2022-08-12T08:13:29-05:00 2021-09-30 990 2020-10-01 900656139 MASS GENERAL BRIGHAM INCORPORATED & AFFILIATES GROUP RETURN MASS 8572820747 399 REVOLUTION DRIVE NO 645 SOMERVILLE MA 021451446 NIYUM GANDHI CFO & TREASURER 8572820747 2022-08-12 NIYUM GANDHI 999009999 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ANNE KLIBANSKI MD 800 BOYLSTON STREET BOSTON MA 02199 18712142436 1 1 5803 X HTTPS://WWW.MASSGENERALBRIGHAM.ORG/ X PATIENT CARE, RESEARCH, EDUCATION AND SERVICE TO THE COMMUNITY LOCALLY AND GLOBALLY. X 700 425 83077 5211 10824910 -869679 3806711641 4950929420 10968520264 12992648821 392547052 593263372 237635708 170814051 15405414665 18707655664 1389330926 1882900452 0 0 7829464850 8582026366 895392 418846 86563854 6014199764 6620368789 15233890932 17085714453 171523733 1621941211 22793343522 26652316196 8865698573 8694717473 13927644949 17957598723 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 15265359729 1882900452 12990455248 SEE SCHEDULE O 15265359729 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 23 0 1 83077 1 1 1 0 0 0 0 1 1 0 0 0 0 1 0 X 700 425 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 PETER K MARKELL SEE SCHEDULE O - O & T TITLES 1.00 50.00 X X 0 2715239 52463 PETER L SLAVIN MD MBA SEE SCHEDULE O - O & T TITLES 50.00 0.00 X X 0 2521196 54521 ELIZABETH G NABEL MD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X X 0 2271565 43865 GREGG S MEYER MD MSC SEE SCHEDULE O - O & T TITLES 1.00 50.00 X X 0 1792088 64509 JAMES D KANG MD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 1627512 0 67243 JOAN WHITTEN MILLER MD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 1472126 0 63192 GERARD M DOHERTY MD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 1436458 0 67572 LAURA S PEABODY ESQ SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 0 1384675 55425 MITCHEL B HARRIS MD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 1281116 0 56332 JOHN R FERNANDEZ SEE SCHEDULE O - O & T TITLES 50.00 0.00 X X 0 1240818 63643 KEITH D LILLEMOE MD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 1207332 0 61128 SALLY MASON BOEMER SEE SCHEDULE O - O & T TITLES 50.00 0.00 X X 0 1163196 61781 TIMOTHY G FERRIS MD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X X 1066169 0 63569 GREGORY J WALKER FACHE SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 1044108 0 40367 DAPHNE ADELE HAAS-KOGAN MD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 1026730 0 53719 GREGORY J PAULY SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 989989 0 69648 O'NEIL BRITTON MD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 973468 0 61724 TIMOTHY E FOSTER MD MBA MS SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 957564 0 43014 GILES W BOLAND MD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X X 930400 0 64444 JAMES A BRINK MD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 915237 0 60942 MARK A VARVARES MD FACS SEE SCHEDULE O - O & T TITLES 50.00 0.00 X X 903371 0 65628 KATRINA ARMSTRONG MD MSCE SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 904918 0 62346 CHRISTOPHER M COBURN SEE SCHEDULE O - O & T TITLES 1.00 50.00 X X 0 906186 54030 THOMAS D SEQUIST MD SEE SCHEDULE O - O & T TITLES 50.00 0.00 X 0 898980 58371 DAVID E STORTO SEE SCHEDULE O - O & T TITLES 50.00 0.00 X X 0 877918 57591 DAVID F BROWN MD FACEP SEE SCHEDULE O - O & T TITLES 50.00 0.00 X X 868085 0 61692 WILLIAM C JOHNSTON SEE SCHEDULE O - 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O & T TITLES 50.00 0.00 X 1602171 0 56612 DUANE BRADLEY WELLING MD FORMER O - MEEA 50.00 0.00 X 907661 0 62616 ALLEN L SMITH MD MS FORMER O - BCP, BWPO 50.00 0.00 X 851852 0 56717 DAVID SEGAL FORMER O - AHPHC 1.00 50.00 X 0 610841 86706 HUGH DAVID CURTIN MD FORMER O - MEEA 50.00 0.00 X 381065 0 57370 AMY M GUAY FORMER O - HSC,RHCI,SHC,SKRH,SNTCB,SR & SRH 50.00 0.00 X 0 320642 43232 MARGOT K HARTMANN MD PHD FORMER O - NCH, NPO 0.00 0.00 X 249038 0 1022 HARRY W ORF PHD FORMER K - GHC 50.00 0.00 X 690623 0 60768 ANN L PRESTIPINO FORMER K - GHC 50.00 0.00 X 649270 0 53855 JULIA SINCLAIR MBA FORMER K - BWH 50.00 0.00 X 606920 0 62049 SHEILA K PARTRIDGE MD FORMER K - NWH 50.00 0.00 X 592184 0 38863 PARDON R KENNEY MD FORMER K - BWFH 0.00 0.00 X 524355 0 42594 EILEEN O LOWELL FORMER K - MEEI 50.00 0.00 X 345362 0 49402 MICHAEL IWAMA FORMER K - IHP 50.00 0.00 X 286892 0 46668 MICHAEL J RICCI FORMER K - MEEI 50.00 0.00 X 0 278614 41599 LINDA FLAHERTY RN FORMER K - MCLEAN 50.00 0.00 X 241885 0 57482 JEFFREY R ZACK MD FORMER K - MVH 50.00 0.00 X 250042 0 33525 ROSEMARY HENCHEY FORMER K - NSMC 50.00 0.00 X 222496 0 22995 LINDA KAREN RICE FORMER K - IHP 50.00 0.00 X 175225 0 47246 ALAMJIT S VIRK MD FORMER K - MVH 50.00 0.00 X 175355 0 22012 SARAH H WELCH FORMER K - IHP 50.00 0.00 X 0 162207 19952 104851613 36518018 12093563 16721 1 1 0 WALSH BROTHERS 210 COMMERCIAL STREET BOSTON MA 02109 CONSTRUCTION SERVICES 71843683 AMN HEALTHCARE INC PO BOX 281939 ATLANTA GA 303841939 STAFFING SERVICES 68450826 SKANSKA USA BUILDING INC 101 SEAPORT BOULEVARD SUITE 200 BOSTON MA 02210 CONSTRUCTION SERVICES 30554515 NBBJ LP 8 STORY STREET CAMBRIDGE MA 021384969 ARCHITECTURAL SERVICES 22808648 CB RICHARD ELLIS 65 LANDSDOWNE STREET CAMBRIDGE MA 021394232 FACILITIES MANAGEMENT 22633640 542 17652098 1574621789 1025441286 2333214247 55629133 4950929420 PATIENT CARE REVENUE 622110 11552558538 11552558538 OTHER PROGRAM REVENUE 900099 1367644033 1353989642 13654391 TUITION REVENUE 624410 65329544 65329544 PARTNERSHIP INCOME 900099 5245568 5156967 88601 AMBULANCE INCOME 621910 1429832 1429832 441306 441306 12992648821 77942220 77942220 24354197 24354197 60620329 0 60620329 60620329 -2918082 63538411 515321152 0 515321152 515321152 515321152 875392 17652098 4486045 -3610653 -3610653 18384 727 17657 17657 PARKING INCOME 812930 52527232 52527232 CAFETERIA INCOME 722514 25355870 25355870 CONSULTING REVENUE 621500 13033369 13033369 -1483950 -1483950 89432521 18707655664 12990455248 10824910 755446086 1845235119 1845235119 8332846 8332846 29332487 29332487 104851613 104851613 6690850194 6080452237 557538912 52859045 411078553 377062295 34016258 963602732 841614140 104791810 17196782 411643274 372584489 39058785 50077379 46230763 3826279 20337 215513 208181 7332 359788 359788 418846 418846 1493006799 1323952886 160470632 8583281 9116246 6009286 2825312 281648 2380155640 2014802158 362122808 3230674 53113653 45081382 7896903 135368 502675626 443250455 56514123 2911048 10253274 8962242 1238398 52634 8011782 7229923 763267 18592 155100968 101286176 53814792 654294009 579610256 74683240 513 115561978 105443016 10118962 PROGRAM SUPPORT/SUBSIDY 390808487 345196841 45611646 OTHER RESEARCH EXPENSES 384845256 354699911 30145345 HSN/MEDICAID TAX 179060394 161389572 17670822 MISCELLANEOUS EXPENSES 168681908 108943195 59383526 355187 65030089 58449873 6080317 499899 17085714453 15265359729 1733790870 86563854 1791440060 403191180 506656262 607838247 1145819076 1521964235 4873355 3612939 80857385 82805581 95727326 98669969 13274573880 6509777364 6923626615 6764796516 10460660760 14630113599 1783682683 2539323930 22793343522 26652316196 3059480146 3382213132 5806218427 5312504341 8865698573 8694717473 X 9960260775 12437305488 3967384174 5520293235 13927644949 17957598723 22793343522 26652316196 X 1621941211 1454670 2406557893 X X 0 1 X 1 1 1 X X 8 MASS GENERAL BRIGHAM INCORPORATED 043230035 7 1 0 0 THE MASSACHUSETTS GENERAL HOSPITAL 041564655 7 1 0 0 NANTUCKET COTTAGE HOSPITAL INC 042103823 3 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 8 0 0 2967780415 2904676698 4644652037 3806711641 4950929420 19274750211 2967780415 2904676698 4644652037 3806711641 4950929420 19274750211 19274750211 162554741 149700026 147388005 337944923 253243043 1050830738 2007186 78733 -851976 -1594003 -869679 -1229739 20324351210 54792032209 0.94840 0.94620 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 0 0 1 359788 0 0 359788 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 2021 13.66% OF ITS MEMBERSHIP DUES WERE USED FOR LOBBYING PURPOSES. X X 0 3149754057 110023333 825097143 107264487 3977610046 2984384888 76219426 200255828 111106085 3149754057 2701002998 395855888 118484956 230958954 2984384888 2532477579 76242054 165166784 -72883419 2701002998 3023915930 133195286 405602632 117629018 3445084830 0.38140 0.25010 0.36850 0 1 1 634072 255790898 256424970 28789309 8111924318 4525924511 3614789116 416854501 207834595 209019906 4031078887 1749008155 2282070732 429501895 27010103 402491792 6764796516 INVESTMENTS IN PPIH 14630113599 F 14630113599 DUE FROM AFFILIATES 225634323 INV IN NET ASSETS OF AFFIL 2266037493 OTHER ASSETS 45667774 INTER-ENTITY NOTE RECEIVABLE 1984340 2539323930 DUE TO AFFILIATES 558008077 MASS GENERAL BRIGHAM INCORPORATED CAP 3591226906 CURRENT PORTION OF SETTLEMENT 826721789 UNEXPENDED FUNDS ON RESEARCH GRANTS 336547569 5312504341 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 37900 CENTRAL AMERICA & THE CARRIBEAN 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 599213 EAST ASIA AND THE PACIFIC 0 1 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 167871 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 3483214 EUROPE 0 2 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 1547362 EUROPE 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 8393792 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 194996 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 644902 NORTH AMERICA 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 566174 NORTH AMERICA 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 4612001 RUSSIA AND NEIGHBORING STATES 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 318366 SOUTH AMERICA 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 105748 SOUTH AMERICA 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 1420067 SOUTH ASIA 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 103386 SOUTH ASIA 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 1300121 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 838238 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 8560811 0 3 0 0 0 3 15069250 17824912 32894162 CENTRAL AMERICA & THE CARRIBEAN RESEARCH 512639 WIRE TRANSFER EAST ASIA AND THE PACIFIC RESEARCH 3177825 WIRE TRANSFER EUROPE RESEARCH 7401861 WIRE TRANSFER MIDDLE EAST AND NORTH AFRICA RESEARCH 642319 WIRE TRANSFER NORTH AMERICA RESEARCH 4424960 WIRE TRANSFER RUSSIA AND NEIGHBORING STATES RESEARCH 242006 WIRE TRANSFER SOUTH AMERICA RESEARCH 1326496 WIRE TRANSFER SOUTH ASIA RESEARCH 1235246 WIRE TRANSFER SUB-SAHARAN AFRICA RESEARCH 8316204 WIRE TRANSFER MEDICAL RESEARCH CENTRAL AMERICA & THE CARRIBEAN 16 86574 WIRE TRANSFER MEDICAL RESEARCH EAST ASIA AND THE PACIFIC 25 305390 WIRE TRANSFER MEDICAL RESEARCH EUROPE 107 991931 WIRE TRANSFER MEDICAL RESEARCH MIDDLE EAST AND NORTH AFRICA 4 2583 WIRE TRANSFER MEDICAL RESEARCH NORTH AMERICA 58 187040 WIRE TRANSFER MEDICAL RESEARCH RUSSIA AND NEIGHBORING STATES 6 76360 WIRE TRANSFER MEDICAL RESEARCH SOUTH AMERICA 10 93571 WIRE TRANSFER MEDICAL RESEARCH SOUTH ASIA 3 64875 WIRE TRANSFER MEDICAL RESEARCH SUB-SAHARAN AFRICA 52 244607 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. X X X X X X X 1 ARTCRAFT COMPANY INC PO BOX E ATTLEBORO MA 02763 FUNDRAISING STRATEGY 0 331500 1921 329579 LIBRETTO INC 560 HARRISON AVE BOSTON MA 02118 FUNDRAISING STRATEGY 0 0 136450 -136450 BENTZ WHALEY FL 7900 XERXES AVE MINNE MN 55431 FUNDRAISING STRATEGY 0 0 107375 -107375 DEVELOPMENT GUILD DDI ONE BOSTON PL BOSTON MA 02108 FUNDRAISING STRATEGY 0 0 85000 -85000 PG CALC INC 129 MT AUBURN ST CAMBRIDGE MA 02138 FUNDRAISING STRATEGY 0 0 72600 -72600 SARAH J CONSULTING 4 S BIXBY W BOXFORD MA 01921 FUNDRAISING STRATEGY 0 0 15500 -15500 331500 418846 -87346 AK AL AR AZ CA CO CT DC DE FL GA HI ID IL IN IA 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 2020 CENTER STAGE 1771084 1770409 675 98950 1500 2020 STORYBOOK BALL 1078087 1067387 10700 22450 11862 86 15678319 14814302 864017 157882 472906 1215421 1774448 730626 18527490 17652098 875392 157882 472906 1237871 1885260 732126 4486045 -3610653 18384 147 580 0 18384 147 580 727 17657 MA NH 0 0 0 0 1.00000 0 0 1 1 X 1 X 1 X 1 1 0 1 1 130642601 37742559 92900042 0.00540 1546146396 935908350 610238046 0.03570 1676788997 973650909 703138088 0.04110 55745825 10525673 45220152 0.00260 250450675 72243445 178207230 0.01040 134280815 83574507 50706308 0.00300 2051333754 1787822372 263511382 0.01540 16325666 16325666 0.00100 2508136735 1954165997 553970738 0.03240 4184925732 2927816906 1257108826 0.07350 1 80057156 2564545762 3192456390 -627910628 X 1 1 14 1 THE GENERAL HOSPITAL CORPORATION 55 FRUIT STREET BOSTON MA 02114 WWW.MASSGENERAL.ORG 04-2697983 X X X X X X 2 THE BRIGHAM AND WOMEN'S HOSPITAL INC 75 FRANCIS STREET BOSTON MA 02115 WWW.BRIGHAMANDWOMENS.ORG 04-2312909 X X X X X X 3 NORTH SHORE MEDICAL CENTER INC 81 HIGHLAND AVENUE SALEM MA 01970 WWW.NSMC.PARTNERS.ORG 04-3399616 X X X X X X 4 NEWTON-WELLESLEY HOSPITAL 2014 WASHINGTON STREET NEWTON MA 02462 WWW.NWH.ORG 04-2103611 X X X X X X 5 BRIGHAM AND WOMEN'S FAULKNER HOSPITAL INC 1153 CENTRE STREET BOSTON MA 02130 WWW.BRIGHAMANDWOMENSFAULKNER.ORG 04-2768256 X X X X X 6 THE MCLEAN HOSPITAL CORPORATION 115 MILL STREET BELMONT MA 02478 WWW.MCLEANHOSPITAL.ORG 04-2697981 X X X 7 THE SPAULDING REHABILITATION HOSPITAL CORPORATION 300 FIRST AVENUE CHARLESTOWN MA 02129 WWW.SPAULDINGNETWORK.ORG 04-2551124 X REHAB. FACILITY 8 REHABILITATION HOSPITAL OF THE CAPE AND ISLANDS CORPORATION 311 SERVICE ROAD EAST SANDWICH MA 02537 WWW.SPAULDINGNETWORK.ORG 04-3071419 X REHAB. FACILITY 9 SPAULDING HOSPITAL-CAMBRIDGE INC 1575 CAMBRIDGE STREET CAMBRIDGE MA 02138 WWW.SPAULDINGNETWORK.ORG 27-0273715 X REHAB. FACILITY 10 NANTUCKET COTTAGE HOSPITAL 57 PROSPECT STREET NANTUCKET MA 02554 WWW.NANTUCKETHOSPITAL.ORG 04-2103823 X X 11 MARTHA'S VINEYARD HOSPITAL INC LINTON LANE PO BOX 1477 OAK BLUFFS MA 02557 WWW.MVHOSPITAL.COM 04-2104691 X X X 13 COOLEY DICKINSON HOSPITAL INC 30 LOCUST STREET NORTHHAMPTON MA 01060 WWW.COOLEY-DICKINSON.ORG 22-2617175 X X X 14 WENTWORTH-DOUGLASS HOSPITAL 789 CENTRAL AVENUE DOVER NH 03820 WWW.WDHOSPITAL.COM 02-0260334 X X X 15 MASSACHUSETTS EYE & EAR INFIRMARY 243 CHARLES STREET BOSTON MA 02114 WWW.MASSEYEANDEAR.ORG 04-2103591 X X X X THE GENERAL HOSPITAL CORPORATION 1 0 0 1 X X X X X X X X X 18 1 0 1 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 18 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 BRIGHAM AND WOMEN'S HOSPITAL INC 2 0 0 1 X X X X X X X X X 18 1 0 1 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 18 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 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 NEWTON-WELLESLEY HOSPITAL 4 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 BRIGHAM AND WOMEN'S FAULKNER HOSPITAL 5 0 0 1 X X X X X X X X X 18 1 0 1 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 18 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 18 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 19 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 18 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 18 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 19 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 19 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 19 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 19 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 18 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 18 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 18 1 1 1 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 18 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 18 1 0 1 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 18 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 18 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 18 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, THE BUSINESS AND FAITH COMMUNITIES, RESIDENTS, AND OTHERS IN AN APPROXIMATELY YEAR-LONG PROCESS, TAILORED TO 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 BROADLY DISTRIBUTED MULTILINGUAL (UP TO SEVEN LANGUAGES) COMMUNITY SURVEYS WITH 4,298 TOTAL RESPONDENTS; 39 FOCUS GROUPS WITH 350 COMMUNITY RESIDENTS IN ENGLISH, SPANISH, CHINESE, AND HAITIAN CREOLE; AND 73 KEY INFORMANT INTERVIEWS WITH ORGANIZATIONAL, GOVERNMENT, AND COMMUNITY LEADERS. REVIEW OF SECONDARY DATA FROM MULTIPLE CITIES, 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. A HIGHLY PARTICIPATORY PROCESS. IN BOSTON THAT MEANT THE PUBLIC WAS INVITED TO THREE SEPARATE MEETINGS ATTENDED BY 75-150 PEOPLE EACH TO GUIDE THE PROCESS DESIGN, REVIEW DATA, SELECT PRIORITIES, AND DEVELOP STRATEGIES. THE BRIGHAM AND WOMEN'S HOSPITAL, INC PART V, SECTION B, LINE 5: BWH PARTICIPATED IN THE COLLABORATIVE, A COLLABORATION FORMED IN 2018 TO UNDERTAKE THE FIRST LARGE-SCALE COLLABORATIVE CITYWIDE CHNA-CHIP. THE COLLABORATIVE HIRED HEALTH RESOURCES IN ACTION (HRIA), A NONPROFIT PUBLIC HEALTH ORGANIZATION, AS A CONSULTANT PARTNER TO PROVIDE STRATEGIC GUIDANCE AND FACILITATION OF THE PROCESS, COLLECT AND ANALYZE DATA, AND PREPARE THE REPORT. THE COLLABORATIVE AIMED TO ENGAGE AGENCIES, ORGANIZATIONS, AND RESIDENTS IN BOSTON THROUGH ITS VARIOUS COMMITTEES AND GROUPS. SECONDARY DATA FROM A VARIETY OF SOURCES WERE ANALYZED DURING THIS PROCESS, INCLUDING, BUT NOT LIMITED TO, THE BOSTON BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BBRFSS), YOUTH RISK BEHAVIOR SURVEY (YRBS), U.S. CENSUS AMERICAN COMMUNITY SURVEY (ACS), VITAL RECORDS, AND THE ACUTE HOSPITAL CASE MIX DATABASE FROM THE CENTER FOR HEALTH INFORMATION AND ANALYSIS. PRIMARY DATA WERE COLLECTED THROUGH A COMMUNITY SURVEY, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. FORTY-FIVE KEY INFORMANT INTERVIEWS WERE COMPLETED, SIX OF WHICH WERE ADDITIONAL INTERVIEWS SUBMITTED BY WORK GROUP VOLUNTEERS. INTERVIEWS WERE 45-60 MINUTE SEMI-STRUCTURED DISCUSSIONS THAT ENGAGED INSTITUTIONAL, ORGANIZATIONAL, COMMUNITY LEADERS, AND FRONT-LINE STAFF ACROSS THE FOLLOWING SECTORS: PUBLIC HEALTH, HEALTH CARE, HOUSING AND HOMELESSNESS, TRANSPORTATION, COMMUNITY DEVELOPMENT, FAITH, EDUCATION, PUBLIC SAFETY, ENVIRONMENTAL JUSTICE, GOVERNMENT, WORKFORCE DEVELOPMENT, SOCIAL SERVICES, FOOD INSECURITY, AND BUSINESS ORGANIZATIONAL STAFF THAT WORK WITH SPECIFIC POPULATIONS SUCH AS YOUTH, SENIORS, DISABLED, LGBTQ, AND IMMIGRANTS. NORTH SHORE MEDICAL CENTER, INC. PART V, SECTION B, LINE 5: THE 2020 CHNA FOCUSED ON EIGHT COMMUNITIES: DANVERS, LYNN, LYNNFIELD, MARBLEHEAD, NAHANT, PEABODY, SALEM, AND SWAMPSCOTT. IN 2020, SALEM HOSPITAL PROVIDED CARE TO 101,754 RESIDENTS OF THESE PRIORITY COMMUNITIES AND RESIDENTS COMPRISED 58.4% OF SALEM HOSPITAL PATIENTS. THE CHNA EMPLOYED A SOCIAL DETERMINANTS OF HEALTH (SDOH) FRAMEWORK TO EXAMINE HOW FACTORS LIKE INCOME, EDUCATION, EMPLOYMENT, FOOD SECURITY, HOUSING, ACCESS TO AFFORDABLE AND QUALITY HEALTH SERVICES IMPACT THE HEALTH OF COMMUNITY MEMBERS, PARTICULARLY THOSE MOST LIKELY TO EXPERIENCE INEQUITIES IN SDOH. THE CHNA UTILIZED EXISTING DATA FROM THE U.S. CENSUS, CENTERS FOR DISEASE CONTROL AND PREVENTION, MASSACHUSETTS DEPARTMENTS OF PUBLIC HEALTH AND ELEMENTARY AND SECONDARY EDUCATION, THE FEDERAL BUREAU OF INVESTIGATION, AND MASS GENERAL BRIGHAM. THE CHNA ALSO GATHERED DATA VIA EIGHT ONLINE FOCUS GROUPS WITH 50 CLINICAL AND COMMUNITY LEADERS FROM 43 ORGANIZATIONS IN THE FOLLOWING SECTORS: COMMUNITY HEALTH CENTERS, BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE DISORDER) SERVICES, YOUTH SERVICES, ELDER SERVICES, HOUSING, FOOD SECURITY, THE FAITH COMMUNITY, AND HEALTH CARE ADVOCACY. THE FOCUS GROUP DATA WERE ANALYZED FOR COMMON AND DIVERGENT THEMES ABOUT HEALTH CONCERNS AND SDOH. NEWTON-WELLESLEY HOSPITAL PART V, SECTION B, LINE 5: NWH UTILIZED THE SOCIAL DETERMINANTS OF HEALTH FRAMEWORK TO GUIDE THE CHNA AND CHIP PROCESS. THIS FRAMEWORK EXAMINES HOW INDIVIDUAL HEALTH OUTCOMES ARE INFLUENCED BY UPSTREAM SOCIAL AND ECONOMIC FACTORS SUCH AS HOUSING, EDUCATIONAL OPPORTUNITIES, FOOD ACCESS, AND ECONOMIC STABILITY. THE CHNA DESCRIBES SOCIAL AND ECONOMIC DETERMINANTS AND REVIEWS KEY HEALTH OUTCOMES AMONG RESIDENTS OF THE NEWTON-WELLESLEY HOSPITAL SERVICE AREA. THE CHIP PRIORITIZES ADDRESSING THESE UPSTREAM FACTORS TO PROMOTE HEALTH EQUITY, THE PRINCIPLE THAT ALL PEOPLE HAVE A FAIR AND JUST OPPORTUNITY TO BE HEALTHY. THE CHNA WAS GUIDED BY A PARTICIPATORY, COLLABORATIVE APPROACH, WHICH EXAMINED HEALTH IN ITS BROADEST SENSE. THIS PROCESS INCLUDED EXAMINING EXISTING SECONDARY DATA ON SOCIAL, ECONOMIC, AND HEALTH ISSUES IN THE REGION. INSTEAD OF PURSUING QUALITATIVE DATA COLLECTION THROUGH RESIDENT FOCUS GROUPS AND STAKEHOLDER INTERVIEWS, NWH SOLICITED RESIDENT FEEDBACK THOUGH COMMUNITY-WIDE EVENTS SUCH AS TOWN HALL MEETINGS AND FORUMS AND OBTAINED PROGRAMMING FEEDBACK FROM COMMUNITY PARTNERS AND STAKEHOLDERS. NWH PLANS TO PURSUE EXTENSIVE QUALITATIVE DATA COLLECTION, INCORPORATE UPDATED SECONDARY DATA, AND CONDUCT A COMMUNITY HEALTH SURVEY FOR THE 2022 CHNA CYCLE. BRIGHAM AND WOMEN'S FAULKNER HOSPITAL PART V, SECTION B, LINE 5: THE CHNA AIMED TO ENGAGE AGENCIES, ORGANIZATIONS AND RESIDENTS IN BOSTON THROUGH DIFFERENT AVENUES. THE COLLABORATIVE'S STRUCTURE PROVIDED AN ENGAGEMENT AND DECISION-MAKING FRAMEWORK FOR THIS WORK. IT IS COMPRISED OF THE FOLLOWING: STEERING COMMITTEE COMPRISED OF 19 MEMBERS REPRESENTING HOSPITALS, HEALTH CENTERS, BOSTON PUBLIC HEALTH COMMISSION, PUBLIC HEALTH ORGANIZATION FOCUSED ON COMMUNITY, COMMUNITY DEVELOPMENT CORPORATIONS AND 8 COMMUNITY REPRESENTATIVES. ITS ROLE IS TO PROVIDE STRATEGIC DIRECTION AND OVERSIGHT OF THE PROCESS. OPERATIONS COMMITTEE COMPRISED OF STEERING COMMITTEE CO-CHAIRS AND THE COLLABORATIVE'S COORDINATOR. THIS COMMITTEE RESOLVES OPERATIONAL ISSUES REQUIRING IMMEDIATE ACTIONS. WORK GROUPS COMPRISED OF GENERAL MEMBERSHIP AND OPEN TO ANYONE WHO IS INTERESTED IN BEING INVOLVED. THE WORK GROUPS PROVIDE INPUT AND ASSISTANCE ON IMPLEMENTING CHNA-CHIP ACTIVITIES. FOR THE BOSTON CHNA, TWO WORK GROUPS WERE FORMED: O SECONDARY DATA WORK GROUP COMPRISED OF 32 MEMBERS REPRESENTING A RANGE OF ORGANIZATIONS, INCLUDING HOSPITALS, HEALTH CENTERS, LOCAL PUBLIC HEALTH AND COMMUNITY-BASED ORGANIZATIONS, AMONG OTHERS. THE WORK GROUP'S CHARGE IS TO PROVIDE GUIDANCE ON SECONDARY DATA APPROACH AND INDICATORS AND FOSTER CONNECTIONS WITH KEY NETWORKS AND GROUPS TO PROVIDE RELEVANT DATA. O COMMUNITY ENGAGEMENT WORK GROUP COMPRISED OF 54 MEMBERS REPRESENTING A RANGE OF ORGANIZATIONS, INCLUDING HOSPITALS, HEALTH CENTERS, LOCAL PUBLIC HEALTH, EDUCATION, COMMUNITY DEVELOPMENT, SOCIAL SERVICES AND COMMUNITY-BASED ORGANIZATIONS, AMONG OTHERS. THE WORK GROUP'S CHARGE IS TO PROVIDE GUIDANCE ON THE APPROACH TO COMMUNITY ENGAGEMENT, INPUT ON PRIMARY DATA COLLECTIONS METHODS AND SUPPORT WITH LOGISTICS FOR PRIMARY DATA COLLECTION. GENERAL MEMBERSHIP ATTENDS EVENTS, SHARES IN FORMATION AND PARTICIPATES IN WORK GROUPS. THE COLLABORATIVE HIRED HEALTH RESOURCES IN ACTION (HRIA), A NON-PROFIT PUBLIC HEALTH ORGANIZATION, AS A CONSULTANT PARTNER TO PROVIDE STRATEGIC GUIDANCE AND FACILITATION OF THE PROCESS, COLLECT AND ANALYZE DATA AND DEVELOP THE REPORT DELIVERABLES. THE MCLEAN HOSPITAL CORPORATION PART V, SECTION B, LINE 5: DUE TO MCLEAN'S HIGHLY SPECIALIZED MISSION AND SERVICES, WE RELY PRIMARILY ON COMMUNITY, REGIONAL AND STATE-WIDE PUBLIC HEALTH AND COMMUNITY NEEDS DATA AND ASSESSMENTS AS WELL AS FEEDBACK FROM CHNA 17 AND MIDDLEBOROUGH TOWN OFFICIALS. NEEDS ASSESSMENTS THAT WERE REVIEWED CAN BE FOUND BELOW: MOUNT AUBURN HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT (2018)HTTPS://WWW.MOUNTAUBURNHOSPITAL.ORG/APP/FILES/PUBLIC/1518/2018-COMMUNITY-HEALTHNEEDS-ASSESSMENT.PDF NEWTON-WELLESLEY HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT (AUGUST 2018)HTTPS://WWW.NWH.ORG/MEDIA/FILE/CHNA.PDF COMMUNITY HEALTH AND RACIAL EQUITY IN COMMUNITY HEALTH NETWORK AREA 17 (SEPTEMBER 2017)HTTPS://DRIVE.GOOGLE.COM/FILE/D/1I9M1GZMKJ3--KKICUICYKHVRSC44GALW/VIEWHTTPS://DRIVE.GOOGLE.COM/FILE/D/1M84WJM3QLD6ERBLF_PXLG55MK8GDXPDU/VIEW THE SPAULDING REHABILITATION HOSPITAL PART V, SECTION B, LINE 5: IN FY18, AN INTERNAL WORKING GROUP WITH SUPPORT OF AN OUTSIDE CONSULTANT 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 YEAR (JUNE 1, 2017-MAY 31, 2018); 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 2020 (HP2020); AND SEMI-STRUCTURED INTERVIEWS WITH PARTNERS INTERNAL (WITHIN SPAULDING BOSTON) AND EXTERNAL (IN THE COMMUNITY) PARTNERS. BASED ON THE ASSESSMENT FINDINGS, THE WORKING GROUP REFINED THE COMMUNITY BENEFIT AGENDA. THE PATIENT AND COMMUNITY DATA WERE USED IN FORMULATING THE COMMUNITY BENEFIT PRIORITIES, GOAL, OBJECTIVES, AND TARGET COMMUNITIES. THE PARTNER INTERVIEWS WERE USED TO DESCRIBE THE COMMUNITY BENEFIT WORK; DETERMINE THE EXTENT TO WHICH THE INITIATIVES ARE ALIGNED WITH THE REVISED PRIORITIES, GOALS AND OBJECTIVES; AND TO DESCRIBE THE PROGRESS MADE IN FY18. THE WORKING GROUP THEN ESTABLISHED A PLAN AND TARGETS FOR FY19. ON NOVEMBER 14, 2018, THE PLAN WAS REVIEWED AND APPROVED BY THE SPAULDING BOSTON BOARD OF TRUSTEES. REHABILITATION HOSPITAL OF THE CAPE PART V, SECTION B, LINE 5: IN FY19, AN INTERNAL WORKING GROUP AT SPAULDING CAPE COD CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF A CONTINUOUS QUALITY IMPROVEMENT APPROACH TO COMMUNITY BENEFIT PLANNING. IN 2016, IN COMPLIANCE WITH SECTION 501(R)(3) OF THE INTERNAL REVENUE CODE, SPAULDING CAPE COD CONDUCTED ITS FIRST COMMUNITY HEALTH ASSESSMENT USING A COLLABORATIVE AND DYNAMIC APPROACH TO REVIEW AVAILABLE DATA, EXISTING PROGRAMS, AND VIEWS FROM PEOPLE WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL. AS REQUIRED BY FEDERAL REGULATION, THESE ASSESSMENTS AND PLANS ARE REQUIRED EVERY THREE YEARS. THIS ASSESSMENT INCLUDED A REVIEW OF PATIENT DATA FROM THE PAST YEAR (OCTOBER 1, 2018-SEPTEMBER 30, 2019), A REVIEW OF PUBLICLY AVAILABLE HEALTH AND DEMOGRAPHIC DATA, AND INTERVIEWS WITH INTERNAL AND COMMUNITY PARTNERS. ADDITIONALLY, SPAULDING CAPE COD PARTICIPATES ACTIVELY IN THE HEALTHY AGING CAPE COD WORK GROUP, LED BY THE BARNSTABLE COUNTY DEPARTMENT OF HUMAN SERVICES. SPAULDING CAPE COD WILL CONTINUE TO WORK WITH OUR LOCAL HEALTH CARE PARTNERS, SPECIFICALLY CAPE COD HEALTHCARE, TO PARTNER FOR IMPLANTATION STRATEGIES THAT LEVERAGE OUR COLLECTIVE RESOURCES SERVING THE NEEDS OF OUR COMMUNITY. BASED ON THE ASSESSMENT FINDINGS, THE WORKING GROUP REFINED THE COMMUNITY BENEFIT AGENDA FROM 2016. GIVEN SPAULDING CAPE COD'S LOCATIONS AND THE SPECIALTY NATURE OF THE CARE PROVIDED, THE TARGET POPULATIONS FOR THE PURPOSES OF THE 2019 CHNA WERE DEFINED AS RESIDENTS OF BARNSTABLE COUNTY, PLYMOUTH COUNTY, AND THE ISLANDS, PARTICULARLY THE ELDERLY AND PERSONS LIVING WITH A DISABILITY. BOTH QUANTITATIVE AND QUALITATIVE DATA WERE COLLECTED AND REVIEWED FOR THIS CNHA IN ORDER 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 HEALTH 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 FY19 AND PLANS FOR FY20-FY22. ON NOVEMBER 5, SPAULDING CAPE COD SENIOR MANAGEMENT REVIEWED THE FY20 GOALS AND PRIORITIES AND APPROVED OF THEIR PLAN. ON NOVEMBER 6, 2019, THE PLAN WAS REVIEWED AND APPROVED BY THE SPAULDING CAPE COD BOARD OF TRUSTEES. THIS REPORT DESCRIBES SPAULDING CAPE COD'S MISSION AND COMMUNITY BENEFIT REPORT FOR THE FINAL YEAR OF THE CYCLE (FY19 - OCTOBER 1, 2018-SEPTEMBER 30, 2019). SPAULDING HOSPITAL-CAMBRIDGE, INC. PART V, SECTION B, LINE 5: IN FY19, 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. IN 2016, IN COMPLIANCE WITH SECTION 501(R)(3) OF THE INTERNAL REVENUE CODE, SPAULDING CAMBRIDGE CONDUCTED ITS FIRST COMMUNITY HEALTH ASSESSMENT USING A COLLABORATIVE AND DYNAMIC APPROACH TO REVIEW AVAILABLE DATA, EXISTING PROGRAMS, AND VIEWS FROM PEOPLE WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL. THIS YEAR'S ASSESSMENT INCLUDED A REVIEW OF PATIENT DATA FROM THE PAST YEAR (OCTOBER 1, 2018-SEPTEMBER 30, 2019), A REVIEW OF PUBLICLY AVAILABLE HEALTH AND DEMOGRAPHIC DATA, AND INTERVIEWS WITH INTERNAL AND COMMUNITY PARTNERS. BASED ON THE ASSESSMENT FINDINGS, THE WORKING GROUP REFINED THE COMMUNITY BENEFIT AGENDA FROM 2016. 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 POPULATION: THE ELDERLY, THOSE PERSONS WITH COMPLEX AND CHRONIC HEALTH CONDITIONS AND PERSONS LIVING WITH A DISABILITY. BOTH QUANTITATIVE AND QUALITATIVE DATA WERE COLLECTED FOR THIS CHA IN ORDER 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 HEALTH 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 FY19 AND PLANS FOR FY20-FY22. ON NOVEMBER 6, 2019, THE PLAN WAS REVIEWED AND APPROVED BY THE SPAULDING CAMBRIDGE BOARD OF TRUSTEES. 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 (FIGURE 1.), 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: MVH'S FY19 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) KICKED OFF ON APRIL 22, 2019 WITH A MEETING OF THE HOSPITAL'S NEW 15-MEMBER COMMUNITY BENEFIT ADVISORY COMMITTEE (CBAC) REPRESENTING A RANGE OF HEALTH AND HUMAN SERVICES ORGANIZATIONS AND OFFERING VARIED EXPERTISE ABOUT POPULATIONS AND/OR HEALTH ISSUES ON THE ISLAND. THE GROUP REVIEWED THE ATTORNEY GENERAL'S REVISED COMMUNITY BENEFIT GUIDELINES, DISCUSSED DATA COLLECTION STRATEGIES AND THE CHNA TIMELINE, AND IDENTIFIED POPULATIONS AND ISSUES FOR INCLUSION IN THE CHNA, WHICH CONSISTED OF: (1) A REVIEW OF SECONDARY DATA FROM MULTIPLE PUBLICLY AVAILABLE LOCAL, STATE, AND FEDERAL SOURCES (E.G., U.S. CENSUS BUREAU, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, MARTHA'S VINEYARD COMMISSION) WHICH PROVIDED DEMOGRAPHIC, HEALTH, AND BEHAVIORAL HEALTH DATA, AS WELL AS DATA ON SOCIAL DETERMINANTS OF HEALTH. (2) THE MARTHA'S VINEYARD QUALITY OF LIFE SURVEY WAS ADMINISTERED PRIMARILY AS AN ONLINE SURVEY IN ENGLISH AND PORTUGUESE WITH SOME SURVEYS COMPLETED IN HARD COPY. THE SURVEY WAS ADMINISTERED BETWEEN MAY 21 AND JUNE 14, 2019 AND RECEIVED 346 RESPONSES (327 IN ENGLISH AND 19 IN PORTUGUESE). DATA ANALYSIS WAS CONDUCTED USING EXCEL AND SPSS. (3) THE MARTHA'S VINEYARD HOSPITAL ANNUAL PUBLIC FORUM, HELD ON JUNE 4, 2019 AND ATTENDED BY ROUGHLY 60 COMMUNITY MEMBERS, INCLUDED A QUESTION AND ANSWER PERIOD IN WHICH RESIDENTS DISCUSSED HEALTH-RELATED CONCERNS. THE MEETING VIDEO, AVAILABLE ON THE MVH WEBSITE, WAS ANALYZED TO IDENTIFY COMMON AND DIVERGENT THEMES AMONG THE CONCERNS EXPRESSED BY ATTENDEES. (4) KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH 16 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 THAT DEMONSTRATED 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. INPUT FROM 51 INDIVIDUALS FROM 30 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: MASS. EYE AND EAR UTILIZED A SMALL COMMUNITY BENEFIT (CB) WORKING GROUP UNDER THE LEADERSHIP OF JENNIFER STREET, SENIOR VICE PRESIDENT FOR COMMUNICATIONS AND PLANNING AND OUTSIDE CONSULTANTS HOPE KENEFICK, MSW, PHD AND DAWN BAXTER, MBA TO COORDINATE ITS CHNA AND PLANNING PROCESSES. THE TEAM ANALYZED PATIENT AND COMMUNITY-LEVEL DATA, GATHERED INSIGHTS FROM COMMUNITY PARTNERS AND OTHER KEY INFORMANTS, IDENTIFIED THE HOSPITAL'S PRIORITY COMMUNITIES, POPULATIONS, AND ISSUES, AND DEVELOPED PRELIMINARY GOALS, OBJECTIVES, AND STRATEGIES FOR THE IMPLEMENTATION PLAN. JENNIFER STREET AND THE CB WORKING GROUP CONVENED THE CB ADVISORY COMMITTEE1, A NEW 15-MEMBER GROUP COMPRISED OF INTERNAL AND EXTERNAL STAKEHOLDERS, TO REVIEW AND DISCUSS THE CHNA FINDINGS, PRIORITIES, AND THE PROPOSED IMPLEMENTATION PLAN ELEMENTS. MEMBERSHIP OF THE CB ADVISORY COMMITTEE WILL BE EXPANDED IN FY19 TO INCLUDE ADDITIONAL EXTERNAL PARTNERS WITH EXPERTISE IN THE PLAN'S PRIORITY POPULATIONS AND ISSUES. JENNIFER STREET THEN MET WITH THE HOSPITAL'S SENIOR LEADERSHIP, INCLUDING THE PRESIDENT/CEO, AND THE OFFICERS AND VICE PRESIDENTS FROM THE HOSPITALS CLINICAL, RESEARCH, AND ADMINISTRATIVE AREAS TO REVIEW THE COMMUNITY BENEFIT MISSION STATEMENT, CHNA FINDINGS, AND THE PROPOSED IMPLEMENTATION PLAN. THE CB WORKING GROUP INCORPORATED THE FEEDBACK PROVIDED BY THESE GROUPS AND READIED THE DOCUMENT FOR PRESENTATION TO THE HOSPITAL'S BOARD OF DIRECTORS IN MARCH OF 2019. FOLLOWING THE BOARD MEETING, THE CB WORKING GROUP PREPARED THE FINAL 2019-2021 COMMUNITY BENEFIT DOCUMENT. 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 PARTICIPATED FOR THE FIRST TIME EVER IN THREE COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESSES IN BOSTON, NORTH SUFFOLK (CHELSEA, REVERE, AND WINTHROP), AND EVERETT-MALDEN. PREVIOUSLY, MASS GENERALAND MOST PROVIDERSCONDUCTED ASSESSMENTS INDEPENDENTLY. THE GOAL OF COLLABORATION IS TO DEVELOP COORDINATED STRATEGIES AS WELL AS SOLUTIONS THAT CAN ACHIEVE RESULTS. 2. THE COMMUNITIES IDENTIFIED HOUSING QUALITY AND AFFORDABILITY AND ECONOMIC STABILITY AND MOBILITY, IMPORTANT SOCIAL DETERMINANTS OF HEALTH, AMONG THEIR TOP FOUR PRIORITIES FOR THE FIRST TIME EVER. SUBSTANCE USE DISORDER REMAINS A TOP PRIORITY, WITH THE NEW ADDITION OF MENTAL HEALTH. 3. MASS GENERAL HAS A HISTORICAL COMMITMENT TO THE COMMUNITIES OF CHELSEA, REVERE, AND CHARLESTOWN WHERE WE HAVE HEALTH CENTERS. BUT, BECAUSE WE ARE PART OF THE BOSTON CHNA COLLABORATIVE, WE WILL ALSO INCLUDE THE NEIGHBORHOODS IN BOSTON WITH THE GREATEST DISPARITIESROXBURY, DORCHESTER, MATTAPAN AND EAST BOSTON, AMONG OTHERSAS NEIGHBORHOODS OF FOCUS. 4. FOR THE FIRST TIME, MASS GENERAL IS INCLUDING ADDITIONAL INFORMATION ON COMMUNITIES WHERE WE HAVE LICENSED HEALTH CARE FACILITIES, INCLUDING WALTHAM, NEWTON, DANVERS, AND CONCORD.IN BOSTON, A FIRST-EVER CITYWIDE COLLABORATIVE FORMED THAT INCLUDES EVERY BOSTON TEACHING HOSPITAL, THE BOSTON PUBLIC HEALTH COMMISSION, COMMUNITY HEALTH CENTERS, AND COMMUNITY-BASED ORGANIZATIONS. THE PROCESS WAS FACILITATED AND GUIDED BY HEALTH RESOURCES IN ACTION (HRIA), A NON-PROFIT PUBLIC HEALTH CONSULTING GROUP IN BOSTON. THE CONFERENCE OF BOSTON TEACHING HOSPITALS ACTED AS THE "BACKBONE ORGANIZATION, PROVIDING INFRASTRUCTURE SUPPORT. AS A MEMBER OF THE BOSTON COLLABORATIVE STEERING COMMITTEE, MASS GENERAL HELPED GUIDE THE ENTIRE PROCESS, INCLUDING DATA GATHERING, ANALYSIS, PRIORITIZATION, AND STRATEGY DEVELOPMENT. IN NORTH SUFFOLK (CHELSEA, REVERE, AND WINTHROP), CITY AND TOWN LEADERS FORMED THE NORTH SUFFOLK PUBLIC HEALTH COLLABORATIVE (NSPHC) TO INCREASE THEIR COLLECTIVE IMPACT ON IMPROVING HEALTH. LIKE BOSTON, THE COLLABORATIVE WAS MADE UP OF AREA HOSPITAL SYSTEMS, HEALTH CENTERS, LOCAL HEALTH DEPARTMENTS, AND COMMUNITY-BASED ORGANIZATIONS. MASS GENERAL CO-LED THE NORTH SUFFOLK CHNA PROCESS, OVERSEEING DATA COLLECTION, ANALYSIS, AND REPORTING. MASS GENERAL ALSO PROVIDED TECHNICAL SUPPORT FOR THE DESIGN OF FOCUS GROUPS, KEY INFORMANT INTERVIEWS, AND SURVEY QUESTIONS. IN EVERETT-MALDEN WE JOINED WITH TWO HEALTHCARE PROVIDERS TO CONDUCT A RAPID CHNA. MASS GENERAL ACTED AS CO-COORDINATOR WITH CAMBRIDGE HEALTH ALLIANCE AND MELROSE-WAKEFIELD HEALTHCARE, DEVELOPING A SURVEY INSTRUMENT AND FOCUS GROUP GUIDE, ASSISTING WITH DATA COLLECTION AND ANALYSIS, AND PILOTING A NEW CHNA FRAMEWORK CALLED THRIVE, A TOOL FOR ENGAGING COMMUNITIES IN UNDERSTANDING IMPACTS ON HEALTH AND HOW TO RESPOND. IN FOUR TOWNS WEST OF BOSTON (CONCORD, DANVERS, NEWTON, AND WALTHAM) WHERE MGH HAS OUTPATIENT FACILITIES, WE REVIEWED DATA AND CONFIRMED THE HEALTH NEEDS REPORTED IN EACH HOSPITAL'S CHNA. THE BRIGHAM AND WOMEN'S HOSPITAL, INC PART V, SECTION B, LINE 6B: BWH PARTNERED WITH OTHER ORGANIZATIONS AS PART OF THE BOSTON CHNA-CHIP COLLABORATIVEA HIGHLY-ENGAGED GROUP COMPRISED OF COMMUNITY ORGANIZATIONS AND BOSTON RESIDENTS, HOSPITALS, COMMUNITY HEALTH CENTERS, AND THE BOSTON PUBLIC HEALTH COMMISSION. BRIGHAM AND WOMEN'S FAULKNER HOSPITAL PART V, SECTION B, LINE 6B: OVERVIEW OF BOSTON CHNA-CHIP COLLABORATIVE THE BOSTON CHNA-CHIP COLLABORATIVE IS AN INITIATIVE CREATED BY SEVERAL STAKEHOLDERSCOMMUNITY ORGANIZATIONS, HEALTH CENTERS, HOSPITALS AND THE BOSTON PUBLIC HEALTH COMMISSIONFORMED TO UNDERTAKE THE FIRST LARGE-SCALE COLLABORATIVE CITY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WITH WIDE RANGING PARTNERSHIP. WHILE COMMUNITY HEALTH ASSESSMENT AND PLANNING WORK HAVE BEEN LONG-STANDING ENDEAVORS AMONG INDIVIDUAL ORGANIZATIONS, THE BOSTON CHNA-CHIP COLLABORATIVE ALIGNS AND COORDINATES RESOURCES BETWEEN MULTI-SECTOR STAKEHOLDERS ACROSS BOSTON (LEARN MORE ABOUT THE COLLABORATIVE AT WWW.BOSTONCHNA.ORG). WENTWORTH-DOUGLASS HOSPITAL PART V, SECTION B, LINE 6B: THE HOSPITAL'S MOST RECENT CHNA WAS CONDUCTED WITH WENTWORTH-DOUGLASS PHYSICIAN CORP (WDPC), A RELATED 501(C) (3) ENTITY. THE GENERAL HOSPITAL CORPORATION PART V, SECTION B, LINE 11: MGH CCHI SUPPORTS MULTISECTOR COALITIONS IN THE COMMUNITIES OF REVERE, CHELSEA, CHARLESTOWN AND EAST BOSTON. RECOVERY COACHES, WHO ARE SIMILAR TO COMMUNITY HEALTH WORKERS FOR ADDICTION, ARE ASSIGNED TO EACH OF OUR HEALTH CENTERS, BOSTON HEALTH CARE FOR THE HOMELESS, AND HIGH UTILIZERS IN THE ED. THEY ARE PAIRED WITH MGH PATIENTS WHO HAVE BEEN DIAGNOSED WITH A SUBSTANCE USE DISORDER. THE KRAFT CENTER LAUNCHED THE CARE ZONE VAN, A MOBILE HEALTH PROGRAM IN PARTNERSHIP WITH THE BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, COMBINES HARM REDUCTION, CLINICAL SERVICES INCLUDING MEDICATION ASSISTED TREATMENT (MAT), DATA HOT SPOTTING, AND MOBILITY TO BRING ADDICTION SERVICES TO BOSTON'S MOST VULNERABLE RESIDENTS LIVING WITH SUBSTANCE USE DISORDER (SUD). MASS GENERAL AND HEALTHY CHELSEA ARE MEMBERS OF THE CHELSEA THRIVES COLLABORATIVE, WHICH WORKS TO DECREASE CRIME AND INCREASE FEELINGS OF SAFETY IN CHELSEA. CHELSEA THRIVES LAUNCHED THE CHELSEA HUB, A POLICE LED INITIATIVE MADE UP OF DESIGNATED STAFF FROM COMMUNITY AND GOVERNMENT AGENCIES THAT MEET WEEKLY TO ADDRESS SPECIFIC SITUATIONS REGARDING CLIENTS FACING ELEVATED LEVELS OF RISK, AND DEVELOP IMMEDIATE, COORDINATED, AND INTEGRATED RESPONSES THROUGH MOBILIZATION OF RESOURCES. THROUGH HOSPITAL AND COMMUNITY PROGRAMS LIKE HAVEN (HELPING ABUSE & VIOLENCE END NOW) AND VIAP (VIOLENCE INTERVENTION ADVOCACY PROGRAM), WE ADDRESS INTIMATE PARTNER AND COMMUNITY VIOLENCE AND ASSIST VICTIMS WITH PHYSICAL AND EMOTIONAL RECOVERY, EMPOWERING THEM TO MAKE POSITIVE CHANGES IN THEIR LIVES. IN JUNE 2019, MASS GENERAL LAUNCHED THE CENTER FOR GUN VIOLENCE PREVENTION DEDICATED TO ADVANCING THE HEALTH AND SAFETY OF CHILDREN AND ADULTS THROUGH INJURY AND GUN VIOLENCE PREVENTION RESEARCH, CLINICAL CARE, EDUCATION AND COMMUNITY ENGAGEMENT. THE BRIGHAM AND WOMEN'S HOSPITAL, INC PART V, SECTION B, LINE 11: SUPPORT INTERVENTIONS AND PARTNERSHIPS THAT REDUCE FINANCIAL INSTABILITY AND INCREASE ECONOMIC MOBILITY FOR LOW-INCOME RESIDENTS IN OUR PRIORITY COMMUNITIES.PROVIDE ECONOMIC MOBILITY AND WORKFORCE DEVELOPMENT COACHING TO PREGNANT AND PARENTING WOMEN THROUGH THE FAMILY PARTNERSHIP PROGRAM, AS WELL AS GROUP-BASED SKILL DEVELOPMENT AND INFORMATION SHARING VIA OUR COMMUNITY CALENDAR.PARTNER WITH COMMUNITY-BASED ORGANIZATIONS IN OUR PRIORITY NEIGHBORHOODS TO SUPPORT FINANCIAL LITERACY AND WORKFORCE DEVELOPMENT FOR YOUNG PARENTS.PROVIDE A CONTINUUM OF EDUCATION, CAREER EXPOSURE, AND EMPLOYMENT PROGRAMMING FOR YOUNG PEOPLE IN PARTNERSHIP WITH BOSTON PUBLIC SCHOOLS AND THE BOSTON PRIVATE INDUSTRY COUNCIL.SUPPORT JAMAICA PLAIN NEIGHBORHOOD DEVELOPMENT CORPORATION TO LEAD A YOUTH EMPLOYMENT PROGRAM FOCUSED ON OUT OF SCHOOL YOUTH.INCREASE AWARENESS AND PROMOTION OF LOCAL BUSINESSES AMONG THE BWH COMMUNITY TO SUPPORT ECONOMIC VITALITY IN OUR LOCAL NEIGHBORHOODS.PROVIDE RESIDENTS FROM MISSION HILL AND OTHER LOCAL NEIGHBORHOODS WITH EMPLOYMENT AND CAREER COUNSELING, SKILLS DEVELOPMENT TRAINING AND REFERRALS, AND FACILITATE JOB INTERVIEWS OF QUALIFIED COMMUNITY RESIDENTS.PARTNER WITH LOCALLY BASED ORGANIZATIONS AND INSTITUTIONS TO CREATE CAREER TRAINING PROGRAMS AND PATHWAYS AT BRIGHAM HEALTH FOR ADULTS WHO HAVE EXPERIENCED SIGNIFICANT BARRIERS TO EMPLOYMENT. NORTH SHORE MEDICAL CENTER, INC. PART V, SECTION B, LINE 11: THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EXAMINED THE HEALTH STATUS OF THE NORTH SHORE COMMUNITIES WITHIN THE SALEM HOSPITAL SERVICE AREA AND COMPARED FINDINGS IN 2018 TO THOSE OF THE PREVIOUS CHNA (2015). BASED ON REVIEW OF SECONDARY DATA AND THE ENGAGEMENT OF COMMUNITY RESIDENTS AND LEADERS, AS WELL AS HOSPITAL AND HEALTH CENTER PROVIDERS AND STAFF, THE 2018 CHNA IDENTIFIED ASSETS, SOCIAL DETERMINANTS OF HEALTH, AND HEALTH NEEDS WITHIN THE HOSPITAL SERVICE AREA. THEREAFTER, THE HOSPITAL'S COMMUNITY AFFAIRS AND HEALTH ACCESS COMMITTEE (CAHAC), THE 20-MEMBER BODY OF CLINICAL AND COMMUNITY LEADERS CHARGED WITH REVIEWING THE CHNA, UTILIZED THE 2018 CHNA FINDINGS IN A PLANNING PROCESS TO DEVELOP THE HOSPITAL'S NEXT THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE 2019-2021 CHIP FOCUSED ON THREE PRIORITIES: (1) BEHAVIORAL HEALTH MENTAL HEALTH (INCLUDING DEPRESSION, TRAUMA, AND STRESS) SUBSTANCE USE DISORDERS (INCLUDING OPIOIDS, ALCOHOL, AND MARIJUANA) GAPS IN TREATMENT STIGMA (2) HEALTH CARE ACCESS ACCESSIBILITY (TRANSPORTATION, AFTER-HOURS CARE, SPECIALTY CARE) HEALTH INSURANCE/COST CARE COORDINATION/NAVIGATION (3) HEALTH CARE ENVIRONMENT & TRUST CULTURALLY SENSITIVE CARE DELIVERY (INCLUDING TRAINING/RETENTION OF DIVERSE WORKFORCE) OFFERING SERVICES IN MULTIPLE LANGUAGES IN ADDITION TO THE PRIORITIES, THE CAHAC RECOMMENDED MAINTAINING A CROSS-CUTTING FOCUS ON VULNERABLE POPULATIONS (SUCH AS IMMIGRANTS, SENIORS, YOUTH, AND THE HOMELESS POPULATION) AND INCORPORATING HEALTH EDUCATION STRATEGIES WHEN ADDRESSING PRIORITIZED NEEDS. SINCE THE CREATION OF THE 2019-2021 CHIP, SALEM HOSPITAL HAS IMPLEMENTED SERVICES AND PROGRAMS TO ADDRESS THE IDENTIFIED PRIORITIES AND CROSS-CUTTING NEEDS. NEWTON-WELLESLEY HOSPITAL PART V, SECTION B, LINE 11: DURING JUNE TO AUGUST 2021, HRIA LED A FACILITATED PROCESS WITH NWH'S COMMUNITY BENEFITS COMMITTEE MEMBERS. THE COMMITTEE IS COMPRISED OF ABOUT 24 MEMBERS REPRESENTING COMMUNITY STAKEHOLDERS IN THE HOSPITAL SERVICE AREA AND NEWTON-WELLESLEY HOSPITAL CLINICAL AND NON-CLINICAL STAFF. IN JULY 2021, HRIA PRESENTED THE PRIORITIES IDENTIFIED BY THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), INCLUDING THE MAGNITUDE AND SEVERITY OF THESE ISSUES AND THEIR IMPACT ON PRIORITY POPULATIONS. MEMBERS OF THE COMMUNITY BENEFITS COMMITTEE DETERMINED THAT ALL THE COMMUNITY NEEDS IDENTIFIED IN THE CHNA SHOULD BE INCLUDED IN THE 2021 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IN THE FOLLOWING CLUSTERED PRIORITY CATEGORIES: PRIORITY 1: MENTAL HEALTH PRIORITY 2: SUBSTANCE USE PRIORITY 3: SOCIAL DETERMINANTS OF HEALTH PRIORITY 4: CHRONIC DISEASE THESE PRIORITY CATEGORIES CONTINUE FROM THE PREVIOUS CHNA-CHIP PROCESS, AS THEY REPRESENT ONGOING, CRITICAL NEEDS, ESPECIALLY FOR KEY POPULATIONS; AND SEVERAL INITIATIVES ARE STILL IN PROGRESS TO ADDRESS THEM. WHILE COVID19 IS NOT BEING ADDRESSED AS A STANDALONE PRIORITY IN THE 2021-2022 CHIP, THE CHIP STRATEGIES ADDRESS THE WIDER SOCIAL AND ECONOMIC IMPACTS OF THE PANDEMIC THAT ARE HIGHLIGHTED IN THE 2021 CHNA. IN LATE JULY 2021, COMMITTEE MEMBERS UTILIZED A PRIORITIZATION MATRIX WITH COMMONLY AGREED UPON SELECTION CRITERIA TO IDENTIFY PRIORITY AREAS AND STRATEGIES AND DETERMINE WHICH EXISTING PROGRAMS AND INITIATIVES SHOULD BE CONTINUED FROM THE PREVIOUS 2018-2021 CHIP. OF NOTE, THERE WERE SIX PRIORITIES IN THE PREVIOUS 2018 CHIP THAT WERE CONDENSED INTO FOUR BROAD CATEGORIES. IN SEPTEMBER 2021, HRIA LED A CHIP PLANNING SESSION THAT INCLUDED MAPPING CURRENT AND EMERGING PROGRAMS AND INITIATIVES AGAINST CURRENT NEEDS IDENTIFIED IN THE CHNA, AS WELL AS DECISION-MAKING REGARDING WHICH EXISTING PROGRAMS AND INITIATIVES WOULD BE CONTINUED. ALL AREAS HIGHLIGHTED BY THE 2021 CHNA ARE BEING ADDRESSED BY THE 2021 COMMUNITY HEALTH IMPROVEMENT PLAN. THIS PLAN IS MEANT TO BE REVIEWED QUARTERLY AND ADJUSTED TO ACCOMMODATE EMERGING ISSUES THAT MERIT ATTENTION. BRIGHAM AND WOMEN'S FAULKNER HOSPITAL PART V, SECTION B, LINE 11: EXPANDED FOOD INSECURITY WORK WITH PARTNERS TO PROVIDE STIPENDS TO MORE FAMILIES IN ADDITIONAL NEIGHBORHOOD OF ROSLINDALE. EXPANDED TARGETED DIABETES EDUCATION AND FOOD STIPENDS ON THE FRESH TRUCK TO INCLUDE MORE THAN 550 PATIENTS AT HYDE PARK COMMUNITY PHYSICIANS. PROVIDED NEW INITIATIVES OF EDUCATION AND AWARENESS TO THE DRUG EPIDEMIC TO PARENTS, COMMUNITY RESIDENTS AND CHILDREN WITH OUR COMMUNITY PARTNERS. CLOSE COLLABORATIVE WORK WITH COMMUNITY GROUPS ON A VARIETY OF HEALTH ISSUES, SUCH AS SENIOR SAFETY; TRANSPORTATION BARRIERS AND FOOD INSECURITY. ADDED TRAUMA INFORMED YOGA CLASSES FOR VIOLENCE SURVIVORS AS PART OF THE DV WORK. THE MCLEAN HOSPITAL CORPORATION PART V, SECTION B, LINE 11: MCLEAN'S IMPLEMENTATION STRATEGY THAT ADDRESSES PRIORITIZED NEEDS IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED BY THE MCLEAN HOSPITAL BOARD OF TRUSTEES ON SEPTEMBER 15, 2016. THE IMPLEMENTATION STRATEGY, APPROVED BY THE MCLEAN HOSPITAL BOARD OF TRUSTEES ON JANUARY 19, 2017, FOCUSES ON PEOPLE AND FAMILIES AFFECTED BY PSYCHIATRIC ILLNESS AND SUBSTANCE USE DISORDERS WITHIN CHNA 17 SERVICE AREAS AND MIDDLEBOROUGH. FOR THE PERIOD 2017-2019, MCLEAN'S IMPLEMENTATION STRATEGY INCLUDES: EXPANDING PSYCHIATRIC SERVICES TO MEET COMMUNITY NEEDS IMPROVING COMMUNITY MENTAL HEALTH THROUGH INNOVATIVE PROGRAMS CARING FOR UNINSURED AND UNDERINSURED STRENGTHENING MENTAL HEALTH THROUGH EDUCATION FOR PROFESSIONALS, CONSUMERS AND THEIR FAMILIES, AND THE PUBLIC PROVIDING COMMUNITY SUPPORT AND CONTRIBUTIONS. THE SPAULDING REHABILITATION HOSPITAL PART V, SECTION B, LINE 11: ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH: SPAULDING IS COMMITTED TO ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH OF CHRONIC UNEMPLOYMENT ABOUT PEOPLE WITH DISABILITIES AND THE UNDEREMPLOYMENT FOR STAFF AND COMMUNITY MEMBERS WITH SOCIOECONOMIC LIMITATIONS TO FURTHER EDUCATION. THE SPAULDING BOSTON COMMUNITY BENEFIT PROGRAM SUPPORTED THE FOLLOWING INITIATIVES IN FY18 TO INCREASE OPPORTUNITIES FOR EDUCATION AND PROFESSIONAL ADVANCEMENT FOR THIS DISADVANTAGED COMMUNITIES. IMPROVING ACCESS TO CARE TO REDUCE BARRIERS TO HEALTH CARE, THE SPAULDING BOSTON COMMUNITY BENEFIT PROGRAM PROVIDES FREE CARE TO PATIENTS WHOSE CARE WOULD NOT OTHERWISE BE FULLY SUPPORTED BY THEIR PAYERS. IN FY18, SRH PROVIDED THE FOLLOWING FREE CARE2: OUT-PATIENT SERVICES: $777,428 IN-PATIENT SERVICES $200,993 TOTAL $978,421PROMOTING WELLNESS AND PREVENTING INJURY AND DISEASE TO INCREASE WELLNESS AND PREVENT INJURY AND DISEASE, ESPECIALLY FOR CHILDREN, SENIORS, AND THOSE WITH DISABILITIES, SPAULDING BOSTON COMMUNITY BENEFIT PROGRAM SUPPORTED MANY INITIATIVES - PLEASE SEE THE CHNA FOR MORE DETAIL. REHABILITATION HOSPITAL OF THE CAPE PART V, SECTION B, LINE 11: IN LIGHT OF THE NEEDS IDENTIFIED AND THE CONSIDERATIONS ABOVE, SCC HAS COMMITTED TO ADDRESSING THE FOLLOWING PRIORITIES: ACCESS TO SPECIALTY REHABILITATION CARE SUPPORT AND ADVOCACY TO IMPROVE SAFETY AND INDEPENDENCE FOR OLDER ADULTS SUPPORT AND ADVOCACY FOR PERSONS LIVING WITH A DISABILITY IN ADDITION TO THESE IDENTIFIED NEEDS, SCC'S HOSPITAL LEADERS HAVE DECIDED TO ADD A PRIORITY AREA RELATED TO ENVIRONMENT TO ITS CHIP. GIVEN ITS LOCATIONS IN THE UNIQUE HABITAT OF CAPE COD AND ITS STATUS AS THE LARGEST PRIVATE EMPLOYER IN THE TOWN OF SANDWICH, SPAULDING CAPE COD RECOGNIZES ITS ROLE AS A LEADER IN ADOPTING GREEN PRACTICES TO HELP PRESERVE THE ENVIRONMENT OF CAPE COD. IN FACT, SCC HAS ADOPTED POLICIES TO REDUCE AND RECYCLE WASTE, SAVE ENERGY, AND EMPLOY SUSTAINABLE PRACTICES FOR MANY YEARS, INITIATIVES THAT RESULTED IN EARNING THE HIGHEST-LEVEL RECOGNITION FROM PRACTICE GREENHEALTH IN 2016 FOR ITS ONGOING PROGRAMS. FURTHERMORE, EMERGING SCIENCE IS MAKING CLEAR THE LINK BETWEEN ENVIRONMENTAL FACTORS, SUCH AS CLIMATE CHANGE, ON HEALTH. IDENTIFIED NEEDS NOT ADDRESSED GIVEN THE SPECIFIC CLINICAL EXPERTISE AND LIMITED RESOURCES OF SPAULDING CAPE COD, ADDRESSING ALL OF THE ISSUES IDENTIFIED BY THIS CHNA IS NOT FEASIBLE. THE HOSPITAL INTENDS TO FOCUS ITS EFFORTS WHERE IT CAN MAKE THE STRONGEST IMPACT. AS A RESULT, THE FOLLOWING NEEDS WILL NOT BE PRIORITIZED BY THE HOSPITAL: SUBSTANCE USE DISORDERS MENTAL HEALTH DISORDERS HOUSING ASSISTANCE. SPAULDING HOSPITAL-CAMBRIDGE, INC. PART V, SECTION B, LINE 11: SHC USED THE FOLLOWING CRITERIA TO PRIORITIZE NEEDS IDENTIFIED BY THIS ASSESSMENT: COMMUNITY NEED: REVIEW OF CURRENT DATA AND ASSESSMENTS FROM LOCAL, STATE AND NATIONAL ORGANIZATIONS COLLABORATIVE OPPORTUNITIES: OVERVIEW AND EVALUATION OF PARTNERSHIPS WITH LOCAL COMMUNITY ORGANIZATIONS COMMUNITY INTEREST AND READINESS: IN-DEPTH AND THOUGHTFUL DIALOGUE AND INPUT FROM INDIVIDUALS THOUGH STAKEHOLDER MEETINGS, FOCUS GROUPS AND SURVEY OPPORTUNITIES ESTIMATED EFFECTIVENESS AND IMPACT ADEQUATE RESOURCES FOR IMPLEMENTATION IN LIGHT OF THE NEEDS IDENTIFIED AND THE CONSIDERATIONS ABOVE, SHC HAS COMMITTED TO ADDRESSING THE FOLLOWING PRIORITIES: ACCESS TO CARE DISABILITY/ELDER ADVOCACY ENVIRONMENT WORKFORCE DEVELOPMENT IDENTIFIED NEEDS NOT ADDRESSED GIVEN THE SPECIFIC CLINICAL EXPERTISE AND LIMITED RESOURCES OF SPAULDING HOSPITAL CAMBRIDGE, ADDRESSING ALL OF THE ISSUES IDENTIFIED BY THIS CHA IS NOT FEASIBLE. THE HOSPITAL INTENDS TO FOCUS ITS EFFORTS WHERE IT CAN MAKE THE STRONGEST IMPACT. AS A RESULT, THE FOLLOWING NEEDS WILL NOT BE PRIORITIZED BY THE HOSPITAL: AFFORDABLE HOUSING HOMELESSNESS SUBSTANCE USE DISORDERS 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: THE CHNA DATA SERVE TO WEAVE A COMPLICATED STORY ABOUT THE HEALTH AND BEHAVIORAL HEALTH OF MARTHA'S VINEYARD RESIDENTS AND THE UNDERLYING SOCIAL DETERMINANTS OF HEALTH. THERE ARE NUMEROUS IMPORTANT ISSUES THAT IMPACT SUB-POPULATIONS ON THE ISLAND, EACH OF WHICH DESERVES ATTENTION TO ENSURE THE HEALTH AND WELL-BEING OF THOSE GROUPS. HOWEVER, FOUR MAJOR THEMES EMERGED FROM THE RESEARCH BASED ON THE PRIORITIES OF RESIDENTS, AS IDENTIFIED BY KEY INFORMANTS, AND SUPPORTED BY THE SECONDARY DATA. THESE THEMES ARE: (1) INSUFFICIENT INVENTORY OF AND ACCESS TO QUALITY AFFORDABLE YEAR-ROUND HOUSING HAS A SIGNIFICANT IMPACT ON THE HEALTH AND BEHAVIORAL HEALTH OF MANY ISLAND RESIDENTS AND THEIR ABILITY TO REMAIN ON THE ISLAND. IT ALSO COMPLICATES THE ABILITY OF ORGANIZATIONS ON THE ISLAND TO HIRE AND RETAIN MUCH-NEEDED CLINICIANS AND STAFF TO PROVIDE HEALTH AND BEHAVIORAL HEALTH SERVICES. (2) THERE ARE A NUMBER OF SERVICES ISLAND RESIDENTS CANNOT SECURE ON THE ISLAND BUT GAINING ACCESS TO CARE ON THE MAINLAND IS COSTLY AND CHALLENGING, PARTICULARLY IN THE SUMMER MONTHS OR WHEN AMBULANCE TRANSPORT IS NEEDED FROM THE HOSPITAL TO AN OFF-ISLAND FACILITY. IT IS ALSO ESSENTIAL TO ENSURE COORDINATION OF CARE AMONG PROVIDERS, PARTICULARLY THOSE ON- AND OFF-ISLAND. BECAUSE PROVIDERS AND RESIDENTS DO NOT HAVE A FULL UNDERSTANDING OF THE RANGE OF SERVICES AVAILABLE ON THE ISLAND, SOME MAY BE TRAVELING OFF-ISLAND TO ACCESS CARE UNNECESSARILY. (3) MENTAL HEALTH AND SUBSTANCE USE DISORDERS ARE GROWING CONCERNS AND THERE ARE TOO FEW BEHAVIORAL HEALTH CLINICIANS AND SERVICES AVAILABLE ON THE ISLAND, ESPECIALLY FOR PORTUGUESE-SPEAKING RESIDENTS AND WHO ARE TRAINED TO WORK WITH CHILDREN AND YOUTH. SEVERAL POPULATIONS APPEAR TO BE AT RISK FOR BEHAVIORAL HEALTH PROBLEMS, INCLUDING YOUNG ADULTS; THOSE WHO ARE HOMELESS; ISOLATED SENIORS AND PEOPLE WITH DISABILITIES; AND CHILDREN AND YOUTH WHO'VE EXPERIENCE FAMILY AND HOUSING INSTABILITY AND OTHER ADVERSE LIFE EVENTS. (4) THE DEMOGRAPHICS OF THE ISLAND ARE SHIFTING AS MANY YOUNGER ADULTS LEAVE TO PURSUE OPPORTUNITIES ON THE MAINLAND THAT ARE NOT AVAILABLE TO THEM ON THE VINEYARD AND AS MORE SENIORS RETIRE TO THE ISLAND. ALTHOUGH EFFORTS ARE UNDERWAY TO IMPROVE SERVICES FOR THIS POPULATION, THERE ARE LEVELS OF CARE NEEDED THAT ARE NOT AVAILABLE OR PLENTIFUL ENOUGH TO MEET THE NEEDS OF THE ISLAND'S GROWING ELDER POPULATION, INCLUDING HOME-BASED AND MENTAL HEALTH AND DEMENTIA CARE. THE CBAC REVIEWED THE CHNA REPORT AND, AT ITS JULY 16, 2019 MEETING, DISCUSSED THE ASSESSMENT FINDINGS. IN ADDITION TO ACCEPTING THE MAJOR THEMES AS PRIORITIES FOR STRATEGIC IMPLEMENTATION PLANNING PHASE, THE GROUP ALSO IDENTIFIED OTHER ISSUES IT CONSIDERS IMPORTANT AND WORTHY OF MORE DISCUSSION. THESE ISSUES ARE: ENSURING THE NEEDS OF THE BRAZILIAN COMMUNITY, TRIBAL COMMUNITY, AND SEASONAL RESIDENTS ARE EXPLORED AND BETTER UNDERSTOOD; UNDERSTANDING BETTER THE ROLE OF POVERTY AND FOOD INSECURITY IN THE LIVES OF ISLANDERS; PREVENTING AND ENSURING EARLY TREATMENT OF LYME DISEASE AND OTHER TICK-BORNE ILLNESSES; IMPROVING ACCESS TO DENTAL SERVICES; AND CULTIVATING COMMUNITY LEADERS FROM AMONG YOUNGER RESIDENTS/SUCCESSION PLANNING. THE REPORT WAS SHARED AND A SUMMARY OF THE THEMES AND PRIORITIES PRESENTED TO THE MVH BOARD OF DIRECTORS ON JULY 26 TO ENSURE THE BOARD'S ONGOING ENGAGEMENT IN THE HOSPITAL'S COMMUNITY BENEFIT WORK. 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. 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: THIS IMPLEMENTATION STRATEGY DESCRIBES HOW WENTWORTH-DOUGLASS HOSPITAL PLANS TO ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA. THE HOSPITAL REVIEWED THE CHNA FINDINGS AND APPLIED THE FOLLOWING CRITERIA TO DETERMINE THE MOST APPROPRIATE NEEDS FOR WENTWORTH-DOUGLASS HOSPITAL TO ADDRESS: THE EXTENT TO WHICH THE HOSPITAL HAS RESOURCES AND COMPETENCIES TO ADDRESS THE NEED; THE IMPACT THAT THE HOSPITAL COULD HAVE ON THE NEED; THE FREQUENCY WITH WHICH STAKEHOLDERS IDENTIFIED THE NEED AS A SIGNIFICANT PRIORITY; AND THE EXTENT OF COMMUNITY SUPPORT FOR THE HOSPITAL TO ADDRESS THE ISSUE AND POTENTIAL FOR PARTNERSHIPS TO ADDRESS THE ISSUE. BY APPLYING THESE CRITERIA, THE HOSPITAL DETERMINED THAT IT WILL ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED BY Y (FOR YES) IN THE TABLE THAT FOLLOWS. ISSUES IDENTIFIED BY N (FOR NO) REPRESENT ISSUES THAT THE HOSPITAL DOES NOT PLAN TO DIRECTLY ADDRESS DURING THE 2020-2022 TIME PERIOD. HOWEVER, INTERVENTIONS MAY INDIRECTLY IMPACT MULTIPLE SIGNIFICANT HEALTH NEEDS. ACCESS TO HEALTH SERVICES Y; HEART DISEASE AND STROKE Y; MENTAL HEALTH Y; NUTRITION, PHYSICAL ACTIVITY, AND OBESITY Y; OLDER ADULTS Y; ORAL HEALTH Y; SOCIAL DETERMINANTS (BASIC NEEDS & TRANSPORTATION) Y; SUBSTANCE ABUSE Y; TOBACCO USE Y MASSACHUSETTS EYE & EAR INFIRMARY PART V, SECTION B, LINE 11: THE FIVE GOALS OF THE COMMUNITY BENEFIT IMPLEMENTATION PLAN ARE AS FOLLOWS: 1. IMPROVE VISION AMONG MEMBERS OF MASS. EYE AND EAR'S PRIORITY COMMUNITIES AND POPULATIONS BY ENSURING ACCESS TO THE INFORMATION, SUPPORT, SCREENING AND CLINICAL SERVICES THEY NEED TO PREVENT AND ADDRESS VISION PROBLEMS. 2. IMPROVE HEARING AMONG MEMBERS OF MASS. EYE AND EAR'S PRIORITY COMMUNITIES AND POPULATIONS BY ENSURING ACCESS TO THE INFORMATION, SUPPORT, SCREENING AND CLINICAL SERVICES THEY NEED TO PREVENT AND ADDRESS HEARING PROBLEMS. 3. INCREASE EDUCATION, SCREENING, SUPPORT, AND SERVICES FOR OTHER CLINICAL CONDITIONS (BEYOND VISION AND HEARING) RELATED TO THE HEAD AND NECK. 4. IMPROVE ACCESS TO CARE FOR MEMBERS OF MASS. EYE AND EAR'S PRIORITY COMMUNITIES AND POPULATIONS WHO MAY NOT BE ABLE TO GET THE SERVICES THEY NEED FOR VISION, HEARING, OR HEAD/NECK CONDITIONS DUE TO LINGUISTIC, TRANSPORTATION, OR FINANCIAL BARRIERS OR LACK OF INFORMATION. 5. INCREASE JOB READINESS OF MEMBERS OF SOCIALLY/ECONOMICALLY VULNERABLE GROUPS IN THE TARGET COMMUNITIES. PART V, SECTION B - LINES 7 AND 10: THE GENERAL HOSPITAL CORPORATIONHTTPS://WWW.MASSGENERAL.ORG/ASSETS/MGH/PDF/COMMUNITY-HEALTH/2019-CHNA-CHIP.PDFTHE BRIGHAM AND WOMEN'S HOSPITAL, INC.HTTPS://WWW.BRIGHAMANDWOMENS.ORG/ASSETS/BWH/ABOUT-BWH/PDFS/CHNA-CHIP-2019_3.6.20.PDFNORTH SHORE MEDICAL CENTER, INC.HTTPS://SALEM.MASSGENERALBRIGHAM.ORG/COMMITMENT_TO_COMMUNITYNEWTON-WELLESLEY HOSPITALHTTPS://WWW.NWH.ORG/MEDIA/FILE/NWH%202021%20CHNA%20REPORT%20FINAL.PDFBRIGHAM AND WOMEN'S/FAULKNER HOSPITALHTTPS://WWW.BRIGHAMANDWOMENSFAULKNER.ORG/ASSETS/FAULKNER/ABOUT-BWFH/COMMUNITY-HEALTH/DOCUMENTS/BWFH-CHNA-REPORT-2019.PDFTHE MCLEAN HOSPITAL CORPORATIONHTTPS://WWW.MCLEANHOSPITAL.ORG/SITES/DEFAULT/FILES/SHARED/MCL-CHNA-AND-ANNUAL-IMPLEMENTATION-STRATEGY-UPDATE-2019-FINAL-9.19.2019.PDFSPAULDING REHABILITATION HOSPITAL CORPORATIONHTTP://SPAULDINGREHAB.ORG/ABOUT/COMMUNITY-INVOLVEMENTREHABILITATION HOSPITAL OF THE CAPE AND ISLANDS CORPORATIONHTTP://SPAULDINGREHAB.ORG/ABOUT/COMMUNITY-INVOLVEMENTSPAULDING HOSPITAL CAMBRIDGE, INC.HTTP://SPAULDINGREHAB.ORG/ABOUT/COMMUNITY-INVOLVEMENTNANTUCKET COTTAGE HOSPITALHTTPS://NANTUCKETHOSPITAL.ORG/WP-CONTENT/UPLOADS/2021/11/FY2021-NANTUCKET-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF?X16346&X65037MARTHA'S VINEYARD HOSPITALHTTPS://WWW.MVHOSPITAL.COM/MEDIA/IMAGES/MVH-FY19-CHNA-FINAL-REPORT-7.17.19.DOCX.PDFCOOLEY DICKINSON HOSPITAL, INC.HTTPS://WWW.COOLEYDICKINSON.ORG/WP-CONTENT/UPLOADS/2019/09/2019-CDHC-CHNA-9.18.19-SEPT-COVER.PDFWENTWORTH-DOUGLASS HOSPITALHTTPS://WWW.WDHOSPITAL.ORG/FILES/7615/6890/5432/2019_WDH_CHNA_-_FINAL.PDFMASSACHUSETTS EYE & EAR INFIRMARYHTTPS://WWW.MASSEYEANDEAR.ORG/ASSETS/MEE/PDFS/ABOUT/FY19-MASSEYEANDEAR-COMMUNITY-BENEFIT-REPORT-AND-PLAN-FINAL-032919.PDF PART V, LINE 16A-C: URLS FOR FINANCIAL ASSISTANCE POLICIES:HTTPS://WWW.MASSGENERALBRIGHAM.ORG/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE 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 URGENT CARE - WALTHAM DEVINCENT BUILDING 9 HOPE AVENUE WALTHAM MA 02453 OUTPATIENT CLINIC 47 - NEWTON-WELLESLEY AMBULATORY CARE CENTER 307 WEST CENTRAL STREET 1ST FLOOR NATICK MA 01760 OUTPATIENT CLINIC 48 - NEWTON-WELLESLEY SLEEP CENTER AT NEWTON 2345 COMMONWEALTH AVENUE BUILDING C NEWTON MA 02446 OUTPATIENT CLINIC 49 - NEWTON-WELLESLEY OUTPATIENT SURGERY CTR 25 WASHINGTON STREET WELLESLEY MA 02481 OUTPATIENT CLINIC 50 - NEWTON-WELLESLEY AMBULATORY CARE CENTER 159 WELLS AVENUE NEWTON MA 02459 OUTPATIENT CLINIC 51 - MCLEAN SOUTHEAST 23 ISAAC STREET MIDDLEBOROUGH MA 02346 OUTPATIENT CLINIC 52 - MCLEAN SOUTHEAST AT OAK STREET 52 OAK STREET MIDDLEBOROUGH MA 02346 OUTPATIENT CLINIC 53 - MCLEAN AMBULATORY TREATMENT CENTER 211 NORTH MAIN ST GROUND FIRST FL PETERSHAM MA 01366 OUTPATIENT CLINIC 54 - MCLEAN HOSPITAL AND ADOLESCENT MENTAL 799 CONCORD AVENUE 1ST FLOOR CAMBRIDGE MA 02138 OUTPATIENT CLINIC 55 - 3 EAST DBT PARTIAL HOSPITAL PROGRAM 6 CLAREMONT AVENUE 1ST 2ND FLOOR ARLINGTON MA 02476 OUTPATIENT CLINIC 56 - SPAULDING OUTPATIENT CENTER - BRIGHTON 20 GUEST STREET SUITE 150 BOSTON MA 02135 OUTPATIENT CLINIC 57 - SPAULDING OUTPATIENT CENTER - FRAMINGHAM 570 WORCESTER ROAD FRAMINGHAM MA 01702 OUTPATIENT CLINIC 58 - SPAULDING OUTPATIENT CENTER - MEDFORD 101 MAIN STREET SUITE 101 MEDFORD MA 02155 OUTPATIENT CLINIC 59 - SPAULDING OUTPATIENT CENTER - WELLESLEY 65 WALNUT STREET WELLESLEY MA 02181 OUTPATIENT CLINIC 60 - SPAULDING OUTPATIENT CENTER - BRAINTREE 300 GRANITE STREET 1ST FLOOR BRAINTREE MA 02184 OUTPATIENT CLINIC 61 - SPAULDING OUTPATIENT CENTER - DOWNTOWN 294 WASHINGTON STREET SUITE 215 BOSTON MA 02114 OUTPATIENT CLINIC 62 - SPAULDING OUTPATIENT CENTER - CAMBRIDGE 1575 CAMBRIDGE STREET 1ST FLOOR CAMBRIDGE MA 02138 OUTPATIENT CLINIC 63 - SPAULDING OUTPATIENT CENTER FOR CHILDREN 1 MAGUIRE ROAD 1ST FLOOR LEXINGTON MA 02421 OUTPATIENT CLINIC 64 - SPAULDING OUTPATIENT CENTER - WESTBOR 112 TURNPIKE ROAD SUITE 301 WESTBOROUGH MA 01581 OUTPATIENT CLINIC 65 - SPAULDING OUTPATIENT CENTER - PEABODY 4 CENTENNIAL DRIVE PEABODY MA 01960 OUTPATIENT CLINIC 66 - SPAULDING OUTPATIENT CENTER - MARBLEHEAD 40 LEGGIS HILL ROAD MARBLEHEAD MA 01945 OUTPATIENT CLINIC 67 - SPAULDING OUTPATIENT CENTER - CAPE ANN 1 BLACKBURN DRIVE GLOUCESTER MA 01930 OUTPATIENT CLINIC 68 - SPAULDING OUTPATIENT CENTER - MARBLEHEAD 4 COMMUNITY ROAD MARBLEHEAD MA 01945 OUTPATIENT CLINIC 69 - SPAULDING OUTPATIENT CENTER - LYNN 583 CHESTNUT STREET 3RD FLOOR LYNN MA 01904 OUTPATIENT CLINIC 70 - SPAULDING OUTPATIENT CENTER - SALEM 35 CONGRESS STREET 2ND FLOOR SALEM MA 01970 OUTPATIENT CLINIC 71 - SPAULDING OUTPATIENT CENTER - QUINCY 79 CODDINGTON STREET 2ND FLOOR QUINCY MA 02169 OUTPATIENT CLINIC 72 - SPAULDING OUTPATIENT CENTER - EMILSON 75 MILL STREET HANOVER MA 02339 OUTPATIENT CLINIC 73 - SPAULDING MALDEN 350 MAIN STREET 1ST FLOOR MALDEN MA 02148 OUTPATIENT CLINIC 74 - SPAULDING OUTPATIENT CENTER FOR CHILDREN 22 PATRIOT PLACE BLDG K STE 120 FOXBORO MA 02035 OUTPATIENT CLINIC 75 - SPAULDING OUTPATIENT CENTER - ORLEANS 65 OLD COLONY WAY SUITE 2 ORLEANS MA 02653 OUTPATIENT CLINIC 76 - SPAULDING OUTPATIENT CENTER - HYANNIS 1513 IYANNOUGH ROAD HYANNIS MA 02601 OUTPATIENT CLINIC 77 - SPAULDING EILEEN M WARD OUTPATIENT CTR 280-D ROUTE 130 SUITE 7 FORESTDALE MA 02644 OUTPATIENT CLINIC 78 - SPAULDING OUTPATIENT CENTER - PLYMOUTH 1 SCOBEE CIRCLE PLYMOUTH MA 02360 OUTPATIENT CLINIC 79 - SPORTS MEDICINE AND PT ASSOCIATES OF NCH 6 BAYBERRY COURT GROUND LEVEL NANTUCKET MA 02554 OUTPATIENT CLINIC 80 - COOLEY DICKINSON SOUTH DEERFIELD CENTER 21 B ELM STREET 1ST FLOOR SOUTH DEERFIELD MA 01373 OUTPATIENT CLINIC 81 - COOLEY DICKINSON HOSPITAL 170 UNIVERSITY DRIVE AMHERST MA 01002 OUTPATIENT CLINIC 82 - THE COOLEY DICKINSON HOSPITAL OUTPATIENT 10 COLLEGE HIGHWAY SOUTHAMPTON MA 01073 OUTPATIENT CLINIC 83 - COOLEY DICKINSON HOSPITAL REHAB SERV 58 OLD NORTH ROAD SUITE 1 WORTHINGTON MA 01098 OUTPATIENT REHAB CLINIC 84 - COOLEY DICKINSON HOSPITAL REHAB SERV 380 RUSSELL STREET 1ST FLOOR HADLEY MA 01035 OUTPATIENT REHAB CLINIC 85 - COOLEY DICKINSON HOSPITAL P& OCC T 4 WEST STREET 2ND FLOOR WEST HATFIELD MA 01088 OUTPATIENT CLINIC 86 - COOLEY DICKINSON HOSPITAL P OCC & S 8 ATWOOD DRIVE NORTHAMPTON MA 01060 OUTPATIENT CLINIC 87 - COOLEY DICKINSON HOSPITAL OUTPATIENT DIA 22 ATWOOD DRIVE NORTHAMPTON MA 01060 DIAGNOSTIC SERVICES 88 - SEACOAST CANCER CENTER 10 MEMBERS WAY SUITE 200 DOVER NH 03820 SPECIALTY CARE PRACTICE 89 - LEE OTPTIMAGING 65 CALEF HIGHWAY LEE NH 03861 OCCUPATIONAL/PHYSICAL THERAPY/IMAGING 90 - EXPRESS CARE DOVER 781 CENTRAL AVENUE DOVER NH 03820 EXPRESS CARE 91 - WDH PROFESSIONAL CENTER 10 MEMBERS WAY DOVER NH 03820 DIAGNOSTIC SERVICES 92 - EXPRESS CARE LEE 65 CALEF HIGHWAY LEE NH 03861 EXPRESS CARE 93 - DIAGNOSTIC CARDIOLOGY 19 OLD ROLLINSFORD ROAD DOVER NH 03820 CARDIOLOGY SERVICES 94 - DURHAM REHAB & SPORTS THERAPY CENTER 16 JENKINS COURT DURHAM NH 03824 SPECIALTY CARE PRACTICE 95 - WDH EARLY LEARNING CENTER 789 CENTRAL AVENUE DOVER NH 03820 CHILDCARE SERVICES 96 - PEASE BUILDING B 73 CORPORATE DRIVE PORTSMOUTH NH 03801 REHAB SERVICES 97 - PEASE BUILDING C 121 CORPORATE DRIVE PORTSMOUTH NH 03801 ONCOLOGY SERVICES 98 - THE DOORWAY 798 CENTRAL AVENUE DOVER NH 03820 SUBSTANCE ABUSE TREATMENT 99 - THE DOORWAY - HAMPTON 1 LAYFAYETTE ROAD HAMPTON NH 03842 SUBSTANCE ABUSE TREATMENT 100 - RIVERWODDS AT DURHAM 14 STONE QUARRY DRIVE DURHAM NH 03824 REHAB SERVICES 101 - HOSPITAL REHAB SERVICES 23 WORKS WAY SOMERSWORTH NH 03878 REHAB SERVICES 102 - WOMEN'S LIFE IMAGING 200 NH-108 SOMERSWORTH NH 03878 WOMEN'S IMAGING SERVICES 103 - MARSH BROOK REHAB 7 MARSH BROOK DRIVE SOMERSWORTH NH 03878 REHAB SERVICES 104 - PEASE BUILDING A 67 CORPORATE DRIVE PORTSMOUTH NH 03801 IMAGING AND CARDIOLOGY SERVICES 105 - THE WORKS 21-41 WORKS WAY SOMERSWORTH NH 03878 REHAB SERVICES 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.ASPX PART I - SUPPLEMENTAL INFORMATION 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 $19,374,750 FOR THE FISCAL PERIOD.PART I, LINE 7, COLUMN (F): THERE WAS $762,918 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. MASS GENERAL BRIGHAM EXPANDS MOBILE VACCINATION EFFORTS INITIATIVE TO INCREASE ACCESS FOR VULNERABLE COMMUNITIES:MASS GENERAL BRIGHAM HAS LAUNCHED A MOBILE VACCINATION INITIATIVE TO BRING VACCINES TO COMMUNITIES DEEPLY IMPACTED BY COVID-19. MASS GENERAL BRIGHAM WILL USE ITS COMMUNITY HEALTH VANSWHICH ARE ALSO USED FOR COVID-19 TESTING AND COMMUNITY OUTREACHTO REACH COMMUNITIES WITH LOWER VACCINATION RATES. THESE MOBILE POP-UPS WILL HELP MITIGATE BARRIERS TO GETTING VACCINATED LIKE LIMITED ACCESS TO MEDICAL PROVIDERS OR VACCINE CLINICS, SECURING TRANSPORTATION, MOBILITY ISSUES, AND WORK AND FAMILY CARE SCHEDULES. "AS VACCINE RATES START TO SLOW, WE'RE SEEING POCKETS OF PEOPLE WHO HAVE EITHER HAD A HARD TIME ACCESSING THE VACCINE, OR ARE STILL NOT CONFIDENT THAT THEY WANT TO BE VACCINATED," SAYS TOM SEQUIST, MD, MPH SEQUIST IS THE CHIEF PATIENT EXPERIENCE AND EQUITY OFFICER AT MASS GENERAL BRIGHAM. "IT'S MORE CRITICAL THAN EVER TO NOT LOSE MOMENTUM IN GETTING VULNERABLE POPULATIONS VACCINATED. WE HAVE TO MEET PEOPLE WHERE THEY AREWHETHER THAT'S INCREASING ACCESS TO THE VACCINE OR UNDERSTANDING WHY SOMEONE MAY HAVE QUESTIONS OR CONCERNS IN A COMPASSIONATE AND CULTURALLY COMPETENT WAY." TO HELP COMBAT VACCINE HESITATION, THE MOBILE VACCINE CLINICS WILL BE LEVERAGING OUR COMMUNITY MESSENGERS. THESE VOLUNTEER CLINICIANS HAVE BEEN ENGAGING LOCAL COMMUNITY MEMBERS TO HELP ANSWER PEOPLE'S QUESTIONS AND BOOST CONFIDENCE IN THE COVID-19 VACCINES. THE MASS GENERAL BRIGHAM COMMUNITY MESSENGERS ARE MULTI-LINGUAL AND MULTI-CULTURAL, WITH MANY HAVING SHARED LIFE EXPERIENCE WITH THE PEOPLE IN THE COMMUNITIES WE SERVE. THE HOPE IS THAT COMMUNITY MEMBERS WITH QUESTIONS OR CONCERNS ABOUT THE VACCINE WILL HAVE ACCESS TO ON-SITE EXPERTS. AND IF THEY CHOOSE TO GET VACCINATED, THEY WON'T HAVE TO WAIT TO SCHEDULE AN APPOINTMENT. "BRINGING VACCINES DIRECTLY INTO COMMUNITIES THROUGH THIS DATA DRIVEN, COMMUNITY FACING MOBILE INITIATIVE ENABLES US TO INCREASE ACCESS BY BRINGING VACCINES TO WHERE PEOPLE ARE, IN THEIR COMMUNITIES, IN THEIR HOMES- THIS IS ESPECIALLY IMPORTANT FOR THOSE THAT ARE AT THE HIGHEST RISK FOR ADVERSE OUTCOMES," SAYS PRIYA SARIN GUPTA, MD, MPH, MEDICAL DIRECTOR FOR THE MASS GENERAL BRIGHAM AND KRAFT CENTER COMMUNITY CARE VAN INITIATIVES. "THE COVID VACCINES ARE A SIMPLE, SAFE AND EFFECTIVE WAY OF PROTECTING EVERYONE FROM THIS HARMFUL DISEASE, AND ONE THING WE HAVE CERTAINLY LEARNED FROM THIS PUBLIC HEALTH PANDEMIC, IS THAT WE ARE ALL CONNECTED."THE THREE VACCINATION VANS WILL BE STATIONED IN COMMUNITIES HARDEST HIT BY COVID SUCH AS CHELSEA, REVERE, EVERETT, CHARLESTOWN, LYNN, ROXBURY, MATTAPAN, DORCHESTER, AND OTHER COMMUNITIES AS NEEDED. THE SCHEDULE, WHICH INCLUDES OTHER MOBILE RESOURCES SUCH AS TESTING, WILL BE UPDATED WEEKLY AND IS AVAILABLE IN ENGLISH AND SPANISH. NO PRE-SCHEDULED APPOINTMENTS ARE NEEDED AND WALK-INS ARE WELCOMED. THE HOPE IS THAT THESE POP-UP VACCINATION CLINICS WILL HELP REACH PEOPLE WHO HAVE HAD A HARD TIME ACCESSING THE VACCINEULTIMATELY PROTECTING SOME OF OUR MOST VULNERABLE PATIENTS AND THEIR FAMILIES IN OUR LOCAL COMMUNITIES. "WE LEARNED EARLY IN THE PANDEMIC THAT EXISTING BARRIERS TO HEALTH CARE WERE EXACERBATED BY COVID-19. WE ALSO REALIZED HOW CRITICAL IT WAS TO COLLABORATE WITH TRUSTED PARTNERS IN THE COMMUNITY," SAYS CHRISTIN PRICE, MD, OPERATIONS LEAD FOR COMMUNITY COVID TESTING AND VACCINATIONS AT BROOKSIDE COMMUNITY HEALTH CENTER, A MASS GENERAL BRIGHAM HEALTH CARE CENTER FOR PATIENTS IN JAMAICA PLAIN AND THE SURROUNDING BOSTON COMMUNITIES. DR. PRICE WAS ALSO INTEGRAL IN THE MASS GENERAL BRIGHAM COLLABORATION WITH UPHAM'S CORNER HEALTH CENTER TO STAND UP A COVID-19 POP-UP CENTER AT THE STRAND THEATREWHERE PATIENTS CAN ACCESS VACCINATIONS, SCREENINGS FOR SOCIAL NEEDS, AND OTHER RESOURCES. "WE ARE NOW SET TO TAKE THESE EFFORTS MOBILE AND ATTEMPT TO ELIMINATE ANY BARRIERS TO VACCINE ACCESS IN RESPONSE TO LOCAL RESIDENTS AND COMMUNITY ORGANIZATIONS' REQUESTS."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. WORKFORCE DEVELOPMENT 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 IMPROVEMENTS:THE HEALTH SECTOR IS RESPONSIBLE FOR APPROXIMATELY 8.5% OF U.S. CARBON EMISSIONS, WHICH ARE THE LEADING CAUSE OF GLOBAL CLIMATE CHANGE. AS AN INDUSTRY LEADER IN SUSTAINABLE HEALTHCARE DELIVERY, MASS GENERAL BRIGHAM IS COMMITTED TO TAKING ACTIONS THAT MINIMIZE ITS IMPACT ON THE ENVIRONMENT. EIGHTY PERCENT 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). THE CSLC IS CHAIRED BY NIYUM GANDHI, CHIEF FINANCIAL OFFICER OF MASS GENERAL BRIGHAM, AND INCLUDES 13 MEMBERS FROM ACROSS THE SYSTEM. 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. THE CSLC WILL MONITOR PROGRESS TOWARD THESE GOALS AND PROVIDE UPDATES AND RECOMMENDATIONS TO LEADERSHIP SYSTEMWIDE. THE GROUP HAS EMBARKED UPON AN AMBITIOUS EFFORT TO QUANTIFY ALL DIRECT AND INDIRECT CONTRIBUTIONS OF CLIMATE-HARMING EMISSIONS, WITH AN EYE TOWARD ESTABLISHING A TIMELINE AND PROCESS FOR REDUCINGAND ULTIMATELY ELIMINATINGOUR CONTRIBUTION TO CLIMATE CHANGE.AS A GLOBAL LEADER IN MEDICAL EDUCATION, MASS GENERAL BRIGHAM IS FORMALLY INTEGRATING CLIMATE-HEALTH AND HEALTH CARE SUSTAINABILITY INTO RESIDENT TRAINING, HOSTING A MONTHLY SEMINAR SERIES ON INTERSECTIONS BETWEEN ENVIRONMENT, HEALTH AND HEALTH CARE DELIVERY, CONDUCTING REGULAR CONFERENCES FOR CLINICAL DEPARTMENTS AND SUPPORTING HARVARD MEDICAL SCHOOL'S EFFORT TO EXPAND ITS CURRICULUM ON CLIMATE CHANGE AND HEALTH. ORGANIZATIONS THROUGHOUT THE SYSTEM ARE ALSO TAKING STEPS TO SUPPORT MASS GENERAL BRIGHAM'S GOAL OF REDUCING OUR OVERALL CARBON FOOTPRINT. FOR INSTANCE, BY REDUCING USE OF CERTAIN ANESTHETIC GASES THAT ARE SIGNIFICANT CONTRIBUTORS TO CLIMATE CHANGE, MINIMIZING THE PRODUCTION OF RED BAG WASTE, INCREASING MEDICAL DEVICE REPROCESSING, RECYCLING BLUE WRAP IN OUR OPERATING ROOMS AND OFFERING PLANT FORWARD MENU OPTIONS WHILE MINIMIZING FOOD WASTE AS PART OF THE COOL FOOD PLEDGE. MASS GENERAL BRIGHAM IS A FOUNDING PARTNER OF THE CLIMATE RESOURCES FOR HEALTH EDUCATION PROGRAM, A COLLABORATIVE DEVELOPING AND DISSEMINATING FREELY AVAILABLE RESOURCES FOR MEDICAL SCHOOLS AND RESIDENT TRAINING PROGRAMS. THE OTHER FOUNDING PARTNERS ARE THE GLOBAL CONSORTIUM ON CLIMATE AND HEALTH EDUCATION AT COLUMBIA UNIVERSITY AND THE UNIVERSITY OF SAN FRANCISCO SCHOOL OF MEDICINE. 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 $66,215 AND $65,171 FOR 2021 AND 2020, 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 TO THE FEDERAL GOVERNMENT BY HOSPITALS 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 (CHNA). 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 NEEDS.IN ADDITION, ALL OF MASS GENERAL BRIGHAM'S MEMBER INSTITUTIONS CONDUCT CHNAS OF THEIR OWN, AT MINIMUM, EVERY 3 YEARS.MASS GENERAL BRIGHAM IN 2019 HELPED ESTABLISH THE FIRST CITY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS COLLABORATIVE AIMED TO IDENTIFY THE MOST PRESSING ISSUES THAT AFFECT THE HEALTH OF BOSTON RESIDENTS, WITH A FOCUS ON THE ECONOMIC, SOCIAL, AND ENVIRONMENTAL FACTORS THAT IMPACT HEALTH. WHILE BOSTON HAS MANY STRENGTHS WHEN IT COMES TO IMPROVING THE HEALTH OF ITS COMMUNITIES, THE ASSESSMENT FOUND AREAS FOR IMPROVEMENT. WE HELPED IDENTIFY THREE PRIORITY AREAS FOR ACTION, DEVELOPING A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP): ACCESS TO ESSENTIAL HEALTH CARE AND SOCIAL SERVICES AFFORDABLE HOUSING ECONOMIC MOBILITY THE CHIP-CHNA COLLABORATIVE FOUND: THE TOP COMMUNITY HEALTH CONCERNS OF RESPONDENTS WERE HOUSING QUALITY/AFFORDABILITY (51%) AND ALCOHOL/DRUG ABUSE (49%)OPIOID OVERDOSE DEATHS HAVE INCREASED SIGNIFICANTLY OVER FIVE YEARS AND ARE HIGHEST AMONG LATINO RESIDENTS (50.5 DEATHS/100,000 RESIDENTS)CANCER AND HEART DISEASE ARE THE LEADING CAUSES OF DEATH, RESPECTIVELY, ACROSS EVERY RACE/ETHNICITYNEARLY HALF OF RESPONDENTS SEE EDUCATION AS A KEY COMPONENT OF A HEALTHY COMMUNITYBACKED BY THIS DATA ABOUT OUR COMMUNITIES, MASS GENERAL BRIGHAM IS BETTER EQUIPPED TO ADDRESS THE NEEDS OF OUR DIVERSE PATIENT POPULATIONS. 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.ASPXWENTWORTH-DOUGLASS FILES ITS COMMUNITY BENEFIT REPORT WITH THE NH DEPARTMENT OF JUSTICE FOUND AT: HTTPS://WWW.DOJ.NH.GOV/CHARITABLE-TRUSTS/DOCUMENTS/2020-WENTWORTH-DOUGLASS.PDF 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 (F/K/A PARTNERS HEALTHCARE SYSTEM, INC.) 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 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 MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET BOSTON MA 02114 041564655 501(C)(3) 523090204 TO SUPPORT TAX EXEMPT AFFILIATE THE GENERAL HOSPITAL CORPORATION 55 FRUIT STREET BOSTON MA 02114 042697983 501(C)(3) 31739583 TO SUPPORT TAX EXEMPT AFFILIATE MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION 55 FRUIT STREET BOSTON MA 02114 042807148 501(C)(3) 6825098 TO SUPPORT TAX EXEMPT AFFILIATE THE SPAULDING REHABILITATION HOSPITAL CORPORATION 300 FIRST AVENUE CHARLESTOWN MA 02129 042551124 501(C)(3) 100000 TO SUPPORT TAX EXEMPT AFFILIATE SPAULDING REHABILITATION INC 800 BOYLSTON STREET BOSTON MA 02199 260003495 501(C)(3) 1527688 TO SUPPORT TAX EXEMPT AFFILIATE MCLEAN HEALTHCARE INC 115 MILL STREET BELMONT MA 02478 204572876 501(C)(3) 13345364 TO SUPPORT TAX EXEMPT AFFILIATE BRIGHAM INC 75 FRANCIS STREET BOSTON MA 02115 042921338 501(C)(3) 637449190 TO SUPPORT TAX EXEMPT AFFILIATE THE BRIGHAM AND WOMEN'S HOSPITAL INC 75 FRANCIS STREET BOSTON MA 02115 042312909 501(C)(3) 20142707 TO SUPPORT TAX EXEMPT AFFILIATE BRIGHAM AND WOMEN'S PHYSICIANS ORGANIZATION 75 FRANCIS STREET BOSTON MA 02115 043466314 501(C)(3) 5634072 TO SUPPORT TAX EXEMPT AFFILIATE HARBOR MEDICAL ASSOCIATES INC 541 MAIN STREET SUITE 400 SO WEYMOUTH MA 02190 042702579 501(C)(3) 311697 TO SUPPORT TAX EXEMPT AFFILIATE NSMC HEALTHCARE INC 81 HIGHLAND AVENUE SALEM MA 01970 043294420 501(C)(3) 119066830 TO SUPPORT TAX EXEMPT AFFILIATE NORTH SHORE MEDICAL CENTER INC 81 HIGHLAND AVENUE SALEM MA 01970 043399616 501(C)(3) 66830 TO SUPPORT TAX EXEMPT AFFILIATE NORTH SHORE PHYSICIANS GROUP INC 81 HIGHLAND AVENUE SALEM MA 01970 043080484 501(C)(3) 28420068 TO SUPPORT TAX EXEMPT AFFILIATE NEWTON-WELLESLEY HOSPITAL 2014 WASHINGTON STREET NEWTON MA 02462 042103611 501(C)(3) 6257915 TO SUPPORT TAX EXEMPT AFFILIATE NEWTON-WELLESLEY MEDICAL GROUP INC 2014 WASHINGTON STREET NEWTON MA 02462 222560501 501(C)(3) 212676 TO SUPPORT TAX EXEMPT AFFILIATE NEWTON-WELLESLEY HEALTH CARE SYSTEM INC 2014 WASHINGTON STREET NEWTON MA 02462 204295282 501(C)(3) 72840574 TO SUPPORT TAX EXEMPT AFFILIATE NANTUCKET COTTAGE HOSPITAL 57 PROSPECT STREET NANTUCKET MA 02554 042103823 501(C)(3) 1227767 TO SUPPORT TAX EXEMPT AFFILIATE WNR INC 1 LINTON LANE OAK BLUFFS MA 02557 043419920 501(C)(3) 1400000 TO SUPPORT TAX EXEMPT AFFILIATE COOLEY DICKINSON HEALTH CARE CORPORATION 30 LOCUST STREET NORTHAMPTON MA 01060 042103561 501(C)(3) 17710600 TO SUPPORT TAX EXEMPT AFFILIATE CD PRACTICE ASSOCIATES INC PO BOX 911 NORTHAMPTON MA 01060 043194547 501(C)(3) 8462211 TO SUPPORT TAX EXEMPT AFFILIATE MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC 800 BOYLSTON STREET BOSTON MA 02199 043236175 501(C)(3) 8201 TO SUPPORT TAX EXEMPT AFFILIATE THE MGH INSTITUTE OF HEALTH PROFESSIONS INC 36 FIRST AVENUE CHARLESTOWN MA 02129 042868893 501(C)(3) 21500 TO SUPPORT TAX EXEMPT AFFILIATE WENTWORTH-DOUGLASS HOSPITAL 789 CENTRAL AVENUE DOVER NH 03820 020260334 501(C)(3) 425000 TO SUPPORT TAX EXEMPT AFFILIATE FOUNDATION OF THE MASSACHUSETTS EYE AND EAR INFIRMARY INC 243 CHARLES STREET BOSTON MA 02114 042785453 501(C)(3) 181759 TO SUPPORT TAX EXEMPT AFFILIATE MASS GENERAL BRIGHAM INCORPORATED 800 BOYLSTON STREET BOSTON MA 02199 043230035 501(C)(3) 333847387 TO SUPPORT TAX EXEMPT AFFILIATE NORTH END WATERFRONT HEALTH 332 HANOVER STREET BOSTON MA 02113 237089746 501(C)(3) 3793232 COMMUNITY BENEFIT PROGRAM COMMUNITY FOUNDATION FOR NANTUCKET 9B BAYBERRY COURT PO BOX 204 NANTUCKET MA 02554 134316755 501(C)(3) 1628104 COMMUNITY BENEFIT PROGRAM EAST BOSTON NEIGHBORHOOD HEALTH CENTER 10 GROVE STREET BOSTON MA 02116 237425849 501(C)(3) 1444000 COMMUNITY BENEFIT PROGRAM HEALTH RESOURCES IN ACTION (HRIA) 2 BOYLSTON STREET BOSTON MA 02116 042229839 501(C)(3) 732028 COMMUNITY BENEFIT PROGRAM NORTH SHORE COMMUNITY HEALTH INC 27 CONGRESS STREET SUITE 513 SALEM MA 01970 042610447 501(C)(3) 630331 COMMUNITY BENEFIT PROGRAM BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM 780 ALBANY STREET BOSTON MA 02118 043160480 501(C)(3) 545151 COMMUNITY BENEFIT PROGRAM NEW HAMPSHIRE HEALTH PROTECTION PROGRAM 125 AIRPORT ROAD CONCORD NH 03301 020275078 501(C)(1) 477646 COMMUNITY BENEFIT PROGRAM LYNN COMMUNITY HEALTH CENTER 269 MADISON AVENUE ROOM 9 LYNN MA 01901 042525066 501(C)(3) 429055 COMMUNITY BENEFIT PROGRAM THIRD SECTOR NEW ENGLAND 89 SOUTH STREET SUITE 700 BOSTON MA 02111 042261109 501(C)(3) 264098 COMMUNITY BENEFIT PROGRAM BOYS AND GIRLS CLUBS OF BOSTON 200 HIGH STREET 3RD FLOOR BOSTON MA 02110 042103922 501(C)(3) 262050 COMMUNITY BENEFIT PROGRAM BRIDGEWELL 10 DEARBORN ROAD PEABODY MA 01960 042477820 501(C)(3) 207000 COMMUNITY BENEFIT PROGRAM MISSION HILL NEIGHBORHOOD HOUSING SERVICES 1620 TREMONT STREET BOSTON MA 02120 237428011 501(C)(3) 200000 COMMUNITY BENEFIT PROGRAM MOTHERS FOR JUSTICE AND EQUALITY 184 DUDLEY STREET ROOM 109LL BOSTON MA 02119 453741482 501(C)(3) 172016 COMMUNITY BENEFIT PROGRAM MARTHA'S VINEYARD COMMUNITY SERVICES INC 111 EDGARTOWN ROAD VINEYARD HAVEN MA 02568 042301598 501(C)(3) 153320 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS WONDERFUND 600 WASHINGTON STREET BOSTON MA 02111 043443890 501(C)(3) 125000 COMMUNITY BENEFIT PROGRAM ABCD CENTRAL OFFICE 178 TREMONT STREET BOSTON MA 02111 042304133 501(C)(3) 125000 COMMUNITY BENEFIT PROGRAM CHILDREN'S SERVICES OF ROXBURY 2406 WASHINGTON STREET BOSTON MA 02119 043082352 501(C)(3) 125000 COMMUNITY BENEFIT PROGRAM ENGLISH FOR NEW BOSTONIANS 105 CHAUNCY STREET BOSTON MA 02111 463202177 501(C)(3) 125000 COMMUNITY BENEFIT PROGRAM MADISON PARK DEVELOPMENT CORPORATION 184 DUDLEY STREET SUITE 102 BOSTON MA 02119 237164223 501(C)(3) 125000 COMMUNITY BENEFIT PROGRAM HARVARD MEDICAL SCHOOL - THE FAMILY VAN 1033 MASSACHUSETTS AVENUE SUITE 3 BOSTON MA 02138 042103580 501(C)(3) 125000 COMMUNITY BENEFIT PROGRAM DOVER YOUTH TO YOUTH 46 CHESTNUT STREET DOVER NH 03820 501(C)(3) 125000 COMMUNITY BENEFIT PROGRAM COLLEGE BOUND DORCHESTER 18 SAMOSET STREET BOSTON MA 02124 042383512 501(C)(3) 100000 COMMUNITY BENEFIT PROGRAM LEGAL SERVICES CENTER 122 BOYLSTON STREET BOSTON MA 02130 042103580 501(C)(3) 100000 COMMUNITY BENEFIT PROGRAM SOCIEDAD LATINA 1530 TREMONT STREET BOSTON MA 02120 042678255 501(C)(3) 100000 COMMUNITY BENEFIT PROGRAM MISSIONSAFE PO BOX 201060 BOSTON MA 02119 043457195 501(C)(3) 85000 COMMUNITY BENEFIT PROGRAM UNITARIAN UNIVERSALIST URBAN MINISTRY 10 PUTNAM STREET BOSTON MA 02119 042105897 501(C)(3) 85000 COMMUNITY BENEFIT PROGRAM WALTHAM PARTNERSHIP FOR YOUTH 617 LEXINGTON STREET WALTHAM MA 02452 043399437 501(C)(3) 80800 COMMUNITY BENEFIT PROGRAM MAURICE J TOBIN K-8 SCHOOL 40 SMITH STREET BOSTON MA 02120 501(C)(3) 79000 COMMUNITY BENEFIT PROGRAM YMCA OF GREATER BOSTON - PARKWAY BRANCH 1972 CENTRE STREET W BOSTON MA 02132 042103551 501(C)(3) 75000 COMMUNITY BENEFIT PROGRAM BROOKVIEW HOUSE INC 2 BROOKVIEW STREET 1 BOSTON MA 02124 223032466 501(C)(3) 75000 COMMUNITY BENEFIT PROGRAM COMMUNITY ACTION PARTNERSHIP OF STRAFFORD COUNTY 577 CENTRAL AVENUE 10 DOVER NH 03820 020268636 501(C)(3) 75000 COMMUNITY BENEFIT PROGRAM ALL DORCHESTER SPORTS LEAGUE 1565 DORCHESTER AVENUE BOSTON MA 02124 222827346 501(C)(3) 70000 COMMUNITY BENEFIT PROGRAM ST STEPHEN'S YOUTH PROGRAM 31 LENOX STREET BOSTON MA 02118 261749602 501(C)(3) 70000 COMMUNITY BENEFIT PROGRAM HOSPICE OF MARTHA'S VINEYARD INC PO BOX 1748 VINEYARD HAVEN MA 02568 042770996 501(C)(3) 70000 COMMUNITY BENEFIT PROGRAM ITALIAN HOME FOR CHILDREN 1125 CENTRE STREET BOSTON MA 02130 042103799 501(C)(3) 65000 COMMUNITY BENEFIT PROGRAM CASA MYRNA 451 BLUE HILL AVENUE BOSTON MA 02121 042625710 501(C)(3) 62500 COMMUNITY BENEFIT PROGRAM WOMEN ENCOURAGING EMPOWERMENT PO BOX 13 REVERE MA 02151 043286531 501(C)(3) 62500 COMMUNITY BENEFIT PROGRAM BOYS AND GIRLS CLUBS OF BOSTON 200 HIGH STREET 3RD FLOOR BOSTON MA 02110 042103922 501(C)(3) 60000 COMMUNITY BENEFIT PROGRAM CCHERS (FOR HEART CONSORTIUM) 320 HUNTINGTON AVENUE ROOM 22 BOSTON MA 02115 043286409 501(C)(3) 60000 COMMUNITY BENEFIT PROGRAM EDWARD M KENNEDY ACADEMY 122 BOYLSTON STREET BOSTON MA 02130 272438940 501(C)(3) 60000 COMMUNITY BENEFIT PROGRAM ALLSTON BRIGHTON SUBSTANCE ABUSE 77 WARREN STREET BOSTON MA 02135 042716278 501(C)(3) 50000 COMMUNITY BENEFIT PROGRAM AMERICAN CANCER SOCIETY INC 43 NAGOG PARK ACTON MA 01720 050271570 501(C)(3) 50000 COMMUNITY BENEFIT PROGRAM BOSTON ASIAN YOUTH ESSENTIAL SERVICE 199 HARRISON AVENUE BOSTON MA 02111 237288855 501(C)(3) 50000 COMMUNITY BENEFIT PROGRAM PROJECT RIGHT INC 320 A BLUE HILL AVENUE BOSTON MA 02121 043265420 501(C)(3) 50000 COMMUNITY BENEFIT PROGRAM SOUTH BOSTON ACTION COUNCIL INC 424 WEST BROADWAY BOSTON MA 02127 042441041 501(C)(3) 50000 COMMUNITY BENEFIT PROGRAM HARBOR HOMES OF MARTHA'S VINEYARD PO BOX 4795 VINEYARD HAVEN MA 02568 832996138 501(C)(3) 50000 COMMUNITY BENEFIT PROGRAM GREATER SEACOAST COMMUNITY HEALTH 311 NH-108 SOMERSWORTH NH 03878 020304203 501(C)(3) 50000 COMMUNITY BENEFIT PROGRAM COMMUNITY SERVICE CARE INC PO BOX 300040 BOSTON MA 02130 042754281 501(C)(3) 47517 COMMUNITY BENEFIT PROGRAM MUSEUM OF AFRICAN AMERICAN HISTORY 14 BEACON STREET SUITE 401 BOSTON MA 02108 042429556 501(C)(3) 40000 COMMUNITY BENEFIT PROGRAM MATTAPAN COMMUNITY HEALTH CENTER 1425 BLUE HILL AVENUE BOSTON MA 02126 042544151 501(C)(3) 39812 COMMUNITY BENEFIT PROGRAM GREATER LYNN SENIOR SERVICES 8 SILSBEE STREET LYNN MA 01901 042581129 501(C)(3) 38096 COMMUNITY BENEFIT PROGRAM ECONOMIC MOBILITY PATHWAYS 1 WASHINGTON MALL 3RD FLOOR BOSTON MA 02108 042104046 501(C)(3) 37383 COMMUNITY BENEFIT PROGRAM CITY OF DOVER FIRE AND RESCUE 262 SIXTH STREET DOVER NH 03820 501(C)(1) 37000 COMMUNITY BENEFIT PROGRAM ST MARY - ST CATHERINE OF SIENA PARISH FOR HARVEST ON THE VINE 46 WINTHROP STREET BOSTON MA 02129 331136053 501(C)(3) 35277 COMMUNITY BENEFIT PROGRAM IGLESIA LA LUZ DE CRISTO INC 82 CLARK AVENUE CHELSEA MA 02150 043583859 501(C)(3) 35000 COMMUNITY BENEFIT PROGRAM MATTAPAN COMMUNITY HEALTH CENTER 1425 BLUE HILL AVENUE BOSTON MA 02126 042544151 501(C)(3) 32705 COMMUNITY BENEFIT PROGRAM GIRLS INCORPORATED OF LYNN 50 HIGH STREET LYNN MA 01902 042104250 501(C)(3) 31608 COMMUNITY BENEFIT PROGRAM ESAC PO BOX 301749 BOSTON MA 02130 042455301 501(C)(3) 30000 COMMUNITY BENEFIT PROGRAM ALTERNATIVE FOR COMMUNITY AND ENVIRONMENT 2201 WASHINGTON STREET ROOM 302 BOSTON MA 02119 043228509 501(C)(3) 30000 COMMUNITY BENEFIT PROGRAM AMHERST SURVIVAL CENTER 138 SUNDERLAND ROAD AMHERST MA 01002 042698462 501(C)(3) 30000 COMMUNITY BENEFIT PROGRAM DIMOCK COMMUNITY HEALTH CENTER 55 DIMOCK STREET BOSTON MA 02111 043487835 501(C)(3) 30000 COMMUNITY BENEFIT PROGRAM SOUTH END COMMUNITY HEALTH CENTER 1601 WASHINGTON STREET BOSTON MA 02118 042456134 501(C)(3) 29558 COMMUNITY BENEFIT PROGRAM PHILANTHROPHY MASSACHUSETTS 133 FEDERAL STREET SUITE 802 BOSTON MA 02110 042457605 501(C)(3) 27000 COMMUNITY BENEFIT PROGRAM TOWN OF FOXBOROUGH COUNCIL ON AGINGHUMAN SERVICES 75 CENTRAL STREET FOXBOROUGH MA 02035 046001150 501(C)(1) 26200 COMMUNITY BENEFIT PROGRAM HEALTH RESOURCES IN ACTION (HRIA) 2 BOYLSTON STREET BOSTON MA 02116 042229839 501(C)(3) 25000 COMMUNITY BENEFIT PROGRAM ACE MV 455 STATE ROAD VINEYARD HAVEN MA 02568 263371336 501(C)(3) 25000 COMMUNITY BENEFIT PROGRAM ISLAND AUTISM GROUP INC PO BOX 2786 EDGARTOWN MA 02539 300661116 501(C)(3) 25000 COMMUNITY BENEFIT PROGRAM ISLAND GROWN INITIATIVE PO BOX 622 VINEYARD HAVEN MA 02568 205773892 501(C)(3) 25000 COMMUNITY BENEFIT PROGRAM ISLAND HOUSING TRUST 346 STATE ROAD VINEYARD HAVEN MA 02568 020549245 501(C)(3) 25000 COMMUNITY BENEFIT PROGRAM HEALTHY AGING MARTHA'S VINEYARD 111 EDGARTOWN ROAD OAK BLUFFS MA 02557 042301598 501(C)(3) 25000 COMMUNITY BENEFIT PROGRAM YMCA OF MARTHA'S VINEYARD 111R EDGARTOWN VINEYARD HAVEN ROAD VINEYARD HAVEN MA 02568 043293959 501(C)(3) 25000 COMMUNITY BENEFIT PROGRAM BOSTON 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OF AMERICA 84 WASHINGTON STREET BOSTON MA 02129 461177785 501(C)(3) 10000 COMMUNITY BENEFIT PROGRAM YMCA OF GREATER BOSTON - WALTHAM BRANCH 725 LEXINGTON STREET WALTHAM MA 02452 042103551 501(C)(3) 10000 COMMUNITY BENEFIT PROGRAM NATIONAL KIDNEY FOUNDATION 30 EAST 33RD STREET NEW YORK NY 10016 131673104 501(C)(3) 10000 COMMUNITY BENEFIT PROGRAM CAMP HARBOR VIEW 200 CLARENDON STREET 60TH FLOOR BOSTON MA 02116 753235491 501(C)(3) 7602 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS HEALTH COUNCIL 200 RESERVOIR STREET NEEDHAM MA 02494 042296739 501(C)(3) 7500 COMMUNITY BENEFIT PROGRAM NEWTON COMMUNITY PRIDE 1000 COMMONWEALTH AVENUE NEWTON MA 02459 222793743 501(C)(3) 7000 COMMUNITY BENEFIT PROGRAM CANCER CONNECTION 41 LOCUST STREET NORTHAMPTON MA 01060 043493483 501(C)(3) 6000 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS EATING DISORDER ASSOCIATION INC 92 PEARL STREET NEWTON MA 02458 043224394 501(C)(3) 6000 COMMUNITY BENEFIT PROGRAM RESOLVE NEW ENGLAND 395 TOTTEN POND ROAD SUITE 203 WALTHAM MA 02451 501(C)(3) 6000 COMMUNITY BENEFIT PROGRAM FRIENDS OF THE CHARLESTOWN LIBRARY 179 MAIN STREET BOSTON MA 02129 043330182 501(C)(3) 5700 COMMUNITY BENEFIT PROGRAM SAFE PASSAGE 43 CENTER STREET NORTHAMPTON MA 01060 042690131 501(C)(3) 5250 COMMUNITY BENEFIT PROGRAM BOSTON CANCER SUPPORT 51 FAIRLESS ROAD NEWTON MA 02468 300863587 501(C)(3) 5029 COMMUNITY BENEFIT PROGRAM 132 8 SCHOLARSHIPS 423 7595346 0 TUITION REDUCTION - VARIOUS RECIPIENTS 0 737500 0 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 $8,332,846 CONSISTS OF SCHOLARSHIPS PROVIDED BY THE INSTITUTE OF $7,595,346 FOR 423 STUDENTS AND $737,500 FOR TUITION REDUCTIONS RELATED TO VOUCHERS TO CLINICAL SITES AND REDEEMED BY STUDENTS TO OFFSET TUITION CHARGES. TOTAL FINANCIAL AID OF $8,332,846 OFFSETS TUITION AND FEES ONLY. 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O & T TITLES 370918 0 10183 0 40305 0 13611 0 24680 0 459697 0 0 0 MARTHA PYLE FARRELL SEE SCHEDULE O - O & T TITLES 349501 0 37550 0 23091 0 29925 0 17568 0 457635 0 0 0 JEFFREY B HUGHES SEE SCHEDULE O - O & T TITLES 334351 0 40260 0 41411 0 14962 0 24916 0 455900 0 0 0 DAVID A LAGASSE SEE SCHEDULE O - O & T TITLES 0 293496 0 16630 0 80968 0 29925 0 34246 0 455265 0 0 JONATHAN SNIDER MD SEE SCHEDULE O - O & T TITLES 377701 0 20225 0 22397 0 10687 0 22292 0 453302 0 0 0 REBECCA SYMMES LEE MD SEE SCHEDULE O - O & T TITLES 398146 0 4000 0 13702 0 10687 0 26401 0 452936 0 0 0 GARRETT J BOMBA SEE SCHEDULE O - O & T TITLES 372508 0 20500 0 32017 0 0 0 25149 0 450174 0 0 0 ALLYSON L PRESTON MD SEE SCHEDULE O - O & T TITLES 369780 0 9663 0 26467 0 14962 0 27623 0 448495 0 0 0 DAVID P CONNOLLY SEE SCHEDULE O - O & T TITLES 0 311357 0 17843 0 61443 0 29925 0 27418 0 447986 0 0 DYLAN C KWAIT MD SEE SCHEDULE O - O & T TITLES 294001 0 75372 0 25200 0 27075 0 25552 0 447200 0 0 0 THOMAS L BEATTY JR MD SEE SCHEDULE O - O & T TITLES 353704 0 18435 0 23980 0 14962 0 27776 0 438857 0 0 0 HUGH DAVID CURTIN MD FORMER O - MEEA 380001 0 0 0 1064 0 38715 0 18655 0 438435 0 0 0 JOHN R HIGHAM ESQ SEE SCHEDULE O - O & T TITLES 0 326684 0 48631 0 11051 0 26100 0 22371 0 434837 0 0 ATLAS D EVANS SEE SCHEDULE O - O & T TITLES 343992 0 2979 0 19963 0 38720 0 26242 0 431896 0 0 0 KAREN A CASPER SEE SCHEDULE O - O & T TITLES 326727 0 27713 0 56934 0 14962 0 5275 0 431611 0 0 0 MICHAEL S GILMORE SEE SCHEDULE O - O & T TITLES 356200 0 0 0 20916 0 38715 0 12891 0 428722 0 0 0 ALEX F JOHNSON SEE SCHEDULE O - O & T TITLES 338490 0 3175 0 16548 0 38720 0 23812 0 420745 0 0 0 MICHAEL J HESSION MD SEE SCHEDULE O - O & T TITLES 253170 0 63355 0 39885 0 38721 0 25495 0 420626 0 0 0 HELEN C IRELAND MD SEE SCHEDULE O - O & T TITLES 353614 0 1675 0 20399 0 9262 0 31979 0 416929 0 0 0 PAUL G CUSHING ESQ SEE SCHEDULE O - O & T TITLES 0 261715 0 45053 0 49944 0 29925 0 28888 0 415525 0 0 SARAH ARNHOLZ ESQ SEE SCHEDULE O - O & T TITLES 0 289336 0 45053 0 20564 0 29925 0 29342 0 414220 0 0 SCOTT L SCHISSEL MD PHD SEE SCHEDULE O - O & T TITLES 303137 0 12078 0 42335 0 32775 0 22045 0 412370 0 0 0 PATRICK T LEE MD SEE SCHEDULE O - O & T TITLES 344536 0 16376 0 14326 0 9262 0 24892 0 409392 0 0 0 JEANETTE IVES ERICKSON RN SEE SCHEDULE O - O & T TITLES 302657 0 0 0 52147 0 44201 0 9569 0 408574 0 0 0 TIMOTHY V PARSONS MD SEE SCHEDULE O - O & T TITLES 323160 0 6000 0 39682 0 14618 0 22703 0 406163 0 0 0 KHOSRO FARHAD MD SEE SCHEDULE O - O & T TITLES 350440 0 7335 0 30657 0 12291 0 5250 0 405973 0 0 0 KHALID SYED MD SEE SCHEDULE O - O & T TITLES 293075 0 1800 0 67256 0 14962 0 27943 0 405036 0 0 0 CHARLES E ADAMS SEE SCHEDULE O - O & T TITLES 0 300155 0 16000 0 28048 0 29925 0 29672 0 403800 0 0 MICHAEL R CARTER SEE SCHEDULE O - O & T TITLES 0 259210 0 80295 0 23239 0 26578 0 8557 0 397879 0 0 DEBRA H ROGERS SEE SCHEDULE O - O & T TITLES 270451 0 40391 0 35483 0 29925 0 20900 0 397150 0 0 0 EILEEN O LOWELL FORMER K - MEEI 257301 0 47942 0 40119 0 29788 0 19614 0 394764 0 0 0 MICHELLE W HELMS MD SEE SCHEDULE O - O & T TITLES 351273 0 3922 0 10780 0 9726 0 18680 0 394381 0 0 0 KEITH R BARTLETT SEE SCHEDULE O - O & T TITLES 228079 0 65970 0 54108 0 13578 0 32163 0 393898 0 0 0 SUSAN DEMPSEY SEE SCHEDULE O - O & T TITLES 283580 0 23218 0 30955 0 29925 0 25791 0 393469 0 0 0 JOHN B HERMAN MD SEE SCHEDULE O - O & T TITLES 267444 0 20779 0 41846 0 38719 0 24546 0 393334 0 0 0 ROXANNE C RUPPEL SEE SCHEDULE O - O & T TITLES 0 290200 0 15410 0 27533 0 29925 0 26268 0 389336 0 0 VICKI A JACKSON MD SEE SCHEDULE O - O & T TITLES 306729 0 4585 0 15938 0 38718 0 21620 0 387590 0 0 0 KEREN DIAMOND SEE SCHEDULE O - O & T TITLES 0 273423 0 15606 0 49616 0 29925 0 16833 0 385403 0 0 DANIEL M MORASH SEE SCHEDULE O - O & T TITLES 309958 0 36575 0 10206 0 21280 0 3400 0 381419 0 0 0 KERRY J RESSLER MD PHD SEE SCHEDULE O - O & T TITLES 307119 0 16300 0 15748 0 21375 0 20529 0 381071 0 0 0 ANTHONY J SCIBELLI MS MBA SEE SCHEDULE O - O & T TITLES 290070 0 23475 0 38231 0 12038 0 15806 0 379620 0 0 0 MATTHEW J GOLDBERG MD SEE SCHEDULE O - O & T TITLES 273055 0 40137 0 38086 0 14940 0 12980 0 379198 0 0 0 DIANE R PEARL SEE SCHEDULE O - O & T TITLES 311381 0 100 0 8041 0 38722 0 20899 0 379143 0 0 0 ROBERT T MCCALL SEE SCHEDULE O - O & T TITLES 0 267731 0 15103 0 39950 0 26971 0 29380 0 379135 0 0 KENNETH E HOLMES SEE SCHEDULE O - O & T TITLES 239301 0 45092 0 37968 0 29925 0 26132 0 378418 0 0 0 STEVEN EDWARD FEDER SEE SCHEDULE O - O & T TITLES 251149 0 72500 0 15581 0 10581 0 24362 0 374173 0 0 0 CLAIRE M SEGUIN SEE SCHEDULE O - O & T TITLES 303434 0 20725 0 10529 0 14513 0 24185 0 373386 0 0 0 AMY M GUAY FORMER O - HSC,RHCI,SHC,SKRH,SNTCB,S 0 278558 0 10000 0 32084 0 18928 0 24304 0 363874 0 0 JEFFREY C POLLOCK SEE SCHEDULE O - O & T TITLES 233586 0 45070 0 34193 0 14546 0 32656 0 360051 0 0 0 ANNE H KALTER MD SEE SCHEDULE O - O & T TITLES 293443 0 13139 0 12950 0 14117 0 24381 0 358030 0 0 0 LAURIE R LAMOUREUX SEE SCHEDULE O - O & T TITLES 239885 0 21000 0 65178 0 12923 0 18382 0 357368 0 0 0 DOMINIQUE Y ARCE MD MPH SEE SCHEDULE O - O & T TITLES 264737 0 47362 0 617 0 21375 0 21997 0 356088 0 0 0 ERNESTO DASILVA MD SEE SCHEDULE O - O & T TITLES 294596 0 0 0 21530 0 14602 0 24179 0 354907 0 0 0 MARGARET M KOEHM MD SEE SCHEDULE O - O & T TITLES 237038 0 22487 0 45710 0 38721 0 8494 0 352450 0 0 0 MARY JO GAGNON SEE SCHEDULE O - O & T TITLES 0 241100 0 14330 0 51843 0 29925 0 13571 0 350769 0 0 DENIS G STRATFORD SEE SCHEDULE O - O & T TITLES 289256 0 0 0 -4841 0 38721 0 25199 0 348335 0 0 0 EDWARD J OLIVIER SEE SCHEDULE O - O & T TITLES 244428 0 20212 0 47511 0 13101 0 22448 0 347700 0 0 0 MONA Z HINRICHSEN MD SEE SCHEDULE O - O & T TITLES 281546 0 21000 0 9432 0 9228 0 24271 0 345477 0 0 0 DOST ONGUR MD PHD SEE SCHEDULE O - O & T TITLES 296954 0 5000 0 -8783 0 26336 0 23208 0 342715 0 0 0 CINDY L AIENA SEE SCHEDULE O - O & T TITLES 0 262143 0 6875 0 12101 0 26852 0 34036 0 342007 0 0 IMOIGELE P AISIKU MD MBA SEE SCHEDULE O - O & T TITLES 247204 0 50460 0 1770 0 19950 0 21988 0 341372 0 0 0 BRIAN HUGGINS SEE SCHEDULE O - O & T TITLES 0 257456 0 20000 0 15874 0 17995 0 28426 0 339751 0 0 YOUSEF GHANEM SEE SCHEDULE O - O & T TITLES 0 261667 0 14000 0 14203 0 18300 0 29229 0 337399 0 0 GERARD F HADLEY SEE SCHEDULE O - O & T TITLES 0 237499 0 19742 0 31056 0 28074 0 20500 0 336871 0 0 CORI LOESCHER MM BSN RN SEE SCHEDULE O - O & T TITLES 240497 0 19875 0 23600 0 28225 0 24108 0 336305 0 0 0 MICHAEL IWAMA FORMER K - IHP 273674 0 0 0 13218 0 20880 0 25788 0 333560 0 0 0 TRACY A SYKES ESQ SEE SCHEDULE O - O & T TITLES 0 244026 0 5518 0 26025 0 28490 0 27541 0 331600 0 0 CHRISTINE A BLASKI MD SEE SCHEDULE O - O & T TITLES 269756 0 4850 0 15065 0 9151 0 23673 0 322495 0 0 0 CHRISTOPHER R FORTIER SEE SCHEDULE O - O & T TITLES 249832 0 6833 0 6922 0 25597 0 32485 0 321669 0 0 0 MICHAEL J RICCI FORMER K - MEEI 0 253136 0 5000 0 20478 0 20588 0 21011 0 320213 0 0 MAY CM PIAN-SMITH MD SEE SCHEDULE O - O & T TITLES 212121 0 13265 0 33763 0 33195 0 24492 0 316836 0 0 0 SEJAL B SHAH MD SEE SCHEDULE O - O & T TITLES 235000 0 50514 0 -2129 0 21471 0 8949 0 313805 0 0 0 ROBERT D WELCH SEE SCHEDULE O - O & T TITLES 217267 0 10347 0 29779 0 31411 0 23926 0 312730 0 0 0 COLLEEN CURRY SEE SCHEDULE O - O & T TITLES 242532 0 13330 0 27304 0 16699 0 10515 0 310380 0 0 0 JUDI S GREENBERG ESQ SEE SCHEDULE O - O & T TITLES 0 199501 0 15998 0 37567 0 25318 0 29272 0 307656 0 0 KHAMA D ENNIS MD MPH SEE SCHEDULE O - O & T TITLES 230962 0 22600 0 15925 0 10157 0 22688 0 302332 0 0 0 LINDA FLAHERTY RN FORMER K - MCLEAN 207700 0 11585 0 22600 0 35887 0 21595 0 299367 0 0 0 JOHN FANIKOS SEE SCHEDULE O - O & T TITLES 206557 0 544 0 38339 0 26649 0 25785 0 297874 0 0 0 JOANNE M FUCILE SEE SCHEDULE O - O & T TITLES 228505 0 11755 0 15745 0 30536 0 10356 0 296897 0 0 0 LIZA HALPERN MEYERHARDT MD SEE SCHEDULE O - O & T TITLES 232600 0 29367 0 21073 0 11004 0 1680 0 295724 0 0 0 ANGELA BELMONT SEE SCHEDULE O - O & T TITLES 202193 0 17557 0 42862 0 9003 0 22657 0 294272 0 0 0 MELISSA P BRENNAN ESQ SEE SCHEDULE O - O & T TITLES 0 205470 0 7747 0 18274 0 18041 0 40310 0 289842 0 0 MIRANDA BALKIN MD SEE SCHEDULE O - O & T TITLES 220713 0 35000 0 7949 0 0 0 23042 0 286704 0 0 0 MARY BETH DIFILIPPO SEE SCHEDULE O - O & T TITLES 214375 0 0 0 22945 0 25598 0 22941 0 285859 0 0 0 LAURA STEPHENS ESQ SEE SCHEDULE O - O & T TITLES 0 212167 0 7319 0 11543 0 24036 0 30248 0 285313 0 0 SARI MIETTINEN SEE SCHEDULE O - O & T TITLES 224512 0 10000 0 37240 0 2800 0 9474 0 284026 0 0 0 JEFFREY R ZACK MD FORMER K - MVH 223341 0 100 0 26601 0 11241 0 22284 0 283567 0 0 0 MARK L DICK MD SEE SCHEDULE O - O & T TITLES 250851 0 12458 0 5955 0 9257 0 1534 0 280055 0 0 0 JAMES P COHEN MD SEE SCHEDULE O - O & T TITLES 224599 0 17100 0 25179 0 5412 0 2565 0 274855 0 0 0 KEVIN F NEILL SEE SCHEDULE O - O & T TITLES 219358 0 17231 0 27234 0 7113 0 870 0 271806 0 0 0 JULIE C CHATTOPADHYAY ESQ SEE SCHEDULE O - O & T TITLES 0 198070 0 7319 0 21911 0 18662 0 25760 0 271722 0 0 EFFIE J CHAN ESQ SEE SCHEDULE O - O & T TITLES 0 192089 0 5319 0 26271 0 18621 0 25091 0 267391 0 0 PETER WEITZMAN MD SEE SCHEDULE O - O & T TITLES 191537 0 10725 0 43614 0 10691 0 9292 0 265859 0 0 0 STEVEN J TRINGALE SEE SCHEDULE O - O & T TITLES 0 226720 0 0 0 29719 0 0 0 6073 0 262512 0 0 BRUCE A CHABNER MD SEE SCHEDULE O - O & T TITLES 182698 0 8035 0 12730 0 25794 0 21429 0 250686 0 0 0 MARGOT K HARTMANN MD PHD FORMER O - NCH, NPO 0 0 0 0 249038 0 0 0 1022 0 250060 0 0 0 CLAUDIA E REED SEE SCHEDULE O - O & T TITLES 0 175711 0 2500 0 29573 0 21211 0 18920 0 247915 0 0 ROSEMARY HENCHEY FORMER K - NSMC 185347 0 100 0 37049 0 11775 0 11220 0 245491 0 0 0 GARY W GARBERG SEE SCHEDULE O - O & T TITLES 0 156720 0 5200 0 21119 0 19305 0 29727 0 232071 0 0 STEPHANIE N NADOLNY SEE SCHEDULE O - O & T TITLES 171719 0 8963 0 18084 0 10229 0 22961 0 231956 0 0 0 JAMES R DUPONT SEE SCHEDULE O - O & T TITLES 161284 0 0 0 34736 0 7052 0 27932 0 231004 0 0 0 RONALD FREEMAN SEE SCHEDULE O - O & T TITLES 175909 0 8715 0 1840 0 19218 0 22178 0 227860 0 0 0 LINDA KAREN RICE FORMER K - IHP 169676 0 0 0 5549 0 22189 0 25057 0 222471 0 0 0 AARON S FISHMAN SEE SCHEDULE O - O & T TITLES 0 144073 0 22634 0 18910 0 9086 0 26378 0 221081 0 0 ROBERT HANDIN MD SEE SCHEDULE O - O & T TITLES 171562 0 8448 0 -5256 0 20779 0 22601 0 218134 0 0 0 MARJORIE L NICHOLAS SEE SCHEDULE O - O & T TITLES 163566 0 0 0 28133 0 23131 0 1703 0 216533 0 0 0 ROSEMARY B GOTTLIEB ESQ SEE SCHEDULE O - O & T TITLES 0 160449 0 4125 0 7201 0 9502 0 20841 0 202118 0 0 ANDREA GEIGER RE ESQ SEE SCHEDULE O - O & T TITLES 0 154551 0 4255 0 17161 0 16637 0 9364 0 201968 0 0 DAVID O SMALL SEE SCHEDULE O - O & T TITLES 164722 0 240 0 29565 0 2317 0 3771 0 200615 0 0 0 ALAMJIT S VIRK MD FORMER K - MVH 162477 0 12000 0 878 0 1415 0 20597 0 197367 0 0 0 ARTHUR L LACHANCE SEE SCHEDULE O - O & T TITLES 171671 0 0 0 5031 0 3415 0 15998 0 196115 0 0 0 PRISCILLA M ROSS SEE SCHEDULE O - O & T TITLES 143558 0 0 0 19781 0 6407 0 21108 0 190854 0 0 0 NANCY S PITTMAN SEE SCHEDULE O - O & T TITLES 150500 0 8684 0 22406 0 3301 0 4321 0 189212 0 0 0 SUSAN E BENNETT MD SEE SCHEDULE O - O & T TITLES 130989 0 20911 0 -7772 0 16491 0 23528 0 184147 0 0 0 SARAH H WELCH FORMER K - IHP 0 160014 0 0 0 2193 0 9600 0 10352 0 182159 0 0 ALISON M SOLLEE MD SEE SCHEDULE O - O & T TITLES 140501 0 12504 0 6847 0 6214 0 11712 0 177778 0 0 0 EMILY L MELTON SEE SCHEDULE O - O & T TITLES 0 125871 0 11529 0 10624 0 5468 0 19119 0 172611 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. JOHN R. FERNANDEZ LYNN MALLOY STOFER ELIZABETH NABEL, M.D. SCOTT RAUCH, M.D. DAVID J. ROBERTS, M.D. PETER SLAVIN, M.D., M.B.A. DAVID STORTO PART I, LINES 4A-B RECEIPT OF SEVERANCE PAYMENTS MARGOT K. HARTMANN, MD, PHD - $249,038 PARDON R. KENNEY, MD - $367,200 DAVID SEGAL - $150,000 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 - $11,705 ESTEVAN GARCIA - $22,185 LAURIE R. LAMOUREUX - $28,277 PETER K. MARKELL - $110,167 JOANNE MARQUSEE - $25,740 GREGG S. MEYER, MD, MSC - $189,473 ELIZABETH G. NABEL, MD - $130,378 KEVIN F. NEILL - $11,487 ANTHONY J. SCIBELLI, MS, MBA - $15,650 PETER L. SLAVIN, MD, MBA - $80,596 DAVID E. STORTO - $81,210 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. S E FEDER KEY EE RECRUITMENT X 250000 100000 0 1 1 GA SHAW OFFICER RECRUITMENT X 400000 400000 0 1 1 D S SMINK KEY EE HOUSING X 400000 392610 0 1 1 892610 C OLIVIER OLIVIER, OFF (FAM) 60164 SALARY 0 E NELSON ARCE, TRU (FAM) 376797 SALARY 0 J LOESCHER LOESCHER, KE (FAM) 83800 SALARY 0 J MILLER MILLER, OFF (FAM) 939023 SALARY 0 K CASPER PIL, TRU (FAM) 458888 SALARY 0 K HOLMES HOLMES, KE (FAM) 78258 SALARY 0 M GARDINER CUNNANE, TRU (FAM) 386400 SALARY 0 NPP DEVELOPMENT KRAFT, TRU (FAM) 7585524 LEASE 0 S MCDERMOTT MCDERMOTT, OFF (FAM) 11430 SALARY 0 SUFFOLK CONSTRUCTION FISH, TRU 12205277 CONSTRUCTION SERVICES 0 X 50 97645 FMV X 2156 FMV X 92029 FMV X 969 53772752 FMV X 18 9895 FMV X 15 34672 FMV X MEDICAL EQUIPMENT 16 1335303 FMV X MISCELLANEOUS 13 62600 FMV X ADVERTISING 10 52009 FMV X FOOD 51 45261 FMV X GIFT CERTIFICATES 124 44141 FMV X TRAVEL/AIRFARE/TRANSPORTATION 4 28925 FMV X SPORTING EVENT/THEATER/MUSEUM TICKETS 22 17479 FMV X HOTEL PACKAGES 14 15364 FMV X ROUNDS OF GOLF 28 14245 FMV X JEWLERY 6 4451 FMV X PORTRAITS 1 205 FMV 0 1 0 INVESTMENTS 2020-10-31 6538947 042697983 THE GENERAL HOSPITAL CORPORATION 55 FRUIT STREET BOSTON MA 02114 501(C)(3) NONE 2021-09-30 0 042103823 NANTUCKET COTTAGE HOSPITAL 57 PROSPECT STREET NANTUCKET MA 02554 501(C)(3) 0 0 0 0 1 1 1 1 0 PART I, LINE 6C MERGER:THE FOLLOWING ORGANIZATIONS MERGED INTO THEIR 501(C)(3) TAX EXEMPT PARENT ORGANIZATIONS:THE MGH HEALTH SERVICES CORPORATION (22-2717383) MERGED INTO THE GENERAL HOSPITAL CORPORATION (04-2697983) EFFECTIVE OCTOBER 31, 2020.NANTUCKET COTTAGE HOSPITAL FOUNDATION, INC. (04-3829745) MERGED INTO NANTUCKET COTTAGE HOSPITAL (04-2103823) EFFECTIVE SEPTEMBER 30, 2021. FORM 990, PART III - PROGRAM SERVICE (ATTACHMENT 1) 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 GROUND BREAKING ACHIEVEMENTS, MEDICAL CARE AND THE HIGH DEGREE OF SPECIALIZATION PROVIDED. DURING THE FISCAL YEAR (FY) 2021, ENDING SEPTEMBER 30, 2021 MASS GENERAL BRIGHAM RECORDED 156,087 ADMISSIONS AND 1,076,848 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 2021, MASS GENERAL BRIGHAM ACUTE CARE HOSPITAL BASED AND NON-HOSPITAL BASED AMBULATORY CARE PROGRAMS RESULTED IN APPROXIMATELY 2,070,000 ROUTINE VISITS, APPROXIMATELY 398,000 EMERGENCY SERVICES VISITS AND APPROXIMATELY 486,000 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 2021-22 U.S. NEWS & WORLD REPORT, BWH RANKED #14 IN THE NATION, #2 IN MASSACHUSETTS AND #2 IN BOSTON AND WAS NATIONALLY RECOGNIZED IN ELEVEN OF FIFTEEN ADULT SPECIALTIES AND RATED 'HIGH PERFORMING' IN SIXTEEN OF SEVENTEEN 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 842 BEDS AS OF SEPTEMBER 30, 2021. 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 2021-22 U.S. NEWS & WORLD REPORT, THE GENERAL RANKED #5 IN THE NATION, #1 IN MASSACHUSETTS AND #1 IN BOSTON BASED ON QUALITY OF CARE, PATIENT SAFETY AND REPUTATION IN SIXTEEN ADULT AND FIVE PEDIATRIC SPECIALTIES, INCLUDING CANCER, CARDIOLOGY AND HEART SURGERY, DIABETES AND ENDOCRINOLOGY, EAR, NOSE AND THROAT, GASTROENTEROLOGY AND GI SURGERY, GERIATRICS, GYNECOLOGY, NEPHROLOGY, 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 #2 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 1,043 BEDS AS OF SEPTEMBER 30, 2021. FORM 990, PART III - PROGRAM SERVICE (ATTACHMENT 2) 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 2021-22 U.S. NEWS & WORLD REPORT, MEEI WAS RANKED #4 HOSPITAL IN OPHTHALMOLOGY AND #2 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, NWAS, 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 2021-22 U.S. NEWS & WORLD REPORT, SPAULDING BOSTON RANKED #3 IN THE NATION FOR REHABILITATION. FORM 990, PART III - PROGRAM SERVICE (ATTACHMENT 3) 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. PHH IS ACCREDITED BY THE JOINT COMMISSION. 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 324 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 2021-22 U.S. NEWS & WORLD REPORT, MCLEAN RANKED #2 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. FORM 990, PART III - PROGRAM SERVICE (ATTACHMENT 4) 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 $1,978.2 MILLION IN FY 2021. 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. 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 N 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, 2021, OVER 80,000 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.PARTNERS.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. FORM 990, PART III - PROGRAM SERVICE (ATTACHMENT 5) 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. 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 1 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 JAMES BRANNEN & MICHAEL BOLDUC - BUSINESS RELATIONSHIP LARRY RAICHE & DAVID VERNO - BUSINESS RELATIONSHIP NIYUM GANDHI & GREGG S. MEYER - BUSINESS RELATIONSHIP PAMELA D. A. REEVE & DAVID ABELMAN - BUSINESS RELATIONSHIP PETER K. MARKELL & GREGG S. MEYER - BUSINESS RELATIONSHIP PETER K. MARKELL & RICHARD HOLBROOK - BUSINESS RELATIONSHIP PETER K. MARKELL & 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 COMPENSATION DISCLOSURES WERE PRESENTED TO AND DISCUSSED WITH THE MASS GENERAL BRIGHAM COMPENSATION COMMITTEE AT THE MAY 10, 2022 MEETING. THE PROCESS FOR PREPARING AND REVIEWING FORM 990 WAS DISCUSSED AT THE MAY 5, 2022 MEETING OF THE AUDIT AND COMPLIANCE COMMITTEE OF THE MASS GENERAL BRIGHAM BOARD OF DIRECTORS. 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 FORMER - F FORM 990, PART VII: O & T TITLES CHARLES E. ADAMS: O - NSHC, NSMC, NSPG JESSICA AIDLEN, MD: K - NWH CINDY L. AIENA: O - IHP IMOIGELE P. AISIKU, MD, MBA: T - BWPO (ON 06/09/21) PAUL ANDERSON, MD, PHD: K - BWH SHELLY ANDERSON, MPM: K - BWH DOMINIQUE Y. ARCE, MD, MPH: T - BWPO (ON 11/04/20) KATRINA ARMSTRONG, MD, MSCE: T - GHC, MGH SARAH ARNHOLZ, ESQ: O - MGPO STANLEY W. ASHLEY, MD: T - IHP (OFF 09/01/21) WILLIAM G. AUSTEN, JR, MD: HIGHEST COMPENSATED EMPLOYEE MIRANDA BALKIN, MD: T - CDPA MAUREEN BANKS: O - RHCI, SHC, SKRH, SNTCB; T - HSC (OFF 10/31/20) KEITH R. BARTLETT: K - WDH MEREDITH BEATON-STARR, MS, OTR/L: T - IHP THOMAS L. BEATTY, JR, MD: T - NWH, NWHC ANGELA BELMONT: K - CDH SUSAN E. BENNETT, MD: T - MGPO CHRISTINE A. BLASKI, MD: T - NSPG SALLY MASON BOEMER: O - GHC, MGH; T - NCH GILES W. BOLAND, MD: O & T - BCP, BWPO; T - BH, BWFH, BWH, MGBCP (ON 10/30/20), MGPO (ON 10/01/20) GARRETT J. BOMBA: T - MGBCP MELISSA P. BRENNAN, ESQ: O - MGBHC (OFF 01/15/21), RHCI, SHC, SKRH, SNTCB, SR, SRH JAMES A. BRINK, MD: T - CDH (OFF 09/27/21), CDHC (OFF 09/27/21), VHCD (OFF 09/27/21) O'NEIL BRITTON, MD: T - MVH, WNR DAVID F. BROWN, MD, FACEP: O & T - CDH (O - ON 03/08/21, O & T OFF 09/27/21), CDHC (O - ON 03/08/21, O & T OFF 09/27/21), GHC (O & T - ON 09/08/21), MGH (O & T - ON 09/08/21), VHCD (O - ON 03/08/21, O & T OFF 09/27/21); T - CDPA (ON 03/08/21, OFF 09/27/21), MGBCP (ON 03/09/21, OFF 09/27/21), MGBUC, MGPO (ON 09/08/21) DEBRA A. BURKE, RN, DNP, MBA, NEA-BC: T - MVH, WNR ELLEN L. CAILLE: T - WDPC JOSEPH C. CAPEZZA: O - AHPHC BOB S. CARTER, MD: HIGHEST COMPENSATED EMPLOYEE MICHAEL R. CARTER: O - MGBSP KAREN A. CASPER: K - MVH PAUL R. CASS, DO: T - WDPC BRUCE A. CHABNER, MD: T - NCH (OFF 07/23/21) EFFIE J. CHAN, ESQ: O - BWPO, HMA, SSEC JULIE C. CHATTOPADHYAY, ESQ: O - NWH, NWHC, NWMG E. ANTONIO CHIOCCA, MD, PHD: HIGHEST COMPENSATED EMPLOYEE CHRISTOPHER M. COBURN: O & T - PMI JAMES P. COHEN, MD: T - MGBCP DAVID P. CONNOLLY: O - MGBCP ZARA R. COOPER, MD: T - BH, BWFH, BWH FINOLA H. COX, PAC: T - WDPC MARY BETH CUNNANE, MD: O & T - MEEA (O - ON 07/01/21) COLLEEN CURRY: T - MED WILLIAM T. CURRY, MD: T - GHC, MGH RICHARD L. CURTIS, MD: T - MGBCP PAUL G. CUSHING, ESQ: O - NSHC, NSMC, NSPG PATRICIA A. D'AMORE: K - SERI WILLIAM S. DANFORD: T - WDHF ERNESTO DASILVA, MD: T - NSPG MARCELA G. DEL CARMEN, MD: O & T - MGPO (O & T - ON 04/01/21); T - BWPO (ON 05/19/21), GHC (ON 04/01/21), MGH (ON 04/01/21), WDH SUSAN DEMPSEY: K - BWFH KEREN DIAMOND: K - MGBHC MARK L. DICK, MD: T - WDPC (ON 08/02/21) MARY BETH DIFILIPPO: K - SRH PETER J. DIRKSMEIER, MD: T - WDH TRUNG Q. DO, MA, MBA: T - PMI GERARD M. DOHERTY, MD: T - BH, BWFH, BWH, BWPO (OFF 06/09/21) TERENCE P. DOORLY, MD: T - NSPG MARGARET M. DUGGAN, MD: K - BWFH CHRISTOPHER DUNLEAVY: O - BCP, BH, BRF, BWH, BWHR JAMES R. DUPONT: K - IHP SUNIL EAPPEN, MD: O & T - BH (O & T - ON 03/01/21), BRF (O & T - ON 09/29/21), BWH (O & T - ON 03/01/21), BWHR (O & T - ON 09/29/21), T - BWPO (ON 03/01/21) BRANDON R. ELDREDGE: T - MGBHC (ON 01/15/21) KHAMA D. ENNIS, MD, MPH, FACEP: T - CDH, CDHC, VHCD JEANETTE IVES ERICKSON, RN, DNP, NEA-BC, FAAN: T - IHP, NCH ATLAS D. EVANS: O - IHP JONATHAN M. FALLON, DO: T - CDPA JOHN J.W. FANGMAN, MD: T - MGBCP (ON 11/10/20) JOHN FANIKOS: T - MGBSP KHOSRO FARHAD, MD: T - WDPC (ON 08/02/21) MARTHA PYLE FARRELL: K - MEEI STEVEN EDWARD FEDER: K - MVH JOHN R. FERNANDEZ: O & T - FMEEI, MEEI, MGBAS (O & T - ON 12/18/20), MGBIC, SERI; T - MEEA, MGBUC TIMOTHY G. FERRIS, MD: O & T - MGPO (O & T - OFF 03/31/21), T - GHC (OFF 03/31/21), MGBCP (OFF 03/31/21), MGH (OFF 03/31/21) CRISTINA R. FERRONE, MD: T - MGPO AARON S. FISHMAN: O & T - NPO; O - NCH MATTHEW FISHMAN: T - AHPHC CHRISTOPHER R. FORTIER: T - MGBSP TIMOTHY E. FOSTER, MD, MBA, MS: T - NWH (ON 10/01/20), NWHC (ON 10/01/20) CASEY FOWLER, NP: T - CDPA RONALD FREEMAN: K - SRH LAWRENCE S. FRIEDMAN, MD: K - NWH JOANNE M. FUCILE: K - SHC MARY JO GAGNON: K - NSMC JOSEPH M. GARASIC, MD: T - NCH GARY W. GARBERG: K - MGBHC ESTEVAN GARCIA: K - CDH YOUSEF GHANEM: O - MGBIC, MGBUC MICHAEL S. GILMORE: K - MEEI KEVIN T. GIORDANO: O - MED THOMAS G. GLEASON, MD, MS: HIGHEST COMPENSATED EMPLOYEE JOSEPH GOLD, MD: K - MCL MATTHEW J. GOLDBERG, MD: T - WDH (OFF 08/02/21) ROSEMARY B. GOTTLIEB, ESQ: O - PMI MICHELE L. GOUGEON, MSC: O - MCL, MHC PETER A. GRAPE, MD: O & T - HMA, SSEC; T - BWPO (ON 06/09/21) JUDI S. GREENBERG, ESQ: O - IHP DAPHNE ADELE HAAS-KOGAN, MD: T - BH (ON 09/29/21), BWFH (ON 09/29/21), BWH (ON 09/29/21), BWPO GERARD F. HADLEY: O - BWFH ROBERT HANDIN, MD: T - MED MITCHEL B. HARRIS, MD: T - MGPO JAMES L. HEFFERNAN: T - WDH MICHELLE W. HELMS, MD: T - CDH (ON 03/22/21), CDHC (ON 03/22/21), VHCD (ON 03/22/21) JOHN B. HERMAN, MD: T - IHP MICHAEL J. HESSION, MD: K - HMA JOHN R. HIGHAM, ESQ: O - AHPHC, GHC, HSC (OFF 10/31/20), MGBAS (ON 12/18/20), MGBIC, MGBUC, MGH MONA Z. HINRICHSEN, MD: T - NSPG KENNETH E. HOLMES: K - MEEI BRIAN HUGGINS: O - MGBUC (OFF 02/01/21) JEFFREY B. HUGHES: O & T - WDHF (O & T ON 10/01/20), WDPC (O & T ON 10/01/20); O - WDH (ON 10/01/20) TERRIE E. INDER, MBCHB: T - BWPO HELEN C. IRELAND, MD: T - NSPG VICKI A. JACKSON, MD: T - MGBHC (ON 01/15/21) ALAN ANTHONY JAMES: T - AHPHC, CDH, CDHC, MVH, VHCD, WDH, WNR STEPHEN R. JENNEY: O - BWPO ALEX F. JOHNSON: K - IHP OLUWASEUN JOHNSON-AKEJU, MD: T - CDH (ON 09/27/21), CDHC (ON 09/27/21), VHCD (ON 09/27/21) WILLIAM C. JOHNSTON: O & T - HMA (O & T - OFF 04/30/21), SSEC (O & T - OFF 04/30/21) ANNE H. KALTER, MD: T - WDH JAMES D. KANG, MD: T - BWPO STEVEN E. KAPFHAMMER: O & T - NSPG RONALD E. KLEINMAN, MD: T - MGPO (OFF 07/16/21) MARGARET M. KOEHM, MD: T - NCH (ON 09/14/21) THOMAS S. KUPPER, MD: T - BWPO (OFF 06/09/21) DYLAN C. KWAIT, MD: K - BWFH CHRISTOPHER J. KWOLEK, MD: K - NWH ARTHUR L. LACHANCE: K - NCH DAVID A. LAGASSE: O - MCL, MHC LAURIE R. LAMOUREUX: O - CDH, CDHC, CDPA, VHCD JANET LARSON, MD: K - NWH PATRICK T. LEE, MD: T - NSPG (OFF 07/13/21) REBECCA SYMMES LEE, MD: T - NSPG INGA T. LENNES, MD, MPH, MBA: T - CDH (ON 09/27/21), CDHC (ON 09/27/21), VHCD (ON 09/27/21) KEITH D. LILLEMOE, MD: T - FMEEI, MEEI, MGPO (ON 07/16/21), SERI CORI LOESCHER, MM, BSN, RN, NEA-BC: K - BWFH JOSEPH LOSCALZO, MD, PHD: O & T - MED; T - BCP, BH (OFF 09/29/21), BWFH (OFF 09/29/21), BWH (OFF 09/29/21), BWPO DAVID N. LOUIS, MD: T - MGPO DONNA M. LUKEN: O - MGBHC (ON 01/15/21) ALVARO ANDRES MACIAS, MD: O & T - MEEA (O - OFF 06/30/21, ON 07/01/21) PETER K. MARKELL: O & T - BCP (O & T - OFF 03/31/21), BRF (O & T - OFF 03/31/21), BWHR (O & T - OFF 03/31/21), HSC (O & T - OFF 10/31/20), MGBIC (O & T - OFF 03/31/21), MGBSP (O & T - OFF 03/31/21); O - AHPHC (OFF 03/31/21), BH (OFF 03/31/21), BWFH (OFF 03/31/21), BWH (OFF 03/31/21), GHC (OFF 03/31/21), MGBHC (OFF 01/15/21), MGH (OFF 03/31/21), RHCI (OFF 03/31/21), SHC (OFF 03/31/21), SKRH (OFF 03/31/21), SNTCB (OFF 03/31/21), SR (OFF 03/31/21), SRH (OFF 03/31/21); T - MCL (OFF 03/18/21), MGBUC (OFF 03/31/21), MHC (OFF 03/18/21) JOANNE MARQUSEE: O & T - CDH (OFF 03/08/21), CDHC (OFF 03/08/21), VHCD (OFF 03/08/21); T - CDPA (OFF 03/08/21) ROBERT T. MCCALL: K - SR DAVID O. MCCREADY, MBA, MHA: O & T - BWFH VINCENT T. MCDERMOTT: O & T - NWMG; O - MGBHC, NWH, NWHC MAURY E. MCGOUGH, MD: T - MGBCP, MGBUC, NSHC, NSMC, NSPG YANA MELNIKOVA: T - WDPC EMILY L. MELTON: O - FMEEI (ON 07/01/21), MEEI (ON 07/01/21), SERI (ON 07/01/21) GREGG S. MEYER, MD, MSC: O & T - MGBHC (O & T - ON 01/15/21); T - MGBAS (ON 12/18/20), MGBIC LIZA HALPERN MEYERHARDT, MD: T - NWH, NWHC SARI MIETTINEN: T - CDPA JOAN WHITTEN MILLER, MD: T - FMEEI, MEEA, 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 - MGPO CHARLES A. MORRIS, MD, MPH: T - MED, MGBHC (ON 01/15/21) ELIZABETH A. MORT, MD, MPH: T - CDH, CDHC, VHCD ELIZABETH G. NABEL, MD: O & T - BH (O & T - OFF 03/01/21), BRF (O & T - OFF 03/01/21), BWH (O & T - OFF 03/01/21), BWHR (O & T - OFF 03/01/21); T - BWPO (OFF 03/01/21) STEPHANIE N. NADOLNY: K - RHCI ALBERT NAMIAS, MD: T - NSPG KEVIN F. NEILL: O - CDPA J. ALEAH NESTEBY, MSN, FNP: T - CDPA (OFF 09/30/21) MIRIAM L. NEUMAN, MD: T - NSHC, NSMC, NSPG MARJORIE L. NICHOLAS: K - IHP BRITAIN W. NICHOLSON, MD: K - GHC ERROL R. NORWITZ, MD, PHD, MBA: O & T - NWH, NWHC; T - NWMG, MGBCP (OFF 03/09/21) NAWAL M. NOUR, MD, MPH: T - BH, BWFH, BWH, BWPO (ON 06/09/21) EDWARD J. OLIVIER: O - MVH, WNR DOST ONGUR, MD, PHD: K - MCL FORM 990, PART VII: O & T TITLES 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 (ON 03/18/21), MHC (ON 03/18/21) DIANE R. PEARL: K - NCH MADELYN M. PEARSON, DNP, RN, NEA-BC: T - IHP DANIEL PESCH, MD: T - MVH, WNR GEORGE PHILIPPIDES, MD: K - NWH MAY C.M. PIAN-SMITH, MD: T - MGPO (ON 10/16/20) PIETER M. PIL, MD: T - MVH, WNR NANCY S. PITTMAN: O & T - NPO; O - NCH, NCHF (ON 08/26/21, OFF 09/30/21) DAVID S. PLADZIEWICZ, MD: T - MGBCP JEFFREY C. POLLOCK: K - WDH ANAND M. PRABHAKAR, MD: K - NWH ALLYSON L. PRESTON, MD: T - NSPG ANDREA L. PUSIC, MD: HIGHEST COMPENSATED EMPLOYEE DAVID L. RABIN, MD: T - NSPG JAMES P. RATHMELL, MD: T - BWPO SCOTT L. RAUCH, MD: O & T - MCL, MHC ANDREA GEIGER RE, ESQ: O - MGBCP SARATHCHANDRA I. REDDY, MD: T - SSEC CLAUDIA E. REED: O - HSC (OFF 10/31/20), RHCI, SHC, SKRH, SNTCB, SR & SRH MITCHELL S. REIN, MD: T - NSPG KERRY J. RESSLER, MD, PHD: K - MCL PHILLIP L. RICE, JR, MD: T - NSHC, NSMC, NSPG DAVID J. ROBERTS, MD: O & T - NSHC, NSMC JULIAN N. ROBINSON, MD: T - NWMG (ON 11/01/20) DEBRA H. ROGERS: K - MEEI PRISCILLA M. ROSS: K - VHCD ROXANNE C. RUPPEL: T - NSPG DAVID P. RYAN, MD: K - GHC JOAN A. SAPIR: T - MGBHC (OFF 01/15/21), RHCI, SHC, SKRH, SNTCB, SR, SRH MARK A. SCHECHTER, MD: T - NSHC, NSMC DENISE M. SCHEPICI: O & T - MVH, WNR SCOTT L. SCHISSEL, MD, PHD: K - BWFH JEROME T. SCHLACHTER, MD: T - WDPC (OFF 08/02/21) KEVIN S. SCHLICKE: O & T - MGBHC (O & T - ON 01/15/21), PMI ANTHONY J. SCIBELLI, MS, MBA: K - CDH CLAIRE M. SEGUIN: K - MVH THOMAS D. SEQUIST, MD: T - FMEEI, MEEI, MGBUC, SERI SEJAL B. SHAH, MD: T - BWPO GARY A. SHAW, FACHE: O & T - NCH, NPO (O & T - ON 10/01/20); O - NCHF (ON 08/26/21, OFF 09/30/21) DAVID SILBERSWEIG, MD: T - BWPO (OFF 06/09/21), MGBHC (OFF 01/15/21), RHCI, SHC, SKRH, SNTCB, SR, SRH ANEESH BHIM SINGHAL, MD: T - MGBHC (OFF 01/15/21), RHCI, SHC, SKRH, SNTCB, SR, SRH PETER L. SLAVIN, MD, MBA: O & T - GHC (O & T - OFF 09/08/21), MGH (O & T - OFF 09/08/21); T - MGPO (OFF 09/08/21) DAVID O. SMALL: K - NCH DOUGLAS STEWART SMINK, MD, MPH: K - BWFH JONATHAN SNIDER, MD: O & T - NWMG ALISON M. SOLLEE, MD: T - WDHF LAURA STEPHENS, ESQ: O - MGBSP LYNN MALLOY STOFER: O & T - MGBCP DAVID E. STORTO: O & T - HSC (O & T - OFF 10/31/20), MGBHC (O - OFF 01/15/21, T - OFF 03/22/21), SRH (O & T OFF 03/22/21); O - SR (OFF 03/22/21); T - RHCI (OFF 03/22/21), SHC (OFF 03/22/21), SKRH (OFF 03/22/21), SNTCB (OFF 03/22/21) 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 - AHPHC MICHAEL J. VANROOYEN, MD: T - BWPO (ON 06/09/21) MARK A. VARVARES, MD, FACS: O & T - MEEA (O - OFF 06/30/21); T - FMEEI, MEEI, SERI (ON 10/01/20) PETER E. WALCEK: O & T - WDHF; O - WDH; T - WDPC GREGORY J. WALKER, FACHE: T - WDHF (OFF 10/31/20), WDPC (OFF 10/31/20) ANDREW L. WARSHAW, MD: T - WDH PETER WEITZMAN, MD: T - CDPA ROBERT D. WELCH: K - SR CAROLANN WILLIAMS: O - FMEEI, MEEI, SERI SHEILA M. WOOLLEY: K - WDH ROSS D. ZAFONTE, DO: O & T - SR (O - ON 03/22/21), SRH (O - ON 03/22/21); T - RHCI, SHC, SKRH, SNTCB (ON 03/22/21) DAVID ABELMAN: T - MGBCP YVONNE GARCIA ACHAB: T - RHCI (ON 07/01/21), SHC (ON 07/01/21), SKRH (ON 07/01/21), SNTCB (ON 07/01/21), SR (ON 07/01/21), SRH (ON 07/01/21) CAROLINA ALARCO: T - MGPO (ON 04/16/21) JOAN LORING ALFOND: T - FMEEI (ON 11/24/20), MEEI (ON 11/24/20), SERI (ON 11/24/20) STEVEN M. ALTSCHULER, MD: T - BWPO STEVEN L. ANTONAKES: T - NSHC, NSMC ROBERT G. ATCHINSON: T - FMEEI, MEEI, SERI CAROL BAILEY: T - WDH, WDHF (OFF 08/02/21), WDPC (OFF 08/02/21) MINNIE V. BAYLOR-HENRY: T - FMEEI (ON 11/24/20), MEEI (ON 11/24/20), SERI (ON 11/24/20) FRASER BENNETT BEEDE: T - CDH, CDHC, CDPA, VHCD JOSEPH F. BOHAN, III: T - CDH (OFF 09/27/21), CDHC (OFF 09/27/21), VHCD (OFF 09/27/21) MICHAEL BOLDUC, ESQ: O & T - WDH, WDPC KATRINE BOSLEY: T - FMEEI, MEEI, SERI JAMES R. BRANNEN: O & T - WDH (O - OFF 08/02/21), WDPC (O - OFF 08/02/21); T - WDHF (ON 08/02/21) DEBRA K. BREDE: T - NWH, NWHC NATE BRYANT, EDD: T - NSHC, NSMC BRUCE M. BULLEN: T - MVH, WNR JOHN J. BURKE: T - NCH (OFF 07/23/21) THOMAS P. CAINE: O & T - CDH, CDHC, VHCD JAMES A. CANFIELD: T - IHP LISA E. CARBONE: T - NSHC, NSMC, NSPG (ON 07/13/21) RICHARD CARD: T - WDHF MICHAEL CARELLA: T - WDHF MARC N. CASPER: T - BH (OFF 09/29/21), BWFH (OFF 09/29/21), BWH (OFF 09/29/21) YUMIN CHOI: T - NWH, NWHC DAVID R. CLANCEY: T - NSHC, NSMC LISA CLAREY-LAWLER: T - NCH (ON 07/23/21) PHILLIP L. CLAY, PHD: T - MGBHC (OFF 01/15/21), RHCI, SHC, SKRH, SNTCB, SR, SRH CHRISTOPHER T. COLLINS: T - NWH, NWHC RICHARD CONLEY: T - WDHF JOHN P. CONNAUGHTON: T - BH, BWFH, BWH GARGI B. COOPER, FNP: T - NSHC, NSMC DHARMA E. CORTES, PHD: T - NSHC, NSMC WILLIAM MAURICE COWAN: T - GHC, MGH MEGAN M. CRAIGEN: T - BH, BWFH, BWH SUSAN C. CRAMPTON: O & T - MVH (O & T - OFF 07/23/21), WNR (O & T - OFF 07/23/21) CYNTHIA K. CURME: T - NWH (ON 05/25/21), NWHC (ON 05/25/21) KAREN D. CURRAN, MBA, CHFC, CFP: O & T - CDH, CDHC, VHCD PETER A. D'ARRIGO, JR: T - IHP CHARLES DE GUNZBURG: T - FMEEI, MEEI, SERI JOSE DE JESUS RIVERA, JD: T - IHP (OFF 09/01/21) LINDA DERENZO, ESQ: T - NWH, NWHC, NWMG CHARLES FRANK DESMOND: T - NSHC (OFF 07/13/21), NSMC (OFF 07/13/21) PHILIP V. DIBUONO, CPA: T - IHP KATHLEEN A. DOWCETT: T - NWH (ON 10/01/20), NWHC (ON 10/01/20) JEFFREY M. DRAZEN, MD: T - NCH JACKIE EASTWOOD: T - WDHF PAUL B. EDGERLEY: T - GHC, MGH DEBORAH C. ENOS: T - BH, BWFH, BWH JULIETTE E. FAY: T - MVH, WNR MICHAEL S. FERRARA, PHD: T - WDH (ON 07/16/21) JOANNE J. FINCK: T - CDH, CDHC, VHCD ANNE M. FINUCANE: T - BH, BWFH, BWH DAVID B. FISCHER: T - MGBHC (OFF 01/15/21), RHCI, SHC, SKRH, SNTCB, SR, SRH JOHN F. FISH: T - BH, BRF, BWFH, BWH, BWHR JUDITH A. FONG, BA, RN: T - MGBHC (OFF 01/15/21), RHCI, SHC, SKRH, SNTCB, SR, SRH FAITH H. FRABLE, MD: T - NCH (OFF 09/14/21) BRUCE FREEDMAN: T - NWH, NWHC HARVEY W. FREISHTAT: T - FMEEI (OFF 12/31/20), MEEI (OFF 12/31/20), SERI (OFF 12/31/20) NIYUM GANDHI: O & T - BCP (O & T - ON 09/29/21), BRF (O & T - ON 09/29/21), BWHR (O & T - ON 09/29/21), MGBAS (O & T - ON 05/03/21), MGBIC (O & T - ON 05/03/21); O - AHPHC (ON 05/03/21), BH (ON 07/21/21), BWFH (ON 07/21/21), BWH (ON 07/21/21), GHC (ON 07/16/21), MGBSP (ON 06/15/21), MGH (ON 07/16/21), RHCI (ON 05/06/21), SHC (ON 05/06/21), SKRH (ON 05/06/21), SNTCB (ON 05/06/21), SR (ON 05/06/21), SRH (ON 05/06/21) ROYA GHAZINOURI, PT, DPT, MS: T - IHP CHARLES K. GIFFORD: T - NCH THOMAS P. GLYNN, III, PHD: T - IHP ARTHUR L. GOLDSTEIN: T - MGPO BENJAMIN A. GOMEZ: T - NWH, NWHC LISA B. GRAIN, DDS: T - MVH (OFF 07/23/21), WNR (OFF 07/23/21) SALLY GRIGGS: T - CDH, CDHC, VHCD REBECCA L. HAAG: T - MVH (ON 07/23/21), WNR (ON 07/23/21) CONSTANCE N. HADLEY, PHD: T - MCL, MHC KAREN R. HALE: T - BH, BWFH, BWH ROGER HAMEL: T - WDH (OFF 08/02/21) JOSEPH HARRINGTON, MD: T - MGBCP (ON 10/30/20) NANCY HAWTHORNE: T - NSHC, NSMC BRENDA E. HAYNES, MD: T - NWH, NWHC BRENT L. HENRY, ESQ: T - MVH, WNR EUGENE D. HILL, III: T - FMEEI, MEEI, SERI LINDA A. HILL: T - BH, BWFH, BWH RICHARD E. HOLBROOK: T - AHPHC, MCL (ON 11/19/20), MHC ALBERT A. HOLMAN, III: O & T - BH, BWFH, BWH NANCY LYLE HOWLAND: O & T - FMEEI (O - OFF 07/01/21), MEEI (O - OFF 07/01/21), SERI (O - OFF 07/01/21) ROBERT S. HUCKMAN: T - BH, BWFH, BWH, BWPO JAMES W. HUNT, JR: T - AHPHC DAVID W. IVES: T - NSHC, NSMC MICHAEL R. JAFF, DO, FACP, FACC: O & T - MVH, WNR; T - IHP ANNE JAMIESON: O & T - WDH (O - ON 08/02/21), WDPC (O & T - ON 08/02/21) MELISSA WEINER JANFAZA: T - BH, BWFH, BWH ROBERT E. JOHNSON, PHD: T - IHP DANIEL G. JONES: T - MGBHC (OFF 01/15/21), RHCI, SHC, SKRH, SNTCB, SR, SRH ELIZABETH JOYCE, BS: T - IHP (OFF 09/01/21) CHAD KAGELEIRY: T - WDHF (OFF 08/02/21) DIANE E. KANEB: T - FMEEI, MEEI, SERI KAREN T. KAPLAN: T - BH, BWFH, BWH JAMES L. KAPLAN, PHD: T - NWH (OFF 03/10/21), NWHC (OFF 03/10/21), NWMG (OFF 03/10/21) STEPHEN R. KARP: T - NCH STEVEN M. KAYE: T - BH, BWFH, BWH RICHARD M. KELLEHER: T - MCL, MHC PAUL G. KELLIHER: O & T - CDPA, T - CDH, CDHC, VHCD CHRISTOPHER J. KELLY: T - NWH, NWHC GERARD J. KENEALLY: T - NCH RESHMA KEWALRAMANI, MD: T - GHC (ON 03/05/21), MGH (ON 03/05/21) JAMES KIRCHHOFFER, MD: T - CDH (OFF 02/22/21), CDHC (OFF 02/22/21), VHCD (OFF 02/22/21) ROBERT CHRISTOPHER KNAPP: T - FMEEI, MEEI, SERI JOHN H. KNOWLES, JR, MBA, MPH: T - IHP WENDELL J. KNOX: T - MGBHC (OFF 01/15/21), RHCI (OFF 06/30/21), SHC (OFF 06/30/21), SKRH (OFF 06/30/21), SNTCB (OFF 06/30/21), SR (OFF 06/30/21), SRH (OFF 06/30/21) ADAM M. KOPPEL, MD, PHD: T - NWH, NWHC JONATHAN A. KRAFT: T - GHC, MGH, MGPO JOSHUA M. KRAFT: T - BH, BWFH, BWH STEPHEN KULIK: T - CDH, CDHC, VHCD VINAY KUMAR, MD: T - MGBCP (OFF 10/30/20) MICHELLE E. KURTZ: T - WDH (ON 07/16/21) 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 THOMAS H. LAUER: T - FMEEI, MEEI, SERI PAMELA L. LAWRENCE: T - NSPG JEFFREY M. LEIDEN, MD, PHD: T - BH (OFF 02/15/21), BWFH (OFF 02/15/21), BWH (OFF 02/15/21) THOMAS LEVASSEUR: T - WDHF DONNA LEVIN: T - MGBCP BEN S. LEVITAN: T - MGBHC (OFF 01/15/21), 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 ARUL MAHADEVAN, MD: T - WDH (ON 07/16/21), WDHF KIAME J. MAHANIAH, MD: T - NSHC (OFF 07/13/21), NSMC (OFF 07/13/21) HUSSEINI K. MANJI, MD, FRCPC: T - MCL (ON 11/19/20), MHC CARL J. MARTIGNETTI: T - GHC, MGH JOSIE MARTINEZ: T - BH (ON 09/29/21), BWFH (ON 09/29/21), BWH (ON 09/29/21) TERENCE A. MCGINNIS: T - MGBCP, NSHC (OFF 07/13/21), NSMC (OFF 07/13/21), NSPG ANTONIA G. MCGUIRE, RN, MPH: T - AHPHC JEROME T. MCMANUS: T - NSHC, NSMC CAROLINE "ANN" MERRIFIELD: T - MGBHC (OFF 01/15/21), RHCI, SHC, SKRH, SNTCB, SR, SRH CARLA MEYERS: T - WDHF MARLA S. MICHEL: T - CDH, CDHC, VHCD BARRY MILLS: T - MGBHC (OFF 01/15/21), RHCI, SHC, SKRH, SNTCB, SR, SRH JAMES F. MOONEY, III: T - GHC, MGH LAURA BARKER MORSE: T - MGPO MICHAEL J. MUEHE: T - MGBHC (OFF 01/15/21), RHCI (OFF 06/30/21), SHC (OFF 06/30/21), SKRH (OFF 06/30/21), SNTCB (OFF 06/30/21), SR (OFF 06/30/21), SRH (OFF 06/30/21) CRAIG H. MUHLHAUSER: T - NCH, NCHF (OFF 09/30/21) GEOFFREY NESS: T - WDHF PETER NESSEN: O & T - MVH (O - ON 07/23/21), WNR (O - ON 07/23/21) NITIN NOHRIA: T - GHC, MGH JOHN N. NUNNELLY: T - CDPA MARK E. NUNNELLY: T - BH, BWFH, BWH MICHAEL F. O'CONNELL, ESQ: T - BWPO ANTHONY F. PAREDES, FNP-BC: T - IHP (ON 09/01/21) DIANE B. PATRICK, ESQ: T - GHC, MGH RICHARD A. PENN: T - MGBHC (OFF 01/15/21), RHCI, SHC, SKRH, SNTCB, SR, SRH ELISABETH SCHADAE PERCELAY: T - NCH ADELENE Q. PERKINS: T - GHC, MGH ANGELLEEN PETERS-LEWIS, PHD, RN: T - IHP MELISSA D. PHILBRICK: T - NCH ROBERT W. PIERCE, JR: T - MCL, MHC JENNIFER L. GUCKEL PORTER: T - MCL, MHC RODNEY C. PRATT: T - FMEEI, MEEI, SERI MARY G. PUMA: T - NSHC, NSMC PHILLIP TERRY RAGON: T - GHC, MGH LARRY RAICHE: T - WDHF (OFF 08/02/21) PAMELA D. A. REEVE: T - MGBCP, MGPO NANCY R. REEVES: T - CDH, CDHC, VHCD CARMICHAEL S. ROBERTS, PHD: T - MGPO INGO ROEMER: T - WDH, WDPC (ON 08/02/21) WILLIAM J. ROMAN: T - MVH, WNR VINCENT D. ROUGEAU: T - NWH (ON 03/23/21), NWHC (ON 03/23/21) JOSEPH F. RYAN, ESQ: T - MGBHC (OFF 01/15/21), RHCI, SHC, SKRH, SNTCB, SR, SRH MELANIE R. SABELHAUS: T - NCH JOHN P. SALMON: T - WDH, WDHF, WDPC YVES P. SALOMON-FERNANDEZ, PHD: T - CDH, CDHC, VHCD JOHN H. SCHAEFER: T - MVH, WNR ERIC D. SCHLAGER: T - BH, BWFH, BWH SCOTT A. SCHOEN: T - MGBHC (OFF 01/15/21), RHCI, SHC, SKRH, SNTCB, SR, SRH MARK SCHWARTZ: T - GHC, MGH S. CHRISTOPHER SCOTT: T - MVH, WNR SHIRLEY SINGLETON: T - NSHC, NSMC EILEEN H. SIVOLELLA: T - FMEEI (ON 03/23/21), MEEI (ON 03/23/21), SERI (ON 03/23/21) RONALD L. SKATES: T - MGPO (OFF 07/16/21) BARRY R. SLOANE: T - GHC (OFF 07/16/21), MGH (OFF 05/25/21) CANDACE LAPIDUS SLOANE, MD: T - NWH (ON 10/01/20), NWHC (ON 10/01/20) W. LLOYD SNYDER, III: T - MCL, MHC PAULA NESS SPEERS: T - MGBHC (OFF 01/15/21), RHCI, SHC, SKRH, SNTCB, SR, SRH CHARLES P. STAELIN, PHD: T - CDH (ON 03/08/21), CDHC (ON 03/08/21), CDPA, VHCD (ON 03/08/21) MICHAEL STEINBERG: T - WDHF DAVID PIERPONT STEVENS: T - CDH, CDHC, VHCD STEPHEN G. SULLIVAN: T - NWH, NWHC JAMES D. TAICLET: T - BH, BWFH, BWH ALEXANDER L. THORNDIKE: T - BH, BWFH, BWH THOMAS TORR, ESQ: O & T - WDHF JONATHAN UHRIG: O & T - FMEEI, MEEI, SERI CAROL A. VALLONE: T - IHP, MCL, MHC DAVID VERNO, CPA: T - WDHF JOAN M. VITELLO-CICCIU, RN, PHD: T - NWH, NWHC, NWMG (ON 03/10/21) DAVID O. VOLPI, MD: T - NCH JOSEF H. VON RICKENBACH: T - MCL, MHC ROBIN A. WALKER, JD: T - GHC (ON 07/16/21), MGH (ON 05/25/21) CATHERINE S. WARD, MT (ASCP): T - NCH LYNNETTE M. WATKINS, MD, MBA: O & T - CDH (ON 09/27/21), CDHC (ON 09/27/21), VHCD (ON 09/27/21); T - CDPA (ON 09/27/21), MGBCP (ON 09/27/21) BENAREE P. WILEY: T - MGBHC (OFF 01/15/21), RHCI, SHC, SKRH, SNTCB, SR, SRH PRATT WILEY: T - BH (ON 09/29/21), BWFH (ON 09/29/21), BWH (ON 09/29/21) ANNE M. WILKINS: T - AHPHC MICHELLE A. WILLIAMS, SCD: T - MCL, MHC MARION E. WINFREY, EDD, RN: T - NSHC, NSMC, NSPG (ON 07/13/21) ELIZABETH WINSHIP: T - NCH (OFF 07/23/21) AMY M. WINSLOW: T - BWPO LAUREN A. GEDDES WIRTH, MD: T - MGBCP NICOLE A. WOOD, MD: T - BWPO (OFF 06/09/21) CHARLES F. WU: T - NWH, NWHC KRISHNA YESHWANT, MD, MBA: T - BH, BWFH, BWH GWILL YORK: T - BH, BWFH, BWH, MGBHC (OFF 01/15/21), RHCI, SHC, SKRH, SNTCB, SR, SRH NICHOLAS S. ZEPPOS: T - MCL, MHC FORM 990, PART XI, LINE 9: EQUITY INVESTMENT ACTIVITY (UNREALIZED G/L ON INVESTMENTS) 2,368,689,124. CHANGE IN FUNDED STATUS OF DEFINED BENEFIT PLAN 19,297,518. OTHER 18,571,251. FORM 990, PART XII, LINE 2C NO CHANGES FROM PRIOR YEAR. 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