TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) KAREN H ANTMAN MD........................................................................ TRUSTEE	1.0 .......................2.0	X		0	775,576	35,342
(2) DAVID A PASSAFARO........................................................................ VICE CHAIRMAN(until 8/11/15)	1.0 .......................1.0	X	X	0	0	0
(3) WILLIAM J HALPIN JR........................................................................ TRUSTEe	1.0 .......................1.0	X		0	0	0
(4) Randi Cutler........................................................................ trustee	1.0 .......................0.0	X		0	0	0
(5) MARTHA S SAMUELSON........................................................................ TRUSTEE	1.0 .......................1.0	X		0	0	0
(6) STEVEN d levy........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0	0
(7) RICHARD SLIFKA........................................................................ TRUSTEE	1.0 .......................1.0	X		0	0	0
(8) david L coleman md........................................................................ TRUSTEE	1.0 .......................55.0	X		0	691,733	37,104
(9) JOHN T HAILER........................................................................ trustee	1.0 .......................0.0	X		0	0	0
(10) KATHLEEN E WALSH........................................................................ PRESIDENT/CEO	50.0 .......................7.5	X	X	1,317,740	0	92,188
(11) PAUL EGERMAN........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0	0
(12) PEGGY KOENIG........................................................................ TRUSTEE	1.0 .......................1.0	X		0	0	0
(13) JAMES S PHALEN........................................................................ TRUSTEE	1.0 .......................1.0	X		0	0	0
(14) MARK NUNNELLY........................................................................ TRUSTEE	1.0 .......................1.0	X		0	0	0
(15) CLAIRE PERLMAN........................................................................ TRUSTEE	1.0 .......................0.0	X		0	0	0
(16) DAVID AMENT........................................................................ TRUSTEE	1.0 .......................2.0	X		0	0	0
(17) JAMES BLUE........................................................................ TRUSTEE	1.0 .......................1.0	X		0	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) SANDRA COTTERRELL........................................................................ TRUSTEE	1.0 .......................1.0	X				0	0	0
(19) GERARD DOHERTY MD........................................................................ TRUSTEE	1.0 .......................55.0	X				0	846,474	106,527
(20) RUTH ELLEN FITCH........................................................................ TRUSTEE	1.0 .......................0.0	X				0	0	0
(21) MELANIE FOLEY........................................................................ TRUSTEE	1.0 .......................0.0	X				0	0	0
(22) MANUEL LOPES........................................................................ TRUSTEE	1.0 .......................2.0	X				0	0	0
(23) Jane Mendez........................................................................ TRUSTEE (AS OF 10/1/14)	1.0 .......................0.0	X				0	0	0
(24) Huy Nguyen........................................................................ TRUSTEE (AS OF 10/3/14)	1.0 .......................0.0	X				0	0	0
(25) Andrew Youniss........................................................................ TRUSTEE (AS OF 11/11/14)	1.0 .......................0.0	X				0	0	0
(26) Edmond English........................................................................ TRUSTEE	1.0 .......................1.0	X				0	0	0
(27) Azzie Young........................................................................ TRUSTEE (UNTIL 5/12/15)	1.0 .......................0.0	X				0	0	0
(28) Barbara Ferrer........................................................................ Trustee (Until 10/3/14)	1.0 .......................0.0	X				0	0	0
(29) Susan Donahue........................................................................ TRUSTEE (UNTIL 5/12/15)	1.0 .......................0.0	X				0	0	0
(30) DAVID BECK........................................................................ VP/GENERAL COUNSEL/CLERK	50.0 .......................12.5		X			414,645	0	60,431
(31) RICHARD SILVERIA........................................................................ SVP FIN/CFO/TREAS	50.0 .......................4.5		X			610,528	0	79,929
(32) RAVIN DAVIDOFF........................................................................ SR VP MED AFFAIRS/CMO	50.0 .......................1.5			X		548,003	0	80,548
(33) STAN HOCHBERG........................................................................ SR. VP Qlty, Safety, and Tech	50.0 .......................1.0			X		563,318	0	32,623
(34) Alastair Bell........................................................................ SVP Ops & Strtgy/COO	50.0 .......................0.0			X		610,380	0	50,950
(35) Nancy Gaden........................................................................ SVP/Chief Nursing Officer	50.0 .......................0.0			X		392,733	0	26,518
(36) BOB BIGGIO........................................................................ VP FACILITY & SUPPORT SERVICES	50.0 .......................0.0				X	377,295	0	73,298
(37) NORMAN STEIN........................................................................ VP DEVELOPMENT	50.0 .......................0.0				X	435,842	0	55,855
(38) THOMAS TRAYLOR........................................................................ VP OF FED, STATE, LOCAL PROG	50.0 .......................0.0				X	513,715	0	72,772
(39) Eric Poon........................................................................ VP/CMIO(Until 12/22/14)	50.0 .......................0.0				X	362,200	0	64,189
(40) Lisa Kelly-Croswell........................................................................ VP Human Resources	50.0 .......................0.0				X	432,274	0	40,003

(A) Name and business address	(B) Description of services	(C) Compensation
CARDINAL HEALTH PHARMACY, 7000 CARDINAL PLACE DUBLIN,OH43017	PHARMACY	91,727,003
BOSTON UNIVERSITY, 715 ALBANY STREET SUITE 580 BOSTON,MA021182528	SHARED RESEARCH SVCS	66,887,399
SHAWMUT WOODWORKING SUPPLY, 560 HARRISON AVE BOSTON,MA02118	CONSTRUCTION	39,075,014
SUFFOLK CONSTRUCTION COMPANY, 65 ALLERTON STREET BOSTON,MA02119	CONSTRUCTION	37,699,446
ACCENTURE LLP, 161 NCLARK ST CHICAGO,IL60601	CONSULTING SERVICES	10,058,916
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 345

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 domestic organizations and domestic governments. See Part IV, line 21 ....	21,334,481	21,334,481
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............	837,245	837,245
4	Benefits paid to or for members ....	0
5	Compensation of current officers, directors, trustees, and key employees ....	8,827,704	7,591,825	726,300	509,579
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages ....	400,678,421	344,583,442	53,949,778	2,145,201
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	22,017,532	18,935,077	2,940,034	142,421
9	Other employee benefits .......	51,147,432	43,986,791	6,829,793	330,848
10	Payroll taxes ...........	32,423,153	27,883,911	4,329,512	209,730
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	1,330,478		1,330,478
c	Accounting ...........	1,713,119		1,713,119
d	Lobbying ...........	150,238	129,204	21,034
e	Professional fundraising services. See Part IV, line 17	42,500			42,500
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	65,146,496	56,025,986	8,885,251	235,259
12	Advertising and promotion ....	2,213,609	1,903,703	309,906
13	Office expenses .......	15,781,263	13,571,886	2,119,103	90,274
14	Information technology ......	784,473	674,646	109,827
15	Royalties ..	18,825,044	16,189,537	2,635,507
16	Occupancy ...........	30,239,858	26,006,277	4,221,297	12,284
17	Travel ............	235,981	202,943	25,613	7,425
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	673,936	579,584	86,125	8,227
20	Interest ...........	7,011,468	6,029,862	953,630	27,976
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	69,132,300	59,453,778	9,402,684	275,838
23	Insurance ..............	5,719,117	4,918,440	800,677
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PHYSICIAN SERVICES	97,526,637	97,526,637
b	DIRECT RESEARCH	102,000,061	102,000,061
c	PATIENT RELATED SUPPLIES	60,059,581	60,059,581
d	DRUGS	88,637,809	88,637,809
e	All other expenses	34,164,401	31,254,936	2,852,065	57,400
25	Total functional expenses. Add lines 1 through 24e	1,138,654,337	1,030,317,642	104,241,733	4,094,962
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 Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	98,247,000	1	65,018,000
2	Savings and temporary cash investments .........	27,773,000	2	17,655,000
3	Pledges and grants receivable, net ...........	36,801,000	3	28,959,000
4	Accounts receivable, net .............	127,892,000	4	218,354,000
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	129,344,000	7	150,710,000
8	Inventories for sale or use ..............	6,201,000	8	8,316,000
9	Prepaid expenses and deferred charges ..........	11,838,000	9	18,530,000
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,450,542,000
b	Less: accumulated depreciation .....	10b	790,481,000	556,070,000	10c	660,061,000
11	Investments—publicly traded securities ..........	120,867,000	11	107,066,000
12	Investments—other securities. See Part IV, line 11 .....	209,894,000	12	198,841,000
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 ...........	641,187,000	15	696,268,000
16	Total assets. Add lines 1 through 15 (must equal line 34)......	1,966,114,000	16	2,169,778,000
	17	Accounts payable and accrued expenses .........	151,372,000	17	160,983,000
18	Grants payable .................	0	18	0
19	Deferred revenue ................	19,436,000	19	19,890,000
20	Tax-exempt bond liabilities .............	359,836,000	20	523,720,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other 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 ....	69,445,000	24	78,256,000
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....................	176,144,000	25	220,869,000
26	Total liabilities. Add lines 17 through 25.........	776,233,000	26	1,003,718,000
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	829,496,000	27	835,249,000
28	Temporarily restricted net assets ...........	344,125,000	28	314,551,000
29	Permanently restricted net assets ...........	16,260,000	29	16,260,000
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........	1,189,881,000	33	1,166,060,000
34	Total liabilities and net assets/fund balances ........	1,966,114,000	34	2,169,778,000

- 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.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 described in 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. See section 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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....	11,421,383	10,023,360	9,605,331	22,774,364	21,671,288	75,495,726
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......						0
3	The value of services or facilities furnished by a governmental unit to the organization without charge..						0
4	Total. Add lines 1 through 3	11,421,383	10,023,360	9,605,331	22,774,364	21,671,288	75,495,726
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)..						3,858,908
6	Public support. Subtract line 5 from line 4.						71,636,818

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
7	Amounts from line 4..	11,421,383	10,023,360	9,605,331	22,774,364	21,671,288	75,495,726
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	13,503,688	16,477,086	20,582,917	18,578,225	17,746,128	86,888,044
9	Net income from unrelated business activities, whether or not the business is regularly carried on..	256,588	525,994	27,985	0	0	810,567
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	5,027,388	4,154,501	4,521,602	5,410,940	5,441,957	24,556,388
11	Total support Add lines 7 through 10.						187,750,725

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

5,035,341,485

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

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

38.155 %

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

36.290 %

16a

33 1/3% support test—2014. 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—2013. If the organization did not check a 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—2014. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. 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 VI 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) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. 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—2013. 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) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

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.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the 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, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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 its Form 990PF, Part I, line 2, 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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization BOSTON MEDICAL CENTER

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization BOSTON MEDICAL CENTER

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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
BOSTON MEDICAL CENTER

Employer identification number

04-3314093

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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) (2014)

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

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 SchCMd Bullet

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 SchCMd Bullet

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable 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) 2014

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

150,238

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

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

Yes

83,414

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

233,652

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

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B, LINE 1	BOSTON MEDICAL CENTER PAYS DUES TO AEH, 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 $83,414. BMC ALSO PAID GEORGE TRAYLOR $90,238, A LOBBYIST, TO REPRESENT THE ORGANIZATION. ADDITIONALLY, BOSTON MEDICAL CENTER PAID ROBERT WHITE ASSOCIATES $60,000 TO REPRESENT THE ORGANIZATION. THESE FEES WERE PAID TO THE LOBBYISTS LISTED TO ADVANCE BOSTON MEDICAL CENTER'S MISSION: "TO CONSISTENTLY PROVIDE EXCELLENT AND ACCESSIBLE HEALTH CARE SERVICES TO ALL IN NEED OF CARE, REGARDLESS OF STATUS OR ABILITY TO PAY" AS SET OUT IN CHAPTER 147 OF THE ACTS AND RESOLVES OF 1996 OF THE COMMONWEALTH OF MASSACHUSETTS.

Return Reference

Explanation

SCHEDULE C, PART II-B, LINE 1

BOSTON MEDICAL CENTER PAYS DUES TO AEH, 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 $83,414. BMC ALSO PAID GEORGE TRAYLOR $90,238, A LOBBYIST, TO REPRESENT THE ORGANIZATION. ADDITIONALLY, BOSTON MEDICAL CENTER PAID ROBERT WHITE ASSOCIATES $60,000 TO REPRESENT THE ORGANIZATION. THESE FEES WERE PAID TO THE LOBBYISTS LISTED TO ADVANCE BOSTON MEDICAL CENTER'S MISSION: "TO CONSISTENTLY PROVIDE EXCELLENT AND ACCESSIBLE HEALTH CARE SERVICES TO ALL IN NEED OF CARE, REGARDLESS OF STATUS OR ABILITY TO PAY" AS SET OUT IN CHAPTER 147 OF THE ACTS AND RESOLVES OF 1996 OF THE COMMONWEALTH OF MASSACHUSETTS.

Schedule C (Form 990 or 990EZ) 2014

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.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 value of contributions to (during year)
3	Aggregate value of 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 section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, 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 XIII, 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)

Revenue 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:

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

Assets included in Form 990, Part X ............................... SchDMd Bullet

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

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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 XIII 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, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	671,956,753	663,410,609	612,745,109	470,341,198	405,862,208
b	Contributions ........				81,100,000	127,397,784
c	Net investment earnings, gains, and losses	9,615,073	59,523,521	59,267,481	68,886,188	-7,312,698
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	60,452,156	48,287,389	6,211,967	5,377,065	53,911,542
f	Administrative expenses ....	2,791,140	2,689,988	2,390,014	2,205,212	1,694,554
g	End of year balance ......	618,328,530	671,956,753	663,410,609	612,745,109	470,341,198

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

Board designated or quasi-endowment SchDMd Bullet

50.530 %

Permanent endowment SchDMd Bullet

2.630 %

Temporarily restricted endowment SchDMd Bullet

46.840 %

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 XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	6,302,000		6,302,000
b	Buildings ................	556,934,000	226,983,000	329,951,000
c	Leasehold improvements ............	21,259,000	8,029,000	13,230,000
d	Equipment ................
e	Other .................	866,047,000	555,469,000	310,578,000
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				660,061,000

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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	198,841,000	F








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	198,841,000

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) OTHER LT ASSETS				171,660,000
(2) FUNDS HELD BY TRUSTEES				65,000,000
(3) FOR FUNDED DEPRECIATION				314,940,000
(4) BOND INDENTURE				95,138,000
(5) NONCURRENT NOTES RECEIVABLE				11,962,000
(6) INSURANCE RECOVERY RECEIVABLES				37,568,000



Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				696,268,000

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. 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		57,787,000
LT DEBT AND OBL-CAPITAL LEASE		60,366,000
OTHER LONG-TERM LIABILITIES		65,148,000
PROFESSIONAL LIABILITY CLAIMS		37,568,000





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		220,869,000
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	1,129,562,195
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-55,198,000
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-13,436,000
e	Add lines 2a through 2d .....................			2e	-68,634,000
3	Subtract line 2e from line 1.....................			3	1,198,196,195
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 XIII.) ...........	4b	-57,797
c	Add lines 4a and 4b.......................			4c	-57,797
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,198,138,398

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	1,138,712,134
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 XIII.) ............	2d	57,797
e	Add lines 2a through 2d......................			2e	57,797
3	Subtract line 2e from line 1.....................			3	1,138,654,337
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 XIII.) ............	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	1,138,654,337

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

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 2D LOSS ON DEFEASANCE OF DEBT $13,436,000 SCHEDULE D, PART XI, LINE 4B RENTAL EXPENSE ($57,797) SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSE $57,797

Schedule D (Form 990) 2014

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

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(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 and investments in region
	North America			Investing		42,007,408
	Europe (Including Iceland and Greenland)			Investing		26,822,242
	Central America and the Caribbean			Investing		8,099,116
	Central America and the Caribbean			Program Services	Premiums	9,461,473
	East Asia and the Pacific			Grantmaking		214,494
	Russia and the Newly Independent States			Grantmaking		134,162
	Sub Saharan Africa	2	7	Grantmaking		24,303
	North America			Grantmaking		294,803
	South America			Grantmaking		169,483








3a	Sub-total .....	2	7			87,227,484
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	2	7			87,227,484

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014

Schedule F (Form 990) 2014

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. Part II can be duplicated if additional space is needed.

(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement
East Asia and the Pacific	SUBAWARD	55,811	WIRE TRANSFR
Russia and the Newly Independent States	SUBAWARD	134,162	WIRE TRANSFR
Sub-Saharan Africa	SUBAWARD	24,303	WIRE TRANSFR
East Asia and the Pacific	SUBAWARD	158,683	WIRE TRANSFR
North America	SUBAWARD	44,000	WIRE TRANSFR
North America	SUBAWARD	225,421	WIRE TRANSFR
North America	SUBAWARD	25,382	WIRE TRANSFR
South America	SUBAWARD	169,483	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) 2014

Schedule F (Form 990) 2014Page 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.

Part III can be duplicated 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) 2014

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2014

Page 5

Part V

Supplemental Information
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).

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) 2014

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

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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. Form 990-EZ

filers are not required to complete this part.

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 email 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.

(i) Name and address of individual or entity (fundraiser)		(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
			Yes	No
	Blue Sky Entertainment	Mayo Bowl		No	278,009	30,500	247,509
	Open Hearts Inc	Catwalk		No	625,397	12,000	613,397








Total .................					903,406	42,500	860,906

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

ME, MA

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2014

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 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 GALA (event type)	(b) Event #2 FOOD FOR THOUG (event type)	(c) Other events 4 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	2,639,496	939,814	969,131	4,548,441
2	Less: Contributions . .	2,436,110	918,114	842,505	4,196,729
3	Gross income (line 1 minus line 2) . . .	203,386	21,700	126,626	351,712
4	Cash prizes . . .
5	Noncash prizes . .
6	Rent/facility costs . .	195,000		40,963	235,963
7	Food and beverages .	90,000	49,698	88,095	227,793
8	Entertainment . . .	48,110			48,110
9	Other direct expenses .	14,944	20,449	77,037	112,430
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				624,296
11	Net income summary. Subtract line 10 from line 3, column (d)...........				-272,584

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. Subtract line 7 from line 1, column (d) ......... right arrow

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

Is the organization licensed to conduct 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:

Schedule G (Form 990 or 990-EZ) 2014

Page 3

Does the organization conduct 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

Indicate the percentage of gaming activities conducted in:

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

13a

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

13b

Enter 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 of the third party:

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

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

BOSTON MEDICAL CENTER

Employer identification number

04-3314093

Part I

Financial Assistance 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) as a factor in determining 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 as a factor in determining 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 used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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, as a factor in determining 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? ......

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

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..		58,106	105,638,430	75,258,430	30,380,000	2.670 %
b	Medicaid (from Worksheet 3, column a) ....		465,378	407,425,949	348,083,285	59,342,664	5.210 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .		523,484	513,064,379	423,341,715	89,722,664	7.880 %
Other Benefits				13,740,029	6,387,598	7,352,431	0.650 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..			13,740,029	6,387,598	7,352,431	0.650 %
f	Health professions education (from Worksheet 5) ..			48,080,642	13,731,081	34,349,561	3.020 %
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)	621		89,636,709	77,782,884	11,853,825	1.040 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)			133,975	30,458	103,517	0.010 %
j	Total. Other Benefits ..	621		151,591,355	97,932,021	53,659,334	4.720 %
k	Total. Add lines 7d and 7j .	621	523,484	664,655,734	521,273,736	143,381,998	12.600 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

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.

		(a) Number of activities or programs (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing		17,977		17,977
2	Economic development	2	15,930,000		15,930,000	1.400 %
3	Community support		820,000		820,000	0.070 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	13	6,339,450	7,675,729	-1,336,279	0.120 %
8	Workforce development	1	507,545		507,545	0.040 %
9	Other	2	663,510		663,510	0.060 %
10	Total	18	24,278,482	7,675,729	16,602,753	1.450 %

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. Explain in Part VI the methodology used by the organization to estimate this amount. ......

18,934,287

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

179,589,328

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

181,496,432

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

-1,907,104

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

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—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) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	BOSTON MEDICAL CENTER 88 EAST NEWTON STREET BOSTON,MA02118 http://www.bmc.org V112	X	X	X	X	X

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	BOSTON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SCHEDULE H, PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): WWW.BMC.ORG/ABOUT/COMMITMENT-TO-COMMUNITY.HTM

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	BOSTON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.%
and FPG family income limit for eligibility for discounted care of 0.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	BOSTON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual 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? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION A	THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH HAS LICENSED BOSTON MEDICAL CENTER TO OPERATE A HOSPITAL AT ONE BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118. THIS LOCATION IS (1) A LICENSED HOSPITAL, (2) PROVIDES GENERAL MEDICAL & SURGICAL TREATMENT, (3) IS A TEACHING HOSPITAL, AND (4) OPERATES AN ER 24 HOURS. WHILE THE HOSPITAL LICENSE LISTS THREE CAMPUSES, ONLY TWO CAMPUSES OPERATE: 1. BOSTON MEDICAL CENTER CORPORATION, MENINO PAVILION, 830-840 HARRISON AVENUE, BOSTON, MA 02118; AND, 2. BOSTON MEDICAL CENTER CORPORATION, NEWTON PAVILION, 88 EAST NEWTON STREET, BOSTON, MA 02118 BOSTON MEDICAL CENTER ALSO OPERATES THE FOLLOWING OUTPATIENT CENTERS, WHICH ARE UNDER THE HOSPITAL'S LICENSE: CODMAN SQUARE HEALTH CENTER BRIGHTON HIGH SCHOOL STUDENT HEALTH CENTER BOSTON MEDICAL CENTER RADIOLOGY AT RYAN CENTER BOSTON UNIVERSITY EAST BOSTON NEIGHBORHOOD HEALTH CENTER (10 GOVE STREET) DOTHOUSE HEALTH MADISON PARK HIGH SCHOOL STUDENT HEALTH CENTER JEREMIAH E. BURKE STUDENT HEALTH CENTER GREATER ROSLINDALE MEDICAL & DENTAL LATIN ACADEMY STUDENT HEALTH CENTER TECHBOSTON ACADEMY SCHOOL HEALTH CENTER BOSTON MEDICAL CENTER RADIOLOGY AT WHITTIER HEALTH CENTER BOSTON MEDICAL CENTER RADIOLOGY AT UPHAM'S CORNER HEALTH CENTER MURIEL SNOWDEN INTERNATIONAL HIGH SCHOOL HEALTH CENTER SOUTH BOSTON COMMUNITY HEALTH CENTER 386 WEST BROADWAY SOUTH BOSTON COMMUNITY HEALTH CENTER 409 WEST BROADWAY BOSTON MEDICAL CENTER SCHOOL BASED CENTER AT BOSTON COMMUNITY LEADERSHIP ACADEMY EAST BOSTON NEIGHBORHOOD HEALTH CENTER - 20 MAVERICK SQUARE BOSTON MEDICAL CENTER RADIOLOGY AT MATTAPAN COMMUNITY HEALTH CENTER EAST BOSTON NEIGHBORHOOD HEALTH CENTER (79 PARIS STREET)
Part V, Section B, line 5	SIXTY INDIVIDUALS REPRESENTING PERSONS WITH EXPERTISE IN PUBLIC HEALTH; LEADERS, REPRESENTATIVES AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS; AND POPULATIONS WITH CHRONIC DISEASE NEEDS FROM THE COMMUNITY SERVED BY THE HOSPITAL-WERE ENGAGED IN FOCUS GROUPS AND INTERVIEWS BETWEEN NOVEMBER 2012 AND MARCH 2013 IN ORDER TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY AND PRIORITY HEALTH CONCERNS. A TOTAL OF 51 MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS PARTICIPATED IN FOCUS GROUPS, THREE OF WHICH WERE CONDUCTED IN LANGUAGES OTHER THAN ENGLISH, INCLUDING VIETNAMESE, SPANISH AND CAPE VERDEAN CREOLE. NINE INDIVIDUALS PARTICIPATED IN KEY INFORMANT INTERVIEWS. PART V, SECTION B, LINE 7A WWW.BMC.ORG/ABOUT/COMMITMENT-TO-COMMUNITY.HTM
PART V, SECTION B, LINE 11	IN 2013 BOSTON MEDICAL CENTER (BMC) CONDUCTED A TRIENNIAL COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). BMC'S CHNA IDENTIFIED THE HEALTH-RELATED NEEDS OF AND ASSETS IN THE COMMUNITY SERVED BY BMC THROUGH A SOCIAL DETERMINANTS OF HEALTH FRAMEWORK, WHICH DEFINES HEALTH BROADLY AND RECOGNIZES NUMEROUS FACTORS AT MULTIPLE LEVELS-FROM LIFESTYLE BEHAVIOURS (E.G., HEALTHY EATING AND ACTIVE LIVING) TO CLINICAL CARE (E.G., POVERTY) TO THE PHYSICAL ENVIRONMENT (E.G., AIR QUALITY)- WHICH HAVE AN IMPACT ON THE COMMUNITY'S HEALTH. EXISTING SOCIAL, ECONOMIC, AND EPIDEMIOLOGICAL DATA WERE DRAWN FROM NATIONAL, STATE, COUNTY, AND LOCAL SOURCES, SUCH AS THE U.S. CENSUS BUREAU AND THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, WHICH INCLUDE SELF-REPORT, PUBLIC HEALTH SURVEILLANCE, AND VITAL STATISTICS DATA. MORE THAN 55 INDIVIDUALS-REPRESENTATING PERSONS WITH EXPERTISE IN PUBLIC HEALTH; LEADERS, REPRESENTATIVES AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS; AND POPULATIONS WITH CHRONIC DISEASE NEEDS FROM THE COMMUNITY SERVED BY THE HOSPITAL-WERE ENGAGED IN FOCUS GROUPS AND INTERVIEWS BETWEEN NOVEMBER 2012 AND MARCH 2013 IN ORDER TO GAUGE THEIR PERCEPTIONS OF THE COMMUNITY AND PRIORITY HEALTH CONCERNS. THREE OF THE FOCUS GROUPS WERE CONDUCTED IN LANGUAGES OTHER THAN ENGLISH, INCLUDING VIETNAMESE, SPANISH AND CAPE VERDEAN CREOLE. KEY FINDINGS THAT EMERGED FROM THE CHNA INCLUDED POVERTY, ACCESS TO AND UTILIZATION OF HEALTH CARE, CHRONIC DISEASES AND CONDITIONS, VIOLENCE, MENTAL HEALTH AND SUBSTANCE ABUSE. Unwavering in our commitment to address the health needs of our community, BMC provides a wide range of programs beyond the traditional medical model. Core to fulfilling our public health mission and consistent with the CHNA findings, the goals of our community benefits programs are to improve access to and utilization of health services, and improve health outcomes for underserved populations in our community. Poverty is unique among the needs identified by the CHNA because it exacerbates each of the other needs; and low-income populations are disproportionately affected by barriers to accessing and utilizing health care, chronic diseases and conditions, violence, mental health issues, and substance abuse. The eradication of poverty requires strategies that are well beyond the scope of any hospitals mission, including BMCs, yet our existing community benefits programs will continue to help assist those living in poverty to gain greater access to health care services. A COPY OF BMC'S IMPLEMENTATION POLICY WHICH DESCRIBES HOW BMC IS ADDRESSING SIGNIFICANT COMMUNITY NEEDS IS AVAILABLE ON BMC'S WEBSITE.
PART V, SECTION B, LINE 13H	BY THE DEFINITION OF BMC'S FINANCIAL ASSISTANCE POLICY (FAP), PATIENTS WHO QUALIFY FOR THE FAP HAVE APPLIED FOR ONE OF THE COMMONWEALTH'S FINANCIAL ASSISTANCE PROGRAMS (CONNECTCARE, 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. PART V, SECTION B, LINE 13A AND LINE 22D FOR PATIENTS WHO FALL OUTSIDE COMMONWEALTH ASSISTANCE PROGRAMS, 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.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. 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) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	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 59% of our patient visits come from underserved populations, such as the low-income and elderly, who rely on government payers such as Medicaid, the Health Safety Net and Medicare for their coverage, and 31% do not speak English as a primary language. To address the health needs of its diverse patient population, BMC provides a wide range of services beyond the traditional medical model. These programs include but are not limited to patient navigation and a food pantry to help reduce barriers to accessing health services and eliminate disparities in health care among the various populations BMC serves. With more than 24,801 admissions and 1,080,766 patient visits last year, 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, BMCs Emergency Department had 125,435 visits in FY15. 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. 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 2012, an estimated 21.6% of Boston residents had incomes below the federal poverty level. According to the 2015 Massachusetts Health Insurance Survey, an estimated 3.6% of residents were uninsured and close to 97% of Massachusetts residents had coverage during the survey. The composition of the latter is: 16.4% Medicaid; 57.5% employer sponsored insurance; and 16.6% public or other insurance. Of BMCs patients, nearly 2.7% are uninsured, and coverage rates for primary insurance were approximately: 48.75% Medicaid; 28.61% private or other insurance (employer sponsored and other); and 18.59% public.
PART I, LINE 3C	FOR PATIENTS WHO FALL OUTSIDE COMMONWEALTH ASSISTANCE PROGRAMS, 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 I, LINE 5C THE ORGANIZATION'S CHARITY CARE DID NOT EXCEED BUDGETED AMOUNTS. THE BUDGETED AMOUNTS ARE PREDICTED CHARITY CARE AMOUNTS. THE ORGANIZATION DID NOT HAVE ANY EXCESS FUNDS. PART I, LINE 7 FOR THE CALCULATION OF COSTS OF CHARITY CARE (LINE 7A) & 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 $0. During fiscal year 2015, the Medical Center received favorable settlements from Medicaid, Medicare and the Health Safety Net fund ("HSN") related to prior years. Changes include Medicaid inpatient rate adjustment for $417,000, Medicare prior period cost report settlements for $5,335,000 and HSN SETTLEMENTS FROM COMMUNITY HEALTH CENTERS FOR $4,776,000; OFFSET BY UNFAVORABLE SETTLEMENTS FOR MEDICAID OF $1,758,000.
PART II	BMC CONTRIBUTES TO THE COMMUNITY THROUGH ITS PAYMENT OF LINKAGE FEES TO THE CITY OF BOSTON, WHICH FUNDS PROGRAMS FOR AFFORDABLE HOUSING AND NEIGHBORHOOD HEALTH CARE. BMC ALSO PROVIDES SUBSIDIES TO BOSTON HEALTHNET, WHICH SUPPORTS COMMUNITY BASED SERVICES. PHYSICAL IMPROVEMENTS AND HOUSING: ACCORDING TO THE DEVELOPMENT IMPACT PROJECT AGREEMENT FOR THE MOAKLEY CENTER ADDITION AND INPATIENT BUILDING PHASE I PROJECT BETWEEN BOSTON MEDICAL CENTER AND THE BOSTON REDEVELOPMENT AUTHORITY, DATED MAY 5, 2014, BMC AGREES TO PAY LINKAGE FEES OF $17,976.50, ENDING IN 2016 TO THE NEIGHBORHOOD JOBS TRUST. 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 ON SEPTEMBER 30, 2010. Effective June 30, 2009, $1,000,000 of the 2009 portion of the Mattapan loan was forgiven. COMMENCING NOVEMBER 1, 2011, BOSTON MEDICAL CENTER SHALL FORGIVE TEN PERCENT OF THE REMAINING PRINCIPAL AMOUNT ($7,200,000) OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING SHALL BE FORGIVEN IN TEN YEARS. THE FISCAL YEAR 2015 EXPENSE RELATED TO THE FORGIVENESS OF THIS LOAN WAS $720,000. EAST BOSTON NEIGHBORHOOD HEALTH CENTER, AN AFFILIATE OF BOSTON MEDICAL CENTER, RECEIVED A TOTAL OF $1,000,000 FROM BOSTON MEDICAL CENTER DURING 2013 IN THE FORM OF A LOAN THAT WAS ORIGINATED EFFECTIVE JANUARY 15, 2013. COMMENCING SEPTEMBER 30, 2013, 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 2015 EXPENSE RELATED TO THE FORGIVENESS OF THIS LOAN WAS $100,000. 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. MILLION IN OPERATING SUPPORT TO THE BOSTON HEALTHNET HEALTH CENTERS EACH YEAR.
PART III, LINE 2	Schedule H, Part III, Line 3 reports bad debt expense at cost. Patient payments on accounts are written off to bad debt and recorded as a bad debt recovery, reducing the gross bad debt write-off. PART III, LINE 3 THE ORGANIZATION ESTIMATED $0 OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) AS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY DUE TO THE MANNER IN WHICH THE DETAIL OF THE BAD DEBT EXPENSE IS PROCESSED IN ITS SYSTEM. PART III, LINE 4 The Organizations bad debt expense is addressed in Footnote 17 found on page 37 of its most recent audited financial statements. PART III, LINE 8 MEDICARE ALLOWABLE COSTS OF $181,496,432 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 III, Line 9b Populations Exempt from Collection Activities The Hospital will not require pre-admission, pretreatment deposits from individuals requiring emergency services or determined to be low-income. The following individuals and patient populations are exempt from any collection or billing procedures beyond the initial bill pursuant to state regulations: a. Patients with MassHealth, EAEDC for the disabled and children and full HSN or Patients with CMSP or Partial HSN below the program defined FPL or MAGI income guideline or others determined to be Low-Income Patients are exempt from collection subject to the following: 1. The Hospital may seek collection action against any Low-Income Patient, described above for their required co-payments and deductibles that are set forth by each specific program. 2. The Hospital may seek collection to allow a patient to meet the CommonHealth one time deductible. 3. The Hospital may also initiate billing or collection for a Low-Income Patient who alleges that he or she is a participant in a financial assistance program that covers the costs of the Hospital services, but fails to provide proof of such participation and whose insurance cannot be verified in the Hospital eligibility system Upon receipt of satisfactory proof that a patient is a participant in a financial assistance program, including receipt or verification from the insurance carrier the Hospital shall cease its billing or collection activities. 4. The Hospital may continue collection action on any Low Income Patient for services rendered prior to the Low Income Patient determination, provided that the current Low Income Patient status has been terminated or expired. However, once a patient is determined eligible and enrolled in the Health Safety Net, MassHealth, or certain financial assistance programs, the Hospital will cease collection activity for services provided prior to the beginning of their eligibility. 5. The Hospitals may seek collection action against any of the patients participating in the programs listed above for non-covered services, that the patient has agreed to be responsible for, provided that the hospital obtained the patient's prior written consent to be billed for the service.
PART VI, LINE 2: NEEDS ASSESSMENT	In 2013 Boston Medical Center (BMC) conducted a triennial comprehensive community health needs assessment (CHNA). BMC's CHNA identified the health-related needs of and assets in the community served by BMC through a social determinants of health framework, which defines health broadly and recognizes numerous factors at multiple levels- from lifestyle behaviors (e.g., healthy eating and active living) to clinical care (e.g., access to medical services) to social and economic factors (e.g., poverty) to the physical environment (e.g., air quality)-which have an impact on the community's health. Existing social, economic, and epidemiological data were drawn from national, state, county, and local sources, such as the U.S. Census Bureau and the Massachusetts Department of Public Health, which include self-report, public health surveillance, and vital statistics data. More than 55 individuals-representing persons with expertise in public health; leaders, representatives and members of medically underserved, low-income, minority populations; and populations with chronic disease needs from the community served by the hospital-were engaged in focus groups and interviews between November 2012 and March 2013 in order to gauge their perceptions of the community and priority health concerns. Three of the focus groups were conducted in languages other than English, including Vietnamese, Spanish and Cape Verdean Creole. Key findings that emerged from the CHNA included poverty, access to and utilization of health care, chronic diseases and conditions, violence, mental health and substance abuse. Unwavering in our commitment to address the health needs of our community, BMC provides a wide range of programs beyond the traditional medical model. Core to fulfilling our public health mission and consistent with the CHNA findings, the goals of our community benefits programs are to improve access to and utilization of health services, and improve health outcomes for underserved populations in our community. Poverty is unique among the needs identified by the CHNA because it exacerbates each of the other needs; and low-income populations are disproportionately affected by barriers to accessing and utilizing health care, chronic diseases and conditions, violence, mental health issues, and substance abuse. The eradication of poverty requires strategies that are well beyond the scope of any hospital's mission, including BMC's, yet our existing community benefits programs will continue to help assist those living in poverty to gain greater access to health care services. PART VI, Line 3: Patient education of eligibility for assistance The Hospital will post a notice (signs) of availability of financial assistance 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 ARE 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 Patient Financial Services staff will notify the patient if they 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 Hospitals own internal criteria for financial assistance. For cases where the Hospital is using the Virtual Gateway application, the Hospital will assist the patient in completing the application for MassHealth, CONNECTORCARE, Childrens 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
PART VI, LINE 4: COMMUNITY INFORMATION	PLEASE SEE INTRODUCTION PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH ACCESS TO AND UTILIZATION OF HEALTH CARE 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 curriculum modified to meet the complex social needs of BMC's population. 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 served a combined 998 patients in FY15. 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 FISCAL YEAR 2015, the BCRHHR served 384 patients. Cancer Screenings: BMC offers annual free cancer screening events 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 weekend cancer screenings effectively reach our target population because they create a convenient time for people who work to access screenings. In 2015, 93 people attended cancer screening events at BMC at no out-of-pocket costs to participants. 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. The Child Life Team sees approximately 6,000 individuals per year in the Pediatric Emergency Department, and 20,000 children per year in the primary care clinic. Clothing Bank: BMC's social workers access the clothing bank in real time when a provider contacts a Social Worker about a basic clothing need (sweat pants, shirts, underwear, socks, shoes, and winter coats) for a low-income patient. 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 FY15, ELAHP served 140 clients: 36 clients received housing search services; 34 clients received stabilization services; 50 clients received nutrition services; and 70 clients received homelessness prevention services. All of the elderly men and women placed in housing and provided housing stabilization services have remained successfully housed. 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 FY15, 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 200-250 children being treated in-clinic, 20% of whom are 12 months of age or younger; 42% of children were 12 months or younger on the date of referral to the Grow Clinic. Margaret M. Shea RN Adult Day Health Program: The program is licensed under the Department of Public Health and 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. The program serves 65 individuals with a daily census of 42 and average attendance at 38 daily; participants attend the program up to five times per week with a minimum of two days a week requirement. Pediatric Assessment of Communication Clinic (The Autism Program): The Autism Program provides comprehensive care to patients seen for a diagnosis of Autism Spectrum Disorder (ASD). The Autism Program assists and empowers those affected by ASDs through culturally-competent, direct patient support and community-based outreach. Autism Specialists are available at the time of diagnosis to offer immediate psychosocial support and assistance to families as well as longitudinal support, including aiding with public benefits enrollment, navigating educational and therapeutic options, and facilitating linkages to community support agencies. Autism Specialists routinely work with community partners, such as Boston Public Schools and non-profit agencies, to provide training and consultation to parents and professionals on resources and intervention practices related to autism. The BMC Autism Program also has a well-established social media presence on Facebook, Twitter, Pinterest and Tumblr-which each serve as further venues to provide resource information and guidance to families. In FY15, the Autism Program directly assisted approximately 175 new patients and provided regular follow-up (at least twice per year) to an additional 200 families. Pediatric Comprehensive Care for Complex Children (CCCC): CCCC served a panel of nearly 600 children with special health care needs and their families in FY15. 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 CCCC 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 CCCC, with its multidisciplinary approach, sees from 4-6 patients per provider per session, considerably less than the 10-12 patients per session in a regular pediatric clinic. Additionally, these team primary care visits allow for attention to routine health maintenance as well as updating complex care coordination; patients may also see a neurologist, pulmonologist, nutritionist, gastroenterologist, and/or a pediatric endocrinologist, when indicated. This "one stop shopping" model of care promotes communication between all members of the child's healthcare team.
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 6,300 people each month. In FY15, the Pantry provided nutritious food for 74,631 Greater Boston residents. Approximately 12,000 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. 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 FY15, these shuttle buses transported 180,970 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. 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 born with neonatal abstinence syndrome; those who have suffered psychological trauma due to abuse/neglect; and those with complex medical and emotional needs. SPARK staff provides 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 60 children annually who live in Greater Boston neighborhoods. SPARK helps children to reach their full neurodevelopmental potential, build positive social and emotional skills, cope proactively with health challenges, and learn how to succeed in school and beyond. Additionally, SPARK makes strong investments in families, through a variety of parent education and support programs. CHRONIC DISEASES AND CONDITIONS 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 three years ago. bWell serves approximately 500 families per month, a number that has grown steadily since its inception and is expected to continue to grow. 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 2015, there were 24 cancer support and activity groups that met regularly and 14 different special programs and events for cancer survivors. Of note, midway through the year we undertook an initiative to empower young adult survivors to create their own social networking and activity group. With a small amount of initial guidance, they met several times and arranged their first self-led outings. 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. VIOLENCE Child Protection Team (CPT): A special services division of the Department of Pediatrics, CPT serves all of BMC's maltreated pediatric patients. The CPT has three major areas of responsibility: 1) supporting BMC providers to ensure that maltreated children 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. The CPT collaborates with community and state agencies, law enforcement personnel, and the judiciary system to ensure the best possible outcome for children and families. In FY15, CPT served 2,610 children at BMC. Child Witness to Violence Project (CWVP): CWVP is a nationally-recognized and award-winning mental health counseling, outreach, and consultation program. CWVP specializes in intervention with very young children exposed to domestic or community violence. The program offers both short- and long-term evidence-based treatments that represent best practice in serving the needs of traumatized children and their families. The program provides a flexible combination of services, including resource advocacy to link families to basic services including health care, child care, housing, and after-school programs. In FY15, the CWVP provided referrals, advocacy, assessment, short-term, and/or longer-term clinical care to approximately 325 families. In addition to its clinical services, CWVP is engaged in extensive local, statewide, and national training efforts to raise the standard of care for young children experiencing the traumatic effects of violence. In FY15, CWVP staff delivered approximately 90 trainings across five states to mental health and other providers across multiple service sectors and settings. Community Violence Response Team (CVRT): The Community Violence Response Team addresses the great need for services for victims of community violence and their families, as well as family survivors of homicide victims from the Greater Boston area. Free culturally sensitive, family-focused clinical services provided by the CVRT include crisis intervention, advocacy, case management, and trauma-focused counseling for adults, adolescents, and children (with a focus on age eight and over). CVRT seeks to reduce the effects of trauma by providing therapeutic support throughout the recovery process and ultimately minimizing mental health trauma. CVRT staff reflects the diversity of BMC's patient population. In FY15, the CVRT served 1,326 people. 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. Referrals come from all inpatient and outpatient settings as well as community providers, and the Program also serves BMC employees. In FY15, the Program's Safety and Support Advocates provided approximately 338 victims and survivors with a range of services including 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; emergency financial assistance and other support as needed. Eight women participated in the program's first support group. The program also provided training on supporting survivors of domestic violence in the health care setting to just over 500 providers from multiple disciplines, including nursing and dental students at area universities. Advocates provide services in four languages, utilize Interpreter Services for additional language needs, and program materials are available in 12 languages.
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 FY15, VIAP provided services to a total of 414 victims: 182 gunshot victims, and 232 stabbing victims. Of these victims, 62 were female; 2 of these females were transgender. VIAP provided the following direct services and referrals to services to victims and associated families: crisis intervention and stabilization; housing and transportation; legal; educational; vocational and life skills development; mental health; employment; and health and wellness. Mental Health and Substance Abuse Mental Health Diversion Initiative (MHDI): Since 2006, the MHDI has worked with 2,603 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 MHDI 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 MHDI trains 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, 178 MHDI participants have successfully completed probation rather than being incarcerated. Project ASSERT stands for improving Alcohol & Substance Abuse Services, Education, and Referral to Treatment. Since 1998, Project ASSERT has been an ongoing component of safety net services at BMC's Emergency Department (ED). As members of the Project ASSERT team, Health Promotion Advocates consult and collaborate with hospital staff to offer ED patients alcohol and drug screening, brief intervention, and referrals to health and social resources, such as substance abuse treatment and primary care services. In FY15, Project ASSERT had 4,114 ED and 232 inpatient consults for a total of 4,346 visits. 1,243 patients received referrals to outpatient Narcotics Anonymous/Alcoholics Anonymous, behavioral health, and shelters, and another 232 received a primary care appointment. Project ASSERT also educated patients at risk for opioid overdose and distributed 238 naloxone rescue kits to ED patients and to family and friends. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: BOSTON MEDICAL CENTER HEALTH PLAN, INC. BOSTON MEDICAL CENTER HEALTH PLAN (BMCHP) IS A NON-PROFIT MANAGED CARE ORGANIZATION COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE COVERAGE TO UNDERSERVED POPULATIONS. IN MASSACHUSETTS, BMCHPS BUSINESS NAME IS BMC HEALTHNET PLAN; OUTSIDE MASSACHUSETTS, WELL SENSE HEALTH PLAN IS THE BUSINESS NAME. BMC HEALTHNET PLAN SERVES ABOUT 225,000 MEMBERS ACROSS THREE PRODUCT LINES: MASSHEALTH (MEDICAID), SCO, AND QUALIFIED HEALTH PLANS. IT IS THE THIRD LARGEST MEDICAID HEALTH PLAN IN MASSACHUSETTS. For 20 years, BMCHP has arranged and coordinated care and services for low-income, vulnerable populations. BMCHP has extensive experience managing the health and social service needs of Medicaid members, many of whom have complex care and support needs. As part of the BMC health system that has been serving Suffolk County for over 150 years, BMCHP brings particular strengths in understanding and serving the diverse needs of members in the service area. In addition to our access to BMC's programs and expertise, BMCHP has an established network of social and community service organizations in the Greater Boston region. Boston HealthNet Established in 1995, Boston HealthNet (BHN) is an integrated health care delivery system comprised of BMC, the Boston University School of Medicine, and 13 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 21st 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. In 2008, the Rounder System was extended to evenings and seven day coverage. The Average Length of Stay for FY 2015 for the Rounder System was 4.21 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 health record (EHR) 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 EHR 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 include the installation of Centricity Practice Solutions (CPS) -- a clinical and financial management system fully integrated with the Centricity EHR 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. Starting last year, most BHN Community Health Centers worked 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. In 2015 and in collaboration with BMC, nine of the BHN CHCs began the process of implementing a new EHR and practice management system that facilitates CHC and BMC provider access to mutual patients EHRs. A two-year $895,965 Partnership for a Community Health grant awarded in 2015 supports BHNs Improving Community Health, an initiative that leverages informatics through a patient portal to enhance patient-engagement. Key goals of the project are to improve blood pressure management among patients with hypertension and ensure that patients do not miss routine cancer screenings. Research: A BHN Research Subcommittee was set up in 2005 to review all research projects that are proposed at the health centers; 177 projects have been reviewed to date. 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 180,970 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, psychiatry and general medicine residents. BUSM students and physician assistants also round at the CHCs to supplement their training with direct patient contact. Line 7: State Filing of Community Benefit Report BMC does not file a community benefits report with the Commonwealth of Massachusetts.

Schedule H (Form 990) 2014

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.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) ARKANSAS CHILDREN'S HOSPITAL 800 Marshall Slot 512 RESEARCH INSTITUTE Little Rock,AR72202	71-0694931	501(c)(3)	61,016	Subaward
(2) BAY COVE HUMAN SERVICES 66 Canal Street Boston,MA02114	04-2518575	501(c)(3)	4,437,170	Subaward
(3) BETH ISRAEL DEACONESS HOSPITAL PO Box 3784 Boston,MA02241	04-2103881	501(c)(3)	295,646	Subaward
(4) BOSTON PUBLIC HEALTH COMMISSION 1010 Massachusetts Avenue Boston,MA02118	04-3316655	N/A Gov't	15,000	Subaward
(5) Brigham & Womens Hospital PO Box 3149 Boston,MA02241	04-2312909	501(c)(3)	398,079	Subaward
(6) BOARD OF TRUSTEES MICHIGAN 360 ADMIN BULDING EAST LANSING,MI48824	38-6005984	501(c)(3)	70,332	Subaward
(7) BROCKTON NEIGHBORHOOD HEALTH 63 Main Street Brockton,MA02301	04-3165044	501(c)(3)	20,450	Subaward
(8) BUTLER HOSPITAL 345 Blackstone Blvd Providence,RI02906	05-0258812	501(c)(3)	187,683	Subaward
(9) CAMBRIDGE HEALTH ALLIANCE 1493 Cambridge Street Cambridge,MA02139	04-3320571	501(c)(3)	358,933	Subaward
(10) CHILDREN'S HOSPITAL OF BOSTON 300 Longwood Avenue Boston,MA02115	04-2774441	501(c)(3)	612,088	Subaward
(11) CODMAN SQUARE HEALTH CTR INC 637 Washington Street Boston,MA02124	04-2678774	501(c)(3)	91,090	Subaward
(12) COOPER HEALTH SYSTEM One Cooper Place Camden,NJ08103	21-0634462	501(c)(3)	39,600	Subaward
(13) DORCHESTER HOUSE MULTI SVC CTR 1353 Dorchester Avenue Dorchester,MA02122	23-7125970	501(c)(3)	93,913	Subaward
(14) BAYLOR COLLEGE OF MEDICINE 6621 FANNIN ST HOUSTON,TX77030	74-1613878	501(c)(3)	10,422	Subaward
(15) EAST CAROLINA UNIVERSITY 2200 S CHARLES BLVD GREENVILLE,NC27858	56-6000403	501(c)(3)	124,645	Subaward
(16) FRONTIER SCIENCE & TECHNOLOGY PO Box 983027 BOSTON,MA02298	16-1056814	501(c)(3)	39,376	Subaward
(17) HARVARD UNIVERSITY 677 Huntington Avenue Boston,MA02115	04-2103580	501(c)(3)	212,648	Subaward
(18) INSTITUTE FOR HEALTH METRICS ONE NEW ENGLAND EXECUTIVE PARK SUITE 225 Burlington,MA01803	11-3764559	501(c)(3)	114,063	Subaward
(19) JOHN HOPKINS UNIVERSITY 600 Wolfe Street Baltimore,MD21287	52-0595110	501(c)(3)	153,417	Subaward
(20) JONATHAN O COLE MENTAL HEALTH 115 Mill Street C/O MCLEAN HOSPITAL Belmont,MA02178	04-3282088	501(c)(3)	33,500	Subaward
(21) MASSACHUSETTS GENERAL HOSPITAL 55 Fruit Street Boston,MA02114	04-2697983	501(c)(3)	96,937	Subaward
(22) MGH NEUROGENETICS DNA 185 Cambridge Street Boston,MA02110	04-2807148	501(c)(3)	229,167	Subaward
(23) MINNEAPOLIS MED RESEARCH FND 600 Shapiro Building 914 South Eight Street Minneapolis,MN55404	41-1677920	501(c)(3)	54,235	Subaward
(24) GREATER BOSTON SICKLE CELL 1803 DORCHESTER AVE DORCHESTER,MA02124	04-3524260	501(c)(3)	50,000	Subaward
(25) OREGON HEALTH & SCIENCE UNIV 3181 SW SAM JACKSON PARK RD PORTLAND,OR97239	93-1176109	501(c)(3)	13,890	Subaward
(26) NORTH SUFFOLK MENTAL HEALTH 301 Broadway Avenue Chelsea,MA02150	04-2317215	501(c)(3)	3,144,860	Subaward
(27) NORTHEASTERN UNIVERSITY 360 Huntington Avenue Boston,MA02115	04-1679980	501(c)(3)	303,101	Subaward
(28) NORTHWESTERN UNIVERSITY 633 Clark Street Evanston,IL60208	36-2167817	501(c)(3)	997,261	Subaward
(29) RESEARCH TRIANGLE INSTITUTE PO Box 900002 Raleigh,NC27675	56-0686338	501(c)(3)	23,046	Subaward
(30) SPECTRUM HEALTH HOSPITALS 25 MICHIGAN ST NE MC038 GRAND RAPIDS,MI49503	38-1360529	501(c)(3)	54,519	Subaward
(31) UNIVERSITY OF MARYLAND PO Box 41428 BALTIMORE FOUNDATION Baltimore,MD21203	31-1678679	501(c)(3)	19,936	Subaward
(32) UNIVERSITY OF MASSACHUSETTS 55 Lake Avenue North Worcester,MA01655	04-3167352	115	207,898	Subaward
(33) UNIVERSITY OF MICHIGAN 3003 S State Street 5000 Wolverine Tower Ann Arbor,MI48109	38-6006309	501(c)(3)	200,059	Subaward
(34) UNIVERSITY OF WASHINGTON Box 359505 Gift Services SEATTLE,WA98195	91-6001537	115	156,352	Subaward
(35) VINFEN CORP PO Box 5059 Boston,MA02206	04-2632219	501(c)(3)	182,873	Subaward
(36) WAKE FOREST UNIVERSITY 1834 Wake Forest Rd WinstonSalem,NC27157	22-3849199	501(c)(3)	271,253	Subaward
(37) WILLIAM BEAUMONT HOSPITAL 3601 West Thirteen Mile Road ROYAL OAK,MI48073	38-1459362	501(c)(3)	61,501	Subaward
(38) UNIVERSITY OF CHICAGO DIST CTR 11030 S LANGLEY AVE CHICAGO,IL60628	36-2177139	501(c)(3)	112,050	Subaward
(39) YOUTH & FAMILY ENRICHMENT SVC 1234 Hyde Park Avenue Hyde Park,MA02136	05-0588064	501(c)(3)	322,414	Subaward
(40) YALE UNIVERSITY PO BOX 1873 NEW HAVEN,CT06508	06-0646973	501(c)(3)	97,438	SUBAWARD
(41) UNIVERSITY OF N CAROLINA CB 13501 Office of Grants Contracts CHAPEL HILL,NC27599	56-6001393	501(c)(3)	57,850	SUBAWARD
(42) BOSTON HOUSING AUTHORITY 52 CHAUNCY STREET Boston,MA02111	04-6001907	501(c)(3)	38,622	SUBAWARD
(43) BOSTON UNIVERSITY 715 Albany Street Boston,MA02118	04-2103547	501(c)(3)	3,083,819	SUBAWARD
(44) BROCKTON AREA MULTI-S 10 Christys Drive Brockton,MA02301	04-2562377	501(c)(3)	128,591	SUBAWARD
(45) INSTITUTE FOR HEALTH & RECOVERY 349 BROADWAY Cambridge,MA02139	04-3086647	501(c)(3)	25,990	SUBAWARD
(46) REGENTS OF THE U OF CALIFORNIA 2760 Fifth Avenue San Diego,CA92103	95-6006144	501(c)(3)	44,825	SUBAWARD
(47) THIRD SECTOR NEW ENGLAND INC 89 SOUTH STREET 7TH FLOOR Boston,MA02111	04-2261109	501(c)(3)	319,498	SUBAWARD
(48) TRUSTEES OF THE UNIV OF PA 3451 Walnut Street Philadelphia,PA19104	23-1352685	501(c)(3)	26,341	SUBAWARD
(49) WEILL MEDICAL COLLEGE 1300 York Avenue New York,NY10005	13-1623978	501(c)(3)	18,763	SUBAWARD
(50) TUFTS UNIVERSITY 715 Albany Street Boston,MA02118	04-2103547	501(c)(3)	298,161	SUBAWARD
(51) MEDSTAR HEALTH RESEAR 6525 Belcrest Road Suite 700 Hyattsville,MD20782	52-6056274	501(c)(3)	11,842	SUBAWARD
(52) FORSYTH DENTAL INFIRM 245 First Street Cambridge,MA02142	04-2104230	501(c)(3)	47,150	SUBAWARD
(53) UNIVERSITY OF LOUISVILLE 530 South Jackson Street Louisville,KY40202	61-1029626	501(c)(3)	36,372	SUBAWARD
(54) EASTERN VIRGINIA MED PO Box 1980 Norfolk,VA235011980	54-6055378	501(c)(3)	36,000	SUBAWARD
(55) SINAL HOSPITAL OF BAL 2401 West Belvedere Ave Baltimore,MD21215	52-0486540	501(c)(3)	36,000	SUBAWARD
(56) RUTGERS THE STATE UN 65 Davidson Road Room 306 Piscataway,NJ08854	46-2354111	501(c)(3)	1,631,144	SUBAWARD
(57) ALBERT EINSTEIN COLLEGE 500 West 185th Street New York,NY10033	13-1624225	501(c)(3)	151,349	SUBAWARD
(58) BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET SPRINGFIELD,MA01199	04-2790311	501(c)(3)	451,470	SUBAWARD
(59) BAYSTATE MEDICAL PRACTICE 280 CHESTNUT STREET SPRINGFIELD,MA01199	04-2888373	501(c)(3)	111,785	SUBAWARD
(60) BEDFORD VA RESEARCH CENTER 200 Springs Road Bedford,MA01730	04-3512440	501(c)(3)	112,882	SUBAWARD
(61) CENTER FOR COMMUNITY 360 Huntington Avenue Boston,MA02115	04-3286409	501(c)(3)	19,265	SUBAWARD
(62) EMORY UNIVERSITY 1762 Clifton Rd Ste 1400 Mail Stop 0970-001-9AA Atlanta,GA30322	58-0566256	501(C)(3)	39,217	SUBAWARD
(63) EVERY MOTHER INC PO BOX 615 Greenville,MS38702	20-5325053	501(c)(3)	15,000	SUBAWARD
(64) JUSTICE RESOURCE INSTITUTE 160 Gould St Ste 300 Needham,MA02494	04-2526357	501(C)(3)	30,000	SUBAWARD
(65) MASS INSTITUTE OF TECHNOLOGY 77 MASSACHUSETTS AVENUE NE 49-4097 Cambridge,MA02139	04-2103594	501(c)(3)	118,846	SUBAWARD
(66) MASSACHUSETTS SCHOOL ONE WELLS AVENUE Newton,MA02459	04-2620216	501(c)(3)	30,000	Subaward
(67) MID-ATLANTIC PERMANEN 2101 e JEFFERSON ST Rockville,MD20849	52-1196226	501(c)(3)	18,469	Subaward
(68) REACHING OUR SISTERS 3614 COLUMBIA PKWY DECATUR,GA30034	45-2803568	501(c)(3)	101,019	SUBAWARD
(69) SEATTLE BIOMEDICAL RE 307 Westlake Ave N Seattle,WA98109	91-0961784	501(c)(3)	177,137	SUBAWARD
(70) UNIVERSITY OF NEW MEXICO 1 University of NM Alburquerque,NM87131	85-6000642	115	25,639	SUBAWARD
(71) UPHAM'S CORNER HEALTH 415 Columbia Rd Dorchester,MA02125	23-7211732	501(c)(3)	13,500	SUBAWARD
(72) VANDERBILT UNIVERSITY 2301 Vanderbilt Place Nashville,TN37235	62-0476822	501(c)(3)	66,023	SUBAWARD
(73) VICTIM RIGHTS LAW CENTER 115 Broad Street 3rd Fl Boston,MA02110	02-0588944	501(c)(3)	18,957	Subaward
(74) WELLESLEY COLLEGE 106 CENTRAL STREET Wellesley,MA02481	04-2103637	501(c)(3)	25,094	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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated 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. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

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) 2014

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, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 of 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
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used 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? ................

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), 501(c)(4), and 501(c)(29) organizations 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? .........................

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

Yes

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2014

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 (E) amounts for that individual.

(A) Name and Title		(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 in column(B) reported as deferred in prior Form 990
(A) Name and Title		(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)
1KAREN H ANTMAN MDTRUSTEE	(i) (ii)	0 ............................... 710,500	0 ............................... 0	0 ............................... 65,076	0 ............................... 34,585	0 ............................... 757	0 ............................... 810,918	0 ............................... 0
2david L coleman mdTRUSTEE	(i) (ii)	0 ............................... 449,265	0 ............................... 0	0 ............................... 242,468	0 ............................... 34,585	0 ............................... 2,519	0 ............................... 728,837	0 ............................... 0
3BOB BIGGIOVP FACILITY & SUPPORT SERVICES	(i) (ii)	315,010 ............................... 0	59,109 ............................... 0	3,176 ............................... 0	33,200 ............................... 0	40,098 ............................... 0	450,593 ............................... 0	0 ............................... 0
4RAVIN DAVIDOFFSR VP MED AFFAIRS/CMO	(i) (ii)	459,659 ............................... 0	84,936 ............................... 0	3,408 ............................... 0	50,360 ............................... 0	30,188 ............................... 0	628,551 ............................... 0	0 ............................... 0
5STAN HOCHBERGSR. VP Qlty, Safety, and Tech	(i) (ii)	413,559 ............................... 0	76,388 ............................... 0	73,371 ............................... 0	10,400 ............................... 0	22,223 ............................... 0	595,941 ............................... 0	31,433 ............................... 0
6NORMAN STEINVP DEVELOPMENT	(i) (ii)	364,849 ............................... 0	67,585 ............................... 0	3,408 ............................... 0	47,928 ............................... 0	7,927 ............................... 0	491,697 ............................... 0	0 ............................... 0
7THOMAS TRAYLORVP OF FED, STATE, LOCAL PROG	(i) (ii)	439,759 ............................... 0	70,548 ............................... 0	3,408 ............................... 0	39,877 ............................... 0	32,895 ............................... 0	586,487 ............................... 0	0 ............................... 0
8DAVID BECKVP/GENERAL COUNSEL/CLERK	(i) (ii)	347,851 ............................... 0	63,656 ............................... 0	3,138 ............................... 0	40,000 ............................... 0	20,431 ............................... 0	475,076 ............................... 0	0 ............................... 0
9RICHARD SILVERIASVP FIN/CFO/TREAS	(i) (ii)	501,614 ............................... 0	105,506 ............................... 0	3,408 ............................... 0	48,600 ............................... 0	31,329 ............................... 0	690,457 ............................... 0	0 ............................... 0
10KATHLEEN E WALSHPRESIDENT/CEO	(i) (ii)	990,455 ............................... 0	289,625 ............................... 0	37,660 ............................... 0	86,467 ............................... 0	5,721 ............................... 0	1,409,928 ............................... 0	0 ............................... 0
11GERARD DOHERTY MDTRUSTEE	(i) (ii)	0 ............................... 438,570	0 ............................... 0	0 ............................... 407,904	0 ............................... 34,585	0 ............................... 71,942	0 ............................... 953,001	0 ............................... 0
12Alastair BellSVP Ops & Strtgy/COO	(i) (ii)	502,500 ............................... 0	104,472 ............................... 0	3,408 ............................... 0	47,550 ............................... 0	3,400 ............................... 0	661,330 ............................... 0	0 ............................... 0
13Eric PoonVP/CMIO(Until 12/22/14)	(i) (ii)	289,725 ............................... 0	54,563 ............................... 0	17,912 ............................... 0	31,067 ............................... 0	33,122 ............................... 0	426,389 ............................... 0	0 ............................... 0
14Nancy GadenSVP/Chief Nursing Officer	(i) (ii)	288,360 ............................... 0	102,011 ............................... 0	2,362 ............................... 0	12,000 ............................... 0	14,518 ............................... 0	419,251 ............................... 0	0 ............................... 0
15Lisa Kelly-CroswellVP Human Resources	(i) (ii)	356,866 ............................... 0	72,000 ............................... 0	3,408 ............................... 0	31,400 ............................... 0	8,603 ............................... 0	472,277 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

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 SERVICE FEES INCLUDING FINANCIAL PLANNING ADVICE. SUCH REIMBURSEMENTS WERE INCLUDED IN THE PRESIDENT'S TAXABLE INCOME. 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 62ND BIRTHDAY. THE FOLLOWING AMOUNT BECAME VESTED AND WAS PAID TO THE FOLLOWING EXECUTIVE IN CALENDAR YEAR 2014: STAN HOCHBERG - $69,963 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, certain amounts were credited to the President and CEO's account in prior years. THESE AMOUNTS ARE SUBJECT TO FORFEITURE AND PAYMENT WILL BE MADE ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE AGREEMENT. No amounts were accrued or vested under the plan in 2014.

SCHEDULE J, PART I, LINE 7

BMC HAS AN ANNUAL EXECUTIVE PERFORMANCE INCENTIVE PLAN. PERFORMANCE TARGETS AND PAYOUT METRICS ARE ESTABLISHED AND APPROVED BY THE COMPENSATION COMMITTEE AT THE BEGINNING OF EACH PERFORMANCE CYCLE. FY14 PERFORMANCE BONUS PAYOUTS ARE APPROVED BY THE COMMITTEE AT THE COMPENSATION COMMITTEE MEETING HELD ON NOVEMBER 11, 2014. THE COMMITTEE REVIEWED THE FY14 PERFORMANCE RESULTS AGAINST PRE-ESTABLISHED PERFORMANCE TARGETS, AND APPROVED THE FORMULA-BASED PAYOUTS ACCORDINGLY.

Schedule J (Form 990) 2014

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

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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	MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AU	04-2456011	57586C7T6	07-01-2008	239,309,847	FINANCE CONSTRUCTION/RENOVATION	X			X		X
B	MASSACHUSETTS HEALTHEDUCATIONAL FACILITIES AUTH	04-2456011	57586ELD1	08-14-2009	101,485,000	REFUND OF SERIES M3-B(2005)		X		X	X
C	MASSACHUSETTS DEVELOPMENT FINANCE AGENCY	04-3431814	57583URP5	06-14-2012	117,490,498	REFUNDING OF PRIOR BONDS	X			X		X
D	MASSACHUSETTS DEVELOPMENT FINANCE AGENCY	04-3431814	57583U6Q6	04-08-2015	167,471,151	FIN PROJ/FUND RES, PAY ISSUE COSTS		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	2,730,000		3,907,279		15,810,000		0
2 Amount of bonds legally defeased . . . . . . . . . . .	25,385,000		0		46,570,000		0
3 Total proceeds of issue . . . . . . . . . . . . . .	254,470,808		13,688,734		117,498,730		169,842,054
4 Gross proceeds in reserve funds . . . . . . . . . . . .	22,437,873		95,925		5,206,513		15,191,213
5 Capitalized interest from proceeds . . . . . . . . . . .	31,466,055		0		0		2,730
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	2,592,760		0		1,684,889		1,973,311
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	188,385,981		0		0		57,175,681
11 Other spent proceeds . . . . . . . . . . . . . .	9,587,930		13,688,734		115,813,841		234,112
12 Other unspent proceeds . . . . . . . . . . . . . .	226		0		0		95,237,767
13 Year of substantial completion . . . . . . . . . . . .	2014
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X	X		X			X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X			X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		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				X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .	X			X			X

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

Cat. No. 50193E

Schedule K (Form 990) 2014

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			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			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 . .	0.700 %		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 . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0.700 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X				X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X
9 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				X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X	X		X
b Exception to rebate? . . . . . . . .		X	X		X			X
c No rebate due? . . . . . . . .	X			X		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .		X	X			X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X	X			X
b Name of provider . . . . . . . . .	0		0		AIG MATCHED FUNDING		0
c Term of GIC . . . . . . . . . .	27.19				27.19
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .	X			X	X			X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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?	X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

SCHDEULE K SUPPLEMENTAL

SCHEDULE K, PART II BOND A THE DIFFERENCE BETWEEN PART I (E) AND PART II LINE 3 IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. QUESTION 12 INCLUDES UNSPENT PROJECT FUND AND EXPENSE FUND INTEREST EARNINGS. BOND B THE BONDS ARE PART OF A POOLED FINANCING (TOTAL PAR $101,485,000). 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. QUESTION 4 - THE RESERVE PROCEEDS REPRESENTED ARE TRANSFERRED PROCEEDS FROM THE REFUNDED BONDS. QUESTION 13 - SINCE THE PROCEEDS OF THE BONDS WERE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. BOND C THE DIFFERENCE BETWEEN PART I (E) AND PART II 3 IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. QUESTION 4 - DEBT SERVICE RESERVE FUND PROCEEDS REPRESENT TRANSFERRED PROCEEDS FROM THE PRIOR BONDS. QUESTION 13 - SINCE THE PROCEEDS OF THE 2012 BONDS WERE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. BOND D THE DIFFERENCE BETWEEN PART I (E) AND PART II 3 IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. SCHEDULE K, PART III, LINE 7 BONDS A, B, & D AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. SCHEDULE K, PART IV, LINE 2B, BOND B BOND PROCEEDS WERE EXPENDED TO FINANCE A CURRENT REFUNDING, WHICH HAS MET AN EXCEPTION TO THE REBATE REQUIREMENT. NO COMPUTATION HAS BEEN MADE THAT WOULD INDICATE WHETHER ANY REBATE WOULD BE DUE ON THE PROCEEDS TRANSFERRED FROM THE PRIOR BONDS. SCHEDULE K, PART IV, LINE 2C ARBITRAGE REBATE ANALYSIS WAS PERFORMED FOR BONDS A AND C IN FY15, LISTED BELOW ARE THE ANALYSIS DATES. NO PAYMENT WAS DUE TO THE IRS FOR THESE BONDS IN FY15. BOND A THE REBATE COMPUTATION WAS PERFORMED AS OF JUNE 30, 2013 FOR BOND A. BOND C ARBITRAGE ANALYSIS OPINION LETTER ISSUED ON JULY 11, 2014 FOR BOND C. 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.

Schedule K (Form 990) 2014

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefiting 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 assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2014

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) ANAESTHESIA ASSOCIATES OF MA	SEE PART V	8,834,086	MEDICAL SERVICES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
SCHEDULE L, PART IV, LINE 1	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) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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	2	1,500	DONOR ESTIMATE
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X		15	DONOR ESTIMATE
5 Clothing and household goods .......	X		36,711	DONOR ESTIMATE
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X		1,487,702	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 .....	X	15	2,365	DONOR ESTIMATE
19 Food inventory ...	X	44	46,321	DONOR ESTIMATE
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( Jewelry )	X	1	1,150	DONOR ESTIMATE
26 Other ( GIFT CERTIFICATES & TICKETS )	X	196	106,769	DONOR ESTIMATE
27 Other ( TRAVEL )	X	19	43,422	DONOR ESTIMATE
28 Other ( Toys )	X	17	11,150	DONOR ESTIMATE

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 through 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 an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

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

Cat. No. 51227J

Schedule M (Form 990) (2014)

Page 2

Part II

Supplemental Information. 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.

Return Reference	Explanation
SCHEDULE M, PART I, COLUMN (B)	THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED.

Schedule M (Form 990) (2014)

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

BOSTON MEDICAL CENTER

Employer identification number

04-3314093

Return Reference	Explanation
FORM 990, PART III, LINE 4A	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 59% of our patient visits come from underserved populations, the low-income and elderly, who rely on government payers such as Medicaid, the Health Safety Net and Medicare for their coverage, and 31% 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 and a food pantry to help reduce barriers to accessing health services and eliminate disparities in health care 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 BMC HEALTH SYSTEM, INC.
FORM 990, PART VI, LINE 2	KAREN ANTMAN, M.D. DAVID COLEMAN, M.D. GERARD DOHERTY, M.D. JANE MENDEZ, M.D. BUSINESS RELATIONSHIP - KAREN ANTMAN, M.D., IS A KEY EMPLOYEE AT BOSTON UNIVERSITY; BOSTON UNIVERSITY ALSO EMPLOYS DRS. COLEMAN, DOHERTY AND MENDEZ. BARBARA FERRER, PH.D. HUY NGUYEN, M.D. KATHLEEN E. WALSH BUSINESS RELATIONSHIP DR. FERRER WAS EXECUTIVE DIRECTOR OF THE BOSTON PUBLIC HEALTH COMMISSION AND DR. NGUYEN IS INTERIM EXECUTIVE DIRECTOR; MS. WALSH SERVES ON THE BOARD OF HEALTH THAT GOVERNS THE COMMISSION. KAREN ANTMAN, M.D. DAVID BECK DAVID COLEMAN, M.D. GERARD DOHERTY, M.D. KATHLEEN E. WALSH BUSINESS RELATIONSHIP EACH SERVES AS AN OFFICER OR DIRECTOR OF FACULTY PRACTICE FOUNDATION, INC. DAVID COLEMAN, M.D. GERARD DOHERTY, M.D. DAVID PASSAFARO KATHLEEN E. WALSH BUSINESS RELATIONSHIP EACH SERVES AS A DIRECTOR OF BOSTON MEDICAL CENTER INSURANCE COMPANY, LTD. FORM 990, PART VI, LINE 6 The sole member of the organization is BMC Health System, Inc. (BMCHS). FORM 990, PART VI, LINE 7B BMC HEALTH SYSTEM, INC. (BMCHS) has the right to take certain actions including, but not limited to, the approval of budgets, mergers, acquisitions, and indebtedness.
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 TRUSTEES 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, 2015 WERE DISTRIBUTED BY BMC'S CORPORATE COMPLIANCE DEPARTMENT. THE CHIEF COMPLIANCE OFFICER OF BMC 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 CHIEF LEGAL COUNSEL OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF LEGAL COUNSEL ADVISES THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION ACCORDINGLY.
FORM 990, PART VI, LINE 15 A&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 XI, LINE 9	PENSION RELATED CHANGES OTHER THAN PERIODIC PENSION COSTS ($4,329,000) OTHER CHANGES $642,939 NET ASSET TRANSFER TO BMCHP ($7,300,000) NET ASSET TRANSFER BMC HEALTH SYSTEM, INC. ($12,000,000) -------------- TOTAL ($22,986,061)

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

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 entity?
(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	BMCHS	Yes
(2) UNIVER DEVELOPMENT FOUNDATION INC 88 EAST NEWTON STREET BOSTON,MA02118 04-3101957	REAL ESTATE	MA	501(c)(3)	11 A-I	BMC	Yes
(3) 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
(4) FACULTY PRACTICE FOUNDATION INC 660 HARRISON AVENUE 3RD FLOOR BOSTON,MA02118 04-3289381	MEDICAL SVCS	MA	501(c)(3)	11 B-II	NA		No
(5) BU MEDICAL CTR ANESTHESIOLOGISTS INC 88 EAST NEWTON STREET BOSTON,MA02118 04-3276227	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(6) BOSTON EMERGENCY PHYSICIAN FDN INC 818 HARRISON AVENUE BOSTON,MA02118 04-3286156	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(7) BU CARDIAC & THORACIC SURGICAL FDN INC 88 EAST NEWTON STREET BOSTON,MA02118 04-2966416	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(8) BOSTON UNIVERSITY DERMATOLOGY INC 609 ALBANY STREET BOSTON,MA02118 04-3335166	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(9) BU DERMATOLOGY SUPPORT SERVICES I INC 609 ALBANY STREET BOSTON,MA02118 04-3452877	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(10) BU DERMATOLOGY SUPPORT SERVICES II INC 609 ALBANY STREET BOSTON,MA02118 04-3452874	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(11) BOSTON UNIV SURGICAL ASSOCIATES INC 88 EAST NEWTON STREET BOSTON,MA02118 04-3291148	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(12) EVANS MEDICAL FOUNDATION INC 88 EAST NEWTON STREET BOSTON,MA02118 51-0172171	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(13) BOSTON UNIVERSITY EYE ASSOCIATES INC 2005 BAY STREET SUITE 201 TAUNTON,MA02780 04-3137333	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(14) 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
(15) BU MALLORY PATHOLOGY ASSOCIATES INC 784 MASSACHUSETTS AVENUE BOSTON,MA02118 04-2794543	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(16) BOSTON UNIV NEUROLOGY ASSOCIATES INC 720 HARRISON AVENUE SUITE 707 BOSTON,MA02118 04-3428462	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(17) BU NEUROSURGICAL ASSOCIATES INC 88 EAST NEWTON STREET BOSTON,MA02118 04-3296068	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(18) BU OBSTETRICS & GYNECOLOGY FDN INC 818 HARRISON AVENUE BOSTON,MA02118 04-3067465	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(19) BU ORTHOPAEDIC SURGICAL ASSOCIATES INC 720 HARRISON AVENUE SUITE 808 BOSTON,MA02118 04-3354360	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(20) BUMC OTOLARYNGOLOGIC FOUNDATION INC 88 EAST NEWTON STREET BOSTON,MA02118 04-3156471	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(21) 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
(22) BOSTON UNIV PLASTIC SURGERY ASSOC INC 88 EAST NEWTON STREET BOSTON,MA02118 04-3555478	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(23) BOSTON UNIVERSITY PSYCHIATRY ASSOC INC 720 HARRISON AVENUE BOSTON,MA02118 04-3355267	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(24) BU MEDICAL CENTER RADIOLOGISTS INC 88 EAST NEWTON STREET BOSTON,MA02118 04-3283573	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(25) BOSTON REHABILITATION MEDICINE ASSOC INC 88 EAST NEWTON STREET BOSTON,MA02118 04-3286641	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(26) BU GENERAL SURGICAL ASSOCIATES INC 88 EAST NEWTON STREET BOSTON,MA02118 04-3265008	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(27) BU MEDICAL CENTER UROLOGISTS INC 88 EAST NEWTON STREET BOSTON,MA02118 04-3286643	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA		No
(28) Boston University Affiliated Physicians 660 HARRISON AVE BOSTON,MA02118 04-3218267	HEALTHCARE	MA	501(c)(3)	3	BMC	Yes
(29) BMC HEALTH SYSTEM INC ONE BOSTON MEDICAL CENTER PLACE BOSTON,MA02118 46-3556853	SUPPORT SVCS.	MA	501(C)(3)	11 B-II	NA		No
(30) BMC INTEGRATED CARE SERVICES INC ONE BOSTON MEDICAL CENTER PLACE BOSTON,MA02118 04-3414914	HEALTHCARE	MA	501(c)(3)	11A, TYPE I	BMC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(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 V-UBI 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	BMC	RELATED	-5,707,645	140,172,427		No	0			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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No
(1) BMC INSURANCE COMPANY LTD 10 MAIN STREET GRAND CAYMAN CJ 98-0375219	INSURANCE	CJ	BMC	C-CORP			Yes
(2) CHARITABLE REMAINDER TRUST (3)	SUPPORT	MA	BMC	TRUST			Yes

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

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, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

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

Yes

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

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

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

Yes

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

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

Yes

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

Yes

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

Yes

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

Yes

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

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

Yes

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

s 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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Boston Medical Center Health Plan Inc	L	114,621,000	INSURANCE RATES
(2) BOSTON UNIVERSITY AFFILIATED PHYSICIANS INC	M,N,O	2,155,000	FINANCIAL NEED
(3) BMC INSURANCE COMPANY LTD	Q	9,461,000	BOOK
(4) BOSTON MEDICAL CENTER HEALTH PLAN INC	B	7,300,000	NET ASSET TRANS
(5) BMC HEALTH SYSTEM INC	B	12,000,000	NET ASSET TRANS

Schedule R (Form 990) 2014

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 V-UBI 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

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	25
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 2014 (Part V, line 2a) ......	5	7,658
6	Total number of volunteers (estimate if necessary) .............	6	479
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-8,597

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	22,774,364	21,671,288
9	Program service revenue (Part VIII, line 2g) .........	1,044,427,171	1,090,353,215
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	48,774,000	81,219,903
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,871,054	4,893,992
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,120,846,589	1,198,138,398
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	18,430,173	22,171,726
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)	507,192,894	515,094,242
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	79,149	42,500
b	Total fundraising expenses (Part IX, column (D), line 25) 4,094,962
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	523,312,373	601,345,869
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,049,014,589	1,138,654,337
19	Revenue less expenses. Subtract line 18 from line 12.......	71,832,000	59,484,061
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,966,114,000	2,169,778,000
21	Total liabilities (Part X, line 26).............	776,233,000	1,003,718,000
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,189,881,000	1,166,060,000

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,008,145,916 including grants of $ ) (Revenue $ 1,090,353,215 )
	SEE SCHEDULE O.

4b	(Code: ) (Expenses $ 21,334,481 including grants of $ 21,334,481 ) (Revenue $ )
	BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO ORGANIZATIONS WITHIN THE US.

4c	(Code: ) (Expenses $ 837,245 including grants of $ 837,245 ) (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 expenses1,030,317,642

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	6,578,673	2,313,783	908,277

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		4,196,729
d	Related organizations...1d
e	Government grants (contributions)1e		573,510

f	All other contributions, gifts, grants, and similar amounts not included above1f		16,901,049

g	Noncash contributions included in lines 1a-1f:$		1,737,105
h	Total. Add lines 1a-1f.......			21,671,288
			Business Code
2a	PATIENT SVC REVENUE		900099	1,004,688,918	1,004,688,918
b	OTHER PROGRAM REVENUE		900099	1,397,923	1,397,923
c	GRANT/CONTRACT REVENUE		900099	84,266,374	84,266,374
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			1,090,353,215
3	Investment income (including dividends, interest, and other similar amounts).......			17,612,000			17,612,000
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	134,128
b	Less: rental expenses	57,797
c	Rental income or (loss)	76,331	0
d	Net rental income or (loss).......			76,331			76,331
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	49,130,000	14,477,903
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	49,130,000	14,477,903
d	Net gain or (loss)..........			63,607,903			63,607,903
8a	Gross income from fundraising events (not including $ 4,196,729 of contributions reported on line 1c). See Part IV, line 18 ..
	a		351,712
b	Less: direct expenses ...b		624,296
c	Net income or (loss) from fundraising events..			-272,584			-272,584
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		900099	3,492,843			3,492,843
b	PARKING		812930	1,597,402			1,597,402
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			5,090,245
12	Total revenue. See Instructions......			1,198,138,398	1,090,353,215		86,113,895


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			98,247,000	1	65,018,000
2	Savings and temporary cash investments .........			27,773,000	2	17,655,000
3	Pledges and grants receivable, net ...........			36,801,000	3	28,959,000
4	Accounts receivable, net .............			127,892,000	4	218,354,000
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			129,344,000	7	150,710,000
8	Inventories for sale or use ..............			6,201,000	8	8,316,000
9	Prepaid expenses and deferred charges ..........			11,838,000	9	18,530,000
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,450,542,000
b	Less: accumulated depreciation .....	10b	790,481,000	556,070,000	10c	660,061,000
11	Investments—publicly traded securities ..........			120,867,000	11	107,066,000
12	Investments—other securities. See Part IV, line 11 .....			209,894,000	12	198,841,000
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 ...........			641,187,000	15	696,268,000
16	Total assets. Add lines 1 through 15 (must equal line 34)......			1,966,114,000	16	2,169,778,000
17	Accounts payable and accrued expenses .........			151,372,000	17	160,983,000
18	Grants payable .................			0	18	0
19	Deferred revenue ................			19,436,000	19	19,890,000
20	Tax-exempt bond liabilities .............			359,836,000	20	523,720,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other 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 ....			69,445,000	24	78,256,000
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....................			176,144,000	25	220,869,000
26	Total liabilities. Add lines 17 through 25.........			776,233,000	26	1,003,718,000
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			829,496,000	27	835,249,000
28	Temporarily restricted net assets ...........			344,125,000	28	314,551,000
29	Permanently restricted net assets ...........			16,260,000	29	16,260,000
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........			1,189,881,000	33	1,166,060,000
34	Total liabilities and net assets/fund balances ........			1,966,114,000	34	2,169,778,000

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, Return by a U.S. Transferor of Property to a Foreign Corporation (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, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990)............................	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, Information 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; do not file with Form 990).....................................	Yes	No