2023-08-14T15:35:25-05:00 2022-09-30 990 2021-10-01 900656139 MASS GENERAL BRIGHAM INCORPORATED & AFFILIATES GROUP RETURN MASS 8572820747 399 REVOLUTION DRIVE 645 SOMERVILLE MA 021451446 NIYUM GANDHI CFO & TREASURER 8572820747 2023-08-14 NIYUM GANDHI 999009999 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z ANNE KLIBANSKI MD 800 BOYLSTON STREET BOSTON MA 02199 19136912473 1 1 5803 X HTTPS://WWW.MASSGENERALBRIGHAM.ORG/ X PATIENT CARE, RESEARCH, EDUCATION AND SERVICE TO THE COMMUNITY LOCALLY AND GLOBALLY. X 648 387 87479 5213 12260947 2453210 4950929420 4784622126 12992648821 13748105560 593263372 426503182 170814051 169403460 18707655664 19128634328 1882900452 1786662463 0 0 8582026366 9243490676 418846 318703 90403409 6620368789 7586553721 17085714453 18617025563 1621941211 511608765 26652316196 23624275194 8694717473 7962950041 17957598723 15661325153 X MASS GENERAL BRIGHAM INCORPORATED IS DEVELOPING AN INTEGRATED HEALTH CARE DELIVERY SYSTEM THROUGHOUT THE REGION THAT OFFERS PATIENTS A CONTINUUM OF COORDINATED, HIGH-QUALITY CARE. 0 0 16196209450 1786662463 13738381873 SEE SCHEDULE O 16196209450 1 1 0 1 0 0 0 1 0 1 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 0 1 0 1 1 1 1 1 1 0 1 1 1 1 0 0 1 38 0 1 87479 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 648 387 1 0 0 0 1 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY X MASS GENERAL BRIGHAM - TAX DIRECTOR 8572820747 399 REVOLUTION DRIVE SUITE 645 SOMERVILLE MA 021451446 X GREGG S MEYER MD MSC SEE SCHEDULE O - O & T TITLES 1.00 50.00 X X 0 3198780 56504 RON M WALLS MD SEE SCHEDULE O - O & T TITLES 1.00 50.00 X 0 3147792 59141 E ANTONIO CHIOCCA MD PHD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 2126827 0 66271 JAMES D KANG MD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 2040912 0 69022 DAVID F BROWN MD FACEP SEE SCHEDULE O - O & T TITLES 50.00 0.00 X X 0 1866805 96495 MITCHEL B HARRIS MD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 1768075 0 57550 SUNIL EAPPEN MD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X X 1719797 0 64363 NIYUM GANDHI SEE SCHEDULE O - O & T TITLES 1.00 50.00 X X 0 1573515 115759 KEITH D LILLEMOE MD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 1580345 0 62010 LAURA S PEABODY ESQ SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 0 1577924 53100 GERARD M DOHERTY MD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 1560604 0 69022 SALLY MASON BOEMER SEE SCHEDULE O - O & T TITLES 50.00 0.00 X X 0 1519675 63679 MARCELA G DEL CARMEN MD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X X 1463536 0 87198 ROSS D ZAFONTE DO SEE SCHEDULE O - 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NWH 50.00 0.00 X 606923 0 40431 LAWRENCE S FRIEDMAN MD FORMER K - NWH 50.00 0.00 X 536350 0 42934 GEORGE PHILIPPIDES MD FORMER K - NWH 50.00 0.00 X 468855 0 41130 JANET LARSON MD FORMER K - NWH 0.00 0.00 X 443475 0 32496 EILEEN O LOWELL FORMER K - MEEI 50.00 0.00 X 394672 0 53467 MICHAEL J RICCI FORMER K - MEEI 50.00 0.00 X 0 320269 45938 CHRISTOPHER J KWOLEK MD FORMER K - NWH 50.00 0.00 X 289132 0 36059 ROBERT D WELCH FORMER K - SR 50.00 0.00 X 268265 0 55459 LINDA FLAHERTY RN FORMER K - MCLEAN 50.00 0.00 X 254589 0 58355 MARY BETH DIFILIPPO FORMER K - SRH 50.00 0.00 X 237702 0 49764 ROSEMARY HENCHEY FORMER K - NSMC 50.00 0.00 X 205416 0 24164 PARDON R KENNEY MD FORMER K - BWFH 50.00 0.00 X 175590 0 45768 ARTHUR L LACHANCE FORMER K - NCH 50.00 0.00 X 181347 0 20984 MICHAEL IWAMA FORMER K - IHP 50.00 0.00 X 172051 0 19319 SARAH H WELCH FORMER K - IHP 50.00 0.00 X 0 166854 24063 STEPHANIE N NADOLNY FORMER K - RHCI 50.00 0.00 X 136118 0 8828 LINDA KAREN RICE FORMER K - IHP 50.00 0.00 X 125623 0 14062 120319883 58053350 13007205 18919 1 1 0 AMN HEALTHCARE INC PO BOX 281939 ATLANTA GA 303841939 STAFFING SERVICES 70854802 AYA HEALTHCARE 5930 CORNERSTONE COURT WEST SAN DIEGO CA 92121 STAFFING SERVICES 63936209 WALSH BROTHERS 210 COMMERCIAL STREET BOSTON MA 02109 CONSTRUCTION SERVICES 45809684 NBBJ LP 8 STORY STREET CAMBRIDGE MA 021384969 ARCHITECTURAL SERVICES 28257820 CONSIGLI CONSTRUCTION CO INC 72 SUMNER STREET MILFORD MA 01757 CONSTRUCTION SERVICES 26744377 536 27547504 1545255137 1080983798 2130835687 55351753 4784622126 PATIENT CARE REVENUE 621110 12012838989 12012838989 OTHER PROGRAM REVENUE 561000 1657149750 1642851790 14297960 TUITION REVENUE 624410 68146240 68146240 PARTNERSHIP INCOME 621110 7647717 7445556 202161 AMBULANCE INCOME 621910 1715491 1715491 607373 607373 13748105560 102797000 102797000 17500499 17500499 63591344 0 63591344 63591344 -2239174 65830518 323706182 0 323706182 323706182 323706182 2193592 27547504 8278145 -6084553 -6084553 25500 0 25500 25500 PARKING INCOME 812930 58949751 58949751 CAFETERIA INCOME 722514 30644485 30644485 CONSULTING REVENUE 621500 14997305 14997305 -10220871 -10220871 94370670 19128634328 13738381873 12260947 593369382 1742126757 1742126757 9619021 9619021 34916685 34916685 120319883 120319883 7272540970 6532623273 681960758 57956939 358502182 324754893 33747289 1056493548 911482389 128841005 16170154 435634093 387650751 47983342 -3656471 -3880575 168782 55322 119914 81910 38004 438912 438912 318703 318703 1648641905 1436830322 203638215 8173368 8018099 6580683 802385 635031 2667252488 2369318255 294290623 3643610 61654621 54267476 7351588 35557 545442418 471083699 73419725 938994 24219750 21023848 2776402 419500 10778868 9661684 1104292 12892 146464941 93762937 52702004 698936180 582827453 116108243 484 102700884 92405184 10295700 MISCELLANEOUS EXPENSES 568702032 160576122 407179552 946358 OTHER RESEARCH EXPENSES 427590146 379931092 47659054 PROGRAM SUPPORT/SUBSIDY 416120862 349809279 66311583 HSN/MEDICAID TAX 190313898 165847052 24466846 72814274 62909260 8808517 1096497 18617025563 16196209450 2330412704 90403409 1 403191180 154125078 607838247 583122380 1521964235 1686069403 3612939 3030960 82805581 94763524 98669969 108282756 14092730885 7127506903 6764796516 6965223982 14630113599 11502100912 2539323930 2527556198 26652316196 23624275194 3382213132 3167905223 5312504341 4795044818 8694717473 7962950041 X 12437305488 10604731603 5520293235 5056593550 17957598723 15661325153 26652316196 23624275194 X 511608765 -2901930 -2804980405 X X 0 1 X 1 1 1 X X 6 MASS GENERAL BRIGHAM INCORPORATED 043230035 7 1 0 0 BRIGHAM INC 042921338 7 1 0 0 BRIGHAM AND WOMEN'S PHYSICIANS ORGANIZATION INC 043466314 10 1 0 0 NEWTON-WELLESLEY HOSPITAL INC 042103611 3 1 0 0 COOLEY DICKINSON HOSPITAL INC 222617175 3 1 0 0 WENTWORTH-DOUGLASS HOSPITAL INC 020260334 3 1 0 0 6 0 0 2904676698 4644652037 3806711641 4950929420 4788110796 21095080592 2904676698 4644652037 3806711641 4950929420 4788110796 21095080592 21095080592 149700026 147388005 337944923 253243043 276989936 1165265933 78733 -851976 -1594003 -869679 2453210 -783715 22259562810 59292240400 0.94770 0.94840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 0 0 1 438912 0 0 438912 0 LOBBYING EXPENSES THE CORPORATION MAY ON OCCASION REVIEW PROPOSED LEGISLATION FOR THE PURPOSE OF DETERMINING THE EFFECT UPON ITS TAX-EXEMPT PURPOSES. THE CORPORATION MAY ON OCCASION ALSO APPEAR BEFORE A LEGISLATIVE COMMITTEE, CONFER WITH LEGISLATORS OR OTHERWISE ATTEMPT TO INFLUENCE LEGISLATION. HOWEVER, IT WILL NOT PARTICIPATE, IN ANY WAY, IN POLITICAL CAMPAIGNS. THE CORPORATION'S INVOLVEMENT IN LEGISLATIVE ACTIVITIES CONSTITUTES AN INSUBSTANTIAL PART OF ITS ACTIVITIES. IN ADDITION, NELSON MULLINS RILEY & SCARBOROUGH LLP ("NELSON MULLINS") IS PROVIDING STRATEGIC COUNSELING AND PUBLIC POLICY REPRESENTATION TO THE HOME BASE PROGRAM ON A PRO BONO BASIS. NELSON MULLINS WILL ADVOCATE FOR THE HOME BASE PROGRAM BEFORE SELECTED MEMBERS OF CONGRESS AS WELL AS HELPING THE HOME BASE PROGRAM BUILD RELATIONSHIPS IN THE DEFENSE INDUSTRY. THE MAJORITY OF THE FUNDS EXPENDED FOR LOBBYING ACTIVITIES WERE FOR PAYMENTS MADE TO THE MASSACHUSETTS HEALTH & HOSPITAL ASSOCIATION, WHICH DETERMINED THAT DURING FISCAL YEAR 2022 14.15% OF ITS MEMBERSHIP DUES WERE USED FOR LOBBYING PURPOSES. X X 0 3977610046 150253937 -598171139 -130348099 3660040943 3149754057 110023333 825097143 107264487 3977610046 2984384888 76219426 200255828 111106085 3149754057 2701002998 395855888 118484956 230958954 2984384888 2532477579 76242054 165166784 -72883419 2701002998 0.37010 0.31790 0.31200 0 1 1 1139597 271623725 272763322 28789309 8410969854 4844819570 3594939593 430054643 216964472 213090171 4228646447 2037156504 2191489943 721507310 28566357 692940953 6965223982 INVESTMENTS IN MGBPH 11502100912 F 11502100912 DUE FROM AFFILIATES 404248417 INV IN NET ASSETS OF AFFIL 2078845409 OTHER ASSETS 42598362 INTER-ENTITY NOTE RECEIVABLE 1864010 2527556198 DUE TO AFFILIATES 842340690 MASS GENERAL BRIGHAM INCORPORATED CAP 3498921399 CURRENT PORTION OF SETTLEMENT 99147238 UNEXPENDED FUNDS ON RESEARCH GRANTS 354635491 4795044818 X PART X, LINE 2: THERE IS NO FIN 48 (ASC 740) FOOTNOTE DISCLOSURE IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF MASS GENERAL BRIGHAM INCORPORATED AND AFFILIATES. COLLECTIONS OF ART, HISTORICAL TREASURES OR OTHER SIMILAR ASSETS: THE ORGANIZATION MAINTAINS COLLECTIONS OF ART, HISTORICAL TREASURES OR OTHER SIMILAR ASSETS. THE COLLECTIONS ARE COMPRISED PRINCIPALLY OF MEDICAL ARTIFACTS AND ANTIQUITIES INCLUDING SURGICAL EQUIPMENT. THE COLLECTIONS ALSO INCLUDE WORKS OF ART INCLUDING SCULPTURES, PICTURES, PORTRAITS AND PLAQUES. THESE ITEMS WERE OBTAINED BY THE ORGANIZATION OVER MANY YEARS PRIMARILY THROUGH DONATIONS. THE VALUE OF THESE ITEMS IS NOT CONSIDERED MATERIAL TO THE FINANCIAL STATEMENTS OF THE ORGANIZATION. COLLECTIONS OF ART, HISTORICAL TREASURES OR OTHER SIMILAR ASSETS: THE ORGANIZATION'S COLLECTION EXPLORES THE EVOLUTION OF HEALTHCARE AND MEDICINE AT MASSACHUSETTS GENERAL HOSPITAL (MGH). EXHIBITS AND PROGRAMS ALLOW VISITORS TO FOLLOW MGH'S HISTORY OF RESEARCH, PATIENT CARE AND MEDICAL DISCOVERY ACROSS THREE CENTURIES AND ARE IN FURTHERANCE OF THE ORGANIZATIONS TEACHING MISSION. INTENDED USE OF ENDOWMENTS THE ENDOWMENT FUNDS OF MASS GENERAL BRIGHAM INCORPORATED AND AFFILIATES ARE USED IN FURTHERANCE OF ITS TAX-EXEMPT MISSIONS OF PATIENT CARE, RESEARCH AND EDUCATION. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 SCHEDULE E QUESTION 3 THE INSTITUTE PUBLISHES ITS NON-DISCRIMINATORY POLICY IN ITS ONLINE CATALOG, STUDENT HANDBOOK, AND PROGRAM MANUALS ON ITS WEBSITE, WWW.MGHIHP.EDU; THE CATALOG, STUDENT HANDBOOK, AND PROGRAM MANUALS CAN BE PROVIDED IN PRINTED FORMAT UPON REQUEST. AS PART OF ITS ORIENTATION, THE INSTITUTE NOTIFIES NEWLY MATRICULATED STUDENTS REGARDING THE WEB ADDRESS OF THE ONLINE CATALOG, STUDENT HANDBOOK, AND PROGRAM MANUALS. CONTINUING STUDENTS ALSO RECEIVE AN ANNUAL NOTICE REGARDING THE LOCATION OF THESE ONLINE DOCUMENTS. INDIVIDUALS INQUIRING ABOUT THE INSTITUTE'S PROGRAMS RECEIVE PROGRAM INFORMATION THAT STATES THE INSTITUTE'S NON-DISCRIMINATORY POLICY. THE INSTITUTE'S APPLICATION FOR ADMISSION ALSO INCLUDES A STATEMENT ON THIS POLICY. SCHEDULE E LINE 6A THE INSTITUE EXTENDS FINANCIAL ASSISTANCE TO STUDENTS IN THE FORM OF GRANTS, LOANS, GRADUATE ASSISTANTSHIPS AND SCHOLARSHIPS IN ACCORDANCE WITH INSTITUTIONAL AND FEDERAL POLICY. THE SELECTION FROM THE QUALIFIED STUDENT POPULATION FOR GRANT AND SCHOLARSHIP AID IS BASED ON MERIT AND/OR NEED, AS SPECIFIED BY THE CRITERIA OF EACH GRANT AND SCHOLARSHIP. STUDENTS INDEPENDENTLY APPLY FOR GRADUATE ASSISTANTSHIPS AND ARE INFORMED OF SUCH OPPORTUNITIES AS THEY ARISE. LOAN QUALIFICATIONS ARE DETERMINED IN ACCORDANCE WITH FEDERAL POLICY. FINANCIAL AID AWARDS ARE MADE ON A NON-DISCRIMINATORY BASIS. 0 CENTRAL AMERICA & THE CARRIBEAN 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 23845 CENTRAL AMERICA & THE CARRIBEAN 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 475116 EAST ASIA AND THE PACIFIC 0 1 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 1798932 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 3655814 EUROPE 0 2 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 1656441 EUROPE 0 0 PROGRAM SERVICES FOREIGN INSURANCE 565076 EUROPE 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 11782582 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 83939 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 162918 NORTH AMERICA 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 519282 NORTH AMERICA 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 3198148 RUSSIA AND THE NEIGHBORING STATES 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 7063 RUSSIA AND THE NEIGHBORING STATES 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 41282 SOUTH AMERICA 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 57041 SOUTH AMERICA 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 1559830 SOUTH ASIA 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 850145 SOUTH ASIA 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 1529799 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 591285 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 12511196 0 3 0 0 0 3 20041745 21027989 41069734 CENTRAL AMERICA & THE CARRIBEAN RESEARCH 328036 WIRE TRANSFER 0 EAST ASIA AND THE PACIFIC RESEARCH 3420892 WIRE TRANSFER 0 EUROPE RESEARCH 10535310 WIRE TRANSFER 0 MIDDLE EAST AND NORTH AFRICA RESEARCH 137728 WIRE TRANSFER 0 NORTH AMERICA RESEARCH 3032485 WIRE TRANSFER 0 SOUTH AMERICA RESEARCH 1413098 WIRE TRANSFER 0 SOUTH ASIA RESEARCH 1454111 WIRE TRANSFER 0 SUB-SAHARAN AFRICA RESEARCH 12181860 WIRE TRANSFER 0 MEDICAL RESEARCH CENTRAL AMERICA & THE CARRIBEAN 15 147080 WIRE TRANSFER MEDICAL RESEARCH EAST ASIA AND THE PACIFIC 24 234922 WIRE TRANSFER MEDICAL RESEARCH EUROPE 133 1247273 WIRE TRANSFER MEDICAL RESEARCH MIDDLE EAST AND NORTH AFRICA 5 25190 WIRE TRANSFER MEDICAL RESEARCH NORTH AMERICA 46 165663 WIRE TRANSFER MEDICAL RESEARCH RUSSIA AND NEIGHBORING STATES 8 41282 WIRE TRANSFER MEDICAL RESEARCH SOUTH AMERICA 8 146732 WIRE TRANSFER MEDICAL RESEARCH SOUTH ASIA 7 75688 WIRE TRANSFER MEDICAL RESEARCH SUB-SAHARAN AFRICA 88 329335 WIRE TRANSFER 0 0 1 0 0 1 PART III ACCOUNTING METHOD: ACCOUNTING METHOD THE ORGANIZATION USES THE ACCRUAL METHOD TO REPORT FOREIGN EXPENDITURES TO BE CONSISTENT WITH THE REPORTING USED FOR THE FINANCIAL STATEMENTS. MONITORING OF FUNDS RESEARCH GRANTS PROVIDED TO FOREIGN ORGANIZATIONS IN THE FORM OF A STANDARD SUBCONTRACT AGREEMENT CONVEY THE AWARD TERMS AND CONDITIONS INCLUDING REPORTING REQUIREMENTS OF THE ORIGINATING FEDERAL, FOUNDATION OR INDUSTRY SPONSOR. AS SUCH, THE FOREIGN ORGANIZATION IS REQUIRED TO FULLY COMPLY WITH THE TERMS OF THE SUBCONTRACT AS A CONDITION OF INITIAL AND ON-GOING PARTICIPATION IN THE RESEARCH PROGRAM. NEW FOREIGN ORGANIZATIONS ARE REQUIRED TO DEMONSTRATE ADMINISTRATIVE, FINANCIAL, AND PROGRAMMATIC CAPACITY TO MANAGE SUBCONTRACT TERMS PRIOR TO EXECUTING AGREEMENTS. MASS GENERAL BRIGHAM ROUTINELY MONITORS SUBCONTRACTS ISSUED TO FOREIGN ORGANIZATIONS AND CONVENES AN ANNUAL MEETING TO REPORT RESULTS TO MASS GENERAL BRIGHAM RESEARCH MANAGEMENT AND COMPLIANCE LEADERSHIP. 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X X X X X X 21 1 1 1 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 NORTH SHORE MEDICAL CENTER INC 3 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 NEWTON-WELLESLEY HOSPITAL 4 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 BRIGHAM AND WOMEN'S FAULKNER HOSPITAL 5 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 THE MCLEAN HOSPITAL CORPORATION 6 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 THE SPAULDING REHABILITATION HOSPITAL 7 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 REHABILITATION HOSPITAL OF THE CAPE 8 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 SPAULDING HOSPITAL-CAMBRIDGE INC 9 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 NANTUCKET COTTAGE HOSPITAL 10 0 0 1 X X X X X X X X X 20 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 20 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 MARTHA'S VINEYARD HOSPITAL 11 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 COOLEY DICKINSON HOSPITAL INC 13 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 WENTWORTH-DOUGLASS HOSPITAL 14 0 0 1 X X X X X X X X X 21 1 0 1 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X 1 1 X X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X 1 0 0 MASSACHUSETTS EYE & EAR INFIRMARY 15 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X 1 X 0 X 1 X 0 0 THE GENERAL HOSPITAL CORPORATION PART V, SECTION B, LINE 5: IN EACH COLLABORATIVE, PARTICIPANTS ENGAGED COMMUNITY ORGANIZATIONS, LOCAL OFFICIALS, SCHOOLS, HEALTH CARE PROVIDERS, BUSINESS, FAITH COMMUNITIES, AND COMMUNITY RESIDENTS, IN AN APPROXIMATELY YEAR-LONG PROCESS, ABOUT THE UNIQUE LOCAL CONDITIONS, TO BETTER UNDERSTAND THE HEALTH ISSUES THAT MOST AFFECT COMMUNITIES AND THE ASSETS AVAILABLE TO ADDRESS THEM. THE KEY METHODS OF THE CHNA INCLUDED: PRIMARY DATA COLLECTION VIA MULTILINGUAL (SIX LANGUAGES) COMMUNITY SURVEYS WITH 1,895 TOTAL RESPONDENTS TO; 33 FOCUS GROUPS WITH 334 COMMUNITY RESIDENTS; AND 91 KEY INFORMANT INTERVIEWS WITH ORGANIZATIONAL, GOVERNMENT, AND COMMUNITY LEADERS. REVIEW OF SECONDARY DATA FROM MULTIPLE CITY, STATE, AND NATIONAL SOURCES INCLUDING THE U.S. CENSUS, THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, THE BOSTON PUBLIC HEALTH COMMISSION, AND THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS). RIGOROUS DATA ANALYSIS, INCLUDING REVIEWING DIFFERENCES AMONG CERTAIN POPULATIONS, SPECIFICALLY YOUTH AND ELDERLY, AS WELL AS BY RACE AND ETHNICITY. THE BRIGHAM AND WOMEN'S HOSPITAL, INC PART V, SECTION B, LINE 5: PRIMARY DATA COLLECTION FOR THE BCCC WAS LED BY THE COMMUNITY ENGAGEMENT WORK GROUP (CEWG), WHICH INCLUDED 24 MEMBERS REPRESENTING A RANGE OF ORGANIZATIONS. FROM OCTOBER 2021 TO MARCH 2022, CEWG MEMBERS AND THEIR PARTNERS CONDUCTED 29 VIRTUAL AND IN-PERSON FOCUS GROUP DISCUSSIONS WITH A TOTAL OF 309 RESIDENTS. SOME FOCUS GROUPS WERE CONDUCTED IN LANGUAGES OTHER THAN ENGLISH, INCLUDING SPANISH, CHINESE, AND VIETNAMESE. THE FOCUS GROUPS ENGAGED A BROAD RANGE OF INDIVIDUALS INCLUDING YOUNG PEOPLE, OLDER ADULTS, PERSONS WITH DISABILITIES, UNDER-RESOURCED INDIVIDUALS AND FAMILIES, LGBTQIA+ POPULATIONS, RACIALLY/ETHNICALLY DIVERSE POPULATIONS, LIMITED-ENGLISH SPEAKERS, IMMIGRANT AND ASYLEE COMMUNITIES, FAMILIES AFFECTED BY INCARCERATION AND/OR VIOLENCE, AND VETERANS. IN ADDITION TO FOCUS GROUPS, BCCC CONDUCTED 62 KEY INFORMANT INTERVIEWS. KEY INFORMANTS WERE LEADERS AND STAFF FROM MANY SECTORS INCLUDING 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. TO NOTE, THE BCCC USES THE TERM "RESIDENTS" TO REFER TO PARTICIPANTS IN FOCUS GROUPS, INTERVIEWS, AND COMMUNITY LISTENING SESSIONS. THIS REPORT HAS ADOPTED THE SAME LANGUAGE WHEN REFERENCING PRIMARY DATA FROM THE BCCC REPORT. AFTER COMPLETION, CEWG MEMBERS SUMMARIZED KEY THEMES FROM THEIR DISCUSSIONS. THESE SUMMARIES WERE ANALYZED TO IDENTIFY COMMON THEMES AND SUB-THEMES ACROSS POPULATION GROUPS AND THE 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 TOPIC SPECIFIC DISCUSSIONS WERE KEY INDICATORS USED TO EXTRACT MAIN THEMES. NORTH SHORE MEDICAL CENTER, INC. PART V, SECTION B, LINE 5: THE 2022 CHNA WAS DEVELOPED USING THREE DATA SOURCES: 1) SECONDARY DATA (E.G., FROM THE HOSPITAL AND HEALTH SYSTEM, U.S. CENSUS BUREAU, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH) PROVIDED DEMOGRAPHIC DATA, AS WELL AS INFORMATION ABOUT THE HEALTH AND BEHAVIORAL HEALTH OF RESIDENTS, AND THE SOCIAL DETERMINANTS OF HEALTH AFFECTING THEM. 2) EIGHT FOCUS GROUPS WERE CONDUCTED ONLINE WITH 51 COMMUNITY LEADERS WITH EXPERIENCE IN/WITH COMMUNITY HEALTH CENTERS; HEALTH CARE ADVOCACY AND PUBLIC HEALTH; ELDER SERVICES; YOUTH SERVICES; MENTAL HEALTH AND SUBSTANCE USE DISORDERS; IMMIGRANT SERVICES; HOUSING; AND FOOD SECURITY. THE HOUR-LONG GROUPS WERE CONDUCTED VIA ZOOM AND UTILIZED A SEMI-STRUCTURED INTERVIEW GUIDE. THE DATA WERE ANALYZED FOR COMMON AND DIVERGENT THEMES AND ILLUSTRATIVE QUOTES. 3) A COMMUNITY SURVEY WAS ADMINISTERED BETWEEN JULY 28 THROUGH AUGUST 19 AND AVAILABLE IN MULTIPLE LANGUAGES: ENGLISH, SPANISH, PORTUGUESE (EUROPEAN AND BRAZILIAN), HAITIAN CREOLE, CHINESE (MANDARIN/CANTONESE), ARABIC, RUSSIAN, AND KHMER/CAMBODIAN. DATA FROM 686 RESPONSES WERE ANALYZED USING EXCEL AND SPSS (STATISTICAL PACKAGE FOR SOCIAL SCIENCE). NEWTON-WELLESLEY HOSPITAL PART V, SECTION B, LINE 5: THE CHNA USED A PARTICIPATORY, COLLABORATIVE APPROACH AND EXAMINED HEALTH IN ITS BROADEST CONTEXT. THIS WAS ONLY POSSIBLE DUE TO THE RELATIONSHIP-BUILDING WITH COMMUNITY PARTNERS THAT NWH HAS BEEN DEDICATED TO FOR YEARS. IN 2017, NWH STARTED THE NEWTON-WELLESLEY COLLABORATIVE FOR HEALTHY FAMILIES AND COMMUNITIES (NOW CALLED THE NWH COMMUNITY COLLABORATIVE) TO BRING SERVICES AND RESOURCES DIRECTLY TO COMMUNITIES IN NEED IN THE NWH SERVICE AREA, AND TO LIFT UP VOICES OF COMMUNITY LEADERS TO IMPROVE ACCESS TO QUALITY HEALTHCARE. FOLLOWING THE 2018 CHNA-CHIP PROCESS, THE NWH COMMUNITY COLLABORATIVE, UNDER THE COMMUNITY BENEFITS LEADERSHIP GUIDANCE, FORMED EIGHT COUNCILS OVER THE DURATION OF THE NEXT FEW YEARS AROUND THE FOCUS AREAS IDENTIFIED BY THE 2018 CHNA. EACH COUNCIL HAS APPROXIMATELY 20 MEMBERS AND INCLUDES NWH HEALTH CARE PROVIDERS, COMMUNITY PARTNERS, AND VOLUNTEER COMMUNITY MEMBERS; AND HAVE LEADERSHIP FROM A COMMUNITY CHAIR AND HOSPITAL CHAMPION. THE EIGHT COUNCILS ARE: CARDIOVASCULAR COUNCIL DOMESTIC AND SEXUAL ABUSE COUNCIL ELDER CARE COUNCIL MATERNITY SERVICES COUNCIL PALLIATIVE CARE COUNCIL THE RESILIENCE COUNCIL SUBSTANCE USE SERVICES COUNCIL WORKFORCE DEVELOPMENT COUNCIL EACH COUNCIL MEETS THREE TIMES PER YEAR TO ADDRESS COMMUNITY NEEDS AND IMPLEMENT COMMUNITY HEALTH PRIORITIES, INFORMED BY PREVIOUS 2018 AND 2021 CHIP STRATEGIES AND 2018 AND 2021 CHNA DATA. IN PARTICULAR, THE HEALTH OF WALTHAM RESIDENTS WAS A PRIORITY AREA IN THE 2018 CHIP, SO PARTNERSHIPS BETWEEN COMMUNITY-BASED ORGANIZATIONS IN WALTHAM AND NWH HAVE BEEN BUILDING SINCE THEN. A SILVER LINING OF THE COVID-19 PANDEMIC HAS BEEN A STRENGTHENING OF THESE PARTNERSHIPS, DUE TO THE URGENT NEED FOR COLLABORATION BETWEEN COMMUNITIES AND HEALTHCARE AND SERVICE PROVIDERS DURING THIS HISTORIC TIME. FOR THE 2022 CHNA-SIP, ADDITIONAL PERSPECTIVES FROM THE SERVICE AREA COMMUNITIES WERE SOUGHT TO GUIDE THE PROCESS. ELEVEN COMMUNITY LEADERS AND ADVOCATES WERE ENGAGED TO WORK ALONGSIDE THE ESTABLISHED 22 MEMBERS OF THE NWH COMMUNITY BENEFITS COMMITTEE (CBC) TO PROVIDE STRATEGIC OVERSIGHT OF THE CHNA-SIP PROCESS. TOGETHER, THE COMMUNITY BENEFITS COMMITTEE PLUS (CBC+) COMPRISES COMMUNITY STAKEHOLDERS FROM THE HOSPITAL SERVICE AREA AND NWH STAFF AND ADMINISTRATORS INVOLVED IN STRATEGIC PLANNING AND COMMUNITY BENEFITS EFFORTS. THE CBC+ GUIDED SEVERAL PARTS OF THE ASSESSMENT INCLUDING HELP DESIGNING THE CHNA METHODOLOGY, RECOMMENDING SOURCES OF SECONDARY DATA, SERVING AS TRUSTED COMMUNITY ORGANIZERS FOR RECRUITING PARTICIPANTS FOR FOCUS GROUPS AND INTERVIEWS, AND VOICING THE NEEDS AND STRENGTHS OF THEIR COMMUNITIES DURING THE PRIORITIZATION PROCESS. BRIGHAM AND WOMEN'S FAULKNER HOSPITAL PART V, SECTION B, LINE 5: FOR THE 2022 CHNA-CHIP, BWFH PARTICIPATED IN THE BOSTON CHNA-CHIP COLLABORATIVE ("THE COLLABORATIVE OR "BCCC"), A JOINT INITIATIVE BRINGING MULTIPLE STAKEHOLDERS TOGETHER TO ASSESS THE TOP PRIORITY COMMUNITY HEALTH ISSUES IN BOSTON AND IDENTIFY OPPORTUNITIES FOR SHARED IMPLEMENTATION. PARTICIPANTS INCLUDE COMMUNITY MEMBERS, COMMUNITY ORGANIZATIONS, COMMUNITY HEALTH CENTERS, THE BOSTON PUBLIC HEALTH COMMISSION, AND CONFERENCE OF BOSTON TEACHING HOSPITAL (COBTH) MEMBERS. THE COLLABORATIVE CONDUCTED 62 INTERVIEWS WITH BOSTON ORGANIZATIONS AND COMMUNITY LEADERS. 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. ALSO FACILITATED WERE 29 FOCUS GROUPS WITH A DIVERSE CROSS-SECTION OF COMMUNITY MEMBERS AND REVIEWED SECONDARY DATA. 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 COMPLEMENT THIS DATA, WITH BRIGHAM AND WOMEN'S HOSPITAL, THERE WERE NINE ADDITIONAL KEY INFORMANT INTERVIEWS, EIGHT DISCUSSION GROUPS AND WRITTEN INPUT FROM SIX KEY INFORMANTS FROM THE BWFH COMMUNITY. HOSPITAL SPECIFIC PATIENT DATA AND OTHER SECONDARY SOURCES WERE ALSO REVIEWED TO HELP PROVIDE THE MOST EXTENSIVE AND FULL ASSESSMENT OF INFORMATION. LASTLY AS PART OF OUR TARGETED COMMUNITY ENGAGEMENT, BWFH AND MASS GENERAL HOSPITAL CONDUCTED A COMMUNITY HEALTH CONVENIENCE SURVEY, WITH 494 RESPONDENTS, TO GATHER ADDITIONAL INFORMATION ABOUT TOP HEALTH CONCERNS, COVID IMPACTS AND CHALLENGES, BARRIERS TO HEALTHCARE AND MOBILE HEALTH CARE. THE FOLLOWING ARE THE PARAMETERS OF THE SURVEY: ADMINISTERED IN PERSON (ANONYMOUS PAPER SURVEY) AT BWFH EVENTS AND ON-LINE USING REDCAP TRANSLATED INTO SPANISH, PORTUGUESE, HAITIAN CREOLE, TRADITIONAL CHINESE, AND SIMPLIFIED CHINESE CONVENIENCE SAMPLING ONLINE SURVEY PROMOTED THROUGH MGH CCHI SOCIAL MEDIA ACCOUNTS (FACEBOOK AND INSTAGRAM) AND IN THE COMMUNITY BY BWFH STAFF SURVEY ADMINISTRATION FROM JANUARY 15, 2022-MARCH 25, 2022 14 QUESTIONS TOTAL, 4 OPEN-ENDED, 6 DEMOGRAPHIC QUESTIONS THE MCLEAN HOSPITAL CORPORATION PART V, SECTION B, LINE 5: DUE TO MCLEAN'S HIGHLY SPECIALIZED MISSION AND SERVICES, AS WELL AS WHERE MCLEAN PATIENTS AT ALL LEVELS OF CARE LIVE IN MASSACHUSETTS, WE RELY ON COMMUNITY, REGIONAL AND STATE-WIDE PUBLIC HEALTH AND COMMUNITY NEEDS ASSESSMENTS AND FEEDBACK FROM THE COMMUNITY HEALTH NETWORK AREA 17 (CHNA 17) WHICH SERVES THE COMMUNITIES OF ARLINGTON, BELMONT, CAMBRIDGE, SOMERVILLE, WALTHAM AND WATERTOWN. THE SPAULDING REHABILITATION HOSPITAL PART V, SECTION B, LINE 5: IN FY22, AN INTERNAL WORKING GROUP CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF A CONTINUOUS QUALITY IMPROVEMENT APPROACH TO COMMUNITY BENEFIT PLANNING. THE ASSESSMENT INVOLVED A REVIEW OF PATIENT DATA FROM THE PAST FISCAL YEAR, FY21 (OCTOBER 1, 2020 SEPTEMBER 30, 2021); DATA FROM THE CENSUS, AMERICAN COMMUNITY SURVEY DATA, AND MASSACHUSETTS BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BRFSS); INFORMATION RELATED TO THE CENTER FOR DISEASE CONTROL AND PREVENTION'S (CDC) HEALTHY PEOPLE 2030 (HP2030). THE PATIENT AND COMMUNITY DATA WERE USED IN FORMULATING THE COMMUNITY BENEFIT PRIORITIES, GOAL, OBJECTIVES, AND TARGET COMMUNITIES AND TO OUTLINE THE PROGRESS MADE IN THE 2018 CHNA. REHABILITATION HOSPITAL OF THE CAPE PART V, SECTION B, LINE 5: SPAULDING CAPE COD'S 2022 CHNA RELIED UPON DATA FROM THE FOLLOWING SOURCES: PATIENT DATA: DE-IDENTIFIED DATA OF PATIENTS WHO RECEIVED CARE AT SPAULDING CAPE COD'S INPATIENT AND OUTPATIENT SITES WHO WERE DISCHARGED BETWEEN OCTOBER 1, 2020 AND SEPTEMBER 30, 2021 (FISCAL YEAR 2021) WERE ANALYZED TO INFORM SELECTION OF THE HOSPITAL'S TARGET COMMUNITY AND VULNERABLE POPULATIONS. U.S. CENSUS DATA: THE 2020 U.S. CENSUS AND AMERICAN COMMUNITY SURVEY DATA WERE USED TO UNDERSTAND THE DEMOGRAPHICS AND NEEDS RELATED TO THE SOCIAL DETERMINANTS OF HEALTH IN THE TARGET COMMUNITIES. KEY INFORMANT INPUT: STAKEHOLDERS WHO HAVE EXPERTISE AND INVOLVEMENT WITH TARGET POPULATIONS AND RELEVANT COMMUNITY ORGANIZATIONS MET AS AN ADVISORY COUNCIL TO PROVIDE INPUT ON PRIORITY AREAS. SPAULDING HOSPITAL-CAMBRIDGE, INC. PART V, SECTION B, LINE 5: IN FY 21, AN INTERNAL WORKING GROUP AT SPAULDING HOSPITAL CAMBRIDGE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF A CONTINUOUS QUALITY IMPROVEMENT APPROACH TO COMMUNITY BENEFIT PLANNING. THIS YEAR'S ASSESSMENT WAS MORE CHALLENGING DUE TO THE CHANGES WE HAVE EXPERIENCED WITH OUR INPATIENT POPULATIONS AND THE INABILITY TO PROVIDE OUR COMMUNITY BENEFIT PROGRAMS DUE TO THE COVID PANDEMIC. THIS YEARS' ASSESSMENT UTILIZED A COLLABORATIVE AND DYNAMIC APPROACH TO REVIEW AVAILABLE SPAULDING HOSPITAL CAMBRIDGE DATA (FY 2021), A REVIEW OF PUBLICLY AVAILABLE HEALTH AND DEMOGRAPHIC DATA INCLUDING THE CITY OF CAMBRIDGE COMMUNITY HEALTH ASSESSMENT (JULY 2020) AND THE MASS GENERAL BRIGHAM SYSTEM PRIORITIES. BASED ON THE ASSESSMENT FINDINGS THE WORKING GROUP REFINED THE COMMUNITY BENEFIT AGENDA FROM 2019. GIVEN THE SPECIALTY NATURE OF THE CARE PROVIDED AND THE BROAD GEOGRAPHIC REACH OF OUR PATIENTS, WE DEFINE OUR PRIMARY COMMUNITY SERVED BEYOND OUR IMMEDIATE GEOGRAPHIC LOCATION BUT INSTEAD ON OUR SPECIFIC PATIENT POPULATIONS: THOSE PERSONS WITH COMPLEX AND CHRONIC HEALTH CONDITIONS AND PERSONS LIVING WITH DISABILITY. BOTH QUANTITATIVE AND QUALITATIVE DATA WERE COLLECTED FOR THE COMMUNITY HEALTH ASSESSMENT TO HELP IDENTIFY MAJOR ASPECTS OF THE COMMUNITY THAT IMPACT THE HEALTH OF ITS PRIORITY POPULATIONS. THE DATA WERE EVALUATED THROUGH A SOCIAL DETERMINANTS OF HEATH LENS, BY CONSIDERING THE ECONOMIC, ENVIRONMENTAL, AND SOCIAL FACTORS THAT INFLUENCE HEALTH. THE PROGRAMS AND INITIATIVES IDENTIFIED BY THE WORKING GROUP SUPPORT THE OVERALL NEEDS IDENTIFIED BY THE HEALTH ASSESSMENT AND DESCRIBED PROGRESS MADE IN THE FY 19 BEFORE THE COVID PANDEMIC PLACED MANY OF OUR COMMUNITY BENEFIT PROGRAMS ON HOLD. NANTUCKET COTTAGE HOSPITAL PART V, SECTION B, LINE 5: THIS CHNA SEEKS TO IDENTIFY AND PRIORITIZE PERSISTENT AND EMERGING COMMUNITY HEALTH NEEDS ON NANTUCKET ISLAND. THE ASSESSMENT UTILIZES THE WORLD HEALTH ORGANIZATION SOCIAL DETERMINANTS OF HEALTH FRAMEWORK, DEFINING HEALTH IN THE BROADEST SENSE AND RECOGNIZING NUMEROUS FACTORS AT MULTIPLE LEVELS, INCLUDING: LIFESTYLE BEHAVIORS INCLUDING ACTIVE LIVING AND HEALTHY EATING HABITS CLINICAL CARE INCLUDING ACCESS TO MEDICAL AND BEHAVIORAL HEALTH SERVICES AS WELL AS INSURANCE COVERAGE SOCIAL AND ECONOMIC FACTORS INCLUDING POVERTY, UNEMPLOYMENT AND ACCESS TO AFFORDABLE HOUSING, AND THE PHYSICAL ENVIRONMENT INCLUDING AIR AND WATER QUALITY. THE PROCESS OF GATHERING THE QUALITATIVE AND QUANTITATIVE DATA INVOLVED A COMBINATION OF DIRECT COMMUNITY OUTREACH THROUGH PUBLIC TOWN HALLS, SURVEYS, AND A ROBUST SERIES OF STAKEHOLDER INTERVIEWS. THE STAKEHOLDER INTERVIEWS TARGETED CIVIC LEADERS, COMMUNITY ADVOCATES, AND HEALTHCARE PROVIDERS, EMPHASIZING COLLECTING FEEDBACK ABOUT THE COMMUNITY ISSUES FACING OUR MOST VULNERABLE RESIDENTS. INTERVIEWEES WERE ASKED TO IDENTIFY KEY HEALTH NEEDS, POPULATIONS IMPACTED MOST HEAVILY BY THESE KEY HEALTH NEEDS, PERCEIVED BARRIERS TO ADDRESSING NEEDS, AND SUGGESTIONS FOR ADDRESSING THESE NEEDS MOVING FORWARD. MARTHA'S VINEYARD HOSPITAL PART V, SECTION B, LINE 5: BASED UPON THE CHNA PLAN DEVELOPED BY THE CAC AT ITS MAY 31, 2022 MEETING, THE CHNA METHODOLOGY INVOLVED THE FOLLOWING DATA SOURCES AND METHODS. (1) A REVIEW OF SECONDARY DATA FROM PUBLICLY AVAILABLE STATE AND FEDERAL SOURCES (E.G., U.S. CENSUS BUREAU, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH), AS WELL AS MVH'S OWN DATA. THE SECONDARY DATA REVIEW PROVIDED INFORMATION ABOUT THE DEMOGRAPHICS OF RESIDENTS, HEALTH AND BEHAVIORAL HEALTH RISKS AND CONDITIONS, AND SOCIAL DETERMINANTS OF HEALTH AFFECTING THEM. THE MOST RECENTLY AVAILABLE DATA SOURCES WERE USED WHENEVER POSSIBLE (E.G., THE 2021 AMERICAN COMMUNITY SURVEY VERSUS THE 2020 CENSUS) TO PROVIDE ESTIMATES CLOSER TO THE CURRENT REALITY ON THE ISLAND. HOWEVER, OLDER SOURCES WERE USED WHEN MORE RECENT DATA WERE NOT AVAILABLE. FOR EXAMPLE, CENSUS DATA FOR THE INDIVIDUAL COMMUNITIES WITHIN THE TARGET AREA AND FOR SOME VARIABLES DISCUSSED IN THIS REPORT ARE ONLY AVAILABLE FOR TIME PERIODS EARLIER THAN 2021. (2) THE MARTHA'S VINEYARD COMMUNITY SURVEY WAS ADMINISTERED PRIMARILY AS AN ONLINE SURVEY IN ENGLISH AND PORTUGUESE WITH SOME SURVEYS COMPLETED IN HARD COPY. THE SURVEY WAS ADMINISTERED BETWEEN JULY 18, 2022 AND AUGUST 12, 2022 AND RECEIVED 455 RESPONSES. THE MAJORITY OF RESPONDENTS (N=432 OR 94.9%) REPORTED THAT ENGLISH IS THEIR PRIMARY LANGUAGE WHILE 23 (5.1%) INDICATED THAT PORTUGUESE IS THEIR PRIMARY LANGUAGE.2 YEAR-ROUND RESIDENTS COMPRISED (N=362) 79.5% OF SURVEY RESPONDENTS. QUANTITATIVE DATA ANALYSIS WAS CONDUCTED USING EXCEL AND SPSS AND OPEN-TEXT RESPONSES WERE REVIEWED FOR COMMON AND DIVERGENT THEMES. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH 18 REPRESENTATIVES FROM A RANGE OF ORGANIZATIONS ON THE ISLAND WHO COULD OFFER PERSPECTIVES ON THE ISLAND'S HEALTH NEEDS IN GENERAL, AS WELL AS EXPERTISE ON SPECIFIC POPULATIONS AND/OR HEALTH ISSUES. THE INTERVIEWS WERE UP TO 60 MINUTES LONG, CONDUCTED VIA TELEPHONE, AND USED A SEMI-STRUCTURED INTERVIEW TOOL. THE INTERVIEW DATA WERE REVIEWED FOR COMMON AND DIVERGENT THEMES AND TO IDENTIFY ILLUSTRATIVE QUOTES ABOUT THE MAJOR ISSUES AFFECTING THE HEALTH OF ISLAND RESIDENTS. COOLEY DICKINSON HOSPITAL, INC. PART V, SECTION B, LINE 5: THE 2019 CHNA UPDATES THE PRIORITIZED COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2016 CHNA. THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA INCLUDE COMMUNITY LEVEL SOCIAL AND ECONOMIC DETERMINANTS THAT IMPACT HEALTH, BARRIERS TO ACCESSING CARE, AND HEALTH BEHAVIORS AND OUTCOMES. WE ALSO PROVIDE CONTEXT FOR THE ROLE THAT SOCIAL POLICIES AND THE PRACTICES OF SYSTEMS HAVE ON HEALTH OUTCOMES. ASSESSMENT METHODS INCLUDED: 1) ANALYSIS OF SOCIAL, ECONOMIC, AND HEALTH QUANTITATIVE DATA FROM THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, THE U.S. CENSUS BUREAU, THE COUNTY HEALTH RANKING REPORTS, THE MASSACHUSETTS HEALTHY AGING COLLABORATIVE, SOCIAL EXPLORER, AND A VARIETY OF OTHER DATA SOURCES; 2) ANALYSIS OF FINDINGS FROM 12 FOCUS GROUPS, 45 INTERVIEWS WITH KEY INFORMANTS (INCLUDING WITH LOCAL AND REGIONAL PUBLIC HEALTH OFFICIALS), 10 COMMUNITY CHATS CONDUCTED BY THE CONSULTANT TEAM AND THE REGIONAL ADVISORY COUNCIL (RAC) AS PART OF THIS CHNA, AND A MEETING OF THE CDHC COMMUNITY BENEFITS ADVISORY COUNCIL; 3) THE EXPERIENCES OF COMMUNITY MEMBERS WHO GAVE INPUT IN FOCUS GROUPS OR KEY INFORMANT INTERVIEWS IN OTHER REGIONS WERE OCCASIONALLY CONSIDERED RELEVANT TO THIS SERVICE AREA AND WERE INCLUDED; AND 4) REVIEW OF EXISTING ASSESSMENT REPORTS PUBLISHED SINCE 2016 THAT WERE COMPLETED BY COMMUNITY AND REGIONAL AGENCIES SERVING HAMPSHIRE COUNTY. THE ASSESSMENT FOCUSED ON COUNTY-LEVEL DATA AND SELECT COMMUNITY-LEVEL DATA AS AVAILABLE. GIVEN DATA CONSTRAINTS, THE FOLLOWING COMMUNITIES WERE IDENTIFIED FOR THE MAJORITY OF THE COMMUNITY LEVEL DATA ANALYSES: AMHERST, EASTHAMPTON, AND NORTHAMPTON. OTHER COMMUNITIES WERE INCLUDED AS DATA WAS AVAILABLE AND ANALYSIS INDICATED AN IDENTIFIED HEALTH NEED FOR THAT COMMUNITY. SOME OF THE DATA SOURCES SUPPLIED DATA IN RATES (E.G. RATES PER 100,000 OF THE POPULATION), INCLUDING THE MAIN SOURCE OF DATA FOR HEALTH OUTCOMES, THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH. CREATING RATES ALLOWS US TO COMPARE OUTCOMES FROM GEOGRAPHIES THAT MIGHT BE DRASTICALLY DIFFERENT IN SIZE OR POPULATION, FOR EXAMPLE, THE STATE OF MASSACHUSETTS AND THE TOWN OF HATFIELD. IF ALL WE COULD REPORT WAS THE NUMBER OF PEOPLE HOSPITALIZED, FOR EXAMPLE, IT WOULD NOT BE POSSIBLE TO COMPARE HOW HATFIELD IS DOING COMPARED TO THE STATE. FOR EXAMPLE, IF 38 PEOPLE IN A TOWN OF ABOUT 3,300 (HATFIELD) WERE HOSPITALIZED IN ONE YEAR FOR CARDIOVASCULAR DISEASE, THE RATE IS 748 PER 100,000. IF OVER 92,000 PEOPLE ACROSS THE APPROXIMATELY 6.9 MILLION PEOPLE IN THE STATE OF MASSACHUSETTS WERE HOSPITALIZED FOR THE SAME THING IN ONE YEAR, THE RATE IS 1,216 PER 100,000. THUS, WE CAN SEE THAT THE TOWN OF HATFIELD HAD A LOWER RATE OF HOSPITALIZATION. COMMUNITY HEALTH NEEDS ASSESSMENTS ARE REQUIRED TO IDENTIFY "VULNERABLE POPULATIONS". WE USE THE TERM "PRIORITY POPULATIONS". TO THE EXTENT POSSIBLE GIVEN DATA AND RESOURCE CONSTRAINTS, PRIORITY POPULATIONS WERE IDENTIFIED USING QUALITATIVE AND QUANTITATIVE INFORMATION. QUALITATIVE DATA INCLUDED FOCUS GROUP FINDINGS, INTERVIEWS, INPUT FROM OUR REGIONAL ADVISORY COMMITTEE AND COMMUNITY BENEFITS ADVISORY COMMITTEES, AND COMMUNITY OUTREACH. WE USED QUANTITATIVE DATA TO IDENTIFY PRIORITY POPULATIONS BY DISAGGREGATING BY RACE/ETHNICITY; AGE WITH A FOCUS ON CHILDREN/YOUTH AND OLDER ADULTS; AND LGBTQ (LESBIAN/GAY/BI-SEXUAL/TRANSGENDER/QUEER) POPULATIONS. WENTWORTH-DOUGLASS HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY HEALTH NEEDS WERE IDENTIFIED BY COLLECTING AND ANALYZING DATA FROM MULTIPLE SOURCES. CONSIDERING A VAST ARRAY OF INFORMATION IS IMPORTANT WHEN ASSESSING COMMUNITY HEALTH NEEDS, TO ENSURE THE ASSESSMENT CAPTURES A WIDE RANGE OF FACTS AND PERSPECTIVES AND TO INCREASE CONFIDENCE THAT SIGNIFICANT COMMUNITY HEALTH NEEDS HAVE BEEN IDENTIFIED ACCURATELY AND OBJECTIVELY. STATISTICS FOR NUMEROUS COMMUNITY HEALTH INDICATORS WERE ANALYZED, INCLUDING DATA PROVIDED BY LOCAL, STATE, AND FEDERAL GOVERNMENT AGENCIES, LOCAL COMMUNITY SERVICE ORGANIZATIONS, AND WENTWORTH-DOUGLASS. COMPARISONS TO BENCHMARKS WERE MADE WHEREVER POSSIBLE. THIS CHNA ALSO INCORPORATED FINDINGS FROM OTHER RECENTLY CONDUCTED, RELEVANT STATE AND COUNTY HEALTH ASSESSMENTS. IN ADDITION, THE CHNA DEVELOPMENT PROCESS ALSO INCLUDED DATA OBTAINED IN PARTNERSHIP WITH THE UNIVERSITY OF NEW HAMPSHIRE SURVEY CENTER. THE SURVEY CENTER CONDUCTED A WEB AND TEXT-BASED COMMUNITY HEALTH ASSESSMENT SURVEY WITH 519 PARTICIPANTS FROM WDH'S SERVICE AREA. THIS DATA WAS USED TO SUPPLEMENT VERIT'S DATA ANALYSIS. INPUT FROM 42 INDIVIDUALS, FROM 25 INTERNAL AND EXTERNAL ORGANIZATIONS, REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WAS TAKEN INTO ACCOUNT THROUGH KEY INFORMANT INTERVIEWS. INTERVIEWEES INCLUDED: INDIVIDUALS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. MASSACHUSETTS EYE & EAR INFIRMARY PART V, SECTION B, LINE 5: THE 2022 MASS. EYE AND EAR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) RELIED UPON THE FOLLOWING DATA SOURCES: (1) SECONDARY DATA: FOR MOST MASSACHUSETTS HOSPITALS, COMMUNITY-LEVEL DATA AVAILABLE THROUGH THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH AND BOSTON PUBLIC HEALTH COMMISSION ARE USEFUL IN UNDERSTANDING THE SPECIFIC HEALTH NEEDS OF COMMUNITIES AND THOSE IN WHICH DISPARITIES EXIST. THESE DATA ARE TYPICALLY USED TO SELECT VULNERABLE COMMUNITIES AND POPULATIONS AND TO TARGET SERVICES TO ADDRESS PARTICULAR HEALTH ISSUES AND DISPARITIES. BECAUSE NEITHER THE BOSTON PUBLIC HEALTH COMMISSION NOR THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH COLLECT AND REPORT DATA ON VISION, HEARING AND OTHER HEAD AND NECK CONDITIONS IN MASSACHUSETTS COMMUNITIES, MASS. EYE AND EAR RELIED ON THE FOLLOWING SOURCES TO INFORM ITS 2022 CHNA: PATIENT DATA: MOST GENERAL HOSPITALS SELECT PRIORITY COMMUNITIES WITHIN THEIR EXISTING SERVICE AREA AS THE FOCUS OF THEIR CHNA. AS A PROVIDER OF SPECIALTY CARE TO PATIENTS FROM AROUND THE WORLD, ACROSS THE U.S., AND ALL AREAS OF MASSACHUSETTS, MASS. EYE AND EARS' SERVICE AREA IS MORE EXPANSIVE. WITH THE EXCEPTION OF THE MISSION HILL NEIGHBORHOOD OF BOSTON, WHERE MASS. EYE AND EAR'S LONGWOOD FACILITY IS LOCATED, THE HOSPITAL RELIED UPON ANALYSIS OF 12 MONTHS OF ITS OWN (DE-IDENTIFIED) PATIENT DATA TO BETTER UNDERSTAND THE POPULATION SERVED BY THE HOSPITAL AND DEFINE ITS TARGET COMMUNITY. BETWEEN MARCH 1, 2020 AND FEBRUARY 28, 2021, 146,557 PATIENTS UTILIZED SERVICES AT MASS. EYE AND EAR'S MAIN CAMPUS AND ITS LONGWOOD FACILITY. THESE DATA PROVIDED A REPRESENTATIVE SAMPLE OF PATIENTS WHO UTILIZED SERVICES AT MASS. EYE AND EAR'S MAIN CAMPUS AND ITS LONGWOOD FACILITY. U.S. CENSUS DATA: THE 2022 CHNA UTILIZED THE MOST RECENTLY AVAILABLE U.S. CENSUS AND AMERICAN COMMUNITY SURVEY DATA TO UNDERSTAND THE DEMOGRAPHICS AND NEEDS RELATED TO THE SOCIAL DETERMINANTS OF HEALTH IN THE TARGET COMMUNITIES. ALONG WITH MASS. EYE AND EAR'S OWN PATIENT DATA, CENSUS DATA WERE USED TO IDENTIFY VULNERABLE POPULATIONS. HEALTHY PEOPLE 2030: WHILE LOCAL AND STATE PUBLIC HEALTH DATA WERE NOT AVAILABLE TO INFORM THE MASS. EYE AND EAR CHNA, THE U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION'S HEALTHY PEOPLE 2030 OBJECTIVES OFFER INSIGHT INTO THE HIGHEST PRIORITY PUBLIC HEALTH ISSUES. THE OBJECTIVES ARE EVIDENCE-BASED, USING THE MOST RECENTLY AVAILABLE PUBLIC HEALTH DATA, AND INFORMED BY SUBJECT MATTER EXPERTS FROM AROUND THE COUNTRY. THE SENSORY AND COMMUNICATIONS OBJECTIVES IDENTIFY COMMUNITY HEALTH NEEDS RELATED TO VISION, HEARING, BALANCE, TASTE, AND SMELL.1 (2) KEY INFORMANT INTERVIEWS AND SURVEYS: INTERVIEWS WERE CONDUCTED BY TELEPHONE WITH 14 INTERNAL AND EXTERNAL STAKEHOLDERS WHO HAVE EXPERTISE AND EXPERIENCE WITH SPECIFIC POPULATIONS AND/OR HEALTH ISSUES. CONDUCTED BY PHONE, THE INTERVIEWS WERE UP TO 60 MINUTES LONG AND EMPLOYED A SEMI-STRUCTURED INTERVIEW TOOL CREATED SPECIFICALLY FOR THE CHNA. QUALITATIVE DATA WERE ANALYZED TO IDENTIFY COMMON AND DIVERGENT THEMES AND ILLUSTRATIVE QUOTES THAT SERVED TO ELUCIDATE MAJOR THEMES. EIGHT OF THE KEY INFORMANTS ALSO RESPONDED TO AN ONLINE SURVEY TO DESCRIBE THE POPULATIONS WITH WHICH THEY WORK AND THE NEEDS AND BARRIERS TO CARE THEY SEE AMONG THEM. THE GENERAL HOSPITAL CORPORATION PART V, SECTION B, LINE 6A: MASS GENERAL BRIGHAM BOSTON AND NORTH SUFFOLK REGIONAL COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IN 2022, THE MASS GENERAL BRIGHAM HOSPITALS IN BOSTONMASSACHUSETTS GENERAL HOSPITAL, BRIGHAM AND WOMEN'S HOSPITAL, AND BRIGHAM AND WOMEN'S FAULKNER HOSPITALPARTICIPATED IN TWO COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) ALONG WITH OTHER HOSPITALS, HEALTH CENTERS, COMMUNITY-BASED ORGANIZATIONS, COMMUNITY RESIDENTS, AND COMMUNITY STAKEHOLDERS: BOSTON CHNA/CHIP COLLABORATIVE NORTH SUFFOLK PUBLIC HEALTH COLLABORATIVE COVERING CHELSEA, REVERE, AND WINTHROP THE COMMUNITY HEALTH NEEDS PRIORITIZED IN BOTH CHNAS ARE: HOUSING ECONOMIC MOBILITY AND INCLUSION MENTAL AND BEHAVIORAL HEALTH, INCLUDING SUBSTANCE USE DISORDER (SUD) ACCESS TO CARE AND SERVICES THE BOSTON AND NORTH SUFFOLK COLLABORATIVE CHIPS DEFINED GOALS, OBJECTIVES AND STRATEGIES TO IMPACT THESE PRIORITIZED HEALTH NEEDS. THIS MASS GENERAL BRIGHAM BOSTON AND NORTH SUFFOLK REGIONAL CHIP ADOPTS THESE GOALS, OBJECTIVES AND STRATEGIES AND FURTHER OUTLINES ADDITIONAL STRATEGIES TARGETING RACIAL AND ETHNIC HEALTH INEQUITIES THAT DISPROPORTIONATELY IMPACT COMMUNITIES OF COLOR, WITH A FOCUS ON CARDIOMETABOLIC DISEASE AND SUBSTANCE USE DISORDER (SUD) BASED ON THE EXCESS DEATHS ATTRIBUTABLE TO THESE CONDITIONS FOR BLACK RESIDENTS. ALONG WITH THE MASS GENERAL BRIGHAM SYSTEM STRATEGIES, OUR BOSTON HOSPITALS ALSO EMPLOY LOCALLY DIRECTED EFFORTS IN SUPPORT OF THE BOSTON AND NORTH SUFFOLK COLLABORATIVES. ADDITIONAL COMMUNITY HEALTH NEEDS MAY BE IDENTIFIED BY EACH HOSPITAL'S CHNA AND PRIORITIZED BY ITS COMMUNITY ADVISORY BOARD. TAKING THE STRATEGIES DEFINED BY THE COLLABORATIVES' CHIPS AND COMBINING THEM WITH THE MGB SYSTEM AND HOSPITAL STRATEGIES RESULTS IN A BROADER SPECTRUM OF EFFORTS AND INITIATIVES THAT WILL MORE SIGNIFICANTLY IMPACT COMMUNITY HEALTH OUTCOMES. WHILE THE COLLABORATIVES ARE INCLUSIVE OF BOSTON, CHELSEA, REVERE, AND WINTHROP, THE TARGET COMMUNITIES FOR OUR HOSPITALS ARE: BRIGHAM AND WOMEN'S FAULKNER (BWFH): HYDE PARK, JAMAICA PLAIN, ROSLINDALE, WEST ROXBURY BRIGHAM AND WOMEN'S HOSPITAL (BWH): DORCHESTER, JAMAICA PLAIN, MATTAPAN, MISSION HILL, ROXBURY MASSACHUSETTS GENERAL HOSPITAL (MGH): CHARLESTOWN, CHELSEA, REVERE MGB PRIORITY COMMUNITIES (MGB): BOSTON, CHELSEA, REVERE, LYNN, SALEM EACH ENTITY IS REQUIRED TO DEFINE TARGET COMMUNITIES AS PART OF THE CHNA PROCESS, AND EFFORTS MAY OVERLAP ACROSS NEIGHBORHOODS AND COMMUNITIES. THE BRIGHAM AND WOMEN'S HOSPITAL, INC PART V, SECTION B, LINE 6A: THE BOSTON CHNA-CHIP COLLABORATIVE CONDUCTED ITS SECOND CITYWIDE COLLABORATIVE ASSESSMENT THE COLLABORATIVE IS COMPRISED OF EVERY BOSTON TEACHING HOSPITAL, THE BOSTON PUBLIC HEALTH COMMISSION, COMMUNITY HEALTH CENTERS, AND COMMUNITY-BASED ORGANIZATIONS THE CONFERENCE OF BOSTON TEACHING HOSPITALS (COBTH) ACTED AS THE "BACKBONE ORGANIZATION, PROVIDING INFRASTRUCTURE SUPPORT, WITH TWO WORK GROUPS LEADING THE COMMUNITY ENGAGEMENT PROCESS AS A MEMBER OF THE BOSTON COLLABORATIVE STEERING COMMITTEE, MGH HELPED GUIDE THE ENTIRE PROCESS, INCLUDING DATA GATHERING, ANALYSIS, PRIORITIZATION, AND STRATEGY DEVELOPMENT IN NORTH SUFFOLK (CHELSEA, REVERE, AND WINTHROP), THE NORTH SUFFOLK PUBLIC HEALTH COLLABORATIVE (NSPHC) CONDUCTED ITS SECOND REGIONAL INTEGRATED COMMUNITY HEALTH NEEDS ASSESSMENT (ICHNA) THE CITY AND TOWN LEADERS FORMED THE NSPHC TO INCREASE THEIR COLLECTIVE IMPACT ON IMPROVING HEALTH LIKE BOSTON, THE COLLABORATIVE IS MADE UP OF AREA HOSPITAL SYSTEMS, HEALTH CENTERS, LOCAL HEALTH DEPARTMENTS, AND COMMUNITY-BASED ORGANIZATIONS MGH CO-LED THE NORTH SUFFOLK CHNA PROCESS, OVERSEEING DATA COLLECTION, ANALYSIS, AND REPORTING ADDITIONALLY, MGH PROVIDED TECHNICAL SUPPORT FOR THE DESIGN OF FOCUS GROUPS, KEY INFORMANT INTERVIEWS, AND SURVEY QUESTIONS. BRIGHAM AND WOMEN'S FAULKNER HOSPITAL PART V, SECTION B, LINE 6A: FOR THE 2022 CHNA-CHIP, BWFH PARTICIPATED IN THE BOSTON CHNA-CHIP COLLABORATIVE ("THE COLLABORATIVE OR "BCCC"), A JOINT INITIATIVE BRINGING MULTIPLE STAKEHOLDERS TOGETHER TO ASSESS THE TOP COMMUNITY HEALTH ISSUES IN BOSTON AND ITS UNIQUE NEIGHBORHOODS AND IDENTIFY OPPORTUNITIES FOR SHARED IMPLEMENTATION. PARTICIPANTS INCLUDE COMMUNITY MEMBERS, COMMUNITY ORGANIZATIONS, COMMUNITY HEALTH CENTERS, THE BOSTON PUBLIC HEALTH COMMISSION, AND CONFERENCE OF BOSTON TEACHING HOSPITAL (COBTH) MEMBERS. THE COLLABORATIVE CONDUCTED 62 INTERVIEWS WITH BOSTON ORGANIZATIONS AND COMMUNITY LEADERS, FACILITATED 29 FOCUS GROUPS WITH A DIVERSITY OF COMMUNITY MEMBERS, AND REVIEWED SECONDARY DATA. ADDITIONALLY, BWFH AND MASS GENERAL HOSPITAL CONDUCTED A COMMUNITY HEALTH SURVEY, WITH 494 RESPONDENTS, TO GATHER ADDITIONAL INFORMATION ABOUT COMMUNITY HEALTH CONCERNS AND COVID IMPACTS. TO COMPLEMENT THE DATA, BWFH WITH BRIGHAM AND WOMEN'S HOSPITAL, THERE WERE NINE KEY INFORMANT INTERVIEWS CONDUCTED, EIGHT DISCUSSION GROUPS AND WRITTEN INPUT FROM SIX KEY INFORMANTS SPECIFICALLY FROM THE BWFH COMMUNITY. ADDITIONALLY, WE REVIEWED HOSPITAL SPECIFIC PATIENT DATA AND OTHER SECONDARY SOURCES. THIS EXTENSIVE DATA COLLECTION PROVIDED RICH INFORMATION FOR THE ASSESSMENT. COOLEY DICKINSON HOSPITAL, INC. PART V, SECTION B, LINE 6A: COOLEY DICKINSON HEALTH CARE (CDHC) IS A MEMBER OF THE COALITION OF WESTERN MASSACHUSETTS HOSPITALS ("COALITION"). THE COALITION IS A PARTNERSHIP BETWEEN EIGHT NON-PROFIT HOSPITALS/HEALTH PLAN IN WESTERN MASSACHUSETTS: BAYSTATE MEDICAL CENTER, BAYSTATE FRANKLIN MEDICAL CENTER, BAYSTATE NOBLE HOSPITAL, BAYSTATE WING HOSPITAL, COOLEY DICKINSON HEALTH CARE, MERCY MEDICAL CENTER, SHRINERS HOSPITALS FOR CHILDREN SPRINGFIELD, AND HEALTH NEW ENGLAND, A LOCAL HEALTH INSURER WHOSE SERVICE AREAS COVERS THE FOUR COUNTIES OF WESTERN MASSACHUSETTS. THE COALITION FORMED IN 2012 TO BRING HOSPITALS WITHIN WESTERN MASSACHUSETTS TOGETHER TO SHARE RESOURCES AND WORK IN PARTNERSHIP TO CONDUCT THEIR COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND ADDRESS REGIONAL NEEDS. THE GENERAL HOSPITAL CORPORATION PART V, SECTION B, LINE 6B: MASS GENERAL BRIGHAM BOSTON AND NORTH SUFFOLK REGIONAL COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IN 2022, THE MASS GENERAL BRIGHAM HOSPITALS IN BOSTONMASSACHUSETTS GENERAL HOSPITAL, BRIGHAM AND WOMEN'S HOSPITAL, AND BRIGHAM AND WOMEN'S FAULKNER HOSPITALPARTICIPATED IN TWO COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) ALONG WITH OTHER HOSPITALS, HEALTH CENTERS, COMMUNITY-BASED ORGANIZATIONS, COMMUNITY RESIDENTS, AND COMMUNITY STAKEHOLDERS: BOSTON CHNA/CHIP COLLABORATIVE NORTH SUFFOLK PUBLIC HEALTH COLLABORATIVE COVERING CHELSEA, REVERE, AND WINTHROP THE COMMUNITY HEALTH NEEDS PRIORITIZED IN BOTH CHNAS ARE: HOUSING ECONOMIC MOBILITY AND INCLUSION MENTAL AND BEHAVIORAL HEALTH, INCLUDING SUBSTANCE USE DISORDER (SUD) ACCESS TO CARE AND SERVICES THE BOSTON AND NORTH SUFFOLK COLLABORATIVE CHIPS DEFINED GOALS, OBJECTIVES AND STRATEGIES TO IMPACT THESE PRIORITIZED HEALTH NEEDS. THIS MASS GENERAL BRIGHAM BOSTON AND NORTH SUFFOLK REGIONAL CHIP ADOPTS THESE GOALS, OBJECTIVES AND STRATEGIES AND FURTHER OUTLINES ADDITIONAL STRATEGIES TARGETING RACIAL AND ETHNIC HEALTH INEQUITIES THAT DISPROPORTIONATELY IMPACT COMMUNITIES OF COLOR, WITH A FOCUS ON CARDIOMETABOLIC DISEASE AND SUBSTANCE USE DISORDER (SUD) BASED ON THE EXCESS DEATHS ATTRIBUTABLE TO THESE CONDITIONS FOR BLACK RESIDENTS. ALONG WITH THE MASS GENERAL BRIGHAM SYSTEM STRATEGIES, OUR BOSTON HOSPITALS ALSO EMPLOY LOCALLY DIRECTED EFFORTS IN SUPPORT OF THE BOSTON AND NORTH SUFFOLK COLLABORATIVES. ADDITIONAL COMMUNITY HEALTH NEEDS MAY BE IDENTIFIED BY EACH HOSPITAL'S CHNA AND PRIORITIZED BY ITS COMMUNITY ADVISORY BOARD. TAKING THE STRATEGIES DEFINED BY THE COLLABORATIVES' CHIPS AND COMBINING THEM WITH THE MGB SYSTEM AND HOSPITAL STRATEGIES RESULTS IN A BROADER SPECTRUM OF EFFORTS AND INITIATIVES THAT WILL MORE SIGNIFICANTLY IMPACT COMMUNITY HEALTH OUTCOMES. WHILE THE COLLABORATIVES ARE INCLUSIVE OF BOSTON, CHELSEA, REVERE, AND WINTHROP, THE TARGET COMMUNITIES FOR OUR HOSPITALS ARE: BRIGHAM AND WOMEN'S FAULKNER (BWFH): HYDE PARK, JAMAICA PLAIN, ROSLINDALE, WEST ROXBURY BRIGHAM AND WOMEN'S HOSPITAL (BWH): DORCHESTER, JAMAICA PLAIN, MATTAPAN, MISSION HILL, ROXBURY MASSACHUSETTS GENERAL HOSPITAL (MGH): CHARLESTOWN, CHELSEA, REVERE MGB PRIORITY COMMUNITIES (MGB): BOSTON, CHELSEA, REVERE, LYNN, SALEM EACH ENTITY IS REQUIRED TO DEFINE TARGET COMMUNITIES AS PART OF THE CHNA PROCESS, AND EFFORTS MAY OVERLAP ACROSS NEIGHBORHOODS AND COMMUNITIES. THE BRIGHAM AND WOMEN'S HOSPITAL, INC PART V, SECTION B, LINE 6B: THE BOSTON CHNA-CHIP COLLABORATIVE CONDUCTED ITS SECOND CITYWIDE COLLABORATIVE ASSESSMENT THE COLLABORATIVE IS COMPRISED OF EVERY BOSTON TEACHING HOSPITAL, THE BOSTON PUBLIC HEALTH COMMISSION, COMMUNITY HEALTH CENTERS, AND COMMUNITY-BASED ORGANIZATIONS THE CONFERENCE OF BOSTON TEACHING HOSPITALS (COBTH) ACTED AS THE "BACKBONE ORGANIZATION, PROVIDING INFRASTRUCTURE SUPPORT, WITH TWO WORK GROUPS LEADING THE COMMUNITY ENGAGEMENT PROCESS AS A MEMBER OF THE BOSTON COLLABORATIVE STEERING COMMITTEE, MGH HELPED GUIDE THE ENTIRE PROCESS, INCLUDING DATA GATHERING, ANALYSIS, PRIORITIZATION, AND STRATEGY DEVELOPMENT IN NORTH SUFFOLK (CHELSEA, REVERE, AND WINTHROP), THE NORTH SUFFOLK PUBLIC HEALTH COLLABORATIVE (NSPHC) CONDUCTED ITS SECOND REGIONAL INTEGRATED COMMUNITY HEALTH NEEDS ASSESSMENT (ICHNA) THE CITY AND TOWN LEADERS FORMED THE NSPHC TO INCREASE THEIR COLLECTIVE IMPACT ON IMPROVING HEALTH LIKE BOSTON, THE COLLABORATIVE IS MADE UP OF AREA HOSPITAL SYSTEMS, HEALTH CENTERS, LOCAL HEALTH DEPARTMENTS, AND COMMUNITY-BASED ORGANIZATIONS MGH CO-LED THE NORTH SUFFOLK CHNA PROCESS, OVERSEEING DATA COLLECTION, ANALYSIS, AND REPORTING ADDITIONALLY, MGH PROVIDED TECHNICAL SUPPORT FOR THE DESIGN OF FOCUS GROUPS, KEY INFORMANT INTERVIEWS, AND SURVEY QUESTIONS. BRIGHAM AND WOMEN'S FAULKNER HOSPITAL PART V, SECTION B, LINE 6B: FOR THE 2022 CHNA-CHIP, BWFH PARTICIPATED IN THE BOSTON CHNA-CHIP COLLABORATIVE ("THE COLLABORATIVE OR "BCCC"), A JOINT INITIATIVE BRINGING MULTIPLE STAKEHOLDERS TOGETHER TO ASSESS THE TOP COMMUNITY HEALTH ISSUES IN BOSTON AND ITS UNIQUE NEIGHBORHOODS AND IDENTIFY OPPORTUNITIES FOR SHARED IMPLEMENTATION. PARTICIPANTS INCLUDE COMMUNITY MEMBERS, COMMUNITY ORGANIZATIONS, COMMUNITY HEALTH CENTERS, THE BOSTON PUBLIC HEALTH COMMISSION, AND CONFERENCE OF BOSTON TEACHING HOSPITAL (COBTH) MEMBERS. THE COLLABORATIVE CONDUCTED 62 INTERVIEWS WITH BOSTON ORGANIZATIONS AND COMMUNITY LEADERS, FACILITATED 29 FOCUS GROUPS WITH A DIVERSITY OF COMMUNITY MEMBERS, AND REVIEWED SECONDARY DATA. ADDITIONALLY, BWFH AND MASS GENERAL HOSPITAL CONDUCTED A COMMUNITY HEALTH SURVEY, WITH 494 RESPONDENTS, TO GATHER ADDITIONAL INFORMATION ABOUT COMMUNITY HEALTH CONCERNS AND COVID IMPACTS. TO COMPLEMENT THE DATA, BWFH WITH BRIGHAM AND WOMEN'S HOSPITAL, THERE WERE NINE KEY INFORMANT INTERVIEWS CONDUCTED, EIGHT DISCUSSION GROUPS AND WRITTEN INPUT FROM SIX KEY INFORMANTS SPECIFICALLY FROM THE BWFH COMMUNITY. ADDITIONALLY, WE REVIEWED HOSPITAL SPECIFIC PATIENT DATA AND OTHER SECONDARY SOURCES. THIS EXTENSIVE DATA COLLECTION PROVIDED RICH INFORMATION FOR THE ASSESSMENT. COOLEY DICKINSON HOSPITAL, INC. PART V, SECTION B, LINE 6B: COOLEY DICKINSON HEALTH CARE (CDHC) IS A MEMBER OF THE COALITION OF WESTERN MASSACHUSETTS HOSPITALS ("COALITION"). THE COALITION IS A PARTNERSHIP BETWEEN EIGHT NON-PROFIT HOSPITALS/HEALTH PLAN IN WESTERN MASSACHUSETTS: BAYSTATE MEDICAL CENTER, BAYSTATE FRANKLIN MEDICAL CENTER, BAYSTATE NOBLE HOSPITAL, BAYSTATE WING HOSPITAL, COOLEY DICKINSON HEALTH CARE, MERCY MEDICAL CENTER, SHRINERS HOSPITALS FOR CHILDREN SPRINGFIELD, AND HEALTH NEW ENGLAND, A LOCAL HEALTH INSURER WHOSE SERVICE AREAS COVERS THE FOUR COUNTIES OF WESTERN MASSACHUSETTS. THE COALITION FORMED IN 2012 TO BRING HOSPITALS WITHIN WESTERN MASSACHUSETTS TOGETHER TO SHARE RESOURCES AND WORK IN PARTNERSHIP TO CONDUCT THEIR COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND ADDRESS REGIONAL NEEDS. WENTWORTH-DOUGLASS HOSPITAL PART V, SECTION B, LINE 6B: THE HOSPITAL'S MOST RECENT CHNA WAS CONDUCTED WITH WENTWORTH-DOUGLASS PHYSICIAN CORP (WDPC)/WENTWORTH HEALTH PARTNERS, A RELATED 501(C) (3) ENTITY. THE GENERAL HOSPITAL CORPORATION PART V, SECTION B, LINE 11: BASED ON BOTH BOSTON AND NORTH SUFFOLK'S COMMUNITY HEALTH NEEDS ASSESSMENT DATA, HOSPITAL PATIENT DATA, AND PUBLIC HEALTH DATA REVEALING THE LEADING CAUSES OF MORTALITY, MGH HAS UPDATED ITS COMMUNITY HEALTH PRIORITIES TO REFLECT AREAS THAT WE FEEL WE AS A HOSPITAL AND SYSTEM CAN MAKE MEASURABLE IMPACT. MGH'S PRIMARY FOCUS FOR ITS CHNA/CHIP IS TO IMPLEMENT STRATEGIES THAT WILL ACHIEVE RACIAL AND ETHNIC HEALTH EQUITY. WE WILL WORK TO ACHIEVE THIS GOAL BY ENSURING ACCESS TO TRADITIONAL AND INNOVATIVE HIGH-QUALITY AND EFFECTIVE CLINICAL PREVENTIVE SERVICES, WHILE AT THE SAME TIME WORKING UPSTREAM TO PROMOTE HEALTH AND WELLNESS IN COMMUNITY SETTINGS. THIS WILL ENTAIL WORKING ON SOCIAL DETERMINANTS OF HEALTH/UPSTREAM APPROACHES TO DISEASE PREVENTION, NAMELY 1) HOUSING AND 2) ECONOMIC/FINANCIAL STABILITY & MOBILITY, WHICH INCLUDES EDUCATION AS HIGHLIGHTED IN SURVEY AND FOCUS GROUP DATA AND 3) FOOD/NUTRITION SECURITY, WHICH WAS HIGHLIGHTED OVER THE PANDEMIC. HOUSING, FOOD AND EMPLOYMENT ARE FOUNDATIONS FOR GOOD HEALTH, AND WE WILL WORK WITH OTHERS TO ADDRESS THE INEQUITIES THAT EXIST TO ACHIEVE THESE BASIC NEEDS. BECAUSE OF OUR LONG-STANDING COMMITMENT TO KEEPING OUR PATIENTS AND COMMUNITIES SAFE, WE WILL CONTINUE TO ADDRESS 4) VIOLENCE AND SAFETY, PARTICULARLY HELPING PATIENTS EXPERIENCING INTIMATE PARTNER VIOLENCE OR COMMUNITY VIOLENCE, AND WE WILL WORK TO PREVENT NEEDLESS HARM THROUGH GUN VIOLENCE THROUGH EDUCATION AND ADVOCACY. AS ALWAYS, WE WILL CONTINUE TO HELP COMMUNITIES AND PATIENTS' 5) ACCESS AND NAVIGATE TREATMENT AND OTHER SERVICES, PARTICULARLY PREVENTATIVE SERVICES AND SOCIAL SUPPORTS THAT CAN HELP INDIVIDUALS REACH THEIR POTENTIAL. AS A HOSPITAL AND SYSTEM, WE HAVE AN OBLIGATION TO ADDRESS THE DISEASES MOST PREVALENT AND DESTRUCTIVE TO INDIVIDUALS AND COMMUNITIES. WITH A RENEWED INTEREST, WE WILL FOCUS OUR EFFORTS ON 6) MENTAL HEALTH, 7) SUBSTANCE USE AND 8) CARDIOMETABOLIC DISEASE, THE LEADING CAUSES OF MORTALITY, THROUGH MORE CREATIVE, COORDINATED, AND TARGETED APPROACHES AND WORKING IN COLLABORATION WITH OTHERS, WE CAN REDUCE THE LEADING CAUSES OF MORTALITY THAT FACE OUR COMMUNITIES AND HELP COMMUNITIES AND PATIENTS THRIVE. WE WILL DO THIS BY TARGETING EFFORTS IN EARLY LIFE, WITH YOUTH AND THROUGH ADULTHOOD, SPANNING THE LIFE COURSE. THE BRIGHAM AND WOMEN'S HOSPITAL, INC PART V, SECTION B, LINE 11: THE FOLLOWING 5 COMMUNITY HEALTH PRIORITY AREAS WERE APPROVED BY THE BWH COMMUNITY ADVISORY COMMITTEE AND ADOPTED BY THE BWH BOARD COMMITTEE FOR DIVERSITY, INCLUSION, HEALTH EQUITY AND COMMUNITY HEALTH IN JULY 2022: FINANCIAL STABILITY AND MOBILITY RESIDENTS OF BWH'S PRIORITY NEIGHBORHOODS FACE BARRIERS TO FINANCIAL STABILITY AND THESE ARE DISPROPORTIONATELY EXPERIENCED BY RESIDENTS OF COLOR. MISSION HILL, ROXBURY, AND DORCHESTER THAN HAD HIGHER RATES OF POVERTY COMPARED TO BOSTON OVERALL THERE ARE AND HIGHER RATES OF ADULT RESIDENTS WITHOUT A HIGH SCHOOL DIPLOMA IN ROXBURY. INCOME LOSS REPORTED DURING THE PANDEMIC WAS NOTABLY HIGHER FOR LATINO AND BLACK RESIDENTS. INCOME LOSS REPORTED DURING THE PANDEMIC WAS NOTABLY HIGHER FOR LATINO AND BLACK RESIDENTS IN BOSTON. COMMUNITY MEMBERS SHARED THE CONSIDERABLE CHALLENGE TO MAKE ENDS MEET AMID RISING COSTS. HOUSING CONCERNS INCLUDED LACK OF STABLE AND AFFORDABLE HOUSING, RISING COSTS, HIGHER RATES OF EVICTION, DISPLACEMENT, AND OVERCROWDING. IN MOST BWH PRIORITY COMMUNITIES, RESIDENTS ARE COST-BURDENED AND THE HIGH COST OF HOUSING HAS ALSO RESULTED IN THE DISPLACEMENT OF LOCAL RESIDENTS WHO ARE COMPELLED TO RELOCATE TO REDUCE HOUSING COSTS. MENTAL AND BEHAVIORAL HEALTH MENTAL HEALTH CONCERNS AND ACCESS TO MENTAL HEALTH CARE WAS A PRIMARY ISSUE OF CONCERN. THE STRESS AND EMOTIONAL TOLL OF THE PANDEMIC WAS A PROMINENT THEME WITH SPECIFIC CONCERNS CITED FOR YOUNG PEOPLE AND OLDER ADULTS WHO WERE ISOLATED FROM FAMILY AND FRIENDS. THE LACK OF CULTURALLY-COMPETENT TREATMENT WAS NOTED AS A CRITICAL SERVICE GAP. THE DRAMATIC INCREASE IN OPIOID-RELATED OVERDOSE FOR BLACK AND HISPANIC RESIDENTS IN MASSACHUSETTS IN RECENT YEARS IS AN ISSUE OF SIGNIFICANT CONCERN. PHYSICAL HEALTH AND WELLNESS SEVERAL CONCERNS RELATED TO OVERALL PHYSICAL HEALTH AND WELLNESS AROSE, INCLUDING MOST NOTABLY, CHRONIC DISEASE, FOOD INSECURITY, AND ACCESS TO CULTURALLY APPROPRIATE HEALTH CARE. IN ADDITION, THE RACIAL AND ETHNIC DIFFERENCES IN MORTALITY AND PREMATURE MORTALITY REFLECT THE ONGOING EFFECT OF SYSTEMIC AND STRUCTURAL RACISM ON HEALTH OUTCOMES. IT IS CRITICAL TO NOTE THE SIGNIFICANT IMPACT THE COVID-19 PANDEMIC HAD ON NUMEROUS AREAS RELATED TO PHYSICAL HEALTH AND WELLNESS. VIOLENCE AND TRAUMA COMMUNITY VIOLENCE EMERGED AS AN IMPORTANT THEME WITH MANY RESPONDENTS FROM DORCHESTER, MATTAPAN AND ROXBURY REPORTING SAFETY CONCERNS IN THEIR NEIGHBORHOODS. DATA INDICATE THAT VIOLENCE DISPROPORTIONATELY IMPACTING COMMUNITIES OF COLOR AND IMPACTING PREMATURE MORTALITY. NORTH SHORE MEDICAL CENTER, INC. PART V, SECTION B, LINE 11: THE 2022 CHNA AFFIRMED THE PRIORITIES IDENTIFIED IN THE 2021 CHNA AND ADDRESSED IN THE 2021 CHIP, WHILE INTRODUCING NEW ISSUES RELATED TO EXISTING THEMES AND ONE NEW COMMUNITY HEALTH THEME. THE 2022 CHNA THEMES AND RELATED ISSUES ARE AS FOLLOWS. BEHAVIORAL HEALTH, A PRIORITY IN THE 2021 CHIP, ENCOMPASSES THE ISSUES OF MENTAL HEALTH, SUBSTANCE USE DISORDERS (SUD), GAPS IN TREATMENT, STIGMA, AND VIOLENCE (DOMESTIC VIOLENCE, CHILD ABUSE/NEGLECT, ELDER ABUSE/NEGLECT). THE 2022 CHNA IDENTIFIED THE NEED FOR HARM REDUCTION CONVERSATIONS IN THE HOSPITAL WITH ACTIVE USERS AND THOSE WITH PAIN MANAGEMENT ISSUES. HEALTH CARE ACCESS, ALSO A PRIORITY ADDRESSED IN THE 2021 CHIP, INVOLVES NEEDS RELATED TO THE ACCESSIBILITY OF SERVICES, HEALTH INSURANCE AND COST, CARE COORDINATION AND NAVIGATION, AND ORAL HEALTH SERVICES. THE 2022 CHNA IDENTIFIED OPPORTUNITIES TO EXPAND ACCESS BY ENHANCING SALEM HOSPITAL'S PARTNERSHIP WITH THE LOCAL COMMUNITY HEALTH CENTERS AND EXPANDING MOBILE HEALTH SERVICES. CULTURALLY SENSITIVE CARE WAS DEFINED IN THE 2021 CHNA AND CHIP AS THE DELIVERY OF CULTURALLY SENSITIVE CARE AND SERVICES IN MULTIPLE LANGUAGES. THESE CONTINUING NEEDS CALL FOR FURTHER INVESTMENT IN OUTREACH TO AND ENGAGEMENT OF DIVERSE COMMUNITIES AND VULNERABLE POPULATIONS. SOCIAL DETERMINANTS OF HEALTH, INCLUDING INEQUITIES RELATED TO HOUSING, FOOD/NUTRITION, TRANSPORTATION, BROADBAND AND CELL SERVICE, CHILDCARE, AND EDUCATION, WERE ADDRESSED IN THE 2021 CHIP. THESE NEEDS PERSIST AND, FOR MANY, HAVE WORSENED IN 2022. WORKFORCE: THE 2022 CHNA ADDS A NEW THEME IN UNDERSTANDING THE HEALTH-RELATED NEEDS IN THE PRIORITY COMMUNITIES. LABOR SHORTAGES ARE CAUSING EXTENSIVE WAIT LISTS AND TIMES AND SEVERELY LIMITING ACCESS TO HEALTH AND BEHAVIORAL HEALTH CARE. GIVEN THE DEMOGRAPHIC MAKE-UP OF THE COMMUNITIES, INCREASING DIVERSITY OF THE WORKFORCE TO MEET THESE NEEDS IS PARAMOUNT. IN A SEPTEMBER 13, 2022 MEETING, THE CAHAC REVIEWED THE CHNA FINDINGS AND MGB'S SYSTEM FOCUS ON CARDIOMETABOLIC DISEASE AND SUDS AND ADOPTED THE FIVE PRIORITIES AND RELATED ISSUES DESCRIBED ABOVE. AFTER REVIEWING THE CHNA RESULTS, THE CAHAC DETERMINED THAT THE 2023-2025 CHIP WILL CONTINUE TO FOCUS ON ITS EIGHT PRIORITIES COMMUNITIES AND DEVELOP STRATEGIES THAT WILL ACHIEVE RACIAL AND ETHNIC HEALTH EQUITY BY ADDRESSING THE NEEDS OF SEVERAL UNDERSERVED AND VULNERABLE POPULATIONS, INCLUDING SENIORS, YOUTH, THOSE WITH HEARING IMPAIRMENTS AND OTHER DISABILITIES, UNDOCUMENTED IMMIGRANTS, NON-ENGLISH SPEAKING INDIVIDUALS, HOMELESS POPULATIONS, THE TRANSGENDER COMMUNITY, PEOPLE RE-ENTERING THE COMMUNITY FROM JAIL/PRISON, AND PEOPLE DEALING WITH MENTAL HEALTH CONCERNS AND SUBSTANCE USE DISORDERS. NEWTON-WELLESLEY HOSPITAL PART V, SECTION B, LINE 11: AS MASS GENERAL BRIGHAM DEVELOPS AND IMPLEMENTS PROGRAMMING AND SUPPORTS THAT WILL REDUCE DISPARITIES IN HEALTH OUTCOMES FOR THE TWO SYSTEM PRIORITIES, OUR EFFORTS WILL FOCUS ON THE HIGHEST NEED COMMUNITIES ACROSS OUR HOSPITAL PRIORITY NEIGHBORHOODS. WE WILL ALSO CONTINUE TO SUPPORT LOCALLY IDENTIFIED PRIORITIES AT THE HOSPITAL LEVEL. COMMUNITY PRIORITIES FOR ACTION PRIORITIZATION ALLOWS ORGANIZATIONS TO TARGET AND ALIGN RESOURCES, LEVERAGE EFFORTS, AND FOCUS ON ACHIEVABLE STRATEGIES AND GOALS FOR ADDRESSING PRIORITY NEEDS. THROUGH A SYSTEMATIC, ENGAGED APPROACH THAT IS INFORMED BY DATA, PRIORITIES ARE IDENTIFIED THROUGH AN ITERATIVE PROCESS TO FOCUS PLANNING EFFORTS. THIS SECTION DESCRIBES THE PROCESS AND OUTCOMES OF THE NWH CHNA PRIORITIZATION PROCESS.FROM THIS DISCUSSION, THE FOLLOWING PRIORITIES WERE SELECTED: HOUSING AFFORDABILITY MENTAL HEALTH & SUBSTANCE USE ACCESS TO QUALITY CARE, WITH A FOCUS ON: CHRONIC DISEASE PREVENTION AND MANAGEMENT OF INTEGRATION OF SERVICES AND HEALTHCARE TRANSPORTATION IT WAS RECOMMENDED THAT ALL PRIORITIES BE ADDRESSED WITH THE FOLLOWING CROSS-CUTTING STRATEGIES: HEALTH AND RACIAL EQUITY WORKFORCE DEVELOPMENT SUSTAINED COMMUNITY ENGAGEMENT AND EMPOWERMENT FINALLY, ALL PRIORITIES SHOULD SPECIFICALLY CONSIDER THE SPECIAL NEEDS OF THE COMMUNITIES' MOST VULNERABLE POPULATIONS: OLDER ADULTS YOUTH IMMIGRANTS PEOPLE OF COLOR BRIGHAM AND WOMEN'S FAULKNER HOSPITAL PART V, SECTION B, LINE 11: BRIGHAM AND WOMEN'S FAULKNER HOSPITAL USED A COLLABORATIVE PLANNING PROCESS TO IDENTIFY AND REAFFIRM THE PRIORITIES IN WHICH WE WILL WORK WITH RESIDENTS AND ACROSS ALL SECTORS IN THE COMMUNITY TO ADDRESS. IDENTIFIED AND REAFFIRMED PRIORITIES FOR BRIGHAM AND WOMEN'S FAULKNER HOSPITAL AND THE COLLABORATIVE THE PRIORITIZATION PROCESS WAS CENTERED ON THE DATA FROM THIS 2022 CHNA AND THE CURRENT CHIP WHICH HAS FIVE MAIN PRIORITY AREAS (FOUR FOR THE COLLABORATIVE) AND AN OVERARCHING CENTRAL FOCUS OF ACHIEVING RACIAL AND ETHNIC HEALTH EQUITY: 1: HOUSING- FOCUS ON AFFORDABILITY, QUALITY, HOMELESSNESS, OWNERSHIP AND DISPLACEMENT 2: FINANCIAL SECURITY AND MOBILITY - FOCUS ON JOBS, EMPLOYMENT, INCOME, EDUCATION, AND WORKFORCE TRAINING 3: BEHAVIORAL HEALTH - FOCUS ON MENTAL HEALTH AND SUBSTANCE USE 4: ACCESSING SERVICES FOCUS ON HEALTHCARE, TRANSPORTATION, LANGUAGE, HEALTHY AND NUTRITIOUS FOOD AND SOCIAL SERVICES 5: CHRONIC DISEASE AND HEALTHY LIVING - FOCUS ON CARDIOMETABOLIC DISEASE, FITNESS AND WELLNESS FOR ALL THE MCLEAN HOSPITAL CORPORATION PART V, SECTION B, LINE 11: PRIORITIES - MCLEAN'S IMPROVEMENT PLAN WILL BE INFORMED BY THESE PRIORITIZED NEEDS IDENTIFIED IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT. FOCUSING ON PEOPLE AND FAMILIES AFFECTED BY PSYCHIATRIC ILLNESS AND SUBSTANCE USE DISORDERS ACROSS EASTERN AND CENTRAL MASSACHUSETTS, ENCOMPASSING CHNA 17 SERVICE AREAS AND MIDDLEBOROUGH, THE CHIP WILL INCLUDE: IMPROVING MENTAL HEALTH ACCESS AND CAPACITY THROUGH INNOVATIVE PROGRAMS AND BETTER COORDINATION DECREASING LENGTHS OF STAY IN HOSPITAL EMERGENCY DEPARTMENTS AND MEDICAL/SURGICAL UNITS FOR PATIENTS WITH MENTAL/BEHAVIORAL HEALTH NEEDS ADDRESSING THE NEEDS OF UNDERSERVED COMMUNITIES WITH RESIDENTS PREDOMINATELY WITH HISTORICALLY MARGINALIZED IDENTITIES SUPPORTING SCHOOLS (K-12 AND INSTITUTIONS OF HIGHER EDUCATION) AS THEY SUPPORT STUDENTS AND FAMILIES CARING FOR UNINSURED AND UNDERINSURED STRENGTHENING BEHAVIORAL HEALTH WORKFORCE TO ADDRESS ACCESS AND QUALITY EXPANDING PUBLIC EDUCATION AND ENGAGEMENT TO REDUCE STIGMA AND PROMOTE MENTAL HEALTH WELLNESS AND RESILIENCY. THE SPAULDING REHABILITATION HOSPITAL PART V, SECTION B, LINE 11: MASS GENERAL BRIGHAM (MGB) COMMUNITY HEALTH LEADS THE MGB SYSTEM-WIDE COMMITMENT TO IMPROVE THE HEALTH AND WELL-BEING OF RESIDENTS IN THE MGB PRIORITY COMMUNITIES MOST IMPACTED BY HEALTH INEQUITIES. IN ADDITION TO THE PRIORIES EACH HOSPITAL IDENTIFIES THAT ARE UNIQUE TO ITS COMMUNITIES, MGB HAS IDENTIFIED TWO SYSTEM-LEVEL PRIORITIES: CARDIOMETABOLIC DISEASE AND SUBSTANCE USE DISORDER. THESE PRIORITIES EMERGED FROM A REVIEW OF HOSPITAL-LEVEL DATA AND PREVALENT TRENDS IN POPULATION HEALTH STATISTICS THAT SHOW BLACK AND HISPANIC INDIVIDUAL ARE DISPROPORTIONATELY AFFECTED BY DISPARITIES IN HEALTH OUTCOMES AND EXCESS DEATHS RELATED TO THESE CONDITIONS. MGB EFFORTS WITHIN THESE TWO AREAS WILL AIM TO REDUCE RACIAL AND ETHNIC DISPARITIES IN OUTCOMES, WITH THE GOAL OF IMPROVING LIFE EXPECTANCY. HOSPITALS ACROSS MGB ARE CONDUCTING CHNAS AT THIS TIME TO ALIGN WITH MGB EFFORTS TO HAVE ALL HOSPITALS ON THE SAME THREE-YEAR CYCLE TO UTILIZE SYSTEM-WIDE EFFORTS TO ADDRESS HEALTH INEQUITIES.PRIORITY AREA OBJECTIVE ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH - TO INCREASE OPPORTUNITIES FOR EDUCATIONAL AND PROFESSIONAL ADVANCEMENTIMPROVING ACCESS TO CARE - TO REDUCE BARRIERS TO HEALTH CARE PROMOTING WELLNESS AND PREVENTING INJURY AND DISEASE - TO INCREASE WELLNESS AND PREVENT INJURY AND DISEASE, ESPECIALLY FOR CHILDREN, SENIORS, AND THOSE WITH DISABILITIESIMPROVING THE SOCIAL ENVIRONMENT AND OPPORTUNITIES FOR THOSE WITH DISABILITIES - TO DECREASE ISOLATION AND INCREASE SOCIAL-EMOTIONAL SUPPORT FOR PEOPLE WITH DISABILITIES OTHER PRIORITIES IDENTIFIED BY THE COMMUNITY - TO PROVIDE RESOURCES, AS APPROPRIATE AND AVAILABLE, TO SUPPORT COMMUNITY PRIORITIES THAT FALL OUTSIDE THE OTHER COMMUNITY BENEFIT PRIORITY AREAS. REHABILITATION HOSPITAL OF THE CAPE PART V, SECTION B, LINE 11: RESULTS FROM OUR ASSESSMENT INDICATE THAT SPAULDING CAPE COD IS VERY MUCH A COMMUNITY-BASED HOSPITAL, SERVING MAINLY CAPE COD (BARNSTABLE COUNTY) AND, TO A LESSER DEGREE, PLYMOUTH COUNTY. OUR INPATIENT POPULATION IS ELDERLY. THE COMBINATION OF ADVANCED AGE, AN ACUTE ADMISSION SUPERIMPOSED ON CHRONIC COMORBIDITIES, AND VARIED LEVELS OF SUPPORT AT TIME OF DISCHARGE PLACE MANY OF OUR PATIENTS AT RISK. GIVEN SPAULDING CAPE COD'S MISSION, CATCHMENT AREA, AND PATIENT CHARACTERISTICS IDENTIFIED DURING OUR COMMUNITY HEALTH NEEDS ASSESSMENT, WE WILL BE FOCUSING ON THE NEEDS OF BARNSTABLE AND PLYMOUTH COUNTY RESIDENTS, PARTICULARLY THE ELDERLY AND PERSONS LIVING WITH A DISABILITY. OUR PRIORITIES WILL INCLUDE ADDRESSING SOCIAL DETERMINANTS OF HEALTH, IMPROVING ACCESS TO CARE, PROMOTING HEALTH AND WELLNESS OF THE COMMUNITY, AND REDUCING IMPACTS OF CHRONIC DISEASE AND DISABILITY. SPAULDING HOSPITAL-CAMBRIDGE, INC. PART V, SECTION B, LINE 11: CRITERIA FOR PRIORITIZATION TO DETERMINE THE PRIORITIES FOR COMMUNITY HEALTH NEEDS, THE FOLLOWING CRITERIA WERE USED: (1) BURDEN AND URGENCY OF THE COMMUNITY HEALTH NEED, (2) EQUITY, (3) IMPACT, (4) FEASIBILITY: AND (5) POTENTIAL FOR COLLABORATION A. ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH: SPAULDING IS COMMITTED TO ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH, INCLUDING CHRONIC UNEMPLOYMENT FOR PEOPLE WITH DISABILITIES, THE UNDEREMPLOYMENT OF COMMUNITY MEMBERS WITH SOCIOECONOMIC LIMITATIONS TO FURTHER EDUCATION AND THE NEED FOR TRANSITIONAL HOUSING FOR THE HOMELESS. A. TRANSITION WELLNESS CENTER THE TRANSITIONAL WELLNESS CENTER WAS DEVELOPED IN 2020 TO SUPPORT THE HOMELESS POPULATION IN CAMBRIDGE WHO WERE BEING DISPLACED DUE TO THE COVID RESTRICTIONS IMPACTING SHELTER CAPACITY. THE CITY OF CAMBRIDGE APPROACHED SPAULDING TO RENOVATE VACANT HOSPITAL SPACE TO PROVIDE A 58-BED HOMELESS SHELTER. THE SHELTER WAS OPENED IN DECEMBER 2020 AND PROVIDES HOUSING AND TRANSITIONAL SERVICES FOR BOTH MALE AND FEMALE RESIDENTS UNDER A CONTRACT WITH THE CITY OF CAMBRIDGE AND BAY COVE. TO SUPPORT THE NEEDS OF THESE RESIDENTS THE SPAULDING EMPLOYEES CREATED THE SPAULDING CLOSET WHICH IS A DONATION CENTER FOR RESIDENTS TO OBTAIN CLOTHING AND PERSONAL CARE ITEMS. B. WORKFORCE DEVELOPMENT: DURING THE COVID PANDEMIC ALL WORKFORCE DEVELOPMENT PROGRAMS WERE CANCELLED BUT SPAULDING IS IN THE PROCESS OF REESTABLISHING OUR COMMITMENT TO SUPPORT THE EDUCATIONAL AND PROFESSIONAL GROWTH OPPORTUNITIES FOR THOSE DISADVANTAGED COMMUNITIES. JEWISH VOCATIONAL SERVICES (JVS) BOSTON JVS IS ONE OF THE LARGEST AND MOST IMPACTFUL WORKFORCE DEVELOPMENT ORGANIZATIONS IN NEW ENGLAND. SPAULDING CAMBRIDGE PARTNERS WITH JVS TO EMPOWER INDIVIDUALS FROM DIVERSE COMMUNITIES TO FIND EMPLOYMENT AND BUILD CAREERS, WHILE PARTNERING WITH EMPLOYERS TO HIRE, DEVELOP, AND RETAIN PRODUCTIVE WORKFORCES. SPAULDING HAS PARTNERED WITH JVS FOR PCA TRAINING COHORTS SINCE 2017 BUT THE PROGRAM TOOK A HIATUS DURING COVID. THE PROGRAM WAS REINSTITUTED IN JAN 2022 AND REMAINS AN ACTIVE PARTNER WITH SPAULDING. B. ACCESS TO CARE: TO REDUCE BARRIERS TO HEALTH CARE, THE SPAULDING CAMBRIDGE COMMUNITY BENEFIT PROGRAM PLANS TO SUPPORT FREE CARE PATIENTS IN NEED. ALTHOUGH IT IS DIFFICULT TO ANTICIPATE THE PAYERS AND COVERAGE ASSOCIATED WITH PATIENTS WHO MAY NEED SUCH ASSISTANCE IN THE YEAR AHEAD, SPAULDING CAMBRIDGE ASSUMES THE COST OF NON-COVERED SERVICES MAY BE COMPARABLE TO THOSE OF FY20 (~$1.056M) C. PROMOTING WELLNESS AND PREVENTING INJURY AND DISEASE TO INCREASE WELLNESS AND PREVENT INJURY AND DISEASE, SPAULDING IS COMMITTED TO CONTINUING THE CURRENT AND DEVELOPING ADDITIONAL PROGRAMS TO ADDRESS THE NEEDS OF THOSE WITH DISABILITIES AND CHRONIC ILLNESS. A. EXERCISE FOR PEOPLE WITH DISABILITIES (EXPD) EXPD IS AN EXAMPLE OF A PROGRAM THAT PROVIDES SUITABLE EXERCISE ACTIVITIES FOR HEALTH LEISURE AND SPORT FOR PEOPLE WITH DISABILITIES SUCH AS SPINAL CORD INJURY, CEREBRAL PALSY, MULTIPLE SCLEROSIS, AND PERIPHERAL NEUROPATHY. THE EXPD PROGRAM IS OVERSEEN BY EXERCISE PHYSIOLOGISTS, WHO ARE TRAINED IN KEEPING INDIVIDUALS WITH CHRONIC DISEASES AS FIT AND HEALTHY AS POSSIBLE USING AEROBIC CONDITIONING AND STRENGTH TRAINING. THE PROGRAM WAS REOPENED IN JAN 2021 AFTER THE COVID PANDEMIC. D. IMPROVING THE SOCIAL ENVIRONMENT AND OPPORTUNITIES FOR THOSE WITH DISABILITIES ADVOCACY WITH AND ON BEHALF OF PEOPLE WITH DISABILITIES IS CORE TO THE MISSION OF SPAULDING REHABILITATION NETWORK. TO DECREASE ISOLATION AND INCREASE SOCIAL-EMOTIONAL SUPPORT FOR PERSONS WITH DISABILITIES AND THOSE STRUGGLING WITH SUBSTANCE ABUSE, SPAULDING IS COMMITTED TO PROVIDING BOTH PROGRAMS AND FREE ACCESSIBLE MEETING SPACE ON CAMPUS. GROUPS THAT WE HAVE SUPPORTED INCLUDE ALCOHOLICS ANONYMOUS, LEARN TO COPE, EATING DISORDER ANONYMOUS AND THE MID CAMBRIDGE NEIGHBORHOOD ASSOCIATION. NANTUCKET COTTAGE HOSPITAL PART V, SECTION B, LINE 11: ENHANCE OVERALL WELLNESS FOR THE NANTUCKET COMMUNITY THROUGH THE IMPLEMENTATION OF AN EFFECTIVE AND COLLABORATIVE BEHAVIORAL HEALTH SYSTEM:STRATEGIES: EDUCATE ALL EMPLOYERS (E.G., SMALL AND LARGE EMPLOYERS, BUILDER'S ASSOCIATION, CHAMBER OF COMMERCE), ON NANTUCKET AND IMPLEMENT EMPLOYEE ASSISTANCE PROGRAMS TO RECOGNIZE AND REFER HIGH RISK EMPLOYEES. EXPAND EDUCATION ABOUT SUICIDE RISK BY ASSESSING AND ENHANCING SIGNS OF SUICIDE (SOS) PROGRAM IN NANTUCKET SCHOOLS. REDUCE THE STIGMA SURROUNDING SUICIDAL THOUGHTS BY IMPLEMENTING AN EVIDENCED-BASED PEER-TO-PEER PROGRAM FOR THE REDUCTION OF SUICIDE IN THE MIDDLE AND HIGH SCHOOL (E.G., INCORPORATE IN EXISTING HEALTH EDUCATION OR ESTABLISH A HIRED POSITION). ESTABLISH A FULL-SERVICE MOBILE CRISIS UNIT. INCREASE THE AVAILABILITY TO ACCESS NEEDED BEHAVIORAL HEALTH SERVICES.BY 2020, DECREASE THE NEED FOR EMERGENCY EVALUATION FOR MENTAL HEALTH AND SUBSTANCE USE DISORDERS BY 10% PER YEAR: STRATEGIES: EDUCATE ALL EMPLOYERS (E.G., SMALL AND LARGE EMPLOYERS, BUILDER'S ASSOCIATION, CHAMBER OF COMMERCE), ON NANTUCKET AND IMPLEMENT EMPLOYEE ASSISTANCE PROGRAMS TO RECOGNIZE AND REFER HIGH RISK EMPLOYEES. EXPAND EDUCATION ABOUT SUICIDE RISK BY ASSESSING AND ENHANCING SIGNS OF SUICIDE (SOS) PROGRAM IN NANTUCKET SCHOOLS. REDUCE THE STIGMA SURROUNDING SUICIDAL THOUGHTS BY IMPLEMENTING AN EVIDENCED-BASED PEER-TO-PEER PROGRAM FOR THE REDUCTION OF SUICIDE IN THE MIDDLE AND HIGH SCHOOL (E.G., INCORPORATE IN EXISTING HEALTH EDUCATION OR ESTABLISH A HIRED POSITION). ESTABLISH A FULL-SERVICE MOBILE CRISIS UNIT. INCREASE THE AVAILABILITY TO ACCESS NEEDED BEHAVIORAL HEALTH SERVICES. MARTHA'S VINEYARD HOSPITAL PART V, SECTION B, LINE 11: MASS GENERAL BRIGHAM COMMUNITY HEALTH LEADS THE MASS GENERAL BRIGHAM SYSTEM-WIDE COMMITMENT TO IMPROVE THE HEALTH AND WELL-BEING OF RESIDENTS IN OUR PRIORITY COMMUNITIES MOST IMPACTED BY HEALTH INEQUITIES. MASS GENERAL BRIGHAM'S COMMITMENT TO THE COMMUNITY IS PART OF A $30 MILLION PLEDGE TO FUND PROGRAMS AIMED AT DISMANTLING RACISM AND OTHER FORMS OF INEQUITY THROUGH A COMPREHENSIVE RANGE OF APPROACHES INVOLVING OUR HEALTH CARE DELIVERY SYSTEM AND COMMUNITY HEALTH INITIATIVES. WHILE NOT REQUIRED TO CONDUCT A CHNA UNDER CURRENT REGULATIONS, MASS GENERAL BRIGHAM'S BELIEF IN THE CRITICAL IMPORTANCE OF SYSTEM-WIDE, POPULATION-LEVEL APPROACHES RESULTED IN OUR DECISION TO HAVE EVERY HOSPITAL CONDUCT A 2022 CHNA. HAVING ALL OUR HOSPITALS ON THE SAME THREE-YEAR CYCLE WILL PROVE INVALUABLE IN OUR EFFORTS TO ELIMINATE HEALTH INEQUITIES BY IDENTIFYING SYSTEM-WIDE PRIORITIES THAT REQUIRE SYSTEM-LEVEL EFFORTS. IN ADDITION TO THE PRIORITIES EACH HOSPITAL IDENTIFIES THAT ARE UNIQUE TO ITS COMMUNITIES, MASS GENERAL BRIGHAM IDENTIFIED TWO SYSTEM-LEVEL PRIORITIES: CARDIOMETABOLIC DISEASE AND SUBSTANCE USE DISORDER. THESE PRIORITIES EMERGED FROM A REVIEW OF HOSPITAL-LEVEL DATA AND PREVALENT TRENDS IN POPULATION HEALTH STATISTICS. OUR EFFORTS WITHIN THESE PRIORITIES WILL AIM TO REDUCE RACIAL AND ETHNIC DISPARITIES IN OUTCOMES, WITH THE GOAL OF IMPROVING LIFE EXPECTANCY. COOLEY DICKINSON HOSPITAL, INC. PART V, SECTION B, LINE 11: SOCIAL AND ECONOMIC DETERMINANTS THAT IMPACT HEALTHSOCIAL ENVIRONMENT ALZHEIMER'S DISEASE AND DEMENTIA FOCUS: SOCIAL ISOLATION AND LONELINESS POPULATION: OLDER ADULTS GOAL: INCREASE OPPORTUNITIES FOR SOCIAL CONNECTIONS THROUGH COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS ACCESS TO HEALTHY FOOD, TRANSPORTATION, AND PLACES TO BE ACTIVE FOCUS: ACCESS TO HEALTHY FOOD POPULATION: LOWER INCOME IN AMHERST, EASTHAMPTON, NORTHAMPTON, AND OTHER COMMUNITIES GOAL: INCREASE OPPORTUNITIES TO ACCESS AFFORDABLE, FRESH, HEALTHY FOOD THROUGH COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS AND PROJECTS BARRIERS TO ACCESSING QUALITY HEALTH CARE TRANSPORTATION FOCUS: TRANSPORTATION TO MEDICAL APPOINTMENTS, FOOD ACCESS, AND SOCIAL EVENTS POPULATION: RURAL OLDER ADULTS GOAL: HELP SUPPORT THE HILLTOWN EASY RIDE THROUGH THE PROVISION OF FUNDING TO A COMMUNITY-BASED ORGANIZATION LACK OF CARE COORDINATION FOCUS: AGE-FRIENDLY HEALTH CARE INITIATIVE POPULATION: OLDER ADULTS GOAL: TRAIN PROVIDERS IN THE SERIOUS ILLNESS CONVERSATION MODEL FOCUS: HEALTH CARE FOR VETERANS POPULATION: VETERANS AND MILITARY FAMILIES GOAL: OPTIMIZE USE OF ELECTRONIC MEDICAL RECORD FOR SCREENING AND REFERRALS GOAL: TRAINING FOR PROVIDERS TO BETTER UNDERSTAND UNIQUE NEEDS OF VETERANS NEED FOR INCREASED CULTURALLY SENSITIVE CARE HEALTH LITERACY AND LANGUAGE BARRIERS FOCUS: LANGUAGE ACCESS THROUGH MEDICAL INTERPRETER SERVICES POPULATION: PATIENTS WITH LIMITED ENGLISH PROFICIENCY RECEIVING SERVICES AT A FEDERALLY QUALIFIED HEALTH CENTER GOAL: HELP MITIGATE BARRIERS TO ACCESS TO HEALTH CARE SERVICES FOR HEALTH CENTER PATIENTS 2019-2022 COOLEY DICKINSON COMMUNITY HEALTH IMPLEMENTATION PLAN FOCUS: TRAINING AND COMMUNITY CAPACITY BUILDING SUCH THAT NON-PROFIT HEALTH AND SOCIAL SERVICE BOARDS AND LEADERS REFLECT THE POPULATION: PEOPLE OF THE GLOBAL MAJORITY AND NON-PROFIT HEALTH AND SOCIAL SERVICE ORGANIZATIONS GOAL: INCREASE THE NUMBER OF PEOPLE OF THE GLOBAL MAJORITY SERVING ON NON-PROFIT BOARDS AS WELL AS THE CULTURAL COMPETENCY OF NON-PROFIT BOARDS FOCUS: SYSTEM DEVELOPMENT TO ENSURE ACCESS TO CULTURALLY APPROPRIATE SERVICES FOR LGBTQ RESIDENTS POPULATION: LGBTQ ADULTS AND YOUTH GOAL: INCREASE ORGANIZATIONAL EFFECTIVENESS PROVIDING HEALTH CARE TO LGBTQ RESIDENTS FOCUS: INFORMATION & REFERRAL POPULATION: SPANISH SPEAKING RESIDENTS GOAL: ENSURE ACCESS TO SERVICES THROUGH COLLABORATION WITH A COMMUNITY-BASED ORGANIZATION TO PROVIDE HEALTH AND SOCIAL SERVICE INFORMATION AND REFERRAL THAT IS BILINGUAL SPANISH . WENTWORTH-DOUGLASS HOSPITAL PART V, SECTION B, LINE 11: NINE SIGNIFICANT COMMUNITY HEALTH NEEDS WERE IDENTIFIED THROUGH THIS ASSESSMENT. THESE SIGNIFICANT HEALTH NEEDS ARE AS FOLLOWS, IN ALPHABETICAL ORDER: 1. ACCESS TO PRIMARY CARE SERVICES; 2. ACCESS TO LONG TERM SERVICES AND SUPPORTS;3 3. CHRONIC DISEASE; 4. FINANCIAL BARRIERS TO CARE; 5. MENTAL HEALTH; 6. OBESITY AND PHYSICAL INACTIVITY; 7. ORAL HEALTH; 8. SOCIAL DETERMINANTS OF HEALTH; AND 9. SUBSTANCE USE DISORDERS. THESE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY SERVED BY WDH WERE IDENTIFIED BASED ON ANALYSES OF SECONDARY DATA, PRIMARY DATA RECEIVED THROUGH INTERVIEWS WITH INTERESTED PARTIES, AND ASSESSMENTS PRODUCED BY PUBLIC HEALTH DEPARTMENTS. CATEGORIES OF COMMUNITY HEALTH NEEDS ARE TOPIC AREAS CONSISTENT WITH THE NEW HAMPSHIRE COMMUNITY BENEFITS REPORTING GUIDE, DECEMBER 20204 AND HEALTHY PEOPLE 2020 AND HEALTHY PEOPLE 2030, TEN-YEAR NATIONAL HEALTH OBJECTIVES OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. DETAILS ARE SUMMARIZED BELOW, WITH DESCRIPTIONS OF TOPICS BASED ON INFORMATION FROM HEALTHY PEOPLE 2020, HEALTHY PEOPLE 2030, THE CENTERS FOR DISEASE CONTROL AND PREVENTION.5, 6 IN ADDITION, MASS GENERAL BRIGHAM ALSO IDENTIFIED CARDIOMETABOLIC DISEASE AND SUBSTANCE USE DISORDER AS SIGNIFICANT HEALTH NEEDS. SIGNIFICANT NEEDS CAN IMPACT ALL RESIDENTS, IRRESPECTIVE OF DEMOGRAPHIC CHARACTERISTICS. WHILE EVERY COMMUNITY CAN EXPERIENCE NEED, THE FOLLOWING POPULATION GROUPS MAY BE ESPECIALLY VULNERABLE TO THE SIGNIFICANT NEEDS IDENTIFIED FOR THIS CHNA: 1. CHILDREN AND YOUTH; 2. OLDER ADULTS; 3. LGBTQIA+7 INDIVIDUALS; 4. RACIAL/ETHNIC MINORITIES; AND 5. LOW-INCOME RESIDENTS. NOTE: THE COVID-19 PANDEMIC HAD AN IMMEDIATE IMPACT ON THE WORLD SINCE ITS EMERGENCY IN LATE 2019. TESTING, VACCINATING, AND TREATMENT OPTIONS HAVE EVOLVED, YET THE PANDEMIC CONTINUE TO EXACERBATE NUMEROUS HEALTH-RELATED NEEDS WITHIN THE COMMUNITY. AS COVID-19 PREVENTION AND MANAGEMENT OPTIONS HAVE IMPROVED, THIS CHNA RECOGNIZES THE IMPACT OF COVID-19 ON SIGNIFICANT NEEDS WITHIN THE COMMUNITY. SHOULD THE PANDEMIC WORSEN, IT WOULD BE APPROPRIATE TO EVALUATE THE POTENTIAL CONSIDERATION OF COVID-19 AS A SEPARATE SIGNIFICANT COMMUNITY NEED. MASSACHUSETTS EYE & EAR INFIRMARY PART V, SECTION B, LINE 11: THE CBAC DECIDED THE 2023 CHIP SHOULD ADDRESS THE CLINICAL PRIORITIES OF VISION, HEARING, BALANCE, AND HEAD AND NECK CANCERS (PARTICULARLY SKIN CANCERS) AND ADDRESS THE PRIMARY BARRIERS TO CARE FACED BY SENIORS, CHILDREN, RACIALLY/ETHNICALLY DIVERSE COMMUNITIES, AND THOSE WITH LOW SES. THE CBAC MEMBERS BELIEVE THE CHIP SHOULD MAXIMIZE EXISTING COMMUNITY PARTNERSHIPS TO ADDRESS THE CLINICAL PRIORITIES AND OVERCOME BARRIERS THAT PRIORITY POPULATIONS FACE IN ACCESSING CARE. IN PARTICULAR, THE GROUP DISCUSSED THE NEED FOR GREATER OUTREACH TO DIVERSE COMMUNITIES TO BUILD TRUST, EXTEND SERVICES IN THE COMMUNITY, AND OFFER EDUCATION TO IMPROVE HEALTH LITERACY AND UNDERSTANDING OF THE HEALTH SYSTEM. ADDITIONALLY, THE CBAC DISCUSSED THE NEED FOR IMPROVED MECHANISMS TO ENSURE FOLLOW-UP CARE IS PROVIDED AFTER A PROBLEM IS DETECTED VIA SCREENING. CLINICAL PRIORITIES HEARING VISION BALANCE HEAD AND NECK CANCERS (PARTICULARLY SKIN CANCERS)IMPROVING ACCESS TO CARE INSURANCE/COST TRANSPORTATION DIFFICULTY ACCESSING, UNDERSTANDING, AND NAVIGATING HEALTH SYSTEM DUE TO LANGUAGE, HEALTH LITERACY, AND TRUST ISSUESMASS. EYE AND EAR'S SENIOR LEADERSHIP REVIEWED THE CBAC'S RECOMMENDATIONS AND APPROVED THE CHNA AND ITS CONCLUSIONS. PART V, SECTION B - LINES 7 AND 10: THE GENERAL HOSPITAL CORPORATIONHTTPS://WWW.MASSGENERAL.ORG/COMMUNITY-HEALTH/CCHI/ASSESSMENTSTHE BRIGHAM AND WOMEN'S HOSPITAL, INC.HTTPS://WWW.BRIGHAMANDWOMENS.ORG/ABOUT-BWH/COMMUNITY-HEALTH-EQUITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTNORTH SHORE MEDICAL CENTER, INC.HTTPS://SALEM.MASSGENERALBRIGHAM.ORG/COMMITMENT_TO_COMMUNITYNEWTON-WELLESLEY HOSPITALHTTPS://WWW.NWH.ORG/ABOUT-US/COMMUNITY-HEALTH-ASSESSMENTBRIGHAM AND WOMEN'S/FAULKNER HOSPITALHTTPS://WWW.BRIGHAMANDWOMENSFAULKNER.ORG/ABOUT-BWFH/COMMUNITY-HEALTH-AND-WELLNESS/DEFAULTTHE MCLEAN HOSPITAL CORPORATIONHTTPS://WWW.MCLEANHOSPITAL.ORG/ABOUT/COMMUNITY-HEALTH-ASSESSMENTSPAULDING REHABILITATION HOSPITAL CORPORATIONHTTPS://SPAULDINGREHAB.ORG/ABOUT/COMMUNITY-INVOLVEMENTREHABILITATION HOSPITAL OF THE CAPE AND ISLANDS CORPORATIONHTTPS://SPAULDINGREHAB.ORG/ABOUT/COMMUNITY-INVOLVEMENTSPAULDING HOSPITAL CAMBRIDGE, INC.HTTPS://SPAULDINGREHAB.ORG/ABOUT/COMMUNITY-INVOLVEMENTNANTUCKET COTTAGE HOSPITALHTTPS://NANTUCKETHOSPITAL.ORG/ABOUT-US/ABOUT-NANTUCKET-COTTAGE-HOSPITAL/COMMUNITY-OUTREACH/MARTHA'S VINEYARD HOSPITALHTTPS://MVHOSPITAL.ORG/ABOUT-MARTHAS-VINEYARD-HOSPITAL/REPORTS/COOLEY DICKINSON HOSPITAL, INC.HTTPS://WWW.COOLEYDICKINSON.ORG/ABOUT-US/COMMITMENT-TO-COMMUNITY/BENEFITING-OUR-COMMUNITY/WENTWORTH-DOUGLASS HOSPITALHTTPS://WWW.WDHOSPITAL.ORG/WDH/ABOUT-WDH/GIVING-BACKMASSACHUSETTS EYE & EAR INFIRMARYHTTPS://WWW.MASSEYEANDEAR.ORG/ABOUT/OUTREACH PART V, LINE 16A-C: URLS FOR FINANCIAL ASSISTANCE POLICIES:HTTPS://WWW.MASSGENERALBRIGHAM.ORG/EN/PATIENT-CARE/PATIENT-VISITOR-INFORMATION/FINANCIAL-ASSISTANCE PART V, SECTION B - LINE 11: PLEASE SEE THE CHNAS AND IMPLEMENTATION STRATEGIES FOR EACH OF THE HOSPITAL FACILITIES AT THE APPLICABLE URL LISTED IN PART V, SECTION B. 111 1 - MGH HEALTH CENTER CHELSEA 100 EVERETT AVENUE 1ST FLOOR 16C CHELSEA MA 02150 OUTPATIENT CLINIC & HEALTHCARE CENTER 2 - MGH CHARLESTOWN HEALTHCARE CENTER 73 HIGH STREET CHARLESTOWN MA 02129 OUTPATIENT CLINIC & HEALTHCARE CENTER 3 - MGH CHELSEA HEALTHCARE CENTER 151 EVERETT AVENUE FLOORS 1-4 CHELSEA MA 02150 OUTPATIENT CLINIC & HEALTHCARE CENTER 4 - MGH EVERETT FAMILY CARE 19-23 NORWOOD STREET EVERETT MA 02149 OUTPATIENT CLINIC & HEALTHCARE CENTER 5 - STUDENT HEALTH CENTER AT CHELSEA HIGH S 299 EVERETT AVENUE CHELSEA MA 02150 OUTPATIENT CLINIC & HEALTHCARE CENTER 6 - EMERSON HOSPITAL MGH-RADIATION ONCOLOGY ROUTE 2 JOHN CUMMINGS BUILDING CONCORD MA 01742 OUTPATIENT CLINIC & HEALTHCARE CENTER 7 - MGH REVERE HEALTHCARE CENTER 300 OCEAN AVENUE 3RD FLOOR REVERE MA 02151 OUTPATIENT CLINIC & HEALTHCARE CENTER 8 - MGH BACK BAY HEALTHCARE CENTER 388 COMMONWEALTH AVENUE BOSTON MA 02115 OUTPATIENT CLINIC & HEALTHCARE CENTER 9 - MASS GENERAL WALTHAM 52 SECOND AVENUE 200 360 420 1110 21 WALTHAM MA 02154 OUTPATIENT CLINIC & HEALTHCARE CENTER 10 - MGH REVERE SCHOOL BASED HEALTH CENTER 101 SCHOOL STREET REVERE MA 02151 OUTPATIENT CLINIC & HEALTHCARE CENTER 11 - LABORATORY FOR MOLECULAR MEDICINE 65 LANSDOWNE STREET 3RD FLOOR CAMBRIDGE MA 02139 OUTPATIENT DIAGNOSTIC LABORATORY 12 - MGH AT BOWDOIN SQUARE ONE BOWDOIN SQUARE 7TH 11TH FLOOR BOSTON MA 02114 OUTPATIENT CLINIC 13 - MGH CARDIOVASCULAR DISEASE PREVENTION C 25 NEW CHARDON STREET SUITE 301 BOSTON MA 02114 OUTPATIENT CLINIC & HEALTHCARE CENTER 14 - YAWKEY CENTER FOR OUTPATIENT CARE 32 FRUIT STREET BOSTON MA 02114 OUTPATIENT CLINIC 15 - MGH CHARLES RIVER PLAZA 165 CAMBRIDGE STREET 3RD 5TH 7TH-9TH BOSTON MA 02114 OUTPATIENT CLINIC 16 - MGH SPORTS MEDICINE CENTER 175 CAMBRIDGE STREET 4TH FLOOR BOSTON MA 02114 OUTPATIENT CLINIC 17 - MGH SLEEP DISORDERS TESTING UNIT 5 BLOSSOM STREET 2ND FLOOR BOSTON MA 02114 OUTPATIENT CLINIC 18 - MGH OUTPATIENT CARE 275 CAMBRIDGE STREET 3RD FLOOR BOSTON MA 02114 OUTPATIENT CLINIC 19 - MGH CHARLESTOWN MONUMENT STREET COUNSEL 76 MONUMENT STREET 1ST FLOOR CHARLESTOWN MA 02129 OUTPATIENT CLINIC 20 - MASS GENERALNORTH SHORE CENTER FOR OUT 102 ENDICOTT STREET 1ST AND 2ND FLOORS DANVERS MA 02129 OUTPATIENT CLINIC & HEALTHCARE CENTER 21 - MGH BROADWAY PRIMARY CARE - REVERE 385 BROADWAY REVERE MA 02151 OUTPATIENT CLINIC & HEALTHCARE CENTER 22 - MGH RADIATION ONCOLOGY AT NWH 2014 WASHINGTON STREET SOUTH WING NEWTON MA 02462 OUTPATIENT CLINIC 23 - 50 STANIFORD STREET MGH IMAGING 50 STANIFORD STREET 10TH FLOOR BOSTON MA 02114 OUTPATIENT IMAGING 24 - BROOKSIDE COMMUNITY HEALTH CENTER 3297 WASHINGTON STREET BOSTON MA 02130 OUTPATIENT CLINIC & HEALTHCARE CENTER 25 - SOUTHERN JAMAICA PLAIN HEALTH CENTER 640 CENTRE STREET JAMAICA PLAIN MA 02130 OUTPATIENT CLINIC & HEALTHCARE CENTER 26 - BRIGHAM AND WOMEN'S HEALTH CARE CTR 850 BOYLSTON STREET CHESTNUT HILL MA 02467 OUTPATIENT CLINIC & HEALTHCARE CENTER 27 - BWH ADVANCED MRI CENTRE 221 LONGWOOD AVENUE GROUND FLOOR BOSTON MA 02115 OUTPATIENT CLINIC 28 - BRIGHAM DERMATOLOGY ASSOCIATES 221 LONGWOOD AVENUE 1ST FLOOR BOSTON MA 02115 OUTPATIENT CLINIC 29 - ENDOCRINOLOGY AND METABOLIC SERVICES 221 LONGWOOD AVENUE 2ND FLOOR BOSTON MA 02115 OUTPATIENT CLINIC 30 - OUTPATIENT PSYCHIATRY 221 LONGWOOD AVENUE RFB MEZZANINE BOSTON MA 02115 OUTPATIENT CLINIC 31 - BWH IMMUNOLOGY LAB 221 LONGWOOD AVENUE BL-059 BOSTON MA 02115 CLINICAL LABORATORY 32 - NEWBORN MEDICINE 221 LONGWOOD AVENUE BLI L 1 3 BOSTON MA 02115 OUTPATIENT CLINIC 33 - BRIGHAM AND WOMEN'S HOSPITAL CARE CENTER 1153 CENTRE STREET 1ST FLOOR BOSTON MA 02130 OUTPATIENT CLINIC & HEALTHCARE CENTER 34 - BRIGHAM AND WOMEN'S HOSPITAL MOHS AND D 1153 CENTRE STREET SUITE 4349 BOSTON MA 02130 OUTPATIENT CLINIC 35 - BRIGHAM AND WOMEN'S MRI - WEST BRIDGEWAT 711 WEST CENTER STREET WEST BRIDGEWATER MA 02379 OUTPATIENT CLINIC 36 - BRIGHAM AND WOMEN'SMASS GENERAL HEALTH 20 PATRIOTS PLACE FLOORS 123 4 FOXBORO MA 02035 OUTPATIENT CLINIC & HEALTHCARE CENTER 37 - BRIGHAM AND WOMEN'S HOSPITAL ADVANCED P 301 SOUTH HUNTINGTON AVENUE JAMAICA PLAIN MA 02115 OUTPATIENT CLINIC 38 - KRAFT FAMILY BLOOD DONOR CTR AT DFCI 35 BINNEY STREET 1ST FLOOR BOSTON MA 02115 BLOOD DONOR CENTER 39 - NSMC OUTPATIENT SERVICES 1 HUTCHINSON DRIVE 1ST FLOOR DANVERS MA 01923 OUTPATIENT CLINIC 40 - NSMC PROFESSIONAL SERVICES HIGHLAND HALL 55 HIGHLAND AVENUE SALEM MA 01970 OUTPATIENT CLINIC 41 - RADIOLOGY SERVICES AT LYNN COMMUNITY H 269 UNION STREET LYNN MA 01901 OUTPATIENT CLINIC 42 - NSMC MAGNETIC IMAGING 4 CENTENNIAL DRIVE SUITE 104 PEABODY MA 01960 OUTPATIENT CLINIC 43 - NORTH SHORE MEDICAL CENTER ULTRASOUND AT 383 PARADISE ROAD SWAMPSCOTT MA 01907 OUTPATIENT CLINIC 44 - SALEM HOSPITAL OUTPATIENT SERVICES 480 LYNNFIELD STREETSUITES 1BCE LYNN MA 01904 OUTPATIENT CLINIC 45 - NEWTON-WELLESLEY FAMILY MEDICINE 111 NORFOLK AVENUE 1ST FLOOR WALPOLE MA 02081 OUTPATIENT CLINIC 46 - NEWTON-WELLESLEY AMBULATORY CARE CENTER 307 WEST CENTRAL STREET 1ST FLOOR NATICK MA 01760 OUTPATIENT CLINIC 47 - NEWTON-WELLESLEY OUTPATIENT SURGERY CTR 25 WASHINGTON STREET WELLESLEY MA 02481 OUTPATIENT CLINIC 48 - NEWTON-WELLESLEY AMBULATORY CARE CENTER 159 WELLS AVENUE NEWTON MA 02459 OUTPATIENT CLINIC 49 - NEWTON WELLESLEY - WALTHAM 9 HOPE AVENUE ROOM WL 1218 WALTHAM MA 02453 OUTPATIENT CLINIC 50 - MCLEAN SOUTHEAST 23 ISAAC STREET MIDDLEBOROUGH MA 02346 OUTPATIENT CLINIC 51 - MCLEAN SOUTHEAST AT OAK STREET 52 OAK STREET MIDDLEBOROUGH MA 02346 OUTPATIENT CLINIC 52 - MCLEAN AMBULATORY TREATMENT CENTER 211 NORTH MAIN ST GROUND FIRST FL PETERSHAM MA 01366 OUTPATIENT CLINIC 53 - MCLEAN HOSPITAL AND ADOLESCENT MENTAL 799 CONCORD AVENUE 1ST FLOOR CAMBRIDGE MA 02138 OUTPATIENT CLINIC 54 - 3 EAST DBT PARTIAL HOSPITAL PROGRAM 6 CLAREMONT AVENUE 1ST 2ND FLOOR ARLINGTON MA 02476 OUTPATIENT CLINIC 55 - SPAULDING OUTPATIENT CENTER - BRIGHTON 20 GUEST STREET SUITE 150 BOSTON MA 02135 OUTPATIENT CLINIC 56 - SPAULDING OUTPATIENT CENTER - FRAMINGHAM 570 WORCESTER ROAD FRAMINGHAM MA 01702 OUTPATIENT CLINIC 57 - SPAULDING OUTPATIENT CENTER - MEDFORD 101 MAIN STREET SUITE 101 MEDFORD MA 02155 OUTPATIENT CLINIC 58 - SPAULDING OUTPATIENT CENTER - WELLESLEY 65 WALNUT STREET WELLESLEY MA 02181 OUTPATIENT CLINIC 59 - SPAULDING OUTPATIENT CENTER - BRAINTREE 300 GRANITE STREET 1ST FLOOR BRAINTREE MA 02184 OUTPATIENT CLINIC 60 - SPAULDING OUTPATIENT CENTER - DOWNTOWN 294 WASHINGTON STREET SUITE 215 BOSTON MA 02114 OUTPATIENT CLINIC 61 - SPAULDING OUTPATIENT CENTER - CAMBRIDGE 1575 CAMBRIDGE STREET 1ST FLOOR CAMBRIDGE MA 02138 OUTPATIENT CLINIC 62 - SPAULDING OUTPATIENT CENTER FOR CHILDREN 1 MAGUIRE ROAD 1ST FLOOR LEXINGTON MA 02421 OUTPATIENT CLINIC 63 - SPAULDING OUTPATIENT CENTER - WESTBOR 112 TURNPIKE ROAD SUITE 301 WESTBOROUGH MA 01581 OUTPATIENT CLINIC 64 - SPAULDING OUTPATIENT CENTER - PEABODY 4 CENTENNIAL DRIVE PEABODY MA 01960 OUTPATIENT CLINIC 65 - SPAULDING OUTPATIENT CENTER - MARBLEHEAD 40 LEGGIS HILL ROAD MARBLEHEAD MA 01945 OUTPATIENT CLINIC 66 - SPAULDING OUTPATIENT CENTER - CAPE ANN 1 BLACKBURN DRIVE GLOUCESTER MA 01930 OUTPATIENT CLINIC 67 - SPAULDING OUTPATIENT CENTER - MARBLEHEAD 4 COMMUNITY ROAD MARBLEHEAD MA 01945 OUTPATIENT CLINIC 68 - SPAULDING OUTPATIENT CENTER - LYNN 583 CHESTNUT STREET 3RD FLOOR LYNN MA 01904 OUTPATIENT CLINIC 69 - SPAULDING OUTPATIENT CENTER - SALEM 35 CONGRESS STREET 2ND FLOOR SALEM MA 01970 OUTPATIENT CLINIC 70 - SPAULDING OUTPATIENT CENTER - QUINCY 79 CODDINGTON STREET 2ND FLOOR QUINCY MA 02169 OUTPATIENT CLINIC 71 - SPAULDING OUTPATIENT CENTER - EMILSON 75 MILL STREET HANOVER MA 02339 OUTPATIENT CLINIC 72 - SPAULDING MALDEN 350 MAIN STREET 1ST FLOOR MALDEN MA 02148 OUTPATIENT CLINIC 73 - SPAULDING OUTPATIENT CENTER FOR CHILDREN 22 PATRIOT PLACE BLDG K STE 120 FOXBORO MA 02035 OUTPATIENT CLINIC 74 - SPAULDING OUTPATIENT CENTER - ORLEANS 65 OLD COLONY WAY SUITE 2 ORLEANS MA 02653 OUTPATIENT CLINIC 75 - SPAULDING OUTPATIENT CENTER - HYANNIS 1513 IYANNOUGH ROAD HYANNIS MA 02601 OUTPATIENT CLINIC 76 - SPAULDING EILEEN M WARD OUTPATIENT CTR 280-D ROUTE 130 SUITE 7 FORESTDALE MA 02644 OUTPATIENT CLINIC 77 - SPAULDING OUTPATIENT CENTER - PLYMOUTH 1 SCOBEE CIRCLE PLYMOUTH MA 02360 OUTPATIENT CLINIC 78 - SPORTS MEDICINE AND PT ASSOCIATES OF NCH 6 BAYBERRY COURT GROUND LEVEL NANTUCKET MA 02554 OUTPATIENT CLINIC 79 - COOLEY DICKINSON SOUTH DEERFIELD CENTER 21 B ELM STREET 1ST FLOOR SOUTH DEERFIELD MA 01373 OUTPATIENT CLINIC 80 - COOLEY DICKINSON HOSPITAL 170 UNIVERSITY DRIVE AMHERST MA 01002 OUTPATIENT CLINIC 81 - THE COOLEY DICKINSON HOSPITAL OUTPATIENT 10 COLLEGE HIGHWAY SOUTHAMPTON MA 01073 OUTPATIENT CLINIC 82 - COOLEY DICKINSON HOSPITAL REHAB SERV 58 OLD NORTH ROAD SUITE 1 WORTHINGTON MA 01098 OUTPATIENT REHAB CLINIC 83 - COOLEY DICKINSON HOSPITAL REHAB SERV 380 RUSSELL STREET 1ST FLOOR HADLEY MA 01035 OUTPATIENT REHAB CLINIC 84 - COOLEY DICKINSON HOSPITAL P& OCC T 4 WEST STREET 2ND FLOOR WEST HATFIELD MA 01088 OUTPATIENT CLINIC 85 - COOLEY DICKINSON HOSPITAL P OCC & S 8 ATWOOD DRIVE NORTHAMPTON MA 01060 OUTPATIENT CLINIC 86 - COOLEY DICKINSON HOSPITAL OUTPATIENT DIA 22 ATWOOD DRIVE NORTHAMPTON MA 01060 DIAGNOSTIC SERVICES 87 - DOVER OUTPATIENT CENTER 10 MEMBERS WAY SUITE 200 DOVER NH 03820 SPECIALTY CARE PRACTICE, IMAGING, LAB, VASCULAR 88 - LEE OTPTIMAGING 65 CALEF HIGHWAY LEE NH 03861 OCCUPATIONAL/PHYSICAL THERAPY/IMAGING 89 - EXPRESS CARE DOVER 701 CENTRAL AVENUE DOVER NH 03820 EXPRESS CARE 90 - WDH PROFESSIONAL CENTER 10 MEMBERS WAY DOVER NH 03820 DIAGNOSTIC SERVICES 91 - EXPRESS CARE LEE 65 CALEF HIGHWAY LEE NH 03861 EXPRESS CARE, ECHO VASCULAR, IMAGING 92 - DIAGNOSTIC CARDIOLOGY 19 OLD ROLLINSFORD ROAD DOVER NH 03820 CARDIOLOGY SERVICES 93 - DURHAM REHAB & SPORTS THERAPY CENTER 16 JENKINS COURT DURHAM NH 03824 SPECIALTY CARE PRACTICE 94 - WDH EARLY LEARNING CENTER 789 CENTRAL AVENUE DOVER NH 03820 CHILDCARE SERVICES 95 - PEASE BUILDING B 73 CORPORATE DRIVE PORTSMOUTH NH 03801 REHAB SERVICES 96 - PEASE BUILDING C 121 CORPORATE DRIVE PORTSMOUTH NH 03801 ONCOLOGY SERVICES 97 - THE DOORWAY 798 CENTRAL AVENUE DOVER NH 03820 SUBSTANCE ABUSE TREATMENT 98 - THE DOORWAY - HAMPTON 1 LAYFAYETTE ROAD HAMPTON NH 03842 SUBSTANCE ABUSE TREATMENT 99 - RIVERWODDS AT DURHAM 14 STONE QUARRY DRIVE DURHAM NH 03824 REHAB SERVICES 100 - HOSPITAL REHAB SERVICES 23 WORKS WAY SOMERSWORTH NH 03878 REHAB SERVICES 101 - WOMEN'S LIFE IMAGING 200 NH-108 SOMERSWORTH NH 03878 WOMEN'S IMAGING SERVICES 102 - MARSH BROOK REHAB 7 MARSH BROOK DRIVE SOMERSWORTH NH 03878 REHAB SERVICES 103 - PEASE BUILDING A 67 CORPORATE DRIVE PORTSMOUTH NH 03801 IMAGING AND CARDIOLOGY SERVICES 104 - THE WORKS 21-41 WORKS WAY SOMERSWORTH NH 03878 REHAB SERVICES 105 - 15 OLD ROLLINSFORD ROAD 15 OLD ROLLINSFORD ROAD DOVER NH 03820 DIABETES, LACTATION, NUTRITION, PPE SOC 106 - NORTH SUBURBAN CENTER ONE MONTVALE AVENYE 5TH FLOOR STONEHAM MA 02180 LICENSED OUTPATIENT LOCATION 107 - MASSACHUSETTS EYE & EAR QUINCY (ANNEX) 500 CONGRESS STREET SUITE 1C QUINCY MA 02169 LICENSED OUTPATIENT LOCATION 108 - MASSACHUSETTS EYE & EAR INFIRMARY 54 BAKER AVENUE EXT 3RD FLOOR CONCORD MA 01742 LICENSED OUTPATIENT LOCATION 109 - MASSACHUSETTS EYE & EAR AT LONGWOOD 800 HUNTINGTON AVENUE BOSTON MA 02115 LICENSED OUTPATIENT LOCATION 110 - MEEI VESTIBULAR CENTER AT BRAINTREE R 250 POND STREET 1ST FLOOR BRAINTREE MA 02184 LICENSED OUTPATIENT LOCATION 111 - MASSACHUSETTS EYE & EAR INFIRMARY SNE 30 MAN MAR DRIVE SUITE 2 PLAINVILLE MA 02762 LICENSED OUTPATIENT LOCATION PART I, LINE 6A: MASS GENERAL BRIGHAM HOSPITALS (EXCEPT WENTWORTH-DOUGLASS HOSPITAL) FILE THEIR ANNUAL COMMUNITY BENEFIT REPORT WITH THE ATTORNEY GENERAL OF MASSACHUSETTS.HTTPS://MASSAGO.ONBASEONLINE.COM/MASSAGO/1801CBS/ANNUALREPORT.ASPXTHE WENTWORTH DOUGLASS COMMUNITY BENEFIT REPORT WHICH IS FILED WITH THE NEW HAMPSHIRE DEPARTMENT OF JUSTICE IS FOUND ON ITS WEBSITE AT:HTTPS://WWW.WDHOSPITAL.ORG/DOWNLOAD_FILE/VIEW/3946/7870 PART I, LINE 3C: PART I, LINE 3C: AFFILIATED ENTITIES ARE TAX-EXEMPT ENTITIES, WHOSE UNDERLYING MISSION IS TO PROVIDE SERVICES TO ALL IN NEED OF MEDICAL CARE. PATIENTS REQUIRING URGENT OR EMERGENT SERVICES SHALL NOT BE DENIED THOSE SERVICES BASED ON THEIR INABILITY TO PAY. MASS GENERAL BRIGHAM POST-ACUTE CARE AND BEHAVIORAL HEALTH HOSPITALS WILL WORK WITH PATIENTS WHO HAVE A DEMONSTRATED FINANCIAL NEED TO PROVIDE FINANCIAL ASSISTANCE TO THOSE PATIENTS SEEKING CARE IN THOSE SETTINGS. PART I, LINE 7: PART I, LINE 7G: THE SUBSIDIZED HEALTH SERVICES DO INCLUDE COSTS ASSOCIATED WITH PHYSICIAN CLINICS. THESE AMOUNTS TOTALED $10,291,976 FOR THE FISCAL PERIOD.PART I, LINE 7, COLUMN (F): THERE WAS $ 461,457 OF BAD DEBT EXPENSE SUBTRACTED FROM TOTAL EXPENSES FOR PURPOSES OF CALCULATING THE PERCENTAGE COLUMN.PART I, LINE 7: THE AMOUNTS REPORTED ON THE CHARITY CARE AND OTHER COMMUNITY BENEFITS TABLE ARE CALCULATED USING THE BEST AVAILABLE DATA USING A COST ACCOUNTING SYSTEM OR A COST TO CHARGE RATIO. IN MOST CASES, A COST ACCOUNTING SYSTEM WAS USED AND THE SYSTEM ADDRESSES ALL PATIENT SEGMENTS AND DIRECTLY ASSIGNS COSTS TO INDIVIDUAL SERVICES. PART II, COMMUNITY BUILDING ACTIVITIES: MASS GENERAL BRIGHAM' HOSPITALS ARE WORKING TO DEVELOP A PROCESS TO QUANTIFY THE EXPENDITURES ASSOCIATED WITH THE VARIOUS COMMUNITY BUILDING ACTIVITIES TO BE REPORTED IN PART II. BELOW IS A DESCRIPTION OF SOME OF THESE ACTIVITIES THAT TOOK PLACE DURING THE REPORTING PERIOD. COMMUNITY CARE VANS:OUR COMMUNITY CARE VANS ARE DESIGNED TO EXPAND ACCESS TO HEALTH CARE SERVICES ACROSS THE DIVERSE COMMUNITIES IN THE GREATER BOSTON AREA SERVED BY MASS GENERAL BRIGHAM:MASS GENERAL BRIGHAM'S MOBILE MEDICAL COMMUNITY CARE VANS BRING A BROAD MENU OF MOBILE MEDICAL SERVICES, INCLUDING SCREENINGS AND INTERVENTIONS FOR CHRONIC HEALTH ISSUES LIKE HYPERTENSION, DIABETES, AND SUBSTANCE USE DISORDERS. THE COMMUNITY CARE VANS, ORIGINALLY DEPLOYED DURING THE HEIGHT OF THE COVID-19 PANDEMIC, ARE STAFFED WITH MULTILINGUAL AND MULTICULTURAL CLINICIANS AND SUPPORT STAFF TO BETTER CONNECT WITH THE COMMUNITIES SERVED BY MASS GENERAL BRIGHAM.IN JANUARY OF 2021, MASS GENERAL BRIGHAMLAUNCHED A FLEET OF COMMUNITY CARE VANSIN OUR LOCAL COMMUNITIES HIT HARDEST BY THE COVID-19 PANDEMIC, PROVIDING COVID TESTING, VACCINES, AND RELIABLE HEALTH INFORMATION TO PATIENTS AND RESIDENTS. INFORMATION AND RESOURCES WERE PROVIDED IN A VARIETY OF LANGUAGES ALONG WITH CARE KITS CONTAINING ITEMS LIKE MASKS AND HAND SANITIZER. AS OF MAY 2022, THE COMMUNITY CARE VANS HAD ADMINISTERED MORE THAN 17,900 VACCINES TO COMMUNITY RESIDENTS. TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, PATIENTS ARE SCREENED FOR ISSUES RELATED TO HOUSING, ACCESS TO HEALTHY FOOD, AND PERSONAL SAFETY, AND CONNECTED WITH RELEVANT RESOURCES.NOW, AS COVID-19 TRANSITIONS FROM AN ACUTE PANDEMIC TO A MORE ENDEMIC STATE, THE MASS GENERAL BRIGHAM MOBILE MEDICAL COMMUNITY CARE VANS WILL ALSO EVOLVE TO MEET PEOPLE WHERE THEY ARE.WORKFORCE DEVELOPMENT:MASS GENERAL BRIGHAM WORKFORCE DEVELOPMENT (WFD), A DIVISION OF HUMAN RESOURCES AND COMMUNITY HEALTH, IS COMMITTED TO ENSURING A HIGHLY QUALIFIED AND DIVERSE PIPELINE OF HEALTH CARE PROFESSIONALS, WHILE PROVIDING ECONOMIC OPPORTUNITY WITHIN THE COMMUNITIES WE SERVE. WFD ASSISTS STAFF, MANAGEMENT AND LEADERSHIP WITH PROGRAM DEVELOPMENT, PLANNING AND FUNDING PROCUREMENT. WFD STRIVES TO CREATE CAREER PIPELINES AND PATHWAYS FOR YOUTH, COMMUNITY RESIDENTS AND CURRENT EMPLOYEES WITH THE DUAL GOAL OF PROVIDING CAREER AND ECONOMIC OPPORTUNITY WHILE RESPONDING TO MASS GENERAL BRIGHAM'S NEED FOR A HIGHLY QUALIFIED, DIVERSE WORKFORCE.THE WORKFORCE DEVELOPMENT PROGRAM ALSO PROVIDES CAREER/SKILLS GROWTH OPPORTUNITIES FOR EMPLOYEES THROUGH ACADEMIC AND CAREER COACHING/NAVIGATION AND SUPPORTIVE, ACCESSIBLE AND AFFORDABLE COLLEGE PROGRAMS OFFERED IN PARTNERSHIP WITH MULTIPLE INSTITUTIONS OF HIGHER LEARNING. IN ORDER TO ENSURE EQUITABLE ACCESS FOR ALL OF OUR COLLEAGUES, THE WFD TEAM HAS PILOTED AND SUSTAINED MULTIPLE, INNOVATIVE, FLEXIBLE STRATEGIES AND PARTNERSHIPS THAT OFFER EMPLOYEES THE OPTION TO ACCESS EDUCATIONAL OPPORTUNITIES ONLINE, ON THEIR OWN TIME, AND AT THEIR OWN PACE.ENVIRONMENTAL SUSTAINABILITY:MASS GENERAL BRIGHAM WAS NAMED A RECIPIENT OF THE COMMONWEALTH ENVIRONMENTAL LEADERSHIP AWARD BY THE ENVIRONMENTAL LEAGUE OF MASSACHUSETTS (ELM). THE AWARD WAS PRESENTED AT ELM'S EARTH NIGHT, AN EVENT TO HONOR THE RECIPIENTS AND BUILD THE RELATIONSHIPS THAT WILL HELP MASSACHUSETTS LEAD THE NATION IN ADDRESSING THE SCALE AND URGENCY OF OUR ENVIRONMENTAL CHALLENGES. MASS GENERAL BRIGHAM WAS RECOGNIZED AS AN INDUSTRY LEADER IN SUSTAINABLE HEALTH CARE DELIVERY. "WE ARE HONORED TO HAVE BEEN RECOGNIZED FOR OUR WORK TO MINIMIZE OUR IMPACT ON THE ENVIRONMENT. MASS GENERAL BRIGHAM IS COMMITTED TO REDUCING THE HARMFUL IMPACTS OF CLIMATE CHANGE AND CREATING HEALTHIER ENVIRONMENTS FOR OUR PATIENTS, EMPLOYEES, AND COMMUNITIES," SAID NIYUM GANDHI, CHIEF FINANCIAL OFFICER AND TREASURER OF MASS GENERAL BRIGHAM.THE HEALTH SECTOR IS RESPONSIBLE FOR APPROXIMATELY 8.5% OF CARBON EMISSIONS IN THE UNITED STATES, WHICH ARE THE LEADING CAUSE OF GLOBAL CLIMATE CHANGE. AS AN INDUSTRY LEADER IN SUSTAINABLE HEALTHCARE DELIVERY, MASS GENERAL BRIGHAM HAS REDUCED GREENHOUSE GAS EMISSIONS BY ABOUT 60% SINCE 2008. CURRENTLY 80% OF MASS GENERAL BRIGHAM'S ELECTRICITY COMES FROM RENEWABLE SOURCES, AND THE SYSTEM STRIVES TO ACHIEVE CARBON NEUTRALITY BY 2025. EARLIER THIS YEAR, MASS GENERAL BRIGHAM LAUNCHED THE CLIMATE AND SUSTAINABILITY LEADERSHIP COUNCIL (CSLC). ITS PURPOSE IS TO DEVELOP SYSTEMWIDE GOALS FOR EMISSION-REDUCTION TARGETS, INFORM SYSTEMWIDE SUSTAINABILITY PRACTICES AND INITIATIVES AND IDENTIFY OPPORTUNITIES FOR SYNERGY WITH OTHER MASS GENERAL BRIGHAM PRIORITIES. IN RECOGNITION OF CLIMATE CHANGE AS A PUBLIC HEALTH ISSUE, MASS GENERAL BRIGHAM IS THE ONLY HEALTHCARE SYSTEM IN THE COUNTRY WITH FOUR MEDICAL DIRECTORS FOR SUSTAINABILITY. MASS GENERAL BRIGHAM'S EFFORTS INCLUDE INITIATIVES THAT RANGE FROM INTEGRATING CLIMATE-HEALTH AND HEALTH CARE SUSTAINABILITY INTO RESIDENT TRAINING, MINIMIZING FOOD WASTE AS PART OF THE COOL FOOD PLEDGE, AND DESIGNING CARBON NEUTRAL BUILDINGS. THE SYSTEM HAS ALSO MADE IT A PRIORITY TO ADVOCATE FOR POLICIES AND PROGRAMS AT THE LOCAL, STATE, AND FEDERAL LEVELS THAT ARE AIMED AT BUILDING A HEALTHIER, MORE SUSTAINABLE, AND MORE EQUITABLE FUTURE. PART III, LINE 2: THE PATIENT LIABILITY IS REDUCED BY ALL PAYMENTS AND INSURANCE CONTRACTUAL ADJUSTMENTS. PREVIOUSLY APPLIED PATIENT DISCOUNTS ARE REVERSED PRIOR TO PLACEMENT IN BAD DEBT IF THE PATIENT DOES NOT PAY AFTER THE PRESCRIBED COLLECTION PROCESS OR IF THE PATIENT RENEGES ON A PREVIOUSLY AGREED PAYMENT SCHEDULE. PART III, LINE 4: TEXT OF BAD DEBT FOOTNOTE FROM AFS: (IN THOUSANDS OF DOLLARS)IN ADDITION TO CHARITY CARE AND INADEQUATE FUNDING FROM THE MEDICAID AND MEDICARE PROGRAMS, THERE ARE SIGNIFICANT LOSSES RELATED TO SELF-PAY PATIENTS WHO FAIL TO MAKE PAYMENT FOR SERVICES RENDERED OR INSURED PATIENTS WHO FAIL TO REMIT CO-PAYMENTS AND DEDUCTIBLES AS REQUIRED UNDER THE APPLICABLE HEALTH INSURANCE ARRANGEMENT. THE ESTIMATED COST OF PROVIDING THESE SERVICES WAS APPROXIMATELY $73,165 AND $66,215 FOR 2022 AND 2021, RESPECTIVELY. PART III, LINE 8: ALL COSTS REPORTED ON THE MEDICARE COST REPORT HAVE BEEN DETERMINED IN ACCORDANCE WITH MEDICARE COST-FINDING PRINCIPLES. COSTS ALLOCABLE TO MEDICARE PATIENTS ARE LIMITED TO CERTAIN SERVICES AND DERIVED IN A NUMBER OF WAYS, INCLUDING AVERAGE COST PER DAY TIMES MEDICARE DAYS AND RATIO OF COST TO CHARGES APPLIED TO CHARGES FOR ANCILLARY SERVICES PROVIDED TO MEDICARE BENEFICIARIES. THE DETERMINATION OF ALLOWABLE COSTS VIA THE MEDICARE COST REPORT EXCLUDES THE COST AND REVENUE ASSOCIATED WITH CERTAIN SERVICES, LIMITS THE COSTS RECOGNIZED FOR OTHER SERVICES AND EXCLUDES CERTAIN COSTS OF DOING BUSINESS. IN ADDITION, THE MEDICARE COST REPORT METHODOLOGY DOES NOT ALLOCATE COSTS TO MEDICARE BENEFICIARIES AS PRECISELY AS COST ACCOUNTING SYSTEMS, WHICH, FOR EXAMPLE, ACCOUNT FOR THE MORE INTENSIVE NURSING CARE MEDICARE BENEFICIARIES OFTEN REQUIRE.LOSSES ON THE PROVISION OF CARE TO MEDICARE PATIENTS SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THEY REPRESENT A DIRECT SUBSIDY BY HOSPITALS TO THE FEDERAL GOVERNMENT TO COVER THE COST OF CARE IN EXCESS OF MEDICARE REIMBURSEMENT. PROVIDING CARE FOR THE ELDERLY AND DISABLED AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD BECAUSE ACCESS TO CARE IS ONE OF THE MOST IMPORTANT WAYS WE CAN SERVE OUR COMMUNITIES. THIS SUBSIDY HELPS TO MAKE THAT ACCESS POSSIBLE. PART III, LINE 9B: PATIENTS PROTECTED FROM COLLECTION ACTION. THE HOSPITAL WILL TAKE REASONABLE STEPS TO ENSURE THAT NO COLLECTION ACTIONS, INCLUDING TELEPHONE CALLS, STATEMENTS OR LETTERS, ARE INITIATED FOR THOSE PATIENT BALANCES THAT MAY BE EXEMPT FROM COLLECTION ACTION BY REGULATION, INCLUDING PATIENTS DETERMINED TO BE A LOW INCOME PATIENT BY THE OFFICE OF MEDICAID (EXCEPT FOR DENTAL-ONLY LOW INCOME PATIENTS), OR ENROLLED IN MASSHEALTH, CHILDREN'S MEDICAL SECURITY PLAN (CMSP) WITH A MAGI FAMILY INCOME EQUAL TO OR LESS THAN 300% OF THE FPG, EMERGENCY AID TO THE ELDERLY, DISABLED, AND CHILDREN (EAEDC), AND HEALTH SAFETY NET (FULL OR PARTIAL) EXCEPTING DEDUCTIBLES AND COPAYMENTS DETERMINED BY THOSE PROGRAMS TO BE A PATIENT RESPONSIBILITY, AND COPAYMENTS FROM ANY THIRD-PARTY PAYER EXCEPT MEDICARE.. IF IT IS DETERMINED THAT A PATIENT WAS ENROLLED IN ONE OF THOSE CATEGORIES, THEN ALL COLLECTION ACTIONS (EXCEPT APPLICABLE CO-PAYMENTS AND HSN DEDUCTIBLES) WITH THE PATIENT WILL BE CLOSED FOR SERVICES THAT OCCURRED DURING THE PATIENT'S PERIOD OF ELIGIBILITY. COLLECTION ACTIONS WILL ALSO CEASE FOR AS LONG AS THE PATIENT IS DETERMINED TO BE LOW INCOME IF THE BALANCE IS FROM A PERIOD WHEN THE PATIENT WAS NOT ENROLLED IN A QUALIFYING PROGRAM. THE HOSPITAL MAY CONTINUE TO SEND LETTERS REQUESTING INFORMATION OR ACTION BY THE PATIENT TO RESOLVE COVERAGE AND/OR ELIGIBILITY ISSUES WITH A PRIMARY PAYER, WORKERS COMPENSATION PROGRAM OR TO OBTAIN ANY THIRD PARTY LIABILITY OR MVA CARRIER INFORMATION. PART VI, LINE 2: MASS GENERAL BRIGHAM HAS A SYSTEM-WIDE STRATEGY TO IMPROVE PATIENT OUTCOMES AND EXPERIENCE, WHICH IS SUPPORTED BY OUR HISTORICAL AND ONGOING COMMITMENT TO DIGITAL HEALTH AND DATA ANALYTICS, POPULATION HEALTH, AND OUTPATIENT CARE. WE SEEK WAYS TO DELIVER CARE IN SUBURBAN SETTINGS THROUGH DEVELOPING COMMUNITY-BASED CARE CENTERS THAT OFFER PRIMARY AND BEHAVIORAL HEALTH CARE, AS WELL AS SPECIALTY AND SURGICAL SERVICES.TO FULLY UNDERSTAND THE RANGE OF NEEDS OF PATIENTS, MASS GENERAL BRIGHAM CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS. THESE STUDIES ARE AIMED AT IDENTIFYING THE MOST PRESSING SOCIAL, ECONOMIC AND HEALTH ISSUES IN THE SERVICE AREA BY AIMING TO:SYSTEMATICALLY IDENTIFY THE HEALTH-RELATED NEEDS, STRENGTHS, AND RESOURCES OF THE SERVICE AREA TO INFORM FUTURE PLANNINGUNDERSTAND THE CURRENT HEALTH STATUS OF RESIDENTS WITHIN THE SERVICE AREA, AS WELL AS SUB-POPULATIONS WITHIN THEIR SOCIAL CONTEXTENGAGE THE COMMUNITY TO HELP DETERMINE COMMUNITY NEEDS AND SOCIAL DETERMINANT OF HEALTH NEEDSIN ADDITION, ALL OF MASS GENERAL BRIGHAM'S MEMBER INSTITUTIONS CONDUCT CHNAS OF THEIR OWN, AT MINIMUM, EVERY 3 YEARS.SEE CHNAS FOR EACH HOSPITAL FACILITY AS REPORTED ON SCHEDULE H, PART V AS WELL AS THE COMMUNITY BENEFIT REPORTS FOUND AT THE MASSACHUSETTS ATTORNEY GENERAL: HTTPS://MASSAGO.HYLANDCLOUD.COM/203CBS/ANNUALREPORT.ASPX PART VI, LINE 3: FINANCIAL COUNSELING SERVICESTHE HOSPITAL WILL SEEK TO IDENTIFY PATIENTS WHO MAY BE UNINSURED OR INADEQUATELY INSURED IN ORDER TO PROVIDE COUNSELING AND ASSISTANCE. THE HOSPITAL WILL PROVIDE FINANCIAL COUNSELING TO THESE PATIENTS AND THEIR FAMILIES, INCLUDING SCREENING FOR ELIGIBILITY FOR OTHER SOURCES OF COVERAGE, SUCH AS STATE PROGRAMS AND OTHER GOVERNMENT PROGRAMS (INCLUDING TO THE EXTENT POSSIBLE, MEDICAID PROGRAMS IN STATES OTHER THAN MASSACHUSETTS OR NEW HAMPSHIRE), AND PROVIDING INFORMATION REGARDING ALL ACCEPTABLE METHODS OF PAYMENT OF THE HOSPITAL BILL. THE HOSPITAL WILL ENCOURAGE PATIENTS WHO ARE POTENTIALLY ELIGIBLE FOR COVERAGE FROM STATE PROGRAMS OR OTHER GOVERNMENT PROGRAMS TO APPLY FOR COVERAGE AND SHALL ASSIST THE PATIENT IN APPLYING FOR BENEFITS. MA RESIDENTS MAY ALSO APPLY FOR AND BE APPROVED FOR COVERAGE BY THE HSN FOR CO-INSURANCE OR DEDUCTIBLES NOT COVERED BY THEIR PRIMARY INSURANCE PLAN. THE HOSPITAL WILL POST A NOTICE (SIGNS) OF THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS AND DESCRIBE WHERE TO GO TO FOR ASSISTANCE IN THE FOLLOWING LOCATIONS: 1. INPATIENT, CLINIC, EMERGENCY DEPARTMENT, AND COMMUNITY HEALTH CENTER ADMISSION AND/OR REGISTRATION AREAS; 2. FINANCIAL COUNSELING WAITING AREAS 3. CENTRAL ADMISSION/REGISTRATION AREAS THAT ARE OPEN TO PATIENTS 4. BUSINESS OFFICE WAITING AREAS THAT ARE OPEN TO PATIENTS. SIGNS WILL BE TRANSLATED INTO OTHER LANGUAGES TO THE EXTENT THAT THE LANGUAGE IS THE PRIMARY LANGUAGE OF MORE THAN 10% OF RESIDENTS IN THE HOSPITAL'S SERVICE. SIGNS WILL GENERALLY BE POSTED IN ENGLISH AND SPANISH. POSTED SIGNS WILL BE CLEARLY VISIBLE AND LEGIBLE TO PATIENTS VISITING THESE AREAS. SIGNAGE WILL ALSO INCLUDE INSTRUCTIONS ON ACCESS TO TRANSLATION SERVICES FOR PATIENTS WHO HAVE OTHER LANGUAGE NEEDS. STANDARD NOTICES WILL BE PROVIDED TO ALL PATIENTS AT THE TIME OF THEIR INITIAL REGISTRATION WITH MASS GENERAL BRIGHAM. THESE NOTICES WILL ALSO BE MADE WIDELY AVAILABLE THROUGHOUT ALL MASS GENERAL BRIGHAM HOSPITAL CREDIT & COLLECTION POLICY JANUARY 1, 2020 13 HOSPITALS AND HEALTH CENTERS AND ROUTINELY OFFERED TO EXISTING PATIENTS WHENEVER THEY ARE EXPECTED TO HAVE AN OUT-OF-POCKET LIABILITY. COMPLETE COPIES OF THIS POLICY AND THE MGB UNINSURED PATIENT DISCOUNT AND FINANCIAL ASSISTANCE POLICY WILL ALSO BE MADE AVAILABLE TO PATIENTS AS REQUIRED. BOTH POLICIES WILL ALSO BE POSTED ON THE INTERNET AT WWW.PARTNERS.ORG/PATIENTBILLING WITH LINKS TO THE HOMEPAGES OF ALL HOSPITAL ENTITIES IN READILY IDENTIFIABLE LOCATIONS. PART VI, LINE 4: MASS GENERAL BRIGHAM IS COMMITTED TO WORKING WITH COMMUNITY RESIDENTS AND ORGANIZATIONS TO MAKE MEASURABLE, SUSTAINABLE IMPROVEMENTS IN THE HEALTH STATUS OF UNDERSERVED POPULATIONS. AS A SYSTEM, MASS GENERAL BRIGHAM MAKES A SIGNIFICANT COMMITMENT TO COMMUNITY HEALTH. THROUGH INITIATIVES THAT INCLUDE ACCESS TO HEALTH CARE, PREVENTION, AND WORKFORCE DEVELOPMENT, MASS GENERAL BRIGHAM AND ITS HOSPITALS ARE MAKING A DIFFERENCE IN THE COMMUNITIES IN WHICH WE LIVE AND WORK. MASS GENERAL BRIGHAM HAS A DEEP COMMITMENT TO COMMUNITY HEALTH CENTERS. SINCE ITS FOUNDING IN 1994, MASS GENERAL BRIGHAM AND ITS HOSPITALS HAVE PROVIDED MORE THAN $83M TO ENSURE THAT HEALTH CENTERS HAVE THE SPACE AND TECHNOLOGY THEY NEED TO PROVIDE PATIENTS WITH EXCELLENT CARE. PART VI, LINE 5: THE HOSPITALS INCLUDED IN THE MASS GENERAL BRIGHAM SYSTEM HAVE GOVERNING BODIES THAT ARE COMPRISED OF COMMUNITY LEADERS WHO ARE GUIDED BY THE MISSION TO DELIVER EXCELLENCE IN PATIENT CARE, ADVANCE THAT CARE THROUGH INNOVATIVE RESEARCH AND EDUCATION AND IMPROVE THE HEALTH AND WELL-BEING OF THE DIVERSE COMMUNITIES SERVED.SURPLUS FUNDS ARE USED TO FURTHER THE ORGANIZATION'S TAX-EXEMPT MISSIONS OF PATIENT CARE, EDUCATION AND RESEARCH. PART VI, LINE 6: MASS GENERAL BRIGHAM IS ONE OF THE LARGEST CHARITABLE DIVERSIFIED HEALTH CARE SERVICES ORGANIZATIONS IN THE UNITED STATES, ESTABLISHED IN 1994 BY AN AFFILIATION BETWEEN THE BRIGHAM MEDICAL CENTER, INC., NOW KNOWN AS BRIGHAM, INC., AND THE MASSACHUSETTS GENERAL HOSPITAL IN ORDER TO CREATE AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. MASS GENERAL BRIGHAM CURRENTLY OPERATES TWO TERTIARY AND SEVEN COMMUNITY ACUTE CARE HOSPITALS, HOSPITALS SPECIALIZING IN INPATIENT AND OUTPATIENT SERVICES IN BEHAVIORAL HEALTH, REHABILITATION MEDICINE AND OPHTHALMOLOGY AND OTOLARYNGOLOGY, A HOME HEALTH AGENCY, A NURSING HOME AND A PHYSICIAN NETWORK WITH APPROXIMATELY 7,200 EMPLOYED AND AFFILIATED PRIMARY CARE AND SPECIALTY CARE PHYSICIANS. MASS GENERAL BRIGHAM ALSO OPERATES A NON-PROFIT MANAGED CARE ORGANIZATION AND A FOR-PROFIT INSURANCE COMPANY THAT PROVIDE HEALTH INSURANCE PRODUCTS AND ADMINISTRATIVE SERVICES TO THE MASSACHUSETTS MEDICAID PROGRAM (MASSHEALTH), CONNECTORCARE (A STATE SUBSIDIZED PROGRAM FOR ADULTS WHO MEET INCOME AND IMMIGRATION GUIDELINES) AND COMMERCIAL POPULATIONS. MASS GENERAL BRIGHAM MAINTAINS THE LARGEST NON-UNIVERSITY-BASED, NON-PROFIT, PRIVATE MEDICAL RESEARCH ENTERPRISE IN THE UNITED STATES; ITS HOSPITALS ARE PRINCIPAL TEACHING AFFILIATES OF THE MEDICAL AND DENTAL SCHOOLS OF HARVARD UNIVERSITY; AND IT OPERATES A GRADUATE LEVEL PROGRAM FOR HEALTH SCIENCES.WITH APPROXIMATELY 53,300 FULL-TIME EQUIVALENT EMPLOYEES (FTES), MASS GENERAL BRIGHAM IS ONE OF THE LARGEST PRIVATE EMPLOYERS IN THE COMMONWEALTH OF MASSACHUSETTS. MASS GENERAL BRIGHAM INCORPORATED AS THE PARENT CORPORATION OF THE MASS GENERAL BRIGHAM SYSTEM, PROVIDES A NUMBER OF SERVICES FOR ITS AFFILIATES, INCLUDING CLINICAL AFFAIRS, COMMUNITY BENEFITS, FINANCE, HUMAN RESOURCES, INFORMATION SYSTEMS, INTERNAL AUDIT, INVESTMENTS, LEGAL, MARKETING, MATERIALS MANAGEMENT, REAL ESTATE, RESEARCH ADMINISTRATION, STRATEGIC PLANNING AND TREASURY. THE FINANCE COMMITTEE OF THE INSTITUTION'S BOARD OF DIRECTORS OVERSEES CENTRALIZED OPERATING AND CAPITAL BUDGET, DEBT MANAGEMENT AND BUSINESS PLANNING PROCESSES FOR THE INSTITUTION AND ALL OF ITS AFFILIATES. CASH AND INVESTMENTS ARE MANAGED CENTRALLY UNDER POLICIES DEVELOPED BY THE INVESTMENT COMMITTEE OF THE INSTITUTION'S BOARD OF DIRECTORS AND REVIEWED BY THE FINANCE COMMITTEE. THE INSTITUTION ALSO COORDINATES THE RESEARCH AND MEDICAL EDUCATION PROGRAMS OF ITS AFFILIATES. PART VI, LINE 7, REPORTS FILED WITH STATES MA,NH PART VI, LINE 7: STATE OF FILING COMMUNITY BENEFIT REPORT: EACH OF THE HOSPITALS THAT COMPRISE THE MASS GENERAL BRIGHAM SYSTEM HAS A COMMUNITY BENEFIT PLANNING AND SERVICE DELIVERY STRUCTURE. EACH OF THESE ENTITIES (EXCEPT THE THREE REHABILITATION FACILITIES LISTED IN PART V, SECTION A) HAS FILED SEPARATE COMMUNITY BENEFIT REPORTS WITH ATTORNEY GENERAL OF THE COMMONWEALTH OF MASSACHUSETTS AND THE NEW HAMPSHIRE DEPARTMENT OF JUSTICE IN THE CASE OF WENTWORTH-DOUGLASS HOSPITAL. 1 THE GENERAL HOSPITAL CORPORATION 55 FRUIT STREET BOSTON MA 02114 042697983 501(C)(3) 361519368 0 TO SUPPORT TAX EXEMPT AFFILIATE MASS GENERAL BRIGHAM INCORPORATED 800 BOYLSTON STREET BOSTON MA 02199 043230035 501(C)(3) 272961204 0 TO SUPPORT TAX EXEMPT AFFILIATE THE BRIGHAM AND WOMEN'S HOSPITAL INC 75 FRANCIS STREET BOSTON MA 02115 042312909 501(C)(3) 254576893 0 TO SUPPORT TAX EXEMPT AFFILIATE NEWTON-WELLESLEY HOSPITAL 2014 WASHINGTON STREET NEWTON MA 02462 042103611 501(C)(3) 243396284 0 TO SUPPORT TAX EXEMPT AFFILIATE NORTH SHORE MEDICAL CENTER INC 81 HIGHLAND AVENUE SALEM MA 01970 043399616 501(C)(3) 189366021 0 TO SUPPORT TAX EXEMPT AFFILIATE MASS GENERAL BRIGHAM MEDICAL GROUP INC 800 BOYLSTON STREET BOSTON MA 02199 841908707 501(C)(3) 141977982 0 TO SUPPORT TAX EXEMPT AFFILIATE THE MCLEAN HOSPITAL CORPORATION 115 MILL STREET BELMONT MA 02478 042697981 501(C)(3) 127252740 0 TO SUPPORT TAX EXEMPT AFFILIATE BRIGHAM AND WOMEN'S FAULKNER HOSPITAL INC 1153 CENTRE STREET BOSTON MA 02130 042768256 501(C)(3) 50120256 0 TO SUPPORT TAX EXEMPT AFFILIATE NORTH SHORE PHYSICIANS GROUP INC 81 HIGHLAND AVENUE SALEM MA 01970 043080484 501(C)(3) 22386698 0 TO SUPPORT TAX EXEMPT AFFILIATE CD PRACTICE ASSOCIATES INC POBOX 911 NORTHAMPTON MA 01060 043194547 501(C)(3) 21497240 0 TO SUPPORT TAX EXEMPT AFFILIATE COOLEY DICKINSON HOSPITAL INC 30 LOCUST STREET NORTHAMPTON MA 01060 222617175 501(C)(3) 16018792 0 TO SUPPORT TAX EXEMPT AFFILIATE NEWTON-WELLESLEY MEDICAL GROUP INC 2014 WASHINGTON STREET NEWTON MA 02462 222560501 501(C)(3) 13102211 0 TO SUPPORT TAX EXEMPT AFFILIATE WNR INC 1 LINTON LANE OAK BLUFFS MA 02557 043419920 501(C)(3) 2825000 0 TO SUPPORT TAX EXEMPT AFFILIATE FOUNDATION OF THE MASSACHUSETTS EYE AND EAR INFIRMARY INC 243 CHARLES STREET BOSTON MA 02114 042785453 501(C)(3) 2408112 0 TO SUPPORT TAX EXEMPT AFFILIATE BRIGHAM AND WOMEN'S PHYSICIANS ORGANIZATION 75 FRANCIS STREET BOSTON MA 02115 043466314 501(C)(3) 1235377 0 TO SUPPORT TAX EXEMPT AFFILIATE MASSACHUSETTS EYE & EAR INFIRMARY 243 CHARLES STREET BOSTON MA 02114 042103591 501(C)(3) 853500 0 TO SUPPORT TAX EXEMPT AFFILIATE THE SPAULDING REHABILITATION HOSPITAL CORPORATION 300 FIRST AVENUE CHARLESTOWN MA 02129 042551124 501(C)(3) 185312 0 TO SUPPORT TAX EXEMPT AFFILIATE NANTUCKET COTTAGE HOSPITAL 57 PROSPECT STREET NANTUCKET MA 02554 042103823 501(C)(3) 185260 0 TO SUPPORT TAX EXEMPT AFFILIATE MASSACHUSETTS EYE & EAR ASSOCIATES INC 243 CHARLES STREET BOSTON MA 02114 222658209 501(C)(3) 159955 0 TO SUPPORT TAX EXEMPT AFFILIATE MARTHA'S VINEYARD HOSPITAL INC 1 LINTON LANE OAK BLUFFS MA 02557 042104691 501(C)(3) 135294 0 TO SUPPORT TAX EXEMPT AFFILIATE MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION 55 FRUIT STREET BOSTON MA 02114 042807148 501(C)(3) 127627 0 TO SUPPORT TAX EXEMPT AFFILIATE THE MGH INSTITUTE OF HEALTH PROFESSIONS INC 36 FIRST AVENUE CHARLESTOWN MA 02129 042868893 501(C)(3) 68500 0 TO SUPPORT TAX EXEMPT AFFILIATE MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC 800 BOYLSTON STREET BOSTON MA 02199 043236175 501(C)(3) 14148 0 TO SUPPORT TAX EXEMPT AFFILIATE SCHEPENS EYE RESEARCH INSTITUTE INC 20 STANIFORD STREET BOSTON MA 02114 042129889 501(C)(3) 10493 0 TO SUPPORT TAX EXEMPT AFFILIATE WENTWORTH-DOUGLASS HOSPITAL 789 CENTRAL AVENUE DOVER NH 03820 020260334 501(C)(3) 5957 0 TO SUPPORT TAX EXEMPT AFFILIATE NORTH END WATERFRONT HEALTH 332 HANOVER ST BOSTON MA 02113 237089746 501(C)(3) 3793232 0 COMMUNITY BENEFIT PROGRAM EAST BOSTON NEIGHBORHOOD HEALTH CENTER 10 GROVE ST BOSTON MA 02116 237425849 501(C)(3) 1344000 0 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS 40 COURT ST BOSTON MA 02108 042507409 501(C)(3) 1175349 0 COMMUNITY BENEFIT PROGRAM LOCAL INITIATIVES SUPPORT CORPORATION (LISC) 28 LIBERTY ST FLOOR 34 NEW YORK NY 10005 133030229 501(C)(3) 1125680 0 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS 40 COURT ST BOSTON MA 02108 042507409 501(C)(3) 823496 0 COMMUNITY BENEFIT PROGRAM WATCH CDC 24 CRESCENT ST ROOM 201 WALTHAM MA 02453 222918528 501(C)(3) 765338 0 COMMUNITY BENEFIT PROGRAM NORTH SHORE COMMUNITY HEALTH INC 27 CONGRESS ST SUITE 513 SALEM MA 01970 042610447 501(C)(3) 615000 0 COMMUNITY BENEFIT PROGRAM NEW HAMPSHIRE HEALTH PROTECTION PROGRAM 125 AIRPORT RD CONCORD NH 03301 020275078 501(C)(1) 556950 0 COMMUNITY BENEFIT PROGRAM LA COLABORATIVA INC 318 BROADWAY CHELSEA MA 02150 222906521 501(C)(3) 400000 0 COMMUNITY BENEFIT PROGRAM BOSTON HEALTH CARE FOR THE HOMELESS 780 ALBANY ST BOSTON MA 02118 043160480 501(C)(3) 395152 0 COMMUNITY BENEFIT PROGRAM YMCA OF GREATER BOSTON - PARKWAY BRANCH 1972 CENTRE ST W BOSTON MA 02132 042103551 501(C)(3) 305000 0 COMMUNITY BENEFIT PROGRAM BOYS AND GIRLS CLUB OF BOSTON 15 GREEN ST BOSTON MA 02129 042103922 501(C)(3) 301709 0 COMMUNITY BENEFIT PROGRAM PINE STREET INN 444 HARRISON AVE BOSTON MA 02118 042516093 501(C)(3) 291667 0 COMMUNITY BENEFIT PROGRAM PINE STREET INN 444 HARRISON AVE BOSTON MA 02118 042516093 501(C)(3) 291667 0 COMMUNITY BENEFIT PROGRAM THE BOSTON FOUNDATION 75 ARLINGTON ST 3RD FLOOR BOSTON MA 02116 042104021 501(C)(3) 255734 0 COMMUNITY BENEFIT PROGRAM HEALTH RESOURCES IN ACTION (HRIA) 2 BOYLSTON ST BOSTON MA 02116 042229839 501(C)(3) 250000 0 COMMUNITY BENEFIT PROGRAM HUBWEEK INC 1 EXCHANGE PL SUITE 201 BOSTON MA 02109 842151766 501(C)(3) 250000 0 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS 40 COURT ST BOSTON MA 02108 042507409 501(C)(3) 197410 0 COMMUNITY BENEFIT PROGRAM MOTHERS FOR JUSTICE AND EQUALITY 184 DUDLEY ST ROOM 109LL BOSTON MA 02119 453741482 501(C)(3) 191262 0 COMMUNITY BENEFIT PROGRAM WILLIAM JAMES COLLEGE 1 WELLS AVE NEWTON MA 02459 042620216 501(C)(3) 182083 0 COMMUNITY BENEFIT PROGRAM THE BOSTON FOUNDATION 75 ARLINGTON ST 3RD FLOOR BOSTON MA 02116 042104021 501(C)(3) 177144 0 COMMUNITY BENEFIT PROGRAM LYNN COMMUNITY HEALTH CENTER 269 MADISON AVE ROOM 9 LYNN MA 01901 042525066 501(C)(3) 162788 0 COMMUNITY BENEFIT PROGRAM ROXBURY TENANTS OF HARVARD ASSOCIATION INC 11 NEW WHITNEY ST BOSTON MA 02115 042555987 501(C)(3) 152063 0 COMMUNITY BENEFIT PROGRAM BROOKVIEW HOUSE INC 2 BROOKVIEW ST 1 BOSTON MA 02124 223032466 501(C)(3) 150000 0 COMMUNITY BENEFIT PROGRAM MARTHA'S VINEYARD COMMUNITY SERVICES INC 111 EDGARTOWN RD VINEYARD HAVEN MA 02568 042301598 501(C)(3) 128320 0 COMMUNITY BENEFIT PROGRAM WILLIAM JAMES COLLEGE 1 WELLS AVE NEWTON MA 02459 042620216 501(C)(3) 126127 0 COMMUNITY BENEFIT PROGRAM HARVARD UNIVERSITY - THE FAMILY VAN 1033 MASSACHUSETTS AVE SUITE 3 BOSTON MA 02138 042103580 501(C)(3) 125000 0 COMMUNITY BENEFIT PROGRAM ABCD CENTRAL OFFICE 178 TREMONT ST BOSTON MA 02111 042304133 501(C)(3) 125000 0 COMMUNITY BENEFIT PROGRAM CHILDREN'S SERVICES OF ROXBURY 2406 WASHINGTON ST BOSTON MA 02119 043082352 501(C)(3) 125000 0 COMMUNITY BENEFIT PROGRAM MADISON PARK DEVELOPMENT CORPORATION 184 DUDLEY ST SUITE 102 BOSTON MA 02119 237164223 501(C)(3) 125000 0 COMMUNITY BENEFIT PROGRAM ENGLISH FOR NEW BOSTONIANS 105 CHAUNCY STREET BOSTON MA 02111 463202177 501(C)(3) 125000 0 COMMUNITY BENEFIT PROGRAM ST STEPHENS YOUTH PROGRAMS 31 LENOX ST BOSTON MA 02118 261749602 501(C)(3) 116238 0 COMMUNITY BENEFIT PROGRAM FOOD BANK OF WESTERN MASSACHUSETTS 97 NORTH HATFIELD RD HATFIELD MA 01038 042751023 501(C)(3) 113917 0 COMMUNITY BENEFIT PROGRAM BRIDGEWATER STATE UNIVERSITY - SCHOOL OF SOCIAL WORK 131 SUMMER ST BRIDGEWATER MA 02325 222678005 501(C)(1) 113290 0 COMMUNITY BENEFIT PROGRAM COMMUNITY SERVINGS INC 179 AMORY ST BOSTON MA 02130 223154028 501(C)(3) 111111 0 COMMUNITY BENEFIT PROGRAM COMMUNITY SERVINGS INC 179 AMORY ST BOSTON MA 02130 223154028 501(C)(3) 111111 0 COMMUNITY BENEFIT PROGRAM COMMUNITY SERVINGS INC 179 AMORY ST BOSTON MA 02130 223154028 501(C)(3) 111111 0 COMMUNITY BENEFIT PROGRAM UNITARIAN UNIVERSALIST URBAN MINISTRY 10 PUTNAM ST BOSTON MA 02119 042105897 501(C)(3) 110453 0 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS 40 COURT ST BOSTON MA 02108 042507409 501(C)(3) 108955 0 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS ASSOCIATION FOR MENTAL HEALTH (MAMH) 50 FEDERAL ST BOSTON MA 02110 042104711 501(C)(3) 105952 0 COMMUNITY BENEFIT PROGRAM HARVARD UNIVERSITY - LEGAL SERVICES CENTER 122 BOYLSTON STREET JAMAICA PLAIN MA 02130 042103580 501(C)(3) 100000 0 COMMUNITY BENEFIT PROGRAM COLLEGE BOUND DORCHESTER INC 18 SAMOSET ST BOSTON MA 02124 042383512 501(C)(3) 100000 0 COMMUNITY BENEFIT PROGRAM SOCIEDAD LATINA INC 1530 TREMONT ST BOSTON MA 02120 042678255 501(C)(3) 100000 0 COMMUNITY BENEFIT PROGRAM ABOUT FRESH 69 SHIRLEY ST BOSTON MA 02119 462848535 501(C)(3) 100000 0 COMMUNITY BENEFIT PROGRAM ABOUT FRESH 69 SHIRLEY ST BOSTON MA 02119 462848535 501(C)(3) 100000 0 COMMUNITY BENEFIT PROGRAM MATTAPAN FOOD AND FITNESS COALITION - TSNE 1613 BLUE HILL AVE SUITE 307 MATTAPAN MA 02126 261633993 501(C)(3) 97322 0 COMMUNITY BENEFIT PROGRAM ALL DORCHESTER SPORTS AND LEADERSHIP INC 1565 DORCHESTER AVE BOSTON MA 02124 222827346 501(C)(3) 90962 0 COMMUNITY BENEFIT PROGRAM WALTHAM PARTNERSHIP FOR YOUTH 617 LEXINGTON ST WALTHAM MA 02452 043399437 501(C)(3) 90000 0 COMMUNITY BENEFIT PROGRAM MISSIONSAFE PO BOX 201060 BOSTON MA 02119 043457195 501(C)(3) 85000 0 COMMUNITY BENEFIT PROGRAM BRIDGEWATER STATE UNIVERSITY - SCHOOL OF SOCIAL WORK 131 SUMMER ST BRIDGEWATER MA 02325 222678005 501(C)(1) 78475 0 COMMUNITY BENEFIT PROGRAM ITALIAN HOME FOR CHILDREN 1125 CENTRE ST BOSTON MA 02130 042103799 501(C)(3) 78000 0 COMMUNITY BENEFIT PROGRAM RIZE MASSACHUSETTS FOUNDATION 101 HUNTINGTON AVE BOSTON MA 02199 830989395 501(C)(3) 75876 0 COMMUNITY BENEFIT PROGRAM MAURICE J TOBIN K-8 SCHOOL 40 SMITH ST ROXBURY CROSSING MA 02120 501(C)(1) 75000 0 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS ASSOCIATION FOR MENTAL HEALTH (MAMH) 50 FEDERAL ST BOSTON MA 02110 042104711 501(C)(3) 74266 0 COMMUNITY BENEFIT PROGRAM BRIDGEWELL 10 DEARBORN RD PEABODY MA 01960 042477820 501(C)(3) 73076 0 COMMUNITY BENEFIT PROGRAM ESAC PO BOX 301749 BOSTON MA 02130 042455301 501(C)(3) 63000 0 COMMUNITY BENEFIT PROGRAM WOMEN ENCOURAGING EMPOWERMENT PO BOX 13 REVERE MA 02151 043286531 501(C)(3) 62500 0 COMMUNITY BENEFIT PROGRAM MUSEUM OF AFRICAN AMERICAN HISTORY INC 46 JOY ST BOSTON MA 02114 042429556 501(C)(3) 60000 0 COMMUNITY BENEFIT PROGRAM CCHERS INC 320 HUNTINGTON AVE ROOM 22 BOSTON MA 02115 043286409 501(C)(3) 60000 0 COMMUNITY BENEFIT PROGRAM EDWARD M KENNEDY ACADEMY FOR HEALTH CAREERS 360 HUNTINGTON AVE BOSTON MA 02115 501(C)(1) 60000 0 COMMUNITY BENEFIT PROGRAM THE NEIGHBORHOOD DEVELOPERS INC 4 GERRISH AVE CHELSEA MA 02150 042660283 501(C)(3) 57500 0 COMMUNITY BENEFIT PROGRAM COMMUNITY SERVICE CARE INC PO BOX 300040 BOSTON MA 02130 042754281 501(C)(3) 55356 0 COMMUNITY BENEFIT PROGRAM RIZE MASSACHUSETTS FOUNDATION 101 HUNTINGTON AVE BOSTON MA 02199 830989395 501(C)(3) 52559 0 COMMUNITY BENEFIT PROGRAM JAMAICA PLAIN NEIGHBORHOOD DEVELOP CORPORATION 31 GERMANIA ST JAMAICA PLAIN MA 02130 042652919 501(C)(3) 51048 0 COMMUNITY BENEFIT PROGRAM MATTAPAN COMMUNITY HEALTH CENTER INC 1425 BLUE HILL AVE BOSTON MA 02126 042544151 501(C)(3) 51000 0 COMMUNITY BENEFIT PROGRAM BOYS AND GIRLS CLUB OF BOSTON 200 HIGH ST 3RD FLOOR BOSTON MA 02110 042103922 501(C)(3) 50000 0 COMMUNITY BENEFIT PROGRAM REACH BEYOND DOMESTIC VIOLENCE PO BOX 5409024 WALTHAM MA 02454 042735449 501(C)(3) 50000 0 COMMUNITY BENEFIT PROGRAM HOSPICE OF MARTHA'S VINEYARD PO BOX 1748 VINEYARD HAVEN MA 02568 042770996 501(C)(3) 50000 0 COMMUNITY BENEFIT PROGRAM DUKES COUNTY PO BOX 190 EDGARTOWN MA 02539 046001422 501(C)(1) 50000 0 COMMUNITY BENEFIT PROGRAM GREATER BOSTON CHINESE GOLDEN AGE CENTER INC 75 KNEELAND ST SUITE 204 BOSTON MA 02111 237181452 501(C)(3) 50000 0 COMMUNITY BENEFIT PROGRAM GREATER BOSTON CHINESE GOLDEN AGE CENTER INC 75 KNEELAND ST SUITE 204 BOSTON MA 02111 237181452 501(C)(3) 50000 0 COMMUNITY BENEFIT PROGRAM GREATER BOSTON CHINESE GOLDEN AGE CENTER INC 75 KNEELAND ST SUITE 204 BOSTON MA 02111 237181452 501(C)(3) 50000 0 COMMUNITY BENEFIT PROGRAM HARBOR HOMES OF MARTHA'S VINEYARD PO BOX 4795 VINEYARD HAVEN MA 02568 832996138 501(C)(3) 50000 0 COMMUNITY BENEFIT PROGRAM WHITTIER STREET HEALTH CENTER INC 1290 TREMONT ST BOSTON MA 02120 042619517 501(C)(3) 45731 0 COMMUNITY BENEFIT PROGRAM THE BOSTON FOUNDATION 75 ARLINGTON ST 3RD FLOOR BOSTON MA 02116 042104021 501(C)(3) 43129 0 COMMUNITY BENEFIT PROGRAM PINE STREET INN 444 HARRISON AVE BOSTON MA 02118 042516093 501(C)(3) 41667 0 COMMUNITY BENEFIT PROGRAM LASELL UNIVERSITY 1844 COMMONWEALTH AVE NEWTON MA 02466 042103585 501(C)(3) 39168 0 COMMUNITY BENEFIT PROGRAM BOSTON COLLEGE SCHOOL OF SOCIAL WORK LATINX LEADERSHIP INITIATIVE 140 COMMONWEALTH AVE CHESTNUT HILL MA 02467 042103545 501(C)(3) 38508 0 COMMUNITY BENEFIT PROGRAM QUINCY COLLEGE - SCHOOL OF NURSING 34 CODDINGTON ST QUINCY MA 02169 043339998 501(C)(1) 38360 0 COMMUNITY BENEFIT PROGRAM ST MARY - ST CATHERINE OF SIENA PARISH FOR HARVEST ON THE VINE 46 WINTHROP ST BOSTON MA 02129 331136053 501(C)(3) 35000 0 COMMUNITY BENEFIT PROGRAM GIRLS INC OF LYNN 50 HIGH ST LYNN MA 01902 042104250 501(C)(3) 31608 0 COMMUNITY BENEFIT PROGRAM CONFERENCE OF BOSTON TEACHING HOSPITALS 101 ARCH STREET SUITE 1741 BOSTON MA 02110 263583138 501(C)(3) 31250 0 COMMUNITY BENEFIT PROGRAM WILLIAM JAMES COLLEGE 1 WELLS AVE NEWTON MA 02459 042620216 501(C)(3) 30708 0 COMMUNITY BENEFIT PROGRAM MISSION HILL MAIN STREETS 1542 TREMONT ST BOSTON MA 02120 043400164 501(C)(3) 30000 0 COMMUNITY BENEFIT PROGRAM SALEM STATE UNIVERSITY - SCHOOL OF SOCIAL WORK 352 LAFAYETTE ST SALEM MA 01970 042325342 501(C)(1) 27206 0 COMMUNITY BENEFIT PROGRAM BUNKER HILL COMMUNITY COLLEGE FOUNDATION 250 NEW RUTHERFORD AVE H150 BOSTON MA 02120 222757389 501(C)(1) 26695 0 COMMUNITY BENEFIT PROGRAM BOSTON COLLEGE SCHOOL OF SOCIAL WORK LATINX LEADERSHIP INITIATIVE 140 COMMONWEALTH AVE CHESTNUT HILL MA 02467 042103545 501(C)(3) 26674 0 COMMUNITY BENEFIT PROGRAM QUINCY COLLEGE - SCHOOL OF NURSING 34 CODDINGTON ST QUINCY MA 02169 043339998 501(C)(1) 26572 0 COMMUNITY BENEFIT PROGRAM BOSTON PRIVATE INDUSTRY COUNCIL 2 OLIVER ST BOSTON MA 02109 042676661 501(C)(3) 25000 0 COMMUNITY BENEFIT PROGRAM DIMOCK COMMUNITY HEALTH CENTER 40 DIMOCK ST ROXBURY MA 02119 043487835 501(C)(3) 25000 0 COMMUNITY BENEFIT PROGRAM ISLAND AUTISM GROUP INC PO BOX 2786 EDGARTOWN MA 02539 300661116 501(C)(3) 25000 0 COMMUNITY BENEFIT PROGRAM RED SOX FOUNDATION 4 JERSEY ST BOSTON MA 02215 331007984 501(C)(3) 25000 0 COMMUNITY BENEFIT PROGRAM BOSTON PUBLIC HOUSING CORPORATION 52 CHAUNCY ST 10TH FLOOR BOSTON MA 02111 043576423 501(C)(3) 24723 0 COMMUNITY BENEFIT PROGRAM THE BOSTON FOUNDATION 75 ARLINGTON ST 3RD FLOOR BOSTON MA 02116 042104021 501(C)(3) 23993 0 COMMUNITY BENEFIT PROGRAM ROXBURY PRESBYTERIAN CHURCH - SOCIAL IMPACT CENTER 328 WARREN ST BOSTON MA 02119 043506648 501(C)(3) 23333 0 COMMUNITY BENEFIT PROGRAM ROXBURY PRESBYTERIAN CHURCH - SOCIAL IMPACT CENTER 328 WARREN ST BOSTON MA 02119 043506648 501(C)(3) 23333 0 COMMUNITY BENEFIT PROGRAM ROXBURY PRESBYTERIAN CHURCH - SOCIAL IMPACT CENTER 328 WARREN ST BOSTON MA 02119 043506648 501(C)(3) 23333 0 COMMUNITY BENEFIT PROGRAM HEALTH CAREER CONNECTION INC 300 FRANK OGAWA PLAZA ROOM 243 OAKLAND CA 94612 251904312 501(C)(3) 22500 0 COMMUNITY BENEFIT PROGRAM JOHN F KENNEDY FAMILY SERVICES CENTER INC 23A MOULTON ST BOSTON MA 02129 042373976 501(C)(3) 20000 0 COMMUNITY BENEFIT PROGRAM POLUS CENTER FOR SOCIAL AND ECONOMIC DEVELOPMENT PO BOX 773 PETERSHAM MA 01366 042697866 501(C)(3) 20000 0 COMMUNITY BENEFIT PROGRAM WELLSPRING HOUSE 302 ESSEX AVE GLOUCESTER MA 01930 042735048 501(C)(3) 20000 0 COMMUNITY BENEFIT PROGRAM BRIDGEWATER STATE UNIVERSITY - SCHOOL OF SOCIAL WORK 131 SUMMER ST BRIDGEWATER MA 02325 222678005 501(C)(1) 19106 0 COMMUNITY BENEFIT PROGRAM SALEM STATE UNIVERSITY - SCHOOL OF SOCIAL WORK 352 LAFAYETTE ST SALEM MA 01970 042325342 501(C)(1) 18845 0 COMMUNITY BENEFIT PROGRAM BUNKER HILL COMMUNITY COLLEGE FOUNDATION 250 NEW RUTHERFORD AVE H150 BOSTON MA 02120 222757389 501(C)(1) 18492 0 COMMUNITY BENEFIT PROGRAM WILLIAM JAMES COLLEGE 1 WELLS AVE NEWTON MA 02459 042620216 501(C)(3) 17083 0 COMMUNITY BENEFIT PROGRAM CHARLESTOWN WORKING THEATREINC 442 BUNKER HILL ST BOSTON MA 02129 042575578 501(C)(3) 16452 0 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS ASSOCIATION FOR MENTAL HEALTH (MAMH) 50 FEDERAL ST BOSTON MA 02110 042104711 501(C)(3) 16097 0 COMMUNITY BENEFIT PROGRAM CHARLESTOWN LITTLE LEAGUE INC 126 ELM ST BOSTON MA 02129 371513586 501(C)(3) 15348 0 COMMUNITY BENEFIT PROGRAM E INC 114 6TH ST BOSTON MA 02129 020580037 501(C)(3) 15000 0 COMMUNITY BENEFIT PROGRAM REHEARSAL FOR LIFE INC 670 CENTRE STREET SUITE 8 JAMAICA PLAIN MA 02130 042786576 501(C)(3) 15000 0 COMMUNITY BENEFIT PROGRAM ALTERNATIVES FOR COMMUNITY & ENVIRONMENT 2201 WASHINGTON ST ROOM 302 BOSTON MA 02119 043228509 501(C)(3) 15000 0 COMMUNITY BENEFIT PROGRAM CHARLESTOWN LACROSSE AND LEARNING CENTER 14 GREEN ST BOSTON MA 02129 043484770 501(C)(3) 15000 0 COMMUNITY BENEFIT PROGRAM NEW ENGLAND LIFE FLIGHT INC - BOSTON MEDFLIGHT 150 HANSCOM DR BEDFORD MA 01730 222582060 501(C)(3) 15000 0 COMMUNITY BENEFIT PROGRAM INTERNATIONAL SOCIETY FOR OPTICS AND PHOTONICS (SPIE) 1000 20TH ST BELLINGHAM WA 98225 952142678 501(C)(3) 15000 0 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS 40 COURT ST BOSTON MA 02108 042507409 501(C)(3) 14366 0 COMMUNITY BENEFIT PROGRAM CAMP HARBOR VIEW FOUNDATION INC 200 CLARENDON ST 60TH FLOOR BOSTON MA 02116 753235491 501(C)(3) 13735 0 COMMUNITY BENEFIT PROGRAM COLLABORATIVE FOR EDUCATIONAL SERVICES HEALTHY HAMPSHIRE 97 HAWLEY ST NORTHAMPTON MA 01060 042562893 501(C)(3) 13000 0 COMMUNITY BENEFIT PROGRAM RIZE MASSACHUSETTS FOUNDATION 101 HUNTINGTON AVE BOSTON MA 02199 830989395 501(C)(3) 12796 0 COMMUNITY BENEFIT PROGRAM AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY 3615 WISCONSIN AVE NW WASHINGTON DC 20016 131958990 501(C)(3) 12750 0 COMMUNITY BENEFIT PROGRAM YMCA OF GREATER BOSTON - CHARLESTOWN BRANCH 150 THIRD AVE BOSTON MA 02129 042103551 501(C)(3) 12500 0 COMMUNITY BENEFIT PROGRAM NEWTON COMMUNITY PRIDE 1000 COMMONWEALTH AVE NEWTON MA 02459 222793743 501(C)(3) 11500 0 COMMUNITY BENEFIT PROGRAM HILLTOWN COMMUNITY HEALTH CENTER 58 OLD NORTH RD WORTHINGTON MA 01098 042161484 501(C)(3) 11000 0 COMMUNITY BENEFIT PROGRAM WALTHAM WEST SUBURBAN CHAMBER OF COMMERCE INC 84 SOUTH ST WALTHAM MA 02453 041944360 501(C)(6) 10950 0 COMMUNITY BENEFIT PROGRAM BRIDGEWATER STATE UNIVERSITY - SCHOOL OF SOCIAL WORK 131 SUMMER ST BRIDGEWATER MA 02325 222678005 501(C)(1) 10629 0 COMMUNITY BENEFIT PROGRAM THE BASE 150 SHIRLEY ST ROXBURY MA 02119 461856641 501(C)(3) 10505 0 COMMUNITY BENEFIT PROGRAM WALTHAM BOYS AND GIRLS CLUB 20 EXCHANGE ST WALTHAM MA 02451 042103927 501(C)(3) 10500 0 COMMUNITY BENEFIT PROGRAM COOPERATIVE ALLIANCE FOR SEACOAST TRANSPORTATION (COAST) 42 SUMNER DR DOVER NH 03820 020362579 501(C)(3) 10000 0 COMMUNITY BENEFIT PROGRAM CHARLES RIVER REGIONAL CHAMBER INC 117 KENDRICK ST SUITE 300 NEEDHAM MA 02494 041670500 501(C)(6) 10000 0 COMMUNITY BENEFIT PROGRAM VINCENT CLUB 71 BRIMMER ST BOSTON MA 02108 042105799 501(C)(3) 10000 0 COMMUNITY BENEFIT PROGRAM MISSION GRAMMAR SCHOOL 94 ST ALPHONSUS ST BOSTON MA 02120 042106198 501(C)(3) 10000 0 COMMUNITY BENEFIT PROGRAM COMMUNITY ACTION OF PIONEER VALLEY 393 MAIN ST GREENFIELD MA 01301 042384972 501(C)(3) 10000 0 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS ASSOCIATION OF COMMUNITY DEVELOPMENT CORPORATION 44 SCHOOL ST SUITE 800 BOSTON MA 02108 042759909 501(C)(3) 10000 0 COMMUNITY BENEFIT PROGRAM HILLTOWN COMMUNITY DEVELOPMENT CORPORATION 70 FEDERAL ST 6TH FLOOR BOSTON MA 02110 043094550 501(C)(3) 10000 0 COMMUNITY BENEFIT PROGRAM AMERICAN CANCER SOCIETY 43 NAGOG PARK ACTON MA 01720 050271570 501(C)(3) 10000 0 COMMUNITY BENEFIT PROGRAM AMERICAN DIABETES ASSOCIATION 2451 CRYSTAL DR ROOM 900 ARLINGTON VA 22202 131623888 501(C)(3) 10000 0 COMMUNITY BENEFIT PROGRAM HARVARD KENT ELEMENTARY PO BOX 290092 BOSTON MA 02129 432101599 501(C)(3) 10000 0 COMMUNITY BENEFIT PROGRAM ROAD RUNNERS CLUB OF AMERICA 84 WASHINGTON ST BOSTON MA 02129 461177785 501(C)(3) 10000 0 COMMUNITY BENEFIT PROGRAM HEBREW SENIOR LIFE 1200 CENTER ST BOSTON MA 02131 900183119 501(C)(3) 10000 0 COMMUNITY BENEFIT PROGRAM PARTNERS FOR A HEALTHIER COMMUNITY DBA PUBLIC HEALTH INSTITUTE OF WESTERN M PO BOX 4895 SPRINGFIELD MA 01101 043342182 501(C)(3) 9302 0 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS ASSOCIATION FOR MENTAL HEALTH (MAMH) 50 FEDERAL ST BOSTON MA 02110 042104711 501(C)(3) 8955 0 COMMUNITY BENEFIT PROGRAM DARTMOUTH HITCHCOCK MEDICAL CENTER (CHILD ADVOCACY PROGRAM) 1 MEDICAL CENTER DR LEBANON NH 03756 020222140 501(C)(3) 8270 0 COMMUNITY BENEFIT PROGRAM THE BASE 150 SHIRLEY ST ROXBURY MA 02119 461856641 501(C)(3) 8151 0 COMMUNITY BENEFIT PROGRAM HARVARD UNIVERSITY - HARVARD MEDICAL SCHOOL 55 SHATTUCK ST BOSTON MA 02115 042103580 501(C)(3) 8000 0 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS 40 COURT ST BOSTON MA 02108 042507409 501(C)(3) 7624 0 COMMUNITY BENEFIT PROGRAM COMMUNITY PARTNERS 1000 NORTH ALAMEDA ST ROOM 240 LOS ANGELES CA 90012 954302067 501(C)(3) 7500 0 COMMUNITY BENEFIT PROGRAM RIZE MASSACHUSETTS FOUNDATION 101 HUNTINGTON AVE BOSTON MA 02199 830989395 501(C)(3) 7119 0 COMMUNITY BENEFIT PROGRAM PHYSICIAN HEALTH SERVICES 860 WINTER ST WALTHAM MA 02451 223234975 501(C)(3) 7100 0 COMMUNITY BENEFIT PROGRAM TOWN OF BELMONT 455 CONCORD AVE BELMONT MA 02478 501(C)(1) 7050 0 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS 40 COURT ST BOSTON MA 02108 042507409 501(C)(3) 6716 0 COMMUNITY BENEFIT PROGRAM BOSTON COLLEGE SCHOOL OF SOCIAL WORK LATINX LEADERSHIP INITIATIVE 140 COMMONWEALTH AVE CHESTNUT HILL MA 02467 042103545 501(C)(3) 6494 0 COMMUNITY BENEFIT PROGRAM QUINCY COLLEGE - SCHOOL OF NURSING 34 CODDINGTON ST QUINCY MA 02169 043339998 501(C)(1) 6469 0 COMMUNITY BENEFIT PROGRAM SAFE PASSAGE 43 CENTER ST NORTHAMPTON MA 01060 042690131 501(C)(3) 6189 0 COMMUNITY BENEFIT PROGRAM CANCER CONNECTION 41 LOCUST ST NORTHAMPTON MA 01060 043493483 501(C)(3) 6000 0 COMMUNITY BENEFIT PROGRAM FRIENDS OF THE CHARLESTOWN LIBRARY 179 MAIN ST BOSTON MA 02129 043330182 501(C)(3) 5700 0 COMMUNITY BENEFIT PROGRAM NATIONAL ASSOCIATION OF THERAPEUTIC SCHOOLS AND PROGRAMS 4350 EAST WEST HIGHWAY ROOM 925 BETHESDA MD 20814 770511753 501(C)(3) 5500 0 COMMUNITY BENEFIT PROGRAM 162 18 SCHOLARSHIPS 432 8443844 TUITION REDUCTION - VARIOUS RECIPIENTS 0 1175177 USE OF GRANTS/DONATIONS MASS GENERAL BRIGHAM INCORPORATED AND AFFILIATES MAKE DONATIONS TO VARIOUS TAX-EXEMPT ORGANIZATIONS. THESE DONATIONS CAN BE USED BY THE RECIPIENT ONLY IN FURTHERANCE OF THEIR TAX-EXEMPT MISSION. GRANTS AND OTHER ASSISTANCE DETAIL FINANCIAL AID OF $9,619,021 CONSISTS OF SCHOLARSHIPS PROVIDED BY THE INSTITUTE OF $8,443,844 FOR 432 STUDENTS AND $1,175,177 FOR TUITION REDUCTIONS RELATED TO VOUCHERS TO CLINICAL SITES AND REDEEMED BY STUDENTS TO OFFSET TUITION CHARGES. TOTAL FINANCIAL AID OF $9,619,021 OFFSETS TUITION AND FEES ONLY. X X X 1 1 X X X X X X 1 1 0 0 0 0 0 1 0 PETER K MARKELL FORMER O - BH, BCP, BRF, BWFH, BWH, 0 461608 0 1758700 0 3667391 0 5800 0 6458 0 5899957 0 0 THOMAS G GLEASON MD MS SEE SCHEDULE O - O & T TITLES 116201 0 0 0 4098366 0 143 0 0 0 4214710 0 0 0 PETER L SLAVIN MD MBA FORMER O - GHC, MGH 0 1172042 0 1151875 0 1817328 0 31900 0 1446 0 4174591 0 0 GREGG S MEYER MD MSC SEE SCHEDULE O - O & T TITLES 0 1554500 0 484000 0 1160280 0 31900 0 24604 0 3255284 0 0 RON M WALLS MD SEE SCHEDULE O - O & T TITLES 0 1892506 0 570000 0 685286 0 31900 0 27241 0 3206933 0 0 E ANTONIO CHIOCCA MD PHD SEE SCHEDULE O - O & T TITLES 1715195 0 349800 0 61832 0 39260 0 27011 0 2193098 0 0 0 BOB S CARTER MD SEE SCHEDULE O - O & T TITLES 1628500 0 316250 0 113583 0 34800 0 22751 0 2115884 0 0 0 WILLIAM G AUSTEN JR MD SEE SCHEDULE O - O & T TITLES 1364017 0 456000 0 227934 0 39261 0 24756 0 2111968 0 0 0 JAMES D KANG MD SEE SCHEDULE O - O & T TITLES 1311910 0 686745 0 42257 0 39261 0 29761 0 2109934 0 0 0 DAVID F BROWN MD FACEP SEE SCHEDULE O - O & T TITLES 0 1033791 0 685148 0 147866 0 71160 0 25335 0 1963300 0 0 YOUNG-MIN KWON MD PHD SEE SCHEDULE O - O & T TITLES 983017 0 684968 0 144700 0 31900 0 22816 0 1867401 0 0 0 MITCHEL B HARRIS MD SEE SCHEDULE O - O & T TITLES 1349072 0 261893 0 157110 0 34800 0 22750 0 1825625 0 0 0 GREGORY R WARYASZ MD SEE SCHEDULE O - O & T TITLES 960749 0 657443 0 124311 0 20300 0 24945 0 1787748 0 0 0 SUNIL EAPPEN MD SEE SCHEDULE O - O & T TITLES 1298415 0 350550 0 70832 0 34800 0 29563 0 1784160 0 0 0 NIYUM GANDHI SEE SCHEDULE O - O & T TITLES 0 967319 0 576000 0 30196 0 100000 0 15759 0 1689274 0 0 KEITH D LILLEMOE MD SEE SCHEDULE O - O & T TITLES 1154358 0 265471 0 160516 0 39260 0 22750 0 1642355 0 0 0 LAURA S PEABODY ESQ SEE SCHEDULE O - O & T TITLES 0 1135260 0 344850 0 97814 0 29000 0 24100 0 1631024 0 0 GERARD M DOHERTY MD SEE SCHEDULE O - O & T TITLES 1243063 0 258460 0 59081 0 39261 0 29761 0 1629626 0 0 0 SALLY MASON BOEMER SEE SCHEDULE O - O & T TITLES 0 1039102 0 405033 0 75540 0 31900 0 31779 0 1583354 0 0 MARCELA G DEL CARMEN MD SEE SCHEDULE O - 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O & T TITLES 585721 0 152470 0 74375 0 31900 0 29444 0 873910 0 0 0 ANN L PRESTIPINO FORMER K - GHC 569679 0 120368 0 120414 0 44982 0 9744 0 865187 0 0 0 HARRY W ORF PHD FORMER K - GHC 561460 0 118600 0 115438 0 39262 0 22047 0 856807 0 0 0 DAVID O MCCREADY MBA MHA SEE SCHEDULE O - O & T TITLES 583709 0 125060 0 88331 0 29000 0 28893 0 854993 0 0 0 DAVID SILBERSWEIG MD SEE SCHEDULE O - O & T TITLES 630818 0 126030 0 26762 0 39262 0 26513 0 849385 0 0 0 PETER J DIRKSMEIER MD SEE SCHEDULE O - O & T TITLES 733896 0 22857 0 34741 0 13050 0 31565 0 836109 0 0 0 TIMOTHY G FERRIS MD FORMER O - MGPO 664727 0 0 0 104672 0 39261 0 22347 0 831007 0 0 0 CHRISTOPHER DUNLEAVY SEE SCHEDULE O - O & T TITLES 0 700328 0 0 0 88493 0 26100 0 1306 0 816227 0 0 JOSEPH C CAPEZZA FORMER O - MGBHPHC 0 524000 0 165000 0 76641 0 27933 0 21889 0 815463 0 0 ELIZABETH A MORT MD MPH SEE SCHEDULE O - O & T TITLES 528941 0 111340 0 106874 0 39262 0 25135 0 811552 0 0 0 ZARA R COOPER MD SEE SCHEDULE O - O & T TITLES 643876 0 82900 0 20238 0 34800 0 22688 0 804502 0 0 0 ANAND M PRABHAKAR MD SEE SCHEDULE O - 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O & T TITLES 513450 0 47062 0 103008 0 34800 0 27600 0 725920 0 0 0 EPHRAIM P HOCHBERG MD SEE SCHEDULE O - O & T TITLES 508346 0 38500 0 109156 0 39263 0 25876 0 721141 0 0 0 INGA T LENNES MD MPH MBA SEE SCHEDULE O - O & T TITLES 468039 0 94600 0 75611 0 29000 0 29909 0 697159 0 0 0 ELLEN A MOLONEY SEE SCHEDULE O - O & T TITLES 0 514500 0 53900 0 73171 0 31900 0 12598 0 686069 0 0 CAROLANN WILLIAMS SEE SCHEDULE O - O & T TITLES 0 443191 0 100000 0 79228 0 31900 0 29323 0 683642 0 0 TERENCE P DOORLY MD SEE SCHEDULE O - O & T TITLES 482349 0 119629 0 30756 0 15950 0 26472 0 675156 0 0 0 ANDREW L WARSHAW MD SEE SCHEDULE O - O & T TITLES 502412 0 0 0 110483 0 39263 0 22646 0 674804 0 0 0 JEFFREY B HUGHES MPH FACHE SEE SCHEDULE O - O & T TITLES 453833 0 135757 0 41027 0 15950 0 24918 0 671485 0 0 0 AALOK V AGARWALA MD MBA SEE SCHEDULE O - O & T TITLES 465818 0 134719 0 3635 0 29000 0 33406 0 666578 0 0 0 PAUL R CASS DO SEE SCHEDULE O - O & T TITLES 460341 0 104570 0 59438 0 15950 0 23616 0 663915 0 0 0 DYLAN C KWAIT MD SEE SCHEDULE O - O & T TITLES 305775 0 249371 0 37246 0 29000 0 25972 0 647364 0 0 0 SHEILA K PARTRIDGE MD FORMER K - NWH 522424 0 49719 0 34780 0 14500 0 25931 0 647354 0 0 0 MARY ELIZABETH CUNNANE MD SEE SCHEDULE O - O & T TITLES 485125 0 76000 0 14542 0 39260 0 29614 0 644541 0 0 0 JULIAN N ROBINSON MD SEE SCHEDULE O - O & T TITLES 502282 0 52500 0 47739 0 15950 0 23532 0 642003 0 0 0 WILLIAM C JOHNSTON FORMER O - HMA, SSEC 369260 0 61485 0 170349 0 34800 0 3756 0 639650 0 0 0 SCOTT L SCHISSEL MD PHD SEE SCHEDULE O - O & T TITLES 391379 0 84390 0 71291 0 34800 0 22538 0 604398 0 0 0 DAVID S PLADZIEWICZ MD SEE SCHEDULE O - O & T TITLES 523000 0 1000 0 23498 0 23200 0 30823 0 601521 0 0 0 JOSEPH M GARASIC MD SEE SCHEDULE O - O & T TITLES 461272 0 12750 0 74585 0 39264 0 1017 0 588888 0 0 0 ROBERT S D HIGGINS MD MSHA SEE SCHEDULE O - O & T TITLES 0 128333 0 400000 0 24845 0 0 0 29795 0 582973 0 0 LAWRENCE S FRIEDMAN MD FORMER K - NWH 461300 0 25137 0 49913 0 15950 0 26984 0 579284 0 0 0 PAULA MILONE-NUZZO PHD RN SEE SCHEDULE O - O & T TITLES 0 435256 0 125 0 85457 0 31900 0 24018 0 576756 0 0 ALLEN L SMITH MD MS FORMER O - BCP, BWPO 557600 0 0 0 17644 0 0 0 743 0 575987 0 0 0 DENISE M SCHEPICI SEE SCHEDULE O - O & T TITLES 441729 0 69180 0 28722 0 15950 0 14798 0 570379 0 0 0 YANA MELNIKOVA MD SEE SCHEDULE O - O & T TITLES 271018 0 219055 0 32710 0 13050 0 30627 0 566460 0 0 0 CHARLES A MORRIS MD MPH SEE SCHEDULE O - O & T TITLES 384856 0 90826 0 32530 0 34800 0 22521 0 565533 0 0 0 DANIEL M MORASH SEE SCHEDULE O - O & T TITLES 401635 0 83600 0 25049 0 23200 0 24574 0 558058 0 0 0 ESTEVAN GARCIA SEE SCHEDULE O - O & T TITLES 421512 0 52026 0 35779 0 13499 0 26220 0 549036 0 0 0 MATTHEW FISHMAN SEE SCHEDULE O - O & T TITLES 0 408353 0 0 0 82659 0 31900 0 24550 0 547462 0 0 TRUNG Q DO MA MBA SEE SCHEDULE O - O & T TITLES 0 341000 0 76491 0 73656 0 31900 0 22908 0 545955 0 0 CYNTHIA N PACIULLI BARBARITS SEE SCHEDULE O - O & T TITLES 452907 0 36246 0 9907 0 11600 0 33876 0 544536 0 0 0 STEVEN E KAPFHAMMER SEE SCHEDULE O - O & T TITLES 0 366093 0 40615 0 84623 0 29000 0 23230 0 543561 0 0 STEPHEN R JENNEY SEE SCHEDULE O - O & T TITLES 328058 0 89850 0 58414 0 39263 0 24017 0 539602 0 0 0 PHILLIP L RICE JR MD SEE SCHEDULE O - O & T TITLES 437251 0 18216 0 40890 0 15950 0 26311 0 538618 0 0 0 GARRETT J BOMBA MD SEE SCHEDULE O - O & T TITLES 390945 0 62500 0 31737 0 23200 0 28423 0 536805 0 0 0 JOSEPH GOLD MD SEE SCHEDULE O - O & T TITLES 429669 0 42700 0 -2715 0 44982 0 22008 0 536644 0 0 0 VINCENT T MCDERMOTT SEE SCHEDULE O - O & T TITLES 0 324127 0 74230 0 75151 0 31900 0 27955 0 533363 0 0 ANEESH BHIM SINGHAL MD SEE SCHEDULE O - O & T TITLES 369905 0 47849 0 50356 0 39264 0 21467 0 528841 0 0 0 JOHN JW FANGMAN MD SEE SCHEDULE O - O & T TITLES 0 409989 0 40000 0 20217 0 23200 0 33102 0 526508 0 0 DAVID L RABIN MD SEE SCHEDULE O - O & T TITLES 431255 0 9900 0 41219 0 14500 0 29055 0 525929 0 0 0 ALBERT NAMIAS MD SEE SCHEDULE O - O & T TITLES 455116 0 4250 0 19951 0 15950 0 27598 0 522865 0 0 0 ALI S RAJA MD MBA MPH SEE SCHEDULE O - O & T TITLES 358167 0 60866 0 43935 0 26100 0 29902 0 518970 0 0 0 GEORGE PHILIPPIDES MD FORMER K - NWH 407118 0 19950 0 41787 0 15950 0 25180 0 509985 0 0 0 DANIEL PESCH MD SEE SCHEDULE O - O & T TITLES 414250 0 1000 0 51046 0 15950 0 23687 0 505933 0 0 0 MICHAEL S GILMORE PHD SEE SCHEDULE O - O & T TITLES 399039 0 1000 0 45798 0 39260 0 14583 0 499680 0 0 0 JONATHAN SNIDER MD SEE SCHEDULE O - O & T TITLES 396158 0 41250 0 22043 0 11600 0 22733 0 493784 0 0 0 MARK A SCHECHTER MD SEE SCHEDULE O - O & T TITLES 391315 0 26236 0 31104 0 15950 0 28762 0 493367 0 0 0 MARTHA PYLE FARRELL SEE SCHEDULE O - O & T TITLES 0 332377 0 37550 0 65884 0 31900 0 20051 0 487762 0 0 JAMES L HEFFERNAN SEE SCHEDULE O - O & T TITLES 330334 0 0 0 77956 0 44982 0 32750 0 486022 0 0 0 KHALID SYED MD SEE SCHEDULE O - O & T TITLES 334669 0 36475 0 70354 0 15950 0 28360 0 485808 0 0 0 MAY CM PIAN-SMITH MD SEE SCHEDULE O - O & T TITLES 276329 0 100369 0 44702 0 39265 0 24919 0 485584 0 0 0 MICHAEL J HESSION MD SEE SCHEDULE O - O & T TITLES 280265 0 96857 0 44379 0 39265 0 24384 0 485150 0 0 0 DAVID P CONNOLLY SEE SCHEDULE O - O & T TITLES 0 313616 0 35686 0 72985 0 31900 0 28932 0 483119 0 0 JANET LARSON MD FORMER K - NWH 236038 0 0 0 207437 0 8268 0 24228 0 475971 0 0 0 DAVID A LAGASSE SEE SCHEDULE O - O & T TITLES 0 289230 0 34260 0 85365 0 31900 0 35102 0 475857 0 0 KAREN A CASPER SEE SCHEDULE O - O & T TITLES 374926 0 13375 0 64802 0 15950 0 4723 0 473776 0 0 0 DAVID SEGAL FORMER O - MGBHPHC 0 5619 0 0 0 444024 0 0 0 22885 0 472528 0 0 MICHELLE W HELMS MD SEE SCHEDULE O - O & T TITLES 421652 0 4736 0 10130 0 10352 0 19288 0 466158 0 0 0 ALLYSON L PRESTON MD SEE SCHEDULE O - O & T TITLES 376672 0 15494 0 25328 0 15950 0 28368 0 461812 0 0 0 MICHELE L GOUGEON MSC SEE SCHEDULE O - O & T TITLES 353970 0 40690 0 66451 0 0 0 9 0 461120 0 0 0 KENNETH E HOLMES SEE SCHEDULE O - O & T TITLES 219799 0 126196 0 58881 0 31900 0 22132 0 458908 0 0 0 REBECCA SYMMES LEE MD SEE SCHEDULE O - O & T TITLES 386874 0 13689 0 15206 0 13050 0 25515 0 454334 0 0 0 HELEN C IRELAND MD SEE SCHEDULE O - O & T TITLES 372134 0 13444 0 28380 0 11600 0 28178 0 453736 0 0 0 PATRICIA A D'AMORE PHD MBA SEE SCHEDULE O - O & T TITLES 372937 0 1000 0 22847 0 39260 0 14873 0 450917 0 0 0 ANDREW J SHIN JD MPH MBA SEE SCHEDULE O - O & T TITLES 0 328458 0 63750 0 27370 0 17400 0 13299 0 450277 0 0 NANCY J PETTINARI MD CPE SEE SCHEDULE O - O & T TITLES 316021 0 52000 0 55630 0 15950 0 10590 0 450191 0 0 0 EILEEN O LOWELL FORMER K - MEEI 259571 0 90836 0 44265 0 31900 0 21567 0 448139 0 0 0 DAVID E STORTO FORMER O - MGBHC, SR, SRH 0 211837 0 0 0 202778 0 26230 0 2279 0 443124 0 0 THOMAS L BEATTY JR MD SEE SCHEDULE O - O & T TITLES 353704 0 22122 0 23744 0 15950 0 27553 0 443073 0 0 0 KHOSRO FARHAD MD SEE SCHEDULE O - O & T TITLES 385085 0 8254 0 19573 0 12055 0 17323 0 442290 0 0 0 JOHN B HERMAN MD SEE SCHEDULE O - O & T TITLES 268192 0 55057 0 55069 0 39264 0 23335 0 440917 0 0 0 WILLIAM S DANFORD SEE SCHEDULE O - O & T TITLES 369843 0 16500 0 24157 0 15950 0 12305 0 438755 0 0 0 SUSAN DEMPSEY SEE SCHEDULE O - O & T TITLES 286506 0 56437 0 37171 0 31900 0 25452 0 437466 0 0 0 SHEILA M WOOLLEY SEE SCHEDULE O - O & T TITLES 275921 0 56818 0 75256 0 15950 0 12247 0 436192 0 0 0 CHARLES E ADAMS SEE SCHEDULE O - O & T TITLES 0 296050 0 33000 0 44483 0 31900 0 30526 0 435959 0 0 GARY A SHAW FACHE SEE SCHEDULE O - O & T TITLES 399252 0 1000 0 24387 0 7334 0 2165 0 434138 0 0 0 JOHN R HIGHAM ESQ SEE SCHEDULE O - O & T TITLES 0 329507 0 32526 0 20552 0 26700 0 22481 0 431766 0 0 TIMOTHY V PARSONS MD SEE SCHEDULE O - O & T TITLES 343690 0 7000 0 37868 0 17271 0 23273 0 429102 0 0 0 DEBRA H ROGERS SEE SCHEDULE O - O & T TITLES 289045 0 62541 0 21020 0 31900 0 23406 0 427912 0 0 0 VICKI A JACKSON MD SEE SCHEDULE O - O & T TITLES 319297 0 23500 0 22192 0 39263 0 22003 0 426255 0 0 0 ALEX F JOHNSON SEE SCHEDULE O - O & T TITLES 307489 0 31125 0 23580 0 39266 0 24369 0 425829 0 0 0 SARAH ARNHOLZ ESQ SEE SCHEDULE O - O & T TITLES 0 298996 0 30534 0 30923 0 31900 0 30400 0 422753 0 0 HUGH DAVID CURTIN MD FORMER O - MEEA 358333 0 1000 0 154 0 39260 0 19008 0 417755 0 0 0 ROXANNE C RUPPEL SEE SCHEDULE O - O & T TITLES 0 291951 0 30820 0 34742 0 31900 0 26962 0 416375 0 0 KEVIN J INMAN RN MSN SEE SCHEDULE O - O & T TITLES 0 318202 0 31620 0 25986 0 17400 0 22067 0 415275 0 0 PAUL G CUSHING ESQ SEE SCHEDULE O - O & T TITLES 0 263060 0 30532 0 59276 0 31900 0 27806 0 412574 0 0 PATRICK L GORDAN MD SEE SCHEDULE O - O & T TITLES 329379 0 11000 0 33625 0 10150 0 26147 0 410301 0 0 0 ROBERT T MCCALL SEE SCHEDULE O - O & T TITLES 0 266670 0 30206 0 50736 0 31900 0 30658 0 410170 0 0 DIANE R PEARL SEE SCHEDULE O - O & T TITLES 335280 0 1000 0 7715 0 39267 0 21386 0 404648 0 0 0 ERNESTO DASILVA MD SEE SCHEDULE O - O & T TITLES 330716 0 12336 0 20656 0 15365 0 24582 0 403655 0 0 0 KERRY J RESSLER MD PHD SEE SCHEDULE O - O & T TITLES 308900 0 32600 0 15825 0 23200 0 21169 0 401694 0 0 0 KEREN DIAMOND SEE SCHEDULE O - O & T TITLES 0 266620 0 32212 0 49389 0 31900 0 16947 0 397068 0 0 DOMINIQUE Y ARCE MD MPH SEE SCHEDULE O - O & T TITLES 274325 0 72025 0 -6509 0 23200 0 30167 0 393208 0 0 0 CLAIRE M SEGUIN SEE SCHEDULE O - O & T TITLES 282166 0 44251 0 26881 0 16412 0 22913 0 392623 0 0 0 HILARY J GOLDBERG MD MPH SEE SCHEDULE O - O & T TITLES 288030 0 22368 0 26936 0 31900 0 23160 0 392394 0 0 0 ANTHONY J SCIBELLI MS MBA SEE SCHEDULE O - O & T TITLES 286356 0 39125 0 40168 0 14047 0 9695 0 389391 0 0 0 MICHAEL R CARTER SEE SCHEDULE O - O & T TITLES 0 254867 0 56682 0 29296 0 30847 0 7920 0 379612 0 0 MARY JO GAGNON SEE SCHEDULE O - O & T TITLES 0 242914 0 28660 0 60269 0 31755 0 13373 0 376971 0 0 JEFFREY C POLLOCK SEE SCHEDULE O - O & T TITLES 229288 0 76831 0 23760 0 15146 0 31934 0 376959 0 0 0 LAURIE R LAMOUREUX SEE SCHEDULE O - O & T TITLES 236250 0 40264 0 64648 0 16882 0 18442 0 376486 0 0 0 MARK J BLASS SEE SCHEDULE O - O & T TITLES 234416 0 70591 0 29469 0 14839 0 24453 0 373768 0 0 0 ATLAS D EVANS SEE SCHEDULE O - O & T TITLES 274537 0 125 0 31306 0 39266 0 27163 0 372397 0 0 0 JOHN J NOVELLO SEE SCHEDULE O - O & T TITLES 290934 0 45882 0 15704 0 15950 0 2649 0 371119 0 0 0 COLLEEN CURRY SEE SCHEDULE O - O & T TITLES 270844 0 34931 0 33319 0 20300 0 11064 0 370458 0 0 0 CORI LOESCHER MM BSN RN SEE SCHEDULE O - O & T TITLES 244190 0 39750 0 30546 0 29983 0 23811 0 368280 0 0 0 MICHAEL J RICCI FORMER K - MEEI 0 256201 0 42940 0 21128 0 25087 0 20851 0 366207 0 0 GERARD F HADLEY SEE SCHEDULE O - O & T TITLES 0 238899 0 39485 0 36474 0 29639 0 21011 0 365508 0 0 IMOIGELE P AISIKU MD MBA SEE SCHEDULE O - O & T TITLES 245928 0 35893 0 34350 0 26100 0 22417 0 364688 0 0 0 CINDY L CANNON SEE SCHEDULE O - O & T TITLES 0 270462 0 15163 0 12610 0 28980 0 34508 0 361723 0 0 DOST ONGUR MD PHD SEE SCHEDULE O - O & T TITLES 305888 0 11000 0 -8848 0 27053 0 23915 0 359008 0 0 0 YOUSEF GHANEM FORMER O - MGBMG 0 263127 0 28000 0 18010 0 19905 0 27639 0 356681 0 0 TRACY A SYKES ESQ SEE SCHEDULE O - O & T TITLES 0 242626 0 17290 0 36652 0 30288 0 27919 0 354775 0 0 SEJAL B SHAH MD SEE SCHEDULE O - O & T TITLES 237800 0 61875 0 19919 0 26100 0 8994 0 354688 0 0 0 MONA Z HINRICHSEN MD SEE SCHEDULE O - O & T TITLES 285052 0 26042 0 9191 0 11600 0 22241 0 354126 0 0 0 MORANA V LASIC MD MED SEE SCHEDULE O - O & T TITLES 194307 0 77825 0 16675 0 34774 0 25100 0 348681 0 0 0 EDWARD J OLIVIER SEE SCHEDULE O - O & T TITLES 240748 0 40224 0 28188 0 13818 0 22677 0 345655 0 0 0 KEITH R BARTLETT SEE SCHEDULE O - O & T TITLES 226647 0 58079 0 41470 0 13799 0 1895 0 341890 0 0 0 JOSHUA L ABRAMS ESQ SEE SCHEDULE O - O & T TITLES 0 196686 0 42554 0 42572 0 27664 0 30535 0 340011 0 0 STEVEN EDWARD FEDER SEE SCHEDULE O - O & T TITLES 228215 0 65000 0 30604 0 12812 0 0 0 336631 0 0 0 JUSTIN P BYRNE MD SEE SCHEDULE O - O & T TITLES 267000 0 17476 0 13924 0 15221 0 22241 0 335862 0 0 0 AARON S FISHMAN SEE SCHEDULE O - O & T TITLES 299916 0 1000 0 -9761 0 9225 0 33816 0 334196 0 0 0 DANIEL P DICKSTEIN MD FAAP SEE SCHEDULE O - O & T TITLES 242233 0 51000 0 12150 0 6208 0 22091 0 333682 0 0 0 MARGARET MARY KOEHM MD SEE SCHEDULE O - O & T TITLES 237037 0 1000 0 45347 0 37751 0 8696 0 329831 0 0 0 GARRETT J MCKINNON SEE SCHEDULE O - O & T TITLES 0 222872 0 17074 0 28164 0 23433 0 35547 0 327090 0 0 CHRISTOPHER J KWOLEK MD FORMER K - NWH 235896 0 2500 0 50736 0 33908 0 2151 0 325191 0 0 0 ROBERT D WELCH FORMER K - SR 213156 0 23177 0 31932 0 31706 0 23753 0 323724 0 0 0 CHRISTOPHER R FORTIER SEE SCHEDULE O - O & T TITLES 249832 0 1000 0 9318 0 25598 0 30033 0 315781 0 0 0 SARI MIETTINEN MD MHCM FAAP SEE SCHEDULE O - O & T TITLES 236837 0 8803 0 47538 0 11128 0 9789 0 314095 0 0 0 LINDA FLAHERTY RN FORMER K - MCLEAN 207488 0 23170 0 23931 0 36113 0 22242 0 312944 0 0 0 JOANNE M FUCILE SEE SCHEDULE O - O & T TITLES 215292 0 23979 0 25007 0 30145 0 11314 0 305737 0 0 0 CHRISTINE A BLASKI MD SEE SCHEDULE O - O & T TITLES 250350 0 1000 0 10277 0 12969 0 26825 0 301421 0 0 0 ANGELA BELMONT SEE SCHEDULE O - O & T TITLES 190143 0 29262 0 52683 0 11778 0 15513 0 299379 0 0 0 DENIS G STRATFORD SEE SCHEDULE O - O & T TITLES 244648 0 1125 0 -3905 0 32004 0 25501 0 299373 0 0 0 MELISSA P BRENNAN ESQ SEE SCHEDULE O - O & T TITLES 0 203549 0 14709 0 19008 0 18991 0 39591 0 295848 0 0 LAURA L STEPHENS ESQ SEE SCHEDULE O - 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O & T TITLES 241899 0 16397 0 5840 0 9729 0 1541 0 275406 0 0 0 MIRANDA BALKIN MD SEE SCHEDULE O - O & T TITLES 216140 0 11875 0 8492 0 9240 0 22814 0 268561 0 0 0 JEANETTE IVES ERICKSON RN SEE SCHEDULE O - O & T TITLES 168440 0 0 0 54816 0 33116 0 8608 0 264980 0 0 0 ROSEMARY B GOTTLIEB ESQ SEE SCHEDULE O - O & T TITLES 0 187898 0 21500 0 10956 0 12487 0 28836 0 261677 0 0 GARY W GARBERG SEE SCHEDULE O - O & T TITLES 0 154394 0 9000 0 32170 0 20994 0 27900 0 244458 0 0 RONALD FREEMAN SEE SCHEDULE O - O & T TITLES 172589 0 17779 0 9069 0 20665 0 22723 0 242825 0 0 0 ANNE H KALTER MD SEE SCHEDULE O - O & T TITLES 220286 0 9019 0 -5753 0 12520 0 4112 0 240184 0 0 0 ROBERT P LEVINE MMS PA-C SEE SCHEDULE O - O & T TITLES 192116 0 5390 0 13269 0 6326 0 22497 0 239598 0 0 0 PETER WEITZMAN MD SEE SCHEDULE O - O & T TITLES 166554 0 8800 0 37255 0 12286 0 9425 0 234320 0 0 0 ROSEMARY HENCHEY FORMER K - NSMC 183774 0 1000 0 20642 0 11327 0 12837 0 229580 0 0 0 JAMES R DUPONT SEE SCHEDULE O - O & T TITLES 162552 0 1125 0 18099 0 18707 0 28413 0 228896 0 0 0 ROYA GHAZINOURI PT DPT MS SEE SCHEDULE O - O & T TITLES 174687 0 750 0 6661 0 18477 0 23154 0 223729 0 0 0 PARDON R KENNEY MD FORMER K - BWFH 115565 0 40377 0 19648 0 21816 0 23952 0 221358 0 0 0 MARJORIE L NICHOLAS SEE SCHEDULE O - O & T TITLES 160270 0 1125 0 28714 0 22347 0 1607 0 214063 0 0 0 COLEEN M REID MD SEE SCHEDULE O - O & T TITLES 188400 0 11000 0 570 0 9530 0 3170 0 212670 0 0 0 ANDREA GEIGER RE ESQ SEE SCHEDULE O - O & T TITLES 0 148861 0 9680 0 23630 0 19422 0 9418 0 211011 0 0 KHAMA D ENNIS MD MPH FACEP SEE SCHEDULE O - O & T TITLES 172686 0 9963 0 -3153 0 6992 0 22189 0 208677 0 0 0 NANCY S PITTMAN SEE SCHEDULE O - O & T TITLES 149180 0 26052 0 21576 0 4342 0 4263 0 205413 0 0 0 PRISCILLA M ROSS SEE SCHEDULE O - O & T TITLES 152491 0 1000 0 19452 0 8975 0 22487 0 204405 0 0 0 DAVID O SMALL SEE SCHEDULE O - O & T TITLES 160039 0 1240 0 32169 0 4750 0 4683 0 202881 0 0 0 ARTHUR L LACHANCE FORMER K - NCH 170232 0 1000 0 10115 0 4687 0 16297 0 202331 0 0 0 KEITH W BEERS SEE SCHEDULE O - O & T TITLES 130282 0 14976 0 10484 0 10616 0 25771 0 192129 0 0 0 MICHAEL IWAMA FORMER K - 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O & T TITLES 140062 0 750 0 2855 0 7506 0 6694 0 157867 0 0 0 STEPHANIE N NADOLNY FORMER K - RHCI 116460 0 0 0 19658 0 7680 0 1148 0 144946 0 0 0 LINDA KAREN RICE FORMER K - IHP 101760 0 1125 0 22738 0 13356 0 706 0 139685 0 0 0 JOANNE MARQUSEE FORMER O - CDH, CDHCC, VHCD 88753 0 0 0 50579 0 0 0 31 0 139363 0 0 0 PART I, LINE 1A FIRST CLASS TRAVEL WAS PROVIDED TO A TRUSTEE/EMPLOYEE LISTED ON FORM 990, PART VII. THIS BENEFIT WAS PROVIDED PURSUANT TO A WRITTEN POLICY AND APPROVED BY THE MASS GENERAL BRIGHAM COMPENSATION COMMITTEE AND WAS TREATED AS NON-TAXABLE BUSINESS EXPENSE. PAYMENT OR REIMBURSEMENT OF EXPENSES TRAVEL FOR COMPANIONS WAS PROVIDED TO CERTAIN OFFICERS LISTED ON FORM 990, PART VII AS THE COMPANIONS ATTENDANCE WAS REQUIRED TO FULFILL A BONA FIDE BUSINESS PURPOSE. THESE PAYMENTS WERE PROVIDED PURSUANT TO A WRITTEN POLICY AND WERE TREATED AS NON-TAXABLE BUSINESS EXPENSES. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES WERE PROVIDED TO CERTAIN OFFICERS AND OTHER EMPLOYEES LISTED ON FORM 990, PART VII. THESE BENEFITS WERE PROVIDED PURSUANT TO A WRITTEN POLICY. THE HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES WERE TREATED AS TAXABLE INCOME. PART I, LINE 3 ESTABLISHING CEO COMPENSATION THE CHIEF EXECUTIVE OFFICER'S COMPENSATION WAS ESTABLISHED USING THE FOLLOWING: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE CHIEF EXECUTIVE OFFICER'S COMPENSATION THE FOLLOWING CHIEF EXECUTIVE OFFICER'S COMPENSATION WAS DETERMINED BY THE MASS GENERAL BRIGHAM INCORPORATED COMPENSATION COMMITTEE. MASS GENERAL BRIGHAM INCORPORATED IS AN AFFILIATED TAX-EXEMPT ORGANIZATION. GILES W. BOLAND, M.D. DAVID F. BROWN, M.D., F.A.C.E.P. MARCELA G. DEL CARMEN, M.D. JOHN R. FERNANDEZ ROBERT S.D. HIGGINS, M.D., M.S.H.A. JEFFREY B. HUGHES, M.P.H., F.A.C.H.E. LYNN A. MALLOY STOFER ELIZABETH G. NABEL, M.D. SCOTT L. RAUCH, M.D. DAVID J. ROBERTS, M.D. PETER SLAVIN, M.D., M.B.A. DAVID STORTO LYNNETTE M. WATKINS, M.D., M.B.A. PART I, LINES 4A-B RECEIPT OF SEVERANCE PAYMENTS THOMAS G. GLEASON, MD, MS - $4,100,00 MICHAEL IWAMA - $175,444 WILLIAM C. JOHNSTON - $131,753 JANET LARSON, MD - $204,439 PETER K. MARKELL - $1,434,825 DAVID SEGAL - $450,000 PETER L. SLAVIN, MD, MBA - $608,333 GREGORY J. WALKER, FACHE - $187,827 NONQUALIFIED RETIREMENT PLAN PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THESE AMOUNTS ARE ALREADY INCLUDED IN THE COMPENSATION DISCLOSED ON SCHEDULE J, PART II ANGELA BELMONT - $11,778 ESTEVAN GARCIA - $22,324 LAURIE R. LAMOUREUX - $28,175 PETER K. MARKELL - $2,132,525 GREGG S. MEYER, MD, MSC - $1,057,215 ELIZABETH G. NABEL, MD - $1,199,163 KEVIN F. NEILL - $11,559 ANTHONY J. SCIBELLI, MS, MBA - $15,748 PETER L. SLAVIN, MD, MBA - $1,114,027 DAVID E. STORTO - $169,793 RON M. WALLS, MD - $565,184 PART I, LINE 7 CERTAIN EMPLOYEES RECEIVED INCENTIVE COMPENSATION BASED ON ACHIEVEMENT OF ORGANIZATIONAL AND INDIVIDUAL GOALS. THE COMPENSATION COMMITTEE OF MASS GENERAL BRIGHAM OR THE COMPENSATION COMMITTEES OF MASS GENERAL BRIGHAM SUBORDINATE ENTITIES HAVE THE FINAL AUTHORITY FOR SUCH PAYMENTS. TRUSTEE COMPENSATION TRUSTEES RECEIVE NO COMPENSATION OR CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS FOR SERVICE ON THE BOARD OR ITS COMMITTEES. BOARD MEMBERS WHO ARE ALSO EMPLOYED BY THE CORPORATION OR A MASS GENERAL BRIGHAM AFFILIATE RECEIVE COMPENSATION ONLY FOR THEIR SERVICES AS EMPLOYEES. GA SHAW OFFICER RECRUITMENT X 400000 400000 0 1 1 C SEGUIN KEY EE RECRUITMENT X 200000 160000 0 1 1 D S SMINK KEY EE HOUSING X 400000 348272 0 1 1 908272 C OLIVIER OLIVIER, OFF (FAM) 20000 SALARY 0 E NELSON ARCE, TRU (FAM) 329202 SALARY 0 ISLAND KITCHEN LLC MULLEN, TRU 115970 PRODUCTS & SERVICES 0 J LOESCHER LOESCHER, KE (FAM) 93783 SALARY 0 J MILLER MILLER, OFF (FAM) 1148550 SALARY 0 J NAMIAS NAMIAS, TRU (FAM) 711295 SALARY 0 K CASPER PIL, TRU (FAM) 694181 SALARY 0 K HOLMES HOLMES, KE (FAM) 80897 SALARY 0 M GARDINER CUNNANE, TRU (FAM) 401000 SALARY 0 M ROBERTS ROBERTS, OFF (FAM) 2391 SALARY 0 NPP DEVELOPMENT KRAFT, TRU (FAM) 6779656 LEASE 0 S MCDERMOTT MCDERMOTT, OFF (FAM) 5912 SALARY 0 SUFFOLK CONSTRUCTION FISH, TRU 15625973 CONSTRUCTION SERVICES 0 X 18 9706 FMV X 3645 FMV X 70616 FMV X 795 53913598 FMV X 25 1009968 FMV X 4 19016 FMV X MISCELLANEOUS 24 116157 FMV X ADVERTISING 129 47180 FMV X FOOD & BEVERAGES 2 46200 FMV X GIFT CERTIFICATES 39 40694 FMV X TRAVEL/AIRFARE/TRANSPORTATION 7 21175 FMV X SPORTING EVENT/THEATER/MUSEUM TICKETS 19 18261 FMV X HOTEL PACKAGES 50 15047 FMV X ROUNDS OF GOLF 22 12541 FMV X JEWLERY 3 4880 FMV X PORTRAITS 3 2400 FMV X CRYPTOCURRENCY 2 669 X MEDICAL EQUIPMENT 16 0 FMV 0 0 1 0 INVESTMENTS 2022-09-30 154255438 042697981 501(C)(3) CASH 2022-09-30 9841 043466314 501(C)(3) INVESTMENTS 2022-09-30 218083962 043399616 501(C)(3) INVESTMENTS 2022-09-30 290121039 042103611 501(C)(3) 0 0 0 0 1 1 1 1 0 PART I, LINE 6C MERGER:THE FOLLOWING ORGANIZATONS MERGED INTO THEIR 501(C)(3) TAX EXEMPT PARENT ORGANIZATIONS:- MCLEAN HEALTHCARE, INC. (20-4572876) MERGED INTO THE MCLEAN HOSPITAL CORPORATION (04-2697981) EFFECTIVE SEPTEMBER 30, 2022.- BRIGHAM MEDICAL RESEARCH AND EDUCATIONAL FOUNDATION, INC. (04-3539249) MERGED INTO BRIGHAM AND WOMEN'S PHYSICIANS ORGANIZATION, INC. (04-3466314) EFFECTIVE SEPTEMBER 30, 2022.- NSMC HEALTHCARE, INC. (04-3294420) MERGED INTO NORTH SHORE MEDICAL CENTER, INC. (04-3399616) EFFECTIVE SEPTEMBER 30, 2022.- NEWTON-WELLESLEY HEALTH CARE SYSTEM, INC. (20-4295282) MERGED INTO NEWTON-WELLESLEY HOSPITAL (04-2103611) EFFECTIVE SEPTEMBER 30, 2022. FORM 990, PART III - PROGRAM SERVICE (ATTACHMENT 1) PATIENT CARE: MASS GENERAL BRIGHAM OPERATES ACADEMIC MEDICAL CENTERS, COMMUNITY ACUTE CARE HOSPITALS, FACILITIES THAT PROVIDE BOTH INPATIENT AND OUTPATIENT MENTAL HEALTH SERVICES, URGENT CARE CENTERS, REHABILITATION MEDICINE AND LONG-TERM CARE SERVICES, PHYSICIAN ORGANIZATIONS, A HOME HEALTH AGENCY, NURSING HOMES AND A GRADUATE LEVEL PROGRAM FOR HEALTH PROFESSIONS. IN ADDITION, MASS GENERAL BRIGHAM IS A NONUNIVERSITY-BASED NON-PROFIT PRIVATE MEDICAL RESEARCH ENTERPRISE AND IS A PRINCIPAL TEACHING AFFILIATE OF THE MEDICAL AND DENTAL SCHOOLS OF HARVARD UNIVERSITY. FOR MANY YEARS, MASS GENERAL BRIGHAM HAS INVESTED IN THE DEVELOPMENT AND IMPLEMENTATION OF MULTIPLE SYSTEM-WIDE INITIATIVES THAT HAVE IMPROVED PATIENT CARE QUALITY AND OUTCOMES AND HAVE MANAGED THE GROWTH IN THE COST OF PATIENT CARE. NEVERTHELESS, THE UPWARD PRESSURE ON HEALTHCARE COSTS HAS CONTINUED BOTH NATIONALLY AND LOCALLY, AND GOVERNMENT AND COMMERCIAL PAYERS HAVE RESPONDED IN A NUMBER OF WAYS, INCLUDING EFFORTS TO CONTROL PROVIDER RATE INCREASES, THE EXPANDED USE OF ALTERNATIVE PAYMENT MODELS, SUCH AS ACCOUNTABLE CARE ORGANIZATIONS (ACOS), TIGHTER REFERRAL MANAGEMENT AND PRICE TRANSPARENCY INITIATIVES. TO ADDRESS THE FINANCIAL AND OPERATIONAL CHALLENGES THAT WILL RESULT FROM THESE MARKET CONDITIONS, MASS GENERAL BRIGHAM HAS REAFFIRMED A SYSTEM-WIDE STRATEGY THAT IS GROUNDED IN THE EXCELLENCE OF ITS ACADEMIC MEDICAL CENTERS, FOCUSED ON IMPROVED PATIENT OUTCOMES, PATIENT EXPERIENCE AND GLOBAL HEALTH IMPACT, SUPPORTED BY ITS HISTORICAL AND PLANNED INVESTMENTS IN DIGITAL HEALTH AND DATA ANALYTICS, POPULATION HEALTH, AMBULATORY CARE AND INSURANCE RISK MANAGEMENT AND SYMBOLIZED BY ITS RECENTLY ADOPTED SINGLE, INTEGRATED SYSTEM BRAND "MASS GENERAL BRIGHAM." THIS STRATEGY HAS THE FOLLOWING FIVE SYNERGISTIC PRIORITIES: 1. ENHANCE REGIONAL AND NATIONAL RECOGNITION OF BWH AND THE GENERAL AS THE "GO TO" DESTINATIONS FOR KEY CLINICAL SERVICES BY DEVELOPING CROSS-ACADEMIC, MULTIDISCIPLINARY, NEXT-GENERATION CENTERS OF EXCELLENCE. 2. DEVELOP NEW OPPORTUNITIES FOR NATIONAL AND INTERNATIONAL BUSINESS DEVELOPMENT THROUGH EXPANDED SYSTEM-WIDE EFFORTS TO ATTRACT PATIENTS TO BWH AND THE GENERAL AND TO PROVIDE REMOTE DIAGNOSTICS, REMOTE CARE DELIVERY AND ADVISORY SERVICES. 3. SUBSTANTIALLY INCREASE INNOVATIONS IN DIAGNOSTICS, THERAPEUTICS, DEVICES AND DATA ANALYTICS THAT ARE BROUGHT TO MARKET BY EXPANDING COMMERCIALIZATION INVESTMENTS AND INFRASTRUCTURE. 4. LEAD IN BUILDING AND IMPLEMENTING A NEW VALUE-BASED CARE OPERATING MODEL FOR PRIMARY, SECONDARY AND BEHAVIORAL HEALTH CARE THAT DELIVERS VALUE FOR PRICE, IMPROVES PATIENT ACCESS AND OUTCOMES AND GROWS CLINICAL VOLUME AND ATTRIBUTED LIVES BY OPTIMIZING THE USE OF MASS GENERAL BRIGHAM COMMUNITY ASSETS AND LEVERAGING ITS EXPERTISE IN POPULATION HEALTH MANAGEMENT AND ABILITY TO DESIGN INSURANCE PRODUCTS; AND 5. EXPAND THE IMPACT OF MASS GENERAL BRIGHAM ON LEADING COMMUNITY HEALTH ISSUES BY TAKING A MULTI-PRONGED APPROACH TO ADVANCE HEALTH EQUITY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH IN TARGETED COMMUNITIES. THE MASS GENERAL BRIGHAM ACUTE CARE SECTOR INCLUDES TWO OF THE MOST WELL RESPECTED ACADEMIC MEDICAL CENTERS IN THE UNITED STATES, BWH AND THE GENERAL, AS WELL AS MEEI, AND SIX ACUTE CARE COMMUNITY HOSPITALS: CDH, BWFH, MVH, NCH, NWH AND NSMC. TOGETHER THESE FORM THE LARGEST ACUTE CARE DELIVERY SYSTEM IN EASTERN MASSACHUSETTS. BWH AND THE GENERAL ARE RENOWNED FOR THEIR EXCELLENCE IN PATIENT CARE, INNOVATIVE AND FAR-REACHING RESEARCH EFFORTS AND EDUCATIONAL PROGRAMS. BWH AND THE GENERAL SERVE BOTH AS COMMUNITY HOSPITALS FOR PORTIONS OF METROPOLITAN BOSTON AND AS PROVIDERS OF TERTIARY AND QUATERNARY SERVICES, PRIMARILY TO EASTERN MASSACHUSETTS AND ADJACENT PORTIONS OF CONTIGUOUS STATES, BUT ALSO TO THE REMAINDER OF MASSACHUSETTS, NEW ENGLAND, OTHER PARTS OF THE UNITED STATES AND OTHER NATIONS. SINCE A SIGNIFICANT PART OF THE PRIMARY SERVICE AREAS OF BWH AND THE GENERAL DO NOT OVERLAP, BOTH BWH AND THE GENERAL CONTINUE TO PROVIDE MANY OF THE SAME TERTIARY AND SECONDARY SERVICES. AMONG THE TERTIARY SERVICES THAT MASS GENERAL BRIGHAM OFFERS THROUGH BWH AND THE GENERAL ARE ALL FORMS OF ORGAN TRANSPLANTS, INCLUDING HEART, LUNG, HEART-LUNG, LIVER, KIDNEY, BONE MARROW, SMALL BOWEL AND PANCREAS TRANSPLANTS. THE BURN AND LEVEL I TRAUMA UNITS (FOR TREATMENT OF THE MOST SERIOUS CASES) AT BWH AND THE GENERAL REPRESENT TWO OF ONLY THREE SUCH UNITS IN MASSACHUSETTS AND ARE AMONG THE LARGEST IN NEW ENGLAND. BWH AND THE GENERAL ARE LEADING ACADEMIC MEDICAL CENTERS. ALONG WITH FIVE COMMUNITY HOSPITALS AND FIVE SPECIALTY HOSPITALS, MASS GENERAL BRIGHAM OFFERS HEALTH CARE FOR NEARLY EVERY MEDICAL NEED. PATIENTS CHOOSE TO COME TO MASS GENERAL BRIGHAM HOSPITALS FROM THE BOSTON AREA, BUT ALSO FROM ACROSS THE COUNTRY AND THROUGHOUT THE WORLD BECAUSE OF GROUNDBREAKING ACHIEVEMENTS, MEDICAL CARE AND THE HIGH DEGREE OF SPECIALIZATION PROVIDED. DURING THE FISCAL YEAR (FY) 2022, ENDING SEPTEMBER 30, 2022, MASS GENERAL BRIGHAM RECORDED 151,997 ADMISSIONS AND 1,116,151 PATIENT DAYS. AMBULATORY CARE: EACH OF MASS GENERAL BRIGHAM'S NINE ACUTE CARE HOSPITALS PROVIDES EMERGENCY, AMBULATORY AND OUTPATIENT CARE ACROSS MAJOR SPECIALTIES. COMBINED, THEY COMPRISE THE LARGEST OUTPATIENT NETWORK IN EASTERN MASSACHUSETTS. IN FY 2022, MASS GENERAL BRIGHAM ACUTE CARE HOSPITAL BASED AND NON-HOSPITAL BASED AMBULATORY CARE PROGRAMS RESULTED IN APPROXIMATELY 2,161,000 ROUTINE VISITS, APPROXIMATELY 439,000 EMERGENCY SERVICES VISITS AND APPROXIMATELY 443,000 HOME HEALTH VISITS. ACUTE CARE HOSPITAL SECTOR BWH BWH IS THE RESULT OF A 1975 MERGER OF THE PETER BENT BRIGHAM HOSPITAL, THE ROBERT BRECK BRIGHAM HOSPITAL AND THE BOSTON HOSPITAL FOR WOMEN, WHOSE INPATIENT FACILITIES WERE PHYSICALLY CONSOLIDATED IN 1980. IN THE 2022-23 U.S. NEWS & WORLD REPORT, BWH RANKED #14 IN THE NATION, #2 IN MASSACHUSETTS AND #2 IN THE BOSTON METRO AREA AND WAS NATIONALLY RANKED IN TWELVE ADULT SPECIALTIES AND RATED 'HIGH PERFORMING' IN EIGHTEEN PROCEDURES AND CONDITIONS INCLUDING CANCER, CARDIOLOGY AND HEART SURGERY, DIABETES AND ENDOCRINOLOGY, GASTROENTEROLOGY AND GI SURGERY, GERIATRICS, GYNECOLOGY, NEPHROLOGY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDICS, PULMONOLOGY AND LUNG SURGERY, RHEUMATOLOGY AND UROLOGY. BWH PROVIDES OUTPATIENT SERVICES, INCLUDING PRIMARY CARE, SPECIALTY CARE, DIAGNOSTICS, IMAGING AND AMBULATORY PROCEDURES AT NUMEROUS AMBULATORY PRACTICES IN VARIOUS LOCATIONS. FOUR PRACTICE SITES ON THE BWH DISTRIBUTED MAIN CAMPUS AND THE BRIGHAM AND WOMEN'S AMBULATORY CARE CENTER IN CHESTNUT HILL HOUSE THE MAJORITY OF THESE PRACTICES, AND THE REMAINDER ARE IN SATELLITES LOCATED SOUTHWEST AND SOUTH OF BOSTON, INCLUDING THE BRIGHAM AND WOMEN'S/MASS GENERAL HEALTH CARE CENTER LOCATED AT PATRIOT PLACE IN FOXBOROUGH, MASSACHUSETTS. IN ADDITION, BWH OPERATES NEIGHBORHOOD HEALTH CENTERS IN THE JAMAICA PLAIN SECTION OF BOSTON NEAR ITS HOSPITAL FACILITIES AND SERVES AS A REFERRAL FACILITY FOR BOTH HEALTH CENTERS. THESE COMMUNITY HEALTH CENTERS PROVIDE COMPREHENSIVE SERVICES SIMILAR TO THOSE OFFERED BY SATELLITE PRACTICES AND INCLUDE PRIMARY CARE, DENTISTRY, PEDIATRICS, PODIATRY, OBSTETRICS, GYNECOLOGY, MENTAL HEALTH, NUTRITION, OUTPATIENT SUBSTANCE ABUSE COUNSELING AND SOCIAL SERVICES. BWH IS LICENSED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (DPH) TO OPERATE 856 BEDS AS OF SEPTEMBER 30, 2022. PURSUANT TO A JOINT VENTURE IN ADULT ONCOLOGY BETWEEN BWH AND DANA FARBER CANCER INSTITUTE, INC. (DFCI), THIRTY BEDS THAT ARE ON DFCI'S LICENSE ARE LOCATED ON BWH'S MAIN CAMPUS AND ARE SUPPORTED BY BWH PURSUANT TO SERVICE CONTRACTS WITH DFCI. THE GENERAL ORIGINALLY A DIVISION OF MGH, WHICH WAS FOUNDED BY SPECIAL ACT OF THE MASSACHUSETTS LEGISLATURE IN 1811, THE GENERAL WAS SEPARATELY INCORPORATED AS A SUBSIDIARY OF MGH IN 1980. THE GENERAL HOSPITAL ADMITTED ITS FIRST PATIENT IN 1821. IT IS THE THIRD OLDEST GENERAL, NON-MILITARY HOSPITAL IN THE UNITED STATES AND THE OLDEST IN NEW ENGLAND. IN THE 2022-23 U.S. NEWS & WORLD REPORT, THE GENERAL RANKED #8 IN THE NATION, #1 IN MASSACHUSETTS AND #1 IN THE BOSTON METRO AREA BASED ON QUALITY OF CARE, PATIENT SAFETY AND REPUTATION IN TWELVE ADULT AND THREE PEDIATRIC SPECIALTIES, INCLUDING CANCER, CARDIOLOGY AND HEART SURGERY, DIABETES AND ENDOCRINOLOGY, EAR, NOSE AND THROAT, GASTROENTEROLOGY AND GI SURGERY, GERIATRICS, GYNECOLOGY, NEUROLOGY AND NEUROSURGERY, OPHTHALMOLOGY, ORTHOPEDICS, PSYCHIATRY, PULMONOLOGY AND LUNG SURGERY, REHABILITATION, RHEUMATOLOGY AND UROLOGY. ADDITIONALLY, THE GENERAL RANKED #3 FOR PSYCHIATRY AND #2 FOR DIABETES AND ENDOCRINOLOGY, AND #4 FOR EAR, NOSE AND THROAT. THE GENERAL HOSPITAL IS RECOGNIZED AS A "MAGNET" HOSPITAL BY THE AMERICAN NURSES CREDENTIALING CENTER. MAGNET DESIGNATION REPRESENTS THE HIGHEST HONOR AVAILABLE FOR NURSING EXCELLENCE AND IS ACHIEVED BY FEWER THAN 7% OF HOSPITALS IN THE UNITED STATES. THE GENERAL HOSPITAL IS LICENSED BY THE DPH TO OPERATE 1,045 BEDS AS OF SEPTEMBER 30, 2022. FORM 990, PART III - PROGRAM SERVICE (ATTACHMENT 1) MEEI MEEI SPECIALIZES IN DISEASES AND CONDITIONS OF THE EYES, EARS, NOSE, THROAT, HEAD AND NECK. WORLD-RENOWNED FOR CARE, RESEARCH AND TEACHING IN THESE AREAS OF EXPERTISE, MEEI PHYSICIANS AND SCIENTISTS ARE ALSO DRIVEN BY A MISSION TO FIND CURES FOR BLINDNESS AND DEAFNESS. MEEI HAS OPERATED CONTINUOUSLY SINCE ITS FOUNDING IN BOSTON IN 1824 AND LEADS THE HARVARD MEDICAL SCHOOL DEPARTMENTS OF OPHTHALMOLOGY AND OTOLARYNGOLOGY. MEEI OFFERS HIGH-QUALITY AND AFFORDABLE INPATIENT (41 LICENSED BEDS) AND OUTPATIENT CARE AT ITS MAIN CAMPUS IN BOSTON (ADJACENT TO THE GENERAL) AND AT 20 OUTPATIENT SITES IN EASTERN MASSACHUSETTS AND RHODE ISLAND. IN THE 2022-23 U.S. NEWS & WORLD REPORT, MEEI WAS RANKED #4 HOSPITAL IN OPHTHALMOLOGY AND #4 IN OTOLARYNGOLOGY. MEEI JOINED MASS GENERAL BRIGHAM IN 2018. COMMUNITY HOSPITAL SECTOR MASS GENERAL BRIGHAM CURRENTLY OPERATES SEVEN ACUTE CARE COMMUNITY HOSPITALS. IN CONNECTION WITH THE CLOSURE OF UNION HOSPITAL IN LYNN, MASSACHUSETTS, IN 2019, NSMC COMPLETED RENOVATIONS AND PROGRAMMATIC CHANGES AT ITS SALEM, MASSACHUSETTS CAMPUS WHICH ENABLED THE CONSOLIDATION OF UNION HOSPITAL'S INPATIENT SERVICES INTO THE SALEM HOSPITAL SITE. GENERALLY, EACH OF THE MAINLAND COMMUNITY HOSPITALS (CDH, BWFH, NSMC, NWH AND WDH) OFFER A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING BUT NOT LIMITED TO SOME OR ALL OF THE FOLLOWING, DEPENDING ON THE PARTICULAR HOSPITAL: MEDICAL/SURGICAL, ORTHOPEDIC, PEDIATRIC, GERIATRIC, GYNECOLOGICAL, OBSTETRICS, EMERGENCY, INTENSIVE CARE, PSYCHIATRIC AND REHABILITATIVE PROGRAMS. THE ISLAND HOSPITALS (MVH AND NCH) HAVE A SOMEWHAT MORE LIMITED RANGE OF INPATIENT AND OUTPATIENT SERVICES, BUT EACH OF THEM HAS LONG-STANDING COLLABORATIONS WITH THE GENERAL IN A VARIETY OF SPECIALTIES AND USES TELEMEDICINE LINKS TO THE GENERAL. MOST OF THE COMMUNITY HOSPITALS OFFER RESIDENCY PROGRAMS IN SELECTED MEDICAL SERVICES AND SPECIALTIES AND SERVE AS TRAINING SITES FOR STUDENTS IN MEDICINE, NURSING AND OTHER FIELDS THROUGH AFFILIATIONS WITH HARVARD UNIVERSITY'S MEDICAL AND DENTAL SCHOOLS AND THE TUFTS UNIVERSITY SCHOOL OF MEDICINE. MASS GENERAL BRIGHAM COMMUNITY HOSPITALS ALSO OFFER EXTENSIVE AMBULATORY CARE SERVICES. FOR EXAMPLE, BWFH OFFERS AN OUTPATIENT CENTER IN BREAST HEALTH CARE, AND OUTPATIENT SERVICES AT NWH INCLUDE A CANCER CENTER, SPINE CENTER, WOMEN'S IMAGING CENTER, CARDIOVASCULAR HEALTH CENTER, JOINT RECONSTRUCTION CENTER, DIABETES CENTER AND AN AMBULATORY SURGERY CENTER. NSMC OFFERS IMAGING SERVICES, CARDIOLOGY TESTING AND SURGICAL SUITES DESIGNED EXCLUSIVELY FOR OUTPATIENT SURGERY AND DIAGNOSTIC ENDOSCOPIC PROCEDURES. PHYSICIAN SECTOR MASS GENERAL BRIGHAM HAS AN EXTENSIVE NETWORK OF APPROXIMATELY 7,200 EMPLOYED AND AFFILIATED PHYSICIANS THAT CONSISTS OF APPROXIMATELY 1,150 COMMUNITY AND ACADEMIC PCPS, APPROXIMATELY 1,600 COMMUNITY SPECIALISTS AND APPROXIMATELY 4,450 ACADEMIC SPECIALISTS. INCLUDED WITHIN THESE PHYSICIAN TOTALS ARE APPROXIMATELY 1,300 PHYSICIANS WHO ARE NOT EMPLOYED BY MASS GENERAL BRIGHAM AND THEREFORE THE FINANCIAL RESULTS OF THEIR PRACTICES ARE NOT INCLUDED IN THE FINANCIAL RESULTS OF THE PHYSICIAN ORGANIZATIONS. THE TWO ACADEMIC PHYSICIAN ORGANIZATIONS, BWPO AND MGPO, EMPLOY SUBSTANTIALLY ALL OF THE STAFF PHYSICIANS WHO PROVIDE HEALTHCARE SERVICES TO PATIENTS AT BWH AND THE GENERAL, RESPECTIVELY. THE BWPO AND MGPO PHYSICIANS ALSO SUPERVISE OTHER PROFESSIONAL AND TECHNICAL PERSONNEL AND TEACH MEDICAL STUDENTS AND RESIDENTS AT BWH AND THE GENERAL, RESPECTIVELY. MEEA EMPLOYS SUBSTANTIALLY ALL OF THE STAFF PHYSICIANS WHO PROVIDE SERVICES AT MEEI'S MAIN CAMPUS AND OUTPATIENT SITES. ITS PHYSICIANS ALSO SUPERVISE MEDICAL STUDENTS AND RESIDENTS. THE COMMUNITY-BASED PHYSICIAN ORGANIZATIONS OF MASS GENERAL BRIGHAM (CDPA, NWMG, NSPG, MGBCP AND WDPC) PROVIDE AMBULATORY PROFESSIONAL SERVICES AND A BROAD VARIETY OF ANCILLARY SERVICES, SUCH AS CLINICAL LABORATORY, IMAGING AND OTHER DIAGNOSTIC AND PROCEDURAL SERVICES, AT A MULTITUDE OF SITES IN EASTERN MASSACHUSETTS OR, IN THE CASE OF CDPA AND WDPC, IN THE NORTHAMPTON, MASSACHUSETTS AND DOVER, NEW HAMPSHIRE AREAS, RESPECTIVELY. THE PHYSICIANS EMPLOYED BY CDPA, NWMG, NSPG AND WDPC ALSO PROVIDE MEDICAL, SURGICAL AND OTHER HEALTH CARE SERVICES TO THE PATIENTS OF THE MASS GENERAL BRIGHAM COMMUNITY HOSPITALS WITH WHICH THEY ARE ASSOCIATED. REHABILITATION CARE SECTOR SR OVERSEES THE MANAGEMENT, DELIVERY, AND INTEGRATION OF NON-ACUTE SERVICES IN THE MASS GENERAL BRIGHAM SYSTEM. SPAULDING REHABILITATION NETWORK. AS SHOWN IN THE TABLE BELOW, THE SPAULDING REHABILITATION NETWORK INCLUDES TWO INPATIENT REHABILITATION FACILITIES (IRFS), ONE LONG-TERM ACUTE CARE (LTAC) FACILITY AND ONE SKILLED NURSING FACILITY (SNF) THAT ACCOMMODATES BOTH SHORT-TERM AND LONGER-TERM PATIENT NEEDS, AS WELL AS 25 OUTPATIENT SITES THROUGHOUT EASTERN MASSACHUSETTS OPERATED BY THE SPAULDING IRFS. SPAULDING BOSTON IS ONE OF THE LARGEST SPECIALTY IRFS IN THE UNITED STATES AND SERVES AS A REFERRAL HOSPITAL FOR ACUTE CARE HOSPITALS IN THE REGION. IN THE 2022-23 U.S. NEWS & WORLD REPORT, SPAULDING BOSTON RANKED #3 IN THE NATION FOR REHABILITATION. SPAULDING REHABILITATION NETWORK NAME AND LOCATION FACILITY TYPE LICENSED BEDS SPAULDING BOSTON IRF 132 SPAULDING CAMBRIDGE LTAC 180 SPAULDING CAPE COD (EAST SANDWICH) IRF 60 SPAULDING BRIGHTON SNF 123 TOTAL 495 HOME HEALTH. HOME HEALTH CARE IS AN ESSENTIAL PART OF THE CONTINUUM OF CARE. IT SUPPORTS THE TRANSITION OF PATIENTS BACK INTO THE COMMUNITY, PROMOTES THEIR INDEPENDENCE, REDUCES THE NEED FOR HOSPITALIZATION AND INSTITUTIONALIZATION AND IS A COST-EFFECTIVE ALTERNATIVE TO INPATIENT CARE. PHH SERVES A GEOGRAPHIC AREA FROM NEWBURYPORT TO THE NORTH OF BOSTON, TO MARLBOROUGH IN THE WEST AND PLYMOUTH IN THE SOUTH. WITH REGIONAL BRANCH OFFICES IN BEVERLY, WALTHAM AND BRAINTREE, PHH EMPLOYS APPROXIMATELY 860 STAFF MEMBERS AND IS ONE OF THE LARGEST HOME HEALTH CARE PROVIDERS IN EASTERN MASSACHUSETTS. MGBHC IS ACCREDITED BY THE JOINT COMMISSION. FORM 990, PART III - PROGRAM SERVICE (ATTACHMENT 1) PSYCHIATRIC CARE SECTOR IN ADDITION TO THE 181 LICENSED PSYCHIATRIC BEDS LOCATED WITHIN ITS ACUTE CARE HOSPITALS, MASS GENERAL BRIGHAM OPERATES MCLEAN, A FREESTANDING TERTIARY PSYCHIATRIC REFERRAL AND RESEARCH HOSPITAL LICENSED FOR 392 BEDS LOCATED IN BELMONT, MASSACHUSETTS. MCLEAN PROVIDES A CONTINUUM OF INPATIENT, ACUTE AND LONG-TERM RESIDENTIAL, PARTIAL HOSPITALIZATION AND TREATMENT-SPECIFIC OUTPATIENT SERVICES TO CHILDREN, ADOLESCENTS, ADULTS AND GERIATRIC PATIENTS. IT ALSO HAS TWO SPECIALIZED SCHOOLS FOR CHILDREN AND ADOLESCENTS THAT OFFER A RANGE OF THERAPEUTIC SERVICES. IT IS THE LARGEST PSYCHIATRIC TEACHING AFFILIATE OF HARVARD MEDICAL SCHOOL. IN THE 2022-23 U.S. NEWS & WORLD REPORT, MCLEAN RANKED #1 IN THE NATION FOR PSYCHIATRY. MCLEAN BENEFITS FROM A WIDE ARRAY OF CLINICAL AND HOSPITAL REFERRAL SOURCES AND ATTRACTS PATIENTS REQUIRING COMPLEX TREATMENT BOTH FROM THE GREATER EASTERN MASSACHUSETTS REGION AND, TO A DEGREE, NATIONALLY AND INTERNATIONALLY. FOR EACH OF THE LAST 26 YEARS, MCLEAN HAS RECEIVED MORE NATIONAL INSTITUTES OF HEALTH (NIH) RESEARCH FUNDING THAN ANY PRIVATE PSYCHIATRIC HOSPITAL IN THE COUNTRY. MCLEAN'S RESEARCH FOCUS IS ON BASIC BENCHTOP, PRECLINICAL, TRANSLATIONAL AND CLINICAL NEUROSCIENCE. ALL OF MCLEAN'S ACTIVE STAFF OF 220 PHYSICIANS AND PSYCHOLOGISTS HOLD HARVARD MEDICAL SCHOOL APPOINTMENTS. MCLEAN, IN CONJUNCTION WITH THE GENERAL, OPERATES TRAINING PROGRAMS FOR RESIDENTS AND OTHERS IN ALL FIELDS OF PSYCHIATRY AND FOR STUDENTS AND FELLOWS IN PSYCHOLOGY, SUBSTANCE ABUSE TREATMENT AND NEUROLOGY. MCLEAN OFFERS A NUMBER OF CLINICAL PROGRAMS, BOTH ON AND OFF CAMPUS. THESE INCLUDE, BUT ARE NOT LIMITED TO, SATELLITE PROGRAMS AT NINE SITES IN THE GREATER EASTERN MASSACHUSETTS REGION AND ONE IN MAINE THAT OFFER ONE OR MORE OF INPATIENT, RESIDENTIAL, PARTIAL HOSPITAL, SUBSTANCE ABUSE TREATMENT AND INTENSIVE EVALUATION AND DIAGNOSTIC SERVICES FOR PATIENTS OF ALL AGES. MASS GENERAL BRIGHAM PROVIDES EMERGENCY AND OTHER CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE COST OF PROVIDING THAT CARE IS REFLECTED IN THE STATEMENTS OF OPERATIONS. SERVICES PROVIDED TO CHARITY CARE PATIENTS, FOR WHICH ACUTE CARE HOSPITALS RECEIVE REIMBURSEMENT THROUGH THE STATEWIDE HEALTH SAFETY NET TRUST FUND (HSN), AND TO PATIENTS COVERED UNDER THE MEDICARE AND MEDICAID PROGRAMS GENERATE COSTS FOR WHICH MASS GENERAL BRIGHAM IS NOT FULLY REIMBURSED. FOR CHARITY CARE, MEDICAID AND MEDICARE, THE TOTAL ESTIMATED COST OF SERVICES PROVIDED BY MASS GENERAL BRIGHAM EXCEEDED THE NET REIMBURSEMENT RECEIVED UNDER THESE PROGRAMS BY $2,284,814 IN FY 2022. THE ESTIMATED COST OF SERVICES PROVIDED IS EITHER OBTAINED DIRECTLY FROM A COSTING SYSTEM OR IS BASED ON AN ENTITY SPECIFIC RATIO OF COST TO GROSS CHARGES. IN THE LATTER CASE, COST IS DERIVED BY APPLYING THIS RATIO TO GROSS CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY CARE, MEDICAID, AND MEDICARE PATIENTS. FORM 990, PART III - PROGRAM SERVICE (ATTACHMENT 2) RESEARCH: THE CONDUCT OF BIOMEDICAL RESEARCH CONSTITUTES ONE OF THE CORE MISSIONS AND ACTIVITIES OF MASS GENERAL BRIGHAM. IT INCLUDES FUNDAMENTAL BENCH RESEARCH IN ALL OF THE LIFE SCIENCES DISCIPLINES, PATIENT-CENTERED RESEARCH WITHIN THE INPATIENT AND OUTPATIENT SERVICES OF MASS GENERAL BRIGHAM HOSPITALS, CLINICAL TRIALS OF NEW DRUGS AND DEVICES, AS WELL AS HEALTH SERVICES AND EPIDEMIOLOGICAL RESEARCH. MASS GENERAL BRIGHAM HAS THE LARGEST NON-UNIVERSITY-BASED, NON-PROFIT PRIVATE MEDICAL RESEARCH ENTERPRISE IN THE UNITED STATES. HOWEVER, EACH MASS GENERAL BRIGHAM ORGANIZATION WITH MAJOR RESEARCH OPERATIONS THE GENERAL, BWH, SPAULDING BOSTON, MEEI AND MCLEAN ACT AS SEPARATE RESEARCH GRANT RECIPIENTS. THE IMPORTANCE OF RESEARCH AND INNOVATION CANNOT BE OVERSTATED. THE FOUNDING HOSPITALS OF MASS GENERAL BRIGHAM HAVE A LONG TRADITION OF MEDICAL BREAKTHROUGHS, FROM THE FIRST USE OF ETHER FOR SURGERY AT MASSACHUSETTS GENERAL HOSPITAL TO THE FIRST SUCCESSFUL ORGAN TRANSPLANT AT BRIGHAM AND WOMEN'S HOSPITAL. VIRTUALLY EVERY TREATMENT, TEST, DRUG, OR MEDICAL DEVICE IN USE TODAY IS THE RESULT OF SUCCESSFUL RESEARCH FROM THE PAST. THE MASS GENERAL BRIGHAM RESEARCH ENTERPRISE COVERS THE SPECTRUM FROM BASIC SCIENCE TO TRANSLATIONAL AND CLINICAL INVESTIGATION. THIS RESEARCH IS PRIMARILY FUNDED BY THE NATIONAL INSTITUTES OF HEALTH (NIH); BRIGHAM AND WOMEN'S HOSPITAL AND MASSACHUSETTS GENERAL HOSPITAL CONTINUE TO TOP THE LIST OF INDEPENDENT HOSPITALS RECIPIENTS OF NIH FUNDING IN THE COUNTRY. MCLEAN HOSPITAL RANKS AS A TOP RECIPIENT AMONG PRIVATE PSYCHIATRIC HOSPITALS. SCIENTISTS FROM A SPECTRUM OF DISCIPLINES ALSO COLLABORATE WITH DISEASE FOUNDATIONS AND INDUSTRY TO ADVANCE OUR KNOWLEDGE AND HELP TRANSLATE OUR DISCOVERIES INTO PATIENT CARE AS SOON AS POSSIBLE. MASS GENERAL BRIGHAM SUPPORTS VARIOUS RESEARCH PROGRAMS TO FACILITATE THE TRANSLATION OF MEDICAL ADVANCES TO ITS PATIENTS. PARTNERS PERSONALIZED MEDICINE (PPM) WAS ESTABLISHED IN 2001 TO REALIZE THE PROMISE OF GENETICS AND GENOMICS IN RESEARCH AND IN MEDICAL PRACTICE. ONE OF THE GOALS OF PPM IS TO HELP ENSURE THAT THE KNOWLEDGE GAINED FROM GENETICS AND GENOMICS BECOMES AN INTEGRAL PART OF DIAGNOSIS, PROGNOSIS AND TREATMENT OF DISEASE (INCLUDING THE DETERMINATION OF THE APPROPRIATE DRUGS) FOR INDIVIDUAL PATIENTS SERVED BY THE MASS GENERAL BRIGHAM ORGANIZATIONS. UNDER THE OVERSIGHT OF PPM, MASS GENERAL BRIGHAM ESTABLISHED A BIOBANK A REPOSITORY OF CONSENTED PATIENT SAMPLES LINKED TO THE ELECTRONIC MEDICAL RECORD AND SUPPLEMENTED WITH HEALTH INFORMATION/FAMILY HISTORY FROM SURVEYS. AS OF SEPTEMBER 30, 2022, OVER 80,000 CONSENTED PATIENTS ARE ENROLLED AND SAMPLES OF MORE THAN 15,000 PATIENTS HAVE BEEN GENOTYPED. BIOBANK DATA AND SAMPLES ARE USED IN RESEARCH TO BETTER UNDERSTAND, PREVENT, AND TREAT MANY DIFFERENT DISEASES. SINCE INCEPTION, THE BIOBANK HAS SUPPORTED OVER $300 MILLION IN FUNDED RESEARCH STUDIES. FOR EXAMPLE, THE BIOBANK ENABLED MASS GENERAL BRIGHAM TO BE AWARDED TWO GRANTS TOTALING $13.6 MILLION AS PART OF THE NIH ELECTRONIC MEDICAL RECORDS AND GENOMICS NETWORK (EMERGE). THE PRIMARY GOAL OF THE EMERGE NETWORK IS TO DEVELOP, DISSEMINATE AND APPLY APPROACHES TO RESEARCH THAT COMBINE DNA BIOREPOSITORIES WITH THE ELECTRONIC MEDICAL RECORD SYSTEM FOR LARGE-SCALE, HIGH-THROUGHPUT GENETIC RESEARCH. MASS GENERAL BRIGHAM IS ABLE TO LEVERAGE ITS INVESTMENT IN ECARE (AN INTEGRATED, ELECTRONIC HEALTH AND ADMINISTRATIVE INFORMATION SYSTEM) AND THE BIOBANK TO IDENTIFY RARE AND COMMON GENE VARIANTS AND EXAMINE HOW THOSE VARIANTS RELATE TO DISEASE RISKS AND TREATMENT EFFECTS. ON A NATIONAL SCALE, MASS GENERAL BRIGHAM WAS INVOLVED IN FORMULATING THE PRECISION MEDICINE INITIATIVE A NATIONAL RESEARCH EFFORT ESTABLISHED IN 2015 TO REVOLUTIONIZE HEALTH CARE AND THE TREATMENT OF DISEASE. THE INITIATIVE AIMS TO GIVE MEDICAL PROFESSIONALS THE RESOURCES THEY NEED TO TARGET SPECIFIC TREATMENTS FOR ILLNESSES AND FURTHER DEVELOP SCIENTIFIC AND MEDICAL RESEARCH, TAKING INTO ACCOUNT INDIVIDUAL DIFFERENCES IN PEOPLE'S GENES, ENVIRONMENTS AND LIFESTYLES. MASS GENERAL BRIGHAM ALONG WITH BOSTON MEDICAL CENTER HAVE FORMED THE NEW ENGLAND PRECISION MEDICINE CONSORTIUM, A REGIONAL RECRUITMENT SITE FOR THE ALL OF US (AOU) BIOMEDICAL RESEARCH PROGRAM THAT IS THE CORNERSTONE OF THE LARGER PRECISION MEDICINE INITIATIVE. THE AOU PROGRAM IS FUNDED AT $1.5 BILLION WITH ANNUAL APPROPRIATIONS OVER 10 YEARS WHICH BEGAN IN 2016, WITH THE GOAL OF RECRUITING ONE MILLION OR MORE VOLUNTEERS TO A NATIONAL BIOBANK. MASS GENERAL BRIGHAM ANTICIPATES RECEIVING APPROXIMATELY $55 MILLION OF THE AOU PROGRAM FUNDING. WITH ADVANCES IN BIG DATA ANALYTICS AND MACHINE LEARNING, HEALTH CARE DATA HAS BECOME THE CORNERSTONE OF MANY NEW DISCOVERIES IN THE DIAGNOSIS AND TREATMENT OF DISEASE. MASS GENERAL BRIGHAM HAS A ROBUST PATIENT DATA ASSET, CREATING TOOLS THAT ALLOW FOR THE COMPLIANT USE OF AND ACCESS TO THIS DATA UNDER THE PURVIEW OF THE RESEARCH INFORMATION SCIENCE AND COMPUTING (RISC) DEPARTMENT. LEVERAGING DATA SCIENTISTS, MACHINE LEARNING/ARTIFICIAL INTELLIGENCE, AND CLINICAL EXPERTISE, RISC DEVELOPS NEW CLINICAL APPLICATIONS FOR CLINICAL CARE AND WITH THE POTENTIAL FOR COMMERCIALIZATION. THE PARTNERS BIG DATA COMMONS IS THE FOUNDATION; LAUNCHED IN 2013 TO INTEGRATE DISPARATE ISLANDS OF PATIENT DATA ONTO A COMMON PLATFORM, IT ALLOWS RESEARCHERS TO ANALYZE DATA FROM MULTIPLE SOURCES SUCH AS RADIOLOGY, THE BIOBANK, PAYOR CLAIMS DATA, AND OTHER CLINICAL OR RESEARCH DATA SOURCES TO BETTER UNDERSTAND PATIENT OUTCOMES AND TREATMENT RESPONSES. TO FURTHER ADVANCE THE USE OF ARTIFICIAL INTELLIGENCE TO BENEFIT HEALTHCARE DELIVERY AND PATIENT OUTCOMES, IN 2017 MASS GENERAL BRIGHAM LAUNCHED THE CENTER FOR CLINICAL DATA SCIENCE (CCDS). CCDS UNIQUELY COMBINES A WEALTH OF HEALTHCARE DATA WITH WORLD-CLASS COMPUTATIONAL RESOURCES, CLINICAL EXPERTISE, AND TECHNICAL KNOW-HOW TO DELIVER REAL-WORLD SOLUTIONS TO PATIENTS AND PHYSICIANS. THE IMPLEMENTATION OF ECARE IS ACCELERATING THE TRANSLATION OF NEW DISCOVERIES AND INVENTIONS TO PATIENT CARE. THIS INCLUDES ENABLING THE INTEGRATION OF TARGETED RESEARCH OPPORTUNITIES AT THE POINT-OF-CARE USING TOOLS BUILT BY MASS GENERAL BRIGHAM, INTEGRATING INNOVATIVE HEALTHCARE APPS WITH THE CLINICAL WORKFLOW TO GUIDE CLINICAL DECISION MAKING, AND ALLOWING PATIENTS TO DIRECTLY ENGAGE WITH RESEARCHERS. RALLY (RALLY.MASSGENERALBRIGHAM.ORG) IS A COMPREHENSIVE, LEADING-EDGE PATIENT RESEARCH RECRUITMENT SOLUTION THAT CONNECTS POTENTIAL VOLUNTEERS WITH RESEARCH OPPORTUNITIES ON THEIR OWN TERMS. RALLY COMPRISES A PUBLICLY SEARCHABLE RESEARCH MARKETPLACE THAT INTERSECTS THE PLAIN-LANGUAGE PRESENTATION OF RESEARCH OPPORTUNITIES WITH AN EVOLVING SET OF CUSTOMER RELATIONSHIP MANAGEMENT (CRM) TOOLS THAT SUPPORT, TRACK, AND OPTIMIZE CONTACT BETWEEN RESEARCH TEAMS AND POTENTIAL RESEARCH VOLUNTEERS. ALL OF THESE EFFORTS ARE KEY COMPONENTS OF A NEW FIVE-YEAR ENTERPRISE DATA & DIGITAL HEALTH (EDDH) INITIATIVE LAUNCHED IN 2019 AIMED AT IMPROVING THE PATIENT EXPERIENCE, BOOSTING DIGITAL INNOVATION AND TRANSFORMING CLINICAL CARE ACROSS THE SYSTEM. THE EDDH INITIATIVE WILL INTEGRATE THE FOUNDATIONAL INVESTMENTS OF MASS GENERAL BRIGHAM IN TECHNOLOGY WITH A NEW DATA AND ANALYTICS ECOSYSTEM TO BRING RICHER INSIGHTS TO PATIENTS AND PHYSICIANS IN REAL-TIME. THROUGH THIS PROGRAM, MASS GENERAL BRIGHAM WILL CREATE A PATHWAY FOR CLINICIANS AND RESEARCHERS TO USE DIGITAL SOLUTIONS TO EXPAND AND SCALE THEIR WORK, INCREASING ACCESS TO CARE FOR PATIENTS IN BOSTON AND BEYOND. MASS GENERAL BRIGHAM CONTINUES TO COLLABORATE WITH HARVARD UNIVERSITY, WHICH ESTABLISHED THE HARVARD CATALYST, AN NIH FUNDED ENTERPRISE DEDICATED TO IMPROVING HUMAN HEALTH THAT INCLUDES OTHER HARVARD MEDICAL SCHOOL AFFILIATED EDUCATIONAL AND HEALTHCARE CENTERS IN THE BOSTON AREA. HARVARD CATALYST WAS INITIALLY FUNDED BY THE NIH IN 2008 WITH A RENEWAL IN 2013. IN 2018, HARVARD CATALYST WAS AWARDED A NEW FIVE-YEAR CLINICAL AND TRANSLATIONAL SCIENCE AWARD WITH ADDITIONAL FUNDING OVER FIVE YEARS FROM HARVARD MEDICAL SCHOOL, HARVARD T.H. CHAN SCHOOL OF PUBLIC HEALTH, BETH ISRAEL DEACONESS MEDICAL CENTER, BOSTON CHILDREN'S HOSPITAL, BWH, DFCI, AND THE GENERAL. FORM 990, PART III - PROGRAM SERVICE (ATTACHMENT 3) TEACHING: THE MASS GENERAL BRIGHAM HOSPITALS HAVE A LONG TRADITION OF EDUCATING PHYSICIANS, OTHER HEALTHCARE PROFESSIONALS AND BIOMEDICAL SCIENTISTS. GRADUATE MEDICAL EDUCATION. APPROXIMATELY 2,500 RESIDENTS AND FELLOWS IN 300 PROGRAMS IN NEARLY ALL SPECIALTIES AND SUBSPECIALTIES OF MEDICINE ARE APPOINTED TO THE MASS GENERAL BRIGHAM HOSPITALS EACH YEAR. MOST OF THESE ARE BASED AT BWH AND/OR THE GENERAL, BUT MEEI, NWH, NSMC AND SPAULDING BOSTON ALSO SPONSOR GRADUATE MEDICAL EDUCATION PROGRAMS. A NUMBER OF TRAINING PROGRAMS ARE INTEGRATED ACROSS TWO OR MORE MASS GENERAL BRIGHAM HOSPITALS, AND SEVERAL INVOLVE AFFILIATIONS WITH OTHER HARVARD MEDICAL SCHOOL OR TUFTS UNIVERSITY SCHOOL OF MEDICINE (TUSM) TEACHING HOSPITALS. GRADUATE MEDICAL EDUCATION AT MASS GENERAL BRIGHAM UTILIZES BOTH INPATIENT AND AMBULATORY SETTINGS; THE MASS GENERAL BRIGHAM AFFILIATED COMMUNITY HEALTH CENTERS PLAY AN IMPORTANT ROLE IN TRAINING HEALTHCARE PROFESSIONALS AT MASS GENERAL BRIGHAM. BWFH, NWH AND NSMC ARE TEACHING AFFILIATES OF TUSM AND ALSO SERVE AS TRAINING SITES FOR RESIDENCY PROGRAMS FROM BWH AND THE GENERAL. NWH IS ALSO A TRAINING SITE FOR A TUFTS MEDICAL CENTER INTERNAL MEDICINE RESIDENCY PROGRAM AND MANY MEMBERS OF NWH'S MEDICAL STAFF AND THE CHIEFS OF ITS CLINICAL DEPARTMENTS HOLD TUSM FACULTY APPOINTMENTS. HEALTH PROFESSIONS EDUCATION. THE MGH INSTITUTE OF HEALTH PROFESSIONS (THE MGH INSTITUTE) IS AUTHORIZED TO OFFER DOCTORAL, MASTER'S AND SECOND BACHELOR'S DEGREES AND CERTIFICATE PROGRAMS IN COMMUNICATION SCIENCES AND DISORDERS, GENETIC COUNSELING, NURSING, PHYSICIAN ASSISTANT STUDIES, HEALTH PROFESSIONS EDUCATION, PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND REHABILITATION SCIENCES. THE MGH INSTITUTE IS ACCREDITED BY THE NEW ENGLAND COMMISSION OF HIGHER EDUCATION AND BY DISCIPLINE-SPECIFIC ACCREDITING ORGANIZATIONS. FOR EXPERIENTIAL PLACEMENTS, THE INSTITUTE PARTNERS WITH MORE THAN 600 CLINICAL AFFILIATES, INCLUDING COMMUNITY HOSPITALS, COMMUNITY HEALTH CENTERS, HEALTH AND RESEARCH-RELATED INDUSTRIES, HOME HEALTH CARE AGENCIES, MAJOR ACADEMIC MEDICAL CENTERS, PRIVATE PRACTICES, REHABILITATION HOSPITALS, AND SCHOOL-BASED CLINICS. IT CURRENTLY HAS OVER 120 FULL- AND PART-TIME FACULTY MEMBERS AND ENROLLS MORE THAN 1,600 FULL- AND PART-TIME STUDENTS ONSITE AND ONLINE. MEDICAL AND DENTAL STUDENT EDUCATION. BWH AND THE GENERAL ARE MAJOR TEACHING AFFILIATES OF HARVARD MEDICAL SCHOOL AND THE HARVARD SCHOOL OF DENTAL MEDICINE. MOST OF THE ACTIVE CLINICAL AND RESEARCH STAFF OF BWH AND THE GENERAL HOLD HARVARD MEDICAL SCHOOL APPOINTMENTS AND ACTIVELY PARTICIPATE IN BOTH THE CLINICAL AND PRE-CLINICAL TRAINING OF MEDICAL STUDENTS. MCLEAN AND SPAULDING BOSTON ARE PRINCIPAL CLINICAL TEACHING SITES FOR HARVARD MEDICAL SCHOOL STUDENTS IN PSYCHIATRY AND PHYSIATRY, RESPECTIVELY. OTHER EDUCATION AND TRAINING. IN ADDITION, THE GENERAL AND MCLEAN SPONSOR PROGRAMS IN PSYCHOLOGY; BWH AND THE GENERAL PROVIDE TRAINING IN GENERAL DENTISTRY; AND BWH AND THE GENERAL EACH OFFER INTERNSHIPS IN DIETETICS AND HOSPITAL ADMINISTRATION FELLOWSHIPS. COMPLEMENTING THE DIVERSITY OF CLINICAL TRAINING, THERE ARE APPROXIMATELY 1,900 RESEARCH FELLOWS AT BWH AND THE GENERAL, WITH SOME ADDITIONAL FELLOWS AT THE OTHER INSTITUTIONS. THESE PH.D. OR M.D./PH.D. SCIENTISTS PARTICIPATE IN MENTORED RESEARCH EXPERIENCES. MANY ALSO TAKE PART IN ONE OF THE DIDACTIC PROGRAMS AIMED AT BASIC, TRANSLATIONAL, OR CLINICAL AND OUTCOMES RESEARCH THAT ARE OFFERED WITHIN THE MASS GENERAL BRIGHAM SYSTEM. FORM 990, PART VI, SECTION A, LINE 1A THE FOLLOWING ENTITIES HAVE A DIFFERENCE IN VOTING RIGHTS: - BRIGHAM AND WOMEN'S PHYSICIANS ORGANIZATION, INC. - NANTUCKET COTTAGE HOSPITAL THE FOLLOWING ENTITIES ALSO HAVE AN EXECUTIVE COMMITTEE: - BRIGHAM, INC. - THE BRIGHAM AND WOMEN'S HOSPITAL, INC. - BRIGHAM AND WOMEN'S PHYSICIANS ORGANIZATION, INC. - BRIGHAM & WOMEN'S FAULKNER HOSPITAL, INC. - THE SPAULDING REHABILITATION HOSPITAL CORPORATION - MASS GENERAL BRIGHAM HOME CARE, INC. - SPAULDING NURSING AND THERAPY CENTER BRIGHTON, INC. - SPAULDING HOSPITAL-CAMBRIDGE, INC. - SPAULDING REHABILITATION, INC. - REHABILITATION HOSPITAL OF THE CAPE AND ISLANDS CORPORATION - SHAUGHNESSY-KAPLAN REHABILITATION HOSPITAL, INC. - NANTUCKET COTTAGE HOSPITAL - MARTHA'S VINEYARD HOSPITAL, INC. IN GENERAL, THE EXECUTIVE COMMITTEES HAVE ALL OF THE RESPONSIBILITIES AND AUTHORITY OF THE TRUSTEES BETWEEN MEETINGS OF THE TRUSTEES EXCEPT FOR THE POWERS SPECIFIED IN SECTION 55 OF MASSACHUSETTS GENERAL LAWS, CHAPTER 156B. FORM 990, PART VI, SECTION A, LINE 2 BRENDA E. HAYNES & ADAM M. KOPPEL - FAMILY RELATIONSHIP CHARLES E. ADAMS & PAMELA L. LAWRENCE - BUSINESS RELATIONSHIP JAMES BRANNEN & MICHAEL BOLDUC - BUSINESS RELATIONSHIP LISA E. CARBONE & GARGI B. COOPER - BUSINESS RELATIONSHIP NIYUM GANDHI & GREGG S. MEYER - BUSINESS RELATIONSHIP PAMELA D. A. REEVE & DAVID ABELMAN - BUSINESS RELATIONSHIP ROBIN A. WALKER & WILLIAM MAURICE COWAN - BUSINESS RELATIONSHIP YUMIN CHOI & ADAM M. KOPPEL - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 MASS GENERAL BRIGHAM INCORPORATED, A MASSACHUSETTS NONPROFIT CORPORATION, IS EITHER DIRECTLY OR INDIRECTLY THE SOLE MEMBER OF ALL THE SUBORDINATES INCLUDED IN THE MASS GENERAL BRIGHAM INCORPORATED GROUP RETURN EXCEPT FOR THE FOLLOWING SUBORDINATES (WHICH DO NOT HAVE MEMBERS): BRIGHAM MEDICAL RESEARCH & EDUCATION FOUNDATION FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF EACH ORGANIZATION HAS AUTHORITIES AS SPECIFICALLY ENUMERATED IN EACH ORGANIZATION'S CORPORATE BY-LAWS. THESE AUTHORITIES VARY WIDELY BETWEEN EACH ORGANIZATION. A FEW EXAMPLES OF THE TYPE OF AUTHORITIES GRANTED BY MANY, BUT NOT NECESSARILY ALL, CORPORATE BY-LAWS INCLUDE: - APPOINT A FIRM OF PUBLIC ACCOUNTANTS ANNUALLY TO CONDUCT AN INDEPENDENT AUDIT OF THE CORPORATION'S FINANCIAL AFFAIRS DURING THE FISCAL YEAR LAST ENDED; - REVIEW AND APPROVE ALL PROPOSED CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ALL PROPOSED TRANSACTIONS BY THE CORPORATION WHICH INVOLVE AN EXPENDITURE IN EXCESS OF $2,000,000, WHEN SUCH EXPENDITURE HAS NOT BEEN INCLUDED IN A BUDGET PREVIOUSLY APPROVED BY THE MEMBER; - REVIEW AND APPROVE EACH TRANSACTION PROPOSED BY THE CORPORATION WHICH WOULD INVOLVE THE CORPORATION INCURRING DEBT THROUGH LENDER FINANCING; - THE MEMBER MAY ADOPT, AMEND OR REPEAL ANY BYLAW, INCLUDING ANY BYLAWS ADOPTED BY THE TRUSTEES. - THE MEMBER MAY ELECT THE OFFICERS AND TRUSTEES OF THE CORPORATION. - THE MEMBER OR THE TRUSTEES, EACH BY MAJORITY VOTE OF THEIR NUMBER THEN IN OFFICE, MAY SUSPEND OR REMOVE FOR CAUSE ANY TRUSTEE. - THE MEMBER SHALL ENACT, AND FROM TIME TO TIME MAY AMEND A CODE OF CONDUCT AND A POLICY ON CONFLICTS OF INTEREST. PURSUANT TO THE LAWS OF MASSACHUSETTS, THE AUTHORITY FOR THE FOLLOWING ACTIONS IS RESERVED TO THE MEMBER OF THE ORGANIZATION: A. AMEND OR RESTATE THE ARTICLES OF ORGANIZATION B. CONSOLIDATION OR MERGER C. SALE, LEASE, EXCHANGE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATIONS PROPERTY OR ASSETS. FORM 990, PART VI, SECTION A, LINE 7B EXPLANATION IS INCLUDED IN LINE 7A FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED AND REVIEWED BY THE MASS GENERAL BRIGHAM INCORPORATED TAX DEPARTMENT. CERTAIN KEY SECTIONS WERE ALSO REVIEWED BY THE MASS GENERAL BRIGHAM CFO AND TREASURER, AND BY THE MASS GENERAL BRIGHAM GENERAL COUNSEL. THE CFO AND TREASURER REVIEWED AND SIGNED THE FORM 990. THE PROCESS FOR PREPARING AND REVIEWING FORM 990 WAS DISCUSSED AT THE MAY 4, 2023 MEETING OF THE AUDIT AND COMPLIANCE COMMITTEE OF THE MASS GENERAL BRIGHAM BOARD OF DIRECTORS. THE COMPENSATION DISCLOSURES WERE PRESENTED TO AND DISCUSSED WITH THE MASS GENERAL BRIGHAM COMPENSATION COMMITTEE AT THE MAY 31, 2023 MEETING. THE FINAL FILING VERSION OF THE FORM 990 WAS PROVIDED TO CERTAIN VOTING BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C FOR PURPOSES OF ITS ANNUAL TAX FILING, MASS GENERAL BRIGHAM HAS AN ANNUAL QUESTIONNAIRE PROCESS FOR OBTAINING INFORMATION ON INTERESTS THAT MAY GIVE RISE TO CONFLICTS FROM ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES. IN ADDITION, IN CONNECTION WITH MASS GENERAL BRIGHAM'S CONFLICT OF INTEREST POLICY, THE MASS GENERAL BRIGHAM OFFICE FOR INTERACTIONS WITH INDUSTRY AND THE OFFICE OF THE GENERAL COUNSEL WORK TOGETHER TO PERIODICALLY DISTRIBUTE, COLLECT AND REVIEW DISCLOSURE STATEMENTS FROM THESE INDIVIDUALS. THE INFORMATION ON EACH SUCH DISCLOSURE IS REVIEWED BY EACH INDIVIDUAL'S SUPERVISOR (WHO IN THE CASE OF DIRECTORS AND TRUSTEES IS DEEMED TO CONSIST OF THE CHAIRMAN OF THE BOARD AND THE ENTITY'S PRESIDENT/CEO, WHO REVIEW THE DISCLOSURES WITH THE ASSISTANCE OF THE GENERAL COUNSEL OR ATTORNEY REPRESENTATIVES OF HER OFFICE). IN ADDITION, UNDER THE MASS GENERAL BRIGHAM'S CONFLICT OF INTEREST POLICY, ANY TIME AN OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE IS AWARE OF A TRANSACTION IN WHICH HIS/HER INTEREST MAY CREATE A CONFLICT, HE/SHE IS REQUIRED TO PROVIDE FULL DISCLOSURE OF THE INTEREST, AND MAY NOT BE INVOLVED IN THE INSTITUTIONAL DECISION-MAKING ABOUT THE TRANSACTION. IN ADDITION, WITH RESPECT TO SUCH TRANSACTIONS, IN APPROPRIATE CIRCUMSTANCES, (I) THE CORPORATION MUST CONSIDER AT LEAST TWO ALTERNATIVE DISINTERESTED COMPETITIVE PROPOSALS; OR MUST DETERMINE THAT TWO SUCH COMPETITIVE PROPOSALS DO NOT EXIST OR THAT IT WOULD BE IMPRACTICAL TO ELICIT OR CONSIDER SUCH COMPETITIVE PROPOSALS; AND (II) THE CORPORATION MUST DETERMINE THAT, NOTWITHSTANDING THE APPARENT CONFLICT, THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND IS IN THE BEST INTERESTS OF THE CORPORATION. A WRITTEN RECORD MUST BE MADE OF THESE DETERMINATIONS. FURTHERMORE, TRANSACTIONS THAT PRESENT PARTICULARLY SIGNIFICANT CONFLICTS ARE REVIEWED BY AN INDEPENDENT COMMITTEE OF THE MASS GENERAL BRIGHAM BOARD FOR APPROPRIATE ACTION, WHICH REVIEW IS ALSO DOCUMENTED. AS INSTITUTIONS ARE ADDED TO THE MASS GENERAL BRIGHAM INCORPORATED AND AFFILIATES GROUP RETURN THERE IS A TRANSITION PERIOD. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION HAS A BOARD LEVEL COMPENSATION COMMITTEE THAT REVIEWS AND APPROVES THE COMPENSATION FOR OFFICERS (EXCEPT SECRETARIES) AND MOST KEY EMPLOYEES. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD WHO ARE NOT EMPLOYED BY THE ORGANIZATION, AND NO MEMBER MAY PARTICIPATE IN THE REVIEW AND APPROVAL OF COMPENSATION IF THE MEMBER HAS A CONFLICT OF INTEREST WITH RESPECT TO THAT COMPENSATION ARRANGEMENT. THE COMMITTEE RELIES ON DATA, PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT, WHICH INCLUDES COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS, IN FUNCTIONALLY COMPARABLE POSITIONS, AT SIMILARLY SITUATED ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED IN THE MINUTES OF THE MEETING. THIS REVIEW PROCESS OCCURS ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS ARE FILED WITH THE MASSACHUSETTS SECRETARY OF STATE AND THE FINANCIAL STATEMENTS ARE FILED WITH THE MASSACHUSETTS ATTORNEY GENERAL, ALL OF WHICH ARE OPEN TO PUBLIC INSPECTION. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS AVAILABLE ON THE ORGANIZATION'S WEBSITE. FORM 990, PART VII : TITLE KEY: TRUSTEE - T OFFICER - O KEY EMPLOYEE - K FORM 990, PART VII: O & T TITLES JOSHUA L. ABRAMS, ESQ: O - MCL (ON10/01/21), MHC (ON 10/01/21, OFF 09/30/22) CHARLES E. ADAMS: O - NSHC (OFF 09/30/22), NSMC, NSPG AALOK V. AGARWALA, MD, MBA: T - MEEA (ON 09/28/22) IMOIGELE P. AISIKU, MD, MBA: T - BWPO PAUL J. ANDERSON, MD, PHD: K - BWH SHELLY ANDERSON, MPM: K - BWH DOMINIQUE Y. ARCE, MD, MPH: T - BWPO KATRINA ARMSTRONG, MD, MSCE: T - GHC (OFF 01/31/22), MGH (OFF 01/31/22) SARAH ARNHOLZ, ESQ: O - MGPO WILLIAM G. AUSTEN, JR, MD: HIGHEST COMPENSATED EMPLOYEE MIRANDA BALKIN, MD: T - CDPA MAUREEN BANKS: O - RHCI, SHC, SKRH, SNTCB CYNTHIA N. PACIULLI BARBARITS, MD: T - WDH (ON 08/01/22) KEITH R. BARTLETT: K - WDH TRACY T. BATCHELOR, MD: T - BWPO (ON 06/14/22) MEREDITH BEATON-STARR, MS, OTR/L: T - IHP THOMAS L. BEATTY, JR, MD: T - NWH, NWHC (OFF 09/30/22) KEITH W. BEERS: K - SNTCB ANGELA BELMONT: K - CDH SUSAN E. BENNETT, MD: T - MGPO (OFF 09/16/22) CHRISTINE A. BLASKI, MD: T - NSPG MARK J. BLASS: K - NSMC SALLY MASON BOEMER: O - GHC, MGH; T - MGPO (ON 09/16/22), NCH (OFF 08/24/22) GILES W. BOLAND, MD: O & T - BCP, BWPO; T - BH, BWFH, BWH, MGBCP, MGPO GARRETT J. BOMBA: T - MGBCP MELISSA P. BRENNAN, ESQ: O - RHCI, SHC, SKRH, SNTCB, SR, SRH JAMES A. BRINK, MD: T - BWPO (ON 06/14/22) O'NEIL BRITTON, MD: T - MVH, WNR DAVID F. BROWN, MD, FACEP: O & T - GHC, MGH, MGBUC (OFF 03/23/22), MGPO DEBRA A. BURKE, DNP, MBA, RN: T - MVH, WNR JUSTIN P. BYRNE, MD: T - NSHC (ON 01/01/22, OFF 09/30/22), NSMC (ON 01/01/22) ELLEN L. CAILLE: T - WDPC CINDY L. CANNON: O - IHP BOB S. CARTER, MD: HIGHEST COMPENSATED EMPLOYEE MICHAEL R. CARTER: O - MGBSP KAREN A. CASPER: K - MVH PAUL R. CASS, DO: T - WDPC EFFIE J. CHAN, ESQ: O - BWPO, HMA, SSEC JULIE C. CHATTOPADHYAY, ESQ: O - NWH, NWHC (OFF 09/30/22), NWMG E. ANTONIO CHIOCCA, MD, PHD: T - BWPO (ON 06/14/22) CHRISTOPHER M. COBURN: O & T - PMI JAMES P. COHEN, MD: T - MGBCP YOLONDA LORIG COLSON, MD, PHD: T - GHC (ON 09/16/22), MGH (ON 09/16/22) DAVID P. CONNOLLY: O - MGBCP ZARA R. COOPER, MD: T - BH, BWFH, BWH FINOLA H. COX, PAC: T - WDPC MARY ELIZABETH CUNNANE, MD: O & T - MEEA COLLEEN CURRY: T - MED (OFF 09/30/22) WILLIAM T. CURRY, MD: T - FMEEI (ON 09/20/22), GHC (OFF 06/01/22), MEEI (ON 09/20/22), MGH (OFF 06/01/22), SERI (ON 09/20/22) RICHARD L. CURTIS, MD: T - MGBCP (OFF 11/03/21) PAUL G. CUSHING, ESQ: O - NSHC (OFF 09/30/22), NSMC, NSPG PATRICIA A. D'AMORE: K - SERI JESSICA Z. DACUS, DO: T - CDPA (ON 01/01/22) WILLIAM S. DANFORD, MD: T - WDHF ERNESTO DASILVA, MD: T - NSPG MARCELA G. DEL CARMEN, MD: O & T - MGPO; T - BWPO, GHC, MGBCP, MGH, WDH JOEL DEGENAARS: O & T - WDHF (ON 01/01/22), T - WDPC (ON 01/01/22) SUSAN DEMPSEY: K - BWFH KEREN DIAMOND: K - MGBHC MARK L. DICK, MD: T - WDPC DANIEL P. DICKSTEIN, MD, FAAP: K - MCL PETER J. DIRKSMEIER, MD: T - WDH (OFF 08/01/22) TRUNG Q. DO, MA, MBA: T - PMI GERARD M. DOHERTY, MD: T - BH, BWFH, BWH, BWPO (ON 06/14/22) TERENCE P. DOORLY, MD: T - NSPG CHRISTOPHER DUNLEAVY: O - BCP, BH, BRF, BWH, BWHR (OFF FOR ALL ENTITIES 10/22/21) JAMES R. DUPONT: K - IHP SUNIL EAPPEN, MD: O & T - BH (O & T - OFF 11/30/21), BRF (O & T - OFF 09/28/22), BWH (O & T - OFF 11/30/21), BWHR (O & T - OFF 09/28/22), T - BWPO (OFF 11/30/21) BRANDON R. ELDREDGE: T - MGBHC (OFF 06/24/22) KHAMA D. ENNIS, MD, MPH, FACEP: T - CDH, CDHC, VHCD JEANETTE IVES ERICKSON, RN, DNP, NEA-BC, FAAN: O & T - NCH (O - ON 03/01/22), NPO (O & T - ON 03/01/22); T - IHP ATLAS D. EVANS: O - IHP JONATHAN M. FALLON, DO: T - CDPA JOHN J.W. FANGMAN, MD: T - MGBCP JOHN FANIKOS: T - MGBSP KHOSRO FARHAD, MD: T - WDPC MARTHA PYLE FARRELL: K - MEEI STEVEN EDWARD FEDER: K - MVH JOHN R. FERNANDEZ: O & T - FMEEI, MEEI, MGBAS, MGBMG, SERI; T - MEEA, MGBUC CRISTINA R. FERRONE, MD: T - MGPO AARON S. FISHMAN: O & T - NPO; O - NCH MATTHEW FISHMAN: T - MGBHPHC CHRISTOPHER R. FORTIER: T - MGBSP TIMOTHY E. FOSTER, MD, MBA, MS: T - NWH, NWHC (OFF 09/30/22) CASEY L. FOWLER, MS, RN, ACNP-BC: T - CDPA RONALD FREEMAN: K - SRH JOANNE M. FUCILE: K - SHC MARY JO GAGNON: K - NSMC NIYUM GANDHI: O & T - BCP, BRF, BWHR, MGBAS, MGBCD (O & T ON 04/18/22), MGBMG; O - BH, BWFH, BWH, GHC, MGBHPHC, MGBSP, MGBUC, MGH, RHCI, SHC, SKRH, SNTCB, SR, SRH JOSEPH M. GARASIC, MD: T - NCH GARY W. GARBERG: K - MGBHC ESTEVAN GARCIA: K - CDH ROYA GHAZINOURI, PT, DPT, MS: T - IHP MICHAEL S. GILMORE: K - MEEI KEVIN T. GIORDANO: O - MED (OFF 09/30/22) THOMAS G. GLEASON, MD, MS: HIGHEST COMPENSATED EMPLOYEE JOSEPH GOLD, MD: K - MCL HILARY J. GOLDBERG, MD, MPH: T - BWPO (ON 06/14/22) PATRICK L. GORDAN, MD: K - NSMC ROSEMARY B. GOTTLIEB, ESQ: O - PMI MICHELE L. GOUGEON, MSC: O - MCL (OFF 10/01/21), MHC (OFF 10/01/21) PETER A. GRAPE, MD: O & T - HMA, SSEC; T - BWPO JUDI S. GREENBERG, ESQ: O - IHP DAPHNE ADELE HAAS-KOGAN, MD: T - BH, BWFH, BWH, BWPO (OFF 06/14/22) GERARD F. HADLEY: O - BWFH ROBERT HANDIN, MD: T - MED (OFF 09/30/22) MITCHEL B. HARRIS, MD: T - MGPO JAMES L. HEFFERNAN: T - WDH MICHELLE W. HELMS, MD: T - CDH, CDHC, VHCD JOHN B. HERMAN, MD: T - IHP MICHAEL J. HESSION, MD: K - HMA ROBERT S.D. HIGGINS, MD, MSHA: O & T - BH (ON 12/01/21), BRF (ON 09/28/22), BWH (ON 01/01/21), BWHR (ON 09/28/22); T - BWPO (ON 12/01/21) JOHN R. HIGHAM, ESQ: O - GHC, MGBAS, MGBCD (ON 04/18/22), MGBHPHC, MGBMG, MGBUC, MGH MONA Z. HINRICHSEN, MD: T - NSPG EPHRAIM PAUL HOCHBERG, MD: T - CDH (ON 09/19/22), CDHC (ON 09/19/22), VHCD (ON 09/19/22) KENNETH E. HOLMES: K - MEEI JEFFREY B. HUGHES: O & T - WDH, WDHF, WDPC TERRIE E. INDER, MBCHB: T - BWPO (OFF 06/14/22) KEVIN J. INMAN, RN, MSN: K - NSMC HELEN C. IRELAND, MD: T - NSPG VICKI A. JACKSON, MD: T - MGBHC ALAN ANTHONY JAMES: T - CDH, CDHC, MGBHPHC, MVH, VHCD, WDH, WNR STEPHEN R. JENNEY: O - BWPO ALEX F. JOHNSON: K - IHP SEUN JOHNSON-AKEJU, MD: T - CDH, CDHC, MGPO (ON 06/17/22), VHCD DAINA JUHANSOO: K - RHCI ANNE H. KALTER, MD: T - WDH (OFF 08/01/22) JAMES D. KANG, MD: T - BWPO STEVEN E. KAPFHAMMER: O & T - NSPG MARGARET M. KOEHM, MD: T - NCH PAUL M. KONOWITZ, MD, FACS: K - MEEA DYLAN C. KWAIT, MD: K - BWFH YOUNG-MIN KWON: HIGHEST COMPENSATED EMPLOYEE DAVID A. LAGASSE: O - MCL, MHC (OFF 09/30/22) LAURIE R. LAMOUREUX: O - CDH, CDHC, CDPA, VHCD MORANA V. LASIC, MD, MED: T - BWPO (ON 06/14/22) REBECCA SYMMES LEE, MD: T - NSPG INGA T. LENNES, MD, MPH, MBA: T - CDH, CDHC, VHCD ROBERT P. LEVINE, MMS, PA-C: T - CDPA (ON 01/01/22) KEITH D. LILLEMOE, MD: T - FMEEI, GHC (ON 04/29/22), MEEI, MGH (ON 04/29/22), MGPO, SERI DERRICK T. LIN, MD, FACS: K - MEEA CORI LOESCHER, MM, BSN, RN, NEA-BC: K - BWFH JOSEPH LOSCALZO, MD, PHD: O & T - MED (O & T - OFF 09/30/22); T - BCP, BWPO (OFF 06/14/22) DAVID N. LOUIS, MD: T - MGPO DONNA M. LUKEN: O - MGBHC ALVARO ANDRES MACIAS, MD: O & T - MEEA (O - OFF 07/01/21) ROBERT T. MCCALL: K - SR DAVID O. MCCREADY, MBA, MHA: O & T - BWFH VINCENT T. MCDERMOTT: O & T - NWMG; O - MGBHC, NWH, NWHC (OFF 09/30/22) MAURY E. MCGOUGH, MD: T - MGBCP, MGBUC, NSHC (OFF 09/30/22), NSMC, NSPG GARRETT J. MCKINNON: O - BCP, BH, BRF, BWH, BWHR (FOR ALL ENTITIES ON 10/22/21, OFF 09/01/22) YANA MELNIKOVA: T - WDPC EMILY L. MELTON: O - FMEEI, MEEI, SERI GREGG S. MEYER, MD, MSC: O & T - MGBCD (O & T - ON 04/18/22), MGBHC (O - OFF 08/25/22); T - MGBAS, MGBMG, MGBUC (ON 03/23/22) LIZA HALPERN MEYERHARDT, MD: T - NWH, NWHC (OFF 09/30/22) SARI MIETTINEN: T - CDPA JOAN W. MILLER, MD:O & T - MEEA (O - ON 07/01/22); T - FMEEI, MEEI, SERI PAULA MILONE-NUZZO, PHD, RN, FAAN, FHHC: O & T - IHP; T - CDH, CDHC, VHCD ELLEN A. MOLONEY: K - NWH DANIEL M. MORASH: O - BCP (ON 09/01/22), BH (ON 09/01/22), BRF (ON 09/01/22), BWH (ON 09/01/22), BWHR (ON 09/01/22), MGPO (OFF 09/01/22) CHARLES A. MORRIS, MD, MPH: T - MED (OFF 09/30/22), MGBHC ELIZABETH A. MORT, MD, MPH: T - CDH (OFF 09/19/22), CDHC (OFF 09/19/22), VHCD (OFF 09/19/22) ALBERT NAMIAS, MD: T - NSPG KEVIN F. NEILL: O - CDPA MIRIAM L. NEUMAN, MD: T - NSHC (OFF 12/31/21), NSMC (OFF 12/31/21), NSPG MARJORIE L. NICHOLAS: K - IHP BRITAIN W. NICHOLSON, MD: K - GHC ERROL R. NORWITZ, MD, PHD, MBA: O & T - NWH, NWHC (OFF 09/30/22); T - NWMG NAWAL M. NOUR, MD, MPH: T - BH, BWFH, BWH, BWPO JOHN J. NOVELLO, MD: T - WDH (ON 08/01/22) FORM 990, PART VII: O & T TITLES TODD M. O'BRIEN, MD: K - NSMC EDWARD J. OLIVIER: O - MVH (OFF 07/10/22), WNR (OFF 07/10/22) DOST ONGUR, MD, PHD: K - MCL SAREH PARANGI, MD: K - NWH TIMOTHY V. PARSONS, MD: T - CDH, CDHC, CDPA, VHCD GREGORY J. PAULY: T - NCH LAURA S. PEABODY, ESQ: T - MCL, MHC (OFF 09/30/22) DIANE R. PEARL: K - NCH MADELYN M. PEARSON, DNP, RN, NEA-BC: T - IHP DANIEL PESCH, MD: T - MVH, WNR NANCY J. PETTINARI, MD, CPE: T - IHP (ON 07/12/22) MAY C.M. PIAN-SMITH, MD: T - MGPO NANCY S. PITTMAN: O & T - NPO; O - NCH DAVID S. PLADZIEWICZ, MD: T - MGBCP JEFFREY C. POLLOCK: K - WDH ANAND M. PRABHAKAR, MD: K - NWH ALLYSON L. PRESTON, MD: T - NSPG DAVID L. RABIN, MD: T - NSPG ALI S. RAJA, MD, MBA, MPH, FACHE: T - RHCI (ON 09/14/22), SHC (ON 09/14/22), SKRH (ON 09/14/22), SNTCB (ON 09/14/22), SR (ON 07/26/22), SRH (ON 09/14/22) JAMES P. RATHMELL, MD: T - BWPO (OFF 06/14/22) SCOTT L. RAUCH, MD: O & T - MCL, MHC (O & T - OFF 09/30/22) ANDREA GEIGER RE, ESQ: O - MGBCP SARATHCHANDRA I. REDDY, MD: T - SSEC CLAUDIA E. REED: O - RHCI, SHC, SKRH, SNTCB, SR, SRH COLEEN M. REID, MD: T - NSHC (ON 09/06/22, OFF 09/30/22), NSMC (ON 09/06/22) MITCHELL S. REIN, MD: T - NSPG KERRY J. RESSLER, MD, PHD: K - MCL PHILLIP L. RICE, JR, MD: T - NSHC (OFF 09/30/22), NSMC, NSPG DAVID J. ROBERTS, MD: O & T - NSHC (O & T - OFF 09/30/22), NSMC JULIAN N. ROBINSON, MD: O & T - NWMG (O - ON 06/01/22) DEBRA H. ROGERS: K - MEEI PRISCILLA M. ROSS: K - VHCD MARC S. RUBIN, MD: K - NSMC ROXANNE C. RUPPEL: T - NSPG DAVID P. RYAN, MD: K - GHC JOAN A. SAPIR: T - RHCI, SHC, SKRH, SNTCB, SR, SRH MARK A. SCHECHTER, MD: T - NSHC (OFF 09/06/22), NSMC (OFF 09/06/22) DENISE M. SCHEPICI: O & T - MVH, WNR SCOTT L. SCHISSEL, MD, PHD: K - BWFH KEVIN S. SCHLICKE: O & T - MGBHC, PMI ANTHONY J. SCIBELLI, MS, MBA: K - CDH CLAIRE M. SEGUIN: K - MVH THOMAS DEAN SEQUIST, MD: T - FMEEI, MEEI, MGBUC (OFF 03/23/22), SERI SEJAL B. SHAH, MD: T - BWPO (OFF 06/14/22) GARY A. SHAW, FACHE: O & T - NCH (O & T - OFF 02/28/22), NPO (O & T - OFF 02/28/22) ANDREW J. SHIN, JD, MPH, MBA: T - CDH (ON 09/19/22), CDHC (ON 09/19/22), VHCD (ON 09/19/22) DAVID SILBERSWEIG, MD: T - RHCI, SHC, SKRH, SNTCB, SR, SRH LUCIA F. SILVA: O - MGBHPHC (ON 09/13/21) JULIA SINCLAIR, MBA: K - BWH ANEESH BHIM SINGHAL, MD: T - RHCI (OFF 06/30/22), SHC (OFF 06/30/22), SKRH (OFF 06/30/22), SNTCB (OFF 06/30/22), SR (OFF 06/30/22), SRH (OFF 06/30/22) DAVID O. SMALL: K - NCH DOUGLAS STEWART SMINK, MD, MPH: K - BWFH JONATHAN SNIDER, MD: O & T - NWMG (O & T - OFF 06/01/22) ALISON M. SOLLEE, MD: T - WDHF LAURA L. STEPHENS, ESQ: O - MGBSP (OFF 07/01/22) LYNN A. STOFER: O & T - MGBCP; T - CDH (ON 09/19/22), CDHC (ON 09/19/22), VHCD (ON 09/19/22) DENIS G. STRATFORD: K - IHP KHALID SYED, MD: T - NSPG TRACY A. SYKES, ESQ: O - BCP, BRF, BWHR SIMON G. TALBOT, MD: T - BWPO STEVEN J. TRINGALE: O & T - MGBHPHC MICHAEL J. VANROOYEN, MD: T - BWPO MARK A. VARVARES, MD, FACS: T - FMEEI, MEEA, MEEI, SERI PETER E. WALCEK: O & T - WDHF (O & T - OFF 12/31/21); T - WDPC (OFF 12/31/21) RON M. WALLS, MD: T - MGBCD (ON 04/18/22) ANDREW L. WARSHAW, MD: T - WDH GREGORY R. WARYASZ, MD: HIGHEST COMPENSATED EMPLOYEE LYNNETTE M. WATKINS, MD, MBA: O & T - CDH, CDHC, VHCD; T - CDPA, MGBCP PETER WEITZMAN, MD: T - CDPA (OFF 10/01/21) CAROLANN WILLIAMS: O - FMEEI, MEEI, SERI SHEILA M. WOOLLEY: K - WDH ROSS D. ZAFONTE, DO: O & T - SR, SRH; T - RHCI, SHC, SKRH, SNTCB DAVID ABELMAN: T - MGBCP CLARITZA N. ABREU: T - MGBHPHC (ON 09/20/22) YVONNE GARCIA ACHAB: T - RHCI, SHC, SKRH, SNTCB, SR, SRH CAROLINA ALARCO: T - MGPO SETH D. ALEXANDER: T - NWH (ON 07/01/22), NWHC (ON 07/01/22, OFF 09/30/22) JOAN LORING ALFOND: T - FMEEI, MEEI, SERI STEVEN M. ALTSCHULER, MD: T - BWPO STEVEN L. ANTONAKES: T - NSHC (OFF 09/30/22), NSMC ROBERT G. ATCHINSON: T - FMEEI, MEEI, SERI CAROL BAILEY: T - WDH (OFF 08/01/22) MINNIE V. BAYLOR-HENRY: T - FMEEI, MEEI, SERI FRASER BENNETT BEEDE: T - CDH, CDHC, CDPA, VHCD MICHAEL BOLDUC, ESQ: O & T - WDH, WDPC JEANINE M. BORTHWICK: T - NCH (ON 08/24/22) KATRINE S. BOSLEY: T - FMEEI, MEEI, SERI JAMES R. BRANNEN: T - WDH, WDPC DEBRA K. BREDE: T - NWH (OFF 06/30/22), NWHC (OFF 06/30/22) NATHAN BRYANT, EDD: T - NSHC (OFF 09/30/22), NSMC BRUCE M. BULLEN: T - MVH, WNR THOMAS P. CAINE: O & T - CDH, CDHC, VHCD JAMES A. CANFIELD: T - IHP LISA E. CARBONE: T - NSHC (OFF 09/30/22), NSMC, NSPG RICHARD CARD: T - WDHF MICHAEL CARELLA: T - WDHF YUMIN CHOI: T - NWH, NWHC (OFF 09/30/22) DAVID R. CLANCEY: T - NSHC (OFF 09/30/22), NSMC LISA CLAREY-LAWLER: T - NCH PHILLIP L. CLAY, PHD: T - RHCI, SHC, SKRH, SNTCB, SR, SRH CHRISTOPHER T. COLLINS: T - NWH, NWHC (OFF 09/30/22) RICHARD CONLEY: T - WDHF JOHN P. CONNAUGHTON: T - BH, BWFH, BWH GARGI B. COOPER, FNP: T - NSHC (OFF 09/30/22), NSMC DHARMA E. CORTES, PHD: T - NSHC (OFF 05/24/22), NSMC (OFF 05/24/22) WILLIAM MAURICE COWAN: T - GHC, MGH MEGAN M. CRAIGEN: T - BH, BWFH, BWH SUSAN C. CRAMPTON: T - MVH (ON 07/29/22), WNR (ON 07/29/22) CYNTHIA K. CURME: T - NWH, NWHC (OFF 09/30/22) KAREN D. CURRAN, MBA, CHFC, CFP: O & T - CDH, CDHC, VHCD PETER A. D'ARRIGO, JR, BS: T - IHP CHARLES DE GUNZBURG: T - FMEEI, MEEI, SERI LINDA DE RENZO, ESQ: T - NWH, NWHC (OFF 09/30/22), NWMG JANE L. DELGADO, PHD, MS: T - MCL (ON 09/15/22), MHC (ON 09/15/22, OFF 09/30/22) CYNTHIA M. DEYSHER: T - FMEEI (ON 09/20/22), MEEI (ON 09/20/22), SERI (ON 09/20/22) PHILIP V. DIBUONO, CPA: T - IHP (OFF 08/01/22) DUTROCHET J. DJOKO: T - NSHC (ON 05/24/22, OFF 09/30/22), NSMC (ON 05/24/22) KATHLEEN A. DOWCETT: T - NWH, NWHC (OFF 09/30/22) JEFFREY M. DRAZEN, MD: T - NCH JACKIE EASTWOOD: T - WDHF PAUL B. EDGERLEY: T - GHC, MGH DEBORAH C. ENOS: T - BH, BWFH, BWH ARIELLE R. FARIA: T - MVH (ON 07/29/22), WNR (ON 07/29/22) JULIETTE E. FAY: T - MVH, WNR MICHAEL S. FERRARA, PHD: T - WDH JOANNE J. FINCK: T - CDH, CDHC, VHCD ANNE M. FINUCANE: T - BH, BWFH, BWH DAVID B. FISCHER: T - RHCI, SHC, SKRH, SNTCB, SR, SRH JOHN F. FISH: T - BH, BRF, BWFH, BWH, BWHR JUDITH A. FONG, BA, RN: T - RHCI, SHC, SKRH, SNTCB, SR, SRH BRUCE FREEDMAN: T - NWH, NWHC (OFF 09/30/22) LAUREN A. GEDDES, MD: T - MGBCP CHARLES K. GIFFORD: T - NCH THOMAS P. GLYNN, III, PHD: T - IHP ARTHUR L. GOLDSTEIN: T - MGPO (OFF 09/16/22) BENJAMIN A. GOMEZ: T - NWH, NWHC (OFF 09/30/22) RAUL MEDINA GOMEZ: T - MGBHPHC (ON 09/20/22) IRMA V. GONZALEZ: T - CDH (ON 09/19/22), CDHC (ON 09/19/22), VHCD (ON 09/19/22) SALLY GRIGGS: T - CDH, CDHC, VHCD REBECCA L. HAAG: O & T - MVH (O - ON 07/29/22), WNR (O - ON 07/29/22) CONSTANCE N. HADLEY, PHD: T - MCL, MHC (OFF 09/30/22) KAREN R. HALE: T - BH, BWFH, BWH JOSEPH HARRINGTON, MD: T - MGBCP NANCY HAWTHORNE: T - NSHC (OFF 01/19/22), NSMC (OFF 01/19/22) BRENDA E. HAYNES, MD: T - NWH, NWHC (OFF 09/30/22) BRENT L. HENRY, ESQ: T - MVH, WNR EVE J. HIGGINBOTHAM, SM, MD, ML: T - FMEEI (ON 09/20/22), MEEI (ON 09/20/22), SERI (ON 09/20/22) EUGENE D. HILL, III: T - FMEEI, MEEI, SERI LINDA A. HILL, PHD: T - BH, BWFH, BWH RICHARD E. HOLBROOK: T - MCL, MHC (OFF 09/30/22), MGBHPHC ALBERT A. HOLMAN, III: O & T - BH, BWFH, BWH NANCY LYLE HOWLAND: T - FMEEI, MEEI, SERI ROBERT S. HUCKMAN: T - BH, BWFH, BWH, BWPO JAMES W. HUNT, JR: T - MGBHPHC DAVID W. IVES: T - NSHC (OFF 09/30/22), NSMC MICHAEL R. JAFF, DO, FACP, FACC: O & T - MVH (O - OFF 07/29/22), WNR (O - OFF 07/29/22); T - IHP (OFF 08/01/22) ANNE JAMIESON: O & T - WDH; T - WDHF MELISSA WEINER JANFAZA: T - BH, BWFH, BWH ROBERT E. JOHNSON, PHD: T - IHP DANIEL G. JONES: T - RHCI, SHC, SKRH, SNTCB, SR, SRH ELIZABETH JOYCE, BS: T - IHP (ON 09/01/22) DIANE E. KANEB: T - FMEEI, MEEI, SERI KAREN T. KAPLAN: T - BH, BWFH, BWH STEPHEN R. KARP: T - NCH (OFF 08/24/22) STEVEN M. KAYE: T - BH, BWFH, BWH RICHARD M. KELLEHER: T - MCL (OFF 05/19/22), MHC (OFF 05/19/22) PAUL G. KELLIHER: O & T - CDPA; T - CDH, CDHC, VHCD CHRISTOPHER J. KELLY: T - NWH, NWHC (OFF 09/30/22) GERARD J. KENEALLY: T - NCH RESHMA KEWALRAMANI, MD: T - GHC, MGH LESLEE L. KILEY: T - MGBHPHC (ON 09/20/22) ROBERT CHRISTOPHER KNAPP: T - FMEEI, MEEI, SERI JOHN H. KNOWLES, JR, MBA, MPH: T - IHP ADAM M. KOPPEL, MD, PHD: T - NWH, NWHC (OFF 09/30/22) JONATHAN A. KRAFT: T - GHC, MGH, MGPO JOSHUA M. KRAFT: T - BH, BWFH, BWH STEPHEN KULIK: T - CDH, CDHC, VHCD MICHELLE E. KURTZ: T - WDH FORM 990, PART VII: O & T TITLES ELIZA B. LAKE: T - CDH, CDHC, VHCD TERRI LALLY, MD: T - WDH RENEE M. LANDERS, JD: T - GHC, MGH NANCY A. LAPOINTE: T - CDH, CDHC, VHCD GLORIA CORDES LARSON, ESQ: T - MCL, MHC (OFF 09/30/22) THOMAS H. LAUER: T - FMEEI, MEEI, SERI PAMELA L. LAWRENCE: T - NSPG THOMAS LEVASSEUR: T - WDHF DONNA LEVIN: T - MGBCP BEN S. LEVITAN: T - RHCI, SHC, SKRH, SNTCB, SR, SRH JAY LEVY: T - WDHF RONALD J. LEVY: T - NCH DAVID H. LONG: T - GHC, MGH STACEY LUCCHINO: T - MCL, MHC (OFF 09/30/22) ARUL MAHADEVAN, MD: T - WDH, WDHF HUSSEINI K. MANJI, MD, FRCPC: T - MCL, MHC (OFF 09/30/22) JULIE A. MARRIOTT: T - NWH (ON 07/01/22), NWHC (ON 07/01/22, OFF 09/30/22) CARL J. MARTIGNETTI: T - GHC, MGH TERENCE A. MCGINNIS: T - MGBCP, NSPG ANTONIA G. MCGUIRE, RN, MPH: T - MGBHPHC JEROME T. MCMANUS: T - NSHC (OFF 09/30/22), NSMC C. ANN MERRIFIELD: T - RHCI, SHC, SKRH, SNTCB, SR, SRH CARLA S. MEYERS, ESQ: O & T - WDHF (O - ON 09/08/22) MARLA S. MICHEL: T - CDH, CDHC, VHCD BARRY MILLS: T - RHCI, SHC, SKRH, SNTCB, SR, SRH CATHY E. MINEHAN: T - MCL (ON 05/19/22), MHC (ON 05/19/22, OFF 09/30/22) JAMES F. MOONEY, III: T - GHC, MGH LAURA BARKER MORSE: T - MGPO VALERIE MOSLEY: T - MCL (ON 05/19/22), MHC (ON 05/19/22, OFF 09/30/22) CRAIG H. MUHLHAUSER: T - NCH TIMOTHY R. MULLEN: T - NCH (ON 08/24/22) GEOFFREY NESS: T - WDHF PETER NESSEN: O & T - MVH, WNR NITIN NOHRIA: T - GHC, MGH JOHN N. NUNNELLY: T - CDPA MARK E. NUNNELLY: T - BH, BWFH, BWH MICHAEL F. O'CONNELL, ESQ: T - BWPO HEATHER M. O'SULLIVAN, MS, AGNP: O & T - MGBHC (ON 08/25/22) PATRICIA B. PALACIOS, JD: T - IHP (ON 09/01/22) ANTHONY F. PAREDES, FNP-BC: T - IHP DIANE B. PATRICK, ESQ: T - GHC, MGH RICHARD A. PENN: T - RHCI, SHC, SKRH, SNTCB, SR, SRH ELISABETH SCHADAE PERCELAY: T - NCH LIZETTE M. PEREZ-DEISBOECK: T - GHC (ON 12/03/21), MGH (ON 12/03/21) ADELENE Q. PERKINS: T - GHC, MGH ANGELLEEN PETERS-LEWIS, PHD, RN, FAAN: T - IHP JULIEN L. PHAM, MD, MPH: T - IHP (ON 09/22/22) MELISSA D. PHILBRICK: T - NCH ROBERT W. PIERCE, JR: T - MCL (OFF 09/15/22), MHC (OFF 09/15/22) JENNIFER L. GUCKEL PORTER: T - MCL, MHC (OFF 09/30/22) COLLEEN RICHARDS POWELL: T - MGPO (ON 09/16/22) RODNEY C. PRATT: T - FMEEI, MEEI, SERI MARY G. PUMA: T - NSHC (OFF 09/30/22), NSMC KYLE STEPHEN RAY RABBITT, CPA: T - IHP (ON 09/22/22) PHILLIP TERRY RAGON: T - GHC, MGH CHANDRA RAMANATHAN, PHD: T - MCL (ON 03/17/22), MHC (ON 03/17/22, OFF 09/30/22) DEBORAH DUBE REED: T - WDH (ON 08/01/22) PAMELA D. A. REEVE: T - MGBCP, MGPO NANCY R. REEVES: T - CDH, CDHC, VHCD ALVIN L. REYNOLDS, JR: T - MGBCP (ON 07/12/22) CARMICHAEL S. ROBERTS, PHD: T - MGPO INGO ROEMER: T - WDH, WDPC WILLIAM J. ROMAN: T - MVH, WNR VINCENT D. ROUGEAU: T - NWH, NWHC (OFF 09/30/22) JOSEPH F. RYAN, ESQ: T - RHCI, SHC, SKRH, SNTCB, SR, SRH MELANIE R. SABELHAUS: T - NCH LINDA J. SALLOP: T - RHCI (ON 07/20/22), SHC (ON 07/20/22), SKRH (ON 07/20/22), SNTCB (ON 07/20/22), SR (ON 07/01/22), SRH (ON 07/20/22) JOHN P. SALMON: T - WDH, WDHF, WDPC YVES P. SALOMON-FERNANDEZ, PHD: T - CDH (OFF 07/14/22), CDHC (OFF 07/14/22), VHCD (OFF 07/14/22) JOHN H. SCHAEFER: T - MVH, WNR ERIC D. SCHLAGER: T - BH, BWFH, BWH SCOTT A. SCHOEN: T - RHCI, SHC, SKRH, SNTCB, SR, SRH MARK SCHWARTZ: T - GHC, MGH S. CHRISTOPHER SCOTT: T - MVH, WNR SHIRLEY SINGLETON: T - NSHC (OFF 09/30/22), NSMC EILEEN H. SIVOLELLA: T - FMEEI, MEEI, SERI CANDACE LAPIDUS SLOANE, MD: T - NWH, NWHC (OFF 09/30/22) W. LLOYD SNYDER, III: T - MCL (OFF 03/17/22), MHC (OFF 03/17/22) PAULA NESS SPEERS: T - RHCI, SHC, SKRH, SNTCB, SR, SRH CHARLES P. STAELIN, PHD: T - CDH (OFF 09/19/22), CDHC (OFF 09/19/22), CDPA, VHCD (OFF 09/19/22) JOSEFINA MARTINEZ STAMATOS: T - BH, BWFH, BWH MICHAEL STEINBERG: T - WDHF DAVID PIERPONT STEVENS: T - CDH (OFF 03/29/22), CDHC (OFF 03/29/22), VHCD (OFF 03/29/22) STEPHEN G. SULLIVAN: T - NWH (OFF 06/30/22), NWHC (OFF 06/30/22) CYNTHIA A. SUOPIS, PHD: T - CDH (ON 09/19/22), CDHC (ON 09/19/22), VHCD (ON 09/19/22) JAMES D. TAICLET: T - BH, BWFH, BWH ALEXANDER L. THORNDIKE: T - BH, BWFH, BWH THOMAS TORR, ESQ: O & T - WDHF (O - OFF 09/08/22) JONATHAN UHRIG: O & T - FMEEI, MEEI, SERI CAROL A. VALLONE: T - IHP (OFF 08/01/22), MCL, MHC (OFF 09/30/22) DAVID VERNO, CPA: T - WDHF JOAN M. VITELLO-CICCIU, RN, PHD: T - NWH, NWHC (OFF 09/30/22), NWMG DAVID O. VOLPI, MD: T - NCH JOSEF H. VON RICKENBACH: T - MCL, MHC (OFF 09/30/22) ROBIN A. WALKER, JD: T - GHC, MGH CATHERINE S. WARD, MT (ASCP): T - NCH BENAREE P. WILEY: T - RHCI, SHC, SKRH, SNTCB, SR, SRH PRATT N. WILEY: T - BH, BWFH, BWH ANNE M. WILKINS: T - MGBHPHC MICHELLE A. WILLIAMS, SCD: T - MCL, MHC (OFF 09/30/22) MARION E. WINFREY, EDD, RN: T - NSHC (OFF 09/30/22), NSMC, NSPG AMY M. WINSLOW: T - BWPO ELIZABETH B. WRIGHT: T - NCH (ON 08/24/22) CHARLES F. WU: T - NWH (OFF 06/30/22), NWHC (OFF 06/30/22) KRISHNA C. YESHWANT, MD, MBA: T - BH, BWFH, BWH GWILL YORK: T - BH, BWFH, BWH, RHCI, SHC, SKRH, SNTCB, SR, SRH NICHOLAS S. ZEPPOS: T - MCL, MHC (OFF 09/30/22) FORM 990, PART XI, LINE 9: EQUITY INVESTMENT ACTIVITY (UNREALIZED G/L ON INVESTMENTS) -2,805,289,447. CHANGE IN FUNDED STATUS OF DEFINED BENEFIT PLAN 8,518,580. OTHER -8,209,538. FORM 990, PART XII, LINE 2C NO CHANGES FROM PRIOR YEAR. 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