTON SEEKS TO IMPROVE THE HEALTH AND WELLBEING OF PEOPLE LIVING IN POVERTY BY ADDRESSING THE NON-MEDICAL BARRIERS TO HEALTH THAT LOW-INCOME INDIVIDUALS SO OFTEN FACE. MLP-BOSTON ALLIES LAWYERS AND HEALTH PROFESSIONALS AND CREATES ACCESS TO LEGAL SERVICES IN THE CLINICAL SETTING TO ENSURE THAT LOW-INCOME PATIENTS' BASIC NEEDS-FOR FOOD, HOUSING, EDUCATION, HEALTH CARE, AND SAFETY/STABILITY-ARE MET. IN FY11, MLP-BOSTON SERVED 1,000 INDIVIDUALS. MARGARET M. SHEA RN ADULT DAY HEALTH PROGRAM: THIS PROGRAM OFFERS FAMILIES PEACE OF MIND AND A SUPPORT SYSTEM TO HELP THEM WITH DECISIONS INVOLVING THE CARE OF THEIR LOVED ONES. IT IS A HOLISTIC MEDICAL INTERVENTION PROGRAM THAT PROVIDES SERVICES IN AN AMBULATORY, HOME-LIKE SETTING FOR ADULTS WHO DO NOT REQUIRE 24-HOUR INSTITUTIONAL CARE, BUT BECAUSE OF PHYSICAL AND/OR MENTAL IMPAIRMENT, ARE NOT COMPLETELY ABLE TO LIVE INDEPENDENTLY. ALL PARTICIPANTS ARE REFERRED TO THE PROGRAM AND ARE SCREENED BEFORE ENTERING THE PROGRAM. SERVICES OFFERED BY THE PROGRAM INCLUDE NURSING, SOCIAL SERVICES, ACTIVITIES AND TRANSPORTATION.
RESPONDING TO THE NEEDS OF PATIENTS AFFECTED BY VIOLENCE   CHILD PROTECTION TEAM (CPT): A SPECIAL SERVICES DIVISION OF THE DEPARTMENT OF PEDIATRICS, CPT SERVES ALL OF BMC'S MALTREATED PEDIATRIC PATIENTS. THE CPT HAS THREE MAJOR AREAS OF RESPONSIBILITY: 1) SUPPORTING BMC PROVIDERS TO ENSURE THAT MALTREATED CHILDREN TREATED AT BMC ARE PROTECTED; 2) IMPROVING THE EFFECTIVE IDENTIFICATION AND RESPONSE TO MALTREATMENT THROUGH INNOVATIVE RESEARCH AND PROGRAM DEVELOPMENT AT BMC AND NATIONALLY; AND 3) PROVIDING TRAINING AND EDUCATION TO PEDIATRIC HEALTH AND OTHER PROFESSIONALS IN THE RECOGNITION AND MANAGEMENT OF CHILD MALTREATMENT. CPT COLLABORATES WITH COMMUNITY AND STATE AGENCIES, LAW ENFORCEMENT PERSONNEL AND THE JUDICIARY SYSTEM TO ENSURE THE BEST POSSIBLE OUTCOME FOR CHILDREN AND FAMILIES. CHILD WITNESS TO VIOLENCE PROJECT (CWVP): CWVP IS A NATIONALLY-RECOGNIZED AND AWARD-WINNING COUNSELING, OUTREACH, AND CONSULTATION PROGRAM THAT FOCUSES ON YOUNG CHILDREN UNDER THE AGE OF EIGHT WHO ARE EXPOSED TO DOMESTIC OR COMMUNITY VIOLENCE. THE CWVP OFFERS A FLEXIBLE COMBINATION OF SERVICES TO CHILDREN AND THEIR FAMILIES, INCLUDING: INTENSIVE TRAUMA-FOCUSED COUNSELING THAT IS DEVELOPMENTALLY TAILORED TO VERY YOUNG CHILDREN AND THEIR PARENTS; ACCESS TO LEGAL ADVOCACY; AND ASSISTANCE WITH LINKING TO OTHER NECESSARY SERVICES INCLUDING HEALTH CARE, CHILD CARE, HOUSING, AND AFTER-SCHOOL PROGRAMS. IN 2011, THE CWVP PROVIDED TRAUMA-FOCUSED COUNSELING SERVICES TO 90 CHILDREN, AND BRIEF CONSULTATION/ADVOCACY FOR AN ADDITIONAL 200 FAMILIES. THE TRAINING/CLINICAL CONSULTATION COMPONENT OF THE PROGRAM DELIVERED 100 TRAININGS ACROSS MASSACHUSETTS AND 12 STATES. DOMESTIC VIOLENCE PROGRAM (DVP): THE DVP PROVIDES TRAINING AND EDUCATION FOR STAFF, ASSISTANCE WITH HOSPITAL POLICY AND PROTOCOL DEVELOPMENT, CONSULTATION ON A VARIETY OF CLINICAL AND RESEARCH INITIATIVES, AS WELL AS DIRECT ADVOCACY/SUPPORT SERVICES FOR SURVIVORS OF DOMESTIC AND DATING ABUSE. IN 2009, A SAFETY AND SUPPORT ADVOCATE POSITION WAS CREATED TO PROVIDE A RANGE OF ADVOCACY AND SUPPORT SERVICES TO PATIENTS REFERRED FROM A RANGE OF ADULT AND ADOLESCENT SETTINGS AND PROVIDERS. THE DVP SERVED 200 INDIVIDUALS IN FY11 BY PROVIDING SERVICES SUCH AS CRISIS INTERVENTION/COUNSELING; RISK ASSESSMENT AND SAFETY PLANNING; ASSISTANCE WITH ACCESSING PROTECTIVE ORDERS, VICTIM COMPENSATION; ACCOMPANIMENT TO COURT, LEGAL, MEDICAL, HOUSING AND OTHER APPOINTMENTS; REFERRAL TO COMMUNITY-BASED DV ADVOCACY/RAPE CRISIS COUNSELING, MEDICAL/MENTAL HEALTH SERVICES AND OTHER SUPPORT AS NEEDED. VIOLENCE INTERVENTION ADVOCATE PROGRAM (VIAP): IN APRIL 2006, BMC PILOTED VIAP TO PROVIDE SPECIALIZED SERVICES TO VICTIMS OF VIOLENCE, USING TWO COMMUNITY HEALTH WORKERS, VIOLENCE INTERVENTION ADVOCATES, TO PROVIDE INDIVIDUAL COUNSELING, TRIAGE AND REFERRAL SERVICES FOR VICTIMS OF VIOLENCE BROUGHT TO THE BMC EMERGENCY DEPARTMENT. VIAP STAFF COLLABORATE WITH PUBLIC AND PRIVATE AGENCIES TO OFFER A BROAD SPECTRUM OF CONCRETE SERVICES TO PATIENTS RECOVERING FROM VIOLENT INJURY. EACH VIAP SITE HAS HIRED A PEER VIOLENCE INTERVENTION ADVOCATE VIA WITH STRONG COMMUNITY KNOWLEDGE. IN FY11, VIAP PROVIDED SERVICES TO A TOTAL OF 415 VICTIMS: 178 GUNSHOT VICTIMS AND 237 STABBING VICTIMS. OF THESE VICTIMS, 34 WERE FEMALE. VIAP PROVIDED THE FOLLOWING DIRECT SERVICES AND REFERRALS TO SERVICES TO VICTIMS AND 34 FAMILIES: CRISIS INTERVENTION AND STABILIZATION; HOUSING AND TRANSPORTATION; LEGAL; EDUCATIONAL; VOCATIONAL AND LIFE SKILLS DEVELOPMENT; MENTAL HEALTH; EMPLOYMENT; AND HEALTH AND WELLNESS. COMMUNITY OUTREACH CANCER SCREENINGS: BMC OFFERS AN ANNUAL FREE CANCER SCREENING EVENT TO VULNERABLE, UNDERSERVED INDIVIDUALS IN ORDER TO PROMOTE THE EARLY DETECTION OF CANCER. BECAUSE BMC SERVES A PREDOMINANTLY MINORITY AND LOW-INCOME POPULATION, INCLUDING MANY NON-ENGLISH-SPEAKING CITIZENS AND IMMIGRANTS, THE DELIVERY OF EXCEPTIONAL CARE REQUIRES A KEEN SENSITIVITY TO THE CHALLENGES FOR OUR PATIENT POPULATION. THE SATURDAY CANCER SCREENINGS EFFECTIVELY REACH OUR TARGET POPULATION BECAUSE THEY CREATE A CONVENIENT TIME FOR PEOPLE WHO WORK TO ACCESS SCREENINGS, AND ALLOW HUSBANDS AND WIVES TO SUPPORT EACH OTHER AS THEY BOTH ARE SCREENED. A TOTAL OF 240 PEOPLE FROM BOSTON AND SURROUNDING AREAS ATTENDED THE 2011 SCREENING EVENT. FLU VACCINE DAY: BMC BEGAN ITS 2010-2011 INFLUENZA VACCINATION CAMPAIGN IN SEPTEMBER OF 2010 MAKING INFLUENZA VACCINE AVAILABLE TO ALL PATIENTS IN BOTH THE INPATIENT AND AMBULATORY CARE SETTINGS. TO DATE, BMC HAS ADMINISTERED MORE THAN 31,348 DOSES OF VACCINE.
A SAFETY NET FOR SPECIAL AT-RISK POPULATIONS   THE METRO BOSTON JAIL DIVERSION PROGRAM (JDP): SINCE 2006, THE JDP HAS WORKED WITH 529 INDIVIDUALS WITH MENTAL HEALTH AND/OR CO-OCCURRING MENTAL HEALTH AND SUBSTANCE DEPENDENCE WHOSE ASSOCIATED BEHAVIOR BRINGS THEM TO THE ATTENTION OF LAW ENFORCEMENT AND COURTS. THE JDP COLLABORATES WITH THE POLICE AND COURTS TO BOTH IDENTIFY INDIVIDUALS WITH THESE RISK FACTORS AND CONNECT THEM WITH APPROPRIATE SERVICES AND TREATMENT AS ALTERNATIVES TO ARREST AND INCARCERATION. THE JDP IS TRAINING BOSTON POLICE DEPARTMENT AND MASSACHUSETTS BAY TRANSIT AUTHORITY OFFICERS TO IDENTIFY INDIVIDUALS WITH MENTAL ILLNESS AND HOW TO REFER INDIVIDUALS TO SERVICES INSTEAD OF ARRESTING THEM. AT THE COURT LEVEL, 56 JDP PARTICIPANTS HAVE SUCCESSFULLY COMPLETED PROBATION RATHER THAN BEING INCARCERATED. BOSTON CENTER FOR REFUGEE HEALTH AND HUMAN RIGHTS (BCRHHR): THE MISSION OF THE BCRHHR IS TO PROVIDE COMPREHENSIVE HEALTH CARE FOR REFUGEES AND SURVIVORS OF TORTURE AND RELATED TRAUMA, COORDINATED WITH LEGAL AID AND SOCIAL SERVICES; EDUCATE AND TRAIN AGENCIES AND PROFESSIONALS WHO SERVE THESE COMMUNITIES; ADVOCATE FOR THE PROMOTION OF HEALTH AND HUMAN RIGHTS IN THE UNITED STATES AND WORLDWIDE; AND CONDUCT CLINICAL, EPIDEMIOLOGICAL, AND LEGAL RESEARCH FOR THE BETTER UNDERSTANDING AND PROMOTION OF HEALTH AND QUALITY OF LIFE FOR SURVIVORS OF TORTURE AND RELATED TRAUMA. IN FY11, THE BCRHHR SERVED MORE THAN 500 PATIENTS. ELDERS LIVING AT HOME PROGRAM (ELAHP): IN FY11, ELAHP PROVIDED HOUSING SEARCH AND PLACEMENT TO 14 HOMELESS OLDER ADULTS, AND HOUSING STABILIZATION SERVICES TO AN ADDITIONAL 60 FORMERLY HOMELESS INDIVIDUALS. NONE OF THE VULNERABLE CLIENTS SERVED DURING THE YEAR RELAPSED INTO HOMELESSNESS, ALTHOUGH TWO INDIVIDUALS DID REQUIRE NURSING HOME PLACEMENT DUE TO SIGNIFICANT DECLINES IN THEIR COGNITIVE ABILITIES. THE GOAL OF ELAHP IS TO HELP OLDER ADULTS LOCATE AND MAINTAIN A PERMANENT RESIDENCE AND ALLOW THEM TO LIVE AS INDEPENDENTLY AS POSSIBLE. HEALTHY NUTRITION AND EXERCISE FOOD PANTRY: THE PREVENTIVE FOOD PANTRY AND DEMONSTRATION KITCHEN ADDRESS HUNGER-RELATED ILLNESS AND MALNUTRITION AMONG A LOW-INCOME, LARGELY UNDERSERVED AND VULNERABLE PATIENT POPULATION OF GREATER BOSTON. INDIVIDUALS AT RISK OF MALNUTRITION ARE REFERRED TO THE PROGRAM BY BMC OR BOSTON HEALTHNET PHYSICIANS OR NUTRITIONISTS WHO PROVIDE "PRESCRIPTIONS" FOR SUPPLEMENTAL FOOD THAT BEST PROMOTES PHYSICAL HEALTH, PREVENTS FUTURE ILLNESS, AND FACILITATES RECOVERY. THE FOOD PANTRY NOW PROVIDES NUTRITIONAL FOOD PRESCRIPTIONS TO APPROXIMATELY 7,000 PEOPLE EACH MONTH. OVER THE PAST FIVE YEARS THE PANTRY HAS SEEN AN 87% INCREASE IN DEMAND FOR ITS SERVICES. IN 2011, THE PANTRY PROVIDED 252,228-WORTH OF FOOD TO AN ESTIMATED 13,902 PEOPLE. THIS NUMBER IS EXPECTED TO RISE BY 5% IN 2012. APPROXIMATELY 10,000 POUNDS OF FOOD SUPPLIES ARE REQUIRED WEEKLY TO STOCK THE PANTRY SHELVES AT BMC. THE DEMONSTRATION KITCHEN COMPLEMENTS THE WORK OF THE PANTRY BY EDUCATING PATIENTS ABOUT NUTRITION THROUGH COOKING METHODS THAT ARE COMPATIBLE WITH THEIR MEDICAL AND DIETARY NEEDS, AS PRESCRIBED BY THEIR PHYSICIANS. GROW CLINIC: AS PART OF BMC'S PEDIATRICS DEPARTMENT, THE PRIMARY GOAL OF THE GROW CLINIC IS TO PROVIDE COMPREHENSIVE MULTIDISCIPLINARY MEDICAL, NUTRITIONAL, SOCIAL SERVICES AND DIETARY ASSISTANCE TO CHILDREN FROM THE GREATER BOSTON AREA DIAGNOSED WITH FAILURE TO THRIVE (FTT). CHILDREN WITH FTT HAVE SIGNIFICANT DIFFICULTY GROWING BECAUSE OF MALNUTRITION ASSOCIATED WITH POVERTY, ILLNESS AND FAMILY STRESS. THE EFFECTS OF FTT INCLUDE SHORTENED ATTENTION SPANS, EMOTIONAL PROBLEMS, DELAYED COGNITIVE DEVELOPMENT, LASTING GROWTH FAILURE, AND FREQUENT AND SERIOUS ILLNESS, WHICH CAN RESULT IN HOSPITALIZATION. IN 2011, THE GROW CLINIC PROVIDED MEDICAL TREATMENT, NUTRITIONAL ASSESSMENT, HOME HEALTH EDUCATION, FAMILY ADVOCACY, ACCESS TO A THERAPEUTIC FOOD PANTRY AND OTHER SERVICES, CHILDREN'S CLOTHES, DIAPERS, BOOKS AND EDUCATIONAL TOYS TO A TOTAL OF 225 PATIENTS/FAMILIES. ADULT WEIGHT MANAGEMENT: THE NUTRITION AND WEIGHT MANAGEMENT CENTER OFFERS SEVERAL PROGRAMS, SUCH AS WEEKLY SUPPORT GROUPS FOR WEIGHT MANAGEMENT AND A CANCER SURVIVOR'S WEIGHT MANAGEMENT GROUP, FOR THE COMMUNITY AIMED AT SUPPORTING HEALTHY LIFESTYLES AND NUTRITION. MORE THAN 500 PATIENTS BENEFITED FROM THESE SERVICES IN FY11. NUTRITION AND FITNESS FOR LIFE PROGRAM (NFL): THE DEPARTMENT OF PEDIATRICS WORKS TO PREVENT THE ONSET OF ADULT DIABETES IN YOUNG, UNDERSERVED, AND OVERWEIGHT AND OBESE PATIENTS THROUGH ITS NFL, WHICH PROVIDES CLINICAL AND COMMUNITY-BASED SERVICES TO CHILDREN AND THEIR FAMILIES. THE NFL MODEL FEATURES THREE PRIMARY COMPONENTS: 1) CLINICAL SERVICES TARGETING CHILDREN WITH >95 PERCENTILE OF BODY MASS INDEX; 2) THE FANTASTIC KIDS AFTER SCHOOL PROGRAM WHICH PROVIDES TEEN-MENTORED NUTRITION EDUCATION AND FITNESS ACTIVITIES FOR OVERWEIGHT AND OBESE YOUTH WHO ARE REFERRED TO THE PROGRAM BY THEIR PHYSICIANS; AND 3) CONTINUING MEDICAL EDUCATION FOR CLINICIANS TO INCREASE THEIR CAPACITY TO TREAT PEDIATRIC OVERWEIGHT PATIENTS IN THE PRIMARY CARE SETTING. THESE PROGRAMS FILL A LARGE GAP IN SERVICES TO POPULATIONS MOST STRONGLY IMPACTED BY THE PEDIATRIC OBESITY EPIDEMIC. BASIC NEEDS CLOTHING BANK: BMC'S SOCIAL WORKERS ACCESS THE CLOTHING BANK IN REAL
TIME WHEN A PROVIDER CONTACTS SOCIAL WORK ABOUT A BASIC CLOTHING NEED (SWEAT PANTS, SHIRTS, UNDERWEAR, SOCKS, SHOES, AND WINTER COATS) FOR A LOW-INCOME PATIENT. SOCIAL WORK EMERGENCY FUND (SWEF): THE SWEF PROVIDED SHORT-TERM, IMMEDIATE ASSISTANCE TO APPROXIMATELY 700 PATIENTS WHO FACED CRISES IN FY11 AND HAD NOWHERE ELSE TO TURN. THE FUND ENABLES BMC TO COVER THE COSTS OF EMERGENCY EXPENSES WHILE ITS SOCIAL WORKERS HELP INDIVIDUALS AND FAMILIES FIND THE RESOURCES AND SERVICES THEY NEED TO STABILIZE THEIR LIVES AFTER PERSONAL CRISES. WE PROVIDE CAB VOUCHERS FOR THOSE UNABLE TO ACCESS PUBLIC TRANSPORTATION TO GET TO BMC, AND CAR SEATS AND CLOTHING TO YOUNG FAMILIES. SWEF HAS THE FLEXIBILITY TO PROVIDE FOR A RANGE OF NEEDS AND THE JUDICIOUS USE OF FUNDS HELPS IN A NUMBER OF UNIQUE SITUATIONS WHEN, TOO OFTEN, INDIVIDUALS AND FAMILIES HAVE NO ALTERNATIVE. REMOVING BARRIERS TO ACCESSING CARE NEW ENGLAND FLIGHT: BMC IS A BOSTON MEDFLIGHT (BMF) PARTNER. BMF IS A COMMISSION ON ACCREDITATION OF MEDICAL TRANSPORT SERVICES (CAMTS) ACCREDITED CRITICAL CARE TRANSPORT SERVICE. BOSTON MEDFLIGHT COMMITS TO EXCELLENCE IN CRITICAL CARE TRANSPORT BY PROVIDING THE HIGHEST QUALITY REGIONAL CRITICAL CARE TRANSPORT SYSTEM. AS A NON-PROFIT ORGANIZATION, BOSTON MEDFLIGHT TRANSPORTS EMERGENT PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND IS FINANCIALLY SUPPORTED IN PART BY A CONSORTIUM OF BOSTON HOSPITALS INCLUDING BMC. FOR OVER 25 YEARS, BOSTON MEDFLIGHT HAS PLAYED AN INTEGRAL ROLE AS PART OF THE MASSACHUSETTS EMS SYSTEM AND THE COMMUNITY HOSPITALS OF NEW ENGLAND. PATIENT NAVIGATION: THE PATIENT NAVIGATION PROGRAM IS DESIGNED FOR PATIENTS WITH CANCER AND CHRONIC ILLNESSES, SUCH AS DIABETES, WHO NEED SPECIAL ASSISTANCE IN NAVIGATING THE HEALTH CARE SYSTEM. PATIENT NAVIGATORS ARE INDIVIDUALS FROM THE COMMUNITIES SERVED BY BMC AND WHO HAVE SPECIAL LANGUAGE SKILLS, TRAINING IN SCHEDULING, AND REFINED COMPASSION/COMMUNICATION SKILLS. PEER NAVIGATORS CONTACT OUR MOST VULNERABLE PATIENTS AND HELP THEM TO ACCESS THE DOCTOR VISITS AND TREATMENT THAT THEY NEED IN THE MOST EFFICIENT MANNER POSSIBLE, ARRANGING TRANSPORTATION FOR PATIENTS, REMINDING PATIENTS ABOUT APPOINTMENTS THAT THEY HELPED THE PATIENTS TO SCHEDULE, AND CONNECTING PATIENTS TO COMMUNITY RESOURCES SUCH AS THE BMC FOOD PANTRY. SHUTTLE BUSES/TAXIS: COMMUNITY ACCESS TO BMC IS ENHANCED THROUGH A FREE SHUTTLE BUS SERVICE. FOUR BUSES CIRCULATE THROUGHOUT THE SYSTEM ON ESTABLISHED ROUTES, FROM 7AM-7PM, MONDAY THROUGH FRIDAY, BRINGING PATIENTS TO BMC. IN FY11, THESE SHUTTLE BUSES TRANSPORTED 199,936 PATIENTS AND THEIR FAMILIES BETWEEN BMC AND THE BOSTON HEALTHNET CHCS. THERE IS ALSO A DIRECT TAXI AND VAN HOSPITAL-TO-HOME SERVICE FOR SPECIFIC CASES. INTERPRETER SERVICES: BMC VALUES ITS DIVERSE PATIENT POPULATION AND IS COMMITTED TO HONORING THEIR ETHNIC, RELIGIOUS AND CULTURAL DIFFERENCES. THE INTERPRETER SERVICES DEPARTMENT IS THE MOST EXTENSIVE IN NEW ENGLAND. IN ADDITION TO PROVIDING PERSON-TO-PERSON INTERPRETERS ON-SITE IN MORE THAN 30 LANGUAGES, 24-HOURS-A DAY, THE DEPARTMENT UTILIZES THE LATEST ADVANCES IN TECHNOLOGY SUCH AS TELEPHONIC AND VIDEO INTERPRETING. INTERPRETER SERVICES GOES ABOVE AND BEYOND WHAT IS MANDATED BY LAW TO PROVIDE VIDEO INTERPRETING, NON-ESSENTIAL DOCUMENT TRANSLATION (SUCH AS APPOINTMENT REMINDER LETTERS, BEREAVEMENT LETTERS), TRANSLATION AND RECORDING OF CLINIC PHONE MENUS, AND 24/7 ON-CALL FACE-TO-FACE COVERAGE FOR OUR TOP FOUR LANGUAGES OUR INTERPRETERS HELP TO BREAK LANGUAGE BARRIERS AS WELL AS SERVE AS CULTURAL BROKERS TO PATIENTS AND STAFF. LAST YEAR, THEY ASSISTED IN 190,647 INTERACTIONS WITH PATIENTS AND VISITORS. ADDRESSING SIGNIFICANT PUBLIC HEALTH PROBLEMS DIABETES: THE BMC DIABETES CENTER PROVIDES INNOVATIVE AND UP-TO-DATE DIABETES EDUCATION AND CARE TO HELP PATIENTS BETTER UNDERSTAND AND MANAGE THEIR DIABETES. LOCATED IN THE ENDOCRINOLOGY CLINIC, THE DIABETES CENTER PROVIDES CULTURALLY AND LITERACY-APPROPRIATE EDUCATION ABOUT NUTRITION, MENU PLANNING, EXERCISE AND MEDICATION MANAGEMENT TO THE MOST CHRONICALLY ILL PATIENTS WITH DIABETES. CARE PROVIDERS ALSO TRAIN PATIENTS TO BETTER MANAGE THEIR INSULIN REGIMENS. A PATIENT NAVIGATOR ON THE TEAM ASSISTS PATIENTS IN APPOINTMENT SCHEDULING AND TRANSPORTATION NEEDS, FOR PATIENTS WITH CHALLENGES IN RETAINING THEIR APPOINTMENTS (SEE PATIENT NAVIGATION). SMOKING CESSATION: BMC'S DIVISION OF PSYCHIATRY OFFERS A MEDICALLY SUPERVISED SMOKING CESSATION PROGRAM. THE PROGRAM IS AN EIGHT WEEK, ONE HOUR PER WEEK CLASSROOM MODEL WITH A CURRICULUM THAT INCLUDES PHARMACOTHERAPY, NICOTINE REPLACEMENT (GUM AND PATCHES), STRESS REDUCTION TRAINING, COGNITIVE RESTRUCTURING, SOCIAL SUPPORT, AND RELAPSE PREVENTION COUNSELING. THIS CLINICAL RESOURCE FOR BMC PATIENTS ALSO SERVES AS A CENTER FOR TRAINING AND RESEARCH IN TOBACCO CONTROL AVAILABLE TO THE ENTIRE BMC COMMUNITY.
IMPROVING QUALITY OF LIFE   ACUPUNCTURE: ACUPUNCTURE SERVICES AT BMC ARE PROVIDED FREE OF CHARGE TO MORE THAN 600 PATIENTS ANNUALLY WHO DO NOT HAVE AFFORDABLE ACCESS TO COMPLEMENTARY ALTERNATIVE MEDICINE (CAM). CANCER SUPPORT GROUPS: IN 2006, BMC ESTABLISHED THE CANCER PATIENT SUPPORT SERVICES FUND TO PROVIDE CRUCIAL SERVICES AND PROGRAMS TO COMPLEMENT PATIENTS' CLINICAL CARE. THE FUND IS USED FOR SURVIVORSHIP PROGRAMS SUCH AS SUPPORT GROUPS AND CELEBRATIONS, ASSISTANCE WITH TRANSPORTATION COSTS TO AND FROM THE HOSPITAL, PATIENT NAVIGATION, AND THE PROVISION OF COMPLEMENTARY THERAPIES SUCH AS YOGA AND MASSAGE. IN FY11, THERE WERE 15 CANCER SUPPORT GROUPS THAT MET REGULARLY AND AS MANY AS 650 PATIENTS WHO PARTICIPATED IN THE SURVIVORSHIP PROGRAMS. INTEGRATIVE MEDICINE: THE MISSION OF THE INITIATIVE FOR INTEGRATIVE MEDICINE AND HEALTH DISPARITIES WITHIN THE DEPARTMENT OF FAMILY MEDICINE, WHICH SERVED APPROXIMATELY 250 PATIENTS ON A ROTATING BASIS IN FY11, IS TO SUBSTANTIALLY IMPACT THE QUALITY OF LIFE FOR THE URBAN UNDERSERVED THROUGH PROVIDING ACCESS TO INTEGRATIVE MEDICINE CLINICAL SERVICES, RESEARCH AND EDUCATION. SERVICES PROVIDED, PRIMARILY FREE OF CHARGE, INCLUDE YOGA CLASSES, INTEGRATIVE CANCER CARE, ACUPUNCTURE CLINICS, CHI GUNG CLASS, MUSIC THERAPY, AND INTEGRATIVE MEDICINE CONSULTS. EMPOWERING INDIVIDUALS WITH DISABILITIES STEPPING FORWARD-STAYING INFORMED CONSUMER EDUCATION PROGRAM: THE STEPPING FORWARD-STAYING INFORMED IS A TWO-PRONGED CONSUMER EDUCATION PROGRAM CONSISTING OF AN ANNUAL ONE-DAY RESEARCH CONFERENCE TAILORED TO CONSUMERS AND A BI-MONTHLY EVENING LECTURE SERIES. STEPPING FORWARD-STAYING INFORMED PRESENTS TOPICS THAT DIRECTLY RELATE TO LIVING WITH SPINAL CORD INJURY (SCI), SUCH AS CURRENT RESEARCH FINDINGS AND EMERGING EFFECTIVE TREATMENT TECHNIQUES, IN EASILY UNDERSTOOD, LAY TERMINOLOGY. INDIVIDUALS LIVING WITH SCI AND THEIR FAMILIES SEEK CURRENT INFORMATION ABOUT SPINAL CORD INJURY RESEARCH AND EMERGING TREATMENTS BECAUSE IT ENABLES THEM TO ADVOCATE ON THEIR BEHALF, MAKE INFORMED DECISIONS ABOUT CARE, AND SHARE INFORMATION WITH OTHER INDIVIDUALS. THE STEPPING FORWARD-STAYING INFORMED CONFERENCE IS A SOURCE OF INFORMATION FOR CONSUMERS AND HEALTHCARE PROFESSIONALS. COMMUNITY INITIATIVES/DETERMINATION OF NEED THE DETERMINATION OF NEED (DON) PROGRAM, ADMINISTERED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, REQUIRES HEALTH CARE FACILITIES PLANNING SUBSTANTIAL CAPITAL EXPENDITURES OR SUBSTANTIAL CHANGES IN SERVICES TO SEEK REVIEW AND APPROVAL FROM THE STATE PRIOR TO IMPLEMENTING A PLANNED EXPENDITURE/CHANGE IN SERVICES. ONE CONDITION OF APPROVAL IS THAT THE HOLDER OF AN APPROVED DON SHALL EXPEND, TYPICALLY OVER A FIVE-YEAR PERIOD, AN AMOUNT REASONABLY RELATED TO THE COST OF THE PROJECT, FOR THE PROVISION OF PRIMARY AND PREVENTIVE HEALTH CARE SERVICES NECESSARY FOR UNDERSERVED POPULATIONS IN THE PROJECT'S SERVICE AREA. THIS PROGRAM, THE "COMMUNITY HEALTH INITIATIVES (CHI) PROGRAM" IS COMMONLY REFERRED TO AS "FACTOR 9" SINCE IT IS REQUIRED UNDER SECTION 9 OF SUBSECTION 100.533(B) OF THE DETERMINATION OF NEED REGULATION. BMC HAS SOUGHT AND RECEIVED APPROVAL FOR A NUMBER OF DONS RELATING TO MAJOR CLINICAL TECHNOLOGIES, WHICH ARE REGULATED BY THE DON PROGRAM. THESE TECHNOLOGIES ARE LISTED IN THE CHART BELOW, AND INDICATE THE RECIPIENTS OF THE REQUIRED "FACTOR 9" DONATIONS. ALL OF THESE PROJECTS ARE TO BE PAID OVER A 5-YEAR PERIOD, TYPICALLY IN EQUAL AMOUNTS EACH YEAR. DETERMINATION OF THE AMOUNT, SET BY THE DEPARTMENT OF PUBLIC HEALTH, WAS BASED ON 5% OF THE MAXIMUM CAPITAL EXPENDITURE (MCE) FOR EACH PROJECT. BMC'S DONATIONS HAVE BEEN MADE TO A COMBINATION OF COMMUNITY HEALTH CENTERS IN BMC'S SERVICE AREA AS WELL AS TO THE ALLIANCE FOR COMMUNITY HEALTH (COMMUNITY HEALTH NETWORK AREA 19 - "CHNA 19") - WHICH IS A COALITION OF AGENCIES, ORGANIZED WITH THE ASSISTANCE OF THE DEPARTMENT OF PUBLIC HEALTH AND SERVING THE BOSTON AREA. (NOTE: THE ALLIANCE'S FISCAL AGENT WAS HEALTH RESOURCES IN ACTION/COMMUNITY BENEFITS DEPARTMENT DURING FY 2011).
PHARMACY (FREE RX)   THE HEALTH SAFETY NET SYSTEM IN MASSACHUSETTS IS THE SUCCESSOR SYSTEM TO THE FREE CARE POOL. ESTABLISHED SO UNINSURED MASSACHUSETTS RESIDENTS WITHOUT FINANCIAL RESOURCES WOULD HAVE ACCESS TO QUALITY NO COST HEALTH CARE SERVICES. EVEN THOUGH MASSACHUSETTS REQUIRES EVERYONE IN THE STATE TO HAVE HEALTH INSURANCE, WE STILL HAVE MANY UNINSURED PEOPLE ACCORDING TO STATE STATISTICS. THE BMC OUTPATIENT PHARMACIES SERVE THE FREECARE POPULATION ON A DAILY BASIS WITH DIGNITY AND RESPECT WHILE MEETING OUR HOSPITAL'S MISSION OF EXCEPTIONAL AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY. IN FISCAL YEAR 2011 THE PHARMACIES FILLED OVER 200,000 FREECARE PRESCRIPTIONS FOR PATIENTS WITHOUT INSURANCE. NOT ONE PERSON LEFT THE BMC PHARMACIES WITHOUT THEIR PRESCRIPTIONS WHETHER IT WAS FOR OUTPATIENT CHEMOTHERAPY OR ASPIRIN TABLETS, IF THEY DID NOT HAVE INSURANCE OR THE MEANS TO PAY FOR IT. LINE 6: AFFILIATED HEALTH CARE SYSTEM ESTABLISHED IN 1995, BOSTON HEALTHNET (BHN) IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM COMPRISED OF BMC, THE BOSTON UNIVERSITY SCHOOL OF MEDICINE, AND 15 COMMUNITY HEALTH CENTERS (CHCS). PHYSICIANS WHO PRACTICE AT HEALTHNET LOCATIONS PROVIDE A WIDE RANGE OF COMPREHENSIVE HEALTH CARE SERVICES TO ADULT AND PEDIATRIC PATIENTS, WITH A FOCUS ON DISEASE PREVENTION AND HEALTH EDUCATION. PATIENTS RECEIVING PRIMARY CARE AT HEALTHNET SITES HAVE ACCESS TO HIGHLY TRAINED SPECIALISTS AND CUTTING-EDGE TECHNOLOGY AT BMC WHILE MAINTAINING INDIVIDUALIZED AND CULTURALLY SENSITIVE CARE IN THEIR NEIGHBORHOODS. NOW IN ITS 17TH YEAR, BHN AND ITS CHC PARTNERS HAVE EXTENDED BMC'S PRESENCE INTO BOSTON-AREA NEIGHBORHOODS, SIGNIFICANTLY IMPACTING THE HEALTH OF THEIR RESIDENTS. THE ACCOMPLISHMENTS OF THE NETWORK ARE EVIDENCED BY: THE GROWTH OF CHC ADMISSIONS TO BMC; THE ESTABLISHMENT OF AN INPATIENT ROUNDER SYSTEM FOR CHC PATIENTS; THE COLLABORATIVE DEVELOPMENT OF QUALITY IMPROVEMENT INITIATIVES, CLINICAL PROTOCOLS, AND STANDARDS OF PRACTICE; INCREASED ACCESS TO SPECIALTY SERVICES; A SUCCESSFUL PUBLIC HEALTH OUTREACH CAMPAIGN; AND THE SIGNIFICANT DEVELOPMENT AND COORDINATION OF BHN'S INFORMATION TECHNOLOGY PROGRAMS AND SERVICES. IN 1997, BOSTON HEALTHNET ESTABLISHED A COMMUNITY PHYSICIAN GROUP INPATIENT ROUNDER SYSTEM AT BMC. THE ROUNDER SYSTEM BRINGS TOGETHER PHYSICIANS FROM THE CHCS AND THE BMC DEPARTMENT OF FAMILY MEDICINE TO CARE FOR PATIENTS FROM THESE CENTERS WHILE THEY ARE IN THE HOSPITAL, THEREBY COORDINATING AND ENHANCING THE QUALITY AND CONTINUITY OF CARE. TODAY, 12 CHCS AND BMC'S DEPARTMENT OF FAMILY MEDICINE PARTICIPATE IN THE ROUNDER SYSTEM. THE SYSTEM WAS RECONFIGURED IN 2008 INTO THREE TEAMS, COMPRISED OF BMC AND CHC ATTENDING PHYSICIANS ASSISTED BY THREE NURSE PARTNERS AND FOUR PHYSICIAN ASSISTANTS. IN 2008 THE ROUNDER SYSTEM WAS EXTENDED TO EVENINGS AND SEVEN DAY COVERAGE. THE AVERAGE LENGTH OF STAY FOR THE ROUNDER SYSTEM WAS 4.39 DAYS, WHICH COMPARES FAVORABLY WITH OTHER NATIONAL AND LOCAL INDICES. BOSTON HEALTHNET CHC PARTNERS ARE ACTIVE COLLABORATORS ON A NUMBER OF PROJECTS AND PROGRAMS DESCRIBED IN THIS REPORT, INCLUDING THE PROSTATE CANCER SCREENING INITIATIVE, PATIENT NAVIGATION RESEARCH, THE FANTASTIC KIDS PROGRAM TO ADDRESS PEDIATRIC OVERWEIGHT, AND MEDICAL-LEGAL PARTNERSHIP. ADDITIONAL EXAMPLES OF PROJECTS ON WHICH BMC AND BOSTON HEALTHNET HAVE COLLABORATED INCLUDE:
INFORMATION TECHNOLOGY SIGNIFICANT STRIDES HAVE BEEN MADE IN THE AREA OF INFORMATION TECHNOLOGY ACROSS THE NETWORK. ALL OF BOSTON HEALTHNET'S PRIMARY CHC PARTNERS ARE CONNECTED TO BMC OVER HIGH-SPEED T-1 LINES THAT PUT BMC'S CLINICAL SYSTEMS AT THE FINGERTIPS OF CHC PROVIDERS AND OTHER STAFF. IN 2001, THE PARTNERSHIP BETWEEN BMC AND THE CHCS, COUPLED WITH A SUBSTANTIAL GRANT FROM AN ANONYMOUS FOUNDATION, SUPPORTED THE IMPLEMENTATION OF THE CENTRICITY ELECTRONIC MEDICAL RECORD (EMR) AT EIGHT OF THE PRIMARY PARTNER CHCS. IN 2008 IMPLEMENTATION WAS COMPLETED AT ONE SECONDARY PARTNER CHC. ADDITIONALLY, ELECTRONIC PRESCRIBING WAS IMPLEMENTED AT THE NINE CENTRICITY SITES. A WORKING GROUP MEETS MONTHLY TO ADDRESS DEVELOPMENTAL ISSUES AND TO EVALUATE AND PRIORITIZE FUTURE PROJECTS. A THREE YEAR, $746,246 HRSA AWARD TO BOSTON HEALTHNET IN FY07 SUPPORTED THE VERTICAL INTEGRATION OF ELECTRONIC MEDICAL RECORDS AT EIGHT CHCS WITH THAT OF BMC. THIS INTEGRATION TOOK PLACE VIA IMPLEMENTATION OF A CLINICAL INFORMATION EXCHANGE (CIE) THAT NOW ALLOWS CHC PROVIDERS TO VIEW INFORMATION IN BOTH BMC AND OTHER CHC SYSTEMS THROUGH THE LOCAL PATIENT RECORD. THE CIE ALSO ALLOWS PHYSICIANS IN THE CHCS TO BETTER TRACK PATIENTS RECEIVING CARE AT BMC. IN 2008, THE NETWORK WAS A RECIPIENT OF A ONE-YEAR, $543,000 HIGH IMPACT HEALTH INFORMATION TECHNOLOGY GRANT FROM HRSA THAT ALLOWS STAFF TO IMPLEMENT AN ELECTRONIC REFERRAL MANAGEMENT SYSTEM BETWEEN THE 10 BHN PRIMARY PARTNER CHCS AND SPECIALISTS IN THE BMC DEPARTMENT OF MEDICINE. BY LEVERAGING THE TECHNOLOGY OF THE CIE, THE EREFERRAL SYSTEM ALSO MAKES IT POSSIBLE FOR THE CHCS TO SCHEDULE APPOINTMENTS, ELECTRONICALLY SUBMIT REQUIRED CLINICAL INFORMATION TO SPECIALISTS, RECEIVE ELECTRONIC INFORMATION ABOUT REFERRALS, TRACK PATIENTS' NO-SHOW RATES, AND RECEIVE RETURN SPECIALIST REPORTS THROUGH THE LOCAL EMR OR BY OPENING A WEB-BASED PRACTICE PORTAL. IN 2010, BOSTON HEALTHNET RECEIVED A TWO-YEAR, $2,986,872 GRANT FROM HRSA TO HELP COMPLETE THE TRANSFORMATION OF CURRENT HEALTH INFORMATION TECHNOLOGY CAPABILITIES INTO A TRULY INTEGRATED, HIGH-PERFORMANCE HEALTH INFORMATION EXCHANGE WITH THE CAPACITY TO HANDLE ALL NECESSARY CLINICAL, ADMINISTRATIVE AND FINANCIAL FUNCTIONS. TO THIS END, PROJECT FUNDS ARE BEING USED TO INSTALL THE CENTRICITY PRACTICE SOLUTION AT FIVE CHCS; TO IMPLEMENT IMMUNIZATION AND DIABETES REGISTRIES FOR THE ENTIRE BHN NETWORK, INCLUDING BMC; TO FULLY AUTOMATE LABORATORY ORDER ENTRY AND RESULTS RETRIEVAL FOR 12 OF THE CHCS; TO AUTOMATE REPORTING OF UNIFORM DATA SYSTEM MEASURES AND HRSA CLINICAL PERFORMANCE MEASURES IN ALL 15 CHCS; AND TO CREATE A DATA WAREHOUSE FOR THE CHCS. IN 2011, THE YANKEE ALLIANCE, INC. AWARDED BMC $454,967 FOR THE BALANCED SCORECARD/SAFE SIGN-OUTS PROJECT, TO BEGIN RETROACTIVELY ON OCTOBER 1, 2011 AND FINISH SEPTEMBER 30, 2012. BMC BALANCED SCORECARD IS A CONTINUATION PROJECT TO MOVE TO THE NEXT LEVEL IN DEVELOPING A COMPUTER DASHBOARD SYSTEM TO DRILL DOWN ON PATIENT SAFETY AND QUALITY. THIS PROJECT WILL FOCUS ON THE PROVIDER LEVEL METRICS DEVELOPMENT AND TESTING. SAFE SIGN-OUTS IS A NEW SYSTEMS DEVELOPMENT PROJECT TO CREATE A SOFTWARE SYSTEM AND PROTOCOL FOR RESIDENT SAFE SIGN-OUTS TO PREVENT PATIENT ADVERSE EVENTS. ALSO IN 2011, BOSTON HEALTHNET RECEIVED A TWO-YEAR HRSA GRANT TO IMPLEMENT A SERIES OF HEALTH INFORMATION TECHNOLOGY INITIATIVES THAT INTEGRATE DATABASES AND ELECTRONIC ALERTS IN STANDARDIZED SYSTEMS IN ORDER TO IMPROVE THE QUALITY, EFFECTIVENESS AND EFFICIENCY OF PRIMARY CARE. THE PROJECT WILL IMPLEMENT CLINICAL AND FINANCIAL PRACTICE MANAGEMENT SOFTWARE THAT IS FULLY INTEGRATED WITH THE ELECTRONIC HEALTH RECORDS AT FIVE CHCS, REDUCING THE NUMBER OF CUSTOMIZED INTERFACES AND LICENSES NEEDED AND PROVIDING CRUCIAL BUSINESS INTELLIGENCE; CREATE SYSTEM-WIDE CHILDHOOD IMMUNIZATION AND DIABETES REGISTRIES; AUTOMATE REPORTING OF UNIFORM DATA SYSTEM DATA, HRSA CLINICAL PERFORMANCE MEASURES AND SELECTED PRACTICE MANAGEMENT METRICS; AND CREATE A DATA WAREHOUSE FOR THE CHCS.THE PROJECT WILL BENEFIT THE MORE THAN 334,000 BOSTON HEALTHNET PATIENTS AND THE CLINICAL IMPACT OF THE PROPOSED WILL INCLUDE SIGNIFICANT INCREASES IN THE NUMBER OF CHILDREN FULLY IMMUNIZED BY AGE TWO YEARS AND ADHERENCE TO THE STANDARDS OF THE NATIONAL COMMITTEE ON QUALITY ASSURANCE FOR DIABETES CARE, AND A SIGNIFICANT DECREASE IN THE PERCENT OF PATIENTS WITH UNCONTROLLED DIABETES (HBA1C > 9). INCREASING PATIENT ACCESS COMMUNITY ACCESS TO BMC IS ENHANCED THROUGH A FREE SHUTTLE BUS SERVICE. FOUR BUSES CIRCULATE THROUGHOUT THE SYSTEM ON ESTABLISHED ROUTES, FROM 7AM-7PM, MONDAY THROUGH FRIDAY, BRINGING PATIENTS TO BMC. LAST YEAR, THESE SHUTTLE BUSES TRANSPORTED 199,936 PATIENTS AND THEIR FAMILIES BETWEEN BMC AND THE BOSTON HEALTHNET CHCS. ADVANCING MEDICAL EDUCATION A NUMBER OF HEALTHNET CHCS ALSO SERVE AS THE PRIMARY COMMUNITY-BASED TRAINING SITES FOR BOSTON UNIVERSITY SCHOOL OF MEDICINE PEDIATRIC, FAMILY MEDICINE, AND GENERAL MEDICINE RESIDENTS. LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT BMC DOES NOT SUBMIT A COMMUNITY BENEFITS REPORT TO THE COMMONWEALTH OF MASSACHUSETTS.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
BOSTON MEDICAL CENTER
 
Employer identification number
04-3314093
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) ARKANSAS CHILDREN'S HOSPITAL800 Marshall Slot 512
RESEARCH INSTITUTE
Little Rock,AR72202 		71-0694931 501(c)(3) 45,847       Subaward
(2) BAY COVE HUMAN SERVICES66 Canal Street
Boston,MA02114 		04-2518575 501(c)(3) 2,773,536       Subaward
(3) BETH ISRAEL DEACONESS HOSPITALPO Box 3784
Boston,MA02241 		04-2103881 501(c)(3) 408,506       Subaward
(4) BETH ISRAEL MEDICAL CENTER555 West 57th Street
5TH FLOOR
New York,NY10019 		13-5564934 501(c)(3) 56,192       Subaward
(5) BOSTON PUBLIC HEALTH COMMISSION1010 Massachusetts Avenue
Boston,MA02118 		04-3316655 115 5,021,368       Subaward
(6) BOSTON UNIVERSITY715 Albany Street
Boston,MA02118 		04-2103547 501(c)(3) 2,915,974       Subaward
(7) Brigham & Womens HospitalPO Box 3149
Boston,MA02241 		04-2312909 501(c)(3) 437,747       Subaward
(8) BROCKTON AREA MULTI-SERVICES10 Christys Drive
Brockton,MA02301 		04-2562377 501(c)(3) 16,790       Subaward
(9) BROCKTON NEIGHBORHOOD HEALTH63 Main Street
Brockton,MA02301 		04-3165044 501(c)(3) 19,252       Subaward
(10) BUTLER HOSPITAL345 Blackstone Blvd
Providence,RI02906 		05-0258812 501(c)(3) 41,104       Subaward
(11) CALIFORNIA STATE UNIVERSITY4910 N CHESTNUT AVENUE
Fresno,CA93726 		94-6003272 501(c)(3) 32,462       Subaward
(12) CAMBRIDGE HEALTH ALLIANCE1493 Cambridge Street
Cambridge,MA02139 		04-3320571 501(c)(3) 261,174       Subaward
(13) CENTER FOR COMMUNITY HEALTH EDUCATION & RESEARCH420 Washington Street
Dorchester,MA02124 		04-3112225 501(c)(3) 69,552       Subaward
(14) CHILDREN'S HOSPITAL OF BOSTON300 Longwood Avenue
Boston,MA02115 		04-2774441 501(c)(3) 30,041       Subaward
(15) CITIZENS UTILITY BOAR309 W Washington 800
Chicago,IL60606 		36-3306846 501(c)(3) 24,795       Subaward
(16) CODMAN SQUARE HEALTH CTR INC637 Washington Street
Boston,MA02124 		04-2678774 501(c)(3) 40,801       Subaward
(17) COOPER HEALTH SYSTEMOne Cooper Place
Camden,NJ08103 		21-0634462 501(c)(3) 16,961       Subaward
(18) DORCHESTER HOUSE MULTI SVC CTR1353 Dorchester Avenue
Dorchester,MA02122 		23-7125970 501(c)(3) 65,733       Subaward
(19) DOTWELLPO Box 220803
Dorchester,MA02122 		04-3433538 501(c)(3) 39,671       Subaward
(20) DOUGLAS A THOM CLINIC INC251 West Street
Natick,MA01760 		04-2104268 501(c)(3) 11,810       Subaward
(21) EAST BOSTON NHC10 Gove Street
East Boston,MA02128 		23-7425849 501(c)(3) 55,016       Subaward
(22) ENERGY PROGRAMS CONSORTIUM1232 31st Street NW
Washington,DC20007 		52-2101783 501(c)(3) 14,966       Subaward
(23) GAYLORD HOSPITALPO Box 400
Wallingford,CT06492 		06-0646649 501(c)(3) 66,134       Subaward
(24) GEISINGER CLINICWEIS CENTER FOR RESEARCH
100 N ACADEMY AVENUE
Danville,PA17822 		23-6291113 501(c)(3) 25,666       Subaward
(25) GROUP HEALTH COOPERATIVE521 Wall Street
Seattle,WA98121 		91-0511770 501(c)(3) 145,795       Subaward
(26) HARVARD UNIVERSITY677 Huntington Avenue
Boston,MA02115 		04-2103580 501(c)(3) 127,427       Subaward
(27) HEALTH PARTNERS RESEARCH FOUNDATIONPO Box 1524
MAILSTOP 21111R
Minneapolis,MN55440 		41-1670163 501(c)(3) 50,805       Subaward
(28) HEBREW REHABILITATION300 First Avenue
Needham,MA02494 		04-2104298 501(c)(3) 10,154       Subaward
(29) INSTITUTE FOR HEALTHOne New England Exec Park
Burlington,MA01803 		11-3764559 501(c)(3) 85,201       Subaward
(30) JOHN HOPKINS UNIVERSITY600 Wolfe Street
Baltimore,MD21287 		52-0595110 501(c)(3) 10,388       Subaward
(31) JONATHAN O COLE MENTAL HEALTH115 Mill Street
C/O MCLEAN HOSPITAL
Belmont,MA02178 		04-3282088 501(c)(3) 12,161       Subaward
(32) JOSLIN DIABETES CENTEROne Joslin Place
Boston,MA02215 		04-2203836 501(c)(3) 84,507       Subaward
(33) Kaiser Foundation ResEARCH1800 Harrison Street
16TH FLOOR
Oakland,CA94612 		94-1105628 501(c)(3) 319,301       Subaward
(34) LAHEY CLINIC41 Mall Road
Burlington,MA01805 		04-2704683 501(c)(3) 99,641       Subaward
(35) LOVELACE BIOMEDICAL & ENVIRONMENTAL RESEARCH INST2425 Ridge Street
Albuquerque,NM87108 		51-0154068 501(c)(3) 69,578       Subaward
(36) MAINE MEDICAL CENTER22 Bramhall Street
Portland,ME04102 		01-0238552 501(c)(3) 10,884       Subaward
(37) MARTIN'S POINT HEALTHPO Box 9746
Portland,ME04104 		01-0353275 501(c)(3) 14,664       Subaward
(38) MASSACHUSETTS GENERAL HOSPITAL55 Fruit Street
Boston,MA02114 		04-2697983 501(c)(3) 144,620       Subaward
(39) MATTAPAN COMMUNITY HEALTH CTR1425 Blue Hill Avenue
Mattapan,MA02126 		04-2544151 501(c)(3) 34,320       Subaward
(40) MEMORIAL SLOAN-KETTERINGPO Box 26338
GENERAL POST OFFICE
New York,NY10087 		13-1924236 501(c)(3) 13,976       Subaward
(41) MGH NEUROGENETICS DNA DIAG LAB185 Cambridge Street
Boston,MA02110 		04-2807148 501(c)(3) 242,054       Subaward
(42) MINNEAPOLIS MED RESEARCH FND600 SHAPIRO BUILDING
914 SOUTH EIGHT STREET
Minneapolis,MN55404 		41-1677920 501(c)(3) 69,554       Subaward
(43) MOUNT AUBURN HOSPITAL330 Mount Auburn
Cambridge,MA02138 		04-2103606 501(c)(3) 53,607       Subaward
(44) NATIONAL ALLIANCE ON MENTAL ILLNESS OF MASS400 West Cummings Park
Woburn,MA01801 		04-2777012 501(c)(3) 10,000       Subaward
(45) NATIONAL CENTER FOR HEALTHY HOUSING INC10320 Little Patuxent Parkway
Columbia,MD21044 		52-1792579 501(c)(3) 92,818       Subaward
(46) NEW YORK UNIVERSITY MEDICAL CENTER550 First Avenue
New York,NY10016 		13-5562309 501(c)(3) 98,252       Subaward
(47) NORTH SUFFOLK MENTAL HEALTH301 Broadway Avenue
Chelsea,MA02150 		04-2317215 501(c)(3) 1,928,081       Subaward
(48) NORTHEASTERN UNIVERSITY360 Huntington Avenue
Boston,MA02115 		04-1679980 501(c)(3) 178,317       Subaward
(49) NORTHWESTERN UNIVERSITY633 Clark Street
Evanston,IL60208 		36-2167817 501(c)(3) 91,319       Subaward
(50) REGENTS OF UNIV OF MINNESOTA1300 South Street
Minneapolis,MN55454 		41-6007513 501(c)(3) 35,642       Subaward
(51) RESEARCH TRIANGLE INSTITUTEPO Box 900002
Raleigh,NC27675 		56-0686338 501(c)(3) 19,873       Subaward
(52) SOUTH BOSTON CHC409 West Broadway
South Boston,MA02127 		04-2682152 501(c)(3) 48,701       Subaward
(53) ST ELIZABETH'S MEDICAL CENTER736 Cambridge Street
OLH 3-G
Boston,MA02135 		27-2473667 501(c)(3) 80,000       Subaward
(54) STANFORD UNIVERSITY450 Serra Mall
Palo Alto,CA94304 		94-1156365 501(c)(3) 21,545       Subaward
(55) THE PENNSYLVANIA STATE UNIVERSITY110 Tech Center
University Park,PA16802 		24-6000376 501(c)(3) 55,420       Subaward
(56) TRUSTEES OF BU715 Albany Street
Boston,MA02118 		04-2103547 501(c)(3) 176,090       Subaward
(57) TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA3451 Walnut Street
Philadelphia,PA19104 		23-1352685 501(c)(3) 23,956       Subaward
(58) Tufts University171 Harrison Avenue
Boston,MA02111 		04-2103634 501(c)(3) 746,826       Subaward
(59) USCIVILIAN RESEARCHPO Box 630622
Baltimore,MD21263 		54-1773406 501(c)(3) 171,825       Subaward
(60) UNIV OF ALABAMA AT BIRMINGHAM1530 3rd Avenue South
AP 990
Birmingham,AL35294 		63-6005396 501(c)(3) 54,916       Subaward
(61) UNIVERSITY OF CALIFORNIA505 Parnassus Ave
San Francisco,CA94413 		94-6036493 501(c)(3) 12,843       Subaward
(62) UNIVERSITY OF MARYLANDPO Box 41428
BALTIMORE FOUNDATION
Baltimore,MD21203 		31-1678679 501(c)(3) 54,482       Subaward
(63) UNIVERSITY OF MASSACHUSETTS BOSTON55 Lake Avenue North
Worcester,MA01655 		04-3167352 115 285,378       Subaward
(64) UNIVERSITY OF MICHIGAN1301 Catherine Road
Ann Arbor,MI48109 		38-6006309 501(c)(3) 33,232       Subaward
(65) University Of Rhode ISLAND2 Chafee Road
Kingston,RI02881 		05-6000522 501(c)(3) 157,881       Subaward
(66) UNIVERSITY OF WISCONSIN21 N Park Street
Suite 6401
Madison,WI53715 		39-6006492 501(c)(3) 18,572       Subaward
(67) VINFEN CORPPO Box 5059
Boston,MA02206 		04-2632219 501(c)(3) 67,557       Subaward
(68) VISIONS INC48 Juniper Street
Roxbury,MA02119 		52-1378064 501(c)(3) 34,325       Subaward
(69) WAKE FOREST UNIVERSITY HEALTH1834 Wake Forest Rd
WinstonSalem,NC27157 		22-3849199 501(c)(3) 12,371       Subaward
(70) WASHINGTON UNIVERSITY700 ROSEDALE AVENUE
St Louis,MO63112 		43-0653611 501(c)(3) 37,295       Subaward
(71) WEILL MEDICAL COLLEGE1300 York Avenue
New York,NY10005 		13-1623978 501(c)(3) 47,810       Subaward
(72) YMCA OF GREATER BOSTON776 Washington Street
Dorchester,MA02124 		04-2103551 501(c)(3) 120,453       Subaward
(73) YOUTH & FAMILY ENRICHMENT SVC1234 Hyde Park Avenue
Hyde Park,MA02136 		05-0588064 501(c)(3) 108,021       Subaward
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
73
3
Enter total number of other organizations ................................ . Bullet Image
0
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
SCHEDULE I, PART I, LINE 2 Boston Medical Center monitors all sponsored program grants utilizing internal electronic tracking systems. Department staff monitor the systemY. Grants Administration works closely with the department staff to ensure that expenditures are appropriate and allowable per the award contract and notice of grant award.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BOSTON MEDICAL CENTER
 
Employer identification number

04-3314093
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
No
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
Yes
 
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
Yes
 
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
Yes
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) ELAINE ULLIAN (i)
(ii)		 76,405
0 		0
0 		1,934,648
0 		169,433
0 		24,502
0 		2,204,988
0 		0
0
(2) EDWARD CHRISTIANSEN JR (i)
(ii)		 272,404
0 		0
0 		11,782
0 		19,600
0 		11,415
0 		315,201
0 		0
0
(3) RONALD BARTLETT (i)
(ii)		 528,686
0 		0
0 		41,917
0 		68,983
0 		45,963
0 		685,549
0 		0
0
(4) STEPHANIE LOVELL (i)
(ii)		 445,334
0 		0
0 		62,027
0 		99,951
0 		18,625
0 		625,937
0 		0
0
(5) JAMES M BECKER MD (i)
(ii)		 0
442,871 		0
0 		0
547,813 		0
32,540 		0
17,731 		0
1,040,955 		0
0
(6) david coleman md (i)
(ii)		 0
449,322 		0
0 		0
171,028 		0
32,540 		0
2,592 		0
655,482 		0
0
(7) RAVIN DAVIDOFF (i)
(ii)		 414,874
0 		0
0 		112,822
0 		94,321
0 		34,734
0 		656,751
0 		0
0
(8) PAUL DREW (i)
(ii)		 0
0 		0
0 		459,369
0 		0
0 		16,628
0 		475,997
0 		0
0
(9) PETER HEALY (i)
(ii)		 253,359
0 		0
0 		22,456
0 		39,590
0 		31,929
0 		347,334
0 		0
0
(10) LISA O'CONNOR (i)
(ii)		 259,438
0 		25,000
0 		19,164
0 		59,444
0 		26,917
0 		389,963
0 		0
0
(11) NORMAN STEIN (i)
(ii)		 313,058
0 		100,800
0 		60,906
0 		105,568
0 		25,474
0 		605,806
0 		0
0
(12) THOMAS TRAYLOR (i)
(ii)		 383,290
0 		182,750
0 		76,084
0 		153,760
0 		26,429
0 		822,313
0 		0
0
(13) KATHLEEN E WALSH (i)
(ii)		 730,163
0 		150,000
0 		29,169
0 		414,958
0 		17,034
0 		1,341,324
0 		0
0
(14) MEG ARANOW (i)
(ii)		 334,316
0 		0
0 		53,737
0 		107,501
0 		21,047
0 		516,601
0 		0
0
(15) WILLIAM BARRON (i)
(ii)		 402,083
0 		0
0 		123,354
0 		63,098
0 		39,996
0 		628,531
0 		0
0
(16) THEA JAMES MD (i)
(ii)		 0
241,014 		0
0 		0
24,129 		0
32,540 		0
12,949 		0
310,632 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
SCHEDULE J, PART I, LINE 1A AND 1B   UNDER THE TERMS OF HER EMPLOYMENT AGREEMENT, THE ORGANIZATION'S PRESIDENT AND CEO RECEIVED REIMBURSEMENT FOR CERTAIN PERSONAL PROFESSIONAL SERVICES FEES INCLUDING LEGAL, TAX AND FINANCIAL PLANNING ADVICE. SUCH REIMBURSEMENTS WERE INCLUDED IN THE PRESIDENT'S TAXABLE INCOME. SCHEDULE J, PART I, LINE 4A PURSUANT TO HIS SEVERANCE AGREEMENT, PAUL DREW RECEIVED TWENTY FOUR MONTHS OF SALARY CONTINUATION. AMOUNTS INCLUDED IN COLUMN (B)(III) REPRESENT AMOUNT PAID UNDER THE AGREEMENT. SCHEDULE J, PART I, LINE 4B BOSTON MEDICAL CENTER PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CERTAIN EXECUTIVES. AMOUNTS ARE CREDITED TO PARTICIPANTS' ACCOUNTS EACH YEAR. PLAN AMOUNTS ARE SUBJECT TO FORFEITURE AND/OR PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE PLAN AGREEMENT. BOSTON MEDICAL CENTER MAINTAINS AN EXECUTIVE BENEFIT PLAN WHICH OFFERS PARTICIPATING EXECUTIVES THE OPTION OF ANNUALLY ALLOCATING BENEFIT DOLLARS TO A SUPPLEMENTAL RETIREMENT/PRE-TAX SAVINGS ACCOUNT. AMOUNTS VEST ON SPECIFIED DATES BASED ON CONTINUED EMPLOYMENT BUT NO LATER THAN THE EXECUTIVE'S 68TH BIRTHDAY. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING EXECUTIVES IN CALENDAR YEAR 2010: ARANOW - $41,520 BARRON - $101,813 DAVIDOFF - $86,730 HEALY - $20,130 LOVELL - $58,739 STEIN - $37,392 TRAYLOR - $52,761 ULLIAN - $1,873,631 BMC PROVIDED A SEPARATE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO KATHLEEN E. WALSH, PRESIDENT AND CEO AS OF MARCH 1, 2010. PURSUANT TO THE TERMS OF THE AGREEMENT, THE PRESIDENT AND CEO WAS CREDITED A ONE TIME PAYMENT THAT SUBJECT TO CERTAIN CONDITIONS WILL VEST EFFECTIVE DECEMBER 1, 2011. IN ADDITION, CERTAIN AMOUNTS ARE CREDITED TO PRESIDENT AND CEO'S ACCOUNT EACH YEAR. THESE AMOUNTS ARE SUBJECT TO FORFEITURE AND PAYMENT WILL BE MADE ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE AGREEMENT. THE APPLICABLE ACCRUED AMOUNTS ARE REFLECTED IN SCHEDULE J, PART II, COLUMN C. BMC PROVIDED A NON-QUALIFIED DEFINED BENEFIT PLAN TO CERTAIN EXECUTIVES. THE ESTIMATED ANNUAL INCREASE IN ACTUARIAL VALUE FOR THE FOLLOWING EXECUTIVES ARE REFLECTED IN SCHEDULE J, PART II, COLUMN C. Aranow - $50,359 Davidoff - $36,628 Healy - $10,948 Lovell - $17,265 O'Connor - $15,478 Stein - $53,963 Traylor - $99,375 SCHEDULE J, PART I, LINE 6B AN INDIVIDUAL LISTED IN SCHEDULE J, PART II WAS PAID COMPENSATION CONTINGENT ON THE NET EARNINGS OF A RELATED ORGANIZATION. THIS COMPENSATION IS REFLECTED IN SCHEDULE J, PART II, COLUMN B(II). SCHEDULE J, PART I, LINE 8 KATHLEEN E. WALSH ENTERED INTO AN EMPLOYMENT CONTRACT WITH BMC IN MARCH 2010. THE TERMS OF HER CONTRACT INCLUDE BASE SALARY, INCENTIVE PROGRAM, DEFERRED COMPENSATION, EXECUTIVE BENEFITS, AND SEVERANCE PROVISION. RICHARD SILVERIA ENTERED INTO AN EMPLOYMENT CONTRACT WITH BMC IN DECEMBER 2010. THE TERMS OF HIS CONTRACT INCLUDE A BASE SALARY, INCENTIVE PROGRAM, EXECUTIVE BENEFITS, AND SEVERANCE PROVISION. SCHEDULE J, PART II EDWARD CHRISTIANSEN, JR IS COMPENSATED FOR HIS ROLE AS VP & CHIEF RISK MANAGEMENT OFFICER AND NOT AS THE FORMER CLERK. RONALD BARTLETT'S COMPENSATION AS REPORTED IN SCHEDULE J, COLUMN B(III) INCLUDES A GAIN ON INVESTMENT ON HIS PREVIOUSLY TAXED DEFERRED COMPENSATION.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
BOSTON MEDICAL CENTER
 
Employer identification number
04-3314093
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A MASS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
  		04-2456011 57586ELD1 08-14-2009 13,688,734 REFUND OF SERIES M3-B (2005)   X   X X  
B MASS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
  		04-2456011 57586C7T6 07-01-2008 239,309,847 FINANCE CONSTRUCTION/RENOVATION   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 1,989,944 0    
2 Amount of bonds defeased . . . . 0 0    
3 Total proceeds of issue . . . . 13,688,734 252,790,694    
4 Gross proceeds in reserve funds . . 116,788 24,344,574    
5 Capitalized interest from proceeds. 0 31,156,547    
6 Proceeds in refunding escrow. . . . . 0 0    
7 Issuance costs from proceeds . . . 0 2,592,758    
8 Credit enhancement from proceeds. 0 0    
9 Working capital expenditures from proceeds . . 0 0    
10 Capital expenditures from proceeds . . 0 143,127,381    
11 Other spent proceeds . . 13,688,734 0    
12 Other unspent proceeds. . . 0 51,569,434    
13 Year of substantial completion . . . 2006
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X     X        
15 Were the bonds issued as part of an advance refunding issue?   X   X        
16 Has the final allocation of proceeds been made? . . X     X        
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X              
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X        
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X X          
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X X          
b Are there any research agreements that may result in private business use of bond-financed property? . .   X X          
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0 % 0.440 %    
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 % 0 %    
6 Total of lines 4 and 5 . . .. . . . . . 0 % 0.440 %    
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X          
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X        
2 Is the bond issue a variable rate issue? X     X        
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X        
b Name of provider .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X        
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X X          
6 Did the bond issue qualify for an exception to rebate? . . . X     X        
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SEE SCHEDULE O    
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BOSTON MEDICAL CENTER
 
Employer identification number

04-3314093
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) BOSTON MEDICAL CENTER INSURANCE CO SEE PART V 14,999,000 INSURANCE   No
(2) LANGUAGE LINE SERVICES TTEE KOENIG IS ON BOARD 212,439 TRANSLATION SERVICES   No
(3) SUFFOLK CONSTRUCTION COMPANY TTEE PASSAFARO IS VP 23,791,939 CONSTRUCTION   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
SCHEDULE L, PART IV, LINE 1   NAME OF INTERESTED PERSON: BOSTON MEDICAL CENTER INSURANCE CO, LTD. RELATIONSHIP: TRUSTEES PASSAFARO, DONAHUE, BECKER AND COLEMAN AND THE VP/CHIEF RISK MANAGEMENT OFFICER, CHRISTIANSEN, SERVE ON THE BOARD. AMOUNT OF TRANSACTION: BMC AND BMCIC HAVE SIGNIFICANT TRANSACTIONS WITH EACH OTHER FOR THE PURPOSE OF PROVIDING PROFESSIONAL AND GENERAL LIABILITY INSURANCE. TOTAL EXPENSES INCURRED BY THE MEDICAL CENTER RELATED TO THE INSURANCE PROVIDED BY BMCIC WAS $2,000,000 FOR THE YEAR ENDED SEPTEMBER 30, 2011. THE MEDICAL CENTER HAS $12,999,000 OF PREPAID PREMIUMS AND RETROSPECTIVE PREMIUM CREDITS THAT ARE PREPAID BY THE MEDICAL CENTER TO BMCIC AT SEPTEMBER 30, 2011.
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BOSTON MEDICAL CENTER
 
Employer identification number

04-3314093
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
contribution amounts
1 Art—Works of art .... X 8 5,552 FMV
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications .. X 3,575 FMV
5 Clothing and household
goods ....... 		X 49,245 FMV
6 Cars and other vehicles .. X 1 6,000 FMV
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 4 65,910 PROCEEDS OF STOCK
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ... X 29 38,044 FMV
20 Drugs and medical supplies . X 2 20,413 FMV
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( COLLECTIBLES ) X 10 1,950 FMV
26 Other Right pointing arrow large image ( COMPUTERS/EQUIPMENT ) X 6 53,359 FMV
27 Other Right pointing arrow large image ( GIFT CERTIFICATES ) X 199 162,104 FMV
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
SCHEDULE M, PART I, COLUMN (B)   THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED.
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
BOSTON MEDICAL CENTER
 
Employer identification number

04-3314093
Identifier Return Reference Explanation
FORM 990, PART III, LINE 4A   BOSTON MEDICAL CENTER'S MISSION IS TO PROVIDE CONSISTENTLY EXCELLENT AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS OR ABILITY TO PAY. APPROXIMATELY 200,000 OF OUR PATIENTS HAVE MASSHEALTH, COMMONWEALTH CARE OR NO INSURANCE AT ALL. APPROXIMATELY 70 PERCENT OF OUR PATIENTS COME FROM UNDERSERVED POPULATIONS, INCLUDING LOW-INCOME FAMILIES, ELDERS, PEOPLE WITH DISABILITIES AND IMMIGRANTS. SEVENTY PERCENT OF ALL PATIENTS ARE FROM RACIAL AND ETHNIC MINORITY POPULATIONS, AND 30 PERCENT DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE. TO ADDRESS THE HEALTH NEEDS OF OUR DIVERSE PATIENT POPULATION, BOSTON MEDICAL CENTER PROVIDES A WIDE RANGE OF SERVICES BEYOND THE TRADITIONAL MEDICAL MODEL SUCH AS BUT NOT LIMITED TO PATIENT NAVIGATION, INTERPRETER SERVICES, PROGRAMS THAT ADDRESS THE NEEDS OF PATIENTS AFFECTED BY VIOLENCE, HEALTH NUTRITION AND EXERCISE PROGRAMS, AND OTHERS.
PART IV, LINE 12   BOSTON MEDICAL CENTER HAS SEPARATE FINANCIAL STATEMENTS AND IS ALSO INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR BOSTON MEDICAL CENTER AND AFFILIATES.
FORM 990, PART V, LINE 4B   BERMUDA CANADA CAYMAN ISLANDS LESOTHO
FORM 990, PART VI, LINE 2   KAREN ANTMAN, M.D. JAMES M. BECKER, M.D. DAVID COLEMAN, M.D. BUSINESS RELATIONSHIP - KAREN ANTMAN, M.D. IS A KEY EMPLOYEE AT BOSTON UNIVERSITY, WHICH ALSO EMPLOYS JAMES M. BECKER, M.D. AND DAVID COLEMAN, M.D. EDWARD J. CHRISTIANSEN DAVID A. PASSAFARO SUSAN DONAHUE JAMES M. BECKER, M.D. DAVID COLEMAN, M.D. BUSINESS RELATIONSHIP - SERVE ON THE BOARD OF BMC INSURANCE COMPANY. EDWARD J. CHRISTIANSEN RONALD BARTLETT RICHARD SILVERIA BUSINESS RELATIONSHIP - SERVE AS OFFICER/BOARD MEMBER OF BMC COMMUNITY PHYSICIAN RRG, INC.
FORM 990, PART VI, LINE 11A   BOSTON MEDICAL CENTER'S (BMC) FORM 990 IS PREPARED BY PRICEWATERHOUSECOOPERS (PWC) AND REVIEWED BY BMC'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, BMC'S INTERNAL MANAGEMENT AND PWC PRESENT THE FORM 990 TO THE AUDIT COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS.
FORM 990, PART VI, LINE 12C   CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2011 WERE DISTRIBUTED BY THE ORGANIZATION'S LEGAL DEPARTMENT. THE CHIEF COMPLIANCE OFFICER OR HIS OR HER DESIGNEE QUERIES TRUSTEES, OFFICERS AND DIRECTORS ON AT LEAST AN ANNUAL BASIS REGARDING RELATIONSHIPS THAT MAY CREATE POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER OR HIS OR HER DESIGNEE REVIEWS ALL DISCLOSURES AND DETERMINES WHETHER THERE ARE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER OR HIS OR HER DESIGNEE INFORMS THE GENERAL COUNSEL OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE GENERAL COUNSEL ADVISES THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION ACCORDINGLY.
FORM 990, PART VI, LINE 15A&B   AN INDEPENDENT COMMITTEE, FORMED OF INDIVIDUALS WHOSE COMPENSATION IS NOT IN ISSUE, DETERMINES THE COMPENSATION OF OFFICERS, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES. THE COMMITTEE MEMBERS ARE NOT UNDER THE CONTROL OR DIRECTION OF ANY BMC EXECUTIVE SEEKING COMPENSATION. THE COMPENSATION PLAN IS SUPPORTED BY COMPARABLE DATA, WHICH INCLUDES COMPENSATION PAID FOR COMPARABLE POSITIONS BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, COMPENSATION SURVEYS COMPILED INDEPENDENTLY, AND/OR ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE BMC EXECUTIVE. THE INDEPENDENT COMMITTEE'S ASSESSMENT OF THESE CONSIDERATIONS ARE CONTAINED IN THE MINUTES OF THE COMMITTEE MEETING. THE REVIEW PROCESS INCLUDES - AND MINUTES INDICATE - DISCUSSIONS AND EVALUATIONS OF EACH EXECUTIVE'S PRIOR PERFORMANCE, QUALIFICATIONS, AND EXPERIENCE. EXECUTIVES ARE NOT PRESENT FOR THE INDEPENDENT COMMITTEE'S DISCUSSION AND VOTE ON COMPENSATION. THE MINUTES REFLECT THE FACT THAT NO EXECUTIVE WAS PRESENT.
FORM 990, PART VI, LINE 19   BOSTON MEDICAL CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS PUBLICLY AVAILABLE. HOWEVER, THE RESTATED ARTICLES OF THE ORGANIZATION ARE POSTED ON THE SECRETARY OF THE COMMONWEALTH'S WEBSITE.
FORM 990, PART VII, SECTION A   EDWARD CHRISTIANSEN, JR IS COMPENSATED FOR HIS ROLE AS VP AND CHIEF RISK MANAGEMENT OFFICER AND NOT AS THE FORMER CLERK.
THE FOLLOWING INDIVIDUALS DEVOTED THE FOLLOWING HOURS PER WEEK TO RELATED   ORGANIZATIONS DURING THE YEAR: RAVIN DAVIDOFF - 5 HOURS JAMES M. BECKER, MD - 50 HOURS DAVID COLEMAN, MD - 50 HOURS PETER HEALY - 10 HOURS THEA JAMES, MD - 50 HOURS STEPHANIE LOVELL - 14 HOURS THOMAS TRAYLOR - 25 HOURS FORM 990, PART XI, LINE 5 UNREALIZED LOSS ($ 24,592,000) TERMINATION OF NEIDL AGREEMENT ($ 68,015,000) TRANSFER FROM BMCHP $ 23,000,000 OTHER ADJUSTMENTS $ 1,836,000 PENSION RELATED CHANGES OTHER THAN PERIODIC PENSION COSTS ($ 8,580,000) -------------- TOTAL ($ 76,351,000)
SCHEDULE K, PART II   BOND A THE BONDS ARE PART OF A POOLED (TOTAL PAR $101,485,000) FINANCING AND THUS ONLY THE BORROWER'S ALLOCABLE PORTION OF THE BONDS IS REPRESENTED IN PART I AND II. 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. BOND B THE DIFFERENCE BETWEEN PART I (E) AND PART II 3 IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. QUESTION 12 INCLUDES UNSPENT PROJECT FUND AND EXPENSE FUND INTEREST EARNINGS. BONDS A&B QUESTION 4 - The reserve proceeds represented are transferred proceeds from the refunded bonds. SCHEDULE K, PART III, LINE 4 BOND B Although the Project has not been substantially completed certain portions of the Project have been placed in service. The private use percentage listed in Part III Line 4 reflects the use of only those portions of the project that have been placed in service.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
BOSTON MEDICAL CENTER
 
Employer identification number

04-3314093
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) BMC COMMUNITY PHYSICIAN PROGRAM LLC
5101 WASHINGTON AVENUE
WASHINGTON,DC20016
26-0350958 		RISK MGMT SVC DC   9,179 BMC
 










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) BOSTON MEDICAL CENTER HEALTH PLAN INC

2 COPLEY PLACE STE 600

BOSTON,MA02116
04-3373331 		INSURANCE MA 501(C)(3) 11 A-I BMC
 
Yes
 
(2) EAST CONCORD MEDICAL FOUNDATION INC

660 HARRISON AVENUE

BOSTON,MA02118
04-6048207 		REAL ESTATE MA 501(C)(3) 11C III-FI NA
 
 
No
(3) UNIVER DEVELOPMENT FOUNDATION INC

88 EAST NEWTON STREET

BOSTON,MA02118
04-3101957 		REAL ESTATE MA 501(C)(3) 11 A-I BMC
 
Yes
 
(4) BMC INSURANCE CO LTD OF VERMONT

PO BOX 530 100 BANK STREET

BURLINGTON,VT05401
20-1810549 		INSURANCE VT 501(C)(3) 11 A-I BMC
 
Yes
 
(5) BOSTON HEALTHNET CORP

660 HARRISON AVENUE 3RD FLOOR

BOSTON,MA02118
04-3279836 		SUPPORT SVCS MA 501(C)(3) 11 B-II BMC
 
Yes
 
(6) FACULTY PRACTICE FOUNDATION INC

660 HARRISON AVENUE 3RD FLOOR

BOSTON,MA02118
04-3289381 		MEDICAL SVCS MA 501(C)(3) 11 B-II N/A
 
No
(7) TRANSPORTATION SOL FOR COMMUTERS INC

715 ALBANY STREET

BOSTON,MA02118
04-3144411 		TRANS. SVCS MA 501(C)(3) 7 BMC
 
Yes
 
(8) BU MEDICAL CTR ANESTHESIOLOGISTS INC

88 EAST NEWTON STREET

BOSTON,MA02118
04-3276227 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(9) BOSTON EMERGENCY PHYSICIAN FDN INC

818 HARRISON AVENUE

BOSTON,MA02118
04-3286156 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(10) BU CARDIAC & THORACIC SURGICAL FDN INC

88 EAST NEWTON STREET

BOSTON,MA02118
04-2966416 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(11) BOSTON UNIVERSITY DERMATOLOGY INC

609 ALBANY STREET

BOSTON,MA02118
04-3335166 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(12) BU DERMATOLOGY SUPPORT SERVICES I INC

609 ALBANY STREET

BOSTON,MA02118
04-3452877 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(13) BU DERMATOLOGY SUPPORT SERVICES II INC

609 ALBANY STREET

BOSTON,MA02118
04-3452874 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(14) BOSTON UNIV SURGICAL ASSOCIATES INC

88 EAST NEWTON STREET

BOSTON,MA02118
04-3291148 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(15) EVANS MEDICAL FOUNDATION INC

88 EAST NEWTON STREET

BOSTON,MA02118
51-0172171 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(16) BOSTON UNIVERSITY EYE ASSOCIATES INC

2005 BAY STREET SUITE 201

TAUNTON,MA02780
04-3137333 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(17) BOSTON UNIVERSITY FAMILY MEDICINE INC

1 BOSTON MEDICAL CTR DOWLING 5

BOSTON,MA02118
04-3354353 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(18) BU MALLORY PATHOLOGY ASSOCIATES INC

784 MASSACHUSETTS AVENUE

BOSTON,MA02118
04-2794543 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(19) BOSTON UNIV NEUROLOGY ASSOCIATES INC

720 HARRISON AVENUE SUITE 707

BOSTON,MA02118
04-3428462 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(20) BU NEUROSURGICAL ASSOCIATES INC

88 EAST NEWTON STREET

BOSTON,MA02118
04-3296068 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(21) BU OBSTETRICS & GYNECOLOGY FDN INC

818 HARRISON AVENUE

BOSTON,MA02118
04-3067465 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(22) BU ORTHOPAEDIC SURGICAL ASSOCIATES INC

720 HARRISON AVENUE SUITE 808

BOSTON,MA02118
04-3354360 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(23) BUMC OTOLARYNGOLOGIC FOUNDATION INC

88 EAST NEWTON STREET

BOSTON,MA02118
04-3156471 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(24) CHILD HEALTH FOUNDATION OF BOSTON INC

818 HARRISON AVENUE DOWLING 3

BOSTON,MA02118
04-2472758 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(25) BOSTON UNIV PLASTIC SURGERY ASSOC INC

88 EAST NEWTON STREET

BOSTON,MA02118
04-3555478 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(26) BOSTON UNIVERSITY PSYCHIATRY ASSOC INC

720 HARRISON AVENUE

BOSTON,MA02118
04-3355267 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(27) BU MEDICAL CENTER RADIOLOGISTS INC

88 EAST NEWTON STREET

BOSTON,MA02118
04-3283573 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(28) BOSTON REHABILITATION MEDICINE ASSOC INC

88 EAST NEWTON STREET

BOSTON,MA02118
04-3286641 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(29) BU GENERAL SURGICAL ASSOCIATES INC

88 EAST NEWTON STREET

BOSTON,MA02118
04-3265008 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
(30) BU MEDICAL CENTER UROLOGISTS INC

88 EAST NEWTON STREET

BOSTON,MA02118
04-3286643 		HEALTHCARE MA 501(C)(3) 11C III-FI N/A
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) BMC NAB BUS TR

85 CONCORD ST
BOSTON,MA02118
26-6368869 		PROPERTY MGMT MA NA
  		RELATED 3,032,373 152,690,372   No 0 Yes   90.000 %












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) BMC INSURANCE CO INC
 
 
98-0375219 		INSURANCE CJ NA
  		C-CORP   66,749,185 70.000 %
(2) GRYANT INC
ONE BOSTON MEDICAL CENTER
BOSTON,MA02118
20-2047166 		REAL ESTATE MA NA
  		C-CORP 318 26,460,114 100.000 %
(3) BMC COMM PHYS PROG RRG
88 EAST NEWTON STREET
BOSTON,MA02118
26-0351060 		INSURANCE MA NA
  		C-CORP   300,678 100.000 %
(4) CHARITABLE REMAINDER TRUST (3)
 
 
SUPPORT MA N/A
 TRUST      






Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Boston Medical Center Health Plan Inc

 K 91,363,000 INSURANCE RATES
(2) BOSTON MEDICAL CENTER HEALTH PLAN INC

 R 23,000,000 NET ASSET TRANS
(3) BMC NAB BUSINESS TRUST

 D 10,758,000 BOOK
(4) BMC INSURANCE CO INC

 D 3,686,000 BOOK
(5) BMC INSURANCE CO INC

 Q 14,999,000 BOOK
(6) CHARITABLE REMAINDER TRUST (1)

 C 64,826 CASH TRANSFER
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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