2024-08-15T11:55:42-05:00 2023-09-30 135565207 KPMG LLP 60 SOUTH STREET BOSTON MA 02111 990 2022-10-01 043314093 BOSTON MEDICAL CENTER CORPORATION BOST 6174141628 ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 DAVID BECK SVP/CHIEF LEGAL COUNSEL/CLERK 6176387653 2024-08-14 1 1 ZELJKO POPOVIC P01795951 6179881000 2024-08-14 2022 2024-08-08 14:25:15Z ANTHONY HOLLENBERG MD ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 2384123292 0 X WWW.BMC.ORG X 1996 MA 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. 27 22 11529 343 4357065 1003697 65960590 31735184 1952312192 2291325655 107094899 42038184 15692917 15183333 2141060598 2380282356 28853390 23488375 0 0 791352868 923217199 0 0 13773101 1308246524 1472106581 2128452782 2418812155 12607816 -38529799 2456189580 2632199167 1200629757 1384746661 1255559823 1247452506 X 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. 0 0 2115718065 2291325655 THE STATUTE THAT AUTHORIZED THE CREATION OF BOSTON MEDICAL CENTER REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 594-LICENSED BED, URBAN ACADEMIC MEDICAL CENTER WHICH EMPHASIZES COMMUNITY-BASED, ACCESSIBLE CARE AND THE MISSION TO PROVIDE CONSISTENTLY ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY. BMC IS THE LARGEST SAFETY NET HOSPITAL IN NEW ENGLAND AND PROVIDES A FULL SPECTRUM OF PEDIATRIC AND ADULT CARE SERVICES FROM PRIMARY TO FAMILY MEDICINE TO ADVANCED SPECIALTY CARE. BOSTON MEDICAL CENTER IS DEDICATED TO PROVIDING ACCESSIBLE HEALTH CARE. NEARLY 75 PERCENT OF OUR PATIENTS COME FROM UNDERSERVED POPULATIONS, SUCH AS THE LOW-INCOME AND ELDERLY, WHO RELY ON GOVERNMENT PAYERS SUCH AS MEDICAID, THE HEALTH SAFETY NET, AND MEDICARE FOR THEIR COVERAGE; 27 PERCENT DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE. TO ADDRESS THE HEALTH NEEDS OF DIVERSE PATIENT POPULATIONS, BMC PROVIDES A WIDE RANGE OF SERVICES BEYOND THE TRADITIONAL MEDICAL MODEL. THESE PROGRAMS, INCLUDING PATIENT NAVIGATION AND A FOOD PANTRY, HELP TO REDUCE BARRIERS TO ACCESS TO HEALTH SERVICES AND ELIMINATE DISPARITIES IN HEALTH CARE AMONG VARIOUS POPULATIONS THAT BMC SERVES. 21576114 21576114 BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO ORGANIZATIONS WITHIN THE US. 1912261 1912261 BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO FOREIGN ORGANIZATIONS. 2139206440 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 1 1 1 0 0 1 0 1 1 1 0 1 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 1 0 0 1 665 0 1 11529 1 1 1 1 CJ LT 0 0 0 1 1 0 0 0 0 1 0 X 27 22 1 0 1 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X KAREN FINE 6176387406 ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 KATHLEEN E WALSH PRESIDENT/TRUSTEE (THRU 2/28/23) 50.00 2.50 X X 2255596 0 28166 ALASTAIR BELL MD INTERIM PRES./TRUSTEE (AS OF 3/1/23) 50.00 1.00 X X 1297429 0 156500 JENNIFER TSENG MD TRUSTEE 1.00 54.00 X 0 1048952 38466 DAVID COLEMAN MD TRUSTEE (THRU 11/14/22) 1.00 54.00 X 0 725139 36895 KAREN ANTMAN MD TRUSTEE 1.00 2.00 X 0 0 0 ANITA BEKENSTEIN TRUSTEE 1.00 0.00 X 0 0 0 RYAN CARROLL TRUSTEE 1.00 0.00 X 0 0 0 NADINE CHAKAR TRUSTEE 1.00 0.00 X 0 0 0 ENRIQUE COLBERT TRUSTEE 1.00 0.00 X 0 0 0 SANDRA COTTERELL TRUSTEE 1.00 1.00 X 0 0 0 PIERRE CREMIEUX TRUSTEE 1.00 0.00 X 0 0 0 RANDI CUTLER TRUSTEE 1.00 1.00 X 0 0 0 MANISHI DESAI TRUSTEE 1.00 4.00 X 0 287690 43622 PAUL EGERMAN TRUSTEE 1.00 0.00 X 0 0 0 RUTH ELLEN FITCH TRUSTEE 1.00 0.00 X 0 0 0 MELANIE FOLEY TRUSTEE 1.00 0.00 X 0 0 0 JOHN T HAILER TRUSTEE 1.00 0.00 X 0 0 0 ANTHONY HOLLENBERG MD TRUSTEE (AS OF 11/14/22) 1.00 0.00 X 0 237740 2436 KAREN KAMES TRUSTEE 1.00 0.00 X 0 0 0 AZRA KANJI TRUSTEE 1.00 0.00 X 0 0 0 FRED LOWERY TRUSTEE 1.00 0.00 X 0 0 0 RICHARD MARKS TRUSTEE 1.00 1.00 X 0 0 0 DEVIN MCCOURTY TRUSTEE 1.00 0.00 X 0 0 0 MICHELLE NADOW TRUSTEE 1.00 0.00 X 0 0 0 BISOLA OJIKUTU MD TRUSTEE 1.00 0.00 X 0 0 0 MARTHA SAMUELSON TRUSTEE/CHAIR 1.00 1.00 X 0 0 0 CYNTHIA SIERRA TRUSTEE 1.00 0.00 X 0 0 0 MAROA VELEZ TRUSTEE (THRU 9/22/23) 1.00 0.00 X 0 0 0 REV LIZ WALKER TRUSTEE (THRU 9/28/23) 1.00 0.00 X 0 0 0 GREGORY WILMOT TRUSTEE 1.00 0.00 X 0 0 0 ANDREW YOUNISS TRUSTEE 1.00 1.00 X 0 0 0 TERRI NEWSOM SVP/CFO/TREASURER 50.00 3.00 X 846135 0 139712 DAVID BECK SVP/CHIEF LEGAL COUNSEL/CL 50.00 3.50 X 628000 0 52061 DAVID MCANENY SVP/CHIEF MEDICAL OFFICER 50.00 0.00 X 839195 0 27512 LISA KELLY-CROSWELL SVP/CHRO 50.00 0.00 X 669440 0 106028 NANCY GADEN SVP OF CLINICAL OPERATIONS/CNO 50.00 0.00 X 635999 0 104984 NICOLE FAUCHER PRESIDENT, CLEARWAY HEALTH, LLC 0.00 50.00 X 1096458 0 54562 JOE CAMILLUS SVP AMBULATORY & PRF SVC 50.00 0.50 X 691417 0 121464 ARTHUR HARVEY VP/CIO 50.00 0.00 X 622135 0 110509 ROBERT BIGGIO SVP/CHIEF SUSTAINABILITY/RE OFFICER 50.00 0.00 X 589186 0 120811 PAUL JOSEPH BOUCHER REGISTERED NURSE 40.00 0.00 X 599775 0 30319 NORMAN STEIN FORMER SVP CHIEF DEVELOPMENT OFFICER 0.00 0.00 X 400000 0 0 11170765 2299521 1174047 1856 1 1 0 SHC SERVICES INC 1640 W REDSTONE CTR DR PARK CITY UT 84098 TEMPORARY STAFFING 68380515 BOSTON UNIVERSITY OFFICE OF AFFAIRS 715 ALBANY ST S BOSTON MA 021182528 RESEARCH & OTHER SHARED SERVICES 48509582 PRICEWATERHOUSECOOPERS ADVISOR 4040 W BOY SCOUT BOULEVARD TAMPA FL 33607 ACCOUNTS RECEIVABLE MANAGEMENT 24719557 MAXIM HEALTHCARE STAFFING 12558 COLLECTION CENTER DR CHICAGO IL 60693 TEMPORARY STAFFING 7116287 CYRACOM INTERNATIONAL INC 5780 N SWAN ROAD TUCSON AZ 85718 INTERPRETATION AND TRANSLATION SERVICES 5438288 239 3658790 12024996 16051398 2569788 31735184 PATIENT SERVICE REVENUE 900099 1406292268 1406292268 PHARMACY 900099 710551693 706798734 3752959 GRANT & CONTRACT REVENUE 900099 133633323 133633323 OTHER PROGRAM REVENUE 900099 40848371 40848371 2291325655 18699125 590021 18109104 5492172 3061383 2430789 2430789 2430789 22905174 433885 0 0 22905174 433885 23339059 14085 23324974 351812 3658790 779553 -427741 -427741 PARKING 812930 9606249 9606249 CAFETERIA 900099 3574036 3574036 13180285 2380282356 2287572696 4357065 56617411 21576114 21576114 1912261 1912261 4209385 4209385 279614 279614 758062544 671406459 81618390 5037695 26013732 23051474 2790049 172209 79705697 70730896 8444723 530078 54946227 48689342 5893145 363740 9605241 1999664 7591626 13951 939563 168843 769933 787 379527 379527 131404123 67624849 58985539 4793735 597007 412499 29815 154693 14210050 11784816 2224963 200271 32824722 29086877 3520548 217297 4853624 4164136 557661 131827 36883821 32335146 4284241 264434 3172333 1904483 1229656 38194 2213445 2017393 169858 26194 22692170 20108148 2433802 150220 105951762 93886730 11363639 701393 20219604 17917140 2168612 133852 DRUGS 602674017 602689460 -15443 PHYSICIAN SERVICES 169947799 161159775 8788024 PATIENT RELATED SUPPLIE 114504830 115246317 -745080 3593 DIRECT RESEARCH 84050820 84050820 114982123 55003184 59140001 838938 2418812155 2139206440 265832614 13773101 117953834 -7519912 167341237 55357335 30640295 20778929 217933251 348337332 60105321 97828426 24483909 27928035 6053001 6907948 2260186822 1254555450 973234451 1005631372 43564952 46383460 298095538 324982638 510000 230000 516273791 705353604 2456189580 2632199167 283352896 292693919 31563893 16343576 422642694 634691719 180000000 180000000 283070274 261017447 1200629757 1384746661 X 909333701 889523906 346226122 357928600 1255559823 1247452506 2456189580 2632199167 X -38529799 39182698 -15288843 -622960 7151587 X 0 1 X 1 1 1 X 25615642 133609173 150978125 65960590 31735184 407898714 25615642 133609173 150978125 65960590 31735184 407898714 407898714 23179858 18969810 19480934 18817706 23601276 104049584 1867255 1809363 5854577 2357068 1004697 12892960 15535712 23251865 13079088 14178299 13180285 79225249 604066507 9316013232 0.67530 0.66420 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: CAFETERIA - 2018 AMOUNT: $ 4,290,813. 2019 AMOUNT: $ 3,300,767. 2020 AMOUNT: $ 2,802,878. 2021 AMOUNT: $ 3,309,312. 2022 AMOUNT: $ 3,574,036. PARKING - 2018 AMOUNT: $ 11,244,899. 2019 AMOUNT: $ 10,063,598. 2020 AMOUNT: $ 10,276,210. 2021 AMOUNT: $ 10,868,987. 2022 AMOUNT: $ 9,606,249. GAIN ON SALE OF TAX CREDITS - 2019 AMOUNT: $ 9,887,500. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 629469229 222103699 63592898 229602767 999749 684563310 733043065 145547509 -95022779 155578825 -1480259 629469229 633839832 363954719 108079400 370977505 1853381 733043065 724862042 61170242 42383073 192451403 2124122 633839832 709074381 285759688 25210971 292657917 2525081 724862042 0.47070 0.38680 0.14250 0 0 15553183 15553183 1229532436 549455817 680076619 74369853 30932248 43437605 754207887 601638397 152569490 186523463 72528988 113994475 1005631372 DONOR RESTRICTED INVESTMENTS 324982638 F 324982638 BOARD DESIGNATED INVESTMENTS 313197214 FUNDS HELD BY TRUSTEES 196610219 CURRENT PORTION OF EST SETTLEMENT W/3RD PARTY PAY 7473052 INSURANCE RECOVERY RECEIVABLES 44114575 OTHER LONG-TERM ASSETS 41537887 RIGHT OF USE ASSETS - FINANCE AND OPERATING 102420657 705353604 ESTIMATED SETTLEMENTS WITH THIRD PARTY PAYERS 37859488 OTHER CURRENT LIABILITIES 15056889 OBLIGATIONS UNDER FINANCING LEASES 1178643 OBLIGATIONS UNDER OPERATING LEASES 86525508 OTHER LONG-TERM LIABILITIES 54806389 DUE TO RELATED PARTIES 21475955 PROFESSIONAL LIABILITY CLAIMS 44114575 261017447 X 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. PART X, LINE 2: BOSTON MEDICAL CENTER IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS. THE TEXT OF THE UNCERTAIN TAX POSITIONS FOOTNOTE INCLUDED IN THESE FINANCIAL STATEMENTS IS AS FOLLOWS: THE HEALTH SYSTEM, BMC, WELLSENSE, FACULTY AND THE PLANS, UDF, ECMF, BMCIC, BMCIC OF VERMONT, BUAP, BMCICS, AND BACO ARE ALL NONPROFIT CORPORATIONS THAT HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CLEARWAY IS CONSIDERED A DISREGARDED ENTITY OF BMCHS FOR TAX PURPOSES AND ALL TAXABLE ACTIVITIES OF CLEARWAY ARE ATTRIBUTED TO AND REPORTED AT BMCHS. ALL CONTRACT RELATED REVENUE AND EXPENSE WERE RECORDED AT BMC AND EVALUATED FOR UNRELATED BUSINESS INCOME TAX (UBIT). BMCHS RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED AS OF SEPTEMBER 30, 2023 AND 2022. BMCHS ANNUALLY ASSESSES WHETHER IT MUST RECOGNIZE UBIT EXPENSE. THE AMOUNTS RECOGNIZED AS UBIT EXPENSE WERE NOT MATERIAL TO BMCHS'S CONSOLIDATED OPERATIONS OR CHANGES IN NET ASSETS FOR THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022. NO INCOME, CAPITAL OR PREMIUM TAXES ARE LEVIED IN THE CAYMAN ISLANDS AND BMCIC HAS BEEN GRANTED AN EXEMPTION UNTIL JULY 8, 2042, FOR ANY TAXES THAT MIGHT BE INTRODUCED. BMCIC INTENDS TO CONDUCT ITS AFFAIRS SO AS NOT TO BE LIABLE FOR TAXES IN ANY OTHER JURISDICTION, OTHER THAN WITHHOLDING TAX ON CERTAIN INVESTMENTS. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. SCHEDULE D, PART V, LINE 2 PRESENTATION OF ENDOWMENT ASSETS BOSTON MEDICAL CENTER HAS ADOPTED ASU 2016-14, PRESENTATION OF THE FINANCIAL STATEMENTS FOR NOT-FOR-PROFIT ENTITIES. AS A RESULT, THE SEPTEMBER 30, 2023 AUDITED FINANCIAL STATEMENTS CLASSIFY NET ASSETS AS EITHER NET ASSETS WITHOUT DONOR RESTRICTIONS, OR NET ASSETS WITH DONOR RESTRICTIONS. FOR PURPOSES OF SCHEDULE D, PART V, LINE 2, BOSTON MEDICAL CENTER HAS REPORTED ENDOWMENT FUNDS WITHOUT DONOR RESTRICTIONS AS BOARD DESIGNATED OR QUASI-ENDOWMENT AND ENDOWMENT FUNDS WITH DONOR RESTRICTIONS AS PERMANENT ENDOWMENT OR TERM RESTRICTED ENDOWMENT, RESPECTIVELY. 1 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 185526 EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS 3189852 EUROPE 0 0 INVESTMENTS 8964680 MIDDLE EAST AND NORTH AFRICA 0 0 INVESTMENTS 1410834 NORTH AMERICA 0 0 INVESTMENTS 4188704 SOUTH AMERICA 0 0 INVESTMENTS 517708 SUB-SAHARIAN AFRICA 0 0 INVESTMENTS 1068523 EAST ASIA AND THE PACIFIC 0 0 GRANTMAKING 14759 EUROPE 0 0 GRANTMAKING 56689 NORTH AMERICA 0 0 GRANTMAKING 325004 RUSSIA 0 0 GRANTMAKING 262294 SOUTH ASIA 0 0 GRANTMAKING 274697 SUB-SAHARIAN AFRICA 2 16 GRANTMAKING 957658 SOUTH AMERICA 0 0 GRANTMAKING 21160 0 0 2 16 2 16 19540586 1897502 21438088 EAST ASIA & PACIFIC SUBAWARD 14759 WIRE TRANSFER 0 EUROPE SUBAWARD 56689 WIRE TRANSFER 0 NORTH AMERICA SUBAWARD 325004 WIRE TRANSFER 0 RUSSIA SUBAWARD 262294 WIRE TRANSFER 0 SOUTH ASIA SUBAWARD 274697 WIRE TRANSFER 0 SUB-SAHARAN AFRICA SUBAWARD 957658 WIRE TRANSFER 0 SOUTH AMERICA SUBAWARD 21160 WIRE TRANSFER 0 16 1 0 1 1 1 0 PART I, LINE 2: THE PRINCIPAL INVESTIGATOR AND ADMINISTRATOR APPROVE ALL SUBCONTRACT INVOICES, INCLUDING THOSE FROM A FOREIGN COUNTRY. THE FOREIGN SUBCONTRACT RECIPIENT HAS A BUDGET TO WHICH INVOICES ARE MATCHED TO ENSURE THAT ALL SPENDING IS APPROPRIATE. ADDITIONALLY, THE ORGANIZATION'S PRINCIPAL INVESTIGATORS REGULARLY CONTACT THE FOREIGN SUBCONTRACT RECIPIENTS TO MONITOR THE PROGRESS OF THE RECIPIENTS' WORK. PART II, LINE 1 ACCOUNTING METHOD: FOREIGN EXPENDITURES ARE SEPARATELY IDENTIFIED IN THE ORGANIZATION'S ACCOUNTING RECORDS. PART III ACCOUNTING METHOD: GALA 2373852 2189932 183920 5500 129954 160260 49919 IMAGINE 938623 898078 40545 21400 79903 90979 58804 4 698127 570780 127347 65167 125 38226 79316 4010602 3658790 351812 92067 209982 289465 188039 779553 -427741 1 1 X 1 X 1 X 1 1 0 0 142329663 42876028 99453635 0.04110 992572314 933669177 58903137 0.02440 1134901977 976545205 158356772 0.06550 15350676 14342155 1008521 0.00040 79371077 20383914 58987163 0.02440 966 81951223 60586983 21364240 0.00880 966 176672976 95313052 81359924 0.03360 966 1311574953 1071858257 239716696 0.09910 6 560000 560000 0.00020 2 16060000 16060000 0.00660 12 997314 300000 697314 0.00030 1 867750 867750 0.00040 1 956894 956894 0.00040 22 19441958 300000 19141958 0.00790 1 9795807 149092950 171285639 -22192689 X 1 1 1 1 BOSTON MEDICAL CENTER ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 HTTP://WWW.BMC.ORG V112 X X X X X BOSTON MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://WWW.BMC.ORG/CARE-OUR-COMMUNITY X SEE PART V, PAGE 8 X 1 23 1 HTTPS://WWW.BMC.ORG/CARE-OUR-COMMUNITY 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.BMC.ORG/PATIENT-FINANCIAL-ASSISTANCE X HTTPS://WWW.BMC.ORG/PATIENT-FINANCIAL-ASSISTANCE X HTTPS://WWW.BMC.ORG/PATIENT-FINANCIAL-ASSISTANCE X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION A: BOSTON MEDICAL CENTER IS LICENSED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH TO OPERATE A HOSPITAL AT ONE BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118. BOSTON MEDICAL CENTER IS (1) A LICENSED HOSPITAL, (2) PROVIDES GENERAL MEDICAL AND SURGICAL TREATMENT, (3) IS A TEACHING HOSPITAL, AND (4) OPERATES AN ER 24 HOURS PER DAY. THE MAIN CAMPUS OF BOSTON MEDICAL CENTER IS LOCATED AT MENINO PAVILION, 830-840 HARRISON AVENUE, BOSTON, MA 02118. AN INPATIENT SATELLITE HOSPITAL KNOWN AS BMC BROCKTON BEHAVIORAL HEALTH CENTER IS LOCATED AT 34 NORTH PEARL STREET, BROCKTON, MA 02301. A SECOND CAMPUS LOCATION AT 249 RIVER STREET, MATTAPAN, MA 02126 IS LISTED ON BOSTON MEDICAL CENTER'S DEPARTMENT OF PUBLIC HEALTH LICENSE; HOWEVER, THIS LOCATION HAS BEEN OUT OF SERVICE SINCE 1996.THE FOLLOWING OUTPATIENT SATELLITES ARE ALSO LISTED ON BOSTON MEDICAL CENTER'S DEPARTMENT OF PUBLIC HEALTH HOSPITAL LICENSE:1. CODMAN SQUARE HEALTH CENTER2. BRIGHTON HIGH SCHOOL STUDENT HEALTH CENTER3. BOSTON MEDICAL CENTER RADIOLOGY AT RYAN CENTER BOSTON UNIVERSITY4. EAST BOSTON NEIGHBORHOOD HEALTH CENTER SATELLITE EMERGENCY FACILITY (10 GOVE STREET)5. DOTHOUSE HEALTH6. MADISON PARK HIGH SCHOOL STUDENT HEALTH CENTER7. JEREMIAH E. BURKE STUDENT HEALTH CENTER8. GREATER ROSLINDALE MEDICAL & DENTAL9. LATIN ACADEMY STUDENT HEALTH CENTER10. TECHBOSTON ACADEMY SCHOOL HEALTH CENTER11. BOSTON MEDICAL CENTER RADIOLOGY AT UPHAM'S CORNER HEALTH CENTER12. MURIEL SNOWDEN INTERNATIONAL HIGH SCHOOL HEALTH CENTER13. SOUTH BOSTON COMMUNITY HEALTH CENTER - 386 WEST BROADWAY14. BOSTON MEDICAL CENTER SCHOOL-BASED HEALTH CENTER AT BOSTON COMMUNITY LEADERSHIP ACADEMY15. SOUTH BOSTON COMMUNITY HEALTH CENTER - 409 WEST BROADWAY16. EAST BOSTON NEIGHBORHOOD HEALTH CENTER - 20 MAVERICK SQUARE17. EAST BOSTON NEIGHBORHOOD HEALTH CENTER - 79 PARIS STREET18. BOSTON MEDICAL CENTER RADIOLOGY AT WHITTIER STREET HEALTH CENTER19. EBHS SCHOOL BASED HEALTH CENTER20. WINTHROP COMMUNITY HEALTH CENTER21. SOUTH BOSTON COMMUNITY HEALTH CENTER SEAPORT PRIMARY CARE22. BOSTON MEDICAL CENTER - DEPARTMENT OF FAMILY MEDICINE - MELNEA CASS BOULEVARD23. BOSTON MEDICAL CENTER - CROSSTOWN - 801 MASSACHUSETTS AVENUE24. BMC REHABILITATION SERVICES, PHYSICAL AND OCCUPATIONAL THERAPY, HYDE PARK25. SOUTH END COMMUNITY HEALTH CENTER26. SOUTH END COMMUNITY HEALTH CENTER, DR. GERALD HASS CENTER27. CURBSIDE CARE PROGRAM AT BOSTON MEDICAL CENTER (MOBILE UNIT)28. BMC REHABILITATION, ORTHOPEDICS & IMAGING - 39B DISTRICT AVENUE29. BOSTON MEDICAL CENTER COMMUNITY BEHAVIORAL HEALTH SERVICES30. TRANSITIONAL CARE CENTER AND STABILIZATION CARE CENTER AT 891 MASSACHUSETTS AVENUE (SPECIAL PROJECT LOCATION)BOSTON MEDICAL CENTER IS LICENSED BY THE DEPARTMENT OF MENTAL HEALTH FOR INPATIENT PSYCHIATRY SERVICES LOCATED AT BMC BROCKTON BEHAVIORAL HEALTH CENTER, AN INPATIENT SATELLITE LOCATED AT 34 NORTH PEARL STREET, BROCKTON, MA 02301. BOSTON MEDICAL CENTER PART V, SECTION B, LINE 5: QUALITATIVE DISCUSSIONS AND COMMUNITY ENGAGEMENTTHE COMMUNITY ENGAGEMENT WORK GROUP INCLUDES 24 MEMBERS REPRESENTING A RANGE OF ORGANIZATIONS, INCLUDING HEALTH CENTERS, LOCAL PUBLIC HEALTH, COMMUNITY DEVELOPMENT, COMMUNITY-BASED ORGANIZATIONS, AND HOSPITALS. THE WORK GROUP'S CHARGE IS TO PROVIDE GUIDANCE ON THE APPROACH TO COMMUNITY ENGAGEMENT, INPUT ON PRIMARY DATA COLLECTIONS METHODS, AND SUPPORT WITH LOGISTICS FOR PRIMARY DATA COLLECTION. THE COLLABORATIVE'S COMMUNITY ENGAGEMENT WORK GROUP LED EFFORTS TO GAIN INSIGHT INTO COMMUNITY NEEDS AND STRENGTHS AS WELL AS PRIORITIES FROM COMMUNITY LEADERS AND RESIDENTS, ESPECIALLY AMONG THOSE WHERE THERE HAS BEEN A GAP IN REPRESENTATION IN PREVIOUS PROCESSES. ALTOGETHER, THEY FACILITATED 29 VIRTUAL AND IN-PERSONFOCUS GROUP DISCUSSIONS WITH A TOTAL OF 309 RESIDENTS WHO HAVE BEEN DISPROPORTIONATELY BURDENED BY SOCIAL, ECONOMIC, AND HEALTH CHALLENGES INCLUDING: YOUTH AND ADOLESCENTS, OLDER ADULTS, PERSONS WITH DISABILITIES, LOW-RESOURCED INDIVIDUALS AND FAMILIES, LGBTQIA+ POPULATIONS, RACIALLY/ETHNICALLY DIVERSE POPULATIONS (E.G., AFRICAN AMERICAN, LATINO, HAITIAN, CAPE VERDEAN, VIETNAMESE, CHINESE), LIMITED-ENGLISH SPEAKERS, IMMIGRANT AND ASYLEE COMMUNITIES, FAMILIES AFFECTED BY INCARCERATION AND/OR VIOLENCE, AND VETERANS. SOME FOCUS GROUPS WERE CONDUCTED IN LANGUAGES OTHER THAN ENGLISH, INCLUDING SPANISH, CHINESE, AND VIETNAMESE.COLLABORATIVE MEMBERS CONDUCTED KEY INFORMANT INTERVIEWS WITH 62 INDIVIDUALS. THESE REPRESENTED A CROSS-SECTION OF SECTORS TO IDENTIFY AREAS OF ACTION AND PERSPECTIVES ON THE COMMUNITY. THESE INTERVIEWEES INCLUDED LEADERS AND STAFF FROM PUBLIC HEALTH, HEALTH CARE, BEHAVIORAL HEALTH, THE FAITH COMMUNITY, IMMIGRANT SERVICES, HOUSING ORGANIZATIONS, ECONOMIC DEVELOPMENT, COMMUNITY DEVELOPMENT, RACIAL JUSTICE ORGANIZATIONS, SOCIAL SERVICE ORGANIZATIONS, EDUCATION, COMMUNITY COALITIONS, THE BUSINESS COMMUNITY, CHILDCARE CENTERS, ELECTED GOVERNMENT OFFICES, AND OTHERS.ADDITIONALLY, COLLABORATIVE MEMBERS CONDUCTED FOUR 90-MINUTE VIRTUAL COMMUNITY LISTENING SESSIONS IN JANUARY 2022. A TOTAL OF 122 COMMUNITY MEMBERS PARTICIPATED IN THESE FOUR SESSIONS. THESE SESSIONS OCCURRED MID-WAY INTO THE CHNA PROCESS AND PROVIDED AN OPPORTUNITY TO GATHER FEEDBACK AND INSIGHTS ON PRELIMINARY DATA FINDINGS AND POTENTIAL PRIORITIES AT THIS POINT IN TIME. DURING THESE SESSIONS, COLLABORATIVE MEMBERS SHARED PRELIMINARY THEMES FROM FOCUS GROUPS, INTERVIEWS, AND THE REVIEW OF SECONDARY DATA. THE PARTICIPANTS DISCUSSED THEIR REACTIONS AND FEEDBACK TO THESE PRELIMINARY FINDINGS IN SMALL GROUPS AND IDENTIFIED AREAS THAT WERE THEIR HIGHEST PRIORITY FOR ACTION.TO DEEPEN UNDERSTANDING OF ISSUES THAT WERE SALIENT TO RESPONDENTS, INTERVIEW, FOCUS GROUP, AND COMMUNITY LISTENING SESSION DISCUSSION GUIDES USED OPEN-ENDED QUESTIONS AND DID NOT ASK ABOUT SPECIFIC TOPICS. COMMUNITY ENGAGEMENT WORK GROUP MEMBERS AND THEIR PARTNERS CONDUCTED THE FOCUS GROUPS AND INTERVIEWS, AND THEN SUMMARIZED THE KEY THEMES FROM THE DISCUSSIONS THEY FACILITATED. THESE SUMMARIES WERE THEN ANALYZED TO IDENTIFY COMMON THEMES AND SUB-THEMES ACROSS POPULATION GROUPS AS WELL AS UNIQUE CHALLENGES AND PERSPECTIVES IDENTIFIED BY POPULATIONS AND SECTORS, WITH AN EMPHASIS ON DIVING DEEP INTO THE ROOT CAUSES OF INEQUITIES. FREQUENCY AND INTENSITY OF DISCUSSIONS ON A SPECIFIC TOPIC WERE KEY INDICATORS USED FOR EXTRACTING MAIN THEMES. BOSTON MEDICAL CENTER PART V, SECTION B, LINE 6A: BOSTON MEDICAL CENTER (BMC) CONDUCTED THE CHNA WITH THE FOLLOWING HOSPITAL FACILITIES: BETH ISRAEL DEACONESS MEDICAL CENTER, BOSTON CHILDREN'S HOSPITAL, BRIGHAM AND WOMEN'S FAULKNER HOSPITAL, BRIGHAM AND WOMEN'S HOSPITAL, DANA-FARBER CANCER INSTITUTE, MASSACHUSETTS EYE AND EAR INFIRMARY, MASSACHUSETTS GENERAL HOSPITAL, AND TUFTS MEDICAL CENTER. BOSTON MEDICAL CENTER PART V, SECTION B, LINE 6B: BOSTON MEDICAL CENTER CONDUCTED THE CHNA WITH THE FOLLOWING ORGANIZATIONS: BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, BOSTON PUBLIC HEALTH COMMISSION, JAMAICA PLAIN NEIGHBORHOOD DEVELOPMENT CORPORATION, COMMUNITY LABOR UNITED, FENWAY COMMUNITY HEALTH CENTER, HEALTH LEADS, MADISON PARK DEVELOPMENT CORPORATION, MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS, UPHAM'S CORNER HEALTH CENTER, AND URBAN EDGE.BOSTON MEDICAL CENTER:PART V, SECTION B, LINE 7B: HTTPS://WWW.BOSTON.GOV/GOVERNMENT/CABINETS/BOSTON-PUBLIC-HEALTH-COMMISSION/RACIAL-JUSTICE-AND-HEALTH-EQUITY/BOSTONCHNA BOSTON MEDICAL CENTER PART V, SECTION B, LINE 11: 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 UNDER-RESOURCED POPULATIONS IN OUR COMMUNITY. KEY FINDINGS THAT EMERGED FROM THE CHNA INCLUDED HEALTH CARE ACCESS AND UTILIZATION, CHRONIC DISEASES AND RISK FACTORS, MENTAL HEALTH ANDSUBSTANCE USE DISORDER, VIOLENCE, HOUSING AFFORDABILITY, AND ENVIRONMENTAL HEALTH. FOR DETAILED INFORMATION ABOUT EACH OF THE PROGRAMS AND INITIATIVES THAT ADDRESSED THESE NEEDS LAST YEAR, PLEASE SEE SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION, PROMOTION OF COMMUNITY HEALTH BELOW. BOSTON MEDICAL CENTER:PART V, SECTION B, LINE 13A: 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 (REGARDLESS OF INCOME LEVEL, ETC.) BASED ON THE UNCOMPENSATED CARE COST TO CHARGE RATIO IF THE PAYMENTS ARE MADE WITHIN THE FIRST 30 DAYS FROM THE AGREEMENT. BOSTON MEDICAL CENTER PART V, SECTION B, LINE 13H: BY THE DEFINITION OF BMC'S FINANCIAL ASSISTANCE POLICY, PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE HAVE APPLIED FOR ONE OF THE COMMONWEALTH'S FINANCIAL ASSISTANCE PROGRAMS (MASSHEALTH, MEDICAID, HEALTH SAFETY NET, ETC.) OR HAVE BEEN PROVIDED URGENT/EMERGENT SERVICES. IN THOSE INSTANCES, PATIENTS ARE VIEWED AS UNABLE TO PAY FOR THESE CHARGES AND THE HOSPITAL SUBMITS THE CHARGE FOR REIMBURSEMENT FROM THE HEALTH SAFETY NET. 4 1 - MARGARET M SHEA RN ADULT DAY HEALTH PRO 229 RIVER STREET BOSTON MA 02126 ADULT DAY HEALTH PROGRAM 2 - BOSTON EMERGENCY SERVICES TEAM (BEST) 85 EAST NEWTON STREET BOSTON MA 02118 DEPARTMENT OF MENTAL HEALTH-LICENSED COMMUNITY CRISIS STABILIZATION SERVICE 3 - BMC BROCKTON BEHAVIORAL HEALTH CENTER 10 MEADOWBROOK ROAD BROCKTON MA 02301 BUREAU OF SUBSTANCE ADDICTION SERVICES-CERTIFIED CLINICAL STABILIZATION SRVC 4 - BOSTON MEDICAL CENTER COMMUNITY BEHAVIOR 850 HARRISON AVE - DOWLING BLDG 7TH FL BOSTON MA 02118 BUREAU OF SUBSTANCE ADDICTION SERVICES 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 (REGARDLESS OF INCOME LEVEL, ETC.) BASED ON THE UNCOMPENSATED CARE COST TO CHARGE RATIO IF THE PAYMENTS ARE MADE WITHIN THE FIRST 30 DAYS FROM THE AGREEMENT.INTRODUCTIONTHE STATUTE THAT CREATED BOSTON MEDICAL CENTER (BMC) REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 594-BED, URBAN ACADEMIC MEDICAL CENTER. IT EMPHASIZES COMMUNITY-BASED, ACCESSIBLE CARE AND IS GROUNDED BY ITS MISSION TO PROVIDE CONSISTENTLY ACCESSIBLE HEALTH SERVICESTO ALL IN NEED OF CARE, REGARDLESS OF STATUS AND ABILITY TO PAY. BMC IS THE LARGEST SAFETY-NET HOSPITAL IN NEW ENGLAND AND PROVIDES A FULL SPECTRUM OF PEDIATRIC AND ADULT CARE SERVICES FROM PRIMARY TO FAMILY MEDICINE TO ADVANCED SPECIALTY CARE. DRIVEN BY THE SOCIAL DETERMINANTS OF HEALTH THAT IMPACT HEALTH OUTCOMES AMONG OUR PATIENTS AND COMMUNITY, THE GOAL OF OUR COMMUNITY HEALTH IMPROVEMENT ACTIVITIES, OR COMMUNITY BENEFITS, IS TO IMPROVE COMMUNITY HEALTH.APPROXIMATELY 73% OF OUR INPATIENT DISCHARGES AND OUTPATIENT VISITS ARE FROM GROUPS THAT HAVE BEEN ECONOMICALLY AND SOCIALLY MARGINALIZED AND WHO RELY ON GOVERNMENT PAYERS, SUCH AS MEDICAID, THE HEALTH SAFETY NET, AND MEDICARE, FOR THEIR COVERAGE. ALMOST 30% OF OUR PATIENTS DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE. TO ADDRESS THE HEALTH NEEDS OF ITS DIVERSE PATIENT POPULATION, BMC PROVIDES A WIDE RANGE OF SERVICES BEYOND THE TRADITIONAL MEDICAL MODEL. THESE PROGRAMS, INCLUDING BUT NOT LIMITED TO PATIENT NAVIGATION AND A FOOD PANTRY, HELP REDUCE BARRIERS TO ACCESSING HEALTH SERVICES AND ULTIMATELY ELIMINATE INEQUITIES IN HEALTHCARE AMONG THE PATIENT POPULATIONS BMC SERVES.WITH APPROXIMATELY 26,000 ADMISSIONS AND MORE THAN 1.1 MILLION PATIENT VISITS, BMC PROVIDES A COMPREHENSIVE RANGE OF INPATIENT, CLINICAL AND DIAGNOSTIC SERVICES IN MORE THAN 70 AREAS OF MEDICAL SPECIALTIES AND SUBSPECIALTIES. THE LARGEST 24-HOUR LEVEL I TRAUMA CENTER IN NEW ENGLAND, BMC'S EMERGENCY DEPARTMENT HAD APPROXIMATELY 122,000 PATIENT VISITS ANNUALLY.BMC SERVES THE URBAN COMMUNITY OF GREATER BOSTON. THE MAJORITY OF THE COMMUNITIES THAT BMC SERVES ARE LOCATED IN BOSTON CENSUS TRACTS THAT ARE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS/POPULATIONS. ALTHOUGH MASSACHUSETTS' UNIVERSAL CARE ENABLES INDIVIDUALS TO SEEK CARE AT ANY HOSPITAL, BMC REMAINS THE LARGEST SAFETY NET PROVIDER IN BOSTON AND NEW ENGLAND. AN ESTIMATED 17.5% OF BOSTON RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL. THE IMPLEMENTATION OF UNIVERSAL CARE DID NOT REDUCE THE REAL NUMBER OR PERCENT OF UNDERSERVED COMMUNITIES SERVED BY BMC. ACCORDING TO THE CENTER FOR HEALTH INFORMATION AND ANALYSIS (CHIA) MASSACHUSETTS HEALTH INSURANCE SURVEY'S 2023 RESEARCH BRIEF, AN ESTIMATE OF 1.7% OF RESIDENTS WERE UNINSURED DURING THE SURVEY OF WHICH 67.2% REPORTED EMPLOYER-SPONSORED INSURANCE (ESI) AND 31.9% REPORTED OTHER NON-ESI. STILL, INSURED RESIDENTS IN FAIR OR POOR HEALTH HAVE HIGH RATES OF AFFORDABILITY ISSUES WITH 14.8% REPORTING SPENDING A HIGH SHARE OF FAMILY INCOME ON OUT-OF-POCKET HEALTHCARE SPENDING. OF BMC'S PATIENTS IN 2023, MEDICAID MAKES UP 48.9%, MEDICARE IS 22.4%, UNINSURED IS 2.4%, PRIVATE COMMERCIAL IS 25.4%, WITH THE REMAINDER OF 0.9% ACCOUNTED FOR BY OTHER GOVERNMENT AND WORKERS COMP.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 RATIO IS MULTIPLIED BY THE CHARGES FOR CHARITY CARE AND MEDICAID TO OBTAIN THEIR RESPECTIVE COSTS.FOR THE CALCULATION OF COMMUNITY HEALTH IMPROVEMENT SERVICES (LINE 7E) DISCRETE COSTING WAS USED. FOR THE CALCULATION OF HEALTH PROFESSIONS EDUCATION COST (LINE 7F) THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) COST ALLOCATION METHODOLOGY (CMS FORM 2552) WAS USED. CMS FORM 2552 IS A REQUIRED ANNUAL FILING TO THE FEDERAL GOVERNMENT.PART I, LINE 7, COLUMN F:THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE WAS $0.DURING FISCAL YEAR 2023, BMC RECOGNIZED NET FAVORABLE SETTLEMENTS FROM MEDICARE, MEDICAID, WELLSENSE, BLUE CROSS AND OTHER PAYORS RELATED TO PRIOR YEARS OF APPROXIMATELY $8,971,000. PART II, COMMUNITY BUILDING ACTIVITIES: BMC CONTRIBUTES TO THE COMMUNITY THROUGH ITS PAYMENT OF LINKAGE FEES TO THE CITY OF BOSTON. THOSE LINKAGE FEES FUND SUPPORT PROGRAMS FOR AFFORDABLE HOUSING AND NEIGHBORHOOD HEALTH CARE. BMC ALSO PROVIDES SUBSIDIES TO BOSTON HEALTHNET, WHICH SUPPORTS COMMUNITY-BASED SERVICES.PHYSICAL IMPROVEMENTS AND HOUSING:SOUTH BOSTON COMMUNITY HEALTH CENTER, A COMMUNITY HEALTH CENTER AFFILIATED WITH 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 AGREED TO FORGIVE TEN PERCENT OF THE ORIGINAL PRINCIPAL AMOUNT OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING COULD BE FORGIVEN IN TEN YEARS. IN FISCAL YEAR 2018, BOSTON MEDICAL CENTER INCURRED AN EXPENSE OF $540,000 TO FULLY RESERVE AGAINST THE NOTE RECEIVABLE AS IT WAS DETERMINED THAT NO FUTURE PAYMENTS WERE ANTICIPATED ON THE LOAN. THE LOAN AND RESPECTIVE RESERVE IS ACCOUNTED FOR ON THE BALANCE SHEET, ANNUALLY, EACH IS REDUCED BY THE FORGIVABLE AMOUNT.CAPITAL INVESTMENTS IN BOSTON HEALTHNET:WHILE THE NEED FOR COMMUNITY-BASED SERVICES CONTINUES TO GROW, IT HAS BECOME INCREASINGLY DIFFICULT FOR COMMUNITY HEALTH CENTERS TO MEET THE DEMAND. REIMBURSEMENT OFTEN DOES NOT COVER THE FULL COST OF CARING FOR THE COMPLEX NEEDS OF HEALTH CENTERS' DIVERSE PATIENT POPULATION. COMPOUNDING THIS PROBLEM, IN THE MID-LATE 1990S, MANY HEALTH CENTERS FOUND THEMSELVES OPERATING IN FACILITIES THAT WERE IN DESPERATE NEED OF RESTORATION OR EXPANSION. COSTLY INFORMATION TECHNOLOGY UPGRADES WERE ALSO REQUIRED TO ENHANCE MANAGEMENT EFFICIENCIES AND PATIENT CARE. IN RESPONSE TO THE HEALTH CENTERS' NEEDS, BMC PROVIDED APPROXIMATELY $16.9 MILLION IN DIRECT OPERATING SUPPORT TO THE BOSTON HEALTHNET HEALTH CENTERS IN FISCAL YEAR 2023 WITH $21.3 MILLION IN TOTAL SUPPORT FOR THE COMMUNITY HEALTH CENTERS FOR THAT SAME PERIOD. OTHER NET SUBSIDIES INCLUDE MOSTLY ECONOMIC DEVELOPMENT, COMMUNITY HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT. PART III, LINE 2: SCHEDULE H, PART III, LINE 3 REPORTS BAD DEBT EXPENSE AT COST. PATIENT PAYMENTS ON ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT ARE RECORDED AS A BAD DEBT RECOVERY, REDUCING THE GROSS BAD DEBT WRITE-OFF. PART III, LINE 3: THE ORGANIZATION ESTIMATED $0 OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) AS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY DUE TO THE MANNER IN WHICH THE DETAIL OF THE BAD DEBT EXPENSE IS PROCESSED IN ITS SYSTEM. PART III, LINE 4: THE ORGANIZATION'S BAD DEBT EXPENSE IS ADDRESSED IN FOOTNOTES 2(S)(IV) AND 2(U) FOUND ON PAGES 16 AND 17 OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF $171,285,639 WERE CALCULATED USING THE CMS FORM 2552 METHODOLOGY OF DETERMINING MEDICARE COSTS. THIS USES THE STEP DOWN METHOD OF DETERMINING FULLY-ALLOCATED COSTS BY DISTINCT CLINICAL COST CENTERS AS DEFINED BY CMS. THESE FULLY-ALLOCATED COSTS ARE APPLIED AGAINST TOTAL CHARGES TO CALCULATE A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES IS APPLIED TO MEDICARE CHARGES BY DISTINCT CLINICAL COST CENTERS TO DETERMINE THE MEDICARE COSTS. PART III, LINE 9B: POPULATIONS EXEMPT FROM COLLECTION ACTIVITIESTHE HOSPITAL WILL NOT REQUIRE PRE-ADMISSION OR PRE-TREATMENT DEPOSITS FROM INDIVIDUALS REQUIRING EMERGENCY SERVICES OR DETERMINED TO BE LOW-INCOME. THE FOLLOWING INDIVIDUALS AND PATIENT POPULATIONS ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES BEYOND THE INITIAL BILL PURSUANT TO STATE REGULATIONS:A. PATIENTS WITH MASSHEALTH, EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN OF THE DISABLED, CHILDREN, AND FULL HEALTH SAFETY NET OR PATIENTS WITH COUNTY MEDICAL SERVICES PROGRAM OR PARTIAL HEPATOSPLENOMEGALY BELOW THE PROGRAM-DEFINED FEDERAL POVERTY LEVEL OR MODIFIED ADJUSTED GROSS INCOME GUIDELINE, OR OTHERS DETERMINED TO BE LOW-INCOME PATIENTS ARE EXEMPT FROM COLLECTION SUBJECT TO:1. THE HOSPITAL MAY SEEK COLLECTION ACTION AGAINST ANY LOW-INCOME PATIENT FOR THEIR REQUIRED CO-PAYMENTS AND DEDUCTIBLES THAT ARE SET FORTH BY EACH SPECIFIC PROGRAM.2. THE HOSPITAL MAY SEEK COLLECTION TO ALLOW A PATIENT TO MEET THE COMMONWEALTH ONE-TIME DEDUCTIBLE.3. THE HOSPITAL MAY ALSO INITIATE BILLING OR COLLECTION FOR A LOW-INCOME PATIENT WHO ALLEGES THAT HE OR SHE IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COSTS OF THE HOSPITAL SERVICES, BUT WHO FAILS TO PROVIDE PROOF OF HIS OR HER PARTICIPATION AND WHOSE INSURANCE CANNOT BE VERIFIED IN THE HOSPITAL ELIGIBILITY SYSTEM. UPON RECEIPT OF SATISFACTORY PROOF THAT A PATIENT IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM, INCLUDING RECEIPT OR VERIFICATION FROM THE INSURANCE CARRIER, THE HOSPITAL SHALL CEASE ITS BILLING OR COLLECTION ACTIVITIES.4. THE HOSPITAL MAY CONTINUE COLLECTION ACTION ON ANY LOW-INCOME PATIENT FOR SERVICES RENDERED PRIOR TO THE LOW-INCOME PATIENT DETERMINATION, PROVIDED THAT THE CURRENT LOW-INCOME PATIENT STATUS HAS BEEN TERMINATED OR EXPIRED. HOWEVER, ONCE A PATIENT IS DETERMINED ELIGIBLE AND ENROLLED IN THE HEALTH SAFETY NET, MASSHEALTH, OR CERTAIN FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL CEASE COLLECTION ACTIVITY FOR SERVICES PROVIDED PRIOR TO THE BEGINNING OF THE PATIENT'S ELIGIBILITY.5. THE HOSPITAL MAY SEEK COLLECTION ACTION AGAINST ANY OF THE PATIENTS PARTICIPATING IN THE PROGRAMS LISTED ABOVE FOR NON-COVERED SERVICES THAT THE PATIENT HAS AGREED TO BE RESPONSIBLE FOR, PROVIDED THAT THE HOSPITAL OBTAINED THE PATIENT'S PRIOR WRITTEN CONSENT TO BE BILLED FOR THE SERVICE. PART VI, LINE 2: IN 2022 AND FOR THE SECOND TIME, BMC CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN COLLABORATION WITH COMMUNITY ORGANIZATIONS, BOSTON RESIDENTS, HEALTH CENTERS, HOSPITALS AND THE BOSTON PUBLIC HEALTH COMMISSION. THE BOSTON COMMUNITY HEALTH NEEDS ASSESSMENT-COMMUNITY HEALTH IMPROVEMENT PLAN COLLABORATIVE (THE COLLABORATIVE) FORMED IN 2019 TO UNDERTAKE THE FIRST BOSTON-WIDE CHNA AND CHIP. FOCUSING ON THE SOCIAL DETERMINANTS OF HEALTH AND USING A HEALTH EQUITY LENS, THE COLLABORATIVE EMPLOYED A PARTICIPATORY APPROACH THAT ENGAGED THE COMMUNITY IN EVERY STEP OF THE 2019 AND 2022 CHNAS.METHODSTHIS CHNA FOCUSES ON THE SOCIAL DETERMINANTS OF HEALTH AND IS GUIDED BY A HEALTH EQUITY LENS. IN THE U.S., SOCIAL, ECONOMIC, AND POLITICAL PROCESSES WORK TOGETHER TO ASSIGN SOCIAL STATUS BASED ON RACE AND ETHNICITY, WHICH MAY AFFECT ACCESS TO OPPORTUNITIES, SUCH AS EDUCATIONAL AND OCCUPATIONAL MOBILITY AND HOUSING OPTIONS, EACH OF WHICH ARE INTIMATELY LINKED WITHHEALTH. HISTORICAL OPPRESSION, INSTITUTIONAL RACISM, DISCRIMINATORY POLICIES, AND ECONOMIC INEQUALITY ARE SEVERAL ROOT FACTORS THAT SHAPE HEALTH INEQUITIES ACROSS THE U.S.REVIEW OF SECONDARY DATATHE 2022 BOSTON CHNA DATA GATHERING EFFORT INCLUDED A REVIEW OF EXISTING SECONDARY DATA ON SOCIAL, ECONOMIC, AND HEALTH INDICATORS. THESE INDICATORS PROVIDE INSIGHTS INTO PATTERNS ACROSS BOSTON, BY BOSTON NEIGHBORHOOD, AND BY POPULATION GROUPS WITHIN BOSTON. SECONDARY DATA SOURCES INCLUDED U.S. CENSUS/AMERICAN COMMUNITY SURVEY, VITAL STATISTICS (BIRTH/DEATH RECORDS), HOSPITAL CASE MIX DATA, BOSTON BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BBRFSS), BBRFSS COVID-19 HEALTH EQUITY SURVEY, YOUTH RISK BEHAVIOR SURVEY (YRBS), AND THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH BUREAU OF SUBSTANCE ADDICTION SERVICES TREATMENT DATA. THE SECONDARY DATA WORK GROUP OF THE COLLABORATIVE INCLUDED 16 MEMBERS REPRESENTING A RANGE OF ORGANIZATIONS, INCLUDING HOSPITALS, HEALTH CENTERS, AND LOCAL PUBLIC HEALTH. THE SECONDARY DATA WORK GROUP'S CHARGE WAS TO PROVIDE GUIDANCE ON SECONDARY DATA APPROACH AND INDICATORS AND FOSTER CONNECTIONS WITH KEY NETWORKS AND GROUPS TO PROVIDE RELEVANT DATA.TO IDENTIFY THE LIST OF SOCIAL, ECONOMIC, AND HEALTH INDICATORS, SECONDARY DATA WORK GROUP MEMBERS REVIEWED THE INDICATOR LIST FROM THE 2019 BOSTON CHNA AND PRIORITIZED WHICH INDICATORS SHOULD BE REVISITED FOR THE 2022 REPORT. THE SECONDARY DATA WORK GROUP ENGAGED IN MULTIPLE DISCUSSIONS AND PRIORITIZED THE SECONDARY DATA THAT ALIGNED WITH THE 2019 PRIORITY AREAS THAT COVID-19 HAD A DISPROPORTIONATE IMPACT ON, AND/OR WHERE THERE WERE THE GREATEST INEQUITIES BY RACE/ETHNICITY, NEIGHBORHOOD, OR OTHER CHARACTERISTICS.SECONDARY DATA IN THE 2022 CHNA REPRESENTS THE MOST RECENT DATA AVAILABLE, AND IN SEVERAL CASES OVERLAPS WITH DATA INCLUDED IN THE 2019 CHNA DUE TO THE NEED TO COMBINE DATA ACROSS YEARS TO LOOK AT PATTERNS BY NEIGHBORHOOD AND SOCIAL AND DEMOGRAPHIC FACTORS. QUALITATIVE DISCUSSIONS (DESCRIBED IN THE SECTION THAT FOLLOWS) BUILD UPON THE SECONDARY DATA BY SHEDDING LIGHT ON RESIDENTS' RECENT EXPERIENCES WITH AND PERSPECTIVES ON MANY FACTORS,INCLUDING THE SOCIAL DETERMINANTS OF HEALTH AND HOW THESE ISSUES HAVE BEEN AFFECTED BY THE COVID-19 PANDEMIC.QUALITATIVE DISCUSSIONS AND COMMUNITY ENGAGEMENT THE COMMUNITY ENGAGEMENT WORK GROUP INCLUDES 24 MEMBERS REPRESENTING A RANGE OF ORGANIZATIONS, INCLUDING HEALTH CENTERS, LOCAL PUBLIC HEALTH, COMMUNITY DEVELOPMENT, COMMUNITY-BASED ORGANIZATIONS, AND HOSPITALS. THE WORK GROUP'S CHARGE IS TO PROVIDE GUIDANCE ON THE APPROACH TO COMMUNITY ENGAGEMENT, INPUT ON PRIMARY DATA COLLECTIONS METHODS, AND SUPPORT WITH LOGISTICS FOR PRIMARY DATA COLLECTION. THE COLLABORATIVE'S COMMUNITY ENGAGEMENT WORK GROUP LED EFFORTS TO GAIN INSIGHT INTO COMMUNITY NEEDS AND STRENGTHS AS WELL AS PRIORITIES FROM COMMUNITY LEADERS AND RESIDENTS, ESPECIALLY AMONG THOSE WHERE THERE HAS BEEN A GAP IN REPRESENTATION IN PREVIOUS PROCESSES. ALTOGETHER, THEY FACILITATED 29 VIRTUAL AND IN-PERSON FOCUS GROUP DISCUSSIONS WITH A TOTAL OF 309 RESIDENTS WHO HAVE BEEN DISPROPORTIONATELY BURDENED BY SOCIAL, ECONOMIC, AND HEALTH CHALLENGES INCLUDING: YOUTH AND ADOLESCENTS, OLDER ADULTS, PERSONS WITH DISABILITIES, LOW-RESOURCED INDIVIDUALS AND FAMILIES, LGBTQIA+ POPULATIONS, RACIALLY/ETHNICALLY DIVERSE POPULATIONS (E.G., AFRICAN AMERICAN, LATINO,HAITIAN, CAPE VERDEAN, VIETNAMESE, CHINESE), LIMITED-ENGLISH SPEAKERS, IMMIGRANT AND ASYLEE COMMUNITIES, FAMILIES AFFECTED BY INCARCERATION AND/OR VIOLENCE, AND VETERANS. SOME FOCUS GROUPS WERE CONDUCTED IN LANGUAGES OTHER THAN ENGLISH, INCLUDING SPANISH, CHINESE, AND VIETNAMESE.COLLABORATIVE MEMBERS CONDUCTED KEY INFORMANT INTERVIEWS WITH 62 INDIVIDUALS. THESE REPRESENTED A CROSS-SECTION OF SECTORS TO IDENTIFY AREAS OF ACTION AND PERSPECTIVES ON THE COMMUNITY. THESE INTERVIEWEES INCLUDED LEADERS AND STAFF FROM PUBLIC HEALTH, HEALTH CARE, BEHAVIORAL HEALTH, THE FAITH COMMUNITY, IMMIGRANT SERVICES, HOUSING ORGANIZATIONS, ECONOMIC DEVELOPMENT, COMMUNITY DEVELOPMENT, RACIAL JUSTICE ORGANIZATIONS, SOCIAL SERVICE ORGANIZATIONS, EDUCATION, COMMUNITY COALITIONS, THE BUSINESS COMMUNITY, CHILDCARE CENTERS, ELECTED GOVERNMENT OFFICES, AND OTHERS.ADDITIONALLY, COLLABORATIVE MEMBERS CONDUCTED FOUR 90-MINUTE VIRTUAL COMMUNITY LISTENING SESSIONS IN JANUARY 2022. A TOTAL OF 122 COMMUNITY MEMBERS PARTICIPATED IN THESE FOUR SESSIONS. THESE SESSIONS OCCURRED MID-WAY INTO THE CHNA PROCESS AND PROVIDED AN OPPORTUNITY TO GATHER FEEDBACK AND INSIGHTS ON PRELIMINARY DATA FINDINGS AND POTENTIAL PRIORITIES AT THIS POINT IN TIME. DURING THESE SESSIONS, COLLABORATIVE MEMBERS SHARED PRELIMINARY THEMES FROM FOCUS GROUPS, INTERVIEWS, AND THE REVIEW OF SECONDARY DATA. THE PARTICIPANTS DISCUSSED THEIR REACTIONS AND FEEDBACK TO THESE PRELIMINARY FINDINGS IN SMALL GROUPS AND IDENTIFIED AREAS THAT WERE THEIR HIGHEST PRIORITY FOR ACTION.TO DEEPEN UNDERSTANDING OF ISSUES THAT WERE SALIENT TO RESPONDENTS, INTERVIEW, FOCUS GROUP, AND COMMUNITY LISTENING SESSION DISCUSSION GUIDES USED OPEN-ENDED QUESTIONS AND DID NOT ASK ABOUT SPECIFIC TOPICS. COMMUNITY ENGAGEMENT WORK GROUP MEMBERS AND THEIR PARTNERS CONDUCTED THE FOCUS GROUPS AND INTERVIEWS, AND THEN SUMMARIZED THE KEY THEMES FROM THE DISCUSSIONS THEY FACILITATED. THESE SUMMARIES WERE THEN ANALYZED TO IDENTIFY COMMON THEMES AND SUB-THEMES ACROSS POPULATION GROUPS AS WELL AS UNIQUE CHALLENGES AND PERSPECTIVES IDENTIFIED BY POPULATIONS AND SECTORS, WITH AN EMPHASIS ON DIVING DEEP INTO THE ROOT CAUSES OF INEQUITIES. FREQUENCY AND INTENSITY OF DISCUSSIONS ON A SPECIFIC TOPIC WERE KEY INDICATORS USED FOR EXTRACTING MAIN THEMES.KEY FINDINGS THAT EMERGED FROM THE CHNA INCLUDED HEALTH CARE ACCESS AND UTILIZATION, CHRONIC DISEASES AND RISK FACTORS, MENTAL HEALTH AND SUBSTANCE USE DISORDER, VIOLENCE, HOUSING AFFORDABILITY, AND ENVIRONMENTAL HEALTH.UNWAVERING IN OUR COMMITMENT TO ADDRESS THE HEALTH NEEDS OF OUR COMMUNITY, BMC PROVIDES A WIDE RANGE OF PROGRAMS BEYOND THE TRADITIONAL MEDICAL MODEL TO ADDRESS THESE SOCIAL DETERMINANTS OF HEALTH. 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 UNDER-RESOURCED POPULATIONS IN OUR COMMUNITY. PART VI, LINE 3: THE HOSPITAL POSTS NOTICES OF AVAILABILITY OF FINANCIAL ASSISTANCE IN: I. INPATIENT, CLINIC, AND EMERGENCY DEPARTMENT AND WAITING AREAS; II. PATIENT FINANCIAL COUNSELOR AREAS; III. CENTRAL ADMISSION/REGISTRATION AREAS; IV. BUSINESS OFFICE AREAS THAT ARE OPEN TO PATIENTS. POSTED NOTICES ARE CLEARLY VISIBLE AND LEGIBLE TO PATIENTS VISITING THESE AREAS. THE HOSPITAL ALSO INCLUDES A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IN ALL INITIAL BILLS. WHEN THE PATIENT CONTACTS THE HOSPITAL, THE PATIENT FINANCIAL SERVICES STAFF NOTIFIES THE PATIENT IF THEY QUALIFY FOR A PAYMENT PLAN. A PATIENT WHO IS ENROLLED IN A PUBLIC FINANCIAL ASSISTANCE PROGRAM (FOR EXAMPLE, MASSHEALTH, HEALTH SAFETY NET, OR FOR MEDICAL HARDSHIP) MAY QUALIFY FOR CERTAIN PLANS. PATIENTS MAY ALSO QUALIFY FOR ADDITIONAL ASSISTANCE BASED ON THE HOSPITAL'S OWN INTERNAL CRITERIA FOR FINANCIAL ASSISTANCE. FOR CASES WHERE THE HOSPITAL IS USING THE VIRTUAL GATEWAY APPLICATION, THE HOSPITAL ASSISTS THE PATIENT IN COMPLETING THE APPLICATION FOR MASSHEALTH CONNECTORCARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTH START, HEALTH SAFETY NET, OR OTHER FORMS OF FINANCIAL ASSISTANCE PROGRAMS AS THEY BECOME PART OF THE VIRTUAL GATEWAY PROGRAM. ALL SIGNS AND NOTICES ARE TRANSLATED INTO LANGUAGES OTHER THAN ENGLISH IF A LANGUAGE IS SPOKEN BY 5% OR MORE OF THE POPULATION RESIDING IN THE HOSPITAL SERVICE AREA. CURRENTLY, THE HOSPITAL TRANSLATES THE NOTICES INTO ENGLISH, PORTUGUESE, SPANISH, VIETNAMESE, AND HAITIAN CREOLE. PART VI, LINE 4: COMMUNITY INFORMATIONPLEASE SEE INTRODUCTION. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHHEALTH CARE ACCESSBIRTH SISTERS: BIRTH SISTERS ARE COMMUNITY MEMBERS TRAINED BY BMC TO PROVIDE SUPPORT TO PREGNANT BMC PATIENTS FROM THEIR OWN COMMUNITIES DURING PREGNANCY, CHILDBIRTH AND EARLY PARENTHOOD. BIRTH SISTERS OFFER CHILDBIRTH AND PARENTING EDUCATION, CONNECT THEIR CLIENTS TO COMMUNITY AND HOSPITAL-BASED RESOURCES, PROVIDE CONTINUOUS LABOR SUPPORT, AND SUPPORT THEIR CLIENTS IN THE EARLY POSTPARTUM PERIOD. THE BIRTH SISTERS PROGRAM HAS BEEN LINKED TO SIGNIFICANTLY HIGHER BODY/BREASTFEEDING RATES AND FEWER CESAREAN BIRTHS. THE PANDEMIC REQUIRED SHIFTS IN SERVICE PROVISION, MOST NOTABLY, THROUGH THE UTILIZATION OF VIRTUAL SUPPORT STRATEGIES TO BUILD CONNECTION BEFORE AND AFTER BIRTH. DURING THE 2023 FISCAL YEAR, BIRTH SISTERS PROVIDED SUPPORT FOR 210 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, TWO SOCIAL WORKERS, A RECOVERY SUPPORT 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 FACILITATES THE TRANSITION FROM ADOLESCENT TO ADULT CARE WHEN APPROPRIATE. IN FISCAL YEAR 2023, THE CATALYST CLINIC RECEIVED APPROXIMATELY 114 REFERRALS TO THE CLINIC; 839 REFERRALS HAVE BEEN RECEIVED SINCE THE PROGRAM'S INCEPTION.THE CENTER FOR THE URBAN CHILD AND HEALTHY FAMILY (THE CENTER): THE CENTER, LAUNCHED IN 2016, IS CATALYZING BMC'S VISION OF MAKING BOSTON ONE OF THE HEALTHIEST CITIES IN THE WORLD BY ENSURING EVERY CHILD HAS AN EQUAL OPPORTUNITY TO BE HEALTHY AND ACHIEVE THEIR FULL POTENTIAL. AS SUCH, THE CENTER IS CREATING A SYSTEM OF PEDIATRIC HEALTH CARE THAT ACTIVELY PROMOTES HEALTH EQUITY AND ERADICATES DISPARITIES. AS AN INNOVATION HUB WITHIN THE DEPARTMENT OF PEDIATRICS, THE CENTER CREATES AND TESTS INNOVATIVE HEALTH CARE DELIVERY MODELS, WORKING IN PARTNERSHIP WITH FAMILIES, COMMUNITIES AND OTHER CHILD- AND FAMILY-SERVING SECTORS.THE CENTER HAS SET A GOAL THAT BY 2028, ALL CHILDREN CARED FOR BY BMC PEDIATRICS WILL BE HEALTHY AND READY TO LEARN WITH ADEQUATE SUPPORTS TO THRIVE BY AGE FIVE. TO ACHIEVE THIS GOAL, THE CENTER CO-DEVELOPED A NEW MODEL OF PEDIATRIC PRIMARY CARE, THE PEDIATRIC PRACTICE OF THE FUTURE, WITH FAMILIES AND PEDIATRIC PROVIDERS. THIS MODEL SUPPORTS WHOLE FAMILY DEVELOPMENT WITH ATTENTION TO FACTORS INFLUENCING WELL-BEING AND BRINGING TOGETHER CARE IN A SYSTEMATIC, EQUITABLE WAY TO PROMOTE WELLNESS THROUGHOUT THE LIFE COURSE. THE CENTER IS PILOTING THE NEW MODEL INITIALLY AIMED AT FAMILIES WITH NEWBORNS, AND IS COLLECTING DATA TO UNDERSTAND ITS IMPACT. THE PILOT LAUNCHED IN JANUARY 2020 AND HAS SINCE ENROLLED 1100 PATIENTS. ULTIMATELY, A FINANCIALLY SUSTAINABLE MODEL WILL BE SCALED TO THE LARGER PRIMARY CARE PRACTICE. IN ADDITION, THE CENTER IS SUPPORTING AN INTEGRATED MEDICAL HOME FOR FAMILIES IMPACTED BY SUBSTANCE USE DISORDER AND AN INNOVATIVE ASTHMA CARE PROGRAM TARGETED AT OUR URBAN PEDIATRIC POPULATION.LIVING WELL AT HOME (LWAH, FORMERLY ELDERS LIVING AT HOME PROGRAM): THE GOAL OF LWAH IS TO HELP OLDER ADULTS AND PERSONS WITH DISABILITIES WHO ARE HOMELESS OR AT RISK FOR HOMELESSNESS SECURE AND MAINTAIN A PERMANENT RESIDENCE AND LIVE AS INDEPENDENTLY AS POSSIBLE. LWAH SERVED OVER 650 CLIENTS DURING FISCAL YEAR 2023 IN HOUSING HOUSING SEARCH AND PLACEMENT SERVICES. OF THESE CLIENTS, 355 WERE NEWLY ENROLLED DURING THE FISCAL YEAR, AND 189 WERE HOUSED OR HAD THEIR TENANCY PRESERVED. THE SUCCESS RATE OF LWAH'S STABILIZATION SERVICES IN OUR BOSTON HOUSING AUTHORITY SUPPORTIVE HOUSING PROGRAM IS 98%. IN 2023, AN ADDITIONAL 176 CLIENTS WERE SERVED THROUGH A COMMUNITY-BASED COMPLEX CARE MANAGEMENT PILOT DESIGNED TO IMPROVE HEALTH OUTCOMES FOR FRAIL RESIDENTS OF AN ELDERLY/DISABLED HOUSING COMPLEX IN ROXBURY AND ANOTHER IN CAMBRIDGE.GROW CLINIC: THE GROW CLINIC WAS FOUNDED IN 1984 WITHIN BMC'S DEPARTMENT OF PEDIATRICS. 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 OTHER FAMILY STRESSORS. 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. THE GROW CLINIC PROVIDES MEDICAL TREATMENT, NUTRITIONAL ASSESSMENT, HOME HEALTH EDUCATION, SOCIAL SERVICE ADVOCACY, DEVELOPMENTAL REFERRALS, AND ACCESS TO BMC'S THERAPEUTIC FOOD PANTRY, NUTRITIONAL SUPPLEMENTS, CHILDREN'S CLOTHES, DIAPERS, BOOKS AND EDUCATIONAL TOYS, AMONG OTHER SERVICES. APPROXIMATELY 200 FAMILIES ARE TREATED ANNUALLY BY THE GROW CLINIC. IN FY2023, THERE WERE 90 NEW PATIENTS. FORTY-FIVE PERCENT (45%) OF CLINIC PATIENTS WERE 12 MONTHS OF AGE OR YOUNGER; THE AVERAGE AGE AT REFERRAL WAS 22 MONTHS; AND THE AVERAGE LENGTH OF TREATMENT WAS 28 MONTHS. THERE WERE 818 TOTAL CLINIC VISITS DURING THIS PERIOD. APPROXIMATELY 12% OF PATIENT FAMILIES WERE HOMELESS AND LIVING IN SHELTERS. CLINICIANS MADE 20 HOME VISITS IN FY23. ALL PATIENTS DEMONSTRATED IMPROVED GROWTH, AND 80% DEMONSTRATED SIGNIFICANT WEIGHT IMPROVEMENT. PART VI, LINE 6: BOSTON MEDICAL CENTER HEALTH PLAN, INC., DOING BUSINESS AS WELLSENSE HEALTH PLAN (WELLSENSE)WELLSENSE IS A NON-PROFIT HEALTH PLAN THAT PROVIDES HEALTH INSURANCE COVERAGE TO MASSACHUSETTS RESIDENTS, INCLUDING LOW INCOME, UNDERSERVED, DISABLED AND ELDERLY POPULATIONS. IT WAS ESTABLISHED IN 1997 BY BMC AND HAS MORE THAN 25 YEARS OF EXPERIENCE DELIVERING ACCESSIBLE CARE TO COMPLEX POPULATIONS. WELLSENSE SERVES OVER 639,000 MEMBERS ACROSS MASSACHUSETTS. IT ALSO PROVIDES HEALTH COVERAGE TO MEDICAID MEMBERS IN NEW HAMPSHIRE.BOSTON HEALTHNET (BHN)THE BOSTON HEALTHNET (BHN) HEALTH CENTER NETWORK REPRESENTS A FUNDAMENTAL PARTNERSHIP BETWEEN BOSTON MEDICAL CENTER AND THE COMMUNITY HEALTH CENTERS (CHCS) TO FULFILL A SHARED COMMITMENT TO THE MOST VULNERABLE AND DIVERSE PATIENTS SERVED. ESTABLISHED IN 1995, BHN IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM COMPRISED OF BMC, BOSTON UNIVERSITY'S CHOBANIAN & AVEDISIAN SCHOOL OF MEDICINE AND 12 COMMUNITY HEALTH CENTERS. THE PARTNERSHIP HAS BECOME A NATIONAL MODEL FOR COMMUNITY HEALTH CARE NETWORKS, ESPECIALLY THOSE SERVING URBAN, UNDERSERVED AND WORKING CLASS POPULATIONS BHN'S COMMUNITY HEALTH CENTER PARTNERS PROVIDE OUTREACH, PREVENTION, PRIMARY CARE, SPECIALTY CARE AND DENTAL SERVICES AT SITES LOCATED THROUGHOUT BOSTON'S COMMUNITIES AS WELL AS ATTLEBORO, QUINCY, TAUNTON, AND WINTHROP, THEREBY EXTENDING BMC'S PRESENCE INTO THESE NEIGHBORHOODS. PHYSICIANS WORKING IN THE HEALTH CENTERS ARE CREDENTIALED MEMBERS OF BMC'S MEDICAL STAFF. HEALTH CENTER PATIENTS HAVE ACCESS TO HIGHLY TRAINED SPECIALISTS AND CUTTING-EDGE TECHNOLOGY AT BMC WHILE PROVIDING INDIVIDUALIZED AND CULTURALLY SENSITIVE CARE IN THEIR OWN NEIGHBORHOODS.THE ACCOMPLISHMENTS OF THE NETWORK ARE EVIDENCED BY:NOTABLE SHARE OF BMC VOLUME ORIGINATING FROM THE HEALTH CENTERS;COLLABORATIVE DEVELOPMENT OF QUALITY IMPROVEMENT INITIATIVES, CLINICAL PROTOCOLS, AND STANDARDS OF PRACTICE;DEGREE OF FACILITATION AND COORDINATION OF HEALTH INFORMATION TECHNOLOGY TRAINING, COMMUNICATION AND OPTIMIZATION ACROSS THE HEALTH CENTER NETWORK WITH NINE OF THE BHN HEALTH CENTERS ON THE SAME ELECTRONIC HEALTH RECORD.IN ADDITION, THE COMMUNITY HEALTH CENTER PARTNERSHIP EXTENDS INTO CLINICIAN TRAINING AND JOINT HIRING WITH BU SCHOOL OF MEDICINE STUDENTS USING HEALTH CENTER EDUCATION PROGRAMS, RESIDENTS HAVING LONGITUDINAL AMBULATORY EXPERIENCE AT CHCS DURING 2023 AND PROVIDERS JOINTLY HIRED BY HEALTH CENTERS AND BU FAMILY MEDICINE ACROSS SIX HEALTH CENTERS.OTHER AREAS DEMONSTRATING THE LONGSTANDING AND DEEP PARTNERSHIP INCLUDE: GOVERNANCE: COMMUNITY HEALTH CENTERS ARE NOTABLY INVOLVED IN BMC GOVERNANCE WITH REPRESENTATION ON BMC'S BOARD OF TRUSTEES, TWO COMMITTEES OF THE BMC BOARD OF TRUSTEES AND THREE HOSPITAL COMMITTEES.RESEARCH: FOR OVER 15 YEARS, A RESEARCH COLLABORATIVE COMPRISED OF BHN, COMMUNITY HEALTH CENTERS AND BOSTON UNIVERSITY CLINICAL TRANSLATIONAL SCIENCE INSTITUTE HAS EXISTED IN ORDER TO ADVANCE HEALTH RELATED RESEARCH IN THE COMMUNITY, INCLUDE THE COMMUNITY VOICE IN RESEARCH PROJECTS AND FACILITATE CLINICIAN ENGAGEMENT IN THE RESEARCH PROCESS.ACO PARTICIPATION: CURRENTLY, 10 COMMUNITY HEALTH CENTERS AND FOUR HOSPITALS IN OUR MASSHEALTH ACO PROGRAM PARTICIPATE IN BACO. BACO'S PARTICIPANTS ARE COLLECTIVELY ACCOUNTABLE FOR THE QUALITY AND COST OF THE CARE THEY PROVIDE. BACO'S MOST SIGNIFICANT RISK ARRANGEMENT IS WITH THE MASSHEALTH ACO PROGRAM. WITH ITS PARTICIPATION IN THE MASSHEALTH ACO PROGRAM, BACO BECAME CLINICALLY AND FINANCIALLY INTEGRATED WITH BMC HEALTH SYSTEM, WHICH INCLUDES BMC, BOSTON UNIVERSITY MEDICAL GROUP, AND WELLSENSE.COVID-19 RESPONSE THE COVID-19 PANDEMIC REVEALED GROSS INEQUITIES IN THE UPTAKE OF VACCINATIONS BY BLACK AND LATINX PEOPLE ACROSS THE US, WITH DEADLY CONSEQUENCES. BMC LED LOCAL EFFORTS TO CLOSE THESE DISPARITIES IN BOSTON BY IMPLEMENTING COMMUNITY-BASED VACCINATION SITES IN CHURCHES AND COMMUNITY CENTERS, ORGANIZING MOBILE VACCINATION EVENTS AT SCHOOLS, GROCERY STORES AND COMMUNITY EVENTS, AND BY PROVIDING VACCINE ACCESS AS WELL AS HEALTH EDUCATION TO RESIDENTS OF THE CITY'S MOST IMPOVERISHED NEIGHBORHOODS.THESE EVENTS WERE CRITICAL IN PROVIDING ACCESS TO VACCINES IN LOCATIONS WITH THE HIGHEST SOCIAL VULNERABILITY INDEX (SVI), IDENTIFIED USING THE US CENSUS DATA INCLUDING SOCIOECONOMIC STATUS, HOUSEHOLD COMPOSITION AND DISABILITY, SOCIAL/ECONOMIC MINORITY STATUS, LANGUAGE, UNEMPLOYMENT, AND OTHER FACTORS AFFECTING COMMUNITY HEALTH. TO BUILD CONFIDENCE IN COVID-19 VACCINES AND IN THE HEALTHCARE SYSTEM, BMC PARTNERED WITH AFFILIATED HEALTH CENTERS, COMMUNITY PARTNERS, STATE AND LOCAL HEALTH DEPARTMENTS, AND THE COMMONWEALTH OF MASSACHUSETTS. AS FEATURED IN A SCHOLARLY ARTICLE IN MAY OF 2022 IN THE ANNALS OF INTERNAL MEDICINE, THE BMC VACCINATION INITIATIVE HAS SHOWN THE IMPORTANCE OF HAVING LEADERSHIP AND WORKFORCE COMMITMENT TO HEALTH EQUITY AND COMMUNITY ENGAGEMENT. AS A RESULT, BMC IS NOW PART OF THE COMMUNITY ENGAGED ALLIANCE OF THE NATIONAL INSTITUTES OF HEALTH, AIMED AT INCREASING VACCINE CONFIDENCE AND ENGAGEMENT IN RESEARCH. SCHEDULE H, PART VI, LINE 5 (CONTINUATION): IMMIGRANT AND REFUGEE HEALTH CENTER (IHRC): THE IHRC CONNECTS ALL OF BMC'S EXISTING PROGRAMS AND EXPERTISE IN IMMIGRANT AND REFUGEE HEALTH CARE INTO ONE CENTRAL POINT OF ENTRY. THROUGH THE IHRC, ANY IMMIGRANT PATIENT CAN BE CONNECTED WITH ALL OF THE MEDICAL, MENTAL HEALTH AND SOCIAL SERVICES THAT THEY NEED TO HEAL, REBUILD, AND THRIVE. THIS INCLUDES SPECIALIZED PRIMARY CARE SERVICES FOR IMMIGRANT AND REFUGEE PATIENTS INCLUDING REGULAR CHECK-UPS, IMMUNIZATIONS AND SCREENINGS; SPECIALIZED, TRAUMA-INFORMED MENTAL HEALTH CARE FOR IMMIGRANT AND REFUGEE AND TAILORED OBSTETRICS AND GYNECOLOGICAL CARE FOR IMMIGRANT AND REFUGEE PATIENTS, INCLUDING PREGNANCY AND POSTPARTUM CARE, ANNUAL CHECK-UPS, GYNECOLOGIC CARE, CONTRACEPTION COUNSELING, SURGICAL CONSULTATION AND CONSULTATIONS REGARDING FEMALE GENITAL CIRCUMCISION. WE ALSO RECOGNIZE THAT NAVIGATING THE US HEALTHCARE SYSTEM CAN BE CHALLENGING. OUR CASE MANAGEMENT TEAM PARTNERS WITH OUR PATIENTS TO CONNECT THEM WITH THE MEDICAL AND SOCIAL SERVICES THEY NEED (FROM IMMIGRATION LEGAL NEEDS, TO CAREER DEVELOPMENT, TO FOOD AND HOUSING SUPPORT) IN A SUPPORTIVE ENVIRONMENT THAT IS SPECIFICALLY TAILORED TO MEET THE UNIQUE NEEDS OF OUR PATIENTS. FOREIGN AND SIGN LANGUAGE INTERPRETERS ARE AVAILABLE TO HELP PATIENTS COMMUNICATE WITH THE STAFF. THE PRACTICE PROVIDES ON-SITE INTERPRETERS AND PHONE-BASED INTERPRETERS FOR MORE THAN 250 LANGUAGES. IN THE PAST YEAR, THE IHRC SERVED FOR OVER 2,000 IMMIGRANT, REFUGEE, AND ASYLUM SEEKING PATIENTS, DELIVERING APPROXIMATELY 6,400 CLINICAL VISITS ANNUALLY.MARGARET M. SHEA RN ADULT DAY HEALTH PROGRAM: LICENSED UNDER THE DEPARTMENT OF PUBLIC HEALTH, BMC'S MARGARET M. SHEA RN ADULT DAY HEALTH PROGRAM IS AN INTERDISCLIPLANARY BASED PROGRAM THAT PROMOTES OUR CLIENT'S ACHIEVING AND MAINTAINING THEIR HIGHEST LEVEL OF FUNCTIONING WHILE PROVIDING SUPPORT TO THE CLIENTS AND THEIR CARE GIVERS TO ENABLE THEM TO REMAIN IN THE COMMUNITY. THIS IS ACHIEVED BY PROVIDING HOLISTIC CARE TO MEET THE INDIVIDUAL CLIENT'S PHYSICAL, COGNITIVE, SOCIAL AND EMOTIONAL NEEDS WTIHIN A GROUP SETTING. THE PROGRAM SERVED AN AVERAGE ROSTER OF 33 PARTICIPANTS DURING 2023 WITH AN AVERAGE OF APPROXIMATELY 20 CLIENTS PER DAY IN ATTENDANCE DURING THIS TIME PERIOD. ADDITIONALLY, THE PROGRAM ALSO WELCOMED A NEWLY CREATED CERTIFIED THERAPEUTIC RECREATION SPECIALIST POSITION TO EXPAND THE THERAPEUTIC ACTIVITY PROGRAMS THAT ARE OFFERED.PROGRAM FOR INTEGRATIVE MEDICINE AND HEALTH CARE DISPARITIES (INTEGRATIVE MEDICINE): STARTED IN 2004, THE PROGRAM FOR INTEGRATIVE MEDICINE AND HEALTH CARE DISPARITIES AT BMC COMBINES CONVENTIONAL MEDICAL TREATMENT, COMPLEMENTARY THERAPIES, AND LIFESTYLE CHANGES. THE CORE PURPOSE OF THIS PROGRAM IS TO PIONEER A WIDELY ACCESSIBLE, MULTICULTURAL, CROSS-DISCIPLINARY, NATIONAL MODEL OF INTEGRATIVE HEALTH FOR ALL THROUGH CLINICAL SERVICES, EDUCATION, RESEARCH AND ADVOCACY. COMPLEMENTARY THERAPIES INCLUDE YOGA, MASSAGE, ACUPUNCTURE, HERBAL THERAPY, DIETARY SUPPLEMENTS, MEDITATION, HYPNOSIS, CHI GUNG, TAI CHI, AND REIKI. THE PROGRAM OFFERS ALL CLINICAL SERVICES AND CLASSES AT LITTLE OR NO COST.CONVENTIONAL TREATMENTS MAY INCLUDE PRESCRIPTION MEDICATION, X-RAYS, SURGICAL PROCEDURES, PHYSICAL, AND OCCUPATIONAL THERAPY. HISTORICALLY, COMPLEMENTARY THERAPIES WERE NOT PART OF CONVENTIONAL MEDICINE; HOWEVER, CERTAIN THERAPIES ARE BECOMING MORE COMMON IN HEALTHCARE TODAY BECAUSE KNOWLEDGE AND RESEARCH ABOUT THEIR EFFECTIVENESS CONTINUES TO GROW.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 DIRECTOR AND ASSOCIATE DIRECTOR, AUTISM RESOURCE SPECIALISTS, TRANSITION SPECIALIST, RESEARCH COORDINATOR AND AUTISM FRIENDLY HOSPITAL PROJECT COORDINATOR, OFFERS SPECIALIZED OUTREACH, TRAINING AND ADVOCACY SERVICES. IN ADDITION, THE TEAM FORMS EFFECTIVE PARTNERSHIPS WITH SCHOOLS, COLLABORATES WITH LOCAL SUPPORT ORGANIZATIONS AND DRAWS UPON A DEEP KNOWLEDGE BASE OF SOCIAL SERVICE AGENCIES TO FACILITATE LINKAGES TO RESOURCES AND SUPPORTS WHILE DEVELOPING AND SCALING UP NOVEL INTERVENTIONS TO MEET GAPS IN SERVICES. OUR AUTISM RESOURCE SPECIALISTS WORK INTENSELY WITH PATIENT FAMILIES TO HELP ENSURE TIMELY AND APPROPRIATE TREATMENT FOR CHILDREN, WHICH OFTEN INCLUDES PROVIDING SUPPORT FOR THOSE FACING FINANCIAL BARRIERS, LINGUISTIC NEEDS AND CULTURAL ISSUES; ENHANCING PATIENT-PROVIDER COMMUNICATION; NAVIGATING HEALTH CARE SYSTEM OBSTACLES; AS WELL AS ACCESSING STATE AND GOVERNMENTAL BENEFITS. ADDITIONALLY, STAFF PROVIDE INDIVIDUALIZED BEHAVIOR CONSULTATION AND PARENT TRAINING TO STRENGTHEN CHILDREN'S COMMUNICATION AND RELATED SKILL-BUILDING AND REDUCE CHALLENGING BEHAVIORS. OUR TRANSITION SPECIALIST 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. OUR ADULT RESOURCE SPECIALIST PARTNERS WITH ADULT CLINICAL SETTINGS TO ASSIST ADULTS OF ALL AGES AND THEIR CARE PROVIDERS AND FAMILIES TO GAIN ACCESS TO RESOURCES AND SUPPORT SYSTEMS NEEDED TO CONTINE TO THRIVE THROUGHOUT ADULTHOOD.OUR AUTISM FRIENDLY INITIATIVE (AFI) IS RECOGNIZED AS A NATIONAL AND INTERNATIONAL LEADER IN IMPROVING THE HEALTHCARE EXPERIENCE FOR PATIENTS WITH AUTISM SPECTRUM DISORDER (ASD) AND THEIR FAMILIES. OUR AFI HAS SUCCESSFULLY DEVELOPED AND IMPLEMENTED A RANGE OF INTERVENTIONS ACROSS THE DOMAINS OF INDIVIDUALIZING PATIENT CARE, MODIFYING THE SENSORY ENVIRONMENT, STAFF TRAINING, AND PATIENT/FAMILY ACCOMMODATIONS. THE AUTISM PROGRAM ALSO HAS A WELL-ESTABLISHED SOCIAL MEDIA PRESENCE ON FACEBOOK AND INSTAGRAM-BOTH OF WHICH SERVE AS ADDITIONAL AVENUES TO PROVIDE RESOURCES, INFORMATION, AND GUIDANCE TO FAMILIES. THE AUTISM PROGRAM HAS SUPPORTED OVER 14,000 FAMILY REFERRALS SINCE ITS INCEPTION IN 2007 AND APPROXIMATELY 1,800 IN FY23. ADDITIONALLY, THE PROGRAM TRAINS OVER 1,500 INDIVIDUALS ANNUALLY. SCHEDULE H, PART VI, LINE 5 (CONTINUATION): PEDIATRIC PAIN CLINIC: BMC'S PEDIATRIC PAIN CLINIC MANAGES ACUTE, COMPLEX, AND CHRONIC PAIN IN CHILDREN FROM INFANCY TO AGE 22. OUR INTERDISCIPLINARY TEAM OF EXPERTS WORKS CLOSELY WITH EACH PATIENT AND FAMILY 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 OFFERS A VARIETY OF SPECIALIZED THERAPIES. EACH PATIENT IS GIVEN A PERSONALIZED PLAN TO BEST FIT THEIR NEEDS WHICH INCLUDES NON-PHARMACOLOGIC STRATEGIES AND PARENTING SUPPORT. THE TEAM REGULARLY COMMUNICATES WITH SCHOOLS AND OUTSIDE PROVIDERS TO ENSURE COMPREHENSIVE AND COLLABORATIVE CARE.NOURISHING OUR COMMUNITY: THE PREVENTIVE FOOD PANTRY AND TEACHING KITCHEN ADDRESS HUNGER-RELATED ILLNESS AND MALNUTRITION AMONG A LOW-INCOME, LARGELY UNDERSERVED PATIENT POPULATION WITHIN 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 PANTRY STAFF MEMBERS ARE FLUENT IN 4 LANGUAGES AND HAVE BEEN ESSENTIAL IN ASSISTING BMC'S MANY REFUGEE AND IMMIGRANT PATIENTS. THE FOOD PANTRY HAS CONTINUED TO PROVIDE NUTRITIONAL FOOD PRESCRIPTIONS TO APPROXIMATELY 6,134 PEOPLE EACH MONTH. IN FY23. WE PROVIDED FOOD TO 73,616 PEOPLE, AND DISPENSED APPROXIMATELY 11,000 POUNDS OF FOOD EACH WEEK. THIS EQUATES TO APPROXIMATELY 8 POUNDS OF GROCERIES PER PERSON. 50% OF THE FOOD DISPENSED ARE PERISHABLE ITEMS, WHICH ARE OFTEN LACKING IN THEIR DIET BECAUSE OF THE COST.THE TEACHING KITCHEN: OFFERS IN PERSON, VIRTUAL, AND HYBRID CLASSES TO PATIENTS, STAFF, STUDENTS, AND PARTNERING COMMUNITY ORGANIZATIONS. RE-CURRING CLASSES IN THE TEACHING KITCHEN INCLUDE HEALTHY HABITS, WELLNESS AND THE TEACHING KITCHEN, WEIGHT LOSS SURGERY PREPARATION, COOKING FOR RECOVERY, FOOD EXPLORERS, CUISINES OF THE WORLD AND MORE. NEW STRATEGIC PARTNERSHIPS HAVE BEEN MADE THROUGHOUT THE HOSPITAL TO FURTHER INTEGRATE INTO CLINICAL CARE. FOR EXAMPLE, AN INNOVATIVE CLASS WITH THE GROW CLINIC OFFERS NUTRITION AND CULINARY EDUCATION FOR PREGNANT AND POSTPARTUM PEOPLE TO SUPPORT PREGNANCY AND BABIES. PARTNERSHIPS WITH THE GRAYKEN CENTER'S START CLINIC AND CATALYST CLINIC SUPPORT FOLKS WITH SUBSTANCE USE DISORDER TO BUILD HEALTHY EATING HABITS AND GAIN CONFIDENCE IN FOOD PREPARATION USING ACCESSIBLE FOODS. THESE CLINICALLY INTEGRATED CLASSES ENHANCE CARE AND PROVIDE ADDITIONAL EDUCATION, SUPPORT, AND COMMUNITY TO ADDRESS THE NUTRITIONAL NEEDS OF OUR PATIENT POPULATION. RECIPES FEATURE STAPLE FOODS PROVIDED BY THE FOOD PANTRY, AND CULTURALLY COMPETENT FOODS FOR OUR DIVERSE COMMUNITY. RESEARCH EFFORTS CONTINUE TO GROW, INCLUDING A QUALITY IMPROVEMENT PROJECT ASSESSING PATIENTS' FOOD PREFERENCES AND ENVIRONMENT, THE FEASIBILITY OF TEACHING KITCHEN CLASSES IN CLINICAL CARE, AND RESEARCH ON HEALTH OUTCOMES. IN APRIL 2017, BMC OPENED ITS ROOFTOP FARM, TO MEET OUR PATIENTS' GROWING NEED FOR FRESH PRODUCE. THE ROOFTOP FARM HAS 2,400 SQUARE FEET OF GROWING SPACE, AND IS LOCATED ON TOP OF BMC'S ALBANY STREET POWER PLANT. THE FARM PRODUCES CROPS SUCH AS SPINACH, COLLARDS, BOK CHOY, RADISHES, SWISS CHARD, KALE, TOMATOES, AND MUCH MORE. IN ADDITION TO PRODUCE, THE FARM ALSO HAS 4 BEEHIVES WHICH PROVIDE 20-100 POUNDS OF HONEY TO THE HOSPITAL EACH SEASON. AS OF 2022 THE FARM HAS BEEN FULLY OPEN TO THE PUBLIC, HOSTING OVER 1000 VISITORS TO THE FARM LAST SEASON FOR TOURS, GARDENING CLASSES, YOGA, AND COOKING CLASSES. THE FARM CONTINUED TO HOST AN INTERNSHIP PROGRAM FOR PEOPLE LOOKING TO LEARN THE INS AND OUTS OF ROOFTOP FARMING AND GROWING FOOD FOR A HOSPITAL. IN FY2023, THE FARM GREW OVER 4,035 LBS OF FOOD VALUED AT $27,000 FOR THE HOSPITAL. MORE THAN HALF OF THE FOOD WENT TO THE FOOD PANTRY, WITH THE REST GOING TO THE HOSPITAL CAFETERIA AND WEEKLY FARMERS' MARKET. THE FARMERS MARKET, HOSTED EVERY TUESDAY IN THE SHAPIRO BUILDING, SERVES PATIENTS AND STAFF FRESH FARM PRODUCE AT A SUBSIDIZED RATE. SCHEDULE H, PART VI, LINE 5 (CONTINUATION): PROJECT RECOVERY, EMPOWERMENT, SOCIAL SERVICES, PRENATAL CARE, EDUCATION, COMMUNITY AND TREATMENT (PROJECT RESPECT): PROJECT RESPECT IS A HIGH RISK OBSTETRICAL AND ADDICTION RECOVERY MEDICAL HOME AT BMC AND BOSTON UNIVERSITY'S CHOBANIAN & AVEDISIAN SCHOOL OF MEDICINE. PROJECT RESPECT PROVIDES A UNIQUE SERVICE OF COMPREHENSIVE OBSTETRIC AND SUBSTANCE USE DISORDER TREATMENT FOR BIRTHING PEOPLE AND THEIR NEWBORNS IN MASSACHUSETTS. PROJECT RESPECT SUPPORTS PATIENTS WITH ALL TYPES OF SUBSTANCE USE DISORDERS, AND THE MAJORITY OF PROJECT RESPECT'S PATIENTS ARE IN RECOVERY FROM OPIOID ADDICTION. IN-PATIENT, MONITORED, ACUTE SUBSTANCE WITHDRAWAL TREATMENT AND INDUCTION OF MEDICATIONS FOR OPIOID USE DISORDER FOR BIRTHING PEOPLE SEEKING ADDICTION TREATMENT ARE PROVIDED. INTENSIVE, INDIVIDUALIZED OUT-PATIENT TREATMENT PLANS ARE OUTLINED FOR EACH PATIENT TAILORED TO 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 PATIENTS IN RECOVERY. PROJECT RESPECT TREATS AN AVERAGE OF 120-150 PATIENTS PER MONTH, WITH 6-10 NEW PATIENTS PER MONTH. IN FY23- PROJECT RESPECT SUPPORTED MORE THAN 300 MOTHER/CHILD DYADS.STREETCRED: BMC'S STREETCRED PROGRAM ADDRESSES FINANCIAL AND HEALTH INEQUITIES BY LINKING LOW- TO MODERATE-INCOME (LMI) PEDIATRIC PATIENT FAMILIES TO ANTI-POVERTY SAFE-NET PROGRAMS AND ASSET BUILDING TOOLS. STREETCRED PROVIDES AN ECONOMIC BUNDLE OF SERVICES DURING WELL CHILDVISITS IN THE FIRST YEAR OF LIFE, WHICH INCLUDES FREE TAX-PREPARATION SERVICES THROUGH WELL-TRAINED STAFF AND VOLUNTEERS WHO WORK WITH FAMILIES TO PREPARE THEIR TAXES AND ACCESS THE EITC. THE UNITED STATES FEDERAL EARNED INCOME TAX CREDIT (EITC) IS A REFUNDABLE TAX CREDIT FOR LMI WORKING INDIVIDUALS, PARTICULARLY THOSE WITH CHILDREN. UNDER OUR HEALTH BY WEALTH COLLECTIVE, STREETCRED HAS PREPARED OVER 8,000 TAX RETURNS, WHICH PROVIDED IN EXCESS OF $17 MILLION IN TAX REFUNDS. THESE TAX REFUNDS CAN HAVE A PROFOUND POSITIVE IMPACT ON A FAMILY'S HOUSEHOLD BUDGET AND, IN CASES OF FINANCIAL STRESS, ALLEVIATE SIGNIFICANT FINANCIAL BURDEN.SUPPORTING PARENTS AND RESILIENT KIDS CENTER (SPARK): THE SPARK CENTER HAS A LONG AND STORIED HISTORY OF PROVIDING INNOVATIVE CARE TO THOSE MOST IN NEED. THROUGH MARCH 2020, THE SPARK CENTER CARRIED OUT THIS MISSION THROUGH AN EDUCATION AND CARE PROGRAM FOR INFANTS AND TODDLERS WHOSE LIVES WERE AFFECTED BY COMPLEX OVERLAPPING HEALTH, EMOTIONAL, BEHAVIORAL, AND DEVELOPMENTAL CHALLENGES. AS A RESULT OF THE COVID-19 PANDEMIC, THE SPARK CENTER PIVOTED FROM CHILDCARE PROGRAMMING TOWARD EXPANDING CHILDHOOD OUTPATIENT BEHAVIORAL HEALTH SERVICES, A NEED THAT WAS ONLY AMPLIFIED THROUGH THE PANDEMIC. AS THESE CRITICAL BEHAVIORAL HEALTH SERVICES PROVIDED A SUPPORTIVE CONNECTION TO CARE FOR MANY FAMILIES, THE SPARK CENTER SIMULTANEOUSLY INITIATED A RE-ENVISIONING OF ITSELF AND ITS UNIQUE, COMMUNITY-BASED SETTING.IN AUGUST 2021, SPARK REOPENED AS THE HOME TO A NUMBER OF SPECIALTY PROGRAMS WITHIN BMC'S DEPARTMENT OF PEDIATRICS, ALL WITH THE OVERARCHING MISSION TO PROVIDE HIGH-QUALITY, EVIDENCED-BASED CARE. AT PRESENT, SPARK OFFERS NEURODEVELOPMENTAL ASSESSMENTS AND PSYCHOLOGICAL EVALUATIONS THROUGH THE DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS (DBP) TO IDENTIFY CHILDREN'S SPECIFIC EMOTIONAL, BEHAVIORAL, AND COGNITIVE CHALLENGES. MULTIDISCIPLINARY PROVIDERS, INCLUDING PEDIATRICIANS, ADVANCED PRACTICE CLINICIANS, PSYCHOLOGISTS, AND AUTISM RESOURCE SPECIALISTS, WORK COLLABORATIVELY WITH CAREGIVERS TO ACCESS SPECIAL EDUCATION SERVICES AND OTHER VITAL THERAPEUTIC SUPPORTS AS EARLY AS POSSIBLE TO IMPROVE CHILDHOOD OUTCOMES. ADDING TO THE CONTINUUM OF SPECIALIZED CHILDREN'S SERVICES, THE SPARK CENTER IS THE HOME OF THE EARLY CHILDHOOD BEHAVIOR THERAPY PROGRAM AND THE GOOD GRIEF PROGRAM AND IS A CLINICAL SITE FOR THE CHILD WITNESS TO VIOLENCE PROJECT. THESE PROGRAMS OFFER AN ARRAY OF TRAUMA-INFORMED, EVIDENCE-BASED THERAPY INTERVENTIONS FOR CHILDREN AND FAMILIES ROOTED IN TWO-GENERATION APPROACHES THAT UTILIZE THE CAREGIVER-CHILD RELATIONSHIP TO FOSTER HEALTHY CHILD DEVELOPMENT. THE SYNERGISTIC COLOCATION OF THESE SERVICES MAKES THE SPARK CENTER A FACILITY THAT PROVIDES BEST-PRACTICE CARE TO CHILDREN AND FAMILIES IMPACTED BY COMPLEX DEVELOPMENTAL AND BEHAVIORAL CHALLENGES, GRIEF AND LOSS, AND DOMESTIC VIOLENCE AND OTHER FORMS OF INTERPERSONAL VIOLENCE.IN ADDITION, SPARK SERVES AS AN OUTLET FOR PEDIATRIC INFECTIOUS DISEASE CASE MANAGEMENT AND CONCRETE RESOURCE SUPPORT, VIA THEIR INTEGRATED FOOD PANTRY. SPARK IS ALSO THE LOCATION OF A MONTHLY CLINIC, PROJECT POSITIVE HOPE, WHICH PROVIDES COORDINATED SERVICES FROM OBSTETRICS AND GYNECOLOGY, ADULT INFECTIOUS DISEASE AND PEDIATRIC INFECTIOUS DISEASE SPECIALISTS WITH ON-SITE CASE MANAGEMENT, PHARMACIST COUNSELING, AND PEER SUPPORT. WITH THE ABOVE ABUNDANCE OF INNOVATIVE CLINICAL SERVICES, THE SPARK CENTER HAS BECOME AN EXCEPTIONAL TRAINING SITE FOR MENTAL HEALTH CLINICIANS AND DBP TRAINEES. THE CLINICAL TRAINING OFFERED THROUGH THE SPARK CENTER WORKS TO ENHANCE THE SKILLS AND EXPERTISE OF THE FIELD OF PROVIDERS SUPPORTING CHILDREN AND FAMILIES WITH COMPLEX BEHAVIORAL AND DEVELOPMENTAL CHALLENGES AND PSYCHOSOCIAL SITUATIONS.TEAM UP: TEAM UP FOR CHILDREN TRANFORMING AND EXPANDING ACCESS TO MENTAL HEALTH CARE IN URAN PEDIATRICS IS A PEDIATRIC INTEGRATED BEHAVIORAL HEALTH INITIATIVE DESIGNED TO EQUIP PEDIATRIC PRIMARY CARE PRACTICES TO DELIVER EVIDENCE-INFORMED, TRAUMA-RESPONSIVE, INTEGRATED BEHAVIORAL HEALTHCARE IN STRUCTURALLY MARGINALIZED COMMUNITIES. THE TEAM UP CLINICAL MODEL FOCUSES ON PREVENTION, PROMOTION, EARLY IDENTIFICATION OF SOCIAL, DEVELOPMENTAL, AND BEHAVIORAL HEALTH ISSUES, AND PROMPT ACCESS TO CARE. WHILE THE MAJORITY OF MODELS ARE BASED ON INITIATING CARE AT THE POINT OF DIAGNOSIS, OUR GOAL THROUGH CONSISTENT SCREENING AND MONITORING FROM BIRTH TO YOUNG ADULTHOOD-IS TO ADDRESS EMERGING ISSUES BEFORE THEY REACH A CRISIS POINT. BMC'S TEAM UP SCALING AND SUSTAINABILITY CENTER PROVIDES PRIMARY CARE PRACTICES WITH EVERYTHING THEY NEED TO OVERCOME ROADBLOCKS AND IMPLEMENT THE TEAM UP CLINICAL MODEL. ACCESS TO THE TEAM UP LEARNING COMMUNITY GIVES HEALTH CENTERS IN-DEPTH, ONGOING CLINICAL TRAINING AND PRACTICE TRANSFORMATION SUPPORT, WITH DATA-DRIVEN TECHNICAL ASSISTANCE CUSTOMIZED TO THE PRACTICE. LEARNING COMMUNITY SUPPORT LASTS THROUGHOUT THE IMPLEMENTATION PERIOD AND BEYOND, WITH THE ENGAGEMENT INTENSITY HIGHEST AT THE BEGINNING OF THE PROJECT AND DECREASING AS SITES TRANSITION TOWARD SUSTAINING INDEPENDENT OPERATIONS. TEAM UP'S ROBUST EVALUATION ARM HAS PUBLISHED OVER TEN PEER-REVIEWED ARTICLES, DEMONSTRATING POSITIVE OUTCOMES FOR CHILDREN AND FAMILIES, THE HEALTH CARE WORKFORCE, AND SYSTEM-WIDE UTLIZIATION OF PRIMARY CARE SERVICES. GOOD GRIEF: THE GOOD GRIEF PROGRAM PROVIDES TRAUMA-INFORMED, CULTURALLY RESPONSIVE THERAPEUTIC SERVICES TO CHILDREN (AGE 0-18) IMPACTED BY DEATH AND ACUTE LOSS. AS ONE OF THE ONLY CHILDREN'S GRIEF AND LOSS PROGRAMS WITHIN THE CITY OF BOSTON, GOOD GRIEF WORKS TIRELESSLY TO BEST SERVE URBAN CHILDREN AND YOUTH WHO HAVE SUFFERED MULTIPLE, TRAUMATIC LOSSES. GOOD GRIEF SERVES CHILDREN AND THEIR FAMILIES IN A HOLISTIC WAY, RECOGNIZING THAT SIGNIFICANT LOSS IS ALWAYS ACCOMPANIED BY SECONDARY LOSSES THAT ARE DESTABILIZING, DISORIENTING, AND DAUNTING. OUR SMALL CLINICAL TEAM WORKS WITH FAMILIES TO SUPPORT THEIR MENTAL AND EMOTIONAL HEALTH NEEDS WHILE ALSO MITIGATING OTHER LOSS-RELATED STRESSORS AND STRUCTURAL DETERMINANTS OF HEALTH THEY MAY EXPERIENCE AND WHICH AFFECT OVERALL HEALTH (E.G., CHALLENGES AT SCHOOL, HOUSING/FOOD/FINANCIAL INSECURITY, IMMIGRATION-RELATED NEEDS, ETC.).IN 2017, THE GOOD GRIEF PROGRAM SHIFTED ITS PRIMARY FOCUS FROM TRAINING AND CONSULTATION WITH COMMUNITY-BASED ORGANIZATIONS TO PROVIDING DIRECT CLINICAL SERVICES TO CHILDREN IMPACTED BY SIGNIFICANT LOSS. IN THE SUBSEQUENT YEARS, THE NUMBER OF CHILDREN REFERRED TO AND SERVED BY THE PROGRAM HAS GROWN QUICKLY. WHEN CLINICAL SERVICES WERE OPENED IN AUGUST 2017, 26 CHILDREN WERE REFERRED IN A FIVE MONTH PERIOD. IN 2023, APPROXIMATELY 200 CHILDREN WERE REFERRED TO GOOD GRIEF. THE EXPONENTIAL GROWTH OF THE PROGRAM HAS BEEN FUELED BY MANY FACTORS INCLUDING THE DEARTH OF HIGH-QUALITY CHILDREN'S GRIEF SERVICES IN BOSTON AND GOOD GRIEF'S RELIABLE REPUTATION AMONG MEMBERS OF THE COMMUNITY AND OTHER SERVICE ORGANIZATIONS. SCHEDULE H, PART VI, LINE 5 (CONTINUATION): HOUSING IN FISCAL YEAR 2018 BMC LAUNCHED A MULTI-YEAR INVESTMENT IN A SUPPORTIVE HOUSING STRATEGY AS PART OF OUR DETERMINATION OF NEED (DON) COMMUNITY HEALTH INITIATIVE (CHI). THIS PROJECT WAS DESIGNED WITH AS A MULTI-PRONGED APPROACH TO IMPACT AFFORDABLE HOUSING AND AFFORDABLE HOUSING WITH SUPPORTS IN BOSTON. THIS PORTFOLIO INCLUDES NEW FUNDING FOR INTERNAL HOUSING NAVIGATION SUPPORT IN THE PEDIATRIC AND COMPLEX CARE MANAGEMENT, EXPANSION OF THE LIVING WELL AT HOME PROGRAM (FORMERLY KNOWN AS THE ELDERS LIVING AT HOME PROGRAM) AND DEEPER COLLABORATION WITH BOSTON AND CAMBRIDGE HOUSING AUTHORITY ON SUPPORTIVE HOUSING PROGRAMS. THE FOLLOWING ADDRESSES THE SECOND OF THESE MULTI-YEAR COMMITMENTS. BMC INVESTED $1.35M IN A LOAN TO THE COMMUNITY ECONOMIC DEVELOPMENT ASSISTANCE CORPORATION (CEDAC). THE PURPOSE OF THIS LOAN IS TO PARTIALLY CAPITALIZE LOANS UNDER THE ACCELERATING INVESTMENTS IN HEALTH COMMUNITIES (AIHC) INITIATIVE. THROUGH THIS, CEDAC WILL PROVIDE SUBORDINATE LOANS TO THREE AFFORDABLE HOUSING DEVELOPMENTS. THIS INVESTMENT SERVES AS CRITICAL "GAP" FINANCING TO ALLOW ALL THE DIFFERENT FINANCING TO BE EXECUTED AT THE SAME TIME AND THEREFORE FOR CONSTRUCTION ON NEW AFFORDABLE HOUSING TO BEGIN BEFORE HOUSING COSTS INCREASE FURTHER. THE LOANS ARE LONG TERM, 20+ YEARS COMMITMENTS TO MATCH AND LEVERAGE THE CITY AND STATE INVESTMENTS IN THESE PROJECTS. BMC INVESTED $69,012 IN THE CAMBRIDGE HEALTH ALLIANCE (CHA) TOWARDS A COMMUNITY WELLNESS ADVOCATE AT THE MANNING APARTMENT COMPLEX. THE COMMUNITY WELLNESS ADVOCATE PROVIDED INDIVIDUALIZED CASE MANAGEMENT AND SUPPORT TO RESIDENTS OF MANNING HOUSE TO IMPROVE HEALTH OUTCOMES FOR THESE RESIDENTS. BMC ALSO INVESTED $65,219 IN A COMMUNITY WELLNESS REGISTERED NURSE (RN) AS PART OF THE LIVING WELL AT HOME PROGRAM. THE RN WORKED WITH THE CHA AND MANNING HOUSE STAFF TO IMPROVE RESIDENTS' ACCESS TO SERVICES AND SUPPORT, AND SERVED AS THE PRIMARY LIAISON BETWEEN BMC AND OTHER HEALTH CARE PROVIDERS. THIS PARTNERSHIP ENDED IN APRIL 2023, AND HAS BEEN SUSTAINED BY CAMBRIDGE HOUSING AUTHORITY. IN FISCAL YEAR 2022, BMC COMPLETED ITS LAST INVESTMENT OF $330,431 IN THE INNOVATIVE STABLE HOUSING INITIATIVE, BY HEALTH RESOURCES IN ACTION (HRIA). THROUGH THIS PARTNERSHIP, HRIA HAS CONTINUED TO SUCCESSFULLY FACILITATE A COMMUNITY ENGAGEMENT PROCESS THAT HAS BROUGHT TOGETHER HOUSING ADVOCATES, HEALTHCARE PROVIDERS, AND COMMUNITY RESIDENTS TO DESIGN AND IMPLEMENT A PARTICIPATORY GRANTMAKING PROCESS FOCUSED ON HOUSING STABILITY AND ECONOMIC MOBILITY. BMC INVESTED IN THE HEALTHY NEIGHBORHOOD EQUITY FUND, A $22.35 MILLION PRIVATE EQUITY FUND LED BY THE CONSERVATION LAW FOUNDATION AND THE MASSACHUSETTS HOUSING INVESTMENT CORPORATION. IT IS BASED ON A SOCIALLY RESPONSIBLE INVESTMENT MODEL THAT CONSIDERS THE COMMUNITY, ENVIRONMENTAL, AND HEALTH BENEFITS AS WELL AS THE FINANCIAL RISKS AND RETURNS. BOSTON PROJECTS INCLUDE TREADMARK, ASHMONT, DORCHESTER AND BARTLETT STATION, DUDLEY SQUARE, AND ROXBURY. BMC INVESTED IN THE BOSTON HOUSING AUTHORITY (BHA) TO SUPPORT THEIR REASONABLE ACCOMMODATIONS FUND, THROUGH WHICH BHA INVESTS FUNDS TO IMPROVE THE HEALTH, SAFETY, AND COMFORT OF THEIR RESIDENTS. FURTHER, BMC ALSO PROVIDED SUPPORT TO COVER SOME STAFFING TIME FOR ONE OF BHA'S STAFF MEMBERS. BMC ALSO INVESTED IN THE METROPOLITAN AREA PLANNING COUNCIL (MAPC), THE EVALUATOR FOR BMC'S DON. IN THIS ROLE, MAPC DEVELOPS AND IMPLEMENTS AN EVALUATION PLAN TO ASSESS THE IMPACTS AND EFFECTS OF BMC'S MULTI-YEAR DON FOCUSED ON IMPROVING HOUSING STABILITY. THE EVALUATION WILL SEEK TO ASCERTAIN HOW THE VARIOUS INVESTMENTS IN HOUSING STABILITY INDIVIDUALLY AND COLLECTIVELY ADDRESS CONDITIONS ASSOCIATED WITH HEALTH OUTCOMES AND WITH PERFORMANCE OF THE ORGANIZATIONS INVOLVED IN THE PROCESS. THE HOUSING TO HEALTH PROGRAM IN THE DEPARTMENT OF PEDIATRICS AT BOSTON MEDICAL CENTER HAS SUCCESSFULLY DEPLOYED A MULTIDIMENSIONAL STRATEGY FOR RESPONDING TO A RANGE OF HOUSING AND HOMELESSNESS ISSUES AMONG PATIENT FAMILIES. PEDIATRIC NAVIGATORS WORK CLOSELY WITH FAMILIES TO ENTER SHELTER, RESOLVE HOUSING QUALITY ISSUES, APPLY FOR RENTAL ASSISTANCE AND SUBSIDIZING HOUSING, AND CONNECT WITH LEGAL AND COMMUNITY-BASED SERVICES IN ADDITION TO OTHER WRAPAROUND SUPPORTS. THE WORK OF THE NAVIGATORS WAS BOLSTERED BY KEY EXTERNAL PARTNERSHIPS WITHIN HOUSING TO HEALTH. FOR EXAMPLE, MLPB PROVIDED REGULAR LEGAL PROBLEM-SOLVING TRAININGS TO FRONTLINE STAFF WORKING WITH FAMILIES AS WELL AS CASE-SPECIFIC LEGAL CONSULTATION.BMC HAS EMBARKED ON SUPPORTING SMALL BUSINESSES, PARTICULARLY BLACK, INDIGENOUS AND PEOPLE OF COLOR OWNED BUSINESSES IN THE BOSTON AREA. BMC PROVIDED A $1 MILLION DOLLAR ZERO INTEREST LONG TERM LOAN TO NUBIAN MARKETS, A $500,000 RECOVERABLE GRANT TO CITYFRESH FOODS AND A $40,300 INVESTMENT IN BOSTON IMPACT INITIATIVE.TO SUPPORT COMMUNITY OWNERSHIP, BMC DID CAPITAL GRANTS OF $200K TO BOSTON NEIGHBORHOOD COMMUNITY LAND TRUST, $300K FOR THE NEIGHBORHOOD BIRTHING CENTER AND $100K TO KIDDIE'S CORNER CHILDCARE CENTER EXPANSION IN THE MATTAPAN NEIGHBORHOOD OF BOSTON. SCHEDULE H, PART VI, LINE 5 (CONTINUATION): CHRONIC DISEASES AND RISK FACTORSSUPPORT PROGRAMS FOR CANCER AND SICKLE CELL SUPPORT PROGRAMS: SUPPORT PROGRAM OFFERINGS INCLUDED AN ARRAY OF SIXTEEN (16) MONTHLY SUPPORT GROUPS BY CANCER TYPE (E.G., BREAST, GI, HEAD & NECK); POPULATION TYPE (E.G., MEN, SPANISH-SPEAKING); OTHER DISEASE (E.G., SICKLE CELL, AMYLOIDOSIS); AND RELATED SUPPORT (E.G., OSTOMY, CAREGIVER, BEREAVEMENT). ALSO PROVIDED TO ALL CLIENTS WERE SIX (6) ONGOING SUPPORT ACTIVITIES THAT MET WEEKLY TO MONTHLY (FOUR DIFFERENT BODY/MIND CLASSES AND ARTS & CRAFTS AND COOKING CLASSES). ALL OF THESE SUPPORT GROUPS AND ACTIVITIES WERE HELD VIA ZOOM. ADDITIONALLY, EACH QUARTER SAW A VARIETY OF FOUR TO SIX (4-6) FEATURED PROGRAMS IN ART-MAKING, WRITING, THEATER, OUTDOOR GAMES, COMEDY, MINDFUL HEALING, AND COMMUNICATION. SOME OF THESE MET IN PERSON AND SOME VIA ZOOM. NOW POST-PANDEMIC, HAVING THE CAPACITY FOR LARGER GROUPS TO MEET AGAIN IN PERSON, TWO LARGE CELEBRATORY ANNUAL EVENTS RETURNED: THE HOLIDAY PARTY AND THE (16TH ANNUAL) SURVIVORS CELEBRATION LUNCHEON. THE FREE WEEKLY ACUPUNCTURE CLINIC FOR PATIENTS CURRENTLY OR RECENTLY IN TREATMENT ALSO CONTINUED THROUGH THE YEAR.ALL PROGRAMS WERE MANAGED AND IMPLEMENTED BY THE PROGRAM MANAGER AND ONE PROGRAM ASSISTANT; TWO IN-HOUSE SOCIAL WORKERS WHO EACH FACILITATED ONE OF THE REGULAR MONTHLY GROUPS; A HIGHLY EXPERIENCED LICENSED ACUPUNCTURIST; BMC REGISTERED DIETITIANS FOR THE MONTHLY COOKING CLASS; AND SEVERAL OUTSIDE VENDORS CONTRACTED FOR THE FEATURED ART PROGRAMS. ONCE THE PROGRAMS TRANSITIONED TO ZOOM AT THE BEGINNING OF THE COVID PANDEMIC, COSTS SIGNIFICANTLY DECREASED, AS NEITHER FOOD NOR TRANSPORTATION NEEDED TO BE PROVIDED TO PARTICIPANTS. DURING THIS YEAR, SUCH COSTS INCREASED WITH MORE IN-PERSON MEETINGS AND ESPECIALLY WITH THE TWO LARGE EVENTS. HOWEVER, THESE COSTS STILL REMAINED SIGNIFICANTLY LOWER THAN PRE-PANDEMIC LEVELS.PATIENT NAVIGATION (PN): BMC'S PN PROGRAM WAS LAUNCHED IN 2005. THE MAIN FOCUS OF THIS PROGRAM IS TO IDENTIFY AND OVERCOME BARRIERS THAT PLAY A KEY ROLE IN A PATIENT'S TREATMENT COMPLIANCE AND COMPLETION. PATIENT NAVIGATORS DO THIS BY PROVIDING ADVOCACY AND CASE MANAGEMENT TO ONCOLOGY PATIENTS WHO HAVE AT LEAST ONE IDENTIFIED BARRIER TO CARE AND ARE UNDERGOING ACTIVE CANCER TREATMENT. PNS WORK TO EMPOWER PATIENTS BY LINKING THEM TO A BROAD RANGE OF SERVICES INCLUDING, BUT NOT LIMITED TO, ONCOLOGY SUPPORT SERVICES, TRANSPORTATION, FINANCIAL ASSISTANCE, AND APPROPRIATE COMMUNITY RESOURCES. SCHEDULE H, PART VI, LINE 5 (CONTINUATION): VIOLENCECHILD 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, AND IT LINKS FAMILIES TO BASIC SERVICES SUCH AS HEALTH CARE, CHILDCARE, HOUSING, AND AFTER-SCHOOL PROGRAMS. THE CWVP PROVIDED REFERRALS, ADVOCACY, ASSESSMENT, SHORT-TERM, AND/OR LONGER-TERM CLINICAL CARE TO APPROXIMATELY 325 FAMILIES IN FY23. 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. THE STAFF HAVE DELIVERED NUMEROUS TRAININGS ACROSS MULTIPLE STATES AND ABROAD TO MENTAL HEALTH AND OTHER PROVIDERS ACROSS SERVICE SECTORS AND SETTINGS.COMMUNITY VIOLENCE RESPONSE TEAM (CVRT): THE 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 BMC'S PATIENT POPULATION. IN FY23 THE CVRT SERVED 653 PEOPLE.DOMESTIC VIOLENCE PROGRAM (DVP): THE DVP PROVIDES DIRECT ADVOCACY SERVICES FOR VICTIMS OF DOMESTIC VIOLENCE, AS WELL AS TRAINING AND EDUCATION FOR STAFF, STUDENTS, AND COMMUNITY GROUPS INTERESTED IN LEARNING MORE ABOUT DOMESTIC VIOLENCE, ITS IMPACT ON HEALTH ACROSS THE LIFESPAN, AND THE ROLE WE ALL CAN PLAY IN ADDRESSING IT. IN FY23 THE MULTI-LINGUAL TEAM OF 4 SAFETY AND SUPPORT ADVOCATES ASSISTED 613 VICTIMS AND SURVIVORS WITH A RANGE OF SERVICES INCLUDING CRISIS INTERVENTION/COUNSELING; RISK ASSESSMENT AND SAFETY PLANNING; ASSISTANCE WITH ACCESSING PROTECTIVE ORDERS AND VICTIM COMPENSATION; ACCOMPANIMENT TO COURT, LEGAL, MEDICAL, HOUSING AND OTHER APPOINTMENTS; REFERRAL TO COMMUNITY-BASED DV ADVOCACY/RAPE CRISIS COUNSELING, MEDICAL/MENTAL HEALTH SERVICES; EMERGENCY FINANCIAL ASSISTANCE; AND OTHER SUPPORT AS NEEDED. OF THOSE SERVED, APPROXIMATELY 72% WERE PATIENTS REFERRED BY BMC PROVIDERS, 3% WERE BMC EMPLOYEES, AND 25% WERE SELF-REFERRALS OR REFERRED BY COMMUNITY AND GOVERNMENT PROGRAMS THAT ASSIST DV SURVIVORS AND THEIR CHILDREN.DURING FY23 THE DV PROGRAM ALSO OFFERED A SERIES OF 6 WEEK SUPPORT GROUPS IN BOTH ENGLISH AND SPANISH FOR WOMEN-IDENTIFIED SURVIVORS. THE PROGRAM MANAGER (WHO IS ALSO THE PROGRAM'S PRIMARY TRAINER/PRESENTER) PROVIDED 50 PRESENTATIONS AND OTHER TYPES OF TRAINING TO APPROXIMATELY 800 PARTICIPANTS, MOST OF WHOM WERE BMC STAFF AND PROVIDERS, AS WELL AS A FEW STUDENT AND COMMUNITY GROUPS. PRESENTATION TOPICS INCLUDED ORIENTATION TO THE DV PROGRAM, EDUCATION ABOUT THE DYNAMICS AND HEALTH IMPACT OF DOMESTIC VIOLENCE, AND FOCUSED SKILL BUILDING AND BEST PRACTICES FOR ASSESSING AND RESPONDING TO THOSE WHO HAVE EXPERIENCED DOMESTIC VIOLENCE.VIOLENCE INTERVENTION ADVOCACY PROGRAM (VIAP): CONCEIVED IN 2006 TO HELP STEM THE TIDE OF BOSTON'S GUN AND KNIFE VIOLENCE, VIAP HAS BECOME A VITAL COMPONENT OF VIOLENCE INTERVENTION IN THE CITY AND BEYOND. VIAP'S PURPOSE IS TO HELP VICTIMS HEAL SO THEY CAN AVOID FUTURE VIOLENCE AND BUILD A POSITIVE FUTURE. TO ACCOMPLISH THIS, PATIENT VICTIMS AND THEIR FAMILIES ARE PAIRED WITH A TEAM COMPRISED OF A CASE MANAGER, A MENTAL HEALTH CLINICIAN, AND A FAMILY SUPPORT ADVOCATE TO HELP THEM OVERCOME BARRIERS AND TURN THEIR LIVES AROUND. A POWERFUL VIAP INNOVATION IS THAT THE INTERVENTION WITH THE PATIENT BEGINS IN THE SAFETY OF THE HOSPITAL, WHERE THEY ARE VISITED BY A VIOLENCE INTERVENTION ADVOCATE IN REAL TIME, IN THE TRAUMA BAY, TO INITIATE CASE MANAGEMENT, TAKING ADVANTAGE OF THE "TEACHABLE MOMENT" ASSOCIATED WITH VIOLENT INJURY. AS THE VICTIM HEALS, THE VIAP TEAM CONTINUES A COMPREHENSIVE TREATMENT PROGRAM THAT INCLUDES SAFETY PLANNING, COUNSELING, JOB AND EDUCATIONAL TRAINING, MENTAL HEALTH, AND FAMILY SUPPORT SERVICES FOR BOTH THE VICTIM AND THEIR FAMILY MEMBERS.DURING FY23, VIAP PROVIDED ESSENTIAL SERVICES TO SURVIVORS OF GUNSHOTS AND STABBINGS, AND THEIR FAMILY MEMBERS. (IT IS SIGNIFICANT TO NOTE THAT IN FY23 BMC RECEIVED 65% OF THE CITY'S GUNSHOT AND STABBING VICTIMS.) DURING THIS PERIOD 271 NEW VICTIMS WERE SERVED, INCLUDING 101 GUNSHOT AND 170 STABBING VICTIMS. THERE WERE 247 FAMILY MEMBERS SERVED THROUGH OUR FAMILY SUPPORT COMPONENT, AS WELL AS 22 FAMILIES OF HOMICIDE VICTIMS. SURVIVORS RECEIVED A SPECTRUM OF SERVICES, INCLUDING EMPLOYMENT HELP (212 SERVICES PROVIDED AND 11 NEW JOBS OBTAINED); BEHAVIORAL AND MENTAL HEALTH CARE (60% IN SHORT-TERM THERAPY AND 20% IN LONG TERM); AND LEGAL ASSISTANCE. VIAP ASSISTED WITH HOUSING APPLICATIONS; EDUCATION (4 OBTAINED THEIR HISET AND 7 COMPLETED JOB TRAINING). MEDICAL ASSISTANCE INCLUDED ACCESSING PRIMARY CARE, PT, REHABILITATION, NURSING SERVICES, SUBSTANCE USE AND MEDICATION MANAGEMENT. ADDITIONAL ASSISTANCE INCLUDED HELP WITH FOOD INSECURITY, TRANSPORTATION, OBTAINING A DRIVER'S LICENSE, SOCIAL SECURITY CARD, AND REGISTERING TO VOTE. VIAP'S STAFF WELLNESS PROGRAM HAS INCLUDED TRAININGS, TEAM BUILDING, AND OTHER ESSENTIAL SUPPORTIVE RESOURCES.MENTAL HEALTH AND SUBSTANCE USE DISORDERMENTAL HEALTH DIVERSION INITIATIVE (MHDI) OR CRIMINAL JUSTICE DIVERSION PROGRAM (DMH): THROUGHOUT FY23 (NOTE THAT THIS ENCOMPASSES JULY 1-JUNE 30 FOR THESE PROGRAMS AS THEY ARE ON THE ACADEMIC YEAR) , BOSTON MEDICAL CENTER CONTINUED TO STAFF THE THREE BOSTON MUNICIPAL COURT MENTAL HEALTH COURT SESSIONS LOCATED WITHIN THE CENTRAL DIVISION, THE WEST ROXBURY DIVISION AND THE ROXBURY DIVISION. SESSIONS CONTINUE TO BE WELL UTILIZED WITH A TOTAL OF 219 CLIENTS BEING SERVED ACROSS ALL THREE COURTS OVER THE COURSE OF THE FISCAL YEAR.IN TOTAL, ALL THREE SESSIONS COMPLETED INTAKES FOR AND ACCEPTED 116 NEW CLIENTS. AT THE END OF THE FISCAL YEAR, THERE WERE 13 NEW REFERRALS PENDING THROUGHOUT ALL THREE SESSIONS. THE SESSION'S SUCCESS CAN BE DEMONSTRATED THROUGH A VARIETY OF MEANS, INCLUDING THE NUMBER OF PROGRAM GRADUATES (CLIENTS WHO HAVE MET ALL LEGAL AND PROGRAMMATIC EXPECTATIONS). DURING FY23 THE THREE SESSIONS GRADUATED A TOTAL OF 35 CLIENTS. BMC CENTRAL REMAINS THE LARGEST SESSION WITH 2-3 NEW REFERRALS PER WEEK; WEST ROXBURY AND ROXBURY AVERAGE 1-2 NEW REFERRALS PER WEEK. SCHEDULE H, PART VI, LINE 5 (CONTINUATION): FASTER PATHS: FASTER PATHS IS THE LOW-BARRIER SUBSTANCE USE DISORDER BRIDGE CLINIC AT BOSTON MEDICAL CENTER (BMC). OPEN SEVEN DAYS PER WEEK, FASTER PATHS OFFERS SAME-DAY, ON-DEMAND CARE BY ADDICTION MEDICINE AND NURSING SPECIALISTS, INCLUDING INITIATION AND CONTINUATION OF MEDICATIONS FOR OPIOID USE DISORDER (MOUD), MEDICATIONS FOR OTHER SUBSTANCE USE DISORDERS, OUTPATIENT MEDICALLY MANAGED WITHDRAWAL, REFERRAL TO INPATIENT MEDICALLY MANAGED WITHDRAWAL, INFECTION SCREENING, TREATMENT AND PREVENTION SERVICES, AND OVERDOSE PREVENTION. AFTER STABILIZATION, FASTER PATHS PATIENTS ARE REFERRED TO A COMPREHENSIVE NETWORK OF BMC AND COMMUNITY SERVICES FOR LONG-TERM CARE, INCLUDING PRIMARY AND BEHAVIORAL HEALTH CARE AND LONG-TERM MOUD. THE FASTER PATHS PROGRAM COLLABORATES CLOSELY WITH LICENSED ALCOHOL AND DRUG COUNSELORS FROM BMC'S PROJECT ASSERT, WHO PROVIDE PSYCHO-SOCIAL ASSESSMENTS AND REFERRALS TO AN ARRAY OF ADDICTION TREATMENT SERVICES AND SHELTERS, OVERDOSE PREVENTION EDUCATION AND NALOXONE, HARM REDUCTION SERVICES, AND TRANSPORTATION. THE RAPID ACCESS PROGRAM, WHICH INCLUDES A TEAM OF RECOVERY COACHES AND ADDICTION COUNSELORS, IS ALSO A CLOSE PARTNER. SPECIFIC MEDICATIONS AVAILABLE IN FASTER PATHS 7 DAYS/WEEK INCLUDE SUBLINGUAL BUPRENORPHINE/NALOXONE, MONTHLY INJECTABLE BUPRENORPHINE, MONTHLY INJECTABLE NALTREXONE, AND METHADONE ADMINISTRATION FOR OPIOID WITHDRAWAL FOR UP TO 72 HOURS WITH LINKAGE TO AN OPIOID TREATMENT PROGRAM. IN ADDITION TO THE INTERNAL COLLABORATIONS, FASTER PATHS PARTNERS CLOSELY WITH COMMUNITY PROGRAMS INCLUDING THE BOSTON PUBLIC HEALTH COMMISSION'S (BPHC) PROVIDING ACCESS TO ADDICTION TREATMENT, HOPE, AND SUPPORT (PAATHS) PROGRAM, TO FACILITATE CONNECTIONS TO COMMUNITY SERVICES. IN A TWELVE-MONTH PERIOD, FASTER PATHS SERVED APPROXIMATELY 1,100 UNIQUE PATIENTS FOR 4,180 VISITS. CARE INCLUDED APPROXIMATELY 1,122 SUBLINGUAL BUPRENORPHINE/NALOXONE PRESCRIPTIONS, 232 LONG-ACTING INJECTABLE BUPRENORPHINE ADMINISTRATIONS, 21 LONG-ACTING INJECTABLE NALTREXONE ADMINISTRATIONS, AND 2,221 METHADONE ADMINISTRATIONS. ADDITIONALLY, 138 NALOXONE KITS WERE PRESCRIBED AND 334 NALOXONE KITS DIRECTLY DISTRIBUTED IN CLINIC. INFECTION SCREENING, TREATMENT, AND PREVENTION SERVICES INCLUDED 612 HIV TESTS AND 1,152 SYPHILIS, CHLAMYDIA, AND GONORRHEA TESTS; 25 PATIENTS WITH HIV WERE TREATED WITH ANTIRETROVIRAL THERAPY AND 98 PATIENTS RECEIVED HIV PRE- OR POST-EXPOSURE PROPHYLAXIS FOR HIV PREVENTION. ADDITIONALLY, FASTER PATHS CONTINUES TO OFFER HARM REDUCTION SUPPLIES AND LONG-ACTING REVERSIBLE CONTRACEPTION (E.G., CONTRACEPTION IMPLANTS). THE SUCCESS OF THE FASTER PATHS MODEL HAS INSPIRED REPLICATION IN OTHER BRIDGE CLINICS.ALCOHOL & SUBSTANCE ABUSE SERVICES, EDUCATION, AND REFERRAL TO TREATMENT (PROJECT ASSERT): PROJECT ASSERT WAS ESTABLISHED IN 1994 TO PROVIDE GREATER ACCESS TO SUBSTANCE USE TREATMENT IN THE EMERGENCY DEPARTMENT (ED) SETTING AND HAS EXPANDED TO INCLUDE A VARIETY OF SOCIAL AND COMMUNITY HEALTHCARE SUPPORT SERVICES. BASED IN THE ED, PROJECT ASSERT COUNSELS PATIENTS WHOSE ALCOHOL AND/OR DRUG USE WAS DIRECTLY AND INDIRECTLY IMPLICATED IN THEIR NEED FOR EMERGENCY SERVICES. LICENSED ALCOHOL AND DRUG COUNSELORS (LADCS) CONSULT AND COLLABORATE WITH HOSPITAL STAFF TO OFFER ED PATIENTS ALCOHOL AND DRUG SCREENING, BRIEF INTERVENTION, COUNSELING ON TREATMENT OPTIONS AND REFERRALS TO HEALTH AND SOCIAL RESOURCES SUCH AS SUD TREATMENT AND PRIMARY CARE SERVICES. IN FY23, 1,270 PATIENTS HAD 2,268 ENCOUNTERS WITH RECOVERY SUPPORT NAVIGATORS AT PROJECT ASSERT. OF THOSE ENCOUNTERS, 30% OF THE PATIENTS IDENTIFIED AS BLACK, 20% IDENTIFIED AS HISPANIC, AND 50% IDENTIFIED AS WHITE. 700 PATIENTS WERE DEEMED AT HIGH RISK FOR SUBSTANCE USE BASED ON RESULTS FROM THE TAPS SCREENER ASSESSMENT. 1,154 ENCOUNTERS HAVE DOCUMENTED REFERRALS TO RECOVERY COACH SERVICES, FASTER PATHS (MAT), DETOX/WITHDRAWAL MANAGEMENT, AND CLINICAL STABILIZATION SERVICES (CSS). 536 UBER RIDES WERE BOOKED FOR TRANSPORTATION TO EXTERNAL SERVICES SUCH AS CSS AND DETOX. PROJECT ASSERT MIRRORS THE SAME POPULATION SEEN IN THE ED FOR SUDS TREATMENT. SUPPORTING OUR FAMILIES THROUGH ADDICTION AND RECOVERY (SOFAR): THE GOAL OF SOFAR IS TO CREATE A MEDICAL HOME IN THE PEDIATRIC PRIMARY CARE CLINIC FOR MOTHERS IN RECOVERY AND THEIR CHILDREN. SOFAR HOUSES A MULTIDISCIPLINARY TEAM OF PHYSICIANS, SOCIAL WORKERS, PATIENT NAVIGATORS, NURSE PRACTITIONERS, AND COORDINATORS WHO PROVIDE HIGH-QUALITY, COORDINATED MEDICAL AND PSYCHOSOCIAL CARE FOR FAMILIES TO MAXIMIZE THEIR ABILITY TO SUCCESSFULLY NAVIGATE PARENTING AND SUBSTANCE USE RECOVERY. SOFAR PROVIDES ONGOING SUPPORT FOR FAMILIES TO ENHANCE CHILD DEVELOPMENT AS WELL AS ONGOING SUPPORT FOR RECOVERY, WITH ACCESS TO SPECIALTY CARE AND SOCIAL SERVICES. IN FY23, SOFAR HAD APPROXIMATELY 325 PATIENTS ENROLLED IN THE CLINIC. PART VI, LINE 7 BMC DOES NOT FILE A COMMUNITY BENEFITS REPORT WITH THE COMMONWEALTH OF MASSACHUSETTS. 1 AID SUPPORT GROUP OF CAPE COD 96-98 BRADFORD STREET PROVINCETOWN MA 02657 042908722 501(C)(3) 7202 0 SUBAWARD ARKANSAS CHILDREN'S HOSPITAL RESEARCH INSTITUTE 800 MARSHALL SLOT 512-26C-SNAP LITTLE ROCK SITE Q3 LITTLE ROCK AK 72202 710694931 501(C)(3) 75055 0 SUBAWARD BAY COVE HUMAN SERVICES 66 CANAL ST 3RD FLOOR BOSTON MA 02114 042518575 501(C)(3) 422120 0 SUBAWARD BAY STATE COMMUNITY SERVICES INC 1120 HANCOCK STREET QUINCY MA 02169 042468492 501(C)(3) 251599 0 SUBAWARD BERKSHIRE MEDICAL CENTER DENTAL CLINIC 725 NORTH ST PITTSFIELD MA 01201 042791396 501(C)(3) 94476 0 SUBAWARD BERKSHIRE REGIONAL PLANNING COMMISSION 1 FENN STREET PITTSFIELD MA 01201 042430187 501(C)(3) 269672 0 SUBAWARD BIDMC BETH ISRAEL DEACONESS 330 BROOKLINE AVE MISC A/R - OTHER A/R BR-3 BOSTON MA 02215 042103881 501(C)(3) 397710 0 SUBAWARD BOSTON HEALTHCARE FOR THE HOMELESS PROGRAM INC 780 ALBANY ST BOSTON MA 02118 043160480 501(C)(3) 20000 0 SUBAWARD BOSTON HOUSING AUTHORITY 52 CHAUNCY STREET 7TH FLOOR BOSTON MA 02111 046001907 501(C)(3) 40945 0 SUBAWARD BOSTON UNIVERSITY OFFICE OF FINANCIAL AFFAIRS 715 ALBANY ST STE 580 BOSTON MA 021182528 042103547 501(C)(3) 6164041 0 SUBAWARD BRANDEIS UNIVERSITY OFFICE OF GRANTS ADMIN MAILSTOP 116 WALTHAM MA 022549110 042103552 501(C)(3) 176201 0 SUBAWARD BRIDGEWATER STATE UNIVERSITY 131 SUMMER STREET BRIDGEWATER MA 02325 043010428 501(C)(3) 167561 0 SUBAWARD BRIGHAM & WOMENS HOSPITAL INC RESEARCH MANAGEMENT 75 FRANCIS STREET BOSTON MA 02115 042312909 501(C)(3) 407261 0 SUBAWARD BROCKTON AREA MULTI SERVICES INC 10 CHRISTYS DR BROCKTON MA 02301 042562377 501(C)(3) 143476 0 SUBAWARD BROCKTON NEIGHBORHOOD HEALTH 63 MAIN STREET BROCKTON MA 02301 043165044 501(C)(3) 78745 0 SUBAWARD BROWN UNIVERSITY OFFICE OF CONTROLLER BOX J PROVIDENCE RI 02912 050258809 501(C)(3) 173880 0 SUBAWARD CAMBRIDGE HEALTH ALLIANCE 10 PRESIDENTS LANDING 5TH FLOOR MEDFORD MA 02155 043320571 115 91590 0 SUBAWARD CHILDREN'S HOSPITAL OF BOSTON 300 LONGWOOD AVENUE BOSTON MA 02115 042774441 501(C)(3) 83939 0 SUBAWARD CITY OF NEW BEDFORD 133 WILLIAM STREET NEW BEDFORD MA 02740 046001402 115 60393 0 SUBAWARD CITY OF NORTHHAMPTON 212 MAIN STREET NORTHAMPTON MA 01060 046001406 501(C)(3) 40455 0 SUBAWARD CITY OF SPRINGFIELD DEPT OF HEALTH AND HUMAN SERVICES 95 STATE STREET SUITE 201 SPRINGFIELD MA 01103 046001415 501(C)(3) 122413 0 SUBAWARD CLEVELAND CLINIC LABORATORIES PO BOX 74222 CLEVELAND OH 44194 340714585 501(C)(3) 37780 0 SUBAWARD CLINICAL & SUPPORT OPTIONS INC 8 ATWOOD DRIVE SUITE 301 NORTHAMPTON MA 01060 042206041 501(C)(3) 69631 0 SUBAWARD CODMAN SQUARE HEALTH CTR 637 WASHINGTON STREET DORCHESTER MA 02124 042678774 501(C)(3) 10000 0 SUBAWARD COMAGINE HEALTH 10700 MERIDIAN AVENUE N SUITE 100 SEATTLE WA 981339008 911072875 501(C)(3) 255260 0 SUBAWARD COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH DIVISION OF FOOD 305 SOUTH STREET JAMAICA PLAIN MA 02130 046002284 115 728795 0 SUBAWARD COMMUNITY HEALTH CENTER OF CAPE COD 107 COMMERCIAL ST MASHPEE MA 02649 043370560 501(C)(3) 237830 0 SUBAWARD COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY INC 102 MAIN STREET GREENFIELD MA 01301 043312968 501(C)(3) 117240 0 SUBAWARD COMMUNITY LABOR UNITED INC 8 BEACON ST 5TH FLOOR BOSTON MA 02108 203404034 501(C)(3) 280000 0 SUBAWARD CONNECTICUT CHILDREN'S MEDICAL CENTER 10 COLUMBUS BLVD HARTFORD CT 06106 060646755 501(C)(3) 42658 0 SUBAWARD DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVE BP418 BOSTON MA 022156084 042263040 501(C)(3) 334098 0 SUBAWARD DARTMOUTH COLLEGE 37 DEWEY FIELD ROAD STE6015 HANOVER NH 037651471 020222111 501(C)(3) 136087 0 SUBAWARD DOTHOUSE HEALTH INC 1353 DORCHESTER AVENUE DORCHESTER MA 02122 237125970 501(C)(3) 40449 0 SUBAWARD DREXEL UNIVERSITY 3201 ARCH ST STE 420 PHILADELPHIA PA 19104 231352630 501(C)(3) 72559 0 SUBAWARD DUDLEY STREET NEIGHBORHOOD INITIATIVE 550 DUDLEY STREET ROXBURY MA 02119 042859066 501(C)(3) 174858 0 SUBAWARD EAST BOSTON NEIGHBORHOOD HEALTH CENTER 10 GOVE STREET EAST BOSTON MA 02128 237425849 501(C)(3) 71415 0 SUBAWARD EMORY UNIVERSITY OFFICE OF GRANTS AND CONTRACTS 1599 CLIFTON ROAD 4TH FL ATLANTA GA 30322 580566256 501(C)(3) 17690 0 SUBAWARD EQUAL HOPE 300 S ASHLAND AVE STE 202 CHICAGO IL 60607 262264895 501(C)(3) 10010 0 SUBAWARD FAMILY SERVICES OF MERRIMACK VALLEY 430 NORTH CANAL STREET LAWRENCE MA 01840 042104054 501(C)(3) 108823 0 SUBAWARD FAMILYAID BOSTON INC 3815 WASHINGTON STREET BOSTON MA 02130 042105756 501(C)(3) 68750 0 SUBAWARD FLORIDA INTERNATIONAL UNIVERSITY 11200 SW 8TH STREET CSC319 MIAMI FL 33199 650177616 501(C)(3) 18684 0 SUBAWARD GREATER LOWELL HEALTH ALLIANCE OF CHNA 55 TECHNOLOGY DRIVE LOWELL MA 01851 270408037 501(C)(3) 560304 0 SUBAWARD HARBOR HEALTH SERVICE INC 398 NEPONSET AVE DORCHESTER MA 02122 237100550 501(C)(3) 37500 0 SUBAWARD HEALTH RESOURCES IN ACTION INC 2 BOYLSTON STREET 4TH FLOORATTN MS BORA TORO BOSTON MA 02116 042229839 501(C)(3) 94470 0 SUBAWARD HENNEPIN HEALTHCARE RESEARCH 701 PARK AVENUE SUITE PP7700 MINNEAPOLIS MN 55415 411677920 501(C)(3) 61817 0 SUBAWARD HEPATITIS EDUCATION PROJECT 1621 SOUTH JACKSON STREET SUITE 201 SEATTLE WA 98144 911658691 501(C)(3) 18193 0 SUBAWARD HOLYOKE HEALTH CENTER INC 230 MAPLE STREET ATTN KATHLEEN LEBLANC HOLYOKE MA 01040 042492730 501(C)(3) 55814 0 SUBAWARD ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI 1 GUSTAVE L LEVY PLACE BOX 1070 NEW YORK NY 10029 136171197 501(C)(3) 28130 0 SUBAWARD INSTITUTE FOR HEALTHCARE IMPROVEMENT 53 STATE STREET 19TH FLOOR BOSTON MA 02109 383017223 501(C)(3) 79243 0 SUBAWARD JEWISH VOCATIONAL SERVICES ATTN ACCOUNTING DEPARTMENT 105 CHAUNCY ST BOSTON MA 02111 042104357 501(C)(3) 233813 0 SUBAWARD JOSLIN DIABETES CENTER ONE JOSLIN PL BOSTON MA 02215 042203836 501(C)(3) 126313 0 SUBAWARD KAISER FOUNDATION HOSPITALS DBA KAISER FOUNDATION RESEARCH INSTITUTE 1800 HARRISON ST 16TH FLR OAKLAND CA 946123433 941105628 501(C)(3) 19703 0 SUBAWARD LAHEY CLINIC 41 MALL ROAD FINANCE OFFICE BURLINGTON MA 01805 042704683 501(C)(3) 11704 0 SUBAWARD LOWELL COMMUNITY HEALTH CTR 161 JACKSON ST LOWELL MA 01852 042881348 501(C)(3) 37500 0 SUBAWARD MANET COMMUNITY HEALTH CENTER 110 W SQUANTUM STREET N QUINCY MA 02171 042646695 501(C)(3) 129805 0 SUBAWARD MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET BOSTON MA 02114 042697983 501(C)(3) 494227 0 SUBAWARD MASSACHUSETTS INSTITUTE OF TECHNOLOGY DBA DIVISION OF COMPARATIVE MEDICINE 16-849 CAMBRIDGE MA 02139 042103594 501(C)(3) 119374 0 SUBAWARD MCLEAN HOSPITAL CORPORATION 115 MILL ST BELMONT MA 024789106 042697981 501(C)(3) 132420 0 SUBAWARD NEW YORK UNIVERSITY 105 EAST 17TH STREET 4TH FL NEW YORK NY 10003 135562308 501(C)(3) 103654 0 SUBAWARD NEW YORK UNIVERSITY SCHOOL OF MEDICINE 550 FIRST AVENUE NEW YORK NY 10016 135562309 501(C)(3) 121766 0 SUBAWARD NORTH SHORE COMMUNITY HEALTH CENTER 1027 CONGRESS STREET STE513 SALEM MA 01970 042610447 501(C)(3) 13994 0 SUBAWARD NORTH SUFFOLK MENTAL HEALTH ASSOCIATION 301 BROADWAY AVE CHELSEA MA 02150 042317215 501(C)(3) 121726 0 SUBAWARD NORTHEASTERN UNIVERSITY 360 HUNTINGTON AVENUE BOSTON MA 02115 041679980 501(C)(3) 149315 0 SUBAWARD NORTHERN BERKSHIRE COMMUNITY COALITION INC 61 MAIN STREET SUITE 218 NORTH ADAMS MA 01247 043446578 501(C)(3) 16333 0 SUBAWARD NORTHSHORE UNIVERSITY HEALTH SYSTEM 9455 EAGLE WAY CHICAGO IL 606781094 362167060 501(C)(3) 36431 0 SUBAWARD NORTHWESTERN UNIVERSITY DIVISION OF ALLERGY IMMUNOLOGYTARRY BLDG 3-707 MAIL CODE S207 CHICAGO IL 606113008 362167817 501(C)(3) 33704 0 SUBAWARD NOUS FOUNDATION INC ADVANCE CARE PLANNING DECISIONS 195 CARLTON ROAD WABAN MA 02468 271871373 501(C)(3) 255763 0 SUBAWARD OREGON HEALTH & SCIENCE UNIVERSITY 3181 SW SAM JACKSON PARK RD PORTLAND OR 97239 931176109 115 23468 0 SUBAWARD PALO ALTO VETERANS INSTITUTE FOR RESEARCH 3801 MIRANDA AVENUE151P PALO ALTO CA 943040038 770207331 501(C)(3) 54732 0 SUBAWARD PLYMOUTH COUNTY OUTREACH HOPE INC PO BOX 401 EAST BRIDGEWATER MA 02333 460970650 501(C)(3) 99920 0 SUBAWARD PROOF ALLIANCE 1876 MINNEHAHA AVE WESTSUITE 395 SAINT PAUL MN 55104 411904618 501(C)(3) 241643 0 SUBAWARD RAND CORPORATION 1776 MAIN ST PO BOX 2138 SANTA MONICA CA 904072138 951958142 501(C)(3) 21956 0 SUBAWARD REGENTS OF THE UNIV OF CALIFORNIA DBA UNIV OF CALIFORNIA SAN DIEGO 9500 GILMAN DRIVE LA JOLLA CA 920930953 956006144 501(C)(3) 81718 0 SUBAWARD RHODE ISLAND HOSPITAL 593 EDDY STREET PROVIDENCE RI 029034923 050258954 501(C)(3) 56474 0 SUBAWARD RUTGERS THE STATE UNIVERSITY DBA RUTGERS BIOMEDICAL HEALTH SCIENCES 65 DAVIDSON ROAD PISCATAWAY NJ 08554 462354111 501(C)(3) 14422 0 SUBAWARD SOCIAL SCIENCE RESEARCH AND EVALUATION INC (SSRE) 84 MILL STREET LINCOLN MA 017731706 222551337 501(C)(3) 45447 0 SUBAWARD SPANISH AMERICAN CENTER INC 112 SPRUCE STREET LEOMINSTER MA 01453 042761759 501(C)(3) 159470 0 SUBAWARD STANFORD UNIVERSITY WELL MD CENTER 1520 PAGE MILL ROAD PALO ALTO CA 943045156 941156365 501(C)(3) 92383 0 SUBAWARD STANLEY STREET TREATMENT AND RESOURCES INC 386 STANLEY STREET FALL RIVER MA 02724 042604426 501(C)(3) 95627 0 SUBAWARD TEEN CHALLENGE NEW ENGLAND 1311 MAIN STREET BROCKTON MA 02301 042401399 501(C)(3) 42144 0 SUBAWARD THE BRIEN CENTER FOR MENTAL HEALTH & SUBSTANCE ABUSE SERVICES INC 359 FENN STREET PITTSFIELD MA 01201 042081870 501(C)(3) 58477 0 SUBAWARD THE FEINSTEIN INSTITUTES FOR MEDICAL RESEARCH 972 BRUSH HOLLOW ROAD5TH FLOOR WESTBURY NY 11590 112673595 501(C)(3) 426722 0 SUBAWARD THE FULL FRAME INITIATIVE INC 308 MAIN STREETSUITE 2A GREENFIELD MA 01301 300592577 501(C)(3) 32881 0 SUBAWARD THE QUEEN'S MEDICAL CENTER 1301 PUNCHBOWL STREET HONOLULU HI 96813 990073524 501(C)(3) 7822 0 SUBAWARD THE REGENTS OF THE UNIVERSITY OF COLORADO 1800 GRANT STREET SUITE 600 DENVER CO 80203 846000555 501(C)(3) 70896 0 SUBAWARD THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK 615 WEST 131ST STREET 3RD FL NEW YORK NY 10027 135598093 501(C)(3) 110908 0 SUBAWARD THE UNIVERSITY OF RHODE ISLAND 75 LOWER COLLEGE ROAD KINGSTON RI 02881 223011455 115 36641 0 SUBAWARD TRANSLATION GENOMICS RESEARCH INSTITUTE 445 N 5TH STREET SUITE 600 PHOENIX AZ 85004 753065445 501(C)(3) 10368 0 SUBAWARD TRICOUNTY COMMUNITY NETWORK 724 NORTH ADAMS STREET SUITE 203 POTTSTOWN PA 19464 232684794 501(C)(3) 15000 0 SUBAWARD TUFTS MEDICAL CENTER INC 800 WASHINGTON STREET BOSTON MA 02111 043400617 501(C)(3) 7865 0 SUBAWARD TUFTS UNIVERSITY NEMCH 096171 HARRISON AVENUE BOSTON MA 02111 042103634 501(C)(3) 279399 0 SUBAWARD UNIVERSITY OF ARIZONA 888 NORTH EUCLID AVE ROOM 510 TUCSON AZ 857194824 742652689 115 9142 0 SUBAWARD UNIVERSITY OF CALIFORNIA SAN FRANCISCO 500 PARNASSUS AVE MU 200-W SAN FRANCISCO CA 941430244 946036493 501(C)(3) 259136 0 SUBAWARD UNIVERSITY OF FLORIDA 720 SW 2ND AVE SUITE 575 ATTN CONTINUING MEDICAL EDUCATION GAINESVILLE FL 32601 596002052 501(C)(3) 16157 0 SUBAWARD UNIVERSITY OF HAWAII 2440 CAMPUS ROAD BOX 368 HONOLULU HI 968222234 996000354 115 30526 0 SUBAWARD UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION 109 KINKEAD HALL LEXINGTON KY 405060057 616033693 501(C)(3) 7025 0 SUBAWARD UNIVERSITY OF LOUISVILLE CONTROLLER'S OFFICE SERVICE COMPLEX BUILDING LOUISVILLE KY 40292 611014882 115(1) 67108 0 SUBAWARD UNIVERSITY OF MASSACHUSETTS 55 LAKE AVENUE NORTH WORCESTER MA 01655 043167352 115 379829 0 SUBAWARD UNIVERSITY OF NEVADA LAS VEGAS BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDU 4505 S MARYLAND PARKWAY LAS VEGAS NV 89154 886000024 501(C)(3) 20988 0 SUBAWARD UNIVERSITY OF NEW MEXICO (HSC) 1 UNIVERSITY OF NEW MEXICO MSC01 1300 ALBUQUERQUE NM 87131 856000642 115 52281 0 SUBAWARD UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL OFFICE OF CONTRACTS AND GRANTS CB 1350104 AIRPORT DRIVE SUITE 2200 CHAPEL HILL NC 275991350 566001393 501(C)(3) 781877 0 SUBAWARD UNIVERSITY OF PITTSBURGH ATTN NICOLE KAEFER 200 MEYRAN AVE SUITE 200 PITTSBURGH PA 15213 250965591 501(C)(3) 517723 0 SUBAWARD UNIVERSITY OF SOUTH CALIFORNIA UNIVERSITY GARDENS SUITE 205 LOS ANGELES CA 900898006 951642394 501(C)(3) 158788 0 SUBAWARD UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE 85 SOUTH PROSPECT ST BURLINGTON VT 05405 030179440 501(C) 29864 0 SUBAWARD UNIVERSITY OF WASHINGTON 4300 ROOSEVELT WAY NESUITE 300 SEATTLE WA 98195 916001537 115 124205 0 SUBAWARD UNIVERSITY OF WISCONSIN SYSTEM 21 NORTH PARK STREET ROOM 6234 MADISON WI 537151218 391805963 115 5595 0 SUBAWARD UNIVERSITY SYSTEM OF NH DBA UNH INSTITUTE ON DISABILITY 56 OLD SUNCOOK RD STE 2 CONCORD NH 03301 026000937 501(C)(3) 13767 0 SUBAWARD US CIVILIAN RESEARCH AND DEVELOPMENT FOUNDATION 1776 WILSON BOULEVARD SUITE 300 ARLINGTON VA 22209 541773406 501(C)(3) 28572 0 SUBAWARD VINFEN CORP 1050 COMMONWEALTH AVE STE 200 BOSTON MA 02215 042632219 501(C)(3) 1032996 0 SUBAWARD WAKE FOREST UNIVERSITY HEALTH SCIENCES MEDICAL CENTER BOULEVARD WINSTONSALEM NC 27157 223849199 501(C)(3) 87411 0 SUBAWARD WALK BOSTONSRS OLD CITY HALL 45 SCHOOL STREET BOSTON MA 02108 223061699 501(C)(3) 83240 0 SUBAWARD WASHINGTON UNIVERSITY SCHOOL OF MEDICINE 700 ROSEDALE AVENUE CB1034 SAINT LOUIS MO 631121408 430653611 501(C)(3) 16517 0 SUBAWARD WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY 100 BROADWAY 8TH FL NEW YORK NY 10005 131623978 501(C)(3) 147925 0 SUBAWARD WESTERN MASSACHUSETTS TRAINING 187 HIGH STREET SUITE 202 HOLYOKE MA 01040 237450656 501(C)(3) 268856 0 SUBAWARD YALE UNIVERSITY SCHOOL OF MEDICINE 2 WHITNEY AVE 6TH FLOOR NEW HAVEN CT 06510 060646973 501(C)(3) 101377 0 SUBAWARD 115 0 PART I, LINE 2: RESEARCH ADMINISTRATION USES INFOR CLOUDSUITE FINANCIALS AND DASH BOARD GEAR REPORTING SYSTEMS TO MONITOR ALL GRANT FUNDING. IN ADDITION, PRINCIPLE INVESTIGATORS AND DEPARTMENT ADMINISTRATORS HAVE SYSTEM ACCESS SO THEY ARE ABLE TO REVIEW THEIR FUNDING AND EXPENDITURES REGULARLY. X X X X X X 1 1 0 0 0 0 0 1 0 KATHLEEN E WALSH PRESIDENT/TRUSTEE (THRU 2/28/23) 1403783 0 566720 0 285093 0 21350 0 6816 0 2283762 0 0 0 ALASTAIR BELL MD INTERIM PRES./TRUSTEE (AS OF 3/1/23) 907901 0 301070 0 88458 0 148381 0 8119 0 1453929 0 71000 0 NICOLE FAUCHER PRESIDENT, CLEARWAY HEALTH, LLC 342420 0 750000 0 4038 0 28000 0 26562 0 1151020 0 0 0 JENNIFER TSENG MD TRUSTEE 0 1046318 0 0 0 2634 0 35306 0 3160 0 1087418 0 0 TERRI NEWSOM SVP/CFO/TREASURER 646295 0 197340 0 2500 0 106650 0 33062 0 985847 0 0 0 DAVID MCANENY SVP/CHIEF MEDICAL OFFICER 599195 0 180000 0 60000 0 0 0 27512 0 866707 0 0 0 JOE CAMILLUS SVP AMBULATORY & PRF SVC 485790 0 171125 0 34502 0 76668 0 44796 0 812881 0 24800 0 LISA KELLY-CROSWELL SVP/CHRO 502175 0 122705 0 44560 0 73000 0 33028 0 775468 0 36050 0 DAVID COLEMAN MD TRUSTEE (THRU 11/14/22) 0 718490 0 0 0 6649 0 35306 0 1589 0 762034 0 0 NANCY GADEN SVP OF CLINICAL OPERATIONS/CNO 477691 0 117300 0 41008 0 69850 0 35134 0 740983 0 32600 0 ARTHUR HARVEY VP/CIO 485982 0 119850 0 16303 0 77750 0 32759 0 732644 0 12600 0 ROBERT BIGGIO SVP/CHIEF SUSTAINABILITY/RE OFFICER 436383 0 108375 0 44428 0 72350 0 48461 0 709997 0 32000 0 DAVID BECK SVP/CHIEF LEGAL COUNSEL/CL 458767 0 113850 0 55383 0 21350 0 30711 0 680061 0 0 0 PAUL JOSEPH BOUCHER REGISTERED NURSE 173877 0 0 0 425898 0 16980 0 13339 0 630094 0 0 0 NORMAN STEIN FORMER SVP CHIEF DEVELOPMENT OFFICER 0 0 0 0 400000 0 0 0 0 0 400000 0 0 0 MANISHI DESAI TRUSTEE 0 285375 0 1883 0 432 0 30606 0 13016 0 331312 0 0 ANTHONY HOLLENBERG MD TRUSTEE (AS OF 11/14/22) 0 118734 0 112000 0 7006 0 0 0 2436 0 240176 0 0 PART I, LINES 4A-B LINE 4A: NORMAN STEIN LEFT THE ORGANIZATION ON 12/30/2020. NORMAN STEIN HAD A 2-YEAR SEVERANCE ARRANGEMENT. HIS SEVERANCE AMOUNT IS REPORTED ON SCHEDULE J, PART II, COLUMN (B)(III). 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. AMOUNTS VEST ON SPECIFIED DATES BASED ON CONTINUED EMPLOYMENT BUT NO LATER THAN THE EXECUTIVE'S SIXTY-SECOND BIRTHDAY. AMOUNTS ACCRUED IN THE PLAN ARE REPORTED IN SCHEDULE J, PART II, COLUMN C. THE AMOUNTS REPORTED FOR THE EXECUTIVES BELOW WERE CONTRIBUTED IN 2019 AND BECAME VESTED AND WERE PAID IN 2022. THE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III): BELL - $88,458 KELLY-CROSWELL - $42,695 GADEN - $39,238 HARVEY - $12,688 CAMILLUS - $30,848 BOSTON MEDICAL CENTER PROVIDED A 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN TO DAVID BECK, KATHLEEN WALSH AND DAVID MCANENY. THESE EXECUTIVES HAVE REACHED THE PLAN RETIREMENT AGE AND HAVE VESTED 100% IN THE PLAN. IN ADDITION, PURSUANT TO THE TERMS OF THE PLAN, ONCE THE PLAN PARTICIPANT REACHES THE PLAN RETIREMENT AGE, ALL FUTURE CONTRIBUTIONS ARE MADE IN CASH. ACCORDINGLY, 2022 CONTRIBUTIONS OF $53,400, $277,500, AND $60,000 WERE PAID IN CASH TO DAVID BECK, KATHLEEN WALSH, AND DAVID MCANENY, RESPECTIVELY, IN 2022. THESE AMOUNTS ARE REFLECTED IN SCHEDULE J, PART II, COLUMN (B)(III). PART I, LINE 7 BMC HAS AN ANNUAL EXECUTIVE PERFORMANCE INCENTIVE PLAN. PERFORMANCE TARGETS AND PAYOUT METRICS ARE ESTABLISHED AND APPROVED BY THE COMPENSATION COMMITTEE AT THE BEGINNING OF EACH PERFORMANCE CYCLE. FISCAL YEAR 2022 PERFORMANCE BONUS PAYOUTS WERE APPROVED BY THE COMMITTEE AFTER IT REVIEWED THE 2022 PERFORMANCE RESULTS AGAINST PRE ESTABLISHED PERFORMANCE TARGETS, AND APPROVED THE FORMULA-BASED PAYOUTS ACCORDINGLY. A MDFA 2015 SERIES D 043431814 57583U6Q6 2015-04-08 167471151 FINANCE CAPITAL PROJECTS 0 0 0 B MDFA 2016 SERIES E 043431814 57584XWT4 2016-09-22 203977951 FINANCE NEW PROJECTS 0 0 0 C MDFA 2017 SERIES F 043431814 57584X6Z9 2017-12-20 45272849 FINANCE CAPITAL PROJECTS 0 0 0 D MHEFA 2009 SERIES O-1 042456011 57586ELD1 2009-08-14 101485000 REFUNDING OF SERIES M3-B 0 0 1 A 168011143 16196171 226325 2007035 150355290 201311 2016 0 0 1 1 B 10305000 206393981 1673571 29046728 175673681 2017 0 1 1 1 C 5435000 45971835 9238 272257 45690339 2019 0 0 1 1 D 9494690 13688734 43486 13688734 1 0 1 1 A 0 1 1 1 1 1 0 0 1 B 0 1 1 1 1 1 0.00500 0.00500 0 0 1 C 0 1 1 1 1 1 0.00000 0.00000 0 0 1 D 0 0 1 1 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 1 1 C 0 0 0 1 0 0 0 0 1 D 0 0 1 1 1 0 0 0 1 A 1 B 1 C 1 D 1 COLUMN A: PART I(F) - BONDS FINANCED CAPITAL PROJECTS, FUNDED A RESERVE, AND PAID COSTS OF ISSUANCE. PART II, LINE 3 - THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART 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 SECURITY OR 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 OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(C) - THE MOST RECENT FIVE YEAR REBATE REPORT, DATED APRIL 27, 2020, WAS PREPARED BY BLX GROUP, LLC. COLUMN B: PART I(F) - BONDS FINANCED CAPITAL PROJECTS AND ADVANCED REFUNDED PRIOR BONDS (ISSUED ON JULY 1, 2008) BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY. PART II, LINE 3 - THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART 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 SECURITY OR 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 OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(C) - THE MOST RECENT FIVE YEAR REBATE REPORT, DATED OCTOBER 21, 2021, WAS PREPARED BY BLX GROUP, LLC. COLUMN C: PART I(F) - BONDS WERE ISSUED TO FINANCE CAPITAL PROJECTS. PART II, LINE 3 - THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART 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 SECURITY OR 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 OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(C) - THE FIFTH YEAR REBATE REPORT WAS PREPARED ON SEPTEMBER 26, 2022. COLUMN D: BONDS ARE PART OF A POOLED FINANCING (TOTAL PAR $101,485,000) AND THUS, EXCEPT FOR PART I, ONLY THE BORROWER'S ALLOCABLE PORTION IS REPRESENTED. PART I(F) - 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 SECURITY OR 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 OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 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 A, ENTITY 2: PART I(F) - BONDS FINANCED CAPITAL PROJECTS, CURRENT REFUNDED PRIOR BONDS (ISSUED ON JUNE 14, 2012), AND PAID COSTS OF ISSUANCE. PART II, LINE 3 - THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART 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 SECURITY OR 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 OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(B) - THE PORTION OF BOND PROCEEDS USED TO CURRENT REFUND PRIOR BONDS HAS MET AN EXCEPTION TO THE REBATE REQUIREMENT. A MDFA 2023 SERIES G 043431814 57584Y4U0 2023-02-28 242274160 FINANCE CAPITAL PROJECTS 0 0 0 A 500000 246699360 2295024 71152105 17978105 155274126 1 0 0 1 A 0 1 1 1 1 1 0.00000 0.00000 0 0 1 A 0 1 1 0 0 0 0 0 1 A 1 HANNAH LEAVER DAUGHTER OF TRUSTEE 279614 EMPLOYMENT 0 SCHEDULE L, PART IV: BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: HANNAH LEAVER, DAUGHTER OF TRUSTEE MARKS, IS EMPLOYED BY BMC. LEAVER HAS BEEN EMPLOYED BY BMC SINCE BEFORE TRUSTEE MARKS JOINED THE BMC BOARD IN 2016. X 73436 DONOR ESTIMATE X 27 2331502 MEAN VAL ON CONTRIB DATE X 16 12326 DONOR ESTIMATE X 4 75120 DONOR ESTIMATE X GIFT CERTIFICATE 52 47835 DONOR ESTIMATE X BEAUTY 8 14046 DONOR ESTIMATE X TOYS 21 10323 DONOR ESTIMATE X TICKETS 5 5200 DONOR ESTIMATE 0 0 1 0 SCHEDULE M, PART I, COLUMN B: THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART IV, LINE 12 BOSTON MEDICAL CENTER IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR BMC HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 2 KATHLEEN E. WALSH (THRU 2/28/23) BISOLA OJIKUTU, M.D. ALASTAIR BELL, M.D. BUSINESS RELATIONSHIP - THE OFFICERS AND TRUSTEES ABOVE ARE ALSO MEMBERS OR EMPLOYEES OF THE BOSTON PUBLIC HEALTH COMMISSION. DAVID COLEMAN, M.D. (THRU 11/14/22) MELANIE FOLEY JENNIFER TSENG, M.D. KATHLEEN E. WALSH (THRU 2/28/23) BUSINESS RELATIONSHIP - THE OFFICERS AND/OR TRUSTEES ABOVE ARE ALSO TRUSTEES OF BOSTON MEDICAL CENTER INSURANCE COMPANY, LTD. MARTHA SAMUELSON PIERRE CREMIEUX BUSINESS RELATIONSHIP - THE TRUSTEES ABOVE ARE ALSO TRUSTEES, OFFICERS, AND/OR EMPLOYEES OF ANALYSIS GROUP. FORM 990, PART VI, SECTION A, LINE 4 THE CHANGES TO THE HOSPITAL BYLAWS ARE SUMMARIZED BELOW. 1. MOVE FROM TWO CLASSES OF 10 INDEPENDENT TRUSTEES EACH TO ONE CLASS OF 20 INDEPENDENT TRUSTEES 2. DELETE REQUIRED NOTICE OF MEETINGS FOR TRUSTEES EMERITI AND JUST SAY THEY "MAY ATTEND" BOARD MEETINGS 3. ADD HEALTH SYSTEM PRESIDENT TO THE HOSPITAL BOARD OF TRUSTEES 4. ADOPT CONSISTENT DESCRIPTION OF "PRESIDENT" IN THE HOSPITAL AND HEALTH PLAN BYLAWS 5. ADOPT CONSISTENT LANGUAGE PROVIDING AUTHORITY FOR PRESIDENT AND TREASURER TO EXECUTE DOCUMENTS 6. CLARIFY THAT THE BYLAWS ALLOW (1) EMAIL FOR WRITTEN CONSENTS AND FOR PROVIDING NOTICE, AND (2) VIDEO CONFERENCES FOR MEETINGS FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS BMC HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7B BMC HEALTH SYSTEM HAS THE RIGHT TO TAKE CERTAIN ACTIONS INCLUDING, BUT NOT LIMITED TO, THE APPROVAL OF BUDGETS, MERGERS, ACQUISITIONS, AND INDEBTEDNESS. FORM 990, PART VI, SECTION B, LINE 11B BOSTON MEDICAL CENTER'S FORM 990 IS PREPARED BY KPMG LLP AND REVIEWED BY BMC HEALTH SYSTEM'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, BMC HEALTH SYSTEM'S INTERNAL MANAGEMENT AND KPMG PRESENT THE FORM 990 TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO THE FORM BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2023 WERE DISTRIBUTED BY BMC HEALTH SYSTEM'S CORPORATE COMPLIANCE DEPARTMENT. THE CHIEF COMPLIANCE OFFICER OF BMC HEALTH SYSTEM OR THE CHIEF COMPLIANCE OFFICER'S DESIGNEE QUERIES TRUSTEES, OFFICERS, AND DIRECTORS ON AT LEAST AN ANNUAL BASIS REGARDING RELATIONSHIPS THAT MAY CREATE POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER OR THE CHIEF COMPLIANCE OFFICER'S DESIGNEE REVIEWS ALL DISCLOSURES AND DETERMINES WHETHER THERE ARE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER OR THE CHIEF COMPLIANCE OFFICER'S DESIGNEE INFORMS THE CHIEF LEGAL COUNSEL OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF LEGAL COUNSEL ADVISES THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION ACCORDINGLY. FORM 990, PART VI, SECTION B, LINE 15 BOSTON MEDICAL CENTER'S INDEPENDENT COMPENSATION COMMITTEE, FORMED OF INDIVIDUALS WHOSE COMPENSATION IS NOT IN ISSUE, ESTABLISHES THE COMPENSATION OF THE PRESIDENT AND APPROVES THE COMPENSATION OF SENIOR MANAGEMENT. THE COMMITTEE MEMBERS ARE NOT UNDER THE CONTROL OR DIRECTION OF ANY MEDICAL CENTER EXECUTIVE SEEKING COMPENSATION. THE INDIVIDUAL EXECUTIVE COMPENSATION IS SUPPORTED BY COMPARABLE DATA, WHICH INCLUDES COMPENSATION PAID FOR COMPARABLE POSITIONS BY SIMILARLY SITUATED ORGANIZATIONS (BOTH TAXABLE AND TAX-EXEMPT), INDEPENDENTLY COMPILED COMPENSATION SURVEYS, AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE BOSTON MEDICAL CENTER EXECUTIVE. THE COMMITTEE MAY ALSO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT AS PART OF THE COMPENSATION-SETTING PROCESS. THE INDEPENDENT COMMITTEE'S ASSESSMENTS OF THESE CONSIDERATIONS ARE CONTAINED IN THE MINUTES OF THE COMMITTEE MEETINGS. THE REVIEW PROCESS INCLUDES, AND THE MINUTES INDICATE, DISCUSSIONS AND EVALUATIONS OF EACH EXECUTIVE'S PRIOR PERFORMANCE, QUALIFICATIONS, AND EXPERIENCE. THE EXECUTIVES ARE NOT PRESENT FOR THE INDEPENDENT COMMITTEE'S DISCUSSIONS OR THE COMMITTEE'S VOTE ON COMPENSATION. THE MINUTES REFLECT THE FACT THAT NO EXECUTIVE WAS PRESENT. FORM 990, PART VI, SECTION C, LINE 19 BOSTON MEDICAL CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS PUBLICLY AVAILABLE. HOWEVER, THE RESTATED ARTICLES OF THE ORGANIZATION ARE POSTED ON THE SECRETARY OF THE COMMONWEALTH'S CORPORATIONS WEBSITE. FORM 990, PART XI, LINE 9: PENSION AND OTHER ADJUSTMENTS -855,714. PERIODIC PENSION COSTS 5,448,961. OTHER NON-OPS 2,558,340. BMC HEALTH SYSTEM INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 463556853 SUPPORT SVCS. MA 501 (C) (3) 12 B-II BMC 1 BMC INSURANCE CO LTD OF VERMONT PO BOX 530 100 BANK STREET BURLINGTON VT 05401 201810549 INSURANCE VT 501 (C) (3) 12 A-I BMCHS 1 BMC INTEGRATED CARE SERVICES INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043414914 HEALTHCARE MA 501 (C) (3) 12 A-I BMCBACO 1 BOSTON EMERGENCY PHYSICIAN FDN INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043286156 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BOSTON REHABILITATION MEDICINE ASSOC INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043286641 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BOSTON UNIV NEUROLOGY ASSOCIATES INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043428462 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BOSTON UNIV PLASTIC SURGERY ASSOC INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043555478 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BOSTON UNIV SURGICAL ASSOCIATES INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043291148 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BOSTON UNIVERSITY AFFILIATED PHYSICIANS ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043218267 HEALTHCARE MA 501 (C) (3) 3 BMC 1 BOSTON UNIVERSITY DERMATOLOGY INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043335166 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BOSTON UNIVERSITY EYE ASSOCIATES INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043137333 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BOSTON UNIVERSITY FAMILY MEDICINE INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043354353 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BOSTON UNIVERSITY PSYCHIATRY ASSOC INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043355267 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BU CARDIAC & THORACIC SURGICAL FDN INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 042966416 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BU DERMATOLOGY SUPPORT SERVICES I INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043452877 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BU DERMATOLOGY SUPPORT SERVICES II INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043452874 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BU GENERAL SURGICAL ASSOCIATES INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043265008 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BU MALLORY PATHOLOGY ASSOCIATES INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 042794543 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BU MEDICAL CENTER RADIOLOGISTS INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043283573 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BU MEDICAL CENTER UROLOGISTS INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043286643 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BU MEDICAL CTR ANESTHESIOLOGISTS INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043276227 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BU NEUROSURGICAL ASSOCIATES INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043296068 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BU OBSTETRICS & GYNECOLOGY FDN INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043067465 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BU ORTHOPAEDIC SURGICAL ASSOCIATES INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043354360 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BU RADIATION ONCOLOGY INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 810716773 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 BUMC OTOLARYNGOLOGIC FOUNDATION ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043156471 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 CHILD HEALTH FOUNDATION OF BOSTON INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 042472758 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 EVANS MEDICAL FOUNDATION INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 510172171 HEALTHCARE MA 501 (C) (3) 12C III-FI N/A 0 THE BOSTON HEALTHNET CORPORATION ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043279836 SUPPORT SVCS. MA 503 (C) (3) 12 B-II N/A 0 FACULTY PRACTICE FOUNDATION INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043289381 MEDICAL SVCS MA 501 (C) (3) 12 B-II N/A 0 BMC INSURANCE COMPANY LTD 878 WEST BAY ROAD PO BOX 1159 GRAND CAYMAN CJ 980375219 INSURANCE CJ BMC C 1064592 98102997 0.70000 1 CHARITABLE REMAINDER TRUST - MA (3) SUPPORT MA BMC T 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 BMC INSURANCE COMPANY LTD P 5902939 FMV BMC HEALTH SYSTEM INC D 14235727 FMV BMC HEALTH SYSTEM INC P 160957605 FMV