2026-08-14T10:55:39-05:00 2025-09-30 135565207 KPMG LLP 60 SOUTH STREET BOSTON MA 02111 990 2024-10-01 043314093 BOSTON MEDICAL CENTER CORPORATION BOST 6174141628 ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 ANKUR AGRAWAL SVP/CFO/TREASURER 6174141628 2026-08-13 1 0 KRISTIN ANDERSON P01231300 6179881000 2026-08-13 2024 2025-03-06 01:10:19Z ANTHONY HOLLENBERG MD ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 3540946372 0 X WWW.BMC.ORG X 1996 MA SEE SCHEDULE O 24 20 12148 580 1801627 294862 26484573 36596650 2528877780 2878026228 32645067 47203682 12517960 13111983 2600525380 2974938543 17866158 13272965 0 0 966812413 1047439183 0 0 10517441 1656822597 1909306985 2641501168 2970019133 -40975788 4919410 2832076979 3048333186 1438600051 1640883677 1393476928 1407449509 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 2591094867 2876427389 THE STATUTE THAT AUTHORIZED THE CREATION OF BOSTON MEDICAL CENTER REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 654-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. 13272965 13272965 BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO ORGANIZATIONS WITHIN THE U.S. AS WELL AS FOREIGN ORGANIZATIONS. 2604367832 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 1 965 0 1 12148 1 1 1 1 CJ LT 0 0 0 1 1 0 0 0 0 1 0 X 24 20 1 0 0 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 ALASTAIR BELL MD BMCHS PRESIDENT & CEO/TRUSTEE 50.00 4.00 X X 1919294 0 280079 ANTHONY HOLLENBERG MD PRESIDENT/TRUSTEE 50.00 1.00 X X 1207284 0 16695 MARTHA SAMUELSON CHAIR/TRUSTEE 1.00 1.00 X X 0 0 0 KAREN ANTMAN MD TRUSTEE (THRU 7/1/25) 1.00 2.00 X 0 0 0 ANITA BEKENSTEIN TRUSTEE (THRU 5/13/25) 1.00 0.00 X 0 0 0 REV WILLIE BODRICK II TRUSTEE 1.00 0.00 X 0 0 0 MARY BOYD TRUSTEE 1.00 0.00 X 0 0 0 RYAN CARROLL TRUSTEE (THRU 5/13/25) 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 TODD COZZENS TRUSTEE 1.00 0.00 X 0 0 0 PIERRE CREMIEUX TRUSTEE 1.00 0.00 X 0 0 0 RANDI CUTLER TRUSTEE (THRU 5/13/25) 1.00 1.00 X 0 0 0 MANISHI DESAI TRUSTEE 1.00 1.00 X 284472 0 44667 PAUL EGERMAN TRUSTEE 1.00 0.00 X 0 0 0 ALIK FARBER TRUSTEE (AS OF 10/2/24) 1.00 1.00 X 0 0 0 GUY FISH TRUSTEE (AS OF 2/11/25) 1.00 1.00 X 0 0 0 VICKI JACKSON MD PHYS-IN-CHIEF/TRUSTEE (AS OF 9/2/25) 50.00 1.00 X 0 0 0 KAREN KAMES TRUSTEE (THRU 5/13/25) 1.00 0.00 X 0 0 0 AZRA KANJI TRUSTEE (THRU 5/13/25) 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 1.00 X 0 0 0 BISOLA OJIKUTU MD TRUSTEE 1.00 0.00 X 0 0 0 CYNTHIA SIERRA TRUSTEE 1.00 1.00 X 0 0 0 PATRICK SMITH TRUSTEE 1.00 1.00 X 0 0 0 TED TRUSCOTT TRUSTEE 1.00 1.00 X 0 0 0 MODDIE TURAY TRUSTEE (AS OF 5/13/25) 1.00 0.00 X 0 0 0 GREGORY WILMOT TRUSTEE (THRU 4/2/25) 1.00 2.00 X 0 0 0 ANDREW YOUNISS TRUSTEE 1.00 1.00 X 0 0 0 JESSE SOUWEINE SVP/CTO, TREASURER (THRU 11/12/24) 50.00 3.00 X 718620 0 71281 DAVID BECK SVP/CHIEF LEGAL COUNSEL/CLERK 50.00 5.00 X 730210 0 58015 ANKUR AGRAWAL BMCHS SVP/CFO,TREAS (AS OF 11/12/24) 50.00 1.00 X 374760 0 3757 DAVID MCANENY SVP/CHIEF MEDICAL OFFICER 50.00 1.00 X 877850 0 43242 LISA KELLY-CROSWELL SVP/CHIEF HR OFFICER 50.00 0.00 X 721697 0 119335 NANCY GADEN SVP/CNO 50.00 0.00 X 710127 0 60946 RAVIN DAVIDOFF MD SVP/EXECUTIVE MEDICAL DIRECTOR 50.00 2.00 X 388184 0 53660 JOE CAMILLUS SVP/CHIEF OPERATING OFFICER 50.00 1.00 X 844176 0 162316 JOY BROWN SVP/CHIEF DIGITAL INFO OFFICER 50.00 0.00 X 959611 0 53519 ROBERT BIGGIO SVP/CHIEF SUSTAINABIILTY/RE OFFICER 50.00 0.00 X 723680 0 89978 SARAH ARBELAEZ SVP/HOSPITAL INTEGRATION 50.00 0.00 X 656455 0 84756 NICOLE FAUCHER PRESIDENT, CLEARWAY HEALTH, LLC 0.00 50.00 X 661847 0 69429 TERRI NEWSOM FORMER SVP/CFO/TREASURER 0.00 0.00 X 652826 0 9121 12431093 0 1220796 2407 1 1 0 BOSTON UNIVERSITY 715 ALBANY STREET SUITE 580 BOSTON MA 021182528 RESEARCH & OTHER SHARED SERVICES 63814182 SHC SERVICES INC 1640 W REDSTONE CTR DR SUITE 200 PARK CITY UT 84098 TEMPORARY STAFFING 53152514 WALSH BROTHERS INCORPORATED 210 COMMERCIAL STREET BOSTON MA 02109 BUILDING CONTRACTOR 35600442 PRICEWATERHOUSECOOPERS ADVISORS 4040W BOY SCOUT BOULEVARD TAMPA FL 33607 ACCOUNTS RECEIVABLE MANAGEMENT 28561744 MIDDLESEX INTERIORS INC 50 OLD TYNG ROAD UNIT 5 TYNGSBOROUGH MA 01879 BUILDING CONTRACTOR 9249168 211 2424104 34172546 998262 36596650 PATIENT SERVICE REVENUE 622110 1735839872 1735839872 PHARMACY REVENUE 621330 991738036 990139197 1598839 GRANT & CONTRACT REVENUE 900099 114296971 114296971 OTHER PROGRAM REVENUE 900099 36151349 36151349 2878026228 17829310 202788 17626522 9258409 10878170 -1619761 -1619761 -1619761 583591923 554217551 29374372 29374372 29374372 1581495 2424104 912108 669387 669387 PARKING 812930 9689770 9689770 CAFETERIA 722510 4372587 4372587 14062357 2974938543 2876427389 1801627 60112877 11777654 11777654 1495311 1495311 9455933 9455933 329423 329423 813772871 717542814 90780244 5449813 29328573 25564881 3569613 194079 125462392 109361992 15270165 830235 69089991 60223776 8409019 457196 2848761 2160024 673053 15684 2322559 1114659 1200128 7772 393668 393668 147734550 113628494 32624072 1481984 2766700 2419168 329694 17838 22202744 18406318 3619022 177404 64504875 56227062 7850959 426854 33587982 29277687 4088030 222265 3423818 2327206 1064376 32236 1382200 1210159 152033 20008 27053676 23581918 3292733 179025 110982172 96739997 13507762 734413 13604839 11858950 1655860 90029 DRUGS 849140350 849140350 PHYSICIAN SERVICES 207940202 203989804 3950398 MEDICAL SUPPLIES 135572559 135517248 52459 2852 DIRECT RESEARCH 89158039 89158039 194687291 41314898 153194639 177754 2970019133 2604367832 355133860 10517441 -7360633 -2768393 90588591 149569007 30559895 25958821 426500319 418880492 87857740 307526575 29208456 34239435 5499315 5301418 2316615654 1284766395 1037022413 1031849259 392400231 357811883 515490342 536783905 230000 230000 224080310 182950784 2832076979 3048333186 307929861 339037522 26044529 32103559 619025143 610178959 180952000 180653000 304648518 478910637 1438600051 1640883677 X 989115507 974137142 404361421 433312367 1393476928 1407449509 2832076979 3048333186 X 4919410 24611201 -16331104 -495241 1268315 X 0 1 X 1 1 1 X 150978125 65960590 31735184 26484573 36596650 311755122 150978125 65960590 31735184 26484573 36596650 311755122 311755122 19480934 18817706 23601276 25315433 26884931 114100280 5854577 2357068 1004697 388600 963865 10568807 13079088 14178299 13180285 13629249 14062357 68129278 504553487 11378438718 0.61790 0.67710 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: CAFETERIA - 2020 AMOUNT: $ 2,802,878. 2021 AMOUNT: $ 3,309,312. 2022 AMOUNT: $ 3,574,036. 2023 AMOUNT: $ 4,070,474. 2024 AMOUNT: $ 4,372,587. PARKING - 2020 AMOUNT: $ 10,276,210. 2021 AMOUNT: $ 10,868,987. 2022 AMOUNT: $ 9,606,249. 2023 AMOUNT: $ 9,558,775. 2024 AMOUNT: $ 9,689,770. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 793193144 23601232 67390680 58421857 888909 824874290 684563310 16847855 129418418 36887955 748484 793193144 629469229 222103699 63592898 229602767 999749 684563310 733043065 145547509 -95022779 155578825 -1480259 629469229 633839832 363954719 108079400 370977505 1853381 733043065 0.48800 0.40460 0.10740 0 0 14626946 14626946 1425472616 672234012 753238604 75067247 37132776 37934471 634720098 495296119 139423979 166728747 80103488 86625259 1031849259 OTHER SECURITIES (BOARD-DESIGNATED) 243378038 F OTHER SECURITIES (DONOR-RESTRICTED) 293405867 F 536783905 SETTLEMENTS WITH 3RD PARTY PAYORS - CURRENT 5715291 INSURANCE RECOVERIES RECEIVABLE 44008391 RIGHT OF USE ASSETS - FINANCE AND OPERATING LEASES 91623849 OTHER LONG-TERM ASSESTS 41603253 182950784 SETTLEMENTS WITH 3RD PARTY PAYORS 40002601 OTHER CURRENT LIABILITIES 64101471 FINANCE/OPERATING LIABILITIES 100281411 OTHER LONG-TERM LIABILITIES 48482297 DUE TO RELATED PARTIES 182034466 PROFESSIONAL LIABILITY CLAIMS 44008391 478910637 X PART V, LINE 4: GENERAL ENDOWMENT 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 THE CONSOLIDATED FINANCIAL STATEMENTS OF BMC HEALTH SYSTEM (BMCHS). THESE STATEMENTS INCLUDE THE FOLLOWING LANGUAGE REGARDING LIABILITY FOR UNCERTAIN TAX POSITIONS WITHIN THE INCOME TAXES FOOTNOTE. 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, 2025 AND 2024. 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, 2025 AND 2024. 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, 2025 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 TEMPORARY RESTRICTED ENDOWMENT, RESPECTIVELY. 1 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 233137 EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS 3082576 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENTS 8370944 MIDDLE EAST AND NORTH AFRICA 0 0 INVESTMENTS 1734210 NORTH AMERICA 0 0 INVESTMENTS 5728266 RUSSIA AND NEIGHBORING STATES 0 0 INVESTMENTS 764750 SOUTH AMERICA 0 0 INVESTMENTS 655731 SOUTH ASIA 0 0 INVESTMENTS 28908 SUB-SAHARAN AFRICA 0 0 INVESTMENTS 506976 CENTRAL AMERICA AND THE CARIBBEAN 0 0 GRANTMAKING 97710 NORTH AMERICA 0 0 GRANTMAKING 108284 RUSSIA AND NEIGHBORING STATES 0 0 GRANTMAKING 177219 SOUTH AMERICA 0 0 GRANTMAKING 78737 SOUTH ASIA 0 0 GRANTMAKING 42046 SUB-SAHARAN AFRICA 2 20 GRANTMAKING 991315 0 0 2 20 2 20 20598522 2002287 22600809 CENTRAL AMERICA AND THE CARIBBEAN RESEARCH SUBAWARD 97710 WIRE TRANSFER 0 NORTH AMERICA RESEARCH SUBAWARD 12055 WIRE TRANSFER 0 NORTH AMERICA RESEARCH SUBAWARD 96229 WIRE TRANSFER 0 RUSSIA AND NEIGHBORING STATES RESEARCH SUBAWARD 141549 WIRE TRANSFER 0 RUSSIA AND NEIGHBORING STATES RESEARCH SUBAWARD 35670 WIRE TRANSFER 0 SOUTH ASIA RESEARCH SUBAWARD 42046 WIRE TRANSFER 0 SOUTH AMERICA RESEARCH SUBAWARD 43617 WIRE TRANSFER 0 SOUTH AMERICA RESEARCH SUBAWARD 6345 WIRE TRANSFER 0 SOUTH AMERICA RESEARCH SUBAWARD 22430 WIRE TRANSFER 0 SOUTH AMERICA RESEARCH SUBAWARD 6345 WIRE TRANSFER 0 SUB-SAHARAN AFRICA RESEARCH SUBAWARD 352216 WIRE TRANSFER 0 SUB-SAHARAN AFRICA RESEARCH SUBAWARD 11039 WIRE TRANSFER 0 SUB-SAHARAN AFRICA RESEARCH SUBAWARD 628060 WIRE TRANSFER 0 13 0 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 I, LINE 3: ACCRUAL METHOD OF ACCOUNTING PART II, LINE 1 ACCOUNTING METHOD: FOREIGN EXPENDITURES ARE SEPARATELY IDENTIFIED IN THE ORGANIZATION'S ACCOUNTING RECORDS. X X X X X X X 1 COMMUNITY COUNSELLING SERVICE LLC 527 MADISON AVE FL 5 NEW YORK NY 10022 FUNDRAISING CONSULTANT 0 0 449761 -449761 449761 -449761 MA GALA 3030952 1789684 1241268 214860 19480 328583 GOLF 316019 242339 73680 90606 49754 22944 30076 1 658628 392081 266547 3100 23835 128870 4005599 2424104 1581495 308566 73589 42424 487529 912108 669387 1 1 X 1 X 1 X 1 1 0 0 175169574 67245098 107924476 0.03630 1160876459 1132821163 28055296 0.00940 1336046033 1200066261 135979772 0.04570 23947572 21595237 2352335 0.00080 96509864 22755735 73754129 0.02480 981 63196834 44163429 19033405 0.00640 981 183654270 88514401 95139869 0.03200 981 1519700303 1288580662 231119641 0.07770 60000 60000 0.00000 16060000 16060000 0.00540 561102 561102 0.00020 867750 867750 0.00030 727560 727560 0.00020 18276412 18276412 0.00610 1 14409536 184878789 225271736 -40392947 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 25 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 (BMC) IS LICENSED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH TO OPERATE A HOSPITAL AT ONE BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118. BMC IS (1) A LICENSED HOSPITAL, (2) PROVIDES GENERAL MEDICAL AND SURGICAL TREATMENT, (3) IS A TEACHING HOSPITAL, AND (4) OPERATES AN EMERGENCY DEPARTMENT 24 HOURS PER DAY. THE MAIN CAMPUS OF BMC IS LOCATED AT THE MENINO PAVILION, 830-840 HARRISON AVENUE, BOSTON, MASSACHUSETTS. AN INPATIENT SATELLITE HOSPITAL KNOWN AS BMC BROCKTON BEHAVIORAL HEALTH CENTER IS LOCATED AT 34 NORTH PEARL STREET, BROCKTON, MASSACHUSETTS. ANOTHER LOCATION AT 249 RIVER STREET, MATTAPAN, MASSACHUSETTS IS LISTED ON BMC'S DEPARTMENT OF PUBLIC HEALTH LICENSE, BUT THIS LOCATION HAS BEEN OUT OF SERVICE SINCE 1996.THE FOLLOWING OUTPATIENT SATELLITES ARE ALSO LISTED ON BMC'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. NEIGHBORHEALTH - EAST BOSTON - 10 GOVE STREET5. DOTHOUSE HEALTH6. MADISON PARK HIGH SCHOOL STUDENT HEALTH CENTER7. DR. ALBERT D. HOLLAND HIGH SCHOOL OF TECHNOLOGY 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 COMMUNITY LEADERSHIP ACADEMY HEALTH CENTER15. SOUTH BOSTON COMMUNITY HEALTH CENTER - 409 WEST BROADWAY16. NEIGHBORHEALTH - EAST BOSTON - 20 MAVERICK SQUARE17. NEIGHBORHEALTH - EAST BOSTON - 79 PARIS STREET18. BOSTON MEDICAL CENTER RADIOLOGY AT WHITTIER STREET HEALTH CENTER19. NEIGHBORHEALTH SCHOOL BASED HEALTH CENTER20. NEIGHBORHEALTH - WINTHROP21. SOUTH BOSTON COMMUNITY HEALTH CENTER SEAPORT PRIMARY CARE22. BOSTON MEDICAL CENTER - FAMILY MEDICINE23. BOSTON MEDICAL CENTER - CROSSTOWN24. BMC REHABILITATION SERVICES - HYDE PARK25. NEIGHBORHEALTH - SOUTH END - 1601 WASHINGTON STREET26. NEIGHBORHEALTH - SOUTH END - 400 SHAWMUT AVE27. CURBSIDE CARE PROGRAM AT BOSTON MEDICAL CENTER (MOBILE UNIT)28. BMC REHABILITATION, ORTHOPEDICS & IMAGING - 39B DISTRICT AVENUE29. BOSTON MEDICAL CENTER COMMUNITY BEHAVIORAL HEALTH SERVICES (BEST)30. ACUTE HOSPITAL CARE AT HOME (SPECIAL PROJECT)31. SATELLITE BLOOD BANK MANSFIELD FIRE DEPARTMENT (SPECIAL PROJECT)32. SATELLITE BLOOD BANK CANTON FIRE DEPARTMENT (SPECIAL PROJECT)BMC IS LICENSED BY THE MASSACHUSETTS 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, MASSACHUSETTS. BOSTON MEDICAL CENTER PART V, SECTION B, LINE 5: QUALITATIVE DISCUSSIONS AND COMMUNITY ENGAGEMENT: BOSTON MEDICAL CENTER IS A FOUNDING MEMBER OF THE BOSTON COMMUNITY HEALTH COLLABORATIVE (HEREINAFTER "BCHC OR "THE COLLABORATIVE"), A PARTNERSHIP OF BOSTON HEALTH INSTITUTIONS AND COMMUNITY ORGANIZATIONS, BACKED BY THE BOSTON PUBLIC HEALTH COMMISSION, THAT COMPLETES A ROBUST CHNA EVERY THREE YEARS. EACH MEMBER'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. WITH REPRESENTATION ON THE COLLABORATIVE'S STEERING COMMITTEE, BMC LENDS ADDITIONAL EXPERTISE TO OVERSEE THE PROCESS OF DATA COLLECTION, ANALYSIS, INTERPRETATION, PRIORITIZATION, AND THE DISSEMINATION OF FINDINGS. THE COLLABORATIVE 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. THE CHNA WAS PREPARED BY BOSTON PUBLIC HEALTH COMMISSION, WITH THE SUPPORT OF A THIRD-PARTY CONSULTANT, HEALTH RESOURCES IN ACTION (HRIA) TO SUPPORT DATA COLLECTION, ANALYSIS, SYNTHESIS AND REPORT PRODUCTION. THIS PARTNERSHIP AND HRIA'S SUPPORT THAT THE ASSESSMENT REFLECTS RIGOROUS METHODOLOGY AND COMMUNITY INPUT.ALTOGETHER, THE COLLABORATIVE ENGAGED 62 RESIDENTS THROUGH EIGHT IN-PERSON AND VIRTUAL FOCUS GROUPS CONDUCTED IN A RANGE OF LANGUAGES AND ACROSS VARIOUS IDENTITIES, PRIMARILY THOSE 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 (FOR EXAMPLE AFRICAN AMERICAN, LATINO, HAITIAN, CAPE VERDEAN, VIETNAMESE, CHINESE), LIMITED-ENGLISH SPEAKERS, IMMIGRANT AND ASYLEE COMMUNITIES, FAMILIES AFFECTED BY INCARCERATION OR VIOLENCE, AND VETERANS. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH 13 INDIVIDUALS AND 28 COMMUNITY PARTNERS WERE ENGAGED THROUGH FIVE ADDITIONAL FOCUS GROUPS. THESE LEADERS REPRESENTED A CROSS SECTION OF SECTORS (COMMUNITY PARTNERS, SYSTEMS EXPERTS, COMMUNITY LEADERS) TO IDENTIFY AREAS OF ACTION AND PERSPECTIVES ON THE COMMUNITY. 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, AND ELECTED GOVERNMENT OFFICES. HRIA CONDUCTED THE FOCUS GROUPS AND INTERVIEWS, AND THEN SUMMARIZED AND ANALYZED THE DISCUSSIONS TO IDENTIFY COMMON THEMES ACROSS POPULATION GROUPS AS WELL AS UNIQUE CHALLENGES AND PERSPECTIVES IDENTIFIED BY POPULATIONS AND SECTORS, WITH AN EMPHASIS ON UNDERSTANDING THE CAUSES OF INEQUITIES. FREQUENCY AND INTENSITY OF DISCUSSIONS ON A SPECIFIC TOPIC WERE KEY INDICATORS USED FOR EXTRACTING MAIN THEMES. THE COLLABORATIVE ALSO CONDUCTED AN EXTENSIVE COMMUNITY SURVEY AND COLLECTED 1,866 RESPONSES. THE SURVEY WAS OFFERED IN A RANGE OF LANGUAGES AND SHARED AT COMMUNITY EVENTS. BMC'S COMMUNITY ENGAGEMENT TEAM TABLED AT MANY EVENTS AND ENCOURAGED RESIDENTS TO COMPLETE THE SURVEY. THE TEAM ALSO WENT DOOR-TO-DOOR TO ENCOURAGE SURVEY PARTICIPATION TO INCREASE DATA REPRESENTATION IN COMMUNITIES BMC SERVES.THE BOSTON COMMUNITY HEALTH COLLABORATIVE'S QUANTITATIVE 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 FOR THIS CHNA WERE GATHERED TO UNDERSTAND HEALTH OUTCOMES, HEALTH BEHAVIORS, AND SOCIAL DETERMINANTS OF HEALTH. EXISTING DATA WERE DRAWN FROM NATIONAL, STATE, AND CITY SOURCES, INCLUDING THE BOSTON BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BBRFSS), YOUTH RISK BEHAVIOR SURVEY (YRBS), THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH COMMUNITY HEALTH EQUITY SURVEY, THE U.S. CENSUS AMERICAN COMMUNITY SURVEY, VITAL RECORDS, AND THE ACUTE HOSPITAL CASE MIX DATABASE FROM THE CENTER FOR HEALTH INFORMATION AND ANALYSIS. THE SECONDARY DATA WORK GROUP PROVIDED INPUT TO PRIORITIZE THE LIST OF INDICATORS INCLUDED IN THIS 2025 CHNA BY CONSIDERING THE FOLLOWING CRITERIA: WHETHER THE INDICATORS CAN HELP DRIVE COLLECTIVE ACTION, HAVE A PREVENTION ORIENTATION, AND ARE NOT DUPLICATIVE OF OTHER RECENT AND EASILY ACCESSIBLE REPORTS. ALL SECONDARY DATA ON BIRTH AND DEATH RECORDS, BBRFSS, YRBS, AND ACUTE HOSPITAL CASE MIX WERE ANALYZED BY THE RESEARCH AND EVALUATION OFFICE OF THE BOSTON PUBLIC HEALTH COMMISSION. OTHER DATA WERE ANALYZED BY THE ORGANIZATIONS CITED IN THE DATA SOURCE. THE FOLLOWING RECENT REPORTS AND ASSESSMENTS PROVIDE DETAILED DATA ON SPECIFIC TOPICS, POPULATIONS, AND/OR GEOGRAPHIES AND WERE ALSO REVIEWED TO INFORM THIS CHNA PROCESS: ADVANCING LGBTQIA+ EQUITY IN BOSTON, BOSTON OPIOID SETTLEMENT COMMUNITY ENGAGEMENT REPORT, CITY OF BOSTON FOOD RECOVERY ASSESSMENT, FRANCISCAN CHILDREN'S CHNA, YOUTH SPEAKS BOSTON, WEAVING WELL-BEING: A NEW PARADIGM FOR MENTAL HEALTH AND WELLNESS, ELEVATING VOICES OF OVERDOSE SURVIVORS LIVING ON THE STREET, ALLSTON BRIGHTON NEEDS ASSESSMENT, AND FOOD ACCESS IN ALLSTON-BRIGHTON. KEY THEMES FROM THESE RECENT AND RELATED REPORTS AND ASSESSMENTS WERE SUMMARIZED TO UNDERSTAND ALIGNMENT WITH EMERGING THEMES FROM THIS PROCESS. ADDITIONALLY, BMC CREATED A SUPPLEMENT FOCUSED ON BEHAVIORAL, MENTAL HEALTH, AND SUBSTANCE USE TO ASSESS NEEDS FOR THE COMMUNITIES AROUND OUR BROCKTON BEHAVIORAL HEALTH CENTER. SECONDARY DATA USED FOR THIS SUPPLEMENT INCLUDED MASSACHUSETTS BUREAU OF SUBSTANCE ABUSE SERVICES AND THE 2024 CENTER FOR HEALTH INFORMATION AND ANALYSIS (CHIA) ANNUAL REPORT ON THE MASSACHUSETTS HEALTH CARE SYSTEM. THE REGION FOR THIS SUPPLEMENT WAS METRO SOUTH, WHICH DIFFERED FROM OUR MAIN CAMPUS CHNA. WE ARE CONDUCTING A FULL CHNA IN THIS REGION IN 2026.SECONDARY DATA IN THE 2025 CHNA REPRESENTS THE MOST RECENT DATA AVAILABLE, AND IN SEVERAL CASES OVERLAPS WITH DATA INCLUDED IN THE 2022 CHNA DUE TO THE NEED TO COMBINE DATA ACROSS YEARS TO LOOK AT PATTERNS BY NEIGHBORHOOD AND SOCIAL AND DEMOGRAPHIC FACTORS. BOSTON MEDICAL CENTER PART V, SECTION B, LINE 6A: BMC CONDUCTED THE CHNA WITH THE FOLLOWING HOSPITALS: BETH ISRAEL LAHEY HEALTH (BETH ISRAEL DEACONESS MEDICAL CENTER AND NEW ENGLAND BAPTIST HOSPITAL), BOSTON CHILDREN'S HOSPITAL, MASS GENERAL BRIGHAM (BRIGHAM AND WOMEN'S FAULKNER HOSPITAL, BRIGHAM AND WOMEN'S HOSPITAL, MASSACHUSETTS EYE AND EAR INFIRMARY, MASSACHUSETTS GENERAL HOSPITAL), DANA-FARBER CANCER INSTITUTE, AND TUFTS MEDICAL CENTER. BOSTON MEDICAL CENTER PART V, SECTION B, LINE 6B: BOSTON MEDICAL CENTER ALSO CONDUCTED THE CHNA WITH THE FOLLOWING NON-HOSPITAL ORGANIZATIONS: BOSTON PUBLIC HEALTH COMMISSION, FENWAY HEALTH, MADISON PARK DEVELOPMENT CORPORATION, NEIGHBORHEALTH, MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS, URBAN EDGE, AND YMCA OF GREATER BOSTON.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: BMC, UNWAVERING IN ITS COMMITMENT TO ADDRESS THE HEALTH NEEDS OF ITS COMMUNITY, PROVIDES A WIDE RANGE OF PROGRAMS BEYOND THE TRADITIONAL MEDICAL MODEL. CORE TO FULFILLING BMC'S PUBLIC HEALTH MISSION AND CONSISTENT WITH THE CHNA FINDINGS, THE GOALS OF ITS COMMUNITY BENEFITS PROGRAM ARE TO IMPROVE ACCESS TO HEALTH SERVICES AND IMPROVE HEALTH OUTCOMES FOR UNDER-RESOURCED POPULATIONS IN ITS COMMUNITY. THE CHNA THAT WAS COMPLETED DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2025, AND THE ASSOCIATED IMPLEMENTATION STRATEGY ADOPTED FROM THIS PROCESS WERE DESIGNED TO INFORM BMC'S COMMUNITY BENEFITS INITIATIVES DURING THE FISCAL YEARS ENDING SEPTEMBER 30, 2026; SEPTEMBER 30, 2027; AND SEPTEMBER 30, 2028. THROUGHOUT THE CHNA PROCESS, COMMUNITY RESIDENTS, LEADERS, SERVICE PROVIDERS, AND PUBLIC HEALTH PROFESSIONALS PROVIDED THEIR INSIGHT INTO CHALLENGES AND OPPORTUNITIES TO SUPPORT THE HEALTH OF BOSTON COMMUNITIES. ANALYSIS OF DATA FROM KEY INFORMANT INTERVIEWS, FOCUS GROUPS, AND THE COMMUNITY SURVEY SUGGEST THAT MANY OF THE PRIORITIES HIGHLIGHTED IN PREVIOUS CHNA PROCESSES PERSIST, AND EMERGING CHALLENGES HIGHLIGHT THE NEED FOR DEEPER COLLABORATION AND ACTION ACROSS PARTNERS AND SECTORS. THE RESULTING PRIORITIES REFLECT COMPLEX, SYSTEMIC CHALLENGES AND COMMUNITY CONDITIONS THAT REQUIRE SUSTAINED COLLABORATION AND A STRONG COMMITMENT TO WORKING IN PARTNERSHIP WITH COMMUNITIES TO ADVANCE HEALTH EQUITY AND CREATE MEANINGFUL, LONG-TERM CHANGE. THE BCHC STEERING COMMITTEE FOCUSED ON FOUR PRIORITIES, WHICH FORM THE FOUNDATION FOR THE COLLABORATIVE'S 2025-28 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP): HOUSING, ECONOMIC MOBILITY, FOOD INSECURITY, AND ACCESS TO HEALTH CARE. SIMILAR TO PREVIOUS CHNA PROCESSES IN BOSTON, HOUSING AFFORDABILITY AND MENTAL HEALTH/SUBSTANCE MISUSE RISE TO THE TOP AS KEY CONCERNS. HOUSING CONCERNS WERE RAISED IN ALMOST ALL INTERVIEWS AND FOCUS GROUP DISCUSSIONS. ECONOMIC INSECURITY, AND ITS IMPACT SPECIFICALLY ON MENTAL HEALTH, EMERGES AS A TOP CONCERN. "ECONOMIC INSECURITY AND EMPLOYMENT" RANKED AS THE FOURTH-MOST IMPORTANT CONCERN IN THE MOST RECENT COMMUNITY SURVEY, COMPARED TO A RANK OF ELEVENTH IN THE 2019 CHNA COMMUNITY SURVEY. THE HIGH COST OF CHILDCARE REMAINS A BURDEN, ESPECIALLY FOR LOW-INCOME FAMILIES. ACCESS TO AFFORDABLE AND HEALTHY FOOD ALSO EMERGES AS A KEY CONCERN. RATES OF FOOD INSECURITY ARE RISING. INTERVIEW AND FOCUS GROUP PARTICIPANTS DISCUSSED NUMEROUS BARRIERS TO ACCESSING AND AFFORDING HEALTHY FOODS IN THEIR COMMUNITIES. CLIMATE CHANGE AND THE RESULTING ANXIETY ARE EMERGING AS KEY CONCERNS THAT WILL CONTINUE TO IMPACT BOSTON RESIDENTS. WHILE A MAJORITY OF BOSTON RESIDENTS ARE INSURED AND HAVE A PRIMARY CARE PROVIDER, CHALLENGES RELATED TO HEALTH CARE ACCESS WERE ALSO RAISED, INCLUDING STRUCTURAL CHALLENGES (WAITLISTS/WAIT TIMES, PROVIDER TURNOVER, ETC.) AND CHALLENGES RELATED TO ENGAGEMENT WITH HEALTH CARE PROVIDERS OR STAFF (E.G., LACK OF CULTURAL HUMILITY). BMC HAS ADDED TWO ADDITIONAL AREAS OF FOCUS TO OUR CHIP: VIOLENCE AND TRAUMA, AND BEHAVIORAL, MENTAL HEALTH, AND SUBSTANCE USE DISORDER (SUD). THE INCLUSION OF VIOLENCE AND TRAUMA STEMS FROM THE GEOGRAPHIC AREAS IN WHICH BMC'S PATIENT POPULATION RESIDES, WHERE POPULATIONS ARE ROUTINELY EXPOSED TO VIOLENCE. THE INCLUSION OF BEHAVIORAL, MENTAL HEALTH AND SUBSTANCE USE DISORDER (SUD) DERIVES FROM THE GROWING MENTAL HEALTH EPIDEMIC THAT HAS LARGELY AFFECTED BMC'S PATIENT POPULATION. IN 2021, BMC HEALTH SYSTEM PURCHASED A FORMER NURSING HOME IN BROCKTON, MASSACHUSETTS, WHICH IS NOW OPERATING AS BROCKTON BEHAVIORAL HEALTH CENTER. THE CENTER PROVIDES INPATIENT CARE AND IS DESIGNED TO MEET MASSHEALTH PATIENTS' NEEDS AROUND CO-OCCURRING BEHAVIORAL HEALTH AND SUD. THESE HEALTH CONCERNS ARE SIGNIFICANT IN THE REGION IT SERVES, THE METRO SOUTH REGION, WHICH WARRANTED ITS INCLUSION.PRIORITY AREA: HOUSINGBOSTON MEDICAL CENTER'S LIVING WELL AT HOME (LWAH) IS THE HOSPITAL'S HOUSING SERVICES PROGRAM. CREATED FROM A 2022 MERGER OF TWO ESTABLISHED PROGRAMS, ELDERS LIVING AT HOME, WHICH HAD SERVED THE COMMUNITY SINCE 1986, AND THE HOUSING PRESCRIPTIONS PROGRAM, LWAH ADDRESSES HOUSING INSECURITY THROUGH COMPREHENSIVE SUPPORT SERVICES. THE PROGRAM'S CLIENTS RANGE IN AGE FROM TEENS TO INDIVIDUALS OVER 80. CLIENTS ARE REFERRED THROUGH BMC'S PRIMARY CARE PROVIDERS OR VIA CONTRACTS WITH THE CITY OF BOSTON AND THE STATE EXECUTIVE OFFICE OF ELDER AFFAIRS FOR INDIVIDUALS 55 AND OVER WHO ARE UNHOUSED OR AT RISK OF LOSING THEIR HOUSING.OPERATING UNDER THREE CORE PILLARS, PRE-TENANCY SUPPORT, POST-TENANCY STABILIZATION, AND EVICTION PREVENTION, LWAH PROVIDES BEHAVIORAL HEALTH SUPPORT, CASE MANAGEMENT, AND INDIVIDUALIZED SERVICE PLANS. IN FY25, THE PROGRAM HOUSED OR PREVENTED EVICTION FOR 167 HOUSEHOLDS AND PROVIDED CASE MANAGEMENT SERVICES TO 940 CLIENTS, WITH THE MAJORITY BEING VERY LOW INCOME AND APPROXIMATELY HALF AGED 60 OR OLDER.OVER THE NEXT THREE YEARS, BMC AIMS TO MAINTAIN CURRENT PROGRAMMING, EXPAND SERVICE CAPACITY FOR KEY POPULATIONS, EXPLORE NEW PERMANENT SUPPORTIVE HOUSING PARTNERSHIPS, EXPAND TRANSITIONAL HOUSING OPPORTUNITIES FOR HIGHEST-RISK CLIENTS, AND CONTINUE TO PROVIDE CLINICAL SERVICES ALONGSIDE HOUSING.PRIORITY AREA: FOOD INSECURITYTHE PREVENTIVE FOOD PANTRY AND TEACHING KITCHEN ADDRESS HUNGER-RELATED ILLNESS AND FOOD INSECURITY AMONG A LOW-INCOME, LARGELY UNDERSERVED PATIENT POPULATION WITHIN GREATER BOSTON. INDIVIDUALS ARE REFERRED TO THE PROGRAM BY THEIR PROVIDER WHO PROVIDES A "PRESCRIPTION" 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 7,271 PEOPLE EACH MONTH. IN FY25, WE PROVIDED FOOD TO 87,256 PEOPLE, AND DISPENSED APPROX. 11,000 POUNDS OF FOOD EACH WEEK. 50% OF THE FOOD DISPENSED ARE PERISHABLE ITEMS, WHICH PATIENTS ARE OFTEN LACKING IN THEIR DIET BECAUSE OF THE COST.WITH NEARLY 8,000 SQUARE FEET OF ROOFTOP GROWING SPACE ACROSS TWO URBAN FARMS, BMC HARVESTED OVER 10,000 POUNDS OF CULTURALLY RELEVANT PRODUCE IN FY25, VALUED AT OVER $65,000, WHILE WELCOMING MORE THAN 1,500 VISITORS FOR HANDS-ON EDUCATION AND CONNECTION. THIS FRESH FOOD DIRECTLY SUPPORTS BMC'S PREVENTIVE FOOD PANTRY, ROSIE'S PLACE (A NEARBY WOMEN'S SHELTER), OUR LOW-COST FARMERS MARKET, THE BMC TEACHING KITCHEN, CAFETERIA, AND PATIENT MEALS. TO FURTHER SUPPORT HEALTHY CHOICES, THE BMC TEACHING KITCHEN OFFERS MORE THAN 18 MONTHLY CLASSES BOTH IN-PERSON AND VIRTUAL WHERE AN AVERAGE OF 189 MONTHLY PARTICIPANTS BUILD CULINARY SKILLS AND LEARN TO PREPARE MEDICALLY APPROPRIATE, AFFORDABLE, AND CULTURALLY RELEVANT MEALS. BY WEAVING THESE THREE INITIATIVES TOGETHER, NOURISHING OUR COMMUNITY STRENGTHENS LOCAL FOOD SYSTEMS, REDUCES DISPARITIES IN ACCESS TO NUTRITION, AND DEMONSTRATES HOW HOSPITALS CAN LEAD NATIONALLY IN TREATING FOOD AS MEDICINE.OVER THE NEXT THREE YEARS, BMC WILL CONTINUE TO LEVERAGE FOOD AS MEDICINE TO IMPROVE FOOD ACCESS FOR ALL, INVEST IN A SUSTAINABLE LOCAL FOOD SYSTEM, AND EMPOWER COMMUNITIES THROUGH SKILL-BUILDING EDUCATION. WE WILL DO THIS BY PROVIDING HEALTHY FOOD, NUTRITION SERVICES, HOME DELIVERY OF FOOD, AND NAVIGATION OF BENEFITS TO PATIENTS. WE WILL ALSO INCREASE DIET-APPROPRIATE FOODS AND RESOURCES FOR CHRONIC DISEASES THROUGH OUR TEACHING KITCHEN AND INCREASE SUPPLY OF HEALTHY FOODS AVAILABLE THROUGH OUR FARM AND ENGAGING WITH COMMUNITY AND BUSINESS LEADERS.PRIORITY AREA: ECONOMIC MOBILITYBMC HAS MADE INTENTIONAL INVESTMENTS TO INCREASE LOCAL ECONOMIC MOBILITY TO IMPROVE HEALTH OUTCOMES NOT ONLY FOR INDIVIDUALS, BUT ALSO FOR NEIGHBORHOODS AND COMMUNITIES AS A WHOLE. TO REIMAGINE BOSTON'S JOBS ECOSYSTEM, BMC LAUNCHED THE BOSTON OPPORTUNITY SYSTEM (BOS) COLLABORATIVE, A COMMUNITY-DRIVEN INITIATIVE, TO DEVELOP EMPLOYMENT OPPORTUNITIES IN HISTORICALLY DISINVESTED BOSTON NEIGHBORHOODS. BMC ALSO ENGAGES LOCAL COMMUNITY MEMBERS IN JOB TRAINING TO EXPAND AND DIVERSIFY THE WORKFORCE THROUGH PROGRAMS LIKE BMC HEALTHCARE FELLOWS, A PROGRAM THAT WORKS WITH SELF-IDENTIFIED PATIENTS TO PROVIDE JOB TRAINING FOR HIGH DEMAND HEALTHCARE OR LIFE SCIENCE ROLES AND PLACE THEM INTO FULL TIME EMPLOYMENT AT BMC OR A PARTNER COMPANY. CURRENTLY, OVER 55 PERCENT OF BMC EMPLOYEES IDENTIFY AS PEOPLE OF COLOR. BOSTON MEDICAL CENTER PART V, SECTION B, LINE 13H: UNDER 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. PART V, SECTION B, LINE 11 (CONTINUATION): A KEY PROGRAM THAT ILLUMINATES THESE INTENTIONAL INVESTMENTS IS BMC'S ECONOMIC JUSTICE HUB. THE ECONOMIC JUSTICE HUB, LAUNCHED IN 2023, BUILDS ON THE HOSPITAL'S APPROACH TO ADDRESSING ECONOMIC INEQUITY UNDER THREE PILLARS: EXPANDING BMC'S NATIONALLY RECOGNIZED TAX AND FINANCIAL SERVICES PROGRAM STREETCRED, CREATING PATHWAYS TO WELL-PAYING JOBS, AND FUNDING AN ANALYSIS ON THE "CLIFF EFFECT," THE CORRELATION BETWEEN INCREASED INCOME AND LOSS OF PUBLIC BENEFITS. THE GOAL OF THE ECONOMIC JUSTICE HUB IS TO CREATE SYSTEMIC CHANGE SO ALL FAMILIES CAN THRIVE. TO DATE, WE HAVE ENROLLED OVER 1,700 FAMILIES (OVER 5,400 PEOPLE) IN OUR ECONOMIC BUNDLE WITH AN ESTIMATED $3 MILLION/YEAR IN RESOURCES CLAIMED. WE HAVE RETURNED OVER $6.4 MILLION IN TAX REFUNDS TO FAMILIES AT BMC ALONE. OUR HEALTH BY WEALTH COLLECTIVE HAS 37 MEMBERS IN 13 STATES AND D.C.; IT HAS RETURNED $35 MILLION IN TAX REFUNDS TO OVER 20,000 FAMILIES. HOUSED IN BMC'S PEDIATRICS DEPARTMENT, THE HUB ALSO CREATES JOB OPPORTUNITIES WITH FLEXIBLE SCHEDULES FOR UNDEREMPLOYED PARENTS FROM LOW-INCOME, HISTORICALLY DISINVESTED COMMUNITIES INCLUDING TRAINING PARTICIPANTS AS FINANCIAL NAVIGATORS, PEER EDUCATORS, AND FINANCIAL COACHES FOR OTHER FAMILIES IN PEDIATRICS UNDER STREETCRED. ONCE TRAINED, PARTICIPANTS GAIN SKILLS TO SEEK OTHER JOBS WITHIN BMC OR BEYOND. OVER THE NEXT THREE YEARS, BMC WILL OPEN PATHWAYS TO EMPLOYMENT AND PROFESSIONAL ADVANCEMENT FOR OUR COMMUNITY MEMBERS. WE WILL DO THIS BY PROVIDING WORKFORCE DEVELOPMENT OPPORTUNITIES FOR EMPLOYMENT AND SKILLS TRAINING AT BMC AS WELL AS MAINTAINING PATHWAYS FOR CAREER ADVANCEMENT AND EDUCATION FOR BMC EMPLOYEES. FOR PATIENTS, WE WILL INCREASE AWARENESS AND ACCESS OF ECONOMIC TOOLS AND RESOURCES FOR FAMILIES, MAINTAIN/EXPAND SUSTAINABILITY PROGRAMMING AVAILABLE THROUGH NAVIGATION AND COMMUNITY BUILDING, AND PROMOTE RESILIENT NEIGHBORHOODS WITH ENHANCED OPPORTUNITIES FOR COMMUNITY INPUT.PRIORITY: ACCESS TO HEALTH CARE BOSTON MEDICAL CENTER HAS A RICH HISTORY OF CREATING AND EXPANDING ACCESS TO MEDICAL CARE, DATING BACK TO 1864 AS BOSTON CITY HOSPITAL. BMC HAS CONTINUED TO HONOR THAT LEGACY BY DEVELOPING PROGRAMS AND PARTNERSHIPS THAT INCREASE ACCESS TO CARE, HOUSED IN OUR POPULATION HEALTH AND VALUE BASED CARE TEAMS. THIS APPROACH IMPROVES HEALTH OUTCOMES WHILE MAKING HEALTH CARE MORE SUSTAINABLE AND AFFORDABLE. BY IDENTIFYING GAPS IN PREVENTIVE CARE AND CHRONIC DISEASE MANAGEMENT EARLY, BMC'S VALUE-BASED CARE TEAM HELPS PATIENTS AVOID COSTLY EMERGENCY VISITS AND HOSPITAL STAYS, AND ENSURES HIGHER-QUALITY, LONGER-TERM OUTCOMES ACROSS POPULATIONS. OUR COMPLEX CARE MANAGEMENT PROGRAM TEAM PROVIDES INTENSIVE CARE MANAGEMENT SERVICES FOR PATIENTS WITH CHRONIC MEDICAL CONDITIONS, SUBSTANCE USE OR BEHAVIORAL HEALTH CHALLENGES, OR SOCIAL BARRIERS TO HEALTH AND HAS DEMONSTRATED IMPROVED HEALTH OUTCOMES AND REDUCED HOSPITAL UTILIZATION. OUR INTEGRATED BEHAVIORAL HEALTH TEAM PROVIDES SHORT-TERM TREATMENT FOR BEHAVIORAL HEALTH CONDITIONS IN PRIMARY CARE SETTINGS, BREAKING DOWN BARRIERS TO CARE AND HELPING PATIENTS AND PCPS ALIKE MANAGE THESE CONDITIONS. OUR HEALTH EQUITY ACCELERATOR ENGAGED 4,000 PATIENTS IN HEALTH EQUITY PROGRAMS TO IMPROVE HEALTH OUTCOMES IN CLINICAL AREAS WHERE WE SEE THE GREATEST DISPARITIES AND SAW IMPRESSIVE OUTCOMES SUCH AS 50% REDUCTION IN DIABETES INEQUITY IN SIX MONTHS AND 20% REDUCTION IN POSTPARTUM HYPERTENSION READMISSIONS THANKS TO OUR REMOTE BLOOD PRESSURE MONITORING PROGRAM.A CORNERSTONE OF THIS WORK IS THE PATIENT NAVIGATOR. PATIENT NAVIGATORS PLAY A CRITICAL ROLE IN ENSURING PATIENTS ACCESS VITAL PREVENTIVE SCREENINGS, PRIMARY CARE VISITS, AND CHRONIC CONDITION MANAGEMENT. THROUGH PERSONALIZED OUTREACH, THEY BUILD TRUSTED RELATIONSHIPS WITH PATIENTS, PROVIDE EDUCATION ON SCREENINGS LIKE MAMMOGRAMS, A1C CHECKS, AND COLON CANCER TESTS, AND BREAK DOWN BARRIERS SUCH AS TRANSPORTATION, INSURANCE, AND LANGUAGE ACCESS. THEY SERVE AS A CONSISTENT POINT OF CONTACT, OFFERING CULTURALLY RESPONSIVE GUIDANCE THAT HELPS PATIENTS FEEL SUPPORTED THROUGHOUT THEIR CARE JOURNEY. FOR EXAMPLE, IN FY25, PATIENT NAVIGATORS CONDUCTED OUTREACH TO 10,000 PATIENTS, LEADING TO 4,500 COMPLETED CANCER SCREENINGS FOR PRIMARY CARE PATIENTS. BY COMBINING DIRECT ENGAGEMENT WITH DATA-DRIVEN TRACKING AND NAVIGATION, PATIENT NAVIGATORS ARE HELPING TRANSFORM CARE DELIVERY AT BMC REDUCING DISPARITIES, IMPROVING EQUITY, AND FULFILLING THE HOSPITAL'S MISSION TO MAKE HIGH-QUALITY CARE ACCESSIBLE TO ALL.OVER THE NEXT THREE YEARS, BMC WILL CONTINUE TO PROVIDE EQUITABLE AND ACCESSIBLE WRAPAROUND CARE AND SERVICES THAT MEET LOW-RESOURCED PATIENTS AND COMMUNITIES WHERE THEY ARE (STAYING TRUE TO OUR MISSION AND DNA). WE WILL INCREASE SCREENING RATES FOR CHRONIC DISEASES IN LEADING AREAS OF MORTALITY THROUGH INTERVENTIONS SUCH AS THE HEALTH EQUITY ACCELERATOR, VALUE-BASED CARE TEAMS, AND PROSTATE CANCER SCREENING VAN. WE WILL SUPPORT AND STRENGTHEN OUR COMMUNITY ADVISORY STRUCTURES AND CHRONIC CONDITION CARE COORDINATION PATHWAYS. WE WILL CONTINUE TO SUSTAIN WRAPROUND SUPPORTS SUCH AS TRANSPORTATION, NAVIGATION, AND CONNECTION TO COMMUNITY RESOURCES THROUGH INITIATIVES LIKE THRIVE SDOH SCREENING AND PROGRAMMING TO HELP PATIENTS ACCESS SERVICES AND IMPROVE HEALTH OUTCOMES. AND WE WILL INCREASE SERVICES TO PATIENTS IN THE COMMUNITIES IN WHICH THEY LIVE AND WORK THROUGH OUR MANY COMMUNITY HEALTH PARTNERSHIPS AND MOBILE CARE.PRIORITY AREA: VIOLENCE AND TRAUMAIN RESPONSE TO OUR COMMUNITY'S NEED, BMC HAS BUILT SEVERAL PROGRAMS DEDICATED TO VIOLENCE AND TRAUMA. FOR EXAMPLE, SINCE 2006, BMC'S VIOLENCE INTERVENTION ADVOCACY PROGRAM (VIAP) HAS RESPONDED TO ALL GUNSHOT AND STAB WOUND PATIENTS IN THE HOSPITAL'S EMERGENCY DEPARTMENT. IN FY25, VIAP RESPONDED TO 252 NEWLY INJURED INDIVIDUALS (STAB AND GUNSHOT WOUNDS), 439 UNIQUE CLIENTS (DIRECT VICTIMS AND FAMILY MEMBERS), AND HAD A TOTAL OF 3,124 SERVICE ENCOUNTERS WITH VICTIMS AND FAMILIES. SINCE 2006 THE PROGRAM HAS RESPONDED TO OVER 7,900 NEW INJURIES. THE TEAM WORKS TO GUIDE VICTIMS OF COMMUNITY VIOLENCE THROUGH PHYSICAL AND EMOTIONAL RECOVERY USING A TRAUMA-INFORMED APPROACH TO CARE, INCLUDING THROUGH CRISIS INTERVENTION, MENTAL HEALTH SERVICES, ONGOING CASE MANAGEMENT, FAMILY SUPPORT SERVICES, AND MORE. THE LONG-TERM GOAL IS TO EMPOWER PATIENTS WITH SKILLS, SERVICES, AND OPPORTUNITIES SO THAT THEY MAY REDUCE VIOLENT REINJURY AND FUTURE VIOLENCE ENACTMENT CONTRIBUTING TO BUILDING SAFER AND HEALTHIER COMMUNITIES.IN THE NEXT THREE YEARS, BMC WILL CONTINUE TO PROVIDE CULTURALLY SENSITIVE PROGRAMMING FOR INDIVIDUALS IMPACTED BY VIOLENCE AT HOME OR IN THEIR COMMUNITIES. WE WILL CONTINUE TO SUPPORT VICTIMS OF VIOLENCE BY PROVIDING CASE MANAGEMENT AND FAMILY ADVOCACY SERVICES FROM COMMUNITY HEALTH WORKERS WITH LIVED EXPERIENCE. WE WILL PROVIDE BOTH INPATIENT AND OUTPATIENT THERAPEUTIC SERVICES FOR PATIENTS, FAMILIES, AND COMMUNITY MEMBERS EXPOSED TO VIOLENCE THROUGH OUR PROGRAMS SUCH AS CHILD WITNESS TO VIOLENCE PROGRAM AND THE COMMUNITY VIOLENCE RESPONSE TEAM. WE WILL PROVIDE DIRECT ADVOCACY SERVICES TO THOSE HARMED BY DOMESTIC VIOLENCE, INCLUDING CARE OR CASE ESCALATION AS NEEDED.PRIORITY AREA: BEHAVIORAL, MENTAL HEALTH, AND SUBSTANCE USE DISORDER (SUD)WHILE OPIOID-RELATED OVERDOSE DEATHS IN MASSACHUSETTS AND BOSTON SAW SIGNIFICANT DECLINES IN THE LAST FEW YEARS, PERSISTENT RACIAL DISPARITIES IN OVERDOSE DEATHS AND THE CONTINUED PREVALENCE OF FENTANYL IN THE DRUG SUPPLY REMAIN CONCERNS FOR BOSTON MEDICAL CENTER'S PATIENT POPULATION. INCREASED TREATMENT ACCESS AND INVESTMENTS IN HARM REDUCTION APPROACHES LIKE THOSE DEVELOPED AND DELIVERED BY BMC ARE WORKING TO DECREASE OVERALL OVERDOSE DEATHS AND REMAIN A STEADFAST COMMITMENT BY BMC EXPERTS AND LEADERS. SIMULTANEOUSLY, BMC PROVIDERS AND TEAMS ARE WORKING TO ADDRESS CO-OCCURRING MENTAL HEALTH CONCERNS THROUGH CULTURALLY SENSITIVE, TRAUMA-INFORMED CARE. BMC'S GRAYKEN CENTER FOR ADDICTION, A NATIONAL LEADER IN ADDICTION MEDICINE, RESEARCH, POLICY, AND ADVOCACY, PROVIDES CUTTING-EDGE SUBSTANCE USE DISORDER TREATMENT. THE GRAYKEN CENTER USES BEST PRACTICES, MOST OF WHICH ARE DEVELOPED AT BMC, TO TREAT APPROXIMATELY 2,500 PATIENTS PER MONTH OF ALL AGES THROUGH VARIOUS HOSPITAL- AND COMMUNITY-BASED PROGRAMS.THE HOSPITAL'S OFFICE-BASED ADDICTION TREATMENT (OBAT) PROGRAM, ESTABLISHED IN 2003, CURRENTLY SERVES MORE THAN 800 PATIENTS, WITH 7,542 PATIENT VISITS IN THE FIRST THREE QUARTERS OF 2025, MAKING IT THE LARGEST HOSPITAL-BASED ADDICTION TREATMENT PROGRAM IN NEW ENGLAND. PATIENTS RECEIVE SPECIALIZED TREATMENT FOR THEIR SUBSTANCE USE DISORDER INTEGRATED WITHIN A PRIMARY CARE SETTING, ALLOWING ALL THEIR MEDICAL NEEDS TO BE ADDRESSED BY A TEAM OF PROVIDERS. PART V, SECTION B, LINE 11 (CONTINUATION): AS PART OF BMC'S MISSION TO PROVIDE COMPREHENSIVE, HOLISTIC CARE, AND TO HELP FILL AN IMPORTANT UNMET NEED IN MASSACHUSETTS, BMC BROCKTON BEHAVIORAL HEALTH CENTER PROVIDES INNOVATIVE CARE TO PEOPLE WITH CO-OCCURRING SUBSTANCE USE DISORDERS AND MENTAL ILLNESS. THE CENTER PROVIDES SPECIALIZED, CULTURALLY COMPETENT CARE TO PATIENTS IN TWO ACUTE INPATIENT PSYCHIATRIC UNITS AND ONE CLINICAL STABILIZATION SERVICE, DELIVERED BY AN EXPERT TEAM REFLECTING THE MAKEUP OF THE COMMUNITIES WE SERVE. OUR TWO ACUTE INPATIENT PSYCHIATRIC UNITS SERVE PATIENTS AGED 16 AND UP WHO POSE AN IMMINENT RISK TO THEMSELVES OR OTHERS.IN THE NEXT THREE YEARS, WE WILL CONTINUE TO PROVIDE CULTURALLY SENSITIVE, MULTI-COMPONENT PROGRAMMING FOR INDIVIDUALS WITH BEHAVIORAL, MENTAL HEALTH, AND/OR SUD THAT INCLUDE DISEASE EDUCATION, COGNITIVE BEHAVIORAL THERAPY, AND WRAPAROUND SOCIAL AND LIFESTYLE SUPPORTS TO ENCOURAGE RECOVERY. WE WILL INCREASE ACCESS FOR DUAL-DIAGNOSIS PATIENTS (CO-OCCURRING SUD AND MENTAL HEALTH) WITH THE GOAL OF LOWERING READMISSION RATES (AND RELAPSE RATES) BY MAINTAINING CURRENT PROGRAMMING AND EXPLORING AREAS FOR EXPANSION. WE WILL ALSO MAINTAIN AND EXPAND CURRENT MENTAL HEALTH SERVICES FOR YOUTH. FINALLY WE ARE IN THE PROCESS OF CONDUCTING A FULL CHNA IN THE METRO SOUTH REGION (LOCATION OF BMC BROCKTON BEHAVIORAL HEALTH CENTER AND BMC-SOUTH) TO FULLY UNDERSTAND ALL HEALTH NEEDS IN THAT COMMUNITY.PART V, SECTION B, LINE 13A: FOR PATIENTS WHO FALL OUTSIDE THE COMMONWEALTH'S ASSISTANCE PROGRAMS, PATIENTS ARE CHARGED AT THE SAME LEVELS AS INSURERS ARE CHARGED, BUT THEY ARE OFFERED A PROMPT-PAY DISCOUNT (REGARDLESS OF INCOME LEVEL) BASED ON THE UNCOMPENSATED CARE COST TO CHARGE RATIO IF THE PAYMENTS ARE MADE WITHIN THE FIRST 30 DAYS FROM THE AGREEMENT. 4 1 - MARGARET M SHEA RN ADULT DAY HEALTH PRO 229 RIVER STREET MATTAPAN 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 34 NORTH PEARL STREET BROCKTON MA 02301 BUREAU OF SUBSTANCE ADDICTION SERVICES-CERTIFIED CLINICAL STABILIZATION SRVC 4 - BOSTON MEDICAL CENTER COMMUNITY BEHAVIOR 850 HARRISON AVENUE DOWLING BLDG FL 7 BOSTON MA 02118 BUREAU OF SUBSTANCE ADDICTION SERVICES PART I, LINE 3C: FOR PATIENTS WHO FALL OUTSIDE THE COMMONWEALTH'S ASSISTANCE PROGRAMS, PATIENTS ARE CHARGED AT THE SAME LEVELS AS INSURERS ARE CHARGED, BUT THEY ARE OFFERED A PROMPT-PAY DISCOUNT (REGARDLESS OF INCOME LEVEL) BASED ON THE UNCOMPENSATED CARE COST TO CHARGE RATIO IF THE PAYMENTS ARE MADE WITHIN THE FIRST 30 DAYS FROM THE AGREEMENT.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) AND 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 2025, BMC RECOGNIZED NET UNFAVORABLE SETTLEMENTS FROM MEDICARE, MEDICAID, WELLSENSE, BLUE CROSS AND OTHER PAYORS RELATED TO PRIOR YEARS OF APPROXIMATELY ($14,227,000). 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.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 2025 WITH $17.3 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(T) FOUND ON PAGES 19 AND 20 OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF $225,271,736 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: NEEDS ASSESSMENTIN ADDITION TO THE CHNA PROCESS, BMC HAS EXTENSIVE EXPERIENCE AND INTERNAL STRUCTURES FOR ASSESSING COMMUNITY NEEDS. WE HAVE A ROBUST TRADITION OF USING PATIENT DATA AND COMMUNITY INPUT TO INFORM SYSTEM DIRECTION AND STRATEGY. BMC DESIGNS HEALTHCARE WITH AND FOR PATIENTS AND COMMUNITIES BY INTERROGATING RACIAL DISPARITIES AT THE ROOT CAUSE. BMC IS INVESTED IN DEVELOPING INNOVATIVE INTERVENTIONS TO CLOSE THE GAPS IN HEALTH EQUITY BY INTENTIONALLY BRINGING OUR COMMUNITIES TO THE TABLE. WE ACTIVELY SEEK PATIENT INPUT, VALUE THEIR EXPERIENCES, AND ENGAGE IN COMMUNITY CONVERSATIONS. BMC IS DEDICATED TO DEVELOPING AND SUPPORTING MEDICAL PROFESSIONALS THAT ADVANCE SCIENTIFIC DISCOVERY AND IMPLEMENT SCALABLE APPROACHES AND INNOVATIVE SOLUTIONS THAT CAN IMPROVE HEALTH AND WELLBEING.BMC'S PATIENT ENGAGEMENT OFFICE MANAGES A VERY ACTIVE PATIENT FAMILY ADVISORY COMMITTEE WHICH MEETS 2X/MONTH AND PROVIDES INPUT ON A VARIETY OF ISSUES REGARDING PATIENT EXPERIENCE. IN ADDITION, OUR HEALTH QUALITY & EQUITY COMMITTEE (HQEC) SERVES AS A SHARED FORUM FOR LEADERS ACROSS CLINICAL, OPERATIONAL, AND COMMUNITY-FACING TEAMS TO ALIGN ON EQUITY PRIORITIES, REDUCE SILOS, AND COORDINATE STRATEGIES, REINFORCING A MORE INTEGRATED AND SYSTEM-WIDE APPROACH TO ADVANCING HEALTH EQUITY. THIS COMMITTEE ALSO HAS PATIENT MEMBERSHIP REPRESENTATION. THIS PAST YEAR, THE HQEC INFORMED A MORE EXPANSIVE COMMUNITY ENGAGEMENT APPROACH AND SUPPORTED THE EXPANSION OF PATIENT INSIGHT GROUPS ACROSS DEPARTMENTS. BMC'S OFFICE OF COMMUNITY ENGAGEMENT AND EXTERNAL AFFAIRS HOSTS A BUSY CALENDAR OF EVENTS BOTH BMC-MANAGED AND COMMUNITY-RUN WHERE WE ENGAGE WITH COMMUNITY MEMBERS AND COLLECT INPUT. THROUGH THE EQUITY PARTNERSHIP NETWORK, YOUTH ADVISORY BOARD, AND OTHER COMMUNITY-FACING GROUPS, THE OFFICE OF COMMUNITY ENGAGEMENT AND EXTERNAL AFFAIRS WORKS TO MAINTAIN A CONTINUOUS FEEDBACK LOOP WITH RESIDENTS, PATIENTS, AND LOCAL PARTNERS. THIS ENSURES THAT OUR HEALTH EQUITY STRATEGIES BOTH WITHIN THE HOSPITAL AND ACROSS THE NEIGHBORHOODS WE SERVE ARE INFORMED BY THE LIVED EXPERIENCES OF COMMUNITY MEMBERS.IN ADDITION TO WORKING WITH LARGE ANCHOR INSTITUTIONS, BMC IS DEEPLY COMMITTED TO SUPPORTING SMALLER COMMUNITY-BASED ORGANIZATIONS, GRASSROOTS LEADERS, AND NEIGHBORHOOD GROUPS. THESE PARTNERSHIPS HELP US REACH POPULATIONS THAT MAY NOT REGULARLY ENGAGE WITH LARGER INSTITUTIONS, ALLOWING US TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, PROMOTE WELLNESS, AND IMPROVE ACCESS TO PREVENTIVE SERVICES WITHIN TRUSTED LOCAL SETTINGS. FOR EXAMPLE, OUR HEART OF COMMUNITIES PROGRAM (A PARTNERSHIP BETWEEN BMC, MASS GENERAL BRIGHAM AND MATTAPAN COMMUNITY HEALTH CENTER) MEETS WITH COMMUNITY PARTNERS BI-MONTHLY, QUARTERLY, OR MONTHLY (DEPENDING ON OUR RELATIONSHIP WITH THEM, ONGOING WORK THEY HAVE IN THE COMMUNITY, AND ALIGNMENT WITH OUR WORK). SOME OF THESE PARTNERS INCLUDE MATTAPAN FOOD AND FITNESS COALITION, IFSI, URBAN FARMING INSTITUTE, CUMMINS HIGHWAY NEIGHBORHOOD ASSOCIATION, AND GREATER MATTAPAN NEIGHBORHOOD COUNCIL. DURING THESE SESSIONS, OUR PARTNERS SHARE INSIGHTS ON COMMUNITY PRIORITIES, RESULTS FROM ANY SURVEYS OR COMMUNITY WORK THEY ARE UNDERTAKING AND WE SHARE THEMES FROM OUR PATIENT ENGAGEMENT SURVEYS THAT CAN INFORM THEIR PROGRAMMING. THESE BIDIRECTIONAL SESSIONS INFORM OUR PROGRAMMING AND APPROACH TO COMMUNITY ENGAGEMENT. WE ALSO HOSTED A COMMUNITY CONVERSATION IN JANUARY 2025 WHICH KICKSTARTED OUR PROGRAM AND LOOK FORWARD TO HOSTING ANOTHER THIS YEAR.IN 2017, BMC IMPLEMENTED THRIVE, A FIRST-IN-NATION SOCIAL DETERMINANTS OF HEALTH SCREENING PROGRAM. THRIVE ASSESSES PATIENTS FOR HOUSING AND FOOD INSECURITY, EDUCATION ACCESS, AND OTHER UNDERLYING NEEDS THAT CONTRIBUTE TO POOR HEALTH OUTCOMES. THE THRIVE SCREENER IS NOW ACTIVE IN ALL AMBULATORY AND ED SETTINGS AT BMC AND HAS BEEN ROLLED OUT TO OUR COMMUNITY HOSPITALS AT BRIGHTON AND SOUTH AS WELL. THRIVE HAS BEEN ACKNOWLEDGED FOR EXCELLENCE AND PRESENTED AS AN EXAMPLE MODEL BY THE JOINT COMMISSION. THRIVE NOW IN ITS NINTH YEAR, PROVIDES IMPORTANT COMMUNITY DATA TO INFORM SYSTEM STRATEGY.FOUNDED IN 2021, OUR HEALTH EQUITY ACCELERATOR IS AN AMBITIOUS INITIATIVE THAT AIMS TO ELIMINATE THE RACE-BASED HEALTH EQUITY GAPS THAT EXISTS THROUGHOUT HEALTHCARE SYSTEMS IN THE U.S. THE ACCELERATOR'S APPROACH INTEGRATES THREE FOUNDATIONAL DRIVERS OF HEALTHCARE THAT ARE OFTEN SILOED: RESEARCH, CLINICAL CARE, AND COMMUNITY. WE CO-CREATE PROGRAMMING WITH PATIENTS AND COMMUNITY MEMBERS, AN INNOVATIVE MODEL TO THE HEALTHCARE SECTOR. AS A RESULT, BMC IS IMPROVING LIFE EXPECTANCY AND QUALITY OF LIFE AMONG DIFFERENT RACES AND ETHNICITIES BY ADDRESSING THE MAJOR DISPARITIES IN FIVE CLINICAL CARE AREAS: PREGNANCY AND MATERNAL HEALTH, CANCER, INFECTIOUS DISEASES, CHRONIC CONDITIONS, AND BEHAVIORAL HEALTH. THIS APPROACH ALLOWS US TO RAISE THE STANDARD OF CARE FOR ALL PATIENTS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE HOSPITAL POSTS NOTICES OF AVAILABILITY OF FINANCIAL ASSISTANCE IN: (1) INPATIENT, CLINIC, AND EMERGENCY DEPARTMENT AND WAITING AREAS, (2) PATIENT FINANCIAL COUNSELOR AREAS, (3) CENTRAL ADMISSION/REGISTRATION AREAS, AND (4) 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 A 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 USES THE VIRTUAL GATEWAY APPLICATION, THE HOSPITAL HELPS THE PATIENT COMPLETE 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 INFORMATIONTHE STATUTE THAT CREATED BMC REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 654-BED, URBAN ACADEMIC MEDICAL CENTER. IT EMPHASIZES COMMUNITY-BASED, ACCESSIBLE CARE AND IS GROUNDED BY ITS 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. DRIVEN BY THE SOCIAL DETERMINANTS OF HEALTH THAT AFFECT HEALTH OUTCOMES AMONG BMC'S PATIENTS AND COMMUNITY, THE GOAL OF BMC'S COMMUNITY HEALTH IMPROVEMENT ACTIVITIES, OR COMMUNITY BENEFITS, IS TO IMPROVE COMMUNITY HEALTH.APPROXIMATELY 70% OF BMC'S 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 BMC'S 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 PATIENT NAVIGATION AND A FOOD PANTRY, HELP REDUCE BARRIERS TO HEALTH SERVICES AND ULTIMATELY ELIMINATE INEQUITIES IN HEALTHCARE AMONG THE PATIENT POPULATIONS BMC SERVES.WITH 24,921 ADMISSIONS AND NEARLY 1.24 MILLION OUTPATIENT 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 HAS APPROXIMATELY 105,477 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 16.6% 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 2025 RESEARCH BRIEF, AN ESTIMATED 2.1% OF RESIDENTS WERE UNINSURED DURING THE SURVEY OF WHICH 66.3% REPORTED EMPLOYER-SPONSORED INSURANCE (ESI) AND 33.7% REPORTED OTHER NON-ESI. STILL, INSURED RESIDENTS IN FAIR OR POOR HEALTH HAVE HIGH RATES OF AFFORDABILITY ISSUES WITH 12.6% REPORTING SPENDING A HIGH SHARE OF FAMILY INCOME ON OUT-OF POCKET HEALTHCARE SPENDING. OF BMC'S PATIENTS IN 2025, MEDICAID MAKES UP 46.2%, MEDICARE 22.6%, UNINSURED 0.9%, AND PRIVATE COMMERCIAL 29.3%, WITH THE REMAINDER OF 1.0% ACCOUNTED FOR BY OTHER GOVERNMENT AND WORKERS COMP. PART VI, LINE 5: COMMUNITY HEALTH PROMOTIONIN ADDITION TO THE PRIORITY AREAS OUTLINED IN OUR IMPLEMENTATION PLAN, BMC CONTINUES TO BE COMMITTED TO THE MANY WRAPAROUND SERVICES AND PROGRAMS PREVIOUSLY REPORTED ON. WE CONTINUE TO GO BEYOND TYPICAL HEALTHCARE, REMOVING BARRIERS TO CARE BY PAIRING DEEP CLINICAL EXPERTISE WITH A PROFOUND COMMITMENT TO ADDRESS THE SOCIAL AND STRUCTURAL DRIVERS OF HEALTH, ENSURING PATIENTS ARE NOT JUST TREATED BUT EMPOWERED TO THRIVE. MANY OF OUR PROGRAMS AND SERVICES GO BEYOND WHAT GOVERNMENT OR INSURANCE REIMBURSEMENT WILL FUND. OUR MISSION DRIVES US TO DO THE MOST WITH LIMITED RESOURCES. WITH PHILANTHROPIC FUNDING, WE HAVE SUCCESSFULLY SCALED INNOVATIONS THAT SUPPORT OUR PATIENT POPULATION. BMC'S PROGRAMS OFTEN BECOME NATIONAL MODELS OR ARE EMBEDDED IN POLICY DESIGN AT THE STATE LEVEL BECAUSE WE HAVE PROVEN THEIR EFFECTIVENESS. SOME OF OUR MOST INNOVATIVE PROGRAMS INCLUDE LWAH (HOUSING PROGRAM INTEGRATED WITH CLINICAL CARE MANAGEMENT), OBAT AND TECHNICAL ASSISTANCE (OFFICE-BASED ADDICTION TREATMENT WE'VE SCALED TO SUPPORT PROVIDERS ACROSS THE NATION WITH OUR DEEP EXPERTISE IN ADDICTION MEDICINE), AND TEAM UP (PEDIATRIC INTEGRATED BEHAVIORAL HEALTH SERVICES SCALED TO 20+ HEALTH CENTERS, SERVES 65,000 CHILDREN ANNUALLY AND HAS TRAINED OVER 1,251 HEALTHCARE WORKERS). ADDITIONALLY, LONGSTANDING PROGRAMS SUCH AS THE GROW CLINIC (SUPPORT FOR FAMILIES AND CHILDREN WITH FAILURE TO THRIVE), PROJECT RESPECT (ADDICTION TREATMENT FOR PREGNANT PATIENTS), IMMIGRANT AND REFUGEE HEALTH CENTER (WRAPAROUND CARE FOR ASYLUM SEEKERS, REFUGEES, AND MIGRANTS, INCLUDES SUPPORT WITH JOB SKILLS AND EDUCATION), AND FASTER PATHS (ADDICTION URGENT CARE) ARE ALL CRITICAL TO MEETING OUR PATIENTS WHERE THEY ARE WITH THE SERVICES THEY NEED.BMC IS AT THE HEART OF BOSTON MEDICAL CENTER HEALTH SYSTEM (BMCHS), WHICH SERVES AS AN ANCHOR OF HEALTH CARE PAYMENT AND DELIVERY TO LOW-INCOME POPULATIONS IN THE REGION. THROUGH OUR WELLSENSE HEALTH PLAN, WE PROVIDE COVERAGE TO OVER 700,000 MEMBERS IN MASSACHUSETTS AND NEW HAMPSHIRE, INCLUDING ABOUT 40% OF THE MEDICAID PATIENTS IN BOTH STATES. THIS PROVIDES A UNIQUE PLATFORM FOR US TO SPREAD BMC'S EXPERTISE IN PROVIDING HIGH-QUALITY COORDINATED CARE TO LOW-INCOME POPULATIONS. FOR EXAMPLE, THROUGH OUR POPULATION HEALTH SERVICES TEAM, WE PROVIDE BEST PRACTICE AND OPERATIONAL SUPPORT TO PRIMARY CARE PROVIDERS STATEWIDE WHO ARE PART OF EIGHT ACOS THAT PARTNER WITH BMCHS (VIA WELLSENSE AS A MANAGED CARE ENTITY, COVERING ALMOST 500,000 MASSHEALTH MEMBERS) TO HELP THEM STRENGTHEN QUALITY, MANAGE COST, AND IMPROVE OUTCOMES. FURTHERMORE, BMC ALWAYS STEPS UP WHEN THERE IS NEED. DURING THE COVID-19 PANDEMIC, WE CREATED TEMPORARY HOUSING FOR UNHOUSED PATIENTS WHO HAD TESTED POSITIVE AND COULDN'T RETURN TO SHELTERS, AND WE SET UP VACCINE CLINICS IN COMMUNITIES WHERE OUR PATIENTS LIVE TO BUILD TRUST AND ENSURE ACCESS. WE CONTINUE TO LEAD THE WORK AT MASS & CASS, A REGIONAL ISSUE CONCENTRATED NEAR BMC'S CAMPUS, WORKING WITH THE CITY OF BOSTON AND COMMUNITY PARTNERS TO CONNECT INDIVIDUALS TO ADDICTION RESOURCES AND SHIFT THIS POPULATION HEALTH ISSUE. MORE RECENTLY, WE TOOK OVER TWO DISTRESSED HOSPITALS LEFT BARE FROM THE STEWARD BANKRUPTCY, STABILIZING OPERATIONS, PRESERVING ESSENTIAL SERVICES AND 4,000 JOBS, AND IMPLEMENTING MAJOR SYSTEM IMPROVEMENTS.BMC CONTINUES TO MAKE COMMUNITY INVESTMENTS THROUGH OUR DETERMINATION OF NEED WORK, DEMONSTRATING OUR COMMITMENT TO THOUGHTFUL COMMUNITY ENGAGEMENT. THE COMMUNITY ADVISORY BOARD (CAB) HAS BEEN INSTRUMENTAL IN DEVELOPING THE STRATEGY AND DESIGNATING FOUR KEY PRIORITIES FOR INVESTMENTS, INCLUDING: COMMUNITY OWNERSHIP AND POWER; CLIMATE RESILIENCE AND HEALTHY HOMES; WORKFORCE DEVELOPMENT; AND FINANCIAL EDUCATION AND ASSET BUILDING. AFTER SETTING THESE PRIORITIES, BMC ESTABLISHED A FUNDING ALLOCATION COMMITTEE A SUBSET OF CAB MEMBERS WITH ADDITIONAL COMMUNITY HEALTH EXPERTS TO REVIEW AND MAKE ALLOCATION COMMITMENTS. IN FY25, THE FUNDING ALLOCATION COMMITTEE EVALUATED VARIOUS PROJECTS FOR FUNDING, AND BEGAN DUE DILIGENCE PROCESSES ON POTENTIAL GRANTEES. IN FY26, BMC SEEKS TO DISBURSE FUNDING TO SELECTED MUNICIPALITIES AND NON-PROFIT ORGANIZATIONS. PART VI, LINE 6: AFFILIATED HEALTH CAREBOSTON 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 HEALTH CENTER NETWORK REPRESENTS A FUNDAMENTAL PARTNERSHIP BETWEEN BOSTON MEDICAL CENTER (BMC) 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, THE BOSTON UNIVERSITY 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.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.THE COMMUNITY HEALTH CENTER PARTNERSHIP EXTENDS INTO CLINICIAN TRAINING AND JOINT HIRING. THE BU CHOBANIAN & AVEDISIAN SCHOOL OF MEDICINE STUDENTS USE HEALTH CENTER EDUCATION PROGRAMS, RESIDENTS GAIN LONGITUDINAL AMBULATORY EXPERIENCE AT COMMUNITY HEALTH CENTERS AND PROVIDERS ARE 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 BOSTON HEALTHNET COMMUNITY HEALTH CENTERS 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. PART VI, LINE 7 BMC DOES NOT FILE A COMMUNITY BENEFITS REPORT WITH THE COMMONWEALTH OF MASSACHUSETTS. 1 ALBERT EINSTEIN COLLEGE OF MEDICINE 1300 MORRIS PARK AVE BRONX NY 10461 131624225 503(C)(3) 157238 0 SUBAWARD REACHING OUR SISTERS EVERYWHERE EVERYWHERE INC 3614 COLUMBIA PKWY DECATUR GA 30034 452803568 503(C)(3) 171273 0 SUBAWARD RHODE ISLAND HOSPITAL 593 EDDY STREET PROVIDENCE RI 02903 050258954 501(C)(3) 5868 0 SUBAWARD SOCIAL SCIENCE RESEARCH AND EVALUATION INC (SSRE) 84 MILL STREET LINCOLN MA 017731706 222551337 501(C)(3) 46079 0 SUBAWARD THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ALABAMA CHILD DEVELOPMENT RESOU ATTN VIVIAN MCKINLEY 651 PETER BRYCE BLVD TUSCALOOSA AL 35401 636001138 501(C)(3) 28903 0 SUBAWARD THE REGENTS OF THE UNIVERSITY OF COLORADO 1800 GRANT STREET SUITE 600 DENVER CO 80203 846000555 501(C)(3) 147826 0 SUBAWARD THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK PO BOX 9 ALBANY NY 12201 141368361 501(C)(3) 35272 0 SUBAWARD THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NY 615 WEST 131ST STREET 3RD FL NEW YORK NY 10027 135598093 501(C)(3) 137635 0 SUBAWARD THE UNIVERSITY OF SOUTH FLORIDA BOARD OF TRUSTEES 4202 E FOWLER AVE SVC 1039 TAMPA FL 33620 593102112 501(C)(3) 11523 0 SUBAWARD TRANSLATION GENOMICS RESEARCH INSTITUTE 445 N 5TH STREET SUITE 600 PHOENIX AZ 85004 753065445 501(C)(3) 60214 0 SUBAWARD TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA 3400 SPRUCE STREET 6 WEST GATES 6041 PHILADELPHIA PA 19104 231352685 501(C)(3) 201274 0 SUBAWARD TUFTS MEDICAL CENTER INC 800 WASHINGTON STREET BOSTON MA 02111 043400617 501(C)(3) 106156 0 SUBAWARD TUFTS UNIVERSITY NEMCH 096171 HARRISON AVENUE BOSTON MA 02111 042103634 501(C)(3) 169904 0 SUBAWARD UNIV OF N CAROLINA AT CHAPEL HILL OFFICE OF CONTRACTS GRANTS CB 1350104 AIRPORT DRIVE SUITE 2200 CHAPEL HILL NC 275991350 566001393 501(C)(3) 346669 0 SUBAWARD PROOF ALLIANCE 1876 MINNEHAHA AVE WESTSUITE 395 SAINT PAUL MN 55104 411904618 501(C)(3) 175269 0 SUBAWARD UNIVERSITY OF ARIZONA 888 NORTH EUCLID AVE ROOM 510 TUCSON AZ 857194824 742652689 115 16127 0 SUBAWARD UNIVERSITY OF FLORIDA ATTN CONTINUING MEDICAL EDUCATION 720 SW 2ND AVE SUITE 575 GAINESVILLE FL 32601 596002052 501(C)(3) 68286 0 SUBAWARD UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION 109 KINKEAD HALL LEXINGTON KY 405060057 616033693 501(C)(3) 27918 0 SUBAWARD UNIVERSITY OF MASSACHUSETTS 55 LAKE AVENUE NORTH WORCESTER MA 01655 043167352 115 250341 0 SUBAWARD UNIVERSITY OF MIAMI 1600 NW 10TH AVENUE MIAMI FL 33136 590624458 501(C)(3) 26374 0 SUBAWARD UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER 1 UNIVERSITY OF NEW MEXICO MSC01 1300 ALBUQUERQUE NM 87131 856000642 501(C)(3) 52892 0 SUBAWARD UNIVERSITY OF PITTSBURGH ATTN NICOLE KAEFER 200 MEYRAN AVE SUITE 200 PITTSBURGH PA 15213 250965591 501(C)(3) 372319 0 SUBAWARD UNIVERSITY OF SOUTHERN CALIFORNIA UNIVERSITY GARDENS 3500 SOUTH FIGUEROA STREET SUITE 205 LOS ANGELES CA 900898006 951642394 501(C)(3) 12188 0 SUBAWARD UNIVERSITY OF UTAH 50 NORTH MEDICAL DR N SALT LAKE CITY UT 84132 876000525 501(C)(3) 160824 0 SUBAWARD UNIVERSITY OF VIRGINIA 1001 EMMET STREET N CHARLOTTESVILLE VA 22903 546001796 501(C)(3) 63599 0 SUBAWARD UNIVERSITY OF WASHINGTON 4300 ROOSEVELT WAY NESUITE 300 SEATTLE WA 98195 916001537 STATE OF WASHINGTON 15213 0 SUBAWARD VETERANS MEDICAL RESEARCH FOUNDATION OF SAN DIEGO 3350 LA JOLLA VILLAGE DRIVE 151A SAN DIEGO CA 92161 330189397 501(C)(3) 94193 0 SUBAWARD VINFEN CORP 1050 COMMONWEALTH AVE STE 200 BOSTON MA 02215 042632219 501(C)(3) 767694 0 SUBAWARD WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY CO RESEARCH ACCOUNTING DEPT 100 BROADWAY 8TH FL NEW YORK NY 10005 131623978 501(C)(3) 61738 0 SUBAWARD UNIVERSITY OF CALIFORNIA SAN FRANCISCO 500 PARNASSUS AVE MU 200-W SAN FRANCISCO CA 941430244 946036493 501(C)(3) 178765 0 SUBAWARD NYU SCHOOL OF MEDICINE 550 FIRST AVENUE NEW YORK NY 10016 135562309 501(C)(3) 119762 0 SUBAWARD NORTHEASTERN UNIVERSITY 360 HUNTINGTON AVENUE BOSTON MA 02115 041679980 501(C)(3) 87854 0 SUBAWARD NORTH SUFFOLK MENTAL HEALTH ASSOCIATION 301 BROADWAY AVE CHELSEA MA 02150 042317215 501(C)(3) 154529 0 SUBAWARD ANN & ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO 225 E CHICAGO AVENUE BOX 26-AP CHICAGO IL 60611 362170833 STATE OF OREGON 86229 0 SUBAWARD BAY COVE HUMAN SERVICES 66 CANAL ST 3RD FLOOR BOSTON MA 02114 042518575 501(C)(3) 218200 0 SUBAWARD BIDMC BETH ISRAEL DEACONESS 330 BROOKLINE AVE MISC A/R - 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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 1 0 0 0 0 0 0 1 0 ALASTAIR BELL MD BMCHS PRESIDENT & CEO/TRUSTEE 1280083 0 512500 0 126711 0 274150 0 5929 0 2199373 0 104250 0 ANTHONY HOLLENBERG MD PRESIDENT/TRUSTEE 865633 0 277200 0 64451 0 0 0 16695 0 1223979 0 0 0 JOY BROWN SVP/CHIEF DIGITAL INFO OFFICER 584130 0 325000 0 50481 0 42000 0 11519 0 1013130 0 0 0 JOE CAMILLUS SVP/CHIEF OPERATING OFFICER 618527 0 197000 0 28649 0 114150 0 48166 0 1006492 0 29850 0 DAVID MCANENY SVP/CHIEF MEDICAL OFFICER 611450 0 176400 0 90000 0 10350 0 32892 0 921092 0 0 0 LISA KELLY-CROSWELL SVP/CHIEF HR OFFICER 545700 0 132600 0 43397 0 86550 0 32785 0 841032 0 36900 0 ROBERT BIGGIO SVP/CHIEF SUSTAINABIILTY/RE OFFICER 467450 0 227250 0 28980 0 78150 0 11828 0 813658 0 31500 0 JESSE SOUWEINE SVP/CTO, TREASURER (THRU 11/12/24) 509560 0 196875 0 12185 0 60138 0 11143 0 789901 0 0 0 DAVID BECK SVP/CHIEF LEGAL COUNSEL/CLERK 535782 0 133875 0 60553 0 24150 0 33865 0 788225 0 0 0 NANCY GADEN SVP/CNO 519649 0 127400 0 63078 0 23885 0 37061 0 771073 0 33300 0 SARAH ARBELAEZ SVP/HOSPITAL INTEGRATION 473005 0 110250 0 73200 0 78150 0 6606 0 741211 0 4100 0 NICOLE FAUCHER PRESIDENT, CLEARWAY HEALTH, LLC 421557 0 238000 0 2290 0 61350 0 8079 0 731276 0 0 0 TERRI NEWSOM FORMER SVP/CFO/TREASURER 647691 0 0 0 5135 0 5573 0 3548 0 661947 0 78000 0 RAVIN DAVIDOFF MD SVP/EXECUTIVE MEDICAL DIRECTOR 291061 0 82250 0 14873 0 22050 0 31610 0 441844 0 0 0 ANKUR AGRAWAL BMCHS SVP/CFO,TREAS (AS OF 11/12/24) 271106 0 100000 0 3654 0 0 0 3757 0 378517 0 0 0 MANISHI DESAI TRUSTEE 284040 0 0 0 432 0 30478 0 14189 0 329139 0 0 0 SCHEDULE J, PART I, LINE 4A: TERRI NEWSOM, FORMER TREASURER AND CFO OF BOSTON MEDICAL CENTER, RECEIVED A SEPARATION OF SERVICE PAYMENT FROM THE ORGANIZATION WHICH IS INCLUDED IN THE COMPENSATION AMOUNT REPORTED IN PART II. SCHEDULE J, PART I, LINE 4B: BMC HAS A 457(F) DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES LISTED IN SCEHDULE J, PART II. SCHEDULE J, PART I, LINE 7: BMC HAS AN ANNUAL EXECUTIVE PERFORMANCE INCENTIVE PLAN. PERFORMANCE TARGETS AND PAYOUT METRICS ARE ESTABLISHED AND APPROVED BY THE COMPENSATION COMMITTEE AT THE BEGINNING OF EACH PERFORMANCE CYCLE. FISCAL YEAR 2024 PERFORMANCE BONUS PAYOUTS WERE APPROVED BY THE COMMITTEE AFTER IT REVIEWED THE 2024 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 168069007 16184639 226325 2007035 150355290 259175 2016 0 0 1 1 B 17410000 206393981 1673571 29046728 175673681 2017 0 1 1 1 C 5435000 45971835 9238 272257 45690339 2019 0 0 1 1 D 11361501 13688734 24667 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 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 PART I (E): 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): COLUMN A - BONDS FINANCED CAPITAL PROJECTS, FUNDED A RESERVE, AND PAID COSTS OF ISSUANCE. COLUMN B - BONDS FINANCED CAPITAL PROJECTS AND ADVANCED REFUNDED PRIOR BONDS (ISSUED ON JULY 1, 2008) BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY. COLUMN C - BONDS WERE ISSUED TO FINANCE CAPITAL PROJECTS. COLUMN D - 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. COLUMN A2 - BONDS FINANCED CAPITAL PROJECTS, CURRENT REFUNDED PRIOR BONDS (ISSUED ON JUNE 14, 2012), AND PAID COSTS OF ISSUANCE. PART II, LINE 3: COLUMNS A, B, C, & A2 - 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 II, LINE 4: COLUMN D - THE RESERVE HAS BEEN FUNDED BY PROCEEDS OF THE PRIOR BONDS. PART II, LINE 13: COLUMN D - SINCE THE PROCEEDS OF THE BONDS WERE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART III, LINE 7: COLUMNS A, B, C, D, & A2 - 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 EXCCED 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 2B: COLUMN D: 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 A2: THE PORTION OF BOND PROCEEDS USED TO CURRENT REFUND PRIOR BONDS HAS MET AN EXCEPTION TO THE REBATE REQUIREMENT. PART IV, LINE 2C: COLUMN A: THE MOST RECENT TEN-YEAR REBATE REPORT WAS DATED MAY 9, 2025. COLUMN B: THE MOST RECENT FIVE YEAR REBATE REPORT WAS DATED OCTOBER 21, 2021. COLUMN C: THE FIVE YEAR REBATE REPORT WAS PREPARED SEPTEMBER 26, 2022. A MDFA 2023 SERIES G 043431814 57584Y4U0 2023-02-28 242274160 FINANCE CAPITAL PROJECTS 0 0 0 A 5835000 255175033 2295383 221608215 17978105 13293330 1 0 0 1 A 0 0 1 1 1 1 0 0 1 A 0 1 1 0 0 0 0 0 1 A 1 HANNAH LEAVER DAUGHTER OF TRUSTEE 329423 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 1 1400 DONOR ESTIMATE X 42635 DONOR ESTIMATE X 1 1019 DONOR ESTIMATE X 27 887611 AVG. HIGH/LOW PRICE X 5 3796 DONOR ESTIMATE X 11 8446 DONOR ESTIMATE X GIFT CERTIFICATE 59 53355 DONOR ESTIMATE 0 0 1 0 SCHEDULE M, PART I, COLUMN B: THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART I, LINE 1 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. 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 THE OFFICERS AND/OR TRUSTEES BELOW HAVE A BUSINESS RELATIONSHIP WITH OTHER OFFICER(S), DIRECTOR(S), TRUSTEE(S), AND/OR KEY EMPLOYEE(S): ALASTAIR BELL, M.D. PIERRE CREMIEUX ALIK FARBER, M.D. ANTHONY HOLLENGERG, M.D. BISOLA OJIKUTU, M.D. MARTHA SAMUELSON ANDREW YOUNISS 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, INC. 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 (BMC) FORM 990 IS PREPARED BY KPMG LLP AND REVIEWED BY BMC'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, BMC'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, 2025 WERE DISTRIBUTED BY BMC'S CORPORATE COMPLIANCE DEPARTMENT. THE CHIEF COMPLIANCE OFFICER OF BMC 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 COMPENSATION COMMITTEE, FORMED OF INDIVIDUALS WHOSE COMPENSATION IS NOT IN ISSUE, APPROVES THE COMPENSATION OF THE PRESIDENT AND SENIOR MANAGEMENT. THE COMMITTEE MEMBERS ARE NOT UNDER THE CONTROL OR DIRECTION OF ANY EXECUTIVE SEEKING COMPENSATION. THE INDIVIDUAL COMPENSATION PLANS ARE 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 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 TYPICALLY 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 RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS 1,268,315. 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