TY 2015 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	801,054	35,937
(2) WILLIAM J HALPIN JR...................................................................... TRUSTEe	1.0 ................. 2.0	X		0	0	0
(3) Randi Cutler...................................................................... trustee	1.0 ................. 0.0	X		0	0	0
(4) MARTHA S SAMUELSON...................................................................... TRUSTEE	1.0 ................. 1.0	X		0	0	0
(5) STEVEN d levy...................................................................... TRUSTEE (UNTIL 5/10/16)	1.0 ................. 0.0	X		0	0	0
(6) RICHARD SLIFKA...................................................................... TRUSTEE	1.0 ................. 1.0	X		0	0	0
(7) david L coleman md...................................................................... TRUSTEE	1.0 ................. 55.0	X		0	662,243	37,572
(8) JOHN T HAILER...................................................................... trustee	1.0 ................. 0.0	X		0	0	0
(9) KATHLEEN E WALSH...................................................................... PRESIDENT/CEO	50.0 ................. 7.5	X	X	1,410,618	0	97,132
(10) PAUL EGERMAN...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(11) PEGGY KOENIG...................................................................... TRUSTEE (UNTIL 5/20/16)	1.0 ................. 1.0	X		0	0	0
(12) JAMES S PHALEN...................................................................... TRUSTEE	1.0 ................. 1.0	X		0	0	0
(13) MARK NUNNELLY...................................................................... TRUSTEE (Until 5/20/16)	1.0 ................. 1.0	X		0	0	0
(14) CLAIRE PERLMAN...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(15) DAVID AMENT...................................................................... TRUSTEE	1.0 ................. 2.0	X		0	0	0
(16) JAMES BLUE...................................................................... TRUSTEE	1.0 ................. 2.0	X		0	0	0
(17) SANDRA COTTERELL...................................................................... TRUSTEE	1.0 ................. 2.0	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) GERARD DOHERTY MD........................................................................ TRUSTEE	1.0 .......................55.0	X				0	984,333	106,683
(19) RUTH ELLEN FITCH........................................................................ TRUSTEE	1.0 .......................0.0	X				0	0	0
(20) MELANIE FOLEY........................................................................ TRUSTEE	1.0 .......................0.0	X				0	0	0
(21) MANUEL LOPES........................................................................ TRUSTEE	1.0 .......................2.0	X				0	0	0
(22) Jane Mendez........................................................................ TRUSTEE	1.0 .......................0.0	X				0	0	0
(23) Huy Nguyen........................................................................ TRUSTEE (UNTIL 2/1/16)	1.0 .......................0.0	X				0	0	0
(24) Andrew Youniss........................................................................ TRUSTEE	1.0 .......................0.0	X				0	0	0
(25) Edmond English........................................................................ TRUSTEE	1.0 .......................0.0	X				0	0	0
(26) ANITA BEKENSTEIN........................................................................ TRUSTEE (SINCE 2/16/16)	1.0 .......................0.0	X				0	0	0
(27) AZRA KANJI........................................................................ TRUSTEE (SINCE 11/10/15)	1.0 .......................0.0	X				0	0	0
(28) BARRY BOCK........................................................................ TRUSTEE (SINCE 5/10/16)	1.0 .......................0.0	X				0	0	0
(29) KAREN KAMES........................................................................ TRUSTEE (SINCE 5/10/16)	1.0 .......................0.0	X				0	0	0
(30) MONICA VALDES LUPI........................................................................ TRUSTEE (SINCE 2/1/16)	1.0 .......................0.0	X				0	0	0
(31) PATRICIA PATRICK........................................................................ TRUSTEE (SINCE 11/10/15)	1.0 .......................0.0	X				0	0	0
(32) PIERRE CREMIEUX........................................................................ TRUSTEE (SINCE 5/10/16)	1.0 .......................1.0	X				0	0	0
(33) RICHARD MARKS........................................................................ TRUSTEE (SINCE 2/16/16)	1.0 .......................0.0	X				0	0	0
(34) DAVID BECK........................................................................ SVP/CHIEF LEGAL COUNSEL/CLERK	50.0 .......................10.5		X			457,312	0	64,425
(35) RICHARD SILVERIA........................................................................ SVP FIN/CFO/TREAS	50.0 .......................4.5		X			629,090	0	81,747
(36) RAVIN DAVIDOFF........................................................................ SR VP MED AFFAIRS/CMO	50.0 .......................2.5			X		576,619	0	83,967
(37) STANLEY HOCHBERG........................................................................ SR. VP Qlty, Safety, and Tech	50.0 .......................2.0			X		524,066	0	37,352
(38) NORMAN STEIN........................................................................ SVP CHIEF DEVELOPMENT OFFICER	50.0 .......................0.0			X		452,141	0	55,790
(39) Alastair Bell........................................................................ SVP Ops & Strtgy/COO	50.0 .......................1.0			X		661,247	0	53,050
(40) Nancy Gaden........................................................................ SVP Chief Nursing Officer	50.0 .......................0.0			X		427,522	0	67,097
(41) Lisa Kelly-Croswell........................................................................ SVP CHRO	50.0 .......................0.0			X		458,450	0	46,911
(42) BOB BIGGIO........................................................................ VP FACILITY	50.0 .......................0.0				X	390,908	0	68,752
(43) THOMAS TRAYLOR........................................................................ VP OF FED, STATE, LOCAL PROG	50.0 .......................1.0				X	546,266	0	74,315
(44) Joe Camillus........................................................................ VP Ambulatory Optn & Prof Svcs	50.0 .......................0.0				X	357,397	0	61,945
(45) Cindy Charylulu........................................................................ VP Revenue Cycle	50.0 .......................0.0				X	340,208	0	44,832
(46) JohN Lindstedt........................................................................ VP Finance	50.0 .......................0.0				X	329,592	0	66,872

(A) Name and business address	(B) Description of services	(C) Compensation
CARDINAL HEALTH PHARMACY, 7000 CARDINAL PLACE DUBLIN,OH43017	PHARMACY	107,998,746
SUFFOLK CONSTRUCTION COMPANY, 65 ALLERTON STREET BOSTON,MA02119	CONSTRUCTION	81,794,822
BOSTON UNIVERSITY, 715 ALBANY STREET SUITE 580 BOSTON,MA021182528	SHARED RESEARCH SVCS	66,758,972
SHAWMUT WOODWORKING SUPPLY, 560 HARRISON AVE BOSTON,MA02118	CONSTRUCTION	34,335,190
EMCOR SERVICES NORTHEAST, 80 HAWES WAY STOUGHTON,MA02072	MECHANICAL/HVAC	8,910,901
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 346

- 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

2015

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 (Form 990 or 990-EZ))

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 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....	10,023,360	9,605,331	22,774,364	21,671,288	22,129,256	86,203,599
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	10,023,360	9,605,331	22,774,364	21,671,288	22,129,256	86,203,599
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)..						2,680,674
6	Public support. Subtract line 5 from line 4.						83,522,925

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..	10,023,360	9,605,331	22,774,364	21,671,288	22,129,256	86,203,599
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	16,477,086	20,582,917	18,578,225	17,746,128	16,401,528	89,785,884
9	Net income from unrelated business activities, whether or not the business is regularly carried on..	525,994	27,985	0	0	0	553,979
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	4,154,501	4,521,602	5,410,940	5,441,957	5,093,586	24,622,586
11	Total support. Add lines 7 through 10.						201,166,048

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

5,293,171,885

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 2015 (line 6, column (f) divided by line 11, column (f)) .........

41.519 %

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

38.155 %

16a

33 1/3% support test—2015. 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—2014. 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—2015. 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—2014. 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) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

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

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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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) 2015

Page 6

Part V

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

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

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) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

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 2015 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-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

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) 2015

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

2015

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 other 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) 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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization BOSTON MEDICAL CENTER		Employer identification number 04-3314093

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

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.) $ 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) (2015)

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

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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) 2012	(b) 2013	(c) 2014	(d) 2015	(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) 2015

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 on 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

162,758

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

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

Yes

124,357

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

287,115

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 AMERICA'S ESSENTIAL HOSPITALS, MASSACHUSETTS HOSPITAL ASSOCIATION, AND AMERICAN HOSPITAL ASSOCIATION, AND A PORTION OF THE DUES ARE ALLOCATED TO LOBBYING EFFORTS. THE PORTION OF THE DUES THAT WAS ALLOCATED TO LOBBYING EFFORTS WAS $124,357. BMC ALSO PAID GEORGE TRAYLOR $97,758, A LOBBYIST, TO REPRESENT THE ORGANIZATION. ADDITIONALLY, BOSTON MEDICAL CENTER PAID ROBERT WHITE ASSOCIATES $65,000 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 AMERICA'S ESSENTIAL HOSPITALS, MASSACHUSETTS HOSPITAL ASSOCIATION, AND AMERICAN HOSPITAL ASSOCIATION, AND A PORTION OF THE DUES ARE ALLOCATED TO LOBBYING EFFORTS. THE PORTION OF THE DUES THAT WAS ALLOCATED TO LOBBYING EFFORTS WAS $124,357. BMC ALSO PAID GEORGE TRAYLOR $97,758, A LOBBYIST, TO REPRESENT THE ORGANIZATION. ADDITIONALLY, BOSTON MEDICAL CENTER PAID ROBERT WHITE ASSOCIATES $65,000 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) 2015

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," on 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

2015

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" on 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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 on 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 on 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) 2015

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	618,328,530	671,956,753	663,410,609	612,745,109	470,341,198
b	Contributions ...					81,100,000
c	Net investment earnings, gains, and losses	42,882,728	9,615,073	59,523,521	59,267,481	68,886,188
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	16,736,661	60,452,156	48,287,389	6,211,967	5,377,065
f	Administrative expenses ....	2,178,355	2,791,140	2,689,988	2,390,014	2,205,212
g	End of year balance ......	642,296,242	618,328,530	671,956,753	663,410,609	612,745,109

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

Board designated or quasi-endowment SchDMd Bullet

51.060 %

Permanent endowment SchDMd Bullet

2.530 %

Temporarily restricted endowment SchDMd Bullet

46.410 %

The percentages on 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" on 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' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	6,302,000		6,302,000
b	Buildings	633,681,000	254,791,000	378,890,000
c	Leasehold improvements	23,302,000	9,335,000	13,967,000
d	Equipment ...	0		0
e	Other ...	962,668,000	604,271,000	358,397,000
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				757,556,000

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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	197,367,000	F
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	197,367,000

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) OTHER LT ASSETS				208,761,000
(2) FUNDS HELD BY TRUSTEES				38,000,000
(3) FOR FUNDED DEPRECIATION				330,691,000
(4) BOND INDENTURE				40,850,000
(5) NONCURRENT NOTES RECEIVABLE				8,998,000
(6) INSURANCE RECOVERY RECEIVABLES				38,640,000
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				665,940,000

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
EST SETTLEMENT W/3RD PARTY PAY	52,697,000
LT DEBT AND OBL-CAPITAL LEASE	50,740,000
OTHER LONG-TERM LIABILITIES	77,610,000
PROFESSIONAL LIABILITY CLAIMS	38,640,000
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	219,687,000
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	1,256,544,189
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	23,026,000
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-16,187,000
e	Add lines 2a through 2d .....................			2e	6,839,000
3	Subtract line 2e from line 1..................			3	1,249,705,189
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	-113,465
c	Add lines 4a and 4b....................			4c	-113,465
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,249,591,724

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	1,237,292,868
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	113,465
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................			2e	113,465
3	Subtract line 2e from line 1...................			3	1,237,179,403
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	16,187,000
c	Add lines 4a and 4b.....................			4c	16,187,000
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	1,253,366,403

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 $16,187,000 SCHEDULE D, PART XI, LINE 4B RENTAL EXPENSE ($113,465) SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSE $113,465 SCHEDULE D, PART XII, LINE 4B LOSS ON DEFEASANCE OF DEBT $16,187,000

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

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

OMB No. 1545-0047

2015

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			Grantmaking		189,197
	South America			Grantmaking		183,205
	Sub-Saharan Africa	2	7	Grantmaking		112,298
	East Asia and the Pacific			Grantmaking		19,981
	Russia and the Newly Independent States			Grantmaking		14,151
	North America			Investments		46,560,377
	Europe (Including Iceland and Greenland)			Investments		29,502,094
	Central America and the Caribbean			Investments		11,438,883
	Central America and the Caribbean			Program Services	PREMIUMS	9,257,648








3a	Sub-total .....	2	7			97,277,834
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	2	7			97,277,834

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

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
North America	SUBAWARD	44,000	Wire Transfr
Russia and the Newly Independent States	Subaward	14,151	WIRE TRANSFR
East Asia and the Pacific	Subaward	19,981	WIRE TRANSFR
South America	SUBAWARD	183,205	WIRE TRANSFR
Sub-Saharan Africa	SUBAWARD	99,501	WIRE TRANSFR
Sub-Saharan Africa	SUBAWARD	12,796	WIRE TRANSFR
North America	SUBAWARD	145,197	WIRE TRANSFR

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................	7

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 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) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

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) 2015

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" on 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

2015

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" on 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?

YesNo

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	649,000	65,000	584,000
	33 Munroe LLC	Catwalk		No	330,286	12,000	318,286








Total . . . . . . . . . . . . . . . . . . . .					979,286	77,000	902,286

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.

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on 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 THOUGH (event type)	(c) Other events 4 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	3,476,289	1,304,326	1,071,622	5,852,237
2	Less: Contributions . . . .	3,239,923	1,274,626	934,944	5,449,493
3	Gross income (line 1 minus line 2) . . . . . .	236,366	29,700	136,678	402,744

4	Cash prizes . . . . .			11,353	11,353
5	Noncash prizes . . . .
6	Rent/facility costs . . . .	208,007		60,353	268,360
7	Food and beverages . . .	90,000	42,962	59,214	192,176
8	Entertainment . . . .	47,000		14,700	61,700
9	Other direct expenses . . .	14,725	18,994	28,824	62,543
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				596,132
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-193,388

Part III

Gaming. Complete if the organization answered "Yes" on 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))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .	14,725	18,994	28,824	62,543

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) 2015

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 activity 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 complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on 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

2015

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) . . .		55,521	90,344,115	58,462,111	31,882,004	2.540 %
b	Medicaid (from Worksheet 3, column a) . . . . .		494,997	385,694,338	347,989,630	37,704,708	3.010 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .		550,518	476,038,453	406,451,741	69,586,712	5.550 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			15,790,645	9,467,021	6,323,624	0.500 %
f	Health professions education (from Worksheet 5) . . .			49,775,300	13,736,684	36,038,616	2.880 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	600		89,126,711	76,004,868	13,121,843	1.050 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			123,000	31,170	91,830	0.010 %
j	Total. Other Benefits . .	600		154,815,656	99,239,743	55,575,913	4.440 %
k	Total. Add lines 7d and 7j .	600	550,518	630,854,109	505,691,484	125,162,625	9.990 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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	1.270 %
3	Community support		831,000		831,000	0.070 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	16	8,558,313	9,752,719	-1,194,406	0.100 %
8	Workforce development	1	878,845		878,845	0.070 %
9	Other	2	663,510		663,510	0.050 %
10	Total	21	26,879,645	9,752,719	17,126,926	1.360 %

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. ......

18,407,142

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).....

189,257,943

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

193,830,433

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

-4,572,490

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) 2015

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) 2015

Page 4

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 15

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

6 a

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 15

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

Yes

If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C

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

12b

If "Yes" on 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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) 2015

Page 6

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 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 19. (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) 2015

Page 7

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 STREET 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) EBHS SCHOOL BASED HEALTH CENTER WINTHROP COMMUNITY HEALTH CENTER SOUTH BOSTON COMMUNITY HEALTH CENTER SEAPORT PRIMARY CARE
Part V, Section B, line 5	Over 62 individuals, 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 to gauge their perceptions of the community, priority health concerns, and what programming, services, or initiatives are most needed to address these concerns. In total, four focus groups and nine key informant discussions were conducted October 2015 through February 2016. Focus groups were held with 54 community residents representing the following population segments: Spanish language speaking adults in East Boston; Cape Verdean Creole language speaking adults in Dorchester; and English language speaking adults in the South End and Roxbury. Nine key informant discussions were conducted with individuals representing the local, regional, and statewide level. Key informants represented a number of sectors including non-profit/community service, city government, hospital or health care, education, housing, substance abuse, and emergency preparedness. Focus group and interview discussions explored participants perceptions of their communities, priority health concerns, perceptions of public health, prevention, and health care services, and suggestions for future programming and services to address these issues. PART V, SECTION B, LINES 7A & 10A WWW.BMC.ORG/ABOUT/COMMITMENT-TO-COMMUNITY.HTM
PART V, SECTION B, LINE 11	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 health services and improve health outcomes for underserved populations in our community. To these ends, we address and impact aspects of each of the key findings that emerged from our most recently conducted CHNA. Key findings include health care access, chronic diseases and risk factors, mental health and substance abuse, and violence.
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) 2015

Page 8

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) 2015

Page 9

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, 487-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 72% 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 32% 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. With more than 25,326 admissions and 1,108,461 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 132,148 visits in FY16. 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 estimate of 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 2016, THE MEDICAL CENTER RECEIVED FAVORABLE SETTLEMENTS FROM MEDICARE RELATED TO PRIOR YEARS FOR $3,935,000; UNFAVORABLE SETTLEMENTS FROM MEDICAID FOR $1,315,000 AND BMCHP FOR $2,096,000.
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 2016 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 2016 EXPENSE RELATED TO THE FORGIVENESS OF THIS LOAN WAS $100,000. SOUTH BOSTON COMMUNITY HEALTH CENTER, AN AFFILIATE OF BOSTON MEDICAL CENTER, RECEIVED A TOTAL OF $600,000 FROM BOSTON MEDICAL CENTER DURING 2016 IN THE FORM OF A LOAN THAT WAS ORIGINATED EFFECTIVE JANUARY 26, 2016. COMMENCING JANUARY 26, 2017, 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 2016 EXPENSE RELATED TO THE FORGIVENESS OF THIS LOAN WAS $0. 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.
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 41 of its most recent audited financial statements. PART III, LINE 8 MEDICARE ALLOWABLE COSTS OF $193,830,433 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 2016 Boston Medical Center conducted a comprehensive community health needs assessment (CHNA), which included reviewing existing social, economic, and health data among residents of Boston and those who are traditionally underserved; conducting focus groups with community members; and conducting key informant interviews with health care providers and community stakeholders. BMCs 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 communitys health. Over 62 individuals, 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 to gauge their perceptions of the community, priority health concerns, and what programming, services, or initiatives are most needed to address these concerns. In total, four focus groups and nine key informant discussions were conducted October 2015 through February 2016. Focus groups were held with 54 community residents representing the following population segments: Spanish language speaking adults in East Boston; Cape Verdean Creole language speaking adults in Dorchester; and English language speaking adults in the South End and Roxbury. Nine key informant discussions were conducted with individuals representing the local, regional, and statewide level. Key informants represented a number of sectors including non-profit/community service, city government, hospital or health care, education, housing, substance abuse, and emergency preparedness. Focus group and interview discussions explored participants perceptions of their communities, priority health concerns, perceptions of public health, prevention, and health care services, and suggestions for future programming and services to address these issues. Existing social, economic, and health data were drawn from national, state, county, and local sources, such as the National Cancer Institute, the U.S. Census, U.S. Bureau of Labor Statistics, Massachusetts Department of Public Health, Boston Public Health Commission, and the Boston Police Department. Over 62 individuals, representing healthcare providers, community stakeholders, and residents were engaged in focus groups and interviews to gauge their perceptions of the community, priority health concerns, and what programming, services, or initiatives are most needed to address these concerns. Key findings that emerged from the CHNA included health care access, chronic diseases and risk factors, mental health and substance abuse, and violence. 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 program are to improve access to health services and improve health outcomes for underserved populations in our community. PART VI, LINE 3: 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 BMCs 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 1,154 patients in FY16. 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 2016, the BCRHHR served 374 patients. CATALYST Clinic: In May 2016, Boston Medical Center launched the CATALYST Clinic (Center for Addiction Treatment for AdoLescent/Young adults who use SubsTances), a program designed to treat young people aged 25 and under who are struggling with substance use, or who have experimented with drugs and alcohol and may be at risk for developing an addiction. The CATALYST Clinic team works to provide interdisciplinary, team-based care that includes physicians, a nurse, a social worker, a community outreach navigator and a program manager. The CATALYST Clinic team works together to offer assessment, diagnosis, and treatment of various substance use disorders, as well as a transition from adolescent to adult care when appropriate. During its first six months of operation in Fiscal Year 2016, the CATALYST Clinic received approximately 55 referrals. 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 currently covers the areas of Inpatient Pediatrics and the Pediatric Intensive Care Unit as well as Pediatric Ambulatory Clinic and the Pediatric Emergency Department. The team remains a consult service to children of adult families as needed. Child Mental Health Initiative: The Child Mental Health Initiative (CMHI) is a partnership between Boston Medical Center and three community health centers that combines mental health care with primary care for children, so that families can receive all care in one place. Engagement with the CMHI model occurs: when a parent brings in a child with behavioral health issues; when a primary care provider refers a child with behavioral health issues; when a primary care provider expresses concerns about a family; when a child or family experiences a new major stressor (e.g., parental separation, diagnosis of a serious illness); and after a comprehensive psychosocial and behavioral health assessment during a well-child visit in the primary care setting. The goal of the CMHI is to achieve practice transformation by successfully implementing evidence-based therapies and interventions in pediatric primary care at the participating community health centers (Codman Square Health Center, Lowell Community Health center, and The Dimock Center). Clothing Bank: BMCs social workers access the clothing bank in real time when a provider contacts Social Work about a basic clothing need (sweat pants, shirts, underwear, socks, shoes, and winter coats) for a low-income patient. 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 FY16, ELAHP served 148 clients: 41 clients received housing search services; 38 clients received housing stabilization services; 50 clients received nutrition services; and 69 clients received homelessness prevention services. All of the elderly men and women placed in housing and provided housing stabilization services have remained successfully housed. All clients suffered from at least one medical disability, and 65% suffered from at least two disabling conditions. Grow Clinic: The Grow Clinic was founded in 1984 by Dr. Deborah A. Frank as part of BMCs Pediatrics Department. The primary goal of the Grow Clinic is to provide comprehensive multidisciplinary medical, nutritional, social services and developmental support 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 illness, poverty, 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 FY2016, the Grow Clinic provided medical treatment, nutritional assessment, home health education, social service advocacy, developmental referrals, access to a therapeutic food pantry, childrens clothes, diapers, books and educational toys, among other services. At any given time there were approximately 200 children being treated in-clinic. Thirty percent (30%) of clinic patients were 12 months of age or younger; the average age at referral was 29 months; and the average length of treatment was 20 months. Approximately 11% of patient families were homeless and living in shelters. There were 82 new patients during this period.
Immigrant and Refugee Health Program: The Immigrant & Refugee Health	Program provides comprehensive primary care services to immigrant and refugee patients. The team of clinicians takes care of general healthcare needs through regular check-ups, immunizations, and screenings, as well as providing care for illnesses and injuries. Also, if needed, the team will coordinate patient care with specialists for a more serious health issue. Foreign and sign language interpreters are available to help patients communicate with the staff. The practice provides on-site interpreters and over the phone interpreters for more than 30 languages. If a patient needs an interpreter, they should tell a member of the staff when they schedule an appointment. Also, the Program offers access to psychiatric and case management support to provide support and care for the wide range of needs of patients. Boston Medical Centers Immigrant and Refugee Health Program sees roughly 150 newly arrived refugees and 50 new asylum seekers per year, and has an overall long-term primary care patient population of about 1,400. Margaret M. Shea RN Adult Day Health Program: The program holds a license under the Department of Public Health #D06M and offers families peace of mind and a support system to help them care daily for a family member unable to function alone during the day. The program offers intervention programs that provide 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 or remain at home. This allows family members the opportunity to continue to work while their loved one is at a program during the day. A referred participant can look forward to program offerings such as nursing interventions, social services, therapeutic activities, and transportation to and from the program. The program serves 55 individuals with a daily census of 42 and average attendance at 29 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 (Autism Program): The Autism Program at BMC is a multidisciplinary, multi-tiered, comprehensive and culturally competent program that is uniquely equipped to meet the complex needs of patients and families. Our team, comprised of a Program Coordinator, Autism Resource Specialist, multilingual Family Navigator (FN) and Transition Navigator (TN) offer specialized outreach, training and advocacy services, form effective partnerships with schools, collaborate with local support organizations and draw upon a deep knowledge base of social service agencies to facilitate linkages to resources. Our FN works intensely with patient families to help ensure timely and appropriate treatment for children, which often includes facing financial and economic concerns, language and cultural issues, patient-provider communication, health care system obstacles, transportation problems, and bias/stigma. Our TN provides transition-aged youth (14-22 years old) and their families with information, guidance, and resources regarding the transition from school services to adult life and discusses topics such as goal setting, school IEP planning, adult services, and life skills development. The BMC Autism Program also has a well-established social media presence on Facebook, Twitter, Pinterest and Tumblrwhich each serve as further venues to provider resource information and guidance to families. In FY16, the Autism Program directly assisted approximately 144 new patients and provide regular follow-up (at least twice per year) to an additional 271 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 FY16. 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 childrens needs and attempt to maintain stability for their families. The CCCC, with its multidisciplinary approach, sees from 6-7 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. Pediatric Pain Clinic: The Pediatric Pain Clinic at Boston Medical Center manages acute, complex, and chronic pain in children from infancy to age 22. Our team of experts work closely with each patient's primary care physician, striving to help children regain normal lives and participate in typical age-appropriate activities. The Pediatric Pain Clinic is able to treat a wide variety of conditions, and offer a variety of specialized therapies. Each patient is given a personalized pain management plan to best fit his or her needs. Strategies and parenting support are also offered for families who may travel a long distance to receive this specialized care. The team communicates with schools and outside providers to ensure comprehensive and collaborative care. After opening in February 2015, the Clinic has completed initial evaluations on more than 70 patients in Fiscal Year 2016, with the vast majority engaging with the clinic for multiple comprehensive follow-up visits, seeing multiple providers within the Clinic.
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 6,245 people each month. In FY16, the Pantry provided nutritious food for 72,290 Greater Boston residents. Approximately 12,000 to 18,000 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. Project RESPECT: Project RESPECT (Recovery, Empowerment, Social Services, Prenatal care, Education, Community and Treatment), is a high risk obstetrical and addiction recovery medical home at Boston Medical Center and Boston University School of Medicine. Project RESPECT provides a unique service of comprehensive obstetric and substance use disorder treatment for pregnant women and their newborns in Massachusetts. The majority of Project RESPECT patients are in recovery from opioid addiction. In-patient, monitored, acute substance withdrawal treatment and induction of opioid maintenance therapies for pregnant women seeking addiction treatment are provided. Intensive, individualized out-patient treatment plans are outlined for each patient based on the severity of their disease and their recovery progress. The out-patient medical home model provides on site, collaborative and multidisciplinary care for pregnant and post-partum women in recovery. The program supported approximately 150 mother/child dyads in FY16. 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 FY16, these shuttle buses transported 190,354 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. StreetCred: BMCs StreetCred program addresses child poverty by linking low- to moderate-income pediatric patient families to anti-poverty safe-net programs. StreetCred provides free tax-preparation services through well-trained staff and volunteers, who work with families to prepare their taxes and access the Earned Income Tax Credit (EITC) and other tax based programs, for example, SNAP or the FAFSA, for which they may be eligible. The United States federal EITC is a refundable tax credit for low- to moderate-income working individuals, particularly those with children. In FY16, the StreetCred pilot program provided over $400,000 in tax refunds to nearly 200 families visiting their pediatricians at BMC. These tax refunds can have a profound positive impact on a familys household budget and, in cases of financial stress, alleviate significant financial burden. Supporting Parents and Resilient Kids Center (SPARK): SPARK is a therapeutic day program for Bostons 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 30 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 Risk Factors 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 FY2016, there were 15 on-site cancer support groups and 1 off-site affiliated support group, as well as eight activity groups and seven featured program each running 1-4 times throughout the year. There were also 10 annual events, including a survivorship celebration and a trip to Stowe, Vermont for the Weekend of Hope. 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 BMCs 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 FY16, CPT served 2,127 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 FY16, the CWVP provided referrals, advocacy, assessment, short-term, and/or longer-term clinical care to approximately 290 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 FY16, CWVP staff delivered approximately 85 trainings across multiple states and abroad to mental health and other providers across several service sectors and settings, including a presentation at a conference in Prague. Community Violence Response Team: The Community Violence Response Team (CVRT) 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 BMCs patient population. In FY16, the CVRT served 934 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 FY16, the Programs Safety and Support Advocates provided approximately 330 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 domestic violence advocacy/rape crisis counseling, medical/mental health services; emergency financial assistance and other support as needed. The Program also provided its first support group for women in Spanish. Advocates provided these services in four languages, utilizing Interpreter Services for additional language needs, and the Programs primary informational brochure about where to find help for domestic violence is now available in 14 languages. In addition to the direct services for victims, the DVP also provided training on how to support survivors of domestic violence safely and effectively to just over 500 providers from multiple disciplines across the institution, including nursing, criminal justice, mental health, and dental students at area universities. The Program has been integrated into new employee Orientation for all nurses, certified nursing assistants, unit coordinators, social work interns in a variety of departments, and public safety officers.
VIOLENCE INTERVENTION ADVOCACY PROGRAM (VIAP): IN APRIL 2006, BMC	piloted VIAP to provide specialized services to victims of community violence, using two community health workers, Violence Intervention Advocates, to provide individual counseling, triage and referral services for victims of gunshot and stabbings 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 these violent injuries. Violence Intervention Advocates have a strong knowledge of community resources. VIAP provided the following direct services and referrals to services to victims and impacted family members: crisis intervention and stabilization; housing and transportation; legal; educational; vocational and life skills development; behavioral health; employment; and health and wellness. In FY16, VIAP provided services to a total of 378 victims: 159 gunshot victims and 219 stabbing victims. Of these victims, 313 were male, 62 were female; three were transgender. 65% of the total victims were black, 18% Hispanic, 11% White, and 11% identified as other. Mental Health and Substance Abuse Mental Health Diversion Initiative (MHDI): In FY16, the MHDI worked with 713 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, 26 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/MA. Licensed Alcohol and Drug Counselors 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 FY16, Project ASSERT had 3,875 ED and 348 Inpatient consults for a total of 4,233 visits. 1,473 (60%) of patients were placed in detox/acute treatment services (ATS) on day of their ED visit, while 1,001 could not be placed. The main reasons for inability to place patients were that no ATS beds were available (710) or patients did not have their medications (124). In addition, 167 ED patients accepted an outpatient referral, 829 referrals to Narcotics Anonymous/Alcoholics Anonymous meetings. 534 were placed in a shelter, and another 246 received a primary care appointment. Project ASSERT also educated patients at risk for opioid overdose and distributed 247 naloxone rescue kits to ED patients. 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, BMCHP's business name is BMC Healthnet Plan; outside Massachusetts, Well Sense Health Plan is the business name. BMC HealthNet Plan serves about 300,000 members across three product lines: MassHealth (Medicaid), SCO, and Qualified Health Plans. BMCHP is one of the largest Medicaid health plans 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 BMCs 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 14 community health centers (CHCs). Physicians who practice at HealthNet locations provide a wide range of comprehensive health care services to adult and pediatric patients, with a focus on disease prevention and health education. Patients receiving primary care at HealthNet sites have access to highly trained specialists and cutting-edge technology at BMC while maintaining individualized and culturally sensitive care in their neighborhoods. Now in its 21st year, BHN and its CHC partners have extended BMCs 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 BHNs 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\6 for the Rounder System was 4.23 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 BMCs 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 including 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 Implementation and Optimization Organization (IOO) 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 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; 200 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 207,496 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) 2015

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," on 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

2015

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" on 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	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) NORTHEASTERN UNIVERSITY 360 HUNTINGTON AVENUE BOSTON,MA02115	04-1679980	501(c)(3)	317,525	Subaward
(2) BOSTON UNIVERSITY 715 ALBANY STREET BOSTON,MA02118	04-2103547	501(c)(3)	3,044,699	Subaward
(3) HARVARD UNIVERSITY 677 HUNTINGTON AVENUE BOSTON,MA02115	04-2103580	501(c)(3)	135,937	Subaward
(4) MASS INSTITUTE OF TE 77 MASSACHUSETTS AVENUE NE 49-4097 CAMBRIDGE,MA02139	04-2103594	501(c)(3)	98,418	Subaward
(5) TUFTS UNIVERSITY 715 ALBANY STREET BOSTON,MA02118	04-2103634	501(c)(3)	219,808	Subaward
(6) BETH ISRAEL DEACONESS PO BOX 3784 BOSTON,MA02241	04-2103881	501(c)(3)	243,062	Subaward
(7) FORSYTH DENTAL INFIRM 245 FIRST STREET CAMBRIDGE,MA02142	04-2104230	501(c)(3)	51,907	Subaward
(8) JOSLIN DIABETES CENTE ONE JOSLIN PLACE BOSTON,MA02215	04-2203836	501(c)(3)	49,420	Subaward
(9) THIRD SECTOR NEW ENGL 89 SOUTH STREET 7TH FL BOSTON,MA02111	04-2261109	501(c)(3)	368,833	Subaward
(10) BRIGHAM & WOMENS HOSP PO BOX 3149 BOSTON,MA02241	04-2312909	501(c)(3)	201,062	Subaward
(11) NORTH SUFFOLK MENTAL 301 BROADWAY AVENUE CHELSEA,MA02150	04-2317215	501(c)(3)	3,769,611	Subaward
(12) BAY COVE HUMAN SERVIC 66 CANAL STREET BOSTON,MA02114	04-2518575	501(c)(3)	5,513,361	Subaward
(13) JUSTICE RESOURCE INST 160 GOULD ST SUITE 300 NEEDHAM,MA02494	04-2526357	501(c)(3)	30,000	Subaward
(14) BROCKTON AREA MULTI-S 10 CHRISTYS DRIVE BROCKTON,MA02301	04-2562377	501(c)(3)	128,465	Subaward
(15) WILLIAM JAMES COLLEGE ONE WELLS AVENUE NEWTON,MA02459	04-2620216	501(c)(3)	30,000	Subaward
(16) VINFEN CORP PO BOX 5059 BOSTON,MA02206	04-2632219	501(c)(3)	301,804	Subaward
(17) CODMAN SQUARE HEALTH 637 WASHINGTON STREET BOSTON,MA02124	04-2678774	501(c)(3)	102,002	Subaward
(18) MASSACHUSETTS GENERAL 55 FRUIT STREET BOSTON,MA02114	04-2697983	501(c)(3)	124,532	Subaward
(19) PROJECT HOPE 550 DUDLEY STREET ROXBURY,MA02119	04-2748880	501(c)(3)	19,724	Subaward
(20) BRAIN INJURY ASSOCO 30 LYMAN ST SUITE 10 WESTBOROUGH,MA01581	04-2753269	501(c)(3)	50,374	Subaward
(21) CHILDREN'S HOSPITAL O 300 LONGWOOD AVENUE BOSTON,MA02115	04-2774441	501(c)(3)	360,279	Subaward
(22) BAYSTATE MEDICAL CENT 759 CHESTNUT ST SPRINGFIELD,MA01199	04-2790311	501(c)(3)	1,047,322	Subaward
(23) MGH NEUROGENETICS DNA 185 CAMBRIDGE STREET BOSTON,MA02110	04-2807148	501(c)(3)	275,000	Subaward
(24) INSTITUTE FOR HEALTH 349 BROADWAY CAMBRIDGE,MA02139	04-3086647	501(c)(3)	30,825	Subaward
(25) BROCKTON NEIGHBORHOOD 63 MAIN STREET BROCKTON,MA02301	04-3165044	501(c)(3)	28,229	Subaward
(26) UNIVERSITY OF MASSACH 55 LAKE AVENUE NORTH WORCESTER,MA01655	04-3167352	115	19,465	Subaward
(27) JONATHAN O COLE MENTA 115 MILL STREET BELMONT,MA02178	04-3282088	501(c)(3)	13,500	Subaward
(28) CENTER FOR COMMUNITY 360 HUNTINGTON AVENUE 222 YMCA BOSTON,MA02115	04-3286409	501(c)(3)	33,228	Subaward
(29) CAMBRIDGE HEALTH ALLI 1493 CAMBRIDGE STREET CAMBRIDGE,MA02139	04-3320571	501(c)(3)	356,946	Subaward
(30) BRAZELTON TOUCHPOINTS 1295 BOYLSTON ST SUITE 320 BOSTON,MA02115	04-3327682	501(c)(3)	53,020	Subaward
(31) PTC THERAPEUTICS INC 100 CORPORATE COURT SOUTH PLAINFIELD,NJ07080	04-3416587		59,027	Subaward
(32) BEDFORD VA RESEARCH C 200 SPRINGS ROADMS151 Building 12 BEDFORD,MA01730	04-3512440	501(c)(3)	144,209	Subaward
(33) BOSTON HOUSING AUTHOR 52 CHAUNCY STREET BOSTON,MA02111	04-6001907	501(c)(3)	14,710	Subaward
(34) BUTLER HOSPITAL 345 BLACKSTONE BLVD PROVIDENCE,RI02906	05-0258812	501(c)(3)	77,441	Subaward
(35) RHODE ISLAND HOSPITAL 593 EDDY ST PROVIDENCE,RI02903	05-0258954	501(c)(3)	101,887	Subaward
(36) YOUTH & FAMILY ENRICH 1234 HYDE PARK AVENUE HYDE PARK,MA02136	05-0588064	501(c)(3)	51,599	Subaward
(37) YALE UNIVERSITY SCHOOL PO BOX 1873 NEW HAVEN,CT06508	06-0646973	501(c)(3)	41,337	Subaward
(38) INSTITUTE FOR HEALTH 349 BROADWAY CAMBRIDGE,MA02139	11-3764559	501(c)(3)	33,883	Subaward
(39) WEILL MEDICAL COLLEGE 1300 YORK AVENUE NEW YORK,NY10005	13-1623978	501(c)(3)	55,390	Subaward
(40) ALBERT EINSTEIN COLLEGE 500 WEST 185TH STREET NEW YORK,NY10033	13-1624225	501(c)(3)	290,779	Subaward
(41) EVERY MOTHER INC PO BOX 615 GREENVILLE,MS38702	20-5325053	501(c)(3)	30,000	Subaward
(42) COOPER HEALTH SYSTEM 1 COOPER PLZ CAMDEN,NJ08103	21-0634462	501(c)(3)	43,200	Subaward
(43) THE UNIVERSITY OF RHODE ISLAND 75 LOWER COLLEGE ROAD KINGSTON,RI02881	22-3011455	115	10,071	Subaward
(44) WAKE FOREST UNIVERIST 1834 WAKE FOREST ROAD WINSTONSALEM,NC27157	22-3849199	501(c)(3)	56,941	Subaward
(45) DREXEL UNIVERSITY 3141 CHESTNUT STREET PHILADELPHIA,PA19104	23-1352630	501(c)(3)	24,000	Subaward
(46) TRUSTEES OF THE UNIV 3451 WALNUT STREET SUITE 305 PHILADELPHIA,PA19104	23-1352685	501(c)(3)	17,995	Subaward
(47) DOTHOUSE HEALTH INC 1353 DORCHESTER AVENUE DORCHESTER,MA02122	23-7125970	501(c)(3)	93,341	Subaward
(48) UPHAM'S CORNER HEALTH 415 COLUMBIA ROAD DORCHESTER,MA02125	23-7211732	501(c)(3)	13,080	Subaward
(49) THE PENNSYLVANIA STAT ONE OLD MAIN UNIVERSITY PARK,PA16802	24-6000376	501(c)(3)	49,381	Subaward
(50) THE FOUNDATION FOR MU 18444 N 25TH AVENUE PHOENIX,AZ85023	27-0170045	501(c)(3)	21,400	Subaward
(51) UNIVERSITY OF MARYLAND PO BOX 41428 BALTIMORE,MD21203	31-1678679	501(c)(3)	20,534	Subaward
(52) NORTHWESTERN UNIVERSITY 633 CLARK STREET EVANSTON,IL60208	36-2167817	501(c)(3)	787,509	Subaward
(53) UNIVERSITY OF CHICAGO 11030 SOUTH LANGLEY AVE CHICAGO,IL60628	36-2177139	501(c)(3)	49,755	Subaward
(54) UNIVERSITY OF MICHIGAN 3003 S STATE STREET ANN ARBOR,MI48109	38-6006309	501(c)(3)	85,038	Subaward
(55) MINNEAPOLIS MED RESEA 600 SHAPIRO BUILDING MINNEAPOLIS,MN55404	41-1677920	501(c)(3)	38,885	Subaward
(56) REACHING OUR SISTERS 3614 COLUMBIA PKWY DECATUR,GA30034	45-2803568	501(c)(3)	99,368	Subaward
(57) RUTGERS THE STATE UN 65 DAVIDSON ROAD PISCATAWAY,NJ08854	46-2354111	501(c)(3)	1,369,822	Subaward
(58) JOHN HOPKINS UNIVERSITY 600 WOLFE STREET BALTIMORE,MD21287	52-0595110	501(c)(3)	174,507	Subaward
(59) MID-ATLANTIC PERMANEN 2101 E JEFFERSON ST ROCKVILLE,MD20849	52-1196226	501(c)(3)	11,676	Subaward
(60) NATIONAL LEAGUE OF CI 1301 PENNSYLVANIA VVENUE NW WASHINGTON,DC20004	52-6055762	501(c)(3)	52,923	Subaward
(61) MEDSTAR HEALTH RESEARCH 6525 BELCREST ROAD HYATTSVILLE,MD20782	52-6056274	501(c)(3)	25,549	Subaward
(62) EAST CAROLINA UNVERSITY 2200 S CHARLES BLVD GREENVILLE,NC27858	56-6000403	501(c)(3)	15,413	Subaward
(63) UNIVERSITY OF N CAROLINA CB 13501 CHAPEL HILL,NC27599	56-6001393	501(c)(3)	173,268	Subaward
(64) EMORY UNIVERSITY 1762 CLIFTON RD SUITE 1400 ATLANTA,GA30322	58-0566256	501(c)(3)	175,715	Subaward
(65) GEORGIA STATE UNIVERS 33 GILMER STREET ATLANTA,GA30303	58-6002050	115	27,221	Subaward
(66) VANDERBILT UNIVERSITY GIFT PROCESSING VU STATION B 3577 NASHVILLE,TN37235	62-0476822	501(c)(3)	107,982	Subaward
(67) ARKANSAS CHILDREN'S H 800 MARSHALL SLOT 512 LITTLE ROCK,AR72202	71-0694931	501(c)(3)	42,859	Subaward
(68) SEATTLE BIOMEDICAL RE 307 WESTLAKE AVE N STE 500 SEATTLE,WA98109	91-0961784	501(c)(3)	210,363	Subaward
(69) UNIVERSITY OF WASHING BOX 359505 GIFT SERVICES SEATTLE,WA98195	91-6001537	115	61,754	Subaward
(70) UNIVERSITY OF CALIFOR 500 PARNASSUS AVE MU 200-W SAN FRANCISCO,CA94143	94-6036493	501(c)(3)	17,835	Subaward
(71) REGENTS OF THE U OF C 2760 FIFTH AVENUE SAN DIEGO,CA92103	95-6006144	501(c)(3)	42,262	Subaward
(72) UNIVERSITY HEALTH NET 140 ELLINGTON ST LONGMEADOW,MA01106	98-6000971	501(c)(3)	11,179	Subaward
(73) UNIVERSITY OF MARYLAND (UMBF) PO BOX 41428 Baltimore Foundation BALTIMORE,MD21203	31-1678679	501(c)(3)	10,194	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) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)

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) 2015

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" on 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

2015

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 on 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 on 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 on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on 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 on 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" on 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) 2015

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 on 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 on 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 ------------- 731,500	0 ------------- 0	0 ------------- 69,554	0 ------------- 35,255	0 ------------- 682	0 ------------- 836,991	0 ------------- 0
2david L coleman mdTRUSTEE	(i) (ii)	0 ------------- 449,282	0 ------------- 0	0 ------------- 212,961	0 ------------- 35,255	0 ------------- 2,317	0 ------------- 699,815	0 ------------- 0
3BOB BIGGIOVP FACILITY	(i) (ii)	314,252 ------------- 0	66,523 ------------- 0	10,133 ------------- 0	33,950 ------------- 0	34,802 ------------- 0	459,660 ------------- 0	5,400 ------------- 0
4RAVIN DAVIDOFFSR VP MED AFFAIRS/CMO	(i) (ii)	457,602 ------------- 0	95,589 ------------- 0	23,428 ------------- 0	50,610 ------------- 0	33,357 ------------- 0	660,586 ------------- 0	16,142 ------------- 0
5STANLEY HOCHBERGSR. VP Qlty, Safety, and Tech	(i) (ii)	412,219 ------------- 0	75,469 ------------- 0	36,378 -------------	13,250 -------------	24,102 -------------	561,418 ------------- 0	15,333 -------------
6NORMAN STEINSVP CHIEF DEVELOPMENT OFFICER	(i) (ii)	364,634 ------------- 0	76,062 ------------- 0	11,445 ------------- 0	48,278 ------------- 0	7,512 ------------- 0	507,931 ------------- 0	7,903 ------------- 0
7THOMAS TRAYLORVP OF FED, STATE, LOCAL PROG	(i) (ii)	439,402 ------------- 0	80,807 ------------- 0	26,057 ------------- 0	39,952 ------------- 0	34,363 ------------- 0	620,581 ------------- 0	13,972 ------------- 0
8DAVID BECKSVP/CHIEF LEGAL COUNSEL/CLERK	(i) (ii)	375,145 -------------	77,781 -------------	4,386 -------------	43,250 -------------	21,175 -------------	521,737 -------------	1,333 -------------
9RICHARD SILVERIASVP FIN/CFO/TREAS	(i) (ii)	501,057 ------------- 0	104,391 ------------- 0	23,642 ------------- 0	48,750 ------------- 0	32,997 ------------- 0	710,837 ------------- 0	16,342 ------------- 0
10KATHLEEN E WALSHPRESIDENT/CEO	(i) (ii)	1,012,006 ------------- 0	286,563 ------------- 0	112,049 ------------- 0	91,925 ------------- 0	5,207 ------------- 0	1,507,750 ------------- 0	50,875 ------------- 0
11GERARD DOHERTY MDTRUSTEE	(i) (ii)	0 ------------- 438,369	0 ------------- 0	0 ------------- 545,964	0 ------------- 35,255	0 ------------- 71,428	0 ------------- 1,091,016	0 ------------- 0
12Alastair BellSVP Ops & Strtgy/COO	(i) (ii)	539,750 ------------- 0	118,719 ------------- 0	2,778 ------------- 0	49,850 ------------- 0	3,200 ------------- 0	714,297 ------------- 0	0 ------------- 0
13Joe CamillusVP Ambulatory Optn & Prof Svcs	(i) (ii)	293,296 ------------- 0	61,406 ------------- 0	2,695 ------------- 0	31,283 ------------- 0	30,662 ------------- 0	419,342 ------------- 0	0 ------------- 0
14Cindy CharyluluVP Revenue Cycle	(i) (ii)	279,289 ------------- 0	58,336 ------------- 0	2,583 ------------- 0	22,800 ------------- 0	22,032 ------------- 0	385,040 ------------- 0	0 ------------- 0
15JohN LindstedtVP Finance	(i) (ii)	275,798 ------------- 0	51,211 ------------- 0	2,583 ------------- 0	41,350 ------------- 0	25,522 ------------- 0	396,464 ------------- 0	0 ------------- 0
16Nancy GadenSVP Chief Nursing Officer	(i) (ii)	351,057 ------------- 0	73,687 ------------- 0	2,778 ------------- 0	34,100 ------------- 0	32,997 ------------- 0	494,619 ------------- 0	0 ------------- 0
17Lisa Kelly-CroswellSVP CHRO	(i) (ii)	374,616 ------------- 0	81,056 ------------- 0	2,778 ------------- 0	37,470 ------------- 0	9,441 ------------- 0	505,361 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

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 AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING EXECUTIVES IN CALENDAR YEAR 2015: DAVID BECK - $1,608 BOB BIGGIO - $7,376 RAVIN DAVIDOFF - $20,650 STANLEY HOCHBERG - $33,600 RICH SILVERIA - $20,864 NORMAN STEIN - $8,667 THOMAS TRAYLOR - $23,279 KATHLEEN WALSH - $55,794 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. FOR CALENDAR YEAR 2015 $48,477 WAS VESTED AND IS REFLECTED IN SCHEDULE J, PART II, COLUMN B(III).

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. FY15 PERFORMANCE BONUS PAYOUTS ARE APPROVED BY THE COMMITTEE AT THE COMPENSATION COMMITTEE MEETING HELD ON OCTOBER 26, 2015. THE COMMITTEE REVIEWED THE FY15 PERFORMANCE RESULTS AGAINST PRE-ESTABLISHED PERFORMANCE TARGETS, AND APPROVED THE FORMULA-BASED PAYOUTS ACCORDINGLY.

Schedule J (Form 990) 2015

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

2015

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	57586ELD1	08-14-2009	101,485,000	CURRENT REFUNDING OF SERIES M3-B		X		X	X
B	MASSACHUSETTS DEVELOPMENT FINANCE AGENCY	04-3431814	57583URP5	06-14-2012	117,490,498	REFUNDING OF PRIOR BONDS	X			X		X
C	MASSACHUSETTS DEVELOPMENT FINANCE AGENCY	04-3431814	57583U6Q6	04-08-2015	167,471,151	FIN PROJ/ FUND RES, PAY ISSUE COST		X		X		X
D	MASSACHUSETTS DEVELOPMENT FINANCE AUTHORITY	04-3431814	57584XWT4	09-22-2016	203,977,951	FIN NEW PROJ/ADV REFUND PRIOR BOND		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	4,481,542		21,585,000		0		0
2 Amount of bonds legally defeased ..............	0		44,875,000		0		0
3 Total proceeds of issue ..................	13,688,734		117,498,730		168,042,685		206,332,522
4 Gross proceeds in reserve funds .............	90,235		5,206,513		15,283,542		0
5 Capitalized interest from proceeds .............	0		0		226,325		0
6 Proceeds in refunding escrows ...............	0		0		0		175,404,988
7 Issuance costs from proceeds ...............	0		1,684,889		2,007,035		1,195,875
8 Credit enhancement from proceeds .............	0		0		0		0
9 Working capital expenditures from proceeds .............	0		0		0		0
10 Capital expenditures from proceeds .............	0		0		130,976,407		0
11 Other spent proceeds .............	13,688,734		115,813,841		201,311		0
12 Other unspent proceeds .............	0		0		19,348,065		29,731,658
13 Year of substantial completion .............
	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? .............
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) 2015

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		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 %		0 %		0 %		0.400 %
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 .............							0.400 %
7 Does the bond issue meet the private security or payment test? ...
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		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		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		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

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		AIG MATCHED FUNDING		0		0
c Term of GIC .........			2719 %
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
Column A:	The Bonds are part of a pooled financing (total par $101,485,000) and thus, except for Part I, only the Borrower's allocable portion is represented. Part I(f): 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. Part II, Line 4: The reserve has been funded by proceeds of the Prior Bonds. Part II, Line 13: Since the proceeds of the Bonds were used for refunding purposes, the year of substantial completion is not applicable. Part III, Line 7: 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. Part IV, Line 2(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.
Column B:	Difference between Part I (e) and Part II, Line 3 is due to interest earned on bond proceeds. Part I (f): The Prior Bonds were issued on July 8, 1998, by the Massachusetts Health and Educational Facilities Authority. Part II, line 4: Debt Service Reserve Fund was funded by proceeds of the Prior Bonds. Part II, line 13: Since the proceeds of the 2012 Bonds were used for refunding purposes, the year of substantial completion is not applicable. Part III: Because proceeds of the Bonds were used to refund bonds issued before January 1, 2003, the Issuer has not completed Part III with respect to the Bonds.
Column C:	Difference between Part I (e) and Part II, Line 3 is due to interest earned on bond proceeds. Part III, line 7 - 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.
Column D:	Part I (f): The Prior Bonds were issued on July 1, 2008, by the Massachusetts Health and Educational Facilities Authority. Difference between Part I(e) and Part II, line 3 is interest earned on bond proceeds. Part II line 12: Unspent bond proceeds deposited to the Project and Expense Funds. Part III, line 7: 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 (Form 990) 2015

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

2015

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) 2015

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	8,650,495	MEDICAL SERVICES		No
(2) HANNAH LEAVER	DAUGHTER OF TRUSTEE	143,541	EMPLOYMENT AGREEMENT		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, PART IV, LINE 2 NAME: HANNAH LEAVER RELATIONSHIP: DAUGHTER OF TRUSTEE MARKS. LEAVER IS EMPLOYED BY BMC. LEAVER HAS BEEN EMPLOYED BY BMC SINCE BEFORE TRUSTEE MARKS JOINED THE BMC BOARD IN 2016.

Schedule L (Form 990 or 990-EZ) 2015

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

2015

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	7	10,845	DONOR ESTIMATE
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..	X			DONOR ESTIMATE
5 Clothing and household goods .......	X		9,145	DONOR ESTIMATE
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	13	1,132,923	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	3,559	DONOR ESTIMATE
19 Food inventory ...	X	35	2,034	DONOR ESTIMATE
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( Jewelry )	X	4	1,082	DONOR ESTIMATE
26 Other ( GIFT CERTIFICATES & TKTS )	X	158	81,282	DONOR ESTIMATE
27 Other ( TRAVEL )	X	40	43,061	DONOR ESTIMATE
28 Other ( Toys )	X	6	750	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) (2015)

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) (2015)

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

2015

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, 487-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 72% 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 32% 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 IS 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. HUY NGUYEN, M.D. MONICA VALDES LUPI, JD, MPH KATHLEEN E. WALSH BUSINESS RELATIONSHIP DR. NGUYEN WAS INTERIM EXECUTIVE DIRECTOR OF THE BOSTON PUBLIC HEALTH COMMISSION AND MS. VALDES LUPI IS 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. 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, 2016 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 ($10,510,000) OTHER CHANGES ($1,948,000) NET ASSET TRANSFER TO BMCIC VERMONT ($10,321,000) ROUNDING ($897) -------------- TOTAL ($22,779,897)

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

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

2015

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 529 Main St Suite 500 Charlestown,MA02129 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 126 College 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
(31)BU RADIATION ONCOLOGY INC 1 BOSTON MEDICAL CENTER PLACE BOSTON,MA02118 81-0716773	HEALTHCARE	MA	501(c)(3)	IIC III-FI	N/A		No
(32)THE BOSTON HEALTHNET CORPORATION 660 HARRISON AVENUE 3RD FLOOR BOSTON,MA02118 04-3279836	SUPPORT SVCS.	MA	501(C)(3)	11-BII	NA		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2015

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	-4,648,262	121,838,498		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	(h) Percentage ownership	(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		83,989,445	70.000 %	Yes
(2) CHARITABLE REMAINDER TRUST (3)	SUPPORT	MA	BMC	TRUST				Yes

Schedule R (Form 990) 2015

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

Yes

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) ............................

Yes

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

Yes

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 UNIVERSITY AFFILIATED PHYSICIANS INC	M,N,O	1,877,000	FINANCIAL NEED
(2) BMC INSURANCE COMPANY OF VERMONT	B	10,000,000	NET ASSET TRANS
(3) BOSTON MEDICAL CENTER HEALTH PLAN INC	L	137,071,000	INSURANCE RATES
(4) BMC INSURANCE COMPANY LTD	Q	9,257,648	BOOK
(5) BOSTON MEDICAL CENTER HEALTH PLAN INC	D	20,000,000	LINE OF CREDIT
(6) BOSTON MEDICAL CENTER HEALTH PLAN INC	A	12,667	INTERET ON LOC
(7) BOSTON MEDICAL CENTER HEALTH PLAN INC	Q	206,000	FMV

Schedule R (Form 990) 2015

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) 2015

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) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: BOSTON MEDICAL CENTER'S MISSION IS TO PROVIDE CONSISTENTLY EXCELLENT AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	29
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	23
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	7,905
6	Total number of volunteers (estimate if necessary) .............	6	521
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	-8,941

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	21,671,288	22,129,256
9	Program service revenue (Part VIII, line 2g) .........	1,090,353,215	1,202,780,951
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	81,219,903	20,163,000
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,893,992	4,518,517
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,198,138,398	1,249,591,724
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	22,171,726	22,378,469
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)	515,094,242	566,714,368
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	42,500	77,000
b	Total fundraising expenses (Part IX, column (D), line 25) 4,196,402
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	601,345,869	664,196,566
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,138,654,337	1,253,366,403
19	Revenue less expenses. Subtract line 18 from line 12.......	59,484,061	-3,774,679
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,169,778,000	2,205,872,000
21	Total liabilities (Part X, line 26).............	1,003,718,000	1,049,817,000
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,166,060,000	1,156,055,000

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,107,035,787 including grants of $ ) (Revenue $ 1,202,780,951 )
	SEE SCHEDULE O.

4b	(Code: ) (Expenses $ 21,859,637 including grants of $ 21,859,637 ) (Revenue $ )
	BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO ORGANIZATIONS WITHIN THE US.

4c	(Code: ) (Expenses $ 518,832 including grants of $ 518,832 ) (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 expenses1,129,414,256

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	7,561,436	2,447,630	1,084,379

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	5,449,493
d	Related organizations		1d
e	Government grants (contributions)		1e	141,197

f	All other contributions, gifts, grants, and similar amounts not included above		1f	16,538,566

g	Noncash contributions included in lines 1a-1f:$ 1,284,681
h Total.Add lines 1a-1f.......		22,129,256

		Business Code
2a	PATIENT SVC REVENUE	900099	972,381,583	972,381,583
b	PHARMACY REVENUE	900099	127,236,205	127,236,205
c	GRANT/CONTRACT REVENUE	900099	98,555,606	98,555,606
d	MEDICARE SHARED SAVINGS SURPLUS	900099	4,217,885	4,217,885
e	OTHER PROGRAM REVENUE	900099	389,672	389,672
f	All other program service revenue.
g Total.Add lines 2a–2f.....			1,202,780,951

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			16,267,000			16,267,000
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		134,528
b	Less: rental expenses		113,465
c	Rental income or (loss)	0	21,063
d	Net rental income or (loss)......			21,063			21,063
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	315,000	3,581,000
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	315,000	3,581,000
d	Net gain or (loss).....			3,896,000			3,896,000
8a	Gross income from fundraising events (not including $ 5,449,493of contributions reported on line 1c). See Part IV, line 18 ....
	a		402,744
b	Less: direct expenses ...b		596,132
c	Net income or (loss) from fundraising events..			-193,388			-193,388
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
Business Code			Miscellaneous Revenue
11a	CAFETERIA		900099	3,107,101			3,107,101
b	PARKING		812930	1,583,741			1,583,741
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			4,690,842
12	Total revenue. See Instructions......			1,249,591,724	1,202,780,951		24,681,517

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	21,859,637	21,859,637
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	518,832	518,832
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	9,402,037	8,085,751	1,053,786	262,500
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	143,541		143,541
7	Other salaries and wages	436,084,726	375,139,986	58,675,903	2,268,837
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	22,333,358	19,210,451	2,983,389	139,518
9	Other employee benefits .......	63,914,119	54,978,701	8,536,129	399,289
10	Payroll taxes ...........	34,836,587	29,959,464	4,659,539	217,584
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	1,799,337		1,799,337
c	Accounting ...........	1,910,754		1,910,754
d	Lobbying ...........	287,115	246,919	40,196
e	Professional fundraising services. See Part IV, line 17	77,000			77,000
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)	71,892,034	61,827,148	9,864,127	200,759
12	Advertising and promotion ....	1,912,949	1,645,136	267,813
13	Office expenses .......	15,439,830	13,278,253	2,045,001	116,576
14	Information technology ......	877,683	754,807	122,876
15	Royalties ..	21,767,171	18,719,767	3,047,404
16	Occupancy ...........	30,798,430	26,486,649	4,298,223	13,558
17	Travel ............	235,315	202,370	25,520	7,425
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	940,380	808,726	123,427	8,227
20	Interest ...........	24,110,721	20,735,220	3,320,537	54,964
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	77,916,538	67,008,222	10,550,146	358,170
23	Insurance ...	6,168,845	5,305,206	863,639
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	102,262,793	102,262,793
b	DIRECT RESEARCH	77,459,337	77,459,337
c	PATIENT RELATED SUPPLIES	65,294,899	65,294,899
d	DRUGS	107,675,316	107,675,316
e	All other expenses	55,447,119	49,950,666	5,424,458	71,995
25	Total functional expenses. Add lines 1 through 24e	1,253,366,403	1,129,414,256	119,755,745	4,196,402
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).

1	Cash–non-interest-bearing ........			65,018,000	1	46,367,000
2	Savings and temporary cash investments .........			17,655,000	2	142,777,000
3	Pledges and grants receivable, net ......			28,959,000	3	14,387,000
4	Accounts receivable, net .............			218,354,000	4	110,970,000
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 ....			150,710,000	7	123,063,000
8	Inventories for sale or use ........			8,316,000	8	8,277,000
9	Prepaid expenses and deferred charges ......			18,530,000	9	22,172,000
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,625,953,000
b	Less: accumulated depreciation	10b	868,397,000	660,061,000	10c	757,556,000
11	Investments—publicly traded securities .			107,066,000	11	116,996,000
12	Investments—other securities. See Part IV, line 11 .....			198,841,000	12	197,367,000
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 ...........			696,268,000	15	665,940,000
16	Total assets. Add lines 1 through 15 (must equal line 34)...			2,169,778,000	16	2,205,872,000

17	Accounts payable and accrued expenses .....	160,983,000	17	156,621,000
18	Grants payable ...	0	18	0
19	Deferred revenue .........	19,890,000	19	23,451,000
20	Tax-exempt bond liabilities .........	523,720,000	20	582,326,000
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 ..	78,256,000	24	67,732,000
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	220,869,000	25	219,687,000
26	Total liabilities. Add lines 17 through 25..	1,003,718,000	26	1,049,817,000

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	835,249,000	27	843,587,000
28	Temporarily restricted net assets ...........	314,551,000	28	296,218,000
29	Permanently restricted net assets	16,260,000	29	16,250,000
	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 ...........	1,166,060,000	33	1,156,055,000
34	Total liabilities and net assets/fund balances ........	2,169,778,000	34	2,205,872,000

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 separately 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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No