TY 2011 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
BOSTON UNIVERSITY 715 ALBANY STREET SUITE 580 BOSTON,MA021182528	SHARED RESEARCH SVCS	66,486,746
FTI CONSULTING INC 200 STATE STREET 2ND FLOOR BOSTON,MA02109	CONSULTING	5,686,440
MORRISON HEALTH CARE INC 5801 PEACHTREE DUNWOODY ROAD ATLANTA,GA30342	FOOD SVCS/CAFETERIA	4,691,409
WILLIAM A BERRY SON INC 99 CONIFER HILL DRIVE DANVERS,MA01923	CONSTRUCTION	3,721,606
SUFFOLK CONSTRUCTION COMPANY 65 ALLERTON STREET BOSTON,MA02119	CONSTRUCTION	2,778,306
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 103

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 United States. See Part IV, line 21	18,396,091	18,396,091
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	530,460	530,460
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	6,695,269	5,751,156	927,375	16,738
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	87,133	87,133
7	Other salaries and wages	358,031,079	306,857,301	49,494,825	1,678,953
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	25,597,632	21,988,061	3,545,577	63,994
9	Other employee benefits .......	44,900,113	38,568,662	6,219,201	112,250
10	Payroll taxes ...........	29,648,345	25,467,575	4,106,649	74,121
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	554,683		554,683
c	Accounting ...........	1,655,838		1,655,838
d	Lobbying ...........	157,758	135,852	21,906
e	Professional fundraising. See Part IV, line 17..	9,576			9,576
f	Investment management fees ......	0
g	Other ..........	47,528,869	40,920,187	6,598,385	10,297
12	Advertising and promotion ....	937,084	804,944	129,797	2,343
13	Office expenses .......	14,112,165	12,126,506	1,955,400	30,259
14	Information technology ......	3,340,790	2,869,699	462,739	8,352
15	Royalties ..	11,455,870	11,455,870
16	Occupancy ...........	26,745,789	22,974,314	3,704,611	66,864
17	Travel ............	234,912	199,123	32,109	3,680
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	525,005	448,558	72,330	4,117
20	Interest ...........	18,598,639	15,976,009	2,576,133	46,497
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	60,305,184	51,801,434	8,352,987	150,763
23	Insurance ..............	2,469,201	2,126,330	342,871
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	PHYSICIAN SERVICES	102,984,389	102,984,389
b	DIRECT RESEARCH	77,805,219	77,805,219
c	PATIENT RELATED SUPPLIES	51,543,854	51,543,854
d	PROVISION FOR BAD DEBT	30,498,592	30,498,592
e
f	All other expenses	67,975,500	64,306,641	3,615,971	52,888
25	Total functional expenses. Add lines 1 through 24f	1,003,325,039	906,623,960	94,369,387	2,331,692
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	76,772,000	1	85,056,000
2	Savings and temporary cash investments .......	0	2	29,173,000
3	Pledges and grants receivable, net .........	77,442,000	3	53,194,000
4	Accounts receivable, net .........	120,610,000	4	130,660,000
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........	0	5	0
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 ..........	0	6	0
7	Notes and loans receivable, net .............	88,970,000	7	87,505,000
8	Inventories for sale or use ..............	2,807,000	8	4,584,000
9	Prepaid expenses and deferred charges ............	6,826,000	9	6,068,000
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,108,952,000
b	Less: accumulated depreciation. .....	10b	683,632,000	454,584,000	10c	425,320,000
11	Investments—publicly traded securities ..........	68,829,000	11	94,471,000
12	Investments—other securities. See Part IV, line 11 ......	165,860,000	12	180,004,000
13	Investments—program-related. See Part IV, line 11 ..	0	13	0
14	Intangible assets .........	0	14	0
15	Other assets. See Part IV, line 11 ...........	576,238,000	15	676,763,000
16	Total assets. Add lines 1 through 15 (must equal line 34)...	1,638,938,000	16	1,772,798,000
	17	Accounts payable and accrued expenses .	122,399,000	17	135,701,000
18	Grants payable ..........	0	18	0
19	Deferred revenue ..........	19,749,000	19	18,334,000
20	Tax-exempt bond liabilities ..........	358,177,000	20	354,132,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	26,586,000	24	43,482,000
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	193,530,000	25	218,070,000
26	Total liabilities. Add lines 17 through 25.....	720,441,000	26	769,719,000
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	600,175,000	27	687,623,000
28	Temporarily restricted net assets .....	301,969,000	28	299,103,000
29	Permanently restricted net assets .....	16,353,000	29	16,353,000
	Organizations that do not follow SFAS 117, check here 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 .....	918,497,000	33	1,003,079,000
34	Total liabilities and net assets/fund balances .....	1,638,938,000	34	1,772,798,000

- TIN:

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.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2011

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.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

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.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

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)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(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?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2011

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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2011. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2010. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2011

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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(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.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2011

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) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2011

Name of organization

BOSTON MEDICAL CENTER

Employer identification number

04-3314093

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... 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 on line H of its
Form 990-EZ or on Part I, 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) (2011)

Page 2

Name of organization BOSTON MEDICAL CENTER
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part I	Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3

Name of organization BOSTON MEDICAL CENTER
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part II	Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2011)

Page 4

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

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
that total 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

$
Use duplicate copies of Part III if additional space is needed

(a) No.
from
Part I

(b)
Purpose 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

(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

(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

(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) (2011)

Additional Data

Software ID:
Software Version:

- TIN:

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

2011

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, line 35c (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.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

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) 2011

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 if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ......................................	Yes No

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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2011

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)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

157,758

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

71,569

Total. Add lines 1c through 1i ...............................

229,327

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

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

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

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, Part II-A; line 5; and Part ll-B, line 1.
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 $71,569. BMC ALSO PAID GEORGE TRAYLOR $97,758, 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) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

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 .......

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? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can 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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax 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, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

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)? ....................................

Yes No

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.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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

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 (ASC 958), relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2011

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

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?........

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

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
1a	Beginning of year balance ....	470,341,198	405,862,208	427,693,269	431,600,644
b	Contributions ........	81,100,000	127,397,784	54,430,640
c	Net investment earnings, gains, and losses ...	68,886,188	-7,312,698	46,804,363	31,375,895
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	5,377,065	53,911,542	121,360,660	33,917,009
f	Administrative expenses ....	2,205,212	1,694,554	1,705,404	1,366,261
g	End of year balance ......	612,745,109	470,341,198	405,862,208	427,693,269

Provide the estimated percentage of the year end balance (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

55.000 %

Permanent endowment SchDMd Bullet

3.000 %

Temporarily restricted endowment SchDMd Bullet

42.000 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	11,291,978		11,291,978
b	Buildings ................	502,918,290	169,579,656	333,338,634
c	Leasehold improvements ............	20,739,781	4,580,415	16,159,366
d	Equipment ................	58,580,622	12,865,346	45,715,276
e	Other .................	515,421,329	496,606,583	18,814,746
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				425,320,000

Schedule D (Form 990) 2011

Page 3

Part VII

InvestmentsOther 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	180,004,000	F








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	180,004,000

Part VIII

InvestmentsProgram 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) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) OTHER LT ASSETS				177,907,758
(2) FUNDS HELD BY TRUSTEES				32,250,000
(3) FOR FUNDED DEPRECIATION				340,482,000
(4) BOND INDENTURE				54,732,000
(5) NONCURRENT NOTES RECEIVABLE				8,744,000
(6) INVESTMENT IN OTHER VENTURES				23,971,242
(7) INSURANCE RECOVERY RECEIVABLES				38,676,000


Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				676,763,000

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Book value
Federal Income Taxes		0
EST SETTLEMENT W/3RD PARTY PAY		28,889,000
LT DEBT AND OBL-CAPITAL LEASE		63,256,000
OTHER LONG-TERM LIABILITIES		34,441,370
LT ADDITIONAL PENSION LIABILIT		52,807,630
PROFESSIONAL LIABILITY CLAIMS		38,676,000




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		218,070,000
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) 2011

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	1,022,266,039
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	1,003,325,039
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	18,941,000
4	Net unrealized gains (losses) on investments ..........................	4	36,683,000
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV.) .................................	8	28,958,000
9	Total adjustments (net). Add lines 4 through 8 .........................	9	65,641,000
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	84,582,000

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	1,059,037,000
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	36,683,000
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	36,683,000
3	Subtract line 2e from line 1.....................			3	1,022,354,000
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	-87,961
c	Add lines 4a and 4b.......................			4c	-87,961
5	Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,022,266,039

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	1,003,413,000
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	87,961
e	Add lines 2a through 2d......................			2e	87,961
3	Subtract line 2e from line 1.....................			3	1,003,325,039
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
c	Add lines 4a and 4b.......................			4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	1,003,325,039

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 TRANSFER FROM BMCHP $ 50,000,000 CHANGE IN ASSISTANCE WITH CITY OF BOSTON ($ 18,060,000) PENSION RELATED CHANGES OTHER THAN PERIODIC PENSION COSTS ($ 2,982,000) ------------- TOTAL ($ 28,958,000) SCHEDULE D, PART XII, LINE 4B RENTAL EXPENSE ($ 87,961) SCHEDULE D, PART XIII, LINE 2D RENTAL EXPENSE $ 87,961

Schedule D (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

2011

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.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? ..............................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other
assistance outside the United States.

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			Grantmaking		118,295
	North America			Grantmaking		50,000
	Russia and the Newly Independent States			Grantmaking		105,863
	Sub-Saharan Africa			Grantmaking		207,653
	Central America and the Caribbean			Investments		20,452,005
	North America			Investments		36,994,698
	Europe (Including Iceland and Greenland)			Investments		658,770
	Sub-Saharan Africa	2	8	Program Services	HEALTH SVCS TRAINING	28,351









3a	Sub-total .....	2	8			58,615,635
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	2	8			58,615,635

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2011

Schedule F (Form 990) 2011

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.

(c) Region	(e) Amount of cash grant	(f) Manner of cash disbursement
East Asia/Pacific	102,295	WIRE TRANSFR
East Asia/Pacific	16,000	WIRE TRANSFR
North America	50,000	WIRE TRANSFR
Russia	105,863	WIRE TRANSFR
Sub-Saharan Africa	34,649	WIRE TRANSFR
Sub-Saharan Africa	28,351	WIRE TRANSFR
Sub-Saharan Africa	173,004	WIRE TRANSFR

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

Enter total number of other organizations or entities ........................ MediumBullet

Schedule F (Form 990) 2011

Schedule F (Form 990) 2011Page 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) 2011

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2011

Page 5

Part V

Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

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) 2011

Additional Data

Software ID:
Software Version:

- TIN:

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

2011

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.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and e-mail solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

Yes

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
	(ii) Activity	Yes	No	(iv) Gross receipts from activity		(vi) Amount paid to (or retained by) organization
OPEN HEARTS INC	CATWALK FOR CANCER CARE	Yes		63,837	9,576	54,262
Total .................				63,837	9,576	54,262

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) 2011

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 3 (total number)	(d) Total Events (Add col. (a) through col. (c))
1	Gross receipts . . .	2,193,064	764,150	206,112	3,163,326
2	Less: Charitable contributions . . .	1,981,820	744,550	174,316	2,900,686
3	Gross income (line 1 minus line 2) . . .	211,244	19,600	31,796	262,640
4	Cash prizes . . .
5	Non-cash prizes . .
6	Rent/facility costs . .	20,000		61,133	81,133
7	Food and beverages . .	138,997	39,958		178,955
8	Entertainment . . .	52,356	14,362		66,718
9	Other direct expenses .	67,537			67,537
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				394,343
11	Net income summary. Combine lines 3 and 10 in column (d)............				-131,703

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.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (Add col. (a) through col. (c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes
	No

	Yes
	No

	Yes
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," Explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," Explain:

Does the organization operate gaming activities with nonmembers? .................

YesNo

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? ..........................

YesNo

Schedule G (Form 990 or 990-EZ) 2011

Page 3

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Provide the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

88 EAST NEWTON STREET
BOSTON,MA02118

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

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

$ .

If "Yes," enter name and address:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

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) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

2011

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

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the

following was the family income limit for eligibility for discounted care: ............

200% 250% 300% 350% 400% Other

If the organization did 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 used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............

Did the organization prepare a community benefit report during the tax year?...........

If "Yes," did the organization make it available to the public? ...............

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

	(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 Financial Assistance at cost (from Worksheet 1) ..		79,072	97,023,736	65,279,801	31,743,935	3.260 %
b Medicaid (from Worksheet 3, column a) .....		296,450	327,408,647	271,278,578	56,130,069	5.770 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .
dTotal Financial Assistance and Means-Tested Government Programs .....		375,522	424,432,383	336,558,379	87,874,004	9.030 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....			16,840,593	5,083,819	11,756,774	1.210 %
f Health professions education (from Worksheet 5) ..			55,988,484	13,276,828	42,711,656	4.390 %
g Subsidized health services (from Worksheet 6) ..
h Research (from Worksheet 7)	674		93,716,962	93,716,962	0
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....			81,657	0	81,657	0.010 %
jTotal Other Benefits ...	674		166,627,696	112,077,609	54,550,087	5.610 %
kTotal. Add lines 7d and 7j. ..	674	375,522	591,060,079	448,635,988	142,424,091	14.640 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011

Schedule H (Form 990) 2011

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	74,012	0	74,012	0.010 %
2	Economic development	15,930,000	0	15,930,000	1.640 %
3	Community support	788,092	0	788,092	0.080 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	7,668,322	6,989,217	679,105	0.070 %
8	Workforce development	562,320	0	562,320	0.060 %
9	Other	708,384	0	708,384	0.070 %
10	Total	25,731,130	6,989,217	18,741,913	1.930 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense........

25,851,436

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....

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

Enter total revenue received from Medicare (including DSH and IME).....

192,027,366

Enter Medicare allowable costs of care relating to payments on line 5.....

164,307,874

Subtract line 6 from line 5. This is the surplus or (shortfall)........

27,719,492

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Part IV

Management Companies and Joint Ventures

(see instructions)

(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) 2011

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	BOSTON MEDICAL CENTER 88 EAST NEWTON STREET BOSTON,MA02118	X	X	X	X	X	REHABILITATION UNIT (CLOSED 7/1/12)

Schedule H (Form 990) 2011

Page

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)

BOSTON MEDICAL CENTER

Name of Hospital Facility:

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 2011)
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 the community health 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 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	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a 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 Needs Assessment
	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 and 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	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10		No
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: % If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	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	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted 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 (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 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 patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

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	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	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)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	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		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care 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	SUPPORTING PARENTS & RESILIENT KIDS CTR 255 RIVER STREET MATTAPAN,MA02126	THERAPEUTIC CENTER
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2011

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions 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, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any 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, 496-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 73% OF OUR PATIENT VISITS COME FROM UNDERSERVED POPULATIONS, THE LOW-INCOME AND ELDERLY, WHO RELY ON GOVERNMENT PAYORS SUCH AS MEDICAID, THE HEALTH SAFETY NET AND MEDICARE FOR THEIR COVERAGE, AND 30 PERCENT DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE. TO ADDRESS THE HEALTH NEEDS OF ITS DIVERSE PATIENT POPULATION, BMC PROVIDES A WIDE RANGE OF SERVICES BEYOND THE TRADITIONAL MEDICAL MODEL. THESE PROGRAMS, INCLUDING BUT NOT LIMITED TO PATIENT NAVIGATION, INTERPRETER SERVICES, AND A FOOD PANTRY, HELP REDUCE BARRIERS TO ACCESSING HEALTH SERVICES AND ELIMINATE DISPARITIES IN HEALTH CARE AMONG THE VARIOUS POPULATIONS BMC SERVES. WITH MORE THAN 26,132 ADMISSIONS AND 858,980 PATIENT VISITS IN FY12, 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 129,714 VISITS IN FY12. 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 180 SUCH DESIGNATED TRACTS IN SUFFOLK COUNTY (COMPRISING 17 NEIGHBORHOODS WITHIN AND SURROUNDING BOSTON). 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 2010, AN ESTIMATED 23%* OF BOSTON RESIDENTS HAD INCOMES BELOW THE FEDERAL POVERTY LEVEL WHILE NEARLY HALF OF BMC'S PATIENTS HAVE INCOMES BELOW THE FEDERAL POVERTY LEVEL. * U.S. CENSUS BUREAU, 2010 AMERICAN COMMUNITY SURVEY. ACCORDING TO THE 2011 MASSACHUSETTS HEALTH INSURANCE SURVEY (WHICH INCLUDES DATA FROM 2008-2011), AN ESTIMATE OF 3.1% OF RESIDENTS WERE UNINSURED AND CLOSE TO 97% OF MASSACHUSETTS RESIDENTS HAD COVERAGE DURING THE SURVEY. THE COMPOSITION OF THE LATTER IS: 17.7% MEDICAID; 61.8% EMPLOYER SPONSORED INSURANCE; AND 17.4% PUBLIC OR OTHER INSURANCE. OF BMC'S PATIENTS, NEARLY 9.2% ARE UNINSURED, AND COVERAGE RATES FOR PRIMARY INSURANCE WERE APPROXIMATELY: 35.6% MEDICAID; 31.2% PRIVATE OR OTHER INSURANCE (EMPLOYER SPONSORED AND OTHER); AND 24% 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 $30,498,592.
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 ENDING IN 2012 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 $29,350 FOR FIVE YEARS ENDING IN FISCAL YEAR 2013 TOTALING TO $146,750; $17,542 FOR FIVE YEARS ENDING IN 2013 TOTALING TO $87,710; AND $16,700 AND $4,500 IN FISCAL YEAR 2012. 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 2012 EXPENSE RELATED TO THE FORGIVENESS OF THIS LOAN WAS $720,000. 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 $164,307,874 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 BOSTON MEDICAL CENTER 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 RADIOLOGY AT WHITTIER HEALTH CENTER BOSTON MEDICAL CENTER RADIOLOGY AT UPHAM'S CORNER HEALTH CENTER BOSTON MEDICAL CENTER RADIOLOGY AT MATTAPAN COMM. HEALTH CTR. - AS OF 11/9/12 JOHN D. O'BRYANT STUDENT HEALTH CENTER MURIEL SNOWDEN INTERNATIONAL HS HEALTH CENTER BOSTON MEDICAL CENTER 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) PART V, SECTION B, LINE 11H PATIENTS ARE CHARGED AT THE SAME LEVELS AS INSURERS ARE CHARGED; HOWEVER, THEY ARE OFFERED A PROMPT-PAY DISCOUNT OF 40% (REGARDLESS OF INCOME LEVEL, ETC.) IF THE PAYMENTS ARE MADE WITHIN THE FIRST 30 DAYS FROM SERVICE. PART V, SECTION B, LINE 19D BY THE DEFINITION OF OUR FINANCIAL ASSISTANCE POLICY (FAP), PATIENTS WHO QUALIFY FOR THE FAP HAVE APPLIED FOR ONE OF THE COMMONWEALTH'S FINANCIAL ASSISTANCE PROGRAMS (COMMONWEALTH CARE, MEDICAID, OR HEALTH SAFETY NET) OR HAVE BEEN RENDERED URGENT/EMERGENT SERVICES. IN THOSE INSTANCES, PATIENTS ARE VIEWED AS UNABLE TO PAY FOR THESE CHARGES AND THE HOSPITAL SUBMITS THE CHARGE FOR REIMBURSEMENT FROM THE HEALTH SAFETY NET.
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 (5,000 PATIENT INTERVIEWS IN FY12), THAT SERVE THE POOREST FAMILIES. THE DATABASE OF MORE THAN 50,000 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, HE/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 FY12, THE AUTISM CLINIC EVALUATED APPROXIMATELY 600 NEW PATIENTS AND PROVIDED REGULAR FOLLOW-UP (AT LEAST TWICE PER YEAR) TO AN ADDITIONAL 1,000 FAMILIES. BIRTH SISTERS AND CENTERING PREGNANCY: 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 334 PATIENTS IN FY12. 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 IN GREATER BOSTON NEIGHBORHOODS. 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. PRIOR TO SPINNING OFF FROM BMC IN JULY 2012, MLP BOSTON SERVED 586 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.
PEDIATRIC COMPREHENSIVE CARE PROGRAM (PEDIATRIC CCP): THE COMPREHENSIVE	CARE PROGRAM IN THE DEPARTMENT OF PEDIATRICS SERVES APPROXIMATELY 300	CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND THEIR FAMILIES. THE CLINICAL STAFF INTEGRATES PRIMARY CARE WITH SPECIALTY CARE AND SOCIAL SERVICES FOR CHILDREN WITH NEURODEVELOPMENTAL AND EMOTIONAL/BEHAVIORAL NEEDS RELATED TO PRE-TERM BIRTH, CONGENITAL SYNDROMES AND CHRONIC HEALTH CONDITIONS, AND/OR HAVE EXPERIENCED TRAUMA AS A RESULT OF ABUSE/NEGLECT, PARENTAL ABANDONMENT, DOMESTIC VIOLENCE, AND PARENTAL SUBSTANCE ABUSE. MOST OF THE CHILDREN SEEN IN THE CCP HAVE COMPLEX OVERLAPPING HEALTH, DEVELOPMENT AND EMOTIONAL/BEHAVIORAL ISSUES. MANY LOW-INCOME PARENTS OF SPECIAL NEEDS CHILDREN TEND TO ENGAGE HAPHAZARDLY AND EPISODICALLY WITH THE HEALTHCARE SYSTEM AND FAIL TO RECEIVE APPROPRIATE FOLLOW-UP CARE AND INTERVENTION. THESE PARENTS OFTEN FACE ECONOMIC HARDSHIPS, EDUCATIONAL BARRIERS, PSYCHOSOCIAL STIGMA, AND SOCIAL ISOLATION AS THEY TRY TO COPE WITH THEIR CHILDREN'S NEEDS AND ATTEMPT TO MAINTAIN STABILITY FOR THEIR FAMILIES. THE CCP, WITH ITS MULTIDISCIPLINARY APPROACH, SEES FROM 4 TO 6 PATIENTS PER HOUR, CONSIDERABLY LESS THAN THE 8 PATIENTS PER HOUR IN A REGULAR PEDIATRIC CLINIC. ADDITIONALLY, DURING THEIR PRIMARY CARE VISIT PATIENTS ALSO CAN SEE A NEUROLOGIST, PULMONOLOGIST, NUTRITIONIST, GASTROENTEROLOGIST, AND/OR A PEDIATRIC ENDOCRINOLOGIST. THIS "ONE STOP SHOPPING" MODEL OF CARE PROMOTES COMMUNICATION BETWEEN ALL MEMBERS OF THE CHILD'S HEALTHCARE TEAM. INJURY PREVENTION 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 WHO RECEIVE THEIR CARE 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 CHILDREN UNDER THE AGE OF EIGHT WHO HAVE BEEN 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 FY12, 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 APPROXIMATELY 360 INDIVIDUALS IN FY12 BY PROVIDING SERVICES SUCH AS CRISIS INTERVENTION/COUNSELING; RISK ASSESSMENT AND SAFETY PLANNING; ASSISTANCE WITH ACCESSING PROTECTIVE ORDERS AND 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 COLLABORATES 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 WITH STRONG COMMUNITY KNOWLEDGE. IN FY12, VIAP PROVIDED SERVICES TO A TOTAL OF 499 VICTIMS: 197 GUNSHOT VICTIMS AND 302 STABBING VICTIMS. OF THESE VICTIMS, 58 WERE FEMALE. VIAP PROVIDED THE FOLLOWING DIRECT SERVICES AND REFERRALS TO SERVICES TO VICTIMS AND 34 OF ASSOCIATED 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. ON MARCH 31, 2012, BMC HELD ITS ANNUAL SATURDAY CANCER SCREENING EVENT. A TOTAL OF 138 PEOPLE FROM GREATER BOSTON ATTENDED THIS EVENT, WHERE A TOTAL OF 249 INDIVIDUAL EXAMS WERE GIVEN AT NO OUT-OF-POCKET COSTS TO PARTICIPANTS.
A SAFETY NET FOR SPECIAL AT-RISK POPULATIONS		THE METRO BOSTON JAIL DIVERSION PROGRAM (JDP): SINCE 2006, THE JDP HAS WORKED WITH 719 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 FIRST AND FOREMOST IDENTIFY INDIVIDUALS WITH THESE RISK FACTORS, AND THEN TO 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, 74 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; TO EDUCATE AND TRAIN AGENCIES AND PROFESSIONALS WHO SERVE THESE COMMUNITIES; TO ADVOCATE FOR THE PROMOTION OF HEALTH AND HUMAN RIGHTS IN THE UNITED STATES AND WORLDWIDE; AND TO 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 FY12, THE BCRHHR SERVED 460 PATIENTS. ELDERS LIVING AT HOME PROGRAM (ELAHP): THE GOAL OF ELAHP IS TO HELP OLDER ADULTS LOCATE AND MAINTAIN A PERMANENT RESIDENCE AND ALLOW THEM TO LIVE AS INDEPENDENTLY AS POSSIBLE. IN FY12, ELAHP PROVIDED HOUSING SEARCH AND PLACEMENT TO 8 HOMELESS OLDER ADULTS, AND HOUSING STABILIZATION SERVICES TO AN ADDITIONAL 70 ELDERS. 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. HEALTHY NUTRITION AND EXERCISE PREVENTIVE FOOD PANTRY AND DEMONSTRATION KITCHEN: 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. IN 2012, THE PANTRY PROVIDED NUTRITIOUS FOOD FOR 82,846 GREATER BOSTON RESIDENTS. 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 SERIOUS ILLNESS, WHICH CAN RESULT IN HOSPITALIZATION. IN 2012, THE GROW CLINIC PROVIDED MEDICAL TREATMENT, NUTRITIONAL ASSESSMENT, HOME HEALTH EDUCATION, FAMILY ADVOCACY, ACCESS TO A THERAPEUTIC FOOD PANTRY, CHILDREN'S CLOTHES, DIAPERS, BOOKS AND EDUCATIONAL TOYS AMONG OTHER SERVICES. AT ANY GIVEN TIME THERE ARE APPROXIMATELY 240-250 CHILDREN BEING TREATED IN-CLINIC, 36% OF WHOM ARE 12 MONTHS OF AGE OR YOUNGER. BWELL CENTER: THE BWELL CENTER PROVIDES PEDIATRIC PATIENTS AND THEIR FAMILIES WITH SIMPLE INTERVENTIONS THAT PROMOTE HEALTH AND WELL-BEING WHILE THEY ARE IN THE AMBULATORY CARE WAITING ROOM. BWELL CENTER STAFF AND VOLUNTEERS USE VARIOUS INTERACTIVE AND EDUCATIONAL TOOLS TO ENGAGE CHILDREN INCLUDING BOOKS, COMPUTERS, AGE APPROPRIATE VIDEOS ON A VARIETY OF HEALTHY LIVING TOPICS, PLAY AREAS WHERE CHILDREN CAN JUMP ROPE, FOR EXAMPLE, AND HOURLY DEMONSTRATIONS FOCUSED ON EXPOSING PATIENTS TO YOGA, NUTRITION, AND OTHER HEALTHY LIFESTYLE CHOICES. IN RESPONSE TO ITS POPULARITY AMONG CHILDREN, THEIR PARENTS, AND PROVIDERS, THE BWELL CENTER HAS EXPANDED SIGNIFICANTLY SINCE ITS CREATION MORE THAN A YEAR AGO. BWELL SERVES NEARLY 200 FAMILIES PER MONTH, A NUMBER THAT HAS GROWN STEADILY SINCE ITS INCEPTION AND IS EXPECTED TO CONTINUE TO GROW. 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 WINTERCOATS) FOR A LOW-INCOME PATIENT.
SOCIAL WORK EMERGENCY FUND (SWEF): SWEF PROVIDED SHORT-TERM, IMMEDIATE		ASSISTANCE TO PATIENTS WHO FACED CRISES. IN FY12, SWEF SUPPORTED THE COST OF EMERGENCY EXPENSES, SUCH AS CAB VOUCHERS FOR THOSE UNABLE TO ACCESS PUBLIC TRANSPORTATION TO GET TO BMC, AND CAR SEATS AND CLOTHING FOR FAMILIES. SWEF'S SOCIAL WORKERS HELPED INDIVIDUALS AND FAMILIES CONNECT TO RESOURCES AND SERVICES THAT THEY NEEDED IN ORDER TO STABILIZE THEIR LIVES AFTER PERSONAL CRISES. SWEF HAS THE FLEXIBILITY TO PROVIDE FOR A RANGE OF NEEDS IN RESPONSE TO A NUMBER OF UNIQUE SITUATIONS WHEN, TOO OFTEN, INDIVIDUALS AND FAMILIES HAVE NO ALTERNATIVE SUPPORTS. KIDS FUND: DONATIONS TO THE KIDS FUND ARE USED TO HELP FAMILIES OBTAIN EQUIPMENT AND ITEMS THAT THEIR CHILDREN NEED FOR OPTIMUM HEALTH AND SAFETY. FOR EXAMPLE, BMC PROVIDERS CARE FOR NEARLY 500 CHILDREN EACH WINTER WHO DO NOT HAVE A WARM WINTER COAT. OFTEN, FAMILIES CANNOT AFFORD TO BUY A CAR SEAT OR A CRIB, PUTTING THE CHILD AT RISK OF SERIOUS INJURY. NURSES AND SOCIAL WORKERS CAN ACCESS THE KIDS FUND TO PURCHASE COATS, CRIBS, CAR SEATS, EYEGLASSES, OR WHATEVER ELSE A CHILD MAY NEED YET THE FAMILY CANNOT AFFORD TO PURCHASE ON THEIR OWN. 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, WHO HAVE SPECIAL LANGUAGE SKILLS, TRAINING IN SCHEDULING, AND REFINED COMPASSION/COMMUNICATION SKILLS. PATIENT 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 FY12, THESE SHUTTLE BUSES TRANSPORTED 202,830 PATIENTS AND THEIR FAMILIES BETWEEN BMC AND THE BOSTON HEALTHNET COMMUNITY HEALTH CENTERS. THERE IS ALSO A DIRECT TAXI AND VAN HOSPITAL-TO-HOME SERVICE FOR SPECIFIC CASES. WOMEN'S HEALTH UNIT INITIATIVE: THIS INITIATIVE AIMS TO REDUCE DISPARITIES IN BREAST CANCER OUTCOMES AMONG THE CULTURALLY DIVERSE, LOW-INCOME WOMEN WHOM BMC SERVE, AS THEY REPRESENT THE GROUP MOST LIKELY TO RECEIVE A DIAGNOSIS OF LATE-STAGE CANCER, LEAST LIKELY TO ADHERE TO RECOMMENDED CARE, AND MOST LIKELY TO DIE FROM THE DISEASE. THE INITIATIVE PRIDES ITSELF ON THE USE OF COMMUNITY INPUT AND OBJECTIVE DATA TO DESIGN, CONTINUOUSLY EVALUATE, AND ENHANCE INNOVATIVE PROGRAMS TO ADDRESS THE CHANGING NEEDS OF THESE DIVERSE COMMUNITIES. PATIENT NAVIGATION REMAINS AT THE CORNERSTONE OF THE INITIATIVE, AND IS LARGELY RESPONSIBLE FOR THE IMPROVEMENTS IN CARE CONSISTENTLY DEMONSTRATED YEAR AFTER YEAR.
IMPROVING QUALITY OF LIFE		ACUPUNCTURE: ACUPUNCTURE SERVICES AT BMC ARE PROVIDED FREE OF CHARGE TO MORE THAN 1,000 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 FY12, THERE WERE 15 CANCER SUPPORT GROUPS THAT MET REGULARLY. 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 FY12, IS TO SUBSTANTIALLY IMPACT THE QUALITY OF LIFE FOR THE UNDERSERVED THROUGH PROVIDING ACCESS TO INTEGRATIVE MEDICINE CLINICAL SERVICES, RESEARCH AND EDUCATION. SERVICES PROVIDED, PRIMARILY FREE OF CHARGE, INCLUDE YOGA CLASSES, ACUPUNCTURE CLINICS, INTEGRATIVE MEDICINE CONSULTS AND GROUP VISITS. LINE 6: AFFILIATED HEALTH CARE SYSTEM: BOSTON HEALTHNET 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 14 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 18TH 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. 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.	ALL OF OUR PRIMARY AND SECONDARY PARTNER HEALTH CENTERS ARE CONNECTED TO BMC OVER HIGH-SPEED ELAN CONNECTIONS THAT PUT BMC'S CLINICAL SYSTEMS AT THE FINGERTIPS OF THE HEALTH CENTER 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 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 ALLOWED 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. THE EREFERRAL PROJECT HAS HELPED TO ELIMINATE A NUMBER OF THE INEFFICIENCIES INHERENT IN THE CURRENT REFERRAL PROCESS. DATA AVAILABLE FROM THE EREFERRAL PORTAL SHOWS A SIGNIFICANT DECREASE IN LAG TIMES TO SPECIALTY APPOINTMENTS FOR CHCS PATIENTS RECEIVING CARE AT BMC. IN 2009, BMC APPROVED THE EXPANSION OF THE EREFERRAL PORTAL TO OTHER SPECIALTIES BEYOND THE DEPARTMENT OF MEDICINE. DURING 2010, THE EREFERRAL PORTAL WAS ROLLED OUT TO ALL SPECIALTY DEPARTMENTS AS WELL AS TWO ADDITIONAL HEALTH CENTERS. IN FY2012, 49,411 REFERRALS PASSED THROUGH THE EREFERRAL PORTAL. ON JUNE 1, 2010, BHN WAS AWARDED A TWO YEAR $2.98 MILLION HEALTH INFORMATION TECHNOLOGY (HIT) INNOVATIONS GRANT FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). WITH THIS FUNDING, BHN IS INTRODUCING THE INTEGRATED DATABASE, ELECTRONIC ALERTS AND STANDARDIZED SYSTEMS (IDEAS) PROJECT - A SERIES OF ONE-TIME HIT IMPLEMENTATIONS AND INNOVATIONS THAT WILL INCREASE THE CAPACITY OF PROVIDERS AT THE CHCS TO MANAGE LOCAL HEALTH CARE AND BUSINESS OPERATIONS. SOME ELEMENTS OF THE IDEAS PROJECT INCLUDING THE INSTALLATION OF CENTRICITY PRACTICE SOLUTIONS (CPS) -- A CLINICAL AND FINANCIAL MANAGEMENT SYSTEM FULLY INTEGRATED WITH THE CENTRICITY EMR - AT FIVE CHCS, CREATION OF A CHCS DATA WAREHOUSE, CLINICAL REGISTRIES AND COMPUTERIZED PHYSICIAN ORDER ENTRY AND RESULT RETRIEVAL FOR LAB TESTS PERFORMED AT BMC AND/OR OTHER PREFERRED LABORATORIES. LEVERAGING THE DATA WAREHOUSE WITH THE REGISTRIES POSITIONS BMC AND THE CHCS TO BETTER MANAGE PATIENTS WITH CHRONIC DISEASES. THIS IMPROVED MANAGEMENT IS ESSENTIAL TO THE LOOMING ACO ENVIRONMENT WITH GLOBAL PAYMENTS AND ASSOCIATED FINANCIAL RISK. THE BHN IDEAS PROJECT FACILITATES MEANINGFUL USE OF ELECTRONIC HEALTH RECORDS ACROSS ALL THREE STAGES OF MEANINGFUL USE, AS OUTLINED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. IT IS ALSO RESPONSIVE TO THE NCQA PATIENT CENTERED MEDICAL HOME REQUIREMENTS. THIS YEAR ALSO SAW MOST BHN COMMUNITY HEALTH CENTERS WORK COLLABORATIVELY WITH BMC AS THEIR DESIGNATED IOO (IMPLEMENTATION AND OPTIMIZATION ORGANIZATION) THROUGH THE REGIONAL EXTENSION CENTER. THIS GOVERNMENT PROGRAM WAS ESTABLISHED TO PROVIDE ADDITIONAL ASSISTANCE TO PRIMARY CARE PROVIDERS IN EFFORTS TO REACH MEANINGFUL USE. IN 2011, BMC RECEIVED A ONE-YEAR $454,967 GRANT FOR THE BALANCED SCORECARD/SAFE SIGN-OUTS PROJECT. 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 FOCUSED ON THE PROVIDER LEVEL METRICS DEVELOPMENT AND TESTING. SAFE SIGN-OUTS WAS A NEW SYSTEMS DEVELOPMENT PROJECT WHICH CREATED A SOFTWARE SYSTEM AND PROTOCOL FOR RESIDENT SAFE SIGN-OUTS TO PREVENT PATIENT ADVERSE EVENTS. 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 202,830 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) 2011

Additional Data

Software ID:
Software Version:

- TIN:

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

2011

Open to Public
Inspection

Name of the organization
BOSTON MEDICAL CENTER

Employer identification number
04-3314093

Part I

General Information on Grants and Assistance

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? ....................................

Yes No

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	(h) Purpose of grant or assistance
(1) ARKANSAS CHILDREN'S HOSPITAL800 Marshall Slot 512 RESEARCH INSTITUTE Little Rock,AR72202	71-0694931	501(c)(3)	54,804	Subaward
(2) BAY COVE HUMAN SERVICES66 Canal Street Boston,MA02114	04-2518575	501(c)(3)	3,633,669	Subaward
(3) BETH ISRAEL DEACONESS HOSPITALPO Box 3784 Boston,MA02241	04-2103881	501(c)(3)	432,855	Subaward
(4) BETH ISRAEL MEDICAL CENTER555 West 57th Street 5TH FLOOR New York,NY10019	13-5564934	501(c)(3)	27,890	Subaward
(5) BOSTON PUBLIC HEALTH COMMISSION1010 Massachusetts Avenue Boston,MA02118	04-3316655	115	552,173	Subaward
(6) BOSTON VA RESEARCH IN150 S HUNTINGTON AVE Boston,MA02130	04-3081524	501(c)(3)	63,670	Subaward
(7) Brigham & Womens HospitalPO Box 3149 Boston,MA02241	04-2312909	501(c)(3)	338,125	Subaward
(8) BOARD OF TRUSTEES MICHIGAN360 ADMIN BULDING EAST LANSING,MI48824	38-6005984	501(c)(3)	103,317	Subaward
(9) BROCKTON NEIGHBORHOOD HEALTH63 Main Street Brockton,MA02301	04-3165044	501(c)(3)	17,717	Subaward
(10) BUTLER HOSPITAL345 Blackstone Blvd Providence,RI02906	05-0258812	501(c)(3)	209,755	Subaward
(11) CALIFORNIA STATE UNIVERSITY4910 N CHESTNUT AVENUE Fresno,CA93726	94-6003272	501(c)(3)	11,694	Subaward
(12) CAMBRIDGE HEALTH ALLIANCE1493 Cambridge Street Cambridge,MA02139	04-3320571	501(c)(3)	322,084	Subaward
(13) CENTER FOR COMMUNITY HEALTH EDUCATION & RESEARCH420 Washington Street Dorchester,MA02124	04-3112225	501(c)(3)	69,592	Subaward
(14) CHILDREN'S HOSPITAL OF BOSTON300 Longwood Avenue Boston,MA02115	04-2774441	501(c)(3)	521,713	Subaward
(15) CODMAN SQUARE HEALTH CTR INC637 Washington Street Boston,MA02124	04-2678774	501(c)(3)	30,847	Subaward
(16) COOPER HEALTH SYSTEMOne Cooper Place Camden,NJ08103	21-0634462	501(c)(3)	10,146	Subaward
(17) DORCHESTER HOUSE MULTI SVC CTR1353 Dorchester Avenue Dorchester,MA02122	23-7125970	501(c)(3)	44,340	Subaward
(18) BAYLOR COLLEGE OF MEDICINE6621 FANNIN ST HOUSTON,TX77030	74-1613878	501(c)(3)	19,934	Subaward
(19) DOUGLAS A THOM CLINIC INC251 West Street Natick,MA01760	04-2104268	501(c)(3)	17,505	Subaward
(20) EAST BOSTON NHC10 Gove Street East Boston,MA02128	23-7425849	501(c)(3)	32,746	Subaward
(21) EAST CAROLINA UNIVERSITY2200 S CHARLES BLVD GREENVILLE,NC27858	56-6000403	501(c)(3)	104,035	Subaward
(22) FRONTIER SCIENCE & TECHNOLOGY900 COMMONWEALTH AVE BOSTON,MA02115	16-1056814	501(c)(3)	48,079	Subaward
(23) GEISINGER CLINIC100 N ACADEMY AVE Danville,PA17822	23-6291113	501(c)(3)	152,219	Subaward
(24) GROUP HEALTH COOPERATIVE521 Wall Street Seattle,WA98121	91-0511770	501(c)(3)	35,358	Subaward
(25) HARVARD UNIVERSITY677 Huntington Avenue Boston,MA02115	04-2103580	501(c)(3)	428,291	Subaward
(26) HEALTH PARTNERS RESEARCH FOUNDATIONPO Box 1524 MAILSTOP 21111R Minneapolis,MN55440	41-1670163	501(c)(3)	42,041	Subaward
(27) ICF INCORPORATED LLC9300 LEE HWY FAIRFAX,VA22031	52-0893615	501(c)(3)	41,985	Subaward
(28) INSTITUTE FOR HEALTHOne NE Exec Park Burlington,MA01803	11-3764559	501(c)(3)	203,888	Subaward
(29) JOHN HOPKINS UNIVERSITY600 Wolfe Street Baltimore,MD21287	52-0595110	501(c)(3)	26,203	Subaward
(30) JONATHAN O COLE MENTAL HEALTH115 Mill Street C/O MCLEAN HOSPITAL Belmont,MA02178	04-3282088	501(c)(3)	13,500	Subaward
(31) JOSLIN DIABETES CENTEROne Joslin Place Boston,MA02215	04-2203836	501(c)(3)	66,703	Subaward
(32) Kaiser Foundation ResEARCH1800 Harrison Street 16TH FLOOR Oakland,CA94612	94-1105628	501(c)(3)	168,737	Subaward
(33) BAYSTATE MEDICAL PRACTICES INC280 CHESTNUT ST SPRINGFIELD,MA01199	04-2888373	501(c)(3)	70,049	Subaward
(34) LOVELACE BIOMEDICAL & ENVIRONMENTAL RESEARCH INST2425 Ridge Street Albuquerque,NM87108	51-0154068	501(c)(3)	27,502	Subaward
(35) GREATER BALTIMORE MEDICAL CTR6701 N CHARLES ST BALTIMORE,MD21204	52-6049658	501(c)(3)	6,380	Subaward
(36) MARTIN'S POINT HEALTHPO Box 9746 Portland,ME04104	01-0353275	501(c)(3)	6,000	Subaward
(37) MASSACHUSETTS GENERAL HOSPITAL55 Fruit Street Boston,MA02114	04-2697983	501(c)(3)	151,209	Subaward
(38) MAYO CLINIC ARIZONA13400 E SHEA BLVD SCOTTSDALE,AZ85259	86-0800150	501(c)(3)	7,061	Subaward
(39) MAYO CLINIC ROCHESTER200 FIRST ST SW ROCHESTER,NY55905	41-6011702	501(c)(3)	5,390	Subaward
(40) MGH NEUROGENETICS DNA DIAG LAB185 Cambridge Street Boston,MA02110	04-2807148	501(c)(3)	307,979	Subaward
(41) MINNEAPOLIS MED RESEARCH FND914 S EIGHT ST Minneapolis,MN55404	41-1677920	501(c)(3)	20,606	Subaward
(42) GREATER BOSTON SICKLE CELL1803 DORCHESTER AVE DORCHESTER,MA02124	04-3524260	501(c)(3)	64,167	Subaward
(43) OREGON HEALTH & SCIENCE UNIV3181 SW JACKSON PK RD PORTLAND,OR97239	93-1176109	501(c)(3)	20,815	Subaward
(44) NATIONAL CENTER FOR HEALTHY HOUSING INC10320 L Patuxent Pkwy Columbia,MD21044	52-1792579	501(c)(3)	62,961	Subaward
(45) NEW YORK UNIVERSITY MEDICAL CENTER550 First Avenue New York,NY10016	13-5562309	501(c)(3)	34,302	Subaward
(46) NORTH SUFFOLK MENTAL HEALTH301 Broadway Avenue Chelsea,MA02150	04-2317215	501(c)(3)	3,286,581	Subaward
(47) NORTHEASTERN UNIVERSITY360 Huntington Avenue Boston,MA02115	04-1679980	501(c)(3)	668,473	Subaward
(48) NORTHWESTERN UNIVERSITY633 Clark Street Evanston,IL60208	36-2167817	501(c)(3)	73,901	Subaward
(49) REGENTS OF UNIV OF MINNESOTA1300 South Street Minneapolis,MN55454	41-6007513	501(c)(3)	77,603	Subaward
(50) RESEARCH TRIANGLE INSTITUTEPO Box 900002 Raleigh,NC27675	56-0686338	501(c)(3)	40,632	Subaward
(51) SOUTH BOSTON CHC409 West Broadway South Boston,MA02127	04-2682152	501(c)(3)	33,647	Subaward
(52) ST ELIZABETH'S MEDICAL CENTER736 Cambridge Street OLH 3-G Boston,MA02135	27-2473667	501(c)(3)	14,060	Subaward
(53) SPECTRUM HEALTH HOSPITALS25 MICHIGAN NE GRAND RAPIDS,MI49503	38-1360529	501(c)(3)	111,268	Subaward
(54) THE PENNSYLVANIA STATE UNIVERSITY110 Tech Center University Park,PA16802	24-6000376	501(c)(3)	32,724	Subaward
(55) TRUSTEES OF BU715 Albany Street Boston,MA02118	04-2103547	501(c)(3)	2,861,122	Subaward
(56) THE NEXT STEP FUND86A SHERMAN ST CAMBRIDGE,MA02140	04-3579298	501(c)(3)	5,750	Subaward
(57) Tufts University171 Harrison Avenue Boston,MA02111	04-2103634	501(c)(3)	382,478	Subaward
(58) USCIVILIAN RESEARCHPO Box 630622 Baltimore,MD21263	54-1773406	501(c)(3)	219,256	Subaward
(59) UNIV OF ALABAMA AT BIRMINGHAM1530 3rd Avenue South AP 990 Birmingham,AL35294	63-6005396	501(c)(3)	158,322	Subaward
(60) UNIVERSITY OF CALIFORNIA505 Parnassus Ave San Francisco,CA94413	94-6036493	501(c)(3)	39,189	Subaward
(61) UNIVERSITY OF MARYLANDPO Box 41428 BALTIMORE FOUNDATION Baltimore,MD21203	31-1678679	501(c)(3)	54,652	Subaward
(62) UNIVERSITY OF MASSACHUSETTS BOSTON55 Lake Avenue North Worcester,MA01655	04-3167352	115	347,970	Subaward
(63) UNIVERSITY OF MICHIGAN1301 Catherine Road Ann Arbor,MI48109	38-6006309	501(c)(3)	17,909	Subaward
(64) University Of Rhode ISLAND2 Chafee Road Kingston,RI02881	05-6000522	501(c)(3)	95,259	Subaward
(65) UNIVERSITY OF WASHINGTON1959 NE PACIFIC ST SEATTLE,WA98195	91-6001537	501(c)(3)	24,169	Subaward
(66) VINFEN CORPPO Box 5059 Boston,MA02206	04-2632219	501(c)(3)	75,634	Subaward
(67) VISIONS INC48 Juniper Street Roxbury,MA02119	52-1378064	501(c)(3)	30,675	Subaward
(68) WAKE FOREST UNIVERSITY HEALTH1834 Wake Forest Rd WinstonSalem,NC27157	22-3849199	501(c)(3)	329,786	Subaward
(69) WILLIAMS BEAUMONT HOSPITAL3601 W 13 MILE RD ROYAL OAK,MI48073	38-1459362	501(c)(3)	118,721	Subaward
(70) UNIVERSITY OF CHICAGO DIST CTR11030 S LANGLEY AVE CHICAGO,IL60628	36-2177139	501(c)(3)	69,746	Subaward
(71) YMCA OF GREATER BOSTON776 Washington Street Dorchester,MA02124	04-2103551	501(c)(3)	108,822	Subaward
(72) YOUTH & FAMILY ENRICHMENT SVC1234 Hyde Park Avenue Hyde Park,MA02136	05-0588064	501(c)(3)	263,600	Subaward
(73) YALE UNIVERSITY SCHOOLPO BOX 1873 NEW HAVEN,CT06508	06-0646973	501(c)(3)	63,546	SUBAWARD
(74) REGENTS OF THE U OF CALIFORNIA9500 GILMAN DR LA JOLLA,CA92093	95-6006144	501(c)(3)	13,541	SUBAWARD
(75) UNIVERSITY OF N CAROLINA104 AIRPORT DR CHAPEL HILL,NC27599	56-6001393	501(c)(3)	125,782	SUBAWARD
(76) UNIVERSITY OF PITTSBURGH200 LOTHROP ST PITTSBURGH,PA15213	23-2919472	501(c)(3)	19,871	SUBAWARD

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ......................... . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2011

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 SYSTEM. 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) 2011

Additional Data

Software ID:
Software Version:

- TIN:

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

2011

Open to Public Inspection

Name of the organization

BOSTON MEDICAL CENTER

Employer identification number

04-3314093

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....

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? ....

Yes

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. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? ...............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

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.

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:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

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:

The organization? ...........................

Any related organization? .........................

Yes

If "Yes," to line 6a or 6b, describe in Part III.

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 ............

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 Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

Yes

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

Yes

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2011

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.

(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 as deferred in prior Form 990
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1) EDWARD CHRISTIANSEN JR	(i) (ii)	273,369	0	10,702	19,600 0	13,437 0	317,108 0	0 0
(2) RONALD BARTLETT	(i) (ii)	298,838	0	84,347	8,575 0	7,076 0	398,836 0	0 0
(3) STEPHANIE LOVELL	(i) (ii)	475,210	48,000	78,139	71,871 0	9,196 0	682,416 0	75,336 0
(4) JAMES M BECKER MD	(i) (ii)	0 441,273	0 0	0 2,052,813	0 32,540	0 18,251	0 2,544,877	0 0
(5) david coleman md	(i) (ii)	0 449,292	0 0	0 171,028	0 32,540	0 2,496	0 655,356	0 0
(6) RAVIN DAVIDOFF	(i) (ii)	445,261	76,000	68,503	113,626 0	40,492 0	743,882 0	50,343 0
(7) PETER HEALY	(i) (ii)	327,847	0	22,149	52,979 0	35,163 0	438,138 0	20,884 0
(8) LISA O'CONNOR	(i) (ii)	355,374	53,000	45,390	78,826 0	26,320 0	558,910 0	31,716 0
(9) NORMAN STEIN	(i) (ii)	319,941	65,000	49,062	143,778 0	13,583 0	591,364 0	34,455 0
(10) THOMAS TRAYLOR	(i) (ii)	390,952	202,000	67,439	112,287 0	28,536 0	801,214 0	50,710 0
(11) KATHLEEN E WALSH	(i) (ii)	878,240	0	406,353	87,875 0	11,949 0	1,384,417 0	328,708 0
(12) MEG ARANOW	(i) (ii)	342,689	0	43,274	108,366 0	8,850 0	503,179 0	39,992 0
(13) RICHARD SILVERIA	(i) (ii)	440,234	100,000	18,661	4,125 0	41,466 0	604,486 0	0 0
(14) THEA JAMES MD	(i) (ii)	239,596	0	23,034	0 32,540	0 11,392	0 306,562	0 0
(15) DAVID BECK	(i) (ii)	187,346	0	5,271	0 0	20,808 0	213,425 0	0 0
(16) TIM MANNING	(i) (ii)	353,321	0	71,474	0 0	25,251 0	450,046 0	0 0

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 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 AS A RESULT OF A CHANGE IN ROLES AND RESPONSIBILITIES AND IN RECOGNITION OF 16 YEARS OF SERVICE, JAMES BECKER RECEIVED A PAYMENT OF $1,505,000 IN CALENDAR YEAR 2011 WHICH IS REPORTED ON SCHEDULE J, COLUMN B(III) AS OTHER REPORTABLE COMPENSATION. AS OF DECEMBER 12, 2011, UNDER THE TERMS OF STEPHANIE LOVELL'S EMPLOYMENT CONTRACT, SHE WILL RECEIVE TWELVE MONTHS OF SALARY CONTINUATION WITH PARTIAL PAY OFFSET FOR MONTH SEVEN TO MONTH TWELVE. THE AMOUNT PAID IN 2011 WAS $20,000. 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 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 2011: ARANOW - $40,029 DAVIDOFF - $49,541 HEALY - $20,903 LOVELL - $75,404 O'CONNOR - $31,745 STEIN - $31,156 TRAYLOR - $50,757 BMC PROVIDED A SEPARATE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO KATHLEEN E. WALSH, PRESIDENT AND CEO AS OF MARCH 1, 2010. PURSUANT TO THE TERMS OF THE AGREEMENT, THE PRESIDENT AND CEO WAS CREDITED A ONE TIME PAYMENT THAT WAS SUBJECT TO CERTAIN CONDITIONS WHICH HAS VESTED EFFECTIVE DECEMBER 1, 2011. THE PAYMENT IS REFLECTED IN SCHEDULE J, PART II, COLUMN B(III). 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 - $62,417 Davidoff - $55,597 Healy - $28,053 Lovell - $64,521 O'Connor - $40,617 Stein - $96,584 Traylor - $70,485 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. DAVID BECK ENTERED INTO AN EMPLOYMENT CONTRACT WITH BMC IN DECEMBER 2011. THE TERMS OF HIS CONTRACT INCLUDE A BASE SALARY, 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.

Schedule J (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

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
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	MASS HEALTH AND EDUCATIONAL FACILITES AUTHORITY	04-2456011	57586ELD1	08-14-2009	13,688,734	REFUND OF SERIES M3-B (2005)		X		X	X
B	MASS HEALTH AND EDUCATIONAL FACILITES AUTHORITY	04-2456011	57586C7T6	07-01-2008	239,309,847	FINANCE CONSTRUCTION/RENOVATION		X		X		X
C	MASS DEVELOPMENT FINANCE AGENCY	04-3431814	57583URP5	06-14-2012	117,490,498	REFUND OF PRIOR BONDS		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . .	2,444,807		590,000		0
2 Amount of bonds legally defeased . . . . . . . . . .	0		0		0
3 Total proceeds of issue . . . . . . . . . . . . .	13,688,734		253,556,588		117,490,523
4 Gross proceeds in reserve funds . . . . . . . .	112,288		24,646,536		10,519,363
5 Capitalized interest from proceeds . . . . . . . . . .	0		31,231,616		0
6 Proceeds in refunding escrows . . . . . . . . . . .	0		0		0
7 Issuance costs from proceeds . . . . . . . . . . .	0		2,592,758		1,684,874
8 Credit enhancement from proceeds . . . . . . . . . .	0		0		0
9 Working capital expenditures from proceeds . . . . . . .	0		0		0
10 Capital expenditures from proceeds . . . . . . . . . .	0		156,299,928		0
11 Other spent proceeds . . . . . . . . . . .	13,688,734		0		115,805,649
12 Other unspent proceeds . . . . . . . . . . .	0		38,706,491		0
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	X
15 Were the bonds issued as part of an advance refunding issue? . . . .		X		X		X
16 Has the final allocation of proceeds been made? . . . . . .	X			X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . .	X		X		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) 2011

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 of bond-financed property? . . . . . . . . .		X	X
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .	X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .		X	X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any 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 . .	0%		0%		0%		%
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 . . . . . . .	0.00000%		0.00000%		%		%
6 Total of lines 4 and 5 . . .. . . . . . . . .	0%		0%		%		%
7 Does the bond issue meet the private security or payment test? . . .	X		X
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	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		X
2 Is the bond issue a variable rate issue?	X			X		X
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider . . . . . . . .	0		0		0
c Term of hedge . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was a hedge terminated? . . . . .
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .		X		X	X
b Name of provider . . . . . .	0		0		AIGMC
c Term of GIC . . . . . . .	26.				26.
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . .	X				X
5 Were any gross proceeds invested beyond an available temporary period? . . . . . .		X	X			X
6 Did the bond issue qualify for an exception to rebate? .	X			X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X			X		X

Schedule K (Form 990) 2011

Page 3

Part V

Procedures To Undertake Corrective Action

Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . . YesNo

Part VI

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	0

Schedule K (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

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?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

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?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

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) 2011

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?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) BOSTON MEDICAL CENTER INSURANCE CO	SEE PART V	19,465,000	INSURANCE		No
(2) LANGUAGE LINE SERVICES	TTEE KOENIG IS ON BOARD	456,782	TRANSLATION SERVICES		No
(3) SUFFOLK CONSTRUCTION COMPANY	TTEE PASSAFARO IS VP	2,778,306	CONSTRUCTION		No
(4) FRANCIS O'CONNOR	SON OF KE O'CONNOR	12,841	COMPENSATION		No
(5) TRIAD ISOTOPES INC	TTEE AMENT IS ON BOARD	286,974	MED SUPPLIES		No
(6) ANAESTHESIA ASSOCIATES OF MA	SEE PART V	8,615,100	MEDICAL SERVICES		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, AND COLEMAN, THE PRESIDENT/CEO, WALSH, AND THE VP & CRO/FORMER CLERK, 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 $4,182,000 FOR THE YEAR ENDED SEPTEMBER 30, 2012. THE MEDICAL CENTER HAS $15,283,000 OF PREPAID PREMIUMS AND RETROSPECTIVE PREMIUM CREDITS THAT ARE PREPAID BY THE MEDICAL CENTER TO BMCIC AT SEPTEMBER 30, 2012. SCHEDULE L, PART IV, LINE 6 NAME: ANAESTHESIA ASSOCIATES OF MA RELATIONSHIP: TRUSTEE ENGLISH'S BROTHER IS PRESIDENT. ANAESTHESIA ASSOCIATES BEGAN PROVIDING SERVICES TO BMC IN 1998. IT HAS BEEN PROVIDING SERVICES TO BMC, AND TRUSTEE ENGLISH'S BROTHER HAS BEEN PRESIDENT, SINCE BEFORE TRUSTEE ENGLISH JOINED THE BMC BOARD IN 2005.

Schedule L (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

NonCash Contributions

Complete 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

2011

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) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....	X	6	2,600	FMV
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		1,545	FMV
5 Clothing and household goods .......	X		95,567	FMV
6 Cars and other vehicles ..
7 Boats and planes ....	X	1	750	FMV
8 Intellectual property ...
9 Securities—Publicly traded .	X	5	425,426	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	50	48,344	FMV
20 Drugs and medical supplies .	X	1	1,007	FMV
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( COLLECTIBLES )	X	6	1,395	FMV
26 Other ( COMPUTERS/EQUIPMENT )	X	7	515,887	FMV
27 Other ( GIFT CERTIFICATES )	X	149	106,442	FMV
28 Other ( )

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 ...

Yes

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

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ............................

32a

If "Yes," describe in Part II.

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) 2011

Page 2

Part II

Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33 and whether the organization is reporting in Part I, column (b) the number of contributions, the number of items received, or a combination of both. 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) 2011

Additional Data

Software ID:
Software Version:

- TIN:

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

2011

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 AND ABILITY TO PAY. APPROXIMATELY 73% OF OUR PATIENT VISITS COME FROM UNDERSERVED POPULATIONS, THE LOW-INCOME AND ELDERLY, WHO RELY ON GOVERNMENT PAYORS SUCH AS MEDICAID, THE HEALTH SAFETY NET AND MEDICARE FOR THEIR COVERAGE, AND 30% DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE. TO ADDRESS THE HEALTH NEEDS OF ITS DIVERSE PATIENT POPULATION, BMC PROVIDES A WIDE RANGE OF SERVICES BEYOND THE TRADITIONAL MEDICAL MODEL. THESE PROGRAMS, INCLUDING BUT NOT LIMITED TO PATIENT NAVIGATION, INTERPRETER SERVICES, AND A FOOD PANTRY, HELP REDUCE BARRIERS TO ACCESSING HEALTH SERVICES AND ELIMINATE DISPARITIES IN HEALTHCARE AMONG THE VARIOUS POPULATIONS BMC SERVES.
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 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. DAVID A. PASSAFARO SUSAN DONAHUE DAVID COLEMAN, M.D. KATHLEEN E. WALSH BUSINESS RELATIONSHIP - SERVE ON THE BOARD OF BMC INSURANCE COMPANY.
FORM 990, PART VI, LINE 11B		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, 2012 WERE DISTRIBUTED BY THE ORGANIZATION'S LEGAL DEPARTMENT. THE CHIEF COMPLIANCE OFFICER 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 HER DESIGNEE REVIEWS ALL DISCLOSURES AND DETERMINES WHETHER THERE ARE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER 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.
FORM 990, PART XI, LINE 5		UNREALIZED GAIN $ 36,683,000 TRANSFER FROM BMCHP $ 50,000,000 CHANGE IN ASSISTANCE WITH CITY OF BOSTON ($ 18,060,000) PENSION RELATED CHANGES OTHER THAN PERIODIC PENSION COSTS ($ 2,982,000) -------------- TOTAL ($ 65,641,000)
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&C 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. SCHEDULE K, PART V THE ORGANIZATION HAS ESTABLISHED WRITTEN PROCEDURES TO ENSURE VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS. THESE WRITTEN PROCEDURES ARE IN DRAFT FORM AS OF 9/30/2012 AND EXPECT TO BE ADOPTED DURING THE FOLLOWING FISCAL YEAR.
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOEL M. ABRAMS TITLE:TRUSTEE (UNTIL 6/30/12) HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KAREN ANTMAN, MD TITLE:TRUSTEE HOURS:4
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES M. BECKER, MD TITLE:trustee (UNTIL 12/31/11) HOURS:50
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAVID A. PASSAFARO TITLE:VICE CHAIRMAN HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CHRISTINE M. DUNN TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:WILLIAM J. HALPIN, JR TITLE:TRUSTEe HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:edmond J. english TITLE:CHAIRMAN HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Randi Cutler TITLE:trustee HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ALYCE J. LEE TITLE:vice chairman (UNTIL 6/30/12) HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MARTHA S. SAMUELSON TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES O. TAYLOR, MD TITLE:TRUSTEE (UNTIL 6/30/12) HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Thomas ALPERIN TITLE:TRUSTEE HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:STEVEN d. levy TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:LISA GUSCOTT TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:RICHARD SLIFKA TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:AZZIE YOUNG, MPA, PHD TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:barbara ferrer, phd TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:david coleman, md TITLE:TRUSTEE HOURS:55
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:SUSAN DONAHUE TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JOHN T. HAILER TITLE:trustee HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:KATHLEEN E. WALSH TITLE:PRESIDENT/CEO HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:PAUL EGERMAN TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:PEGGY KOENIG TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES S. PHALEN TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:RONALD L. WALKER, II TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MARK NUNNELLY TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:THEA JAMES, MD TITLE:TRUSTEE HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CLAIRE PERLMAN TITLE:TRUSTEE (AS OF 7/1/12) HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAVID AMENT TITLE:TRUSTEE (AS OF 7/1/12) HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES BLUE TITLE:TRUSTEE (AS OF 7/1/12) HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:SANDRA COTTERRELL TITLE:TRUSTEE (AS OF 7/1/12) HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JACK CRADOCK TITLE:TRUSTEE (AS OF 7/1/12) HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:GERARD DOHERTY, MD TITLE:TRUSTEE (AS OF 1/1/12) HOURS:55
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:STEPHANIE LOVELL TITLE:VP/GEN COUN/clrk UNTL 12/12/11 HOURS:15
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:RICHARD SILVERIA TITLE:VP FIN/CFO/TREAS HOURS:7
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAVID BECK TITLE:VP/GEN COUN/CLK AS OF 12/13/11 HOURS:16
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:RAVIN DAVIDOFF TITLE:VP MED AFFAIRS/CMO HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:PETER HEALY TITLE:VP PROFESSIONAL SERVICE HOURS:10
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:THOMAS TRAYLOR TITLE:VP OF FED, STATE, LOCAL PROG HOURS:25
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:EDWARD CHRISTIANSEN, JR TITLE:VP & CRO/FORMER CLERK HOURS:1

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

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)	(f) Direct controlling entity
(1) BMC COMM PHY PROG LLC DISSOLVED 122111 5101 WASHINGTON AVENUE WASHINGTON,DC20016 26-0350958	RISK MGMT SVC	DC	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
(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	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	NA		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	NA		No
(9) BOSTON EMERGENCY PHYSICIAN FDN INC 818 HARRISON AVENUE BOSTON,MA02118 04-3286156	HEALTHCARE	MA	501(C)(3)	11C III-FI	NA		No
(10) BU CARDIAC & THORACIC SURGICAL FDN INC 88 EAST NEWTON STREET BOSTON,MA02118 04-2966416	HEALTHCARE	MA	501(C)(3)	11C III-FI	NA		No
(11) BOSTON UNIVERSITY DERMATOLOGY INC 609 ALBANY STREET BOSTON,MA02118 04-3335166	HEALTHCARE	MA	501(C)(3)	11C III-FI	NA		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	NA		No
(14) BOSTON UNIV SURGICAL ASSOCIATES INC 88 EAST NEWTON STREET BOSTON,MA02118 04-3291148	HEALTHCARE	MA	501(C)(3)	11C III-FI	NA		No
(15) EVANS MEDICAL FOUNDATION INC 88 EAST NEWTON STREET BOSTON,MA02118 51-0172171	HEALTHCARE	MA	501(C)(3)	11C III-FI	NA		No
(16) BOSTON UNIVERSITY EYE ASSOCIATES INC 2005 BAY STREET SUITE 201 TAUNTON,MA02780 04-3137333	HEALTHCARE	MA	501(C)(3)	11C III-FI	NA		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	NA		No
(18) BU MALLORY PATHOLOGY ASSOCIATES INC 784 MASSACHUSETTS AVENUE BOSTON,MA02118 04-2794543	HEALTHCARE	MA	501(C)(3)	11C III-FI	NA		No
(19) BOSTON UNIV NEUROLOGY ASSOCIATES INC 720 HARRISON AVENUE SUITE 707 BOSTON,MA02118 04-3428462	HEALTHCARE	MA	501(C)(3)	11C III-FI	NA		No
(20) BU NEUROSURGICAL ASSOCIATES INC 88 EAST NEWTON STREET BOSTON,MA02118 04-3296068	HEALTHCARE	MA	501(C)(3)	11C III-FI	NA		No
(21) BU OBSTETRICS & GYNECOLOGY FDN INC 818 HARRISON AVENUE BOSTON,MA02118 04-3067465	HEALTHCARE	MA	501(C)(3)	11C III-FI	NA		No
(22) BU ORTHOPAEDIC SURGICAL ASSOCIATES INC 720 HARRISON AVENUE SUITE 808 BOSTON,MA02118 04-3354360	HEALTHCARE	MA	501(C)(3)	11C III-FI	NA		No
(23) BUMC OTOLARYNGOLOGIC FOUNDATION INC 88 EAST NEWTON STREET BOSTON,MA02118 04-3156471	HEALTHCARE	MA	501(C)(3)	11C III-FI	NA		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	NA		No
(25) BOSTON UNIV PLASTIC SURGERY ASSOC INC 88 EAST NEWTON STREET BOSTON,MA02118 04-3555478	HEALTHCARE	MA	501(C)(3)	11C III-FI	NA		No
(26) BOSTON UNIVERSITY PSYCHIATRY ASSOC INC 720 HARRISON AVENUE BOSTON,MA02118 04-3355267	HEALTHCARE	MA	501(C)(3)	11C III-FI	NA		No
(27) BU MEDICAL CENTER RADIOLOGISTS INC 88 EAST NEWTON STREET BOSTON,MA02118 04-3283573	HEALTHCARE	MA	501(C)(3)	11C III-FI	NA		No
(28) BOSTON REHABILITATION MEDICINE ASSOC INC 88 EAST NEWTON STREET BOSTON,MA02118 04-3286641	HEALTHCARE	MA	501(C)(3)	11C III-FI	NA		No
(29) BU GENERAL SURGICAL ASSOCIATES INC 88 EAST NEWTON STREET BOSTON,MA02118 04-3265008	HEALTHCARE	MA	501(C)(3)	11C III-FI	NA		No
(30) BU MEDICAL CENTER UROLOGISTS INC 88 EAST NEWTON STREET BOSTON,MA02118 04-3286643	HEALTHCARE	MA	501(C)(3)	11C III-FI	NA		No
(31) Boston University Affiliated Physicians 660 HARRISON AVE BOSTON,MA02118 04-3218267	HEALTHCARE	MA	501(C)(3)	3	BMC	Yes

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2011

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 VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) BMC NAB BUS TR 85 CONCORD ST BOSTON,MA02118 26-6368869	PROPERTY MGMT	MA	NA	RELATED	-5,000,412	150,137,864		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 10 MAIN STREET GRAND CAYMAN CJ 98-0375219	INSURANCE	CJ	BMC	C-CORP	0	69,671,834	70.000 %
(2) GRYANT INC ONE BOSTON MEDICAL CENTER BOSTON,MA02118 20-2047166	REAL ESTATE	MA	BMC	C-CORP	-1,318,630	38,903,622	100.000 %
(3) BMC COMM PHYS PROG RRG (DISSOLVED 1211) 88 EAST NEWTON STREET BOSTON,MA02118 26-0351060	INSURANCE	MA	BMC	C-CORP	0	0	100.000 %
(4) CHARITABLE REMAINDER TRUST (3)	SUPPORT	MA	BMC	TRUST

Schedule R (Form 990) 2011

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

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 . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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	92,597,000	INSURANCE RATES
(2) Boston Medical Center Health Plan Inc	C	50,000,000	NET ASSET TRANS
(3) BOSTON UNIVERSITY AFFILIATED PHYSICIANS INC	L,M,N	1,262,000	FINANCIAL NEED
(4) BMC INSURANCE CO INC	Q	8,802,000	BOOK
(5) BMC INSURANCE CO INC	D	1,053,000	BOOK
(6) BMC NAB BUSINESS TRUST	D	3,172,000	BOOK

Schedule R (Form 990) 2011

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)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2011

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

Software ID:
Software Version:

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
3	Number of voting members of the governing body (Part VI, line 1a).....	3	29
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 2011 (Part V, line 2a) ...	5	6,913
6	Total number of volunteers (estimate if necessary) ....	6	540
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	617,183
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	525,994

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	11,421,383	10,023,360
9	Program service revenue (Part VIII, line 2g) .........	944,950,551	974,874,396
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	16,200,000	33,542,000
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,674,796	3,826,283
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	977,246,730	1,022,266,039
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	19,306,772	18,926,551
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)	443,215,078	464,959,571
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	9,576
b	Total fundraising expenses (Part IX, column (D), line 25) 2,331,692
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	542,567,880	519,429,341
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,005,089,730	1,003,325,039
19	Revenue less expenses. Subtract line 18 from line 12.......	-27,843,000	18,941,000
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,638,938,000	1,772,798,000
21	Total liabilities (Part X, line 26).............	720,441,000	769,719,000
22	Net assets or fund balances. Subtract line 21 from line 20.....	918,497,000	1,003,079,000

Sign Here

	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ 887,697,409 including grants of $ ) (Revenue $ 974,874,396 )
	SEE SCHEDULE O.

4b	(Code: ) (Expenses $ 18,396,091 including grants of $ 18,396,091 ) (Revenue $ )
	BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO ORGANIZATION WITHIN THE US.

4c	(Code: ) (Expenses $ 530,460 including grants of $ 530,460 ) (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 expenses$ 906,623,960

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(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
(A) Name and Title
(1) JOEL M ABRAMS TRUSTEE (UNTIL 6/30/12)	1.0	X
(2) KAREN ANTMAN MD TRUSTEE	1.0	X
(3) JAMES M BECKER MD trustee (UNTIL 12/31/11)	1.0	X	0	2,494,086	50,791
(4) DAVID A PASSAFARO VICE CHAIRMAN	1.0	X
(5) CHRISTINE M DUNN TRUSTEE	1.0	X
(6) WILLIAM J HALPIN JR TRUSTEe	1.0	X
(7) edmond J english CHAIRMAN	1.0	X
(8) Randi Cutler trustee	1.0	X
(9) ALYCE J LEE vice chairman (UNTIL 6/30/12)	1.0	X
(10) MARTHA S SAMUELSON TRUSTEE	1.0	X
(11) JAMES O TAYLOR MD TRUSTEE (UNTIL 6/30/12)	1.0	X
(12) Thomas ALPERIN TRUSTEE	1.0	X
(13) STEVEN d levy TRUSTEE	1.0	X
(14) LISA GUSCOTT TRUSTEE	1.0	X
(15) RICHARD SLIFKA TRUSTEE	1.0	X
(16) AZZIE YOUNG MPA PHD TRUSTEE	1.0	X
(17) barbara ferrer phd TRUSTEE	1.0	X

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)					(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
(A) Name and Title
(18) david coleman md TRUSTEE	1.0	X					0	620,320	35,036
(19) SUSAN DONAHUE TRUSTEE	1.0	X
(20) JOHN T HAILER trustee	1.0	X
(21) KATHLEEN E WALSH PRESIDENT/CEO	50.0	X	X				1,284,593		99,824
(22) PAUL EGERMAN TRUSTEE	1.0	X
(23) PEGGY KOENIG TRUSTEE	1.0	X
(24) JAMES S PHALEN TRUSTEE	1.0	X
(25) RONALD L WALKER II TRUSTEE	1.0	X
(26) MARK NUNNELLY TRUSTEE	1.0	X
(27) THEA JAMES MD TRUSTEE	1.0	X						262,630	43,932
(28) CLAIRE PERLMAN TRUSTEE (AS OF 7/1/12)	1.0	X
(29) DAVID AMENT TRUSTEE (AS OF 7/1/12)	1.0	X
(30) JAMES BLUE TRUSTEE (AS OF 7/1/12)	1.0	X
(31) SANDRA COTTERRELL TRUSTEE (AS OF 7/1/12)	1.0	X
(32) JACK CRADOCK TRUSTEE (AS OF 7/1/12)	1.0	X
(33) GERARD DOHERTY MD TRUSTEE (AS OF 1/1/12)	1.0	X						87,500	0
(34) STEPHANIE LOVELL VP/GEN COUN/clrk UNTL 12/12/11	50.0		X				601,349		81,067
(35) RICHARD SILVERIA VP FIN/CFO/TREAS	50.0		X				558,895		45,591
(36) DAVID BECK VP/GEN COUN/CLK AS OF 12/13/11	50.0		X				192,617		20,808
(37) LISA O'CONNOR SVP NURSING	50.0			X			453,764		105,146
(38) MEG ARANOW VP INFO TECH/CIO	50.0			X			385,963		117,216
(39) RAVIN DAVIDOFF VP MED AFFAIRS/CMO	50.0				X		589,764		154,118
(40) PETER HEALY VP PROFESSIONAL SERVICE	50.0				X		349,996		88,142
(41) NORMAN STEIN VP DEVELOPMENT	50.0				X		434,003		157,361
(42) THOMAS TRAYLOR VP OF FED, STATE, LOCAL PROG	25.0				X		660,391		140,823
(43) TIM MANNING VP HR	50.0				X		424,795		25,251
(44) EDWARD CHRISTIANSEN JR VP & CRO/FORMER CLERK	50.0					X	284,071		33,037
(45) RONALD BARTLETT VP FIN/CFO/treaS UNTIL 2/8/11	0.0					X	383,185		15,651

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	6,603,386	3,464,536	1,213,794

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		2,900,686
d	Related organizations...1d
e	Government grants (contributions)1e		2,116,017

f	All other contributions, gifts, grants, and similar amounts not included above1f		5,006,657
g	Noncash contributions included in lines 1a-1f:$ 1,198,963
h	Total. Add lines 1a-1f.......			10,023,360
			Business Code
2a	PATIENT SVC REVENUE		900,099	886,255,000	886,255,000
b	OTHER PROGRAM REVENUE		900,099	4,323,396	4,323,396
c	GRANT/CONTRACT REVENUE		900,099	84,296,000	84,296,000
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			974,874,396
3	Investment income (including dividends, interest
	and other similar amounts).....			16,323,000		617,183	15,705,817
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross rents	154,086
b	Less: rental expenses	87,961
c	Rental income or (loss)	66,125
d	Net rental income or (loss).......			66,125			66,125
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	17,219,000
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	17,219,000
d	Net gain or (loss)..........			17,219,000			17,219,000
8a	Gross income from fundraising events (not including $ 2,900,686 of contributions reported on line 1c). See Part IV, line 18 ...
	a		262,640
b	Less: direct expenses ...b		394,343
c	Net income or (loss) from fundraising events..			-131,703			-131,703
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...			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..			0
Miscellaneous Revenue			Business Code
11a	CAFETERIA		722,210	3,456,873			3,456,873
b	PARKING		812,930	434,988			434,988
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			3,891,861
12	Total revenue. See Instructions....			1,022,266,039	974,874,396	617,183	36,751,100


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			76,772,000	1	85,056,000
2	Savings and temporary cash investments .......			0	2	29,173,000
3	Pledges and grants receivable, net .........			77,442,000	3	53,194,000
4	Accounts receivable, net .........			120,610,000	4	130,660,000
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........			0	5	0
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 ..........			0	6	0
7	Notes and loans receivable, net .............			88,970,000	7	87,505,000
8	Inventories for sale or use ..............			2,807,000	8	4,584,000
9	Prepaid expenses and deferred charges ............			6,826,000	9	6,068,000
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,108,952,000
b	Less: accumulated depreciation. .....	10b	683,632,000	454,584,000	10c	425,320,000
11	Investments—publicly traded securities ..........			68,829,000	11	94,471,000
12	Investments—other securities. See Part IV, line 11 ......			165,860,000	12	180,004,000
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets .........			0	14	0
15	Other assets. See Part IV, line 11 ...........			576,238,000	15	676,763,000
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,638,938,000	16	1,772,798,000
17	Accounts payable and accrued expenses .			122,399,000	17	135,701,000
18	Grants payable ..........			0	18	0
19	Deferred revenue ..........			19,749,000	19	18,334,000
20	Tax-exempt bond liabilities ..........			358,177,000	20	354,132,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			26,586,000	24	43,482,000
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			193,530,000	25	218,070,000
26	Total liabilities. Add lines 17 through 25.....			720,441,000	26	769,719,000
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			600,175,000	27	687,623,000
28	Temporarily restricted net assets .....			301,969,000	28	299,103,000
29	Permanently restricted net assets .....			16,353,000	29	16,353,000
	Organizations that do not follow SFAS 117, check here 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 .....			918,497,000	33	1,003,079,000
34	Total liabilities and net assets/fund balances .....			1,638,938,000	34	1,772,798,000

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).................	Yes	No
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)..........	Yes	No
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)..............................	Yes	No
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)	Yes	No
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)....................................	Yes	No
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)................................................	Yes	No