2025-08-14T17:17:57-05:00 2024-09-30 263753134 CBIZ ADVISORS LLC 53 STATE STREET 17TH FLOOR BOSTON MA 02109 990 2023-10-01 042767880 MELROSEWAKEFIELD HEALTHCARE INC MELR 7819793000 170 GOVERNORS AVENUE MEDFORD MA 02155 ANDREW DEVOE CFO 7819793000 2025-08-14 1 1 CRAIG KLEIN P00734640 6178075000 2025-08-14 2023 2025-03-06 01:10:19Z KELLY CORBI 170 GOVERNORS AVENUE MEDFORD MA 02155 267713905 0 X WWW.TUFTSMEDICINE.ORG X 1982 MA TO OPERATE HOSPITALS ON TWO CAMPUSES (ONE WITH 24 HOUR ER SERVICES) ALONG WITH A HOSPITAL SCHOOL OF NURSING. MELROSEWAKEFIELD HEALTHCARE PROVIDES INPATIENT AND OUTPATIENT MEDICAL CARE AND ANCILLARY MEDICAL SERVICES AND TESTING. 16 11 2158 242 0 0 38627576 12303896 256126302 243928201 38138025 7520287 3430507 3887490 336322410 267639874 0 0 0 0 154668282 158335762 0 0 0 131733653 122295688 286401935 280631450 49920475 -12991576 266194060 207226827 204628564 81352093 61565496 125874734 TO OPERATE HOSPITALS ON TWO CAMPUSES (ONE WITH 24 HOUR ER SERVICES) ALONG WITH A HOSPITAL SCHOOL OF NURSING. MELROSEWAKEFIELD HEALTHCARE PROVIDES INPATIENT AND OUTPATIENT MEDICAL CARE AND ANCILLARY MEDICAL SERVICES AND TESTING. 0 0 223392871 243928201 TO OPERATE A HOSPITAL WITH 24 HOUR ER SERVICES ON ONE CAMPUS ALONG WITH A HOSPITAL SCHOOL OF NURSING. MELROSEWAKEFIELD HEALTHCARE PROVIDED INPATIENT AND OUTPATIENT MEDICAL, SURGICAL AND PSYCHIATRIC CARE. ANCILLARY MEDICAL SERVICES AND TESTING WERE ALSO PROVIDED ON AN INPATIENT AND OUTPATIENT BASIS IN AREAS SUCH AS LABORATORY, RADIOLOGY, EKG, EEG, PHARMACY, NUCLEAR MEDICINE, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, RESPIRATORY THERAPY AND I.V. THERAPY. 223392871 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 2158 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 16 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 MA X ANDREW DEVOE 9789422220 800 DISTRICT AVENUE BURLINGTON MA 01803 MICHAEL DANDORPH DIRECTOR/PRES & CEO - TUFTS MEDICINE 3.00 47.00 X 0 1726150 359711 KELLY CORBI PRESIDENT/DIRECTOR 40.00 3.00 X X 724563 0 114673 WILLIAM WYMAN ASSISTANT TREASURER 47.00 3.00 X X 499190 0 60460 ANDRAS SANDOR MD DIRECTOR/SURGEON 3.00 40.00 X 18750 481110 34849 JOSEPH PENNACCHIO MD DIRECTOR/HEMATOLOGIST 3.00 40.00 X 16669 458643 23875 BINDIYA THAKKAR MD DIR./ENDOCRINOLOGIST (UNTIL 2/24) 3.00 40.00 X 0 445093 30682 LAURENCE CONWAY MD DIRECTOR 3.00 40.00 X 76240 360091 8246 PATRICIA CAMPBELL CHAIR (UNTIL 2/24)/DIRECTOR 3.00 3.00 X X 0 0 0 PAUL BARDARO TREASURER (UNTIL 2/24)/DIRECTOR 3.00 3.00 X X 0 0 0 EDWARD DOHERTY JR DIRECTOR (UNTIL 8/24) 3.00 3.00 X 0 0 0 MAURICE M EDOUARD-VINCENT EDD DIRECTOR 3.00 3.00 X 0 0 0 ANDREW FREED CHAIR (UNTIL 2/24)/DIRECTOR 3.00 3.00 X X 0 0 0 TARA GIBSON DIRECTOR 3.00 3.00 X 0 0 0 THOMAS GRAF DIRECTOR 3.00 3.00 X 0 0 0 GAIL INFURNA RN DIRECTOR 3.00 3.00 X 0 0 0 DIANA JEONG DIRECTOR 3.00 3.00 X 0 0 0 PHILIP LEMBO CHAIR/DIRECTOR (AS OF 2/24) 3.00 3.00 X X 0 0 0 ROBERT L SWANSON JR SECRETARY (UNTIL 2/24)/DIRECTOR 3.00 3.00 X X 0 0 0 RISHI LIKHI MD DIRECTOR (AS OF 2/24) 3.00 3.00 X 0 0 0 JEFFREY MCALLISTER ASST. SEC./DIRECTOR (AS OF 7/24) 3.00 40.00 X X 0 189327 2830 CHARLES R WHIPPLE ESQ ASST SEC/GENERAL COUNSEL (UNTIL 4/24) 3.00 40.00 X 401883 0 77182 DONNA SANDLER ASSISTANT SECRETARY (UNTIL 7/24) 3.00 3.00 X 88575 0 17365 SUSAN GREEN ASSISTANT TREASURER (UNTIL 12/23) 3.00 47.00 X 0 1047084 38808 ANDREW DEVOE CFO/TREASURER (AS OF 2/24) 1.00 49.00 X 0 0 0 ZACHARY REDMOND SECRETARY (AS OF 2/24) 1.00 49.00 X 0 599263 70149 BARBARA VIENS CNO 40.00 0.00 X 302699 0 35125 JOHN G GIRAGOS MD PSYCH M.D. 40.00 0.00 X 346868 0 35502 LAWRENCE TENDO RN 40.00 0.00 X 343503 0 27870 CARYL BEISON EXECUTIVE DIRECTOR PHO 40.00 0.00 X 346822 0 8450 JAMES LECH PSYCHIATRIST 40.00 0.00 X 315777 0 5331 BOBBIANN NAKHOUL CLINICAL ADMIN COORDINATOR 40.00 0.00 X 289602 0 6449 3771141 5306761 957557 345 0 1 0 LABORATORY CORPORATION OF AMERICA HOLDIN 531 S SPRING STREET BURLINGTON NC 27215 LABORATORY SERVICES 4814727 MEDICAL SOLUTIONS 1010 N 102ND STREET SUITE 300 OMAHA NE 68114 CONTRACT LABOR 3691443 SODEXO INC & AFFILIATES 9801 WASHINGTON BLVD GAITHERSBURG MD 20878 MANAGEMENT SERVICES 3356092 TRIMEDX INC PO BOX 636129 CINCINNATI OH 45263 MANAGEMENT SERVICES 3306173 HOSPITAL MEDICINE ASSOCIATES PO BOX 636129 CINCINNATI OH 45263 PHYSICIAN SERVICES 2380501 155 124520 11327812 851564 12303896 MEDICAL SERVICES 622110 243655346 243655346 MONTVALE PET/CT K1 621512 272855 272855 243928201 1805287 1805287 3902521 0 3902521 3902521 3902521 5715000 0 5715000 5715000 5715000 59000 124520 74031 -15031 -15031 267639874 243928201 0 11407777 X 1928033 1516205 411828 129210929 101611475 27599454 2230216 1834799 395417 14093016 11594324 2498692 10873568 8945684 1927884 3460867 2387998 1072869 656066 656066 45857 45857 36442434 25145279 11297155 14257 9837 4420 1141312 787505 353807 19760 19760 10329124 7808818 2520306 61986 46861 15125 6825191 5118893 1706298 15963712 12477237 3486475 SUPPLIES 27624193 27624193 PHYSICIAN PRACTICE FEES 8316418 8316418 CONTRACT LABOR 3990755 2753621 1237134 REPAIRS & MAINTENANCE 2787519 1923388 864131 4616237 3490336 1125901 280631450 223392871 57238579 0 24318172 1374165 43232091 34289146 2219823 2317259 999597 2110420 545105976 428524393 116831630 116581583 55498159 23649325 618848 2157298 22475740 24747631 266194060 207226827 25436452 26877436 139148673 25112340 10896116 0 29147323 29362317 204628564 81352093 X 40701093 102653381 20864403 23221353 61565496 125874734 266194060 207226827 X -12991576 94288 77206526 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20864404 877952 2822421 1343424 23221353 21609654 880931 1975754 3601935 20864404 26532061 1728874 -5387057 1264224 21609654 23748530 496611 3175962 889042 26532061 22792261 523727 1557759 1125217 23748530 0.00000 0.74088 0.25912 0 0 3871119 3871119 260142900 219541661 40601239 15193723 14841439 352284 201553667 182563343 18990324 64344567 11577950 52766617 116581583 DUE FROM AFFILIATES 5470000 OTHER ASSETS 8991654 RIGHT OF USE ASSETS 2832977 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 7453000 24747631 ESTIMATED SETTLEMENTS 3RD PARTY PAYABLE 3164000 ASSET RETIREMENT OBLIGATIONS 1603503 SELF-INSURANCE RESERVES 3901106 LEASE LIABILITY 2938535 OTHER LIABILITY 1968446 CAPITAL LEASE 2506586 DUE TO AFFILIATES 13280141 29362317 PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION IN PROVIDING HEALTHCARE TO THE SURROUNDING COMMUNITIES. GOLF INVITATIONAL 183520 124520 59000 17597 25600 18827 12007 183520 124520 59000 17597 25600 18827 12007 74031 -15031 1 1 X 1 X 1 X 301.000000000000 1 1 0 1 1 2763028 903628 1859400 0.00660 34457065 22989316 11467749 0.04090 37220093 23892944 13327149 0.04750 113 559261 4556790 1677771 2879019 0.01030 14 2786 14152955 7829243 6323712 0.02250 1 418 138574 138574 0.00050 3 20745 131497 127629 3868 0.00000 131 583210 18979816 9634643 9345173 0.03330 131 583210 56199909 33527587 22672322 0.08080 2 840 1601 0 1601 0.00000 1 100 483 0 483 0.00000 3 940 2084 2084 0.00000 0 4834810 68856968 83348786 -14491818 X 1 1 10 1 MELROSEWAKEFIELD HOSPITAL 585 LEBANON STREET MELROSE MA 02176 X X X A 2 LAWRENCE MEMORIAL HOSPITAL 170 GOVERNORS AVENUE MEDFORD MA 02155 X X A 3 MELROSEWAKEFIELD BREAST HEALTH CENTER 41 MONTVALE AVENUE STONEHAM MA 02180 OUTPATIENT MEDICAL A 4 CHEM CENTER RADIATION & MRI 48 MONTVALE AVENUE STONEHAM MA 02180 OUTPATIENT MEDICAL A 5 HALLMARK HEALTH AT 101 MAIN 101 MAIN STREET MEDFORD MA 02155 OUTPATIENT MEDICAL A 6 HALLMARK OUTPAT DIAGNOSTIC & REHAB 30 NEWCROSSING ROAD READING MA 01867 OUTPATIENT MEDICAL A 7 HEALTH IMAGE WOMAN'S IMAGING CENTER 830 MAIN STREET MELROSE MA 02176 IMAGING CENTER A 8 MELROSEWAKEFILED HOSPITAL REHAB SERVICES 22 COREY STREET MELROSE MA 02176 PT & REHAB SERVICE A 9 LAWRENCE MEMORIAL HOSPITAL PROGRAM 200 GOVERNORS AVENUE MEDFORD MA 02155 PSYCHIATRIC SERVICE A 10 COMMUNITY COUNSELING CENTER 178 SAVIN STREET MALDEN MA 02148 OUTPATIENT COUNSELING A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 21 1 0 1 1 X HTTPS://WWW.TUFTSMEDICINE.ORG/ X TUFTSMEDICINE.ORG/GET-CARE/OUR-LOCATIONS/ABOUT-MELROSEWAKEFIELD-HOSPITAL/ X 1 21 1 TUFTSMEDICINE.ORG/GET-CARE/OUR-LOCATIONS/ABOUT-MELROSEWAKEFIELD-HOSPITAL/ 0 1 X 150.000000000000 301.000000000000 X X X X X 1 1 X X X X 1 X WWW.TUFTSMEDICINE.ORG X WWW.TUFTSMEDICINE.ORG X WWW.TUFTSMEDICINE.ORG X X X X X X 1 X 0 X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: MELROSEWAKEFIELD HOSPITAL, - FACILITY 2: LAWRENCE MEMORIAL HOSPITAL, - FACILITY 3: MELROSEWAKEFIELD BREAST HEALTH CENTER, - FACILITY 4: CHEM CENTER RADIATION & MRI, - FACILITY 5: HALLMARK HEALTH AT 101 MAIN, - FACILITY 6: HALLMARK OUTPAT DIAGNOSTIC & REHAB, - FACILITY 7: HEALTH IMAGE WOMAN'S IMAGING CENTER, - FACILITY 8: MELROSEWAKEFILED HOSPITAL REHAB SERVICES, - FACILITY 9: LAWRENCE MEMORIAL HOSPITAL PROGRAM, - FACILITY 10: COMMUNITY COUNSELING CENTER FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: MWHC SOUGHT COMMUNITY INPUT THROUGH STAKEHOLDER SURVEYS, COMMUNITY SURVEYS AND THREE FOCUS GROUPS REPRESENTING YOUTH, ADULTS AND SENIORS. SURVEYS WERE AVAILABLE ONLINE IN THE MOST COMMON LANGUAGES SPOKEN IN THE SERVICE AREA. DIVERSE COMMUNITY MEMBERS TOOK ON THE ROLE OF MODERATORS FOR THE FOCUS GROUPS, AIMING TO UPHOLD THE PRINCIPLES OF FREE SPEECH AND CREATE A SENSE OF COMFORT. IN ADDITION, LOCAL COMMUNITY COALITIONS, THE HOSPITAL'S COMMUNITY BENEFITS ADVISORY COUNCIL WHICH INCLUDES A LOCAL PUBLIC HEALTH DIRECTOR WHO REPORTS BACK TO HER PEERS IN OTHER LOCAL CITIES AND TOWNS, THE MWHC PATIENT FAMILY ADVISORY COUNCIL, AND MWHC STAFF WERE ALSO INVITED TO PARTICIPATE. OTHER LOCAL HEALTH SYSTEMS AND COLLABORATING AGENCIES PROVIDED INPUT INCLUDING BETH ISRAEL/LAHEY HEALTH, CAMBRIDGE HEALTH ALLIANCE, AND MASSACHUSETTS GENERAL HOSPITAL. A FULL LIST OF PARTNERS IS INCLUDED IN APPENDIX A ON PAGE 56 OF THE 2022 MWHC COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE SECONDARY CHNA WORK INCLUDED COMMUNITY LISTENING SESSIONS. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B: MELROSEWAKEFIELD HEALTHCARE HIRED THE INSTITUTE FOR COMMUNITY HEALTH TO ASSIST US IN DEVELOPING OUR CHNA REPORT. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: THE RESOURCES AVAILABLE FOR COMMUNITY PROGRAMMING ARE LIMITED; HOWEVER, MWHC MAKES EVERY EFFORT TO USE THE FUNDS AVAILABLE TO CONTINUE TO SUPPORT UPSTREAM HEALTH IMPACTS AND EVIDENCE-BASED AND EVIDENCE- INFORMED PROGRAMS WITH DEMONSTRATED SUCCESS SUCH AS THOSE FUNDED BY STATE GRANTS AND SERVING VULNERABLE POPULATIONS. OTHER PROGRAMMING WILL BE IMPLEMENTED THROUGH PARTNERSHIPS WITH OTHER LIKE-MINDED ORGANIZATIONS, AND AS DONATIONS, GRANTS, AND OTHER FUNDS ARE SECURED TO ENSURE THEIR SUSTAINABILITY. WHILE THE SYSTEM WILL TOUCH ON MOST OF THE HEALTH AND SOCIAL PRIORITIES IDENTIFIED IN THE 2022 CHNA, THE CHIP IS LIMITED IN BREADTH OF PROGRAMMING AND WILL NOT BE FULLY FUNDED TO ADDRESS ALL ASPECTS OF THE IDENTIFIED NEEDS. IN EACH YEAR OF THE THREE-YEAR CHIP, THE RESOURCES AVAILABLE WILL BE REEVALUATED AND ALLOCATED AS NEEDED. ONE EXAMPLE IS FOOD INSECURITY. OUR AGENCY IS AN ACTIVE MEMBER OF THE TRI-CITY HUNGER NETWORK WHICH HAS ADVOCATED SUCCESSFULLY WITH PROJECT BREAD FOR FREE SCHOOL LUNCH TO CONTINUE POST-PANDEMIC IN ALL MA. SCHOOLS. WE HAVE SUPPORTED THE DEVELOPMENT OF A HUGELY SUCCESSFUL BODEGA STYLE MARKET IN MEDFORD MA THAT IS OPEN MANY DAYS WEEKLY AND ALLOWS PARTICIPANTS TO ORDER THEIR FOOD ONLINE. WE ARE AN ACTIVE MEMBER OF THE GREATER BOSTON FOOD BANK'S HEALTH AND RESEARCH TASK FORCE WHICH PUBLISHES AN ANNUAL HUNGER REPORT FOR MA. WE ALSO PROVIDE A FOOD BAG DELIVERY SERVICE IN ALIGNMENT WITH LOCAL PROVIDER AGENCIES TO SERVE 650 FAMILIES THAT FALL THROUGH THE GAPS IN THE STATE/FEDERAL FOOD SYSTEM. IN ADDITION, WE HOLD MEMBERSHIP ON THE HUNGER TO HEALTH COLLABORATORY AND THE FOOD IS MEDICINE MA TASK FORCE. ANOTHER EXAMPLE IS FOR IDENTIFYING AND TREATING TUBERCULOSIS: IN PAST YEARS MWHC OFFERED A COLLABORATIVE CLINIC WITH OUR THREE LARGEST CITIES EVERETT, MALDEN, AND MEDFORD. TODAY WE REFER PATIENTS TO THE HIGHER ACUITY CLINIC AT CAMBRIDGE HEALTH ALLIANCE, WHICH IS ABLE TO PROVIDE MORE COMPREHENSIVE SERVICES TO PATIENTS IN OUR AREA. THROUGH OUR COMMUNITY PARTNERSHIPS WE ARE SERVING THE IDENTIFIED NEEDS AS A TEAM.IN SOME CASES WE ALSO CO-FUND PROGRAMS SUCH AS AN SCREENING AND BRIEF INTERVENTION (SBIRT) PROGRAM AT THE STONEHAM/WAKEFIELD BOYS AND GIRLS CLUB WITH BETH ISRAEL/LAHEY HEALTH AND A MOBILE BEHAVIORAL HEALTH SERVICE FOR ELDERS ALSO WITH BETH ISRAEL/LAHEY HEALTH. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 20A: MELROSEWAKEFIELD HEALTHCARE DOES NOT PERFORM ECA - EXTRAORDINARY COLLECTION ACTIONS. AND WE DO NOT REPORT TO THE CREDIT AGENCIES OR BUREAUS. FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 20D: PRESUMPTIVE ELIGIBILITY DETERMINATIONS WERE DEEMED IMPRACTICAL FOR OUR PURPOSES BECAUSE THEY: DO NOT PROVIDE 10 DAY RETROACTIVE COVERAGE AVAILABLE THROUGH TRADITIONAL MH APPLICATIONS; END ON THE LAST DAY OF THE MONTH FOLLOWING APPLICATION; REQUIRE THAT THE PATIENT COMPLETE THE TRADITIONAL APPLICATION WITHIN 30 DAYS; FAXING AFTER WORKING HOURS/WEEKENDS CHANGE EFFECTIVE DATE TO THE FOLLOWING BUSINESS DAY THUS NULLIFYING OUR EFFORTS TO COVER A SPECIFIC DATE. PART I, LINE 3C: IN ADDITION TO THE FEDERAL POVERTY GUIDELINE, MELROSEWAKEFIELD HEALTHCARE REVIEWS, AMONG OTHER ITEMS, AN INDIVIDUAL'S HOUSEHOLD INCOME, ASSETS, FAMILY SIZE, EXPENSES, MEDICAL NEEDS, CURRENT INSURANCE COVERAGE, CITIZENSHIP AND RESIDENCY WHEN EVALUATING A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE AS PART OF ITS FINANCIAL ASSISTANCE POLICY. FOR MASSACHUSETTS RESIDENTS, THE APPLICABLE INFORMATION IS SUBMITTED TO THE STATE AS PART OF THE APPLICATION PROCESS FOR PUBLIC PROGRAM ASSISTANCE TO DETERMINE COVERAGE FOR SERVICES PROVIDED TO THE INDIVIDUAL.MASSACHUSETTS RESIDENTS ARE INFORMED, ENCOURAGED, AND ASSISTED IN APPLYING FOR STATE SPONSORED HEALTH INSURANCE PLANS THAT MAY RESULT IN FULL COVERAGE PROSPECTIVELY AND IN THE CASE OF MASSHEALTH, RETROACTIVELY. ONCE THE PATIENT HAS BEEN INSURED, FINANCIAL COUNSELORS EVALUATE INDIVIDUAL SITUATIONS FOR POSSIBLE APPLICATION FOR HARDSHIP THROUGH THE HEALTH SAFETY NET. IF APPROVED, HARDSHIP APPLICATIONS MAY COVER SERVICES THAT DATE BACK ONE YEAR FROM THE DATE OF APPLICATION.IF OR WHEN ANY OF THE AFOREMENTIONED MECHANISMS FAIL OR DO NOT OFFER ADEQUATE RELIEF TO THE PATIENT GIVEN HIS/HER INDIVIDUAL NEEDS, THE FINANCIAL ASSISTANCE APPLICATION (FAP) APPLICATION MAY BE COMPLETED; AND IF APPROVED, MAY ALSO OFFER FREE OR DISCOUNTED CARE BASED ON THE INDIVIDUAL'S HOUSEHOLD INCOME, AS DETERMINED BY FEDERAL POVERTY GUIDELINES (FPL); ASSETS, FAMILY SIZE, EXPENSES, MEDICAL NEEDS, AMOUNT OF MEDICAL DEBT, CURRENT INSURANCE COVERAGE, CITIZENSHIP AND MA RESIDENCY. WHEN A FAP DETERMINATION DOES NOT COVER THE FULL AMOUNT OF THE OUTSTANDING BILLS, THE PATIENT WILL BE CONTACTED TO MAKE SUITABLE PAYMENT ARRANGEMENTS. FOR CLARIFICATION PURPOSES, IT MUST BE NOTED THAT THE FAP APPLICATION IS NOT INTENDED FOR, NOR DOES IT COVER BALANCES AFTER INSURANCE PAYMENTS SUCH AS COPAYS, COINSURANCES AND/OR DEDUCTIBLES; THESE REMAIN THE PATIENT'S RESPONSIBILITY. PART I, LINE 7: CHARITY CARE COSTS FROM WORKSHEETS 1 & 2 AND UNREIMBURSED MEDICAID FROM WORKSHEET 3 AND HEALTH PROFESSIONS EDUCATION FROM WORKSHEET 5 WERE APPLIED TO ALL PATIENT SEGMENTS. (COST TO CHARGE RATIO). PART I, QUESTION 6A: IN ADDITION TO THE FORM 990 SCHEDULE H, MELROSEWAKEFIELD HEALTHCARE IS PREPARING A FY 2024 COMMUNITY BENEFITS REPORT TO THE COMMONWEALTH OF MASSACHUSETTS, IN COMPLIANCE WITH THE REQUIREMENTS OF THE MA ATTORNEY GENERAL (THE "MA AGO") FOR REPORTING COMMUNITY BENEFITS. THE COMMUNITY BENEFITS PROCESSES AND ACTIVITIES ARE ALSO AVAILABLE ONLINE, WITH THE CHNA AND THE 2020-2022 AND 2023-2025 COMMUNITY BENEFITS IMPLEMENTATION PLANS (CHIP) WHICH ARE ALSO AVAILABLE IN PRINT VERSIONS AT EACH HOSPITAL CAMPUS AND AT OTHER COMMUNITY SITES IN THE SERVICE AREA.MWHC PROMOTES COMMUNITY BENEFITS PROGRAMS THROUGH NEWS RELEASES, CALENDAR POSTINGS, FACEBOOK, TWITTER, AND EMAIL MESSAGING, CONSTANT CONTACT, SERVICE ORGANIZATIONS, AND LOCAL CABLE ACCESS TELEVISION STATIONS. FLYERS AND POSTCARDS ARE ALSO DISSEMINATED WIDELY IN THE COMMUNITY TO NOTIFY RESIDENTS OF UPCOMING COMMUNITY BENEFITS PROGRAMS AND SERVICES. THE ANNUAL COMMUNITY BENEFITS REPORT IS DISTRIBUTED TO THE MWHC BOARD OF TRUSTEES, LEADERS, LOCAL LEGISLATORS AND COMMUNITY PARTNERS. THE REPORT IS ALSO POSTED ON THE MELROSEWAKEFIELD HEALTHCARE WEBSITE FOR THE GENERAL PUBLIC TO VIEW AND COMMENT. PART II, COMMUNITY BUILDING ACTIVITIES: AS PART OF ITS EFFORTS TO IMPROVE THE HEALTH STATUS OF ITS CORE COMMUNITIES, MELROSEWAKEFIELD HEALTHCARE (MWHC) PARTICIPATES IN A VARIETY OF BROAD-BASED COMMUNITY COALITIONS AND INITIATIVES THAT WORK TOWARDS ADDRESSING THE SPECIFIC AND GENERAL HEALTH NEEDS IN THESE CITIES AND TOWNS. A SAMPLE OF CURRENT ACTIVITIES INCLUDE: THE JOINT COMMITTEE FOR CHILDREN'S HEALTHCARE IN EVERETT; DEPARTMENT OF CHILD AND FAMILIES (DCF); THE MALDEN OPIOID TASK FORCE; MEDFORD HEALTH MATTERS; LOCAL COUNCILS ON AGING; THE MELROSE COMMUNITY COALITION; LOCAL SUBSTANCE ABUSE PREVENTION COALITIONS IN MALDEN, MELROSE, MEDFORD, READING, STONEHAM, AND WAKEFIELD; AS WELL AS THE REGIONAL MYSTIC VALLEY PUBLIC HEALTH COALITION. MWHC ALSO FORMALLY PARTNERS WITH THE NORTH SUBURBAN CHILD AND FAMILY RESOURCE NETWORK, SERVING LYNNFIELD, MALDEN, MELROSE, NORTH READING, READING, STONEHAM, WAKEFIELD, AND WINCHESTER; AND THE EVERETT, AND MEDFORD COORDINATED FAMILY AND COMMUNITY ENGAGEMENT (CFCE) GRANT PROGRAMS FUNDED BY THE MA DEPARTMENT OF EARLY EDUCATION AND CARE; AND A HOST OF OTHER COMMUNITY-BASED AND GUIDED COALITIONS AND INITIATIVES.IN ADDITION, MWHC HAS CONTINUED TO CONVENE COMMUNITY OUTREACH TO ASSIST WITH THE COLLECTION OF COMMUNITY HEALTH NEEDS INFORMATION TO OPTIMIZE THE BENEFITS OF COMMUNITY HEALTH EDUCATION AND SCREENINGS. THE HOSPITALS HAVE SPONSORED AND PARTICIPATED IN EVENTS RANGING FROM INFORMAL (PLANNING HEALTH EVENTS AND SCREENINGS) TO MORE FORMAL (PARTICIPATION ON THE TRI-CITY HUNGER NETWORK, YMCA HEALTHY KIDS DAYS IN READING AND MALDEN, AND THE MOBILE FOOD MARKET IN MALDEN), OFFERING MULTIPLE OPPORTUNITIES TO INTERACT WITH A WIDE RANGE OF COMMUNITY MEMBERS TO FORM TRUSTING RELATIONSHIPS, LISTEN TO THE VOICES OF INDIVIDUAL COMMUNITY MEMBERS, AND FOSTER THE DEVELOPMENT OF RESILIENCE WITHIN EACH COMMUNITY. EMPLOYEES CONTINUOUSLY SOLICIT INPUT FROM COMMUNITY LEADERS INCLUDING SUPERINTENDENTS OF SCHOOLS, STATE REPRESENTATIVES, BUSINESS LEADERS, FIRE AND POLICE OFFICIALS AND LOCAL HEALTH DEPARTMENTS. MANY EMPLOYEES ALSO PARTICIPATE IN OTHER COMMUNITY GROUPS AND CIVIC ORGANIZATIONS. PART III, LINE 2: MELROSEWAKEFIELD HEALTHCARE, INC. DEVELOPED A COST TO CHARGE RATIO AND APPLIED IT TO THE BAD DEBT ACCOUNT CHARGES THAT WERE ACTUALLY WRITTEN OFF. PART III, LINE 4: THE FOLLOWING IS FROM THE TUFTS MEDICINE, INC. AND CONSOLIDATED AFFILIATES (THE SYSTEM) AUDITED FINANCIAL STATEMENTS, OF WHICH MELROSEWAKEFIELD HEALTHCARE, INC. IS INCLUDED, RELATING TO CHARITY CARE AND BAD DEBT EXPENSE:CHARITY CARE AND COMMUNITY BENEFITS FOOTNOTECHARITY CARE - THE SYSTEM'S COMMITMENT TO COMMUNITY SERVICE IS EVIDENCED BY SERVICES PROVIDED TO THE POOR AND BENEFITS PROVIDED TO THE PATIENTS THAT IT SERVES. THE SYSTEM PROVIDES HEALTH CARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. THESE PATIENTS MAY RECEIVE FULL ASSISTANCE OR MAY BE SUBJECT TO PARTIAL LIABILITY BASED ON INCOME AND FAMILY SIZE. BECAUSE THE SYSTEM DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE.THE SYSTEM PROVIDED CHARITY CARE, BASED ON ESTIMATED COST OF THE CHARITY CARE PROVIDED, OF $10,919,000 AND $3,237,000 FOR THE YEARS ENDED SEPTEMBER 30, 2024 AND 2023, RESPECTIVELY. THE ESTIMATED COST OF CHARITY CARE IS BASED ON THE RELATIONSHIP OF PATIENT CARE SERVICE CHARGES TO THE RELATED COSTS APPLIED TO CHARITY CARE CHARGES RECOGNIZED DURING THE YEARS ENDED SEPTEMBER 30, 2024 AND 2023. THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING 2024.HEALTH SAFETY NET FUND (HSN) - THE COMMONWEALTH OF MASSACHUSETTS (THE "COMMONWEALTH") OPERATES THE HSN, WHICH WAS CREATED BY THE COMMONWEALTH'S HEALTH CARE REFORM ACT TO REPLACE THE STATE'S UNCOMPENSATED CARE POOL. THE HSN ALLOCATES THE COST OF UNCOMPENSATED CARE AMONG THE HOSPITALS IN THE COMMONWEALTH. HOSPITALS HAVE BEEN ASSESSED A UNIFORM ALLOWANCE BASED ON ESTIMATES OF THE STATEWIDE COST OF UNCOMPENSATED CARE AND REIMBURSED FOR A PORTION OF THE COST OF UNCOMPENSATED CARE, SUBJECT TO CERTAIN LIMITATIONS. REIMBURSABLE UNCOMPENSATED CARE INCLUDES NET CHARITY CARE AND CERTAIN UNCOLLECTIBLE ACCOUNTS RELATED TO EMERGENCY SERVICES. HOSPITALS' RECOVERIES FROM THE HSN ARE BASED ON A CLAIMS-BASED PAYMENT METHOD THAT USES MEDICARE PRINCIPLES. REIMBURSEMENT FROM THE HSN FOR UNCOMPENSATED CARE IS RECORDED IN NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENT OF OPERATIONS. THE COMMONWEALTH HAS DETERMINED FINAL SETTLEMENTS WITH RESPECT TO THE HSN FOR ALL YEARS PRIOR TO 2021.COMMUNITY BENEFIT - IN FURTHERING ITS CHARITABLE PURPOSE, THE SYSTEM PROVIDES A WIDE VARIETY OF HEALTH CARE SERVICES TO THE COMMUNITY IN ORDER TO PROVIDE ACCESS TO APPROPRIATE CARE FOR POPULATIONS IN NEED. THE SYSTEM HAS DEVELOPED A FORMAL COMMUNITY BENEFIT PLAN THAT RESPONDS TO THE COMPREHENSIVE ASSESSMENT OF HEALTH CARE NEEDS IN THE COMMUNITY. THE COMMUNITY BENEFIT PLAN SUPPORTS SERVICES THAT TARGET NOT ONLY THE GENERAL POPULATION IN THE SYSTEM'S SERVICE AREA, BUT ALSO PARTICULAR POPULATIONS WITH SPECIAL HEALTH CARE NEEDS, INCLUDING THE POOR, ELDERLY, CHILDREN, AND MINORITY POPULATIONS. SUPPORTED SERVICES INCLUDE VARIOUS CLINICS, HEALTH SCREENING PROGRAMS, HEALTH EDUCATION PROGRAMS, AND SUPPORT GROUPS OPERATED IN THE SYSTEM'S SERVICE AREA. ADDITIONALLY, CERTAIN PATIENT SERVICES ARE PROVIDED WITHOUT COMPENSATION. THE SYSTEM WORKS ACTIVELY WITH OTHER AREA SERVICE PROVIDERS TO FACILITATE THE DEVELOPMENT OF AN EFFECTIVE COMMUNITY HEALTH NETWORK. THE SYSTEM ALSO PARTICIPATES IN ACTIVITIES DESIGNED TO FOSTER AND ENHANCE THE ECONOMIC AND CIVIC ENVIRONMENT OF ITS SERVICE AREAS. PART III, LINE 8: THE MEDICARE ALLOWABLE COSTS ON LINE 6 WERE DETERMINED BY USING INFORMATION FROM THE MEDICARE COST REPORT. IT IS MELROSEWAKEFIELD HEALTHCARE'S POLICY TO EXCLUDE ANY MEDICARE SHORTFALL FROM THE COMMUNITY BENEFIT INFORMATION. PART III, LINE 9B: POLICY - IT IS MELROSEWAKEFIELD HEALTHCARE'S POLICY TO EXEMPT CERTAIN INDIVIDUALS AND PATIENT POPULATIONS WHO ARE ENROLLED IN MASSHEALTH, CERTAIN OTHER GOVERNMENT BENEFIT PROGRAMS AND FINANCIAL ASSISTANCE PROGRAMS FROM ANY COLLECTION OR BILLING PROCEDURES, SUBJECT TO ALLOWABLE EXCEPTIONS, PURSUANT TO MASSACHUSETTS STATE REGULATIONS AND POLICIES. PART VI, LINE 2: MELROSEWAKEFIELD HEALTHCARE IS A NOT-FOR-PROFIT HOSPITAL SYSTEM THAT OPERATES TO FURTHER THE IMPROVEMENT OF THE HEALTH STATUS OF THE COMMUNITIES THAT WE SERVE THROUGH THE DELIVERY OF HEALTHCARE SERVICES AND EDUCATION. THIS EFFORT IS ACHIEVED BY:-INVESTING FUNDS INTO COMMUNITIES THROUGH EVIDENCE-BASED AND EVIDENCE-INFORMED PROGRAMS AND SERVICES, INCLUDING THOSE BASED ON THE SOCIAL DETERMINANTS OF HEALTH.-MAKING SURE THAT CARE IS AVAILABLE TO EVERYONE REGARDLESS OF THE ABILITY TO PAY.-USING COMPASSION AS A CORNERSTONE IN IMPROVING THE HEALTH OF OUR COMMUNITIES.-ATTENDING TO THE NEEDS OF PATIENTS AND THEIR FAMILY MEMBERS BY ADDRESSING THE NEEDS OF THE WHOLE PERSON NOT JUST AS A FACTOR OF THEIR DISEASE OR A DIAGNOSIS.-PROVIDING A RANGE OF SPECIAL BENEFITS TO THE COMMUNITY, SUCH AS PROGRAMS TO MANAGE CARE FOR PERSONS WITH CHRONIC DISEASES, HEALTH EDUCATION AND DISEASE PREVENTION INITIATIVES, PROGRAMS FOR FAMILIES WITH CHILDREN, OUTREACH FOR THE ELDERLY, AND CARE FOR PERSONS OF COLOR, IMMIGRANTS, OR THOSE WHO ARE POOR OR UNINSURED.- ACTING AS A CATALYST, PARTICIPANT, AND LEADER IN IMPROVING THE HEALTH OF THE COMMUNITY THROUGH LOCAL PARTNERSHIPS SUCH AS WITH MALDEN OVERCOMING ADDICTION, MEDFORD HEALTH MATTERS, AND FOOD SECURITY TASKS FORCES BOTH REGIONALLY AND LOCALLY.IN COMPLIANCE WITH IRS GUIDELINES, A YEAR-LONG PROCESS TO DEVELOP A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED BY MELROSEWAKEFIELD HEALTHCARE, INC. (FORMERLY HALLMARK HEALTH SYSTEM, INC.) IN AUGUST 2022, IN COLLABORATION WITH THE INSTITUTE FOR COMMUNITY HEALTH (ICH), A NON-PROFIT ORGANIZATION RECOGNIZED FOR COMMUNITY-BASED PARTICIPATORY RESEARCH, ASSESSMENT, AND DISSEMINATION. THIS PROCESS INCLUDED A REVIEW OF REPUTABLE PUBLIC HEALTH, SOCIO-ECONOMIC, AND FOUNDATION DATA; INPUT FROM THE MELROSEWAKEFIELD HEALTHCARE COMMUNITY BENEFITS ADVISORY COUNCIL, EMPLOYEES PROVIDING COMMUNITY OUTREACH, THE PATIENT/FAMILY ADVISORY COUNCIL, LOCAL COMMUNITY COALITIONS, AND COMMUNITY RESIDENTS. STAKEHOLDER INTERVIEWS AND SURVEYS, COMMUNITY SURVEYS AND FOCUS GROUPS WERE ALSO COMPLETED. REFLECTING IRS REQUIREMENTS, AND TO FOSTER TRANSPARENCY, THE ENTIRE CHNA AND PRIOR CHNA AS WELL AS THE EVERETT/MALDEN REPORT ARE POSTED ON THE MWHC WEBSITE AND IN PRINTED VERSIONS AT EACH HOSPITAL CAMPUS AND OTHER KEY EASILY ACCESSIBLE LOCATIONS IN EACH COMMUNITY IN THE CATCHMENT AREA. THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR 2023-2025 IS ALSO POSTED ON MWHC'S WEBSITE. THE 2023-2025 CHIP WAS BOARD APPROVED IN FEBRUARY 2023. THE BOARD APPROVED CHIPS AND CHNAS ARE PLACED ON THE SYSTEM'S WEBSITE AT HTTPS://WWW.TUFTSMEDICINE.ORG/GET-CARE/OUR-LOCATIONS/ABOUT-MELROSEWAKEFIELD-HOSPITAL/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PAPER COPIES OF THE REPORTS ARE LOCATED CENTRALLY IN EACH OF THE NINE COMMUNITIES SERVED AS WELL.DUE TO THE COVID-19 GLOBAL PANDEMIC, MANY OF THE COMMUNITY BENEFITS PROGRAMMING HAD BEEN PAUSED OR ARE RUNNING IN A DIFFERENT CAPACITY, SUCH AS REMOTE/HYBRID, AS OF THE END OF MARCH 2020. THESE PROGRAMS HAVE STARTED AGAIN SINCE THE PANDEMIC HAS ENDED AND IT IS SAFE TO RESUME IN-PERSON ACTIVITIES. MWHC IS CURRENTLY OFFERING THE PROGRAMS LISTED ON OUR WEBSITE. DESPITE THE CHANGES IN SERVICES, THE SYSTEM WILL TOUCH ON THE MAJORITY OF THE HEALTH AND SOCIAL PRIORITIES IDENTIFIED IN THE 2023-2025 CHNA. THE COMMUNITY BENEFITS ADVISORY COUNCIL (CBAC) UNDERSTANDS AND APPROVES THE CHANGES TO THE CHIP.ONGOING MONITORING OF THE CHNA, THE CHIP, AND ITS IDENTIFIED HEALTH PRIORITIES IS THE RESPONSIBILITY OF THE COMMUNITY BENEFITS ADVISORY COUNCIL (CBAC). AS OF THE END OF FY 2024/TY 2023, THE MWHC COUNCIL INCLUDED: A TRUSTEE OF MELROSEWAKEFIELD HEALTHCARE; VP OF PATIENT CARE SERVICES, CHIEF NURSING OFFICER; A MWHC EMPLOYED PHYSICIAN; DIRECTOR, COMMUNITY SERVICES; SOCIAL WORKER, CASE MANAGEMENT; MANAGER, COMMUNITY BENEFITS AND OPERATIONS; SENIOR CONTENT WRITER; TWO FINANCE STAFF OF MWHC; AND 15 COMMUNITY REPRESENTATIVES.THE CBAC PROVIDES OVERSIGHT FOR THE CHNA, AND THE PROCESSES FOR RECOGNIZING CURRENT AND EMERGING HEALTH NEEDS IN THE COMMUNITY, AS WELL AS DEVELOPING A MULTI-YEAR COMMUNITY HEALTH IMPLEMENTATION/IMPROVEMENT PLAN (CHIP) TO RESPOND TO THESE NEEDS. THE CBAC MEETS SIX TIMES PER YEAR TO ENSURE COMPLIANCE WITH THE CHIP, REVIEW PROGRAM OUTCOMES, DISCUSS IMPORTANT COMMUNITY HEALTH ISSUES, AND OFFER RECOMMENDATIONS TO THE BOARD OF TRUSTEES RELATED TO COMMUNITY HEALTH NEEDS AND DISPARITIES. THE COUNCIL IS ALSO AVAILABLE ON-LINE TO ADDRESS ANY ISSUES THAT MIGHT ARISE BETWEEN SCHEDULED MEETING TIMES. THE CBAC APPROVES ANY AND ALL AMENDMENTS TO THE CHIP RESULTING FROM EMERGING HEALTH ISSUES OR UNPLANNED CHANGES IN CAPACITY, BUT SIGNIFICANT AMENDMENTS ALSO RECEIVE BOARD OF TRUSTEES APPROVAL. THE COUNCIL ENGAGES NEW MEMBERS FROM THE COMMUNITIES SERVED TO JOIN THE GROUP, PRIORITIZING CANDIDATES WHO CAN ASSIST THE CBAC AND MWHC TO BETTER UNDERSTAND COMMUNITY HEALTH NEEDS AND BARRIERS TO ACCESS. AT THE END OF FY24/TY23, THE COUNCIL WAS COMPRISED OF 24 MEMBERS. THE COUNCIL REPORTS TO THE BOARD OF TRUSTEES AND THE FULL BOARD IS RESPONSIBLE FOR FINAL APPROVAL ON THE CHNA, CHIP, AND OTHER MATTERS OF IMPORTANCE SUCH AS REVIEWING COUNCIL RECOMMENDATIONS FOR SIGNIFICANT AMENDMENTS TO THE COMMUNITY HEALTH IMPLEMENTATION/IMPROVEMENT PLAN.MWHC ALSO ACTIVELY PARTICIPATES WITH THE COMMUNITY THROUGH ITS COMMUNITY OUTREACH EFFORTS, SOLICITING INPUT FROM KEY COMMUNITY LEADERS, AND COMMUNITY MEMBERS INCLUDING SUPERINTENDENTS OF SCHOOLS, STATE REPRESENTATIVES, BUSINESS LEADERS, FIRE AND POLICE PERSONNEL AND LOCAL HEALTH DEPARTMENTS. ADDITIONAL APPROACHES INCLUDE WORKING AS MEMBERS OF COMMUNITY COALITIONS. THESE STRATEGIES HAVE PROVEN EFFECTIVE IN GAINING VITAL PERSPECTIVE AROUND THE HEALTH NEEDS OF LOCAL RESIDENTS AND IN TAILORING OUTREACH MESSAGES AND PROGRAMMING BASED ON WHAT CONSTITUENCIES AND COMMUNITIES VALUE MOST. WHILE COMMUNITY HEALTH NETWORK AREAS (CHNA'S) 15 AND 16 ARE NO LONGER ACTIVE, THE FORMER MEMBERS OF BOTH CHNAS ARE STILL CLOSELY ALIGNED WITH MWHC.(EMPLOYEE OUTREACH FUNCTIONS ARE FURTHER EXPLAINED IN THE DESCRIPTION OF COMMUNITY ACTIVITIES IN PART II.)(SEE CONTINUATION LATER) PART VI, LINE 3: MASSACHUSETTS HOSPITALS AND MWHC PROVIDE PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS THROUGH THE COMMONWEALTH OF MASSACHUSETTS OR THROUGH THE HOSPITAL'S OWN FINANCIAL ASSISTANCE PROGRAM AS OUTLINED IN THE FINANCIAL ASSISTANCE POLICY AND THE CREDIT AND COLLECTION POLICY OF MELROSEWAKEFIELD HEALTHCARE AND AT THE MELROSEWAKEFIELD HEALTHCARE WEBSITE HTTPS://WWW.TUFTSMEDICINE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE-POLICIES. FOR THOSE PATIENTS THAT REQUEST SUCH ASSISTANCE MWHC'S CERTIFIED FINANCIAL COUNSELORS ASSIST PATIENTS BY SCREENING THEM FOR ELIGIBILITY IN AVAILABLE PUBLIC ASSISTANCE PROGRAMS OR THE MWHC'S FINANCIAL ASSISTANCE PROGRAM. THIS INFORMATION IS WIDELY SHARED WITH ORGANIZATIONS REPRESENTING THE MOST UNDERSERVED RESIDENTS IN THE COMMUNITY SUCH AS THE LOCAL POVERTY AGENCY, ACTION FOR BOSTON COMMUNITY DEVELOPMENT (ABCD), A COMMUNITY ACTION PROGRAM (CAP), THE JOINT COMMITTEE FOR CHILDREN'S HEALTH CARE IN EVERETT, BOYS AND GIRLS CLUB OF STONEHAM AND WAKEFIELD, AND EAST BOSTON NEIGHBORHOOD HEALTH CENTERS, SOUTH COVE HEALTH CENTER IN MALDEN, AND MANY OTHERS.IN FY24/TY23 MWHC FINANCIAL COUNSELORS PROVIDED 3,102 INTERACTIONS WITH COMMUNITY MEMBERS AND COMPLETED APPLICATIONS FOR INDIVIDUALS IN THE STATE HEALTH PROGRAMS; SUCH AS MASS HEALTH, HEALTH CONNECTOR CHILDREN'S MEDICAL SECURITY PLAN AND THE HEALTH SAFETY NET. MASSHEALTH APPLICATIONS WERE DETERMINED TO BE ELIGIBLE FOR A VARIETY OF CATEGORIES SUCH AS: STANDARD, CAREPLUS, COMMONWEALTH, FAMILY ASSISTANCE, LIMITED, CHILDREN'S MEDICAL SECURITY PLAN, PREMIUM ASSISTANCE, BUY-IN, AND HEALTH SAFETY NET. ADDITIONALLY, LONG TERM CARE AS WELL AS HARDSHIP APPLICATIONS WERE COMPLETED. IN THE HEALTH CONNECTOR PLANS, WHICH ARE MAINLY DETERMINED BASED ON THE HOUSEHOLD INCOME, THE APPLICATIONS RESULTED IN APPROVALS FOR CONNECTOR CARE PLANS (1, 2A, 2B, 3A AND 3B) AS WELL AS UNSUBSIDIZED HEALTH CONNECTOR PLANS DIFFERENTIATED BY METALLIC TIERS (BRONZE, SILVER, GOLD, AND PLATINUM). ADDITIONAL INTERACTIONS, WHICH ARE NOT QUANTIFIED ABOVE, INCLUDED APPLICATIONS FOR MEDICARE PART D AND EXTRA HELP. THE FINANCIAL COUNSELING DEPARTMENT ALSO PROCESSES FINANCIAL ASSISTANCE APPLICATIONS FOR UNINSURED AND UNDERINSURED APPLICANTS THAT ARE NOT ELIGIBLE FOR STATE SPONSORED ASSISTANCE. THE MWHC FINANCIAL ASSISTANCE POLICY (FAP) AND THE APPLICATION ARE OUTLINED IN OUR WEBSITE AND ARE AVAILABLE IN MULTIPLE LANGUAGES FOLLOWING THE IRS GUIDELINES. APPLICATIONS ARE REVIEWED AND DETERMINED USING FEDERAL POVERTY GUIDELINES. THESE GUIDELINES ARE MAILED TO OVER 100 LOCAL AGENCIES SERVING POTENTIALLY NEEDY CLIENTS.OTHER FORMS OF COUNSELING INCLUDED EDUCATION FOR RISING MEDICARE ELIGIBLE COMMUNITY MEMBERS TO HELP THEM UNDERSTAND THEIR RIGHTS AND BENEFITS AND TO MEET DEADLINES THAT WOULD OTHERWISE LEAVE THEM UNINSURED AT CRITICAL TIMES. COUNSELORS ALSO PLAYED A VITAL ROLE IN HELPING PATIENTS UNDERSTAND AND DIFFERENTIATE BETWEEN TRADITIONAL MEDICARE AND ADVANTAGE PLANS. CONSEQUENTIALLY, COUNSELORS ALSO SUPPORTED RESIDENTS TO BETTER UNDERSTAND MEDICARE SUPPLEMENTAL INSURANCES FOR THOSE UNWILLING TO APPLY OR UNABLE TO QUALIFY FOR MASSHEALTH BENEFITS.SERVICES PROVIDED BY FINANCIAL COUNSELORS INCLUDED CONTACTING DOCTORS TO COMPLETE FORMS THAT WERE NEEDED TO PROVIDE EMERGENCY MEDICATION OR FREE MEDICINE FROM MANUFACTURERS, ADVOCATING WITH INSURANCE COMPANIES ON THEIR BEHALF, HELPING THEM SETTLE BILLS OR SETTING UP PAYMENT PLANS, CONTACTING OTHER PROVIDERS AND ADVOCATING FOR A REDUCTION OR WRITE-OFF OF CHARGES, HELPING THEM SORT THROUGH REAMS OF DOCUMENTS TO HELP PROVIDE REQUIRED DOCUMENTATION FOR INSURANCE OR UTILITY DISCOUNTS.MWHC HAS NO ROLE IN SPECIFICALLY DETERMINING THE ELIGIBILITY FOR ENROLLMENT IN A PUBLIC ASSISTANCE PROGRAM, BUT AT THE PATIENT'S REQUEST MAY TAKE A DIRECT ROLE IN APPEALING OR SEEKING INFORMATION RELATED TO THE COVERAGE DECISION.MWHC PROVIDES ALL SELF-PAY INDIVIDUALS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PUBLIC ASSISTANCE AND FINANCIAL ASSISTANCE PROGRAMS DURING A PATIENT'S INITIAL IN-PERSON PRE-REGISTRATION AT A HOSPITAL LOCATION FOR NON-EMERGENCY SERVICES, BY PHONE CALL OR IN-PERSON INTERVIEWS ONCE A PATIENT IS ADMITTED TO THE HOSPITAL FROM THE EMERGENCY ROOM OR DISCHARGED FROM THE EMERGENCY ROOM, IN ALL BILLING INVOICES THAT ARE SENT TO A PATIENT OR GUARANTOR, AND WHEN THE PROVIDER IS NOTIFIED OR THROUGH ITS OWN DILIGENCE BECOMES AWARE OF A CHANGE IN THE PATIENT'S ELIGIBILITY STATUS FOR PUBLIC OR PRIVATE INSURANCE COVERAGE.IN ADDITION, MWHC ALSO POSTS INFORMATIONAL FLYERS WITH A LIST OF DOCUMENTS NEEDED FOR APPLICATIONS AND THE TELEPHONE NUMBER TO SCHEDULE AN APPOINTMENT THROUGH CENTRAL SCHEDULING. WHEN COMMUNICATING WITH PATIENTS REGARDING FINANCIAL ASSISTANCE, ESPECIALLY DURING SCHEDULED INTERVIEWS, OR ON THE TELEPHONE, MWHC ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. ADDITIONALLY, THE FAP IS DISTRIBUTED IN MULTIPLE LANGUAGES AT NON-TRADITIONAL LOCATIONS SUCH AS THE MOBILE FOOD MARKET AND FAMILY NETWORKS IN OUR SERVICE AREA. THE FAP IS AVAILABLE ON THE MWHC WEBSITE WHICH ALSO OFFERS A TRANSLATION FEATURE TO ACCOMMODATE VISITS.WHEN LANGUAGE IS AN ISSUE THAT IMPEDES PROPER UNDERSTANDING OF THE APPLICATION PROCESS FOR HEALTH INSURANCE OR ADDITIONAL FINANCIAL ASSISTANCE, FINANCIAL COUNSELORS USE THE LANGUAGE LINE, A TRANSLATION SERVICE, TO ENSURE THAT THE PATIENT UNDERSTANDS ALL ASPECTS OF THE PROCESS IN HIS/HER NATIVE LANGUAGE. THIS IS OF SPECIAL IMPORTANCE AS APPROVALS FOR SOME CATEGORIES REQUIRE THE PATIENT TO CHOOSE A PLAN OR MAKE A PAYMENT AFTER THE INITIAL ENCOUNTER WITH THE FINANCIAL COUNSELOR IN PERSON OR USING VIDEO REMOTE INTERPRETERS (VRI). BEGINNING IN JANUARY 2022, MELROSEWAKEFIELD HOSPITAL UTILIZED UBERHEALTH TRANSPORTATION SERVICE TO INCREASE PATIENT ACCESS TO HOSPITAL-BASED MEDICAL CARE AND SERVICES. IN FY24, MWH PROVIDED 1,247 UBERHEALTH RIDES AND 159 TAXI TRIPS FROM THE HOSPITAL TO PATIENTS' DESTINATIONS INCLUDING RESIDENCES, SHELTERS AND GROUP HOMES. ENABLING PATIENTS TO HAVE RELIABLE TRANSPORTATION TO THEIR MEDICAL APPOINTMENTS ALLOWS FOR BETTER PATIENT OUTCOMES INCLUDING REDUCING THE STRESS OF FINDING A WAY HOME AFTER A SERIOUS ACCIDENT OR ILLNESS.IN AUGUST 2024, THE AWARD-WINNING MOBILE FOOD MARKET BASED IN MALDEN CELEBRATED ITS TWELFTH YEAR SERVING THOUSANDS OF FAMILIES IN LOCAL COMMUNITIES, PROVIDING HIGH-QUALITY, NUTRITIOUS PRODUCE AND STAPLE PANTRY ITEMS FOR FREE TO COMMUNITY MEMBERS IN NEED. THE MARKET IS RUN IN PARTNERSHIP WITH THE CITIES OF MALDEN AND MEDFORD, THE GREATER BOSTON FOOD BANK, AND A LOCAL CHAPTER OF ZONTA, AN INTERNATIONAL SERVICE AGENCY. TO ADDRESS THESE HIGH FOOD INSECURITY RATES, THE FARMERS-MARKET STYLE DISTRIBUTION OFFERS HEALTHY GROCERY OPTIONS, WHICH ARE PROVIDED BY THE GREATER BOSTON FOOD BANK TO APPROXIMATELY 650 DIVERSE, LOW-INCOME FAMILIES (NEARLY 3,000 INDIVIDUALS) EACH MONTH. DURING THE PANDEMIC, LOCAL PARTNERSHIPS ALLOWED US TO PACK AND DELIVER THE GROCERIES TO FAMILIES AND INDIVIDUALS MOST IN NEED. MORE THAN 60 MELROSEWAKEFIELD HOSPITAL AND COMMUNITY VOLUNTEERS REGULARLY SUPPORT THE PROGRAM. THE MOBILE FOOD MARKET HAS BEEN USED AS A MODEL FOR THE DEVELOPMENT OF MORE THAN SIX OTHER FOOD MARKETS IN MASSACHUSETTS AND IS A CATALYST TO ADDRESS THE COMMUNITY-WIDE ISSUE OF FOOD INSECURE VULNERABLE POPULATIONS, INCLUDING FAMILIES, ELDERS, IMMIGRANTS, AND INDIVIDUALS AFFECTED BY CHRONIC HEALTH ISSUES, UNEMPLOYMENT, OR OTHER ADVERSE SITUATIONS SUCH AS LACK OF STABLE HOUSING.IN FY24, THE MOBILE FOOD MARKET WAS FEATURED IN A NEW YORK TIMES ARTICLE DISCUSSING HOW INFLATION AND HIGH INTEREST RATES ARE AFFECTING HOUSEHOLD BUDGETS AND INCREASING FINANCIAL STRAIN FOR MANY FAMILIES. IT HIGHLIGHTS THE ROLE OF COMMUNITY PROGRAMS, SUCH AS MOBILE FOOD MARKETS, IN PROVIDING ESSENTIAL SUPPORT TO THOSE STRUGGLING WITH RISING COSTS. PART VI, LINE 4: MELROSEWAKEFIELD HEALTHCARE (MWHC) IS A COMMUNITY HOSPITAL SYSTEM, LOCATED ON TWO HOSPITAL CAMPUSES APPROXIMATELY TEN (10) MILES NORTH OF BOSTON, MASSACHUSETTS. MWHC'S OVERALL SERVICE AREA IS PRIMARILY WITHIN MIDDLESEX COUNTY, WITH SOME SLIGHT OVERLAP INTO ESSEX AND SUFFOLK COUNTIES.THE MWHC COMMUNITY BENEFIT CATCHMENT AREA (AS DEFINED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS) INCLUDES THE NINE COMMUNITIES OF EVERETT, MALDEN, MEDFORD, MELROSE, READING, NORTH READING, SAUGUS, STONEHAM, AND WAKEFIELD. THESE COMMUNITIES WERE SELECTED AND APPROVED BY THE COMMUNITY BENEFITS ADVISORY COUNCIL AND SYSTEM LEADERSHIP BASED ON AN ASSESSMENT OF COMMUNITIES FROM WHICH MWHC DRAWS ITS PATIENT POPULATION, COMMUNITIES WHERE MWHC HAS AN EXISTING PHYSICAL OR PROGRAM PRESENCE, AS WELL AS LONG-STANDING RELATIONSHIPS WITH COMMUNITY STAKEHOLDERS OR ORGANIZATIONS. ADDITIONAL COMMUNITIES ARE SERVED BY THE HOSPITAL'S COMMUNITY-BASED PROGRAMS THAT ARE PROXIMATE TO THE CATCHMENT AREA. FOR EXAMPLE, THE NORTH SUBURBAN WOMEN, INFANTS, AND CHILDREN (WIC) NUTRITION PROGRAM SERVES THE TOWNS OF BURLINGTON, WILMINGTON, WINCHESTER, AND WOBURN IN ADDITION TO EIGHT OTHER CATCHMENT AREA CITIES AND TOWNS, AND THE NORTH SUBURBAN CHILD AND FAMILY RESOURCE NETWORK SERVES LYNNFIELD AND WINCHESTER, IN ADDITION TO SIX OTHER CATCHMENT AREA COMMUNITIES. FOR PURPOSES OF MONITORING LANGUAGE NEEDS AND THE HOSPITAL'S INTERPRETER SERVICES PROGRAM, THE MA DEPARTMENT OF PUBLIC HEALTH DEFINES A 12-COMMUNITY ASSESSMENT AREA FOR REVIEW, CONSISTING OF THE NINE CATCHMENT AREA CITIES AND TOWNS, PLUS THE ADDITION OF THE COMMUNITIES OF REVERE, LYNNFIELD, AND WINTHROP, REFLECTING THEIR RELATIVE UTILIZATION OF EMERGENCY DEPARTMENT AND INPATIENT SERVICES OF THEIR POPULATIONS.THE FOLLOWING STATISTICAL AND DEMOGRAPHIC PROFILE OF THE CATCHMENT AREA IS EXCERPTED FROM THE COMPREHENSIVE MWHC FY 2022 COMMUNITY HEALTH NEEDS ASSESSMENT:THE MWHC COMMUNITY BENEFITS NINE-COMMUNITY SERVICE AREA COVERS 71.7 SQUARE MILES, WITH A TOTAL POPULATION OF 311,996. SIZE AND POPULATION DENSITY VARY BY COMMUNITY, WITH MALDEN AND MEDFORD HAVING THE LARGEST POPULATIONS AT 60,984 AND 57,637 RESPECTIVELY, AND NORTH READING THE SMALLEST, AT 15,581. OVER HALF OF THE RESIDENTS IN THE CATCHMENT AREA LIVE IN EVERETT, MALDEN OR MEDFORD. RACE/ETHNICITYCOMPARED TO MASSACHUSETTS AS A WHOLE, THE COMMUNITY BENEFITS SERVICE AREA HAS A SMALLER HISPANIC POPULATION (9%, COMPARED TO 11.8% IN MA) AND LARGER POPULATIONS OF ASIAN RESIDENTS (9.4%, COMPARED TO 6.6% IN MA) AND BLACK/AFRICAN-AMERICAN RESIDENTS (8.5%, COMPARED TO 6.9% IN MA). HOWEVER, BREAKING IT DOWN BY COMMUNITY, MORE VARIATION IS OBSERVED. MALDEN HAS THE HIGHEST PERCENTAGE OF PEOPLE DESCRIBING THEMSELVES AS ASIAN (22.5%) AND EVERETT HAS THE HIGHEST PERCENTAGES OF PEOPLE IDENTIFYING AS HISPANIC (28.3%) AND BLACK/AFRICAN-AMERICAN (16.5%). FOREIGN-BORN RESIDENTSTHE COMMUNITY BENEFITS SERVICE AREA HAS A HIGHER PROPORTION OF RESIDENTS BORN OUTSIDE OF THE UNITED STATES COMPARED TO THE STATE OF MASSACHUSETTS AS A WHOLE: 24% COMPARED TO 17% STATEWIDE. WITHIN THE SERVICE AREA, THE RATES VARY FROM A HIGH OF 43% IN MALDEN AND EVERETT TO A LOW OF 8% IN READING. LOOKING AT THE THREE TOWNS WITH THE HIGHEST PERCENTAGES OF FOREIGN-BORN RESIDENTS, EVERETT, MALDEN AND MEDFORD, THE LARGEST PERCENTAGE IN EVERETT COME FROM THE AMERICAS (32% OF THE TOTAL POPULATION), THE LARGEST IN MALDEN COMES FROM ASIA (19% OF THE TOTAL POPULATION), AND IN MEDFORD THE PERCENTAGES FROM THE AMERICAS AND ASIA ARE ABOUT EQUAL (9% AND 8% RESPECTIVELY). LANGUAGES SPOKENTHE COMMUNITY BENEFITS SERVICE AREA ALSO HAS A SLIGHTLY LOWER PROPORTION OF RESIDENTS WHO SPEAK ONLY ENGLISH AT HOME: 70% COMPARED TO 72.6% STATEWIDE. WITHIN THE SERVICE AREA, THE RATES VARY FROM A HIGH OF 91.4% IN READING TO AS LOW AS 42.1% IN EVERETT. LOOKING AT THE THREE TOWNS WITH THE LOWEST RATES OF ENGLISH-ONLY SPEAKERS, THE NON-ENGLISH LANGUAGE GROUPS MOST FREQUENTLY SPOKEN IN EVERETT ARE OTHER INDO-EUROPEAN LANGUAGES (29%) FOLLOWED BY SPANISH (22%); IN MALDEN OTHER INDO-EUROPEAN LANGUAGES (20%) AND ASIAN AND PACIFIC ISLANDER LANGUAGES (19%); IN MEDFORD OTHER INDO-EUROPEAN LANGUAGES (16%). INCOME AND POVERTYINCOME LEVELS IN THE COMMUNITY BENEFITS SERVICE AREA EXHIBIT WIDE VARIATION. READING HAS THE HIGHEST MEDIAN INCOME AT $132,731, AND EVERETT THE LOWEST AT $65,528. BESIDES EVERETT AND MALDEN, ALL COMMUNITIES HAVE A MEDIAN INCOME HIGHER THAN THE STATE. EDUCATIONAL ATTAINMENTTHE COMMUNITY BENEFITS SERVICE AREA AS A WHOLE HAS EDUCATIONAL ATTAINMENT RATES SIMILAR TO MASSACHUSETTS. HOWEVER, THE INDIVIDUAL COMMUNITIES PRESENT MORE VARIATION. WITHIN THE SERVICE AREA, EVERETT AND MALDEN HAVE THE HIGHEST PERCENTAGES OF RESIDENTS WITH LESS THAN A HIGH SCHOOL DEGREE. EVERETT AND SAUGUS HAVE THE HIGHEST PERCENTAGES OF RESIDENTS WITH A HIGH SCHOOL DEGREE OR SOME COLLEGE. THEY ALSO HAVE THE LOWEST PERCENTAGES OF RESIDENTS WITH A BACHELOR'S DEGREE OR OTHER ADVANCED DEGREES. MELROSE AND READING HAVE THE HIGHEST PERCENTAGES OF RESIDENTS WITH A BACHELOR'S DEGREE OR HIGHER. PUBLIC SCHOOL DEMOGRAPHICSLOOKING AT GRADUATION AND DROP-OUT RATES, VARIATION WITHIN THE SERVICE AREA RANGES FROM A GRADUATION RATE HIGH OF 99.1 %IN NORTH READING AND 98.1% IN WAKEFIELD, TO A LOW OF 76% AND 78.1% IN EVERETT AND MALDEN, RESPECTIVELY. DROPOUT RATES RANGE FROM A HIGH OF 4% IN EVERETT TO A LOW OF 0% IN READING. EVERETT, MALDEN, MEDFORD AND WAKEFIELD HAVE THE LOWEST RATES OF GRADUATES ATTENDING COLLEGE, AND NORTH READING AND STONEHAM HAVE THE HIGHEST. ORGANIZATIONS CONTRIBUTING TO THE ASSESSMENT INCLUDE THE INSTITUTE FOR COMMUNITY HEALTH (ICH) AND VARIOUS COMMUNITY STAKEHOLDERS AND PARTNERS. PUBLICLY REPORTED DATA WAS UTILIZED FROM THE FOLLOWING SOURCES:- US CENSUS BUREAU AMERICAN COMMUNITY SURVEY (ACS)- FBI UNIFORM CRIME REPORT- MASSACHUSETTS DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT (DHCD)- THE GREATER BOSTON FOOD BANK MAP THE MEAL GAP 2021: CLOSING THE MEAL GAP IN EASTERN MASSACHUSETTS- FOOD BANK OF WESTERN MASSACHUSETTS- MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION (DESE)- MA DESE AND MA DEPARTMENT OF PUBLIC HEALTH (MDPH), 2019 HEALTH AND RISK BEHAVIORS OF MASSACHUSETTS YOUTH REPORT- LOCAL YOUTH RISK BEHAVIOR SURVEYS OR COMMUNITIES THAT CARE SURVEYS WHERE AVAILABLE (EVERETT 2018-2019; - MALDEN 2017-2018; MEDFORD 2017; MELROSE 2021; NORTH READING 2021)- MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (MDPH) - MDPH REGISTRY OF VITAL RECORDS- MA DIVISION OF HEALTH CARE FINANCE AND POLICY UNIFORM HOSPITAL DISCHARGE DATASET SYSTEM (UHDDS)- MDPH BUREAU OF COMMUNICABLE DISEASE CONTROL (BCDC) REGISTRIES, DIVISION OF EPIDEMIOLOGY AND IMMUNIZATION- MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, BUREAU OF INFECTIOUS DISEASE AND LABORATORY SCIENCES, HIV/AIDS SURVEILLANCE PROGRAM PART VI, LINE 5: TUFTS MEDICINE MELROSEWAKEFIELD HOSPITAL BOARD OF TRUSTEES IS A COMMUNITY VOLUNTEER BOARD COMPRISED OF 16 MEMBERS, WHICH INCLUDES TUFTS MEDICINE CEO, MELROSEWAKEFIELD HOSPITAL PRESIDENT, AND FOUR COMMUNITY PHYSICIANS WHO ARE PART OF THE MEDICAL STAFF. OUR DIVERSE MEDICAL STAFF, WHICH IS PART OF THE TUFTS MEDICINE INTEGRATED NETWORK, INCLUDES MORE THAN 600 MEMBERS (EMPLOYED AND AFFILIATED) AND OPENS ITS MEMBERSHIP AND PRIVILEGES TO ALL QUALIFIED COMMUNITY PHYSICIANS. MWHC OPERATES AN ACTIVE EMERGENCY DEPARTMENT AT THE MELROSE CAMPUS AND URGENT CARE DEPARTMENT AT THE MEDFORD CAMPUS. THEY ARE ACCESSIBLE TO ANYONE NEEDING CARE REGARDLESS OF THEIR ABILITY TO PAY. NO PART OF THE INCOME OF MWHC INCURS TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED. ALL SURPLUS FUNDS ARE REINVESTED INTO THE FACILITIES, EQUIPMENT OR PROGRAMS OF MWHC TO IMPROVE THE QUALITY OF PATIENT CARE, ACCESS TO CARE, ADVANCE MEDICAL PRACTICE AND TO IMPROVE THE COMMUNITIES' HEALTH AND WELLBEING. IN FY24/TY23, MWHC FINANCIAL NAVIGATORS HELPED PATIENTS TO ENROLL IN SNAP (FORMALLY FOOD STAMPS) AND OTHER SOCIAL SERVICE PROGRAMS. IN ADDITION, MWHC STAFF ATTENDED SEVERAL COMMUNITY OUTREACH EVENTS TO ASSIST PARTICIPANTS AND PROVIDE ENROLLMENT INFORMATION. OTHER SERVICES PROVIDED INCLUDE ADVOCATING FOR RESIDENTS, MAKING APPOINTMENTS, PROCURING OTHER SERVICES AND PROVIDING INFORMATION ABOUT PROGRAMS SUCH AS THE MOBILE FOOD MARKET. BILLING AND COLLECTIONS PRACTICES ARE POSTED ON THE SYSTEM WEB SITE. MWHC ALSO PROVIDED SPACE, RENT AND UTILITIES IN-KIND FOR KEY COMMUNITY PARTNERS, SUCH AS PORTAL TO HOPE, WHICH PROVIDES DOMESTIC VIOLENCE PREVENTION AND SUPPORT SERVICES. IN ADDITION TO PROVIDING A RANGE OF PROGRAMS TO ADDRESS PRIMARY AND SECONDARY HEALTH PRIORITIES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE HEALTH SYSTEM HAS ALSO, AS PART OF ITS MULTI-YEAR IMPLEMENTATION PLAN, IDENTIFIED AND IMPLEMENTED EFFORTS THAT MORE PROACTIVELY ADDRESS FACTORS THAT HAVE BEEN DEMONSTRATED TO ADVERSELY IMPACT HEALTH STATUS, INCREASE HEALTH DISPARITIES, AND REDUCE OVERALL HEALTH IN VULNERABLE POPULATIONS. THESE SOCIAL DETERMINANTS OF HEALTH, SUCH AS AVAILABILITY OF HEALTHY FOOD, EMPLOYMENT, AND SAFE HOUSING, REFLECT THE OPPORTUNITY TO HAVE MEASURABLE IMPACT ON POPULATION HEALTH STATUS, AND ARE BECOMING A MEANINGFUL PART OF EFFORTS TO ADDRESS PRIMARY AND SECONDARY HEALTH PRIORITIES.MWHC ALSO SUPPORTS AND AT TIMES CONVENES MANY LOCAL AND REGIONAL COALITIONS TO SUPPORT UPSTREAM HEALTH IMPACTS SUCH AS POLICY AND STRATEGIC PLANNING. THIS INCLUDES WORKING THROUGH THE NICOTINE FREE GENERATION EFFORTS, THE GREATER BOSTON FOOD BANK'S EFFORT TO ERADICATE HUNGER IN OUR COMMUNITIES BY 2028, AND MANY OTHERS.EXAMPLES OF THESE EFFORTS, AND THEIR IMPACT BOTH DIRECTLY AND INDIRECTLY ON THE HEALTH PRIORITIES IDENTIFIED IN THE CHNA AND BY OTHER COMMUNITY STAKEHOLDERS, INCLUDE:INTEGRATED BREASTFEEDING SERVICESAS A BABY FRIENDLY HOSPITAL, PROVIDING NEW MOTHERS WITH AN INTEGRATED APPROACH TO ENCOURAGING BREASTFEEDING SUPPORTS, SEVERAL KEY FACTORS IN REDUCING A NUMBER OF ISSUES FOR MOTHER AND CHILD ALIKE. LACTATION SERVICES FOR POST-PARTUM MOTHERS ARE AVAILABLE BOTH AT MELROSE-WAKEFIELD HOSPITAL, AND AT A VIDEO PROGRAM WEEKLY. ALL MATERNAL/CHILD HEALTH STAFF, CHILDBIRTH EDUCATION STAFF, AND NORTH SUBURBAN WIC NUTRITIONIST AND FAMILY SUPPORT STAFF ARE CERTIFIED IN LACTATION (CLC OR IBCLC DEPENDING ON OTHER CLINICAL TRAINING). BREASTFEEDING HAS BEEN SHOWN TO REDUCE RISKS FOR CANCER AND OTHER CHRONIC DISEASES SUCH AS DIABETES LATER IN LIFE. THE PROGRAMS WERE OFFERED VIRTUALLY AND IN-PERSON THIS YEAR.FURTHER DEMONSTRATING ITS COMMITMENT TO MATERNAL AND INFANT HEALTH, MELROSEWAKEFIELD HOSPITAL WAS RE-DESIGNATED AS A "BABY-FRIENDLY" HOSPITAL IN FISCAL YEAR 2024. THIS DESIGNATION, A PROGRAM OF THE WORLD HEALTH ORGANIZATION AND THE UNITED NATIONS CHILDREN'S FUND, ACKNOWLEDGES HOSPITALS THAT CREATE ENVIRONMENTS THAT SUPPORT BREASTFEEDING AND BEST-PRACTICE INFANT-CARE STRATEGIES, ENSURING NEW MOTHERS AND THEIR FAMILIES RECEIVE OPTIMAL CARE.ENCOURAGING HEALTHY FOOD CONSUMPTIONSEVERAL HOSPITAL DEPARTMENTS AND CLINICAL AREAS, INCLUDING DIABETES, REHABILITATION SERVICES, NUTRITION, AND WIC, ALL SUPPORT HEALTHY EATING-REDUCING CONSUMPTION OF ADDED SUGAR, EATING AMPLE FRUITS AND VEGETABLES, AND PROVIDING EDUCATION PROGRAMS TARGETING THE DIETARY NEEDS AND CHALLENGES OF STUDENT ATHLETES, CANCER PATIENTS, COLLEGE STUDENTS AND OTHERS IN THE COMMUNITY LIVING WITH CHRONIC DISEASES SUCH AS HYPERTENSION AND DIABETES.THE HEALTH SYSTEM WORKS WITH ORGANIZATIONS SUCH AS THE GREATER BOSTON FOOD BANK, THE MYSTIC MARKET, AND BREAD OF LIFE, AROUND ADDRESSING FOOD INSECURITY AND ACCESS TO HEALTHY FOODS. NUTRITION AND DIETARY STAFF SUPPORT THE CREATION OF HEALTHY MENU OPTIONS, NOT ONLY FOR HOSPITAL INPATIENTS AND IN CAFETERIAS, BUT IN THE COMMUNITY AS WELL THROUGH SPEAKING ENGAGEMENTS.EFFORTS ALSO EXTEND TO DIRECTLY SUPPORT INCREASED ACCESS TO HEALTHY FOODS, INCLUDING FRESH FRUITS AND VEGETABLES PROVIDED THROUGH A FREE MOBILE FOOD MARKET SERVING APPROXIMATELY 650 FAMILIES PER MONTH, PRIOR TO THE COVID-19 PANDEMIC, WITH APPROXIMATELY 30 LBS. EACH OF FRESH, HEALTHY FOODS. IN APRIL 2020, THE MOBILE FOOD MARKET DISTRIBUTION FORMAT CHANGED TO BETTER PROTECT STAFF, VOLUNTEERS, AND CUSTOMERS ADHERING TO COVID-19 SAFETY PROTOCOLS. STAFF AND VOLUNTEERS PACK REUSABLE BAGS FOR DISTRIBUTION TO FOOD INSECURE VULNERABLE POPULATIONS, INCLUDING FAMILIES, ELDERS, IMMIGRANTS, AND INDIVIDUALS AFFECTED BY CHRONIC HEALTH ISSUES, UNEMPLOYMENT, OR OTHER ADVERSE SITUATIONS SUCH AS HOUSING OR FAMILY SITUATIONS. ADDITIONALLY, VOUCHERS FROM WIC TO ITS PROGRAM PARTICIPANTS ARE ALSO PROVIDED FOR USE AT LOCAL FARMERS' MARKETS DURING SUMMER MONTHS. WORKPLACE WELLNESS EFFORTS, IN TERMS OF INCREASING PHYSICAL ACTIVITY, AS WELL AS PROMOTING WEIGHT LOSS AND HEALTHIER EATING, HAVE BEEN CONTINUED DURING FY 2024/TY 2023 THROUGH THE WORK OF THE EMPLOYEE ENGAGEMENT AND WELLNESS COMMITTEE. CORRELATING GREATER PHYSICAL HEALTH AND WELLBEING THROUGH REDUCTIONS IN OBESITY, CARDIOVASCULAR AND OTHER RELATED HEALTH PROBLEMS, AND SUPPORTING A WHOLE-HEALTH APPROACH TO REDUCING CHRONIC DISEASE AND THE IMPACTS OF TREATMENT BY PRESENTING OPPORTUNITIES TO IDENTIFY AND REDUCE THESE HEALTH RISKS. WHILE THESE EFFORTS ARE NOT COMMUNITY BENEFIT, THE MODELING OF HEALTHY BEHAVIOR IS IMPORTANT IN A COMMUNITY HOSPITAL WHERE THE EMPLOYEES ARE OFTEN ALSO LOCAL RESIDENTS.MWHC LEADERS ARE MEMBERS OF THE GREATER BOSTON FOOD BANK (GBFB) HEALTH AND RESEARCH TASK FORCE AND MA FOOD IS MEDICINE GROUP, THE HUNGER TO HEALTH COLLABORATORY, AND THE TRI-CITY HUNGER NETWORK.SUPPORTING REGIONAL AND LOCAL SUBSTANCE USE PREVENTION EFFORTSTHE HEALTH SYSTEM WORKS ACTIVELY WITH THE MYSTIC VALLEY PUBLIC HEALTH COALITION, THE DISTRICT ATTORNEY'S EASTERN MIDDLESEX OPIOID TASK FORCE AS WELL AS LOCAL ORGANIZATIONS IN MALDEN, MEDFORD, MELROSE, READING, STONEHAM AND WAKEFIELD. IN FY 2024, MWHC STAFF AND LEADERS SPENT EXTENSIVE HOURS AT MEETINGS AND EVENTS WORKING TOWARDS PREVENTION, AWARENESS, TREATMENT, AND INTERVENTIONS TO REDUCE THE IMPACT OF SUBSTANCE USE DISORDER IN THE COMMUNITY. (SEE CONTINUATION LATER) PART VI, LINE 6: MELROSEWAKEFIELD HEALTHCARE IS A COMMUNITY HOSPITAL SYSTEM WITH MULTIPLE CAMPUSES AND IS A MEMBER OF THE MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION WHICH HAS OTHER MEMBER ORGANIZATIONS THAT INCLUDE A PHYSICIAN PRACTICE ORGANIZATION. ALL AFFILIATED ENTITIES PROVIDE PATIENT CARE WITHOUT CONSIDERATION OF A PATIENT'S ABILITY TO PAY. ALL SURPLUS FUNDS OF THE AFFILIATED ENTITIES ARE REINVESTED IN PROVIDING ACCESS TO HEALTH SERVICES AND IMPROVING THE HEALTH STATUS OF COMMUNITIES SERVED.MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION IS A MEMBER OF TUFTS MEDICINE. PART VI, LINE 7, REPORTS FILED WITH STATES MA PART VI, LINE 2 NEEDS ASSESSMENT CONTINUED ANOTHER WAY THAT MWHC ASSESSED NEEDS WITHIN THE COMMUNITY IS THROUGH THE PATIENT/FAMILY ADVISORY COUNCIL (PFAC). THIS COUNCIL WAS FORMED TO OBTAIN FEEDBACK AND IDEAS FROM COMMUNITY MEMBERS ON HOW THE HOSPITALS CAN BE MORE RECEPTIVE TO THE UNIQUE NEEDS OF COMMUNITY RESIDENTS, ESPECIALLY THOSE OF DIVERSE BACKGROUNDS, AND TO PROMOTE THE HIGHEST QUALITY OF PATIENT-CENTERED SERVICES BY FOSTERING A STRONG PARTNERSHIP THROUGH OUTREACH ACTIVITIES WITH COMMUNITY RESIDENTS. THE PFAC COUNCIL OFTEN ASSISTS MWHC STAFF BY PROVIDING INPUT INTO THE PLANNING OF FUTURE COMMUNITY ACTIVITIES AND INITIATIVES AS WELL AS INPATIENT AND AMBULATORY SERVICES.AS PART OF ITS EFFORTS TO IMPROVE HEALTH STATUS IN THE CATCHMENT AREA, MWHC ALSO PARTICIPATES IN A VARIETY OF BROAD-BASED COMMUNITY COALITIONS AND INITIATIVES THAT WORK TOWARDS ADDRESSING THE SPECIFIC AND GENERAL HEALTH NEEDS IN THESE CITIES AND TOWNS. A SAMPLE OF THESE MEMBERSHIPS INCLUDE: LOCAL COUNCILS ON AGING; THE MIDDLESEX COUNTY DISTRICT ATTORNEY'S OPIOID TASK FORCE; THE PORTAL TO HOPE DOMESTIC VIOLENCE COUNCIL; THE TRI-CITY HUNGER NETWORK; ACTION FOR BOSTON COMMUNITY DEVELOPMENT (ABCD); SUBSTANCE ABUSE PREVENTION COALITIONS IN MALDEN, MELROSE, MEDFORD, READING, WAKEFIELD, AND STONEHAM; THE MALDEN OPIOID TASK FORCE, AND THE MELROSE, STONEHAM, AND WAKEFIELD ALLIANCES AGAINST VIOLENCE. ONE CENTRAL FOCUS OF MWHC'S COMMUNITY BENEFITS GROUPS AND LOCAL LEADERS, INCLUDES ENHANCING RELATIONSHIPS WITH FAITH-BASED AND GRASSROOTS ORGANIZATIONS. SUCH RELATIONSHIPS PROVIDE INSIGHT INTO HOW THESE GROUPS VIEW MWHC'S ROLE IN THEIR COMMUNITY, HOW OUR SYSTEM CAN IMPROVE THE WAYS WE SERVE DIVERSE RESIDENTS, AND HOW THE SYSTEM SHOULD STRENGTHEN COLLABORATION TO BEST MEET DIVERGENT HEALTH NEEDS. IN 2024, THE HEALTH SYSTEM MAINTAINED MANY FAITH-BASED CONNECTIONS INCLUDING WITH THE SCALABRINI CENTER IN EVERETT, THE MALDEN MOSQUE, AND THE WARMING STATION LOCATED AT A CHURCH IN MALDEN.FY24/TY23 MARKED THE FOURTH YEAR OF COMMUNITY HEALTH INITIATIVE (CHI) GRANTS FUNDED BY A JOINT VENTURE WITH SHIELDS SURGERY CENTER MEDFORD UNDER THE DETERMINATION OF NEED PROGRAM FROM THE DEPARTMENT OF PUBLIC HEALTH. MELROSEWAKEFIELD HEALTHCARE AND SHIELDS AWARDED $114,938 IN GRANTS TO SEVEN MASSACHUSETTS-BASED NON-PROFIT ORGANIZATIONS AND MUNICIPALITIES WITH DETAILED APPROACHES TO IMPROVE THE HEALTH OF THEIR COMMUNITIES THROUGH MEANINGFUL AND SUSTAINABLE CHANGE. THE CHI FUNDS PROVIDED AN OPPORTUNITY FOR MASSACHUSETTS ORGANIZATIONS TO ADDRESS THE ROOT CAUSES OF HEALTH INEQUITIES IN COMMUNITIES ACROSS THE STATE. THE FUNDS ARE COMMITTED TO DISRUPTING AND REMOVING BARRIERS TO EQUITY IN HEALTHCARE SUCH AS RACISM, POVERTY, AND POWER IMBALANCES. THROUGH COMMUNITY-CENTERED POLICY, SYSTEMS, AND ENVIRONMENTAL CHANGE APPROACHES, THE GRANTS HELP PROVIDE RESOURCES TO ENGAGE RESIDENTS AND ENHANCE THE QUALITY OF ACCESS TO BEHAVIORAL HEALTH CARE IN MASSACHUSETTS. REGIONAL AND LOCAL ORGANIZATIONS APPLIED FOR THE GRANTS. THE RECIPIENTS INCLUDED: THE MEDFORD BOARD OF HEALTH, MELROSE/WAKEFIELD/STONEHAM HEALTH AND HUMAN SERVICES, THE NAN PROJECT, THE JOINT COMMITTEE FOR CHILDREN'S HEALTH CARE IN EVERETT, THE BOYS & GIRLS CLUB OF WAKEFIELD/STONEHAM, BURBANK YMCA AND MYSTIC VALLEY ELDER SERVICES. PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH CONTINUED MWHC IS A MEMBER OF THE DISTRICT ATTORNEY'S EASTERN MIDDLESEX OPIOID TASK FORCE. THE OPIOID TASK FORCE FOCUSES ON COMBATING THE INCREASE IN DRUG OVERDOSES IN THE EASTERN REGION OF MIDDLESEX COUNTY, SERVING THE COMMUNITIES OF MALDEN, MEDFORD, MELROSE, NORTH READING, READING, STONEHAM, AND WAKEFIELD. LED BY MIDDLESEX COUNTY DISTRICT ATTORNEY, MARIAN RYAN, THE EASTERN MIDDLESEX OPIOID TASK FORCE INCLUDES FIRST RESPONDERS, POLICE AND FIRE OFFICIALS, MUNICIPAL HEALTH WORKERS, DOCTORS, NURSES, SOCIAL WORKERS, SUBSTANCE ABUSE COUNSELORS, COMMUNITY-BASED ADVOCATES AND PROBATION OFFICERS. THIS GROUP IS NOW REMOTE DUE TO THE PANDEMIC. PRIOR TO THE PANDEMIC, MWHC PROVIDED SPACE AND FOOD FOR THE TASK FORCE. RAISING AWARENESS OF THE SEVERITY OF DOMESTIC VIOLENCE, WORKING WITH LOCAL GROUPS, ORGANIZATIONS AND COALITIONS TO PREVENT AND END DOMESTIC VIOLENCE, SEXUAL ASSAULT AND STALKING CRIMESIN FY 2024, MWHC STAFF SPENT COUNTLESS HOURS AT MEETINGS AND EVENTS PROVIDING SUPPORT AND WORKING TOWARDS PREVENTION, EDUCATION, AWARENESS, MENTORING, AND SERVICE TO REDUCE THE IMPACT OF DOMESTIC VIOLENCE BY PARTNERING WITH THE FOLLOWING GROUPS AND PROGRAMS: WAKEFIELD ALLIANCE AGAINST VIOLENCE (WAAV), A COMMUNITY BASED VOLUNTEER ORGANIZATION, DEDICATED TO CREATING A LIFESTYLE FREE FROM VIOLENCE IN WAKEFIELD BY REACHING OUT TO THE COMMUNITY, RAISING AWARENESS, PROVIDING EDUCATION RESOURCES, AND SUPPORT TO FAMILIES AND INDIVIDUALS, WITH AN EMPHASIS ON PREVENTION. THE SYSTEM HAS STRONG CONNECTION TO THE MELROSE ALLIANCE AGAINST VIOLENCE (MAAV). MAAV'S MISSION IS TO RAISE COMMUNITY AWARENESS OF DOMESTIC AND TEEN DATING VIOLENCE, PROMOTE PROGRAMS THAT WORK TO REDUCE VIOLENCE AND ENCOURAGE HEALTHY RELATIONSHIPS THROUGH COMMUNITY AWARENESS ACTIVITIES, EDUCATION, AND PREVENTION PROGRAMS IN THE SCHOOLS, INCLUDING BULLYING PREVENTION, MENTORING AND PEER LEADERSHIP PROGRAMS, AND INFORMATION, SUPPORT, RESOURCE, AND REFERRAL SERVICES. MWHC ALSO SUPPORTS THE STONEHAM ALLIANCE AGAINST VIOLENCE (SAAV), A DIVERSE GROUP WHOSE MEMBERS CARE ABOUT STONEHAM AND ITS QUALITY OF LIFE. NOTING AN UPSWING IN REPORTED INCIDENCES OF VIOLENCE IN THE TOWN, THE GROUP CAME TOGETHER TO ADDRESS THIS ISSUE.MWHC HAS A STRONG PARTNERSHIP WITH PORTAL TO HOPE (PTH), AN AGENCY THAT SERVED PEOPLE IMPACTED BY DOMESTIC VIOLENCE DURING FY 2024. OUR UNIQUE COLLABORATION HELPS TO PROVIDE CONFIDENTIAL, COMPREHENSIVE SERVICES TO VICTIMS OF DOMESTIC VIOLENCE AND RELATED INTIMATE PARTNER ASSAULT CRIMES. SERVICES INCLUDE: THE BENEVOLENCE PROJECT; CRISIS INTERVENTION AND EMERGENCY SHELTER; THE HEALING & RECOVERY PROGRAM, INCLUDING SUPPORT GROUPS; LEGAL AID; JOB AND HOUSING SEARCH ASSISTANCE; YOUTH SUPPORT; SAFETY PLANNING; AND OTHER DIRECT CARE SERVICES. MWHC PROVIDES OFFICE SPACE, PHONE AND INTERNET SERVICE CAPABILITIES TO PTH AT THE MALDEN FAMILY HEALTH CENTER (PTH'S CENTRAL OPERATIONS SITE). IN ADDITION, PTH AND MWHC PARTNER TO PROVIDE VIOLENCE PREVENTION EDUCATION TO THE PUBLIC AND TRAINING TO MEDICAL STAFF ONSITE AT THESE LOCATIONS, AT MELROSE-WAKEFIELD HOSPITAL AND ON THE GRASSROOTS LEVEL IN THE COMMUNITIES PTH SERVES. PTH CONTINUES TO BE ONE OF A SMALL NUMBER OF DOMESTIC VIOLENCE INTERVENTION AGENCIES WORKING ONSITE AT MEDICAL FACILITIES IN MASSACHUSETTS.OTHER COMMUNITY HEALTH PROGRAMS IN 2024, WE INTRODUCED THE GRANDPARENTS GETTING STARTED CLASS, AIMED AT EQUIPPING NEW GRANDPARENTS WITH THE ESSENTIAL SKILLS AND KNOWLEDGE NEEDED TO SAFELY CARE FOR THEIR GRANDCHILDREN. THIS INTERACTIVE COURSE COVERED IMPORTANT TOPICS SUCH AS BASIC CHILD SAFETY, EMERGENCY PROCEDURES, INFANT AND CHILD CPR, AND TIPS FOR CREATING A SAFE AND NURTURING ENVIRONMENT. BY OFFERING THIS CLASS, WE DEMONSTRATE OUR COMMITMENT TO ENHANCING FAMILY HEALTH AND WELLBEING, ENSURING GRANDPARENTS FEEL CONFIDENT AND WELL-PREPARED IN THEIR CAREGIVING ROLE, WHILE FOSTERING A POSITIVE, SUPPORTIVE ENVIRONMENT FOR THE PARENTS, GRANDPARENTS, AND GRANDCHILDREN.IN FY24, TUFTS MEDICINE AND ACADIA HEALTHCARE CELEBRATED THE GROUNDBREAKING OF A NEW 144-BED BEHAVIORAL HEALTH HOSPITAL IN MALDEN, MASSACHUSETTS, SET TO OPEN IN FALL 2025. THIS STATE-OF-THE-ART FACILITY WILL EXPAND ACCESS TO BEHAVIORAL HEALTH SERVICES FOR THE GREATER BOSTON AREA, OFFERING INPATIENT CARE, INTENSIVE OUTPATIENT PROGRAMS, AND SERVING AS A TEACHING HOSPITAL FOR PSYCHIATRY AND BEHAVIORAL HEALTH PROFESSIONALS. THE HOSPITAL IS A JOINT VENTURE WITH ACADIA HEALTHCARE AIMED AT ADDRESSING THE REGION'S GROWING NEED FOR SPECIALIZED CARE WHILE CONTINUING THE LEGACY OF MELROSEWAKEFIELD AND LAWRENCE MEMORIAL HOSPITALS IN PROVIDING HIGH-QUALITY BEHAVIORAL HEALTH SERVICES.LAWRENCE MEMORIAL HOSPITAL CELEBRATES 100 YEARS AS PART OF THE LAWRENCE MEMORIAL HOSPITAL 100-YEAR CELEBRATION, THE NORTH SUBURBAN CHILD AND FAMILY RESOURCE NETWORK AND THE MEDFORD FAMILY NETWORK HOSTED THE "MUSIC AND MOTION" PROGRAM, WITH 18 CHILDREN PARTICIPATING. THE EVENT FEATURED STORIES, SONGS, AND GAMES, OFFERING A FUN AND INTERACTIVE EXPERIENCE. CHILDREN ENJOYED HEALTHY SNACKS AND RECEIVED TAKE-HOME CRAFT PROJECTS, A BOOK, AND COLORED LENSES TO ENGAGE WITH THEIR SURROUNDINGS. THE PROGRAM ALSO PROVIDED INFORMATION ABOUT MELROSEWAKEFIELD HOSPITAL SERVICES AND RESOURCES, FOSTERING COMMUNITY ENGAGEMENT AND SUPPORTING EARLY CHILDHOOD DEVELOPMENT. ADVANCING HEALTH EQUITY THROUGH FREE MENSTRUAL PRODUCT ACCESSMELROSEWAKEFIELD HOSPITAL AND LAWRENCE MEMORIAL HOSPITAL INSTALLED FLOW DISPENSERS TO PROVIDE FREE MENSTRUAL HYGIENE PRODUCTS IN GENDER NEUTRAL RESTROOMS. THIS INITIATIVE PROMOTES HEALTH EQUITY BY ENSURING THAT PATIENTS, VISITORS, AND STAFF HAVE ACCESS TO ESSENTIAL SANITARY ITEMS REGARDLESS OF INCOME OR CIRCUMSTANCE. BY REDUCING BARRIERS TO PERSONAL HYGIENE, IT SUPPORTS DIGNITY, WELL-BEING, AND ACCESS TO CARE. 0 1 0 0 0 0 0 0 0 MICHAEL DANDORPH DIRECTOR/PRES & CEO - TUFTS MEDICINE 0 1330398 0 381250 0 14502 0 335493 0 24218 0 2085861 0 0 SUSAN GREEN ASSISTANT TREASURER (UNTIL 12/23) 0 793432 0 123750 0 129902 0 14707 0 24101 0 1085892 0 116452 KELLY CORBI PRESIDENT/DIRECTOR 617744 0 95625 0 11194 0 90669 0 24004 0 839236 0 0 0 ZACHARY REDMOND SECRETARY (AS OF 2/24) 0 458977 0 88250 0 52036 0 46240 0 23909 0 669412 0 41693 WILLIAM WYMAN ASSISTANT TREASURER 393702 0 50787 0 54701 0 44218 0 16242 0 559650 0 54070 0 ANDRAS SANDOR MD DIRECTOR/SURGEON 18750 442010 0 21685 0 17415 0 9905 0 24944 18750 515959 0 0 JOSEPH PENNACCHIO MD DIRECTOR/HEMATOLOGIST 16669 450879 0 3759 0 4005 0 9181 0 14694 16669 482518 0 0 CHARLES R WHIPPLE ESQ ASST SEC/GENERAL COUNSEL (UNTIL 4/24 309942 0 32579 0 59362 0 53204 0 23978 0 479065 0 49014 0 BINDIYA THAKKAR MD DIR./ENDOCRINOLOGIST (UNTIL 2/24) 0 358195 0 75060 0 11838 0 4081 0 26601 0 475775 0 0 LAURENCE CONWAY MD DIRECTOR 76240 360091 0 0 0 0 1443 6803 0 0 77683 366894 0 0 JOHN G GIRAGOS MD PSYCH M.D. 330074 0 15462 0 1332 0 8896 0 26606 0 382370 0 0 0 LAWRENCE TENDO RN 343349 0 0 0 154 0 8202 0 19668 0 371373 0 0 0 CARYL BEISON EXECUTIVE DIRECTOR PHO 272358 0 25594 0 48870 0 7564 0 886 0 355272 0 47100 0 BARBARA VIENS CNO 258983 0 42583 0 1133 0 20235 0 14890 0 337824 0 0 0 JAMES LECH PSYCHIATRIST 312571 0 2209 0 997 0 4996 0 335 0 321108 0 0 0 BOBBIANN NAKHOUL CLINICAL ADMIN COORDINATOR 288635 0 530 0 437 0 6197 0 252 0 296051 0 0 0 JEFFREY MCALLISTER ASST. SEC./DIRECTOR (AS OF 7/24) 0 180152 0 9018 0 157 0 2702 0 128 0 192157 0 0 PART I, LINE 3 ANNUALLY, THE HUMAN RESOURCES COMMITTEE OF THE ORGANIZATION COMPRISED OF INDEPENDENT DIRECTORS, REVIEWS THE COMPENSATION OF THE PRESIDENT AND EXECUTIVE LEADERSHIP TEAM USING DATA FROM AN INDEPENDENT THIRD PARTY EVALUATION OF COMPARABLE COMPENSATION DATA TO ASSESS AND SET COMPENSATION. COMPENSATION IS PAID BY A RELATED CORPORATION. PART I, LINE 4B SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: MICHAEL DANDORPH - $321,300 WILLIAM WYMAN - $34,318 CHARLES WHIPPLE - $44,064 KELLY CORBI - $80,769 ZACHARY REDMOND - $39,447 BARBARA VIENS - $11,695 A MASSACHUSETTS DEVELOPMENT FINANCE AGENCY 043431814 000000000 2015-06-05 30000000 FINANCE CAPITAL 0 0 0 A 10188467 30000000 268250 29731750 2017 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: MASSACHUSETTS DEVELOPMENT FINANCE AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/30/2021 PART II: MELROSE WAKEFIELD HEALTHCARE, INC. HAS HISTORICALLY DISCLOSED ON FORM 990, SCHEDULE K, ITS ALLOCATED SHARE OF SERIES A (2019) AND SERIES C (2020) BONDS OF THE OBLIGATED GROUP, WHICH INCLUDES TUFTS MEDICAL CENTER, INC. AND THE LOWELL GENERAL HOSPITAL. FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2024, TUFTS MEDICAL CENTER, INC. HAS REPORTED ON ITS FORM 990, THE FULL AMOUNT OF THE SERIES A (2019) AND SERIES C (2020) BONDS, CONSISTENT WITH THE INTERNAL ACCOUNTING FOR THE INDEBTEDNESS AMONGST THE MEMBERS OF THE OBLIGATED GROUP AS OF SEPTEMBER 30, 2024. AS SUCH, MELROSE WAKEFIELD HEALTHCARE, INC. NO LONGER REPORTS THOSE ISSUES ON ITS FORM 990, SCHEDULE K. FORM 990, PART VI, SECTION A, LINE 6 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION IS THE SOLE CORPORATE MEMBER OF MELROSEWAKEFIELD HEALTHCARE, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF TRUSTEES CONSISTS OF THOSE PERSONS THAT SERVE ON THE BOARD OF TRUSTEES OF MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION. TUFTS MEDICINE, INC., AS SOLE MEMBER OF MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION, HAS THE POWER TO APPOINT MELROSEWAKEFIELD HEALTHCARE PARENT TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION HAS CERTAIN RIGHTS TO APPROVE DECISIONS OF THE BOARD AS REQUIRED BY THE ORGANIZATION'S ARTICLES AND BYLAWS AND LAWS OF THE COMMONWEALTH OF MASSACHUSETTS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WAS REVIEWED BY MANAGEMENT AND PROVIDED TO THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE GOVERNING BODY AND KEY EMPLOYEES ARE SENT THE POLICY AND REQUIRED TO COMPLETE A DISCLOSURE FORM THAT IS SUBMITTED TO THE OFFICE OF GENERAL COUNSEL FOR REVIEW. THE CONTENTS OF THE DISCLOSURES AND ACTIONS NECESSARY TO ADDRESS CONFLICTS ARE REVIEWED WITH THE CHAIR OF THE GOVERNING BOARD AND ITS PRESIDENT. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, THE HUMAN RESOURCES COMMITTEE OF THE ORGANIZATION COMPRISED OF INDEPENDENT DIRECTORS, REVIEWS THE COMPENSATION OF THE PRESIDENT AND EXECUTIVE LEADERSHIP TEAM USING DATA FROM AN INDEPEDENT THIRD PARTY. COMPENSATION IS PAID BY A RELATED CORPORATION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST TO THE OFFICE OF THE GENERAL COUNSEL. THE ORGANIZATION'S FINANCIAL STATEMENTS AND FORM 990 ARE ALSO MADE AVAILABLE TO THE PUBLIC ON THE WEBSITE OF THE PUBLIC CHARITIES DIVISION OF MASSACHUSETTS ATTORNEY GENERAL. FORM 990, PART IX, LINE 11G SUB-CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 9,572. MANAGEMENT AND GENERAL EXPENSES 4,301. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,873. SHUTTLE: PROGRAM SERVICE EXPENSES 245,511. MANAGEMENT AND GENERAL EXPENSES 110,302. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 355,813. FOOD & FACILITIES MGMT SERVICES: PROGRAM SERVICE EXPENSES 2,547,952. MANAGEMENT AND GENERAL EXPENSES 1,144,732. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,692,684. SAFETY: PROGRAM SERVICE EXPENSES 41,400. MANAGEMENT AND GENERAL EXPENSES 18,600. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,000. SNOW REMOVAL: PROGRAM SERVICE EXPENSES 224,759. MANAGEMENT AND GENERAL EXPENSES 100,978. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 325,737. CONSULTING: PROGRAM SERVICE EXPENSES 318,897. MANAGEMENT AND GENERAL EXPENSES 143,273. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 462,170. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 21,757,188. MANAGEMENT AND GENERAL EXPENSES 9,774,969. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,532,157. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTIONS - OPERATIONS -1,554,605. NET ASSETS TRANSFERS TO AFFILIATES 76,810,831. CHANGES IN BENEFICIAL INTERESTS IN PERPETUAL TRUST 1,950,300. 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