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NEW ENGLAND BAPTIST HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
NEW ENGLAND BAPTIST HOSPITAL (EIN 04-2103612)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-15
IRS object ID
201922279349302592
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-15T14:09:00-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1TWO JERICHO PLAZAAddressLine1Txt
CityJERICHOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11753ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042103612EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NEW ENGLAND BAPTIST HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNEWEBusinessNameControlTxt
Phone6177545800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1125 PARKER HILL AVENUEAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02120ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS GHERINGHELLIPersonNm
Person TitleVICE PRESIDENT & CFOPersonTitleTxt
Phone6177545800PhoneNum
Signature2019-08-15SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTINE KAWECKIPreparerPersonNm
PTINP00743140PTIN
Phone5169187000PhoneNum
Preparation2019-08-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.219.88.224IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-15IPDt
IP Tm13:09:03IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4869E5F49B9973F149F13A18DEB0F85868CD0247AtSubmissionCreationDeviceId
At Submission Filing Device Id7E530C01EC0DBF1FFF79A5BAD1379F9D370DED1EAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPATRICIA HANNONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1125 PARKER HILL AVENUEAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02120ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$248,018,243GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NEBH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1889FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1424TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$3,469,540TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,717,952PYContributionsGrantsAmt
CY Contributions Grants$4,698,866CYContributionsGrantsAmt
PY Program Service Revenue$224,893,707PYProgramServiceRevenueAmt
CY Program Service Revenue$226,924,446CYProgramServiceRevenueAmt
PY Investment Income$1,669,953PYInvestmentIncomeAmt
CY Investment Income$2,895,059CYInvestmentIncomeAmt
PY Other Revenue$11,454,233PYOtherRevenueAmt
CY Other Revenue$13,225,414CYOtherRevenueAmt
PY Total Revenue$244,735,845PYTotalRevenueAmt
CY Total Revenue$247,743,785CYTotalRevenueAmt
PY Grants And Similar Paid$177,371PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$194,465CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$100,367,133PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$103,068,920CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$57,213PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$49,182CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,269,585CYTotalFundraisingExpenseAmt
PY Other Expenses$134,559,336PYOtherExpensesAmt
CY Other Expenses$134,625,299CYOtherExpensesAmt
PY Total Expenses$235,161,053PYTotalExpensesAmt
CY Total Expenses$237,937,866CYTotalExpensesAmt
PY Revenues Less Expenses$9,574,792PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$9,805,919CYRevenuesLessExpensesAmt
Total Assets BOY$223,638,515TotalAssetsBOYAmt
Total Assets EOY$236,723,971TotalAssetsEOYAmt
Total Liabilities BOY$84,527,160TotalLiabilitiesBOYAmt
Total Liabilities EOY$89,465,156TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$139,111,355NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$147,258,815NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$85,149,125ExpenseAmt
Grant$51,000GrantAmt
Revenue$71,485,789RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$81,475,057ExpenseAmt
Grant$69,702GrantAmt
Revenue$113,838,210RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$52,159,640ExpenseAmt
Grant$21,500GrantAmt
Revenue$40,565,521RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$2,351,813ExpenseAmt
Grant$52,263GrantAmt
Revenue$6,538,592RevenueAmt
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$2,351,813TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$52,263TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$6,538,592TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$221,135,635TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt BondsYes (1)InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document55IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1424EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldKYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMSStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNMStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldUTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THOMAS GHERINGHELLIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6177545800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1125 PARKER HILL AVENUEAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021202847ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
AMELLO JASON
TRUSTEE1.000.00Yes (X)$0$0$0
BARNETT KEITH
TRUSTEE1.000.00Yes (X)$0$0$0
BASILICO MD FACC FREDERICK C
TEE (EX-OFF)/CHAIR OF MED/SEC30.0030.00Yes (X)$154,491$154,491$29,492Yes (X)
COLLINS CHRISTOPHER
TRUSTEE1.000.00Yes (X)$0$0$0
FREDERICK JOCELYN
TRUSTEE1.000.00Yes (X)$0$0$0
HANNON FACHE PATRICIA
PRESIDENT/CEO/TRUSTEE (EX-OFF)62.003.00Yes (X)$1,242,735$38,435$28,057Yes (X)
JENNY CHRISTOPHER
TRUSTEE1.000.00Yes (X)$0$0$0
KOLLIGIAN ESQ JOAN
TRUSTEE & SECRETARY2.000.00Yes (X)$0$0$0Yes (X)
LIBERT JEFFREY
TRUSTEE1.000.00Yes (X)$0$0$0
MATTINGLY MD DAVID
TTEE(EXOFF)/SURG CHF/ORTHO CHR15.0015.00Yes (X)$222,079$222,079$2,842
NICHOLS PETER B
TRUSTEE, CO-VICE CHAIR2.001.00Yes (X)$0$0$0
POGORZELSKI DONALD E
TRUSTEE & CO-VICE CHAIR2.000.00Yes (X)$0$0$0
RUBENSTEIN JAMES
TRUSTEE1.000.00Yes (X)$0$0$0
SAMSEL ERVEN
TRUSTEE, CHAIR5.000.00Yes (X)$0$0$0
SMITH RN MS MARY SULLIVAN
TEE (EX-O), SVP, COO, CNO58.002.00Yes (X)$440,249$13,616$15,937Yes (X)
SPITZ MD DAMON J
TEE/PRES MED STAFF/CHR RAD6.006.00Yes (X)$47,481$47,481$0
TROMANHAUSER MD SCOTT
TEE/CHF MED QTY OFF/RES OP DIR30.0030.00Yes (X)$198,613$198,613$42
JOHN BACHMAN
TRUSTEE1.000.00Yes (X)$0$0$0
GHERINGHELLI MSF THOMAS J
SVP OF FINANCE & CFO58.002.00$381,462$11,798$15,598Yes (X)
PASSAFARO DAVID
SVP, EXTERNAL AFFAIRS60.000.00$340,596$0$41,501Yes (X)
THOMPSON LINDA E
SVP, HR & SERVICE EXCELLENCE58.002.00$342,979$10,608$23,780Yes (X)
CALLAHAN ANN E
OR NURSE50.000.00$208,842$0$10,342Yes (X)
CAMPBELL BEAUDET JAYNE
OR NURSE50.000.00$196,064$0$48,527Yes (X)
HAYEK MD JIHAD
PATHOLOGY CHAIR30.0030.00$161,874$161,874$48,620Yes (X)
HERMAN KATHERINE MORGAN
VICE PRESIDENT OF PHILANTHROPY60.000.00$273,614$0$38,446Yes (X)
RICHMOND MD JOHN C
MED. DIR. OF NTWRK DEVEL30.0030.00$108,424$108,424$2,034Yes (X)
GREENSPAN ELIZABETH
FMR SVP, CHIEF STRATEGY OFF0.000.00$319,203$9,872$179,418Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,638,706TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$977,291TotReportableCompRltdOrgAmt
Total Other Compensation$484,636TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K176IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WISE CONSTRUCTION CO
21 EAST STWINCHESTERMA01890CONSTRUCTION$2,374,849
C&W FACILITY SERVICES INC
4002 SOLUTIONS CTRCHICAGOIL60677FACILITIES MANAGEMENT$2,240,559
SODEXO INC & AFFILIATES
PO BOX 81049WOBURNMA01813SUPPORT SERVICE MANAGEMENT$1,289,277
ANAESTHESIA ASSOC OF MASSACHUSETTS
690 CANTON ST STE 200WESTWOODMA02090SUPPORT SERVICES$816,185
FOLEY & LARDNER LLP
3000 K STREET NW SUITE 500WASHINGTONDC200075143CONSULTING & LEGAL SERVICES$682,364
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K22CntrctRcvdGreaterThan100KCnt
Fundraising$580,338FundraisingAmt
All Other Contributions$4,118,528AllOtherContributionsAmt
Noncash Contributions$90,404NoncashContributionsAmt
Total Contributions$4,698,866TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INPATIENT CARE621400$113,838,210$113,838,210
MEDICARE623000$71,485,789$71,485,789
WALK IN CLINIC621990$40,565,521$40,565,521
PROGRAM SERVICE REVENU621990$646,225$646,225
RESEARCH621990$388,701$388,701
FieldValueIRS element (for citing)
Total Program Service Revenue$226,924,446TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,390,884TotalRevenueColumnAmt
Unrelated Business Revenue$70,550UnrelatedBusinessRevenueAmt
Exclusion$1,320,334ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,508,670RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$50,116RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,458,554RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,458,554TotalRevenueColumnAmt
Unrelated Business Revenue$37,835UnrelatedBusinessRevenueAmt
Exclusion$1,420,719ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,504,175SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,504,175SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,504,175TotalRevenueColumnAmt
Unrelated Business Revenue$58,036UnrelatedBusinessRevenueAmt
Exclusion$1,446,139ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$77,600FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$580,338ContriRptFundraisingEventAmt
Fundraising Direct Expenses$224,342FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$146,742TotalRevenueColumnAmt
Exclusion-$146,742ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PHYSICIAN ADMIN900099$2,681,703$2,681,703
PARKING900099$1,778,276$1,778,276
CAFETERIA900099$1,259,122$1,259,122

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,194,501TotalRevenueColumnAmt
Related Or Exempt Func Income$5,503,666RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$621,416UnrelatedBusinessRevenueAmt
Exclusion$69,419ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$11,913,602OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$247,743,785TotalRevenueColumnAmt
Related Or Exempt Func Income$232,428,112RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,469,540UnrelatedBusinessRevenueAmt
Exclusion$7,147,267ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$194,465TotalAmt
Program Services$194,465ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,130,749TotalAmt
Program Services$541,055ProgramServicesAmt
Management And General$2,589,694ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$355,497TotalAmt
Program Services$355,497ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$81,844,701TotalAmt
Program Services$78,268,882ProgramServicesAmt
Management And General$2,388,203ManagementAndGeneralAmt
Fundraising$1,187,616FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,256,628TotalAmt
Program Services$2,927,443ProgramServicesAmt
Management And General$301,753ManagementAndGeneralAmt
Fundraising$27,432FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,657,413TotalAmt
Program Services$7,794,767ProgramServicesAmt
Management And General$790,759ManagementAndGeneralAmt
Fundraising$71,887FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,823,932TotalAmt
Program Services$5,235,240ProgramServicesAmt
Management And General$539,634ManagementAndGeneralAmt
Fundraising$49,058FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$742,304TotalAmt
Program Services$667,271ProgramServicesAmt
Management And General$68,780ManagementAndGeneralAmt
Fundraising$6,253FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$331,744TotalAmt
Program Services$298,211ProgramServicesAmt
Management And General$30,739ManagementAndGeneralAmt
Fundraising$2,794FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$138,128TotalAmt
Management And General$138,128ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$49,182TotalAmt
Fundraising$49,182FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,511,111TotalAmt
Program Services$11,166,440ProgramServicesAmt
Management And General$1,024,423ManagementAndGeneralAmt
Fundraising$320,248FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,120,925TotalAmt
Program Services$996,999ProgramServicesAmt
Management And General$114,583ManagementAndGeneralAmt
Fundraising$9,343FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$62,947,448TotalAmt
Program Services$62,552,161ProgramServicesAmt
Management And General$234,713ManagementAndGeneralAmt
Fundraising$160,574FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,600,647TotalAmt
Program Services$4,136,529ProgramServicesAmt
Management And General$425,515ManagementAndGeneralAmt
Fundraising$38,603FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,621,294TotalAmt
Program Services$8,583,334ProgramServicesAmt
Management And General$2,002,709ManagementAndGeneralAmt
Fundraising$35,251FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$112,901TotalAmt
Program Services$96,666ProgramServicesAmt
Management And General$9,905ManagementAndGeneralAmt
Fundraising$6,330FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$319,061TotalAmt
Program Services$297,762ProgramServicesAmt
Management And General$19,583ManagementAndGeneralAmt
Fundraising$1,716FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,575,634TotalAmt
Program Services$1,416,367ProgramServicesAmt
Management And General$145,995ManagementAndGeneralAmt
Fundraising$13,272FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$5,086,160TotalAmt
Program Services$5,056,685ProgramServicesAmt
Management And General$27,019ManagementAndGeneralAmt
Fundraising$2,456FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,236,657TotalAmt
Program Services$10,999,758ProgramServicesAmt
Management And General$1,133,824ManagementAndGeneralAmt
Fundraising$103,075FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,037,981TotalAmt
Program Services$1,838,795ProgramServicesAmt
Management And General$182,587ManagementAndGeneralAmt
Fundraising$16,599FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MAINTENANCE & REPAIRS$11,512,781$9,278,899$2,147,040$86,842
FREE CARE$3,134,843$3,134,843
EQUIPMENT LEASES$2,628,513$2,569,398$54,189$4,926
GRADUATED MEDICAL EDUCA$694,592$694,592

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,272,575TotalAmt
Program Services$2,033,576ProgramServicesAmt
Management And General$162,871ManagementAndGeneralAmt
Fundraising$76,128FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$237,937,866TotalAmt
Program Services$221,135,635ProgramServicesAmt
Management And General$14,532,646ManagementAndGeneralAmt
Fundraising$2,269,585FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$21,392,958BOYAmt
EOY$9,986,351EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,051,806BOYAmt
EOY$3,566,464EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$22,942,117BOYAmt
EOY$20,532,189EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,553,383BOYAmt
EOY$2,367,485EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,525,297BOYAmt
EOY$3,424,781EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$283,787,290LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$202,510,032LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$87,807,683BOYAmt
EOY$81,277,258EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$57,444,182BOYAmt
EOY$80,468,799EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$21,603,635BOYAmt
EOY$25,535,327EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,317,454BOYAmt
EOY$9,565,317EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$223,638,515BOYAmt
EOY$236,723,971EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$21,863,009BOYAmt
EOY$23,428,546EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,120,000BOYAmt
EOY$1,040,000EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$57,861,135BOYAmt
EOY$55,511,917EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,683,016BOYAmt
EOY$9,484,693EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$84,527,160BOYAmt
EOY$89,465,156EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$109,708,762BOYAmt
EOY$116,039,803EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$12,716,996BOYAmt
EOY$13,046,134EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,685,597BOYAmt
EOY$18,172,878EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$139,111,355BOYAmt
EOY$147,258,815EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$223,638,515BOYAmt
EOY$236,723,971EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$9,805,919ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,170,117NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,828,576OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$149,057OtherActivitiesAmt
Total Lobbying Expenditures$149,057TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationNEW ENGLAND BAPTIST HOSPITAL (NEBH) ENGAGED IN SOME LOBBYING EFFORTS ON BEHALF OF ITSELF AND OTHER AFFILIATED NETWORK ENTITIES. ADDITIONALLY, NEBH PAYS DUES TO CERTAIN MEMBERSHIP ORGANIZATIONS, OF WHICH A PORTION MAY BE USED BY SUCH ORGANIZATIONS FOR LOBBYING ACTIVITIES ON BEHALF OF THIS INSTITUTION AND OTHER SIMILARLY SITUATED ORGANIZATIONS. LOBBYING COSTS ASSOCIATED WITH THESE COMBINED LOBBYING ACTIVITIES WAS $149,057 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2018. TOTAL LOBBYING EXPENDITURES ARE MINIMAL AND NOT SUBSTANTIAL BASED ON REVENUES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$59,774,000BeginningYearBalanceAmt
Contributions$1,702,000ContributionsAmt
Investment Earnings Or Losses$2,882,000InvestmentEarningsOrLossesAmt
Other Expenditures$1,988,000OtherExpendituresAmt
End Year Balance$62,370,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$53,914,000BeginningYearBalanceAmt
Contributions$2,482,000ContributionsAmt
Investment Earnings Or Losses$4,207,000InvestmentEarningsOrLossesAmt
Other Expenditures$829,000OtherExpendituresAmt
End Year Balance$59,774,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$50,716,000BeginningYearBalanceAmt
Contributions$1,498,000ContributionsAmt
Investment Earnings Or Losses$2,720,000InvestmentEarningsOrLossesAmt
Other Expenditures$1,020,000OtherExpendituresAmt
End Year Balance$53,914,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$50,865,000BeginningYearBalanceAmt
Contributions$1,163,000ContributionsAmt
Investment Earnings Or Losses-$791,000InvestmentEarningsOrLossesAmt
Other Expenditures$521,000OtherExpendituresAmt
End Year Balance$50,716,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$47,005,000BeginningYearBalanceAmt
Contributions$1,790,000ContributionsAmt
Investment Earnings Or Losses$3,174,000InvestmentEarningsOrLossesAmt
Other Expenditures$1,104,000OtherExpendituresAmt
End Year Balance$50,865,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.61000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.28000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.11000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,956,331OtherCostOrOtherBasisAmt
Book Value$3,956,331BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$152,704,346OtherCostOrOtherBasisAmt
Depreciation$103,373,363DepreciationAmt
Book Value$49,330,983BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,730,413OtherCostOrOtherBasisAmt
Depreciation$1,724,712DepreciationAmt
Book Value$8,005,701BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$117,396,200OtherCostOrOtherBasisAmt
Depreciation$97,411,957DepreciationAmt
Book Value$19,984,243BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$81,277,258TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
PRIVATE EQUITY & VENTURE CAPITAL$2,234,000F
ABSOLUTE RETURN AND HEDGED EQUITY$17,312,000F
CREDIT RELATED$2,958,327F
REAL ASSETS$3,031,000F
FieldValueIRS element (for citing)
Total Book Value Securities$25,535,327TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
LT REINS LIAB CRIO$7,828,334
DEPOSITS REC'D LEASES$17,166
IBNR - INSURANCE & MALPRACTICE$1,639,193
FieldValueIRS element (for citing)
Total Liability$9,484,693TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$250,870,172TotalRevEtcAuditedFinclStmtAmt
Other Revenue$6,309,683OtherRevenueAmt
Revenue Not Reported$6,309,683RevenueNotReportedAmt
Revenue Subtotal$244,560,489RevenueSubtotalAmt
Other Revenues Not Included$3,183,296OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$3,183,296RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$247,743,785TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$246,062,739TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$8,124,873OtherExpensesIncludedAmt
Expenses Not Reported$8,124,873ExpensesNotReportedAmt
Expenses Subtotal$237,937,866ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$237,937,866TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:NEW ENGLAND BAPTIST HOSPITAL ENDOWMENT FUND UNDER THE NEW ENGLAND BAPTIST HOSPITAL'S (NEBH OR HOSPITAL) CURRENT LONG-TERM INVESTMENT SPENDING POLICY, WHICH IS WITHIN THE GUIDELINES SPECIFIED UNDER MASSACHUSETTS STATE LAW, 5% OF THE OF QUALIFYING INCOME AVAILABLE MAY BE APPROPRIATED. IN ESTABLISHING THESE POLICIES, NEBH CONSIDERED THE EXPECTED RETURN ON ITS ENDOWMENT AND ITS PROGRAMMING NEEDS. ACCORDINGLY, NEBH EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO MAINTAIN ITS PURCHASING POWER AND TO PROVIDE A PREDICTABLE AND STABLE SOURCE OF REVENUE TO THE ANNUAL OPERATING BUDGET. ADDITIONAL REAL GROWTH WILL BE PROVIDED THROUGH NEW GIFTS OR EXCESS INVESTMENT RETURN. FORM 990, SCHEDULE D, PART VII: INVESTMENTS OTHER SECURITIES AS OF SEPTEMBER 30, 2018, NEW ENGLAND BAPTIST HOSPITAL (NEBH OR HOSPITAL) HAD INVESTMENTS OF OTHER SECURITIES OF $25,535,327 WITH CAREGROUP INVESTMENT PARTNERSHIP (EIN: 04-3278109) SEE SCHEDULE R FOR ADDITIONAL INFORMATION ON THIS RELATED ENTITY).
PART X, LINE 2:THE AUDITED FINANCIAL STATEMENTS OF NEW ENGLAND BAPTIST HOSPITAL (HOSPITAL) INCLUDE THE HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, OF WHICH NEBH IS ITS SOLE MEMBER. FOOTNOTE 2(N), SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES, INCOME TAX STATUS IS INCLUDED BELOW. THE HOSPITAL AND NEBMA HAVE BEEN PREVIOUSLY DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE TAX-EXEMPT ORGANIZATIONS DESCRIBED IN THE INTERNAL REVENUE CODE (THE CODE) SECTION 501(C)(3) AND, THEREFORE, ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. NEW ENGLAND BAPTIST CLINICAL INTEGRATION ORGANIZATION, LLC (NEBCIO), IS A MASSACHUSETTS LIMITED LIABILITY COMPANY. NEW ENGLAND BAPTIST HOSPITAL IS THE SOLE MEMBER OF NEBCIO AND AS SUCH, NEBCIO IS A SINGLE MEMBER LLC DISREGARDED FOR INCOME TAX PURPOSES. THE CORPORATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE CORPORATION DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2018 OR 2017.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CONSOLIDATED AFFILIATES NET 4,128,000. NET ASSETS RELEASED FROM RESTRICTION 2,181,683.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RESTRICTED CONTRIBUTIONS 2,921,282. RENTAL EXPENSES -50,116. RESTRICTED REVENUE 1,045,054. FUNDRAISING EXPENSES -224,342. PARTNERSHIP LOSSES -508,158. ROUNDING -424.
PART XII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES ASSOCIATED WITH REAL ESTATE RENTAL 50,116. CONSOLIDATED AFFILIATES NET ELIMINATIONS 7,851,000. OTHER EXPENSES RECLASS TO REVENUE 224,342. ROUNDING -585.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA & THE CARIBBEAN00INVESTMENTS$7,346,005
EUROPE (INCLUDING ICELAND & GREENLAND)00INVESTMENTS$1,126,810
NORTH AMERICA00INVESTMENTS$245,060
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$8,717,875SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$8,717,875TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE F PART IV: FOREIGN FORMS:FormAndLineReferenceDesc
ExplanationSCHEDULE F PART IV QUESTION 3 ALTHOUGH NEBH HAD AN INDIRECT OWNERSHIP INTEREST IN A FOREIGN CORPORATION DURING THE TAX YEAR, IT DID NOT MEET ANY OF THE FIVE CATEGORIES OF REQUIRED FILER AND AS SUCH WAS NOT REQUIRED TO FILE FORM 5471, INFORMATION RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN CORPORATIONS. SCHEDULE F PART IV QUESTION 4 ALTHOUGH NEBH WAS AN INDIRECT SHAREHOLDER OF A PASSIVE FOREIGN INVESTMENT COMPANY OR A QUALIFIED ELECTING FUND DURING THE PERIOD COVERED BY THIS FILING, SUCH TRANSFERS DID NOT RESULT IN AN OBLIGATION TO FILE FORM 8621, INFORMATION RETURN BY A SHAREHOLDER OF A PASSIVE FOREIGN INVESTMENT COMPANY OR QUALIFIED ELECTING FUND. SCHEDULE F PART IV QUESTION 5 ALTHOUGH NEBH HELD AN INDIRECT OWNERSHIP INTEREST IN A FOREIGN PARTNERSHIP DURING THE TAX YEAR, THE INTEREST DID NOT RESULT IN AN OBLIGATION TO FILE FORM 8865, RETURN OF U.S. PERSONS WITH RESPECT TO CERTAIN FOREIGN PARTNERSHIPS.ExplanationTxt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1DEVELOPMENT GUILD DDIBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1233 HAVARD STAddressLine1Txt
CityBROOKLINECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02446ZIPCd
FieldValueIRS element (for citing)
ActivityFUNDRAISING COUNSELActivityTxt
Fundraiser Control Of Funds0FundraiserControlOfFundsInd
Gross Receipts$0GrossReceiptsAmt
Retained By Contractor$49,182RetainedByContractorAmt
Net To Organization$0NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Retained By Contractors$49,182TotalRetainedByContractorsAmt
Licensed StatesAKLicensedStatesCd
Licensed StatesAZLicensedStatesCd
Licensed StatesALLicensedStatesCd
Licensed StatesCOLicensedStatesCd
Licensed StatesFLLicensedStatesCd
Licensed StatesGALicensedStatesCd
Licensed StatesILLicensedStatesCd
Licensed StatesKYLicensedStatesCd
Licensed StatesMALicensedStatesCd
Licensed StatesMDLicensedStatesCd
Licensed StatesMELicensedStatesCd
Licensed StatesMILicensedStatesCd
Licensed StatesMNLicensedStatesCd
Licensed StatesMOLicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALA 2018Event1Nm
Gross Receipts Event1$657,938GrossReceiptsEvent1Amt
Charitable Contri Event1$580,338CharitableContriEvent1Amt
Gross Revenue Event1$77,600GrossRevenueEvent1Amt
Rent Facility Costs Event1$27,451RentFacilityCostsEvent1Amt
Food And Beverage Event1$97,571FoodAndBeverageEvent1Amt
Entertainment Event1$40,000EntertainmentEvent1Amt
Other Direct Expenses Event1$59,320OtherDirectExpensesEvent1Amt
Gross Receipts Total$657,938GrossReceiptsTotalAmt
Charitable Contributions Tot$580,338CharitableContributionsTotAmt
Gross Revenue Total Events$77,600GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$27,451RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$97,571FoodAndBeverageTotalEventsAmt
Entertainment Total Events$40,000EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$59,320OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$224,342DirectExpenseSummaryEventsAmt
Net Income Summary-$146,742NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,223,843TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,223,843NetCommunityBenefitExpnsAmt
Total Expense0.01350TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,898,498TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,125,647DirectOffsettingRevenueAmt
Net Community Benefit Expns$772,851NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,122,341TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,125,647DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,996,694NetCommunityBenefitExpnsAmt
Total Expense0.01670TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$181,334TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$181,334NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,056,349TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$305,424DirectOffsettingRevenueAmt
Net Community Benefit Expns$750,925NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,497,711TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,611,819DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,885,892NetCommunityBenefitExpnsAmt
Total Expense0.01210TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,875,638TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$388,701DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,486,937NetCommunityBenefitExpnsAmt
Total Expense0.00620TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$457,830TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$457,830NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,068,862TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,305,944DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,762,918NetCommunityBenefitExpnsAmt
Total Expense0.02420TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,191,203TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,431,591DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,759,612NetCommunityBenefitExpnsAmt
Total Expense0.04090TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$60,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$60,000NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,974TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$29,974NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$187,430TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$187,430NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,000NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$174,471TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$174,471NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$461,875TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$461,875NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$41,751BadDebtExpenseAmt
Reimbursed By Medicare$74,168,993ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$85,149,125CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$10,980,132MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NEW ENGLAND BAPTIST HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1125 PARKER AVENUEAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02120ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.NEBH.ORGWebsiteAddressTxt
State LicenseMA STATE LICENSE # 2059StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
OtherSEE NARRATIVE DETAILOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NEW ENGLAND BAPTIST HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.NEBH.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.NEBH.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.NEBH.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care Policy0NondisEmergencyCarePolicyInd
Other ReasonYes (X)OtherReasonInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferenceNEW ENGLAND BAPTIST HOSPITALFormAndLineReferenceDesc
ExplanationPART V, SECTION B, LINE 21D: FOR DISCLOSURES RELATED TO FORM 990 SCHEDULE H PART V, SECTION B PLEASE SEE SCHEDULE H PART VI SUPPLEMENTALINFORMATION.ExplanationTxt
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - NEBH OUTPATIENT CARE AT CHESTNUT HILL
830 BOYLSTON ST208 BASEMENT LEVELCHESTNUT HILLMA02467MEDICAL/SURGICAL
2 - NEW ENGLAND BAPTIST SURGICARE
1 BROOKLINE PLACE 2ND FL SUITE 201BROOKLINEMA02445INTENSIVE CARE UNIT
3 - NEBH OUTPATIENT SURGERY SATELLITE
40 ALLIED DRIVE SUITE 200DEDHAMMA02026AMBULATORY CARE SERVICES

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 SCHEDULE H PART V, SECTION C:SUPPLEMENTAL INFORMATION FOR SCHEDULE H PART V, SECTION BFINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - COMMUNITY HEALTH IMPROVEMENT SERVICES AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPSCOMMUNITY BENEFITS MISSION STATEMENT NEW ENGLAND BAPTIST HOSPITAL IS COMMITTED TO COLLABORATING WITH COMMUNITY PARTNERS AND RESIDENTS ACROSS BOSTON TO IDENTIFY AREAS OF SPECIAL NEED IN MUSCULOSKELETAL DISEASE AND COLLABORATE ON PROGRAMS TO ADDRESS THESE NEEDS, WITH SPECIAL FOCUS ON UNDERSERVED POPULATIONS THROUGH OUTREACH, EDUCATION AND PROVISION OF SERVICES TO ADDRESS MUSCULOSKELETAL HEALTH.AS NOTED THROUGHOUT THIS NARRATIVE, NEW ENGLAND BAPTIST HOSPITAL'S (NEBH OR HOSPITAL) PRIMARY PURPOSE IS THE OPERATION AND MAINTENANCE OF AN ACUTE CARE, ORTHOPEDIC SPECIALTY HOSPITAL AND PROVISION OF ALL SERVICES RELATED THERETO FOR THE BENEFIT OF PATIENTS. THE HOSPITAL OPERATES AS AN ADULT MEDICAL / SURGICAL HOSPITAL WITH A NATIONAL REPUTATION IN ORTHOPEDIC CARE. PATIENTS ARE OFFERED A FULL RANGE OF SERVICES IN ORTHOPEDICS AND RHEUMATOLOGY, JOINT REPLACEMENT, SPINE CARE, FOOT AND ANKLE CARE, HAND SURGERY, OCCUPATIONAL MEDICINE AND SPORTS MEDICINE. COMMUNITY BENEFITS PHILOSOPHY NEBH IS COMMITTED TO ITS COMMUNITY. THE HOSPITAL'S PHILOSOPHY IS TO PARTNER DIRECTLY WITH LOCAL ORGANIZATIONS TO PROVIDE DIRECT SERVICES IN OUR PRIORITY AREAS, TO STREAMLINE AND REDUCE DUPLICATION AND TO BUILD POSITIVE RELATIONSHIPS IN THE SURROUNDING NEIGHBORHOODS. DURING THE FISCAL YEAR COVERED BY THIS FILING, NEBH PROVIDED COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS OF $639,164 AS REPORTED ON THIS SCHEDULE H, PART I, LINES 7E AND 7I, COLUMN C.COMMUNITY BENEFITS LEADERSHIP AND PROCESSCOMMUNITY BENEFITS LEADERSHIP THE HOSPITAL'S GOVERNING BOARD AND SENIOR MANAGEMENT ARE RESPONSIBLE FOR OVERSEEING THE DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY BENEFITS PLAN BASED ON THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY/PLAN (CHIP). COMMUNITY PLANNING IS DONE IN CONJUNCTION WITH MEMBERS OF THE DESIGNATED HOSPITAL COMMUNITY, WHO MAY PROVIDE INSIGHT AND RECOMMENDATIONS ON COMMUNITY HEALTH ISSUES. THE BOARD IS RESPONSIBLE FOR DEVELOPING POLICY TO IMPLEMENT AND EVALUATING THE HOSPITAL'S CURRENT AND FUTURE COMMUNITY PROGRAMS. THE DIRECTOR OF PUBLIC AFFAIRS AND COMMUNITY RELATIONS REPORTS TO SENIOR MANAGEMENT AND TO THE PRESIDENT OF THE HOSPITAL ON COMMUNITY BENEFIT ACTIVITIES AND PLANS. DIRECTOR OF PUBLIC AFFAIRS AND COMMUNITY RELATIONS, RESPONSIBILITIES INCLUDE:-PLANNING, ORGANIZING AND EVALUATING THE COMMUNITY BENEFITS PROGRAMMING IN COLLABORATION WITH HOSPITAL ADMINISTRATION, NEBH STAFF AND THE KEY STAKEHOLDERS WITHIN THE COMMUNITY.COORDINATING THE HOSPITAL'S CURRENT COMMUNITY BENEFIT PROGRAM WITH NUMEROUS DEPARTMENTS THROUGHOUT THE HOSPITAL. NEBH STAFF ADVISORSCOMMUNITY RELATIONS STAFF WORKS COLLABORATIVELY WITH MULTIPLE DEPARTMENTS TO DEVELOP AND IMPLEMENT COMMUNITY BENEFIT ACTIVITIES. THESE ADVISORS PROVIDE INPUT ON THE DIRECTION OF THE HOSPITAL'S COMMUNITY BENEFIT EFFORTS. THESE ADVISORS ADD SIGNIFICANT VALUE IN THESE AREAS:-AS HEALTH CARE PROVIDERS WHO CAN OFFER THEIR EXPERTISE AS THE HOSPITAL COLLABORATES WITH THE COMMUNITY TO DEVELOP NEW HEALTH EDUCATION PROGRAMS ADDRESSING THE KEY ASPECTS OF THE HOSPITAL MISSION.-AS RESIDENTS WITHIN THE HOSPITAL'S IMMEDIATE NEIGHBORHOODS THEY HELP THE COMMITTEE ASSESS THE NEEDS OF THIS COMMUNITY.-THEY ARE INVOLVED AS PROVIDERS IN THE HOSPITAL'S COMMUNITY BENEFIT PROGRAM, AND CAN HELP DETERMINE THEIR EFFECTIVENESS-THEY HAVE SPECIAL EXPERTISE ESSENTIAL TO THE COMMUNITY BENEFIT PLANNING PROCESS; E.G., STAFF FROM ORGANIZATIONAL/QUALITY IMPROVEMENT DEPARTMENT HAS COMMUNITY EDUCATION EXPERTISE.-THEY ARE DIRECTLY RESPONSIBLE OR INVOLVED IN MANAGING THE CLINICAL AREAS IDENTIFIED IN THE COMMUNITY BENEFIT MISSION STATEMENT, SPECIFICALLY TO ADDRESS MUSCULOSKELETAL DISEASE AND CAN GUIDE THE HOSPITAL AS IT WORKS WITH THE COMMUNITY TO DEVELOP PROGRAMS.-THE PATIENT AND FAMILY ADVISORY COUNCIL PROVIDES INPUT INTO THE COMMUNITY BENEFITS PROGRAM, THROUGH COMMITTEE COLLABORATION, ASSISTANCE WITH IMPLEMENTATION, ANALYSIS AND FEASIBILITY ASSESSMENT.THE HOSPITAL'S COMMUNITY BENEFITS COMMITTEE CONSISTS OF EMPLOYEES, COMMUNITY RESIDENTS, REPRESENTATIVES FROM COMMUNITY AGENCIES AND MEMBERS OF THE HOSPITAL'S PRESIDENT'S COUNCIL. THE COMMITTEE REVIEWS THE COMMUNITY SERVICE AND COMMUNITY BENEFITS PROGRAM PROVIDED BY THE HOSPITAL. THE HOSPITAL FOCUSES ON THE FOLLOWING AREAS: MUSCULOSKELETAL HEALTH, OBESITY PREVENTION, FOOD INSECURITY/HUNGER, MOBILITY AND TRANSPORTATION FOR THE ELDERLY, ACCESS TO HEALTHY AFFORDABLE FOOD, ELDER ISOLATION, VIOLENCE PREVENTION AND WORKFORCE DEVELOPMENT. COMMUNITY BENEFITS COMMITTEE MEMBERS AND ADVISORS-DAVID PASSAFARO, SENIOR VICE PRESIDENT, EXTERNAL AFFAIRS -CHRISTINE DWYER, DIRECTOR, PUBLIC AFFAIRS AND COMMUNITY RELATIONS -BETH DONATO, MSPT, DIRECTOR OF INPATIENT REHABILITATIVE SERVICES-CARMEN POLA, FOUNDING MEMBER OF THE MISSION HILL SENIOR LEGACY PROJECT-JARLIN RIZIK, MANAGER, CENTRAL TRANSPORTATION-LYNN STEWART, MANAGER, AMENITIES AND STUDENT SERVICES-ELAINE ADAMS, RN, REGISTERED NURSE AND COMMUNITY MEMBER-JANET MCCARTHY, RN, REGISTERED NURSE AND COMMUNITY MEMBER-ASHLEY DUBOIS, HRIS MANAGER & COMPENSATION, HUMAN RESOURCES -EILEEN O'DONNELL, RN, CLINICAL LEADER, EMPLOYEE HEALTH -LAURA ADAMS, SENIOR PROGRAM COORDINATOR, ROXBURY TENANTS OF HARVARD, AND COMMUNITY MEMBER-JOHN JACKSON, ADMINISTRATIVE COORDINATOR, TOBIN COMMUNITY CENTER, BOSTON CENTERS FOR YOUTH & FAMILIES (BCYF)-MICHAEL HOWE, EXECUTIVE ASSISTANT-KATHLEEN HAYES, RN, REGISTERED NURSE-LEON BRASFIELD, CAST TECHNICIAN, REHAB SERVICES-PAIGE LEGASSIE, BUSINESS PARTNER, HUMAN RESOURCES
COMMUNITY HEALTH NEEDS ASSESSMENTCOMMUNITY HEALTH NEEDS ASSESSMENT - INTERNAL REVENUE CODE SECTION 501(R)INTERNAL REVENUE CODE SECTION 501(R), ENACTED AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (ACA), REQUIRES EACH HOSPITAL TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND TO FORMALLY ADOPT AN IMPLEMENTATION STRATEGY PURSUANT TO FEDERAL GUIDELINES, IN ORDER MAINTAIN ITS TAX EXEMPT STATUS AS A HOSPITAL UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) OF 1986, AS AMENDED. NEBH COMPLETED ITS MOST RECENT NEEDS ASSESSMENT DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2016. THAT CHNA WAS APPROVED BY THE BOARD OF TRUSTEES IN SEPTEMBER 2016. THE ACCOMPANYING IMPLEMENTATION STRATEGY FOR THE MOST RECENT CHNA WAS ALSO APPROVED BY THE BOARD OF TRUSTEES IN SEPTEMBER 2016 WHICH IS WITHIN THE TIMELINE REQUIRED BY THE TREASURY REGULATIONS UNDER IRC SECTION 501(R). THIS MOST RECENT CHNA AND IMPLEMENTATION STRATEGY (CHIP) INFORMED NEBH'S COMMUNITY BENEFITS PROCESS FOR THE PERIOD COVERED BY THIS FILING. THE PREVIOUS NEEDS ASSESSMENT AND ACCOMPANYING IMPLEMENTATION PLAN WERE APPROVED BY THE NEBH BOARD OF TRUSTEES IN SEPTEMBER 2013 AND INFORMED NEBH'S COMMUNITY BENEFIT PROCESS FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2014, SEPTEMBER 30, 2015 AND SEPTEMBER 30, 2016. DURING ITS FISCAL YEAR ENDED SEPTEMBER 30, 2016 (TAX YEAR 2015), NEBH CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOCUSING ON THE MISSION HILL AND ROXBURY NEIGHBORHOODS IN BOSTON WHICH, AS PREVIOUSLY NOTED, ARE THE HOSPITAL'S PRIMARY COMMUNITY BENEFITS SERVICE AREAS. THE OVERALL GOAL OF THE ASSESSMENT WAS TO COMPILE INFORMATION FROM A RANGE OF QUANTITATIVE AND QUALITATIVE SOURCES TO CLARIFY THE HEALTH CARE NEEDS AND PRIORITIES OF COMMUNITY RESIDENTS AND ASSESS THE OVERALL STRENGTHS AND WEAKNESSES OF THE HEALTH AND SOCIAL SERVICE SYSTEMS. THE PROJECT WAS ALSO DESIGNED TO FULFILL BOTH THE COMMONWEALTH OF MASSACHUSETTS ATTORNEY GENERAL'S OFFICE AND FEDERAL INTERNAL REVENUE SERVICE (IRS) REGULATIONS THAT REQUIRE THAT THE HOSPITAL ASSESS COMMUNITY HEALTH NEEDS, ENGAGE THE COMMUNITY, IDENTIFY PRIORITY HEALTH ISSUES, AND CREATE A COMMUNITY HEALTH STRATEGY THAT DESCRIBES HOW THE HOSPITAL, IN COLLABORATION WITH THE COMMUNITY AND LOCAL HEALTH DEPARTMENT, WOULD ADDRESS THE NEEDS AND THE PRIORITIES IDENTIFIED BY THE ASSESSMENT. THE CHNA CONDUCTED DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2016, FOCUSED ON THE BOSTON NEIGHBORHOODS OF MISSION HILL AND ROXBURY, WHICH AS NOTED ABOVE, ARE NEBH'S PRIMARY SERVICE AREA WITH RESPECT TO ITS COMMUNITY BENEFIT INITIATIVES. AS REQUIRED UNDER THE LAW, THE OVERALL GOAL OF THE ASSESSMENT WAS TO COMPILE INFORMATION FROM A RANGE OF QUANTITATIVE AND QUALITATIVE SOURCES TO CLARIFY THE HEALTH CARE NEEDS AND PRIORITIES OF COMMUNITY RESIDENTS AND ASSESS THE OVERALL STRENGTHS AND WEAKNESSES OF THE AREA'S HEALTH AND SOCIAL SERVICE SYSTEMS WITH THE GOAL TO FACILITATE THE DEVELOPMENT OF A STRATEGIC PLAN/IMPLEMENTATION STRATEGY DESIGNED TO GUIDE HOW NEBH WOULD WORK WITH STAKEHOLDERS IN MISSION HILL AND ROXBURY TO STRENGTHEN THE COMMUNITY AND IMPROVE HEALTH STATUS DURING THE FISCAL YEAR COVERED BY THIS FILING. THE IDENTIFIED NEEDS IN THE CHNA WHICH WILL INFORM NEBH'S COMMUNITY BENEFIT OPERATIONS FOR THE NEXT THREE FISCAL YEARS AS NOTED ABOVE ARE: MUSCULOSKELETAL HEALTH, OBESITY PREVENTION, VIOLENCE PREVENTION, WORKFORCE DEVELOPMENT, ELDER ISOLATION, ACCESS TO HEALTHY AFFORDABLE FOOD, FOOD INSECURITY/HUNGER AND MOBILITY AND TRANSPORTATION FOR THE ELDERLY AS WELL AS IMPROVING THE HEALTH, FUNCTION, AND QUALITY OF LIFE OF OLDER ADULTS. PLANS FOR NEXT REPORTING YEARDURING THE FISCAL YEAR OCTOBER 1, 2018 - SEPTEMBER 30, 2019 (FY19) AS REQUIRED UNDER IRC SECTION 501(R)(3), NEBH WILL CONDUCT ITS NEXT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA)., NEBH WILL BE COLLABORATING WITH BOSTON HOSPITALS ON A JOINT CITY-WIDE CHNA AND WILL ALSO CONDUCT ITS OWN CHNA. IN ACCORDANCE WITH THE TREASURY REGULATIONS NEBH WILL ENGAGE IN A PROCESS TO DETERMINE THE CURRENT COMMUNITY HEALTH NEEDS IN THE COMMUNITIES SERVED BY NEBH AND ALL COMMUNITIES WHERE THE HOSPITAL HAS FACILITIES AND WILL THEN PRIORITIZE THE IDENTIFIED NEEDS. THE CHNA CONDUCTED IN FY19 WILL THEN INFORM NEBH'S COMMUNITY BENEFITS ACTIVITIES FOR THE FISCAL PERIODS ENDING SEPTEMBER 30, 2020, SEPTEMBER 30, 2021 AND SEPTEMBER 30, 2022. NEW ENGLAND BAPTIST HOSPITAL IS COMMITTED TO COLLABORATING WITH COMMUNITY PARTNERS AND RESIDENTS ACROSS BOSTON TO IDENTIFY AREAS OF SPECIAL NEED IN MUSCULOSKELETAL DISEASE AND COLLABORATE ON PROGRAMS TO ADDRESS THESE NEEDS, WITH SPECIAL FOCUS ON UNDERSERVED POPULATIONS THROUGH OUTREACH, EDUCATION AND PROVISION OF SERVICES TO ADDRESS MUSCULOSKELETAL HEALTH.COMMUNITY HEALTH NEEDS ASSESSMENT - COMMUNITY INFORMATIONAS NOTED ABOVE, THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS CONDUCTED BY NEBH FOCUSED ON THE MISSION HILL AND ROXBURY NEIGHBORHOODS IN BOSTON WHICH, AS PREVIOUSLY NOTED, ARE THE HOSPITAL'S PRIMARY COMMUNITY BENEFITS SERVICE AREAS.(SCHEDULE H PART VI QUESTION 4).
COMMUNITY HEALTH NEEDS ASSESSMENT -- APPROACH AND METHODSNEBH IS COMMITTED TO COLLABORATING WITH COMMUNITY PARTNERS AND RESIDENTS FROM ACROSS BOSTON TO IDENTIFY AREAS OF SPECIAL NEED AND IMPROVE THE OVERALL HEALTH OF THE REGION. NEBH WORKS WITH ALL SEGMENTS OF THE POPULATION BUT IN RECOGNITION OF ITS STRONG TIES TO ITS SURROUNDING COMMUNITY AND ITS SPECIFIC CLINICAL EXPERTISE, NEBH FOCUSES ITS COMMUNITY BENEFIT EFFORTS ON IMPROVING THE HEALTH AND WELL-BEING OF THE LOW INCOME, UNDERSERVED POPULATIONS LIVING IN MISSION HILL AND ROXBURY AND ON MUSCULOSKELETAL HEALTH. NEBH CURRENTLY OPERATES NUMEROUS EDUCATIONAL, OUTREACH, AND COMMUNITY-STRENGTHENING INITIATIVES, COLLABORATES WITH MANY OF THE COMMUNITY'S LEADING SERVICE ORGANIZATIONS. DURING THE PERIOD COVERED BY THIS FILING, THE HOSPITAL COST TO SUPPORT ITS COMMUNITY BENEFIT COMMITMENTS AND THE MASSACHUSETTS UNCOMPENSATED CARE POOL EXCEEDED $4.5 MILLION. NEBH IS ALWAYS EAGER TO EXPLORE WAYS THAT IT CAN FURTHER ENGAGE AND ENRICH ITS CONNECTIONS TO THE COMMUNITY.THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND ASSOCIATED COMMUNITY HEALTH IMPROVEMENT PLAN WERE THE CULMINATION OF SEVERAL MONTHS OF WORK. THIS PROJECT WAS BORNE LARGELY OUT OF NEBH'S DESIRE TO BETTER UNDERSTAND AND ADDRESS THE HEALTH-RELATED NEEDS OF THOSE LIVING IN ITS SURROUNDING COMMUNITY. THE PROCESS IS ALSO DESIGNED TO MEET THE REQUIREMENTS OF THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE AND FEDERAL INTERNAL REVENUE SERVICE (IRS) REQUIREMENTS UNDER INTERNAL REVENUE CODE SECTION 501(R), WHICH MANDATE THAT ALL NONPROFIT HOSPITALS CONDUCT A PERIODIC COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND STRATEGIC PLANNING PROCESS. THE COMMONWEALTH REQUIRES NONPROFIT HOSPITALS AND MANAGED CARE ORGANIZATIONS TO UPDATE THEIR CHNAS EVERY YEAR AND THE IRS REQUIRES THAT A CHNA BE CONDUCTED EVERY THREE YEARS. MORE SPECIFICALLY, THE COMMONWEALTH AND IRS REGULATIONS REQUIRE THAT NEBH ASSESS COMMUNITY HEALTH NEED, ENGAGE THE COMMUNITY, IDENTIFY PRIORITY HEALTH ISSUES, AND CREATE A COMMUNITY HEALTH STRATEGY THAT DESCRIBES HOW THE HOSPITAL, IN COLLABORATION WITH THE COMMUNITY AND LOCAL HEALTH DEPARTMENT, WILL ADDRESS THE NEEDS AND THE PRIORITIES IDENTIFIED BY THE ASSESSMENT.IN LIGHT OF THESE REQUIREMENTS, NEBH HIRED JOHN SNOW, INC. (JSI), A NATIONALLY RECOGNIZED PUBLIC HEALTH CONSULTING FIRM, TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOCUSING ON MISSION HILL AND ROXBURY, ITS PRIMARY SERVICE AREA WITH RESPECT TO ITS COMMUNITY BENEFIT INITIATIVES. THE OVERALL GOAL OF THE ASSESSMENT WAS TO COMPILE INFORMATION FROM A RANGE OF QUANTITATIVE AND QUALITATIVE SOURCES TO CLARIFY THE HEALTH CARE NEEDS AND PRIORITIES OF COMMUNITY RESIDENTS AND ASSESS THE OVERALL STRENGTHS AND WEAKNESSES OF THE AREA'S HEALTH AND SOCIAL SERVICE SYSTEMS. THE CHNA PROCESS WAS CONDUCTED IN THREE PHASES:-PHASE I: THE JSI PROJECT TEAM CONDUCTED A PRELIMINARY NEEDS ASSESSMENT THAT RELIED HEAVILY ON QUANTITATIVE HEALTH-RELATED DATA DRAWN FROM THE MASSACHUSETTS COMMUNITY HEALTH INFORMATION PROFILE MASSCHIP) SYSTEM AS WELL AS OTHER NATIONAL, STATE, AND LOCAL SOURCES. THESE DATA ALLOWED THE JSI PROJECT TEAM TO UNDERSTAND THE UNDERLYING CHARACTERISTICS OF AREA RESIDENTS AND IDENTIFY THE SPECIFIC SEGMENTS OF THE COMMUNITY MOST AT-RISK.-PHASE II: JSI CONDUCTED A SERIES OF INTERVIEWS WITH KEY STAKEHOLDERS AND TWO FOCUS GROUPS WITH COMMUNITY MEMBERS. THE FOCUS GROUPS HELPED THE JSI PROJECT TEAM TO ENGAGE THE COMMUNITY AND BETTER UNDERSTAND THEIR HEALTH STATUS, HEALTH-SEEKING BEHAVIORS, SERVICE GAPS, HEALTH-RELATED CHALLENGES, AND PRIORITIES. -PHASE III: CHRISTINE DWYER, DIRECTOR OF PUBLIC AFFAIRS AND COMMUNITY RELATIONS, WORKED WITH JSI TO INTEGRATE THE CHNA'S FINDINGS, INCLUDING FEEDBACK FROM NEBH STAFF AND THE COMMUNITY, AND DEVELOPED NEBH'S COMMUNITY HEALTH IMPROVEMENT PLAN. IN PHASE III, JSI ALSO DEVELOPED A FINAL CHNA REPORT, OBTAINED APPROVAL FOR ITS COMMUNITY HEALTH IMPROVEMENT PLAN FROM NEBH'S BOARD OF TRUSTEES, AND DISSEMINATED THE RESULTS OF THE PROJECT TO INTERNAL AND EXTERNAL STAKEHOLDERS.THE CHNA UTILIZED A PARTICIPATORY, COLLABORATIVE APPROACH TO LOOK AT HEALTH IN ITS BROADEST CONTEXT. AS NOTED ABOVE, THE ASSESSMENT PROCESS INCLUDED SYNTHESIZING EXISTING DATA ON SOCIAL, ECONOMIC, AND HEALTH INDICATORS IN THE REGION AS WELL AS INFORMATION FROM COMMUNITY DIALOGUES CONDUCTED WITH COMMUNITY RESIDENTS, AND INTERVIEWS WITH COMMUNITY STAKEHOLDERS. (SCHEDULE H, PART V, SECTION B, QUESTION 5). NEBH CONDUCTED THIS CHNA PROCESS INDEPENDENTLY AS REPORTED IN (SCHEDULE H, PART V, SECTION B, QUESTIONS 6A AND 6B).
LEADING HEALTH-RELATED FINDINGS-SOCIAL DETERMINANTS OF HEALTH (E.G., ECONOMIC STABILITY, EDUCATION, AND COMMUNITY/SOCIAL CONTEXT) CONTINUE TO HAVE A TREMENDOUS IMPACT ON MANY SEGMENTS OF THE POPULATION. THE DOMINANT THEME FROM THE ASSESSMENT'S KEY INFORMANT INTERVIEWS AND COMMUNITY FORUMS WAS THE CONTINUED IMPACT THAT THE UNDERLYING SOCIAL DETERMINANTS OF HEALTH ARE HAVING ON THE CBSA'S LOW INCOME, UNDERSERVED, DIVERSE POPULATION COHORTS. MORE SPECIFICALLY, DETERMINANTS SUCH AS POVERTY, EMPLOYMENT OPPORTUNITIES, VIOLENCE, TRANSPORTATION, RACIAL SEGREGATION, LITERACY, PROVIDER LINGUISTIC/CULTURAL COMPETENCY, SOCIAL SUPPORT, AND COMMUNITY COHESION LIMIT MANY PEOPLE'S ABILITY TO CARE FOR THEIR OWN AND/OR THEIR FAMILIES' HEALTH. -LOW INCOME. 35% OF ROXBURY RESIDENTS AND 41% OF MISSIONHILL RESIDENTS LIVED BELOW THE FEDERAL POVERTY LINE COMPARED TO 22% FOR BOSTON AND 12% FOR THE COMMONWEALTH OVERALL. 58% OF ROXBURY'S POPULATION AND 62% OF MISSION HILL'S POPULATION LIVE IN HOUSEHOLDS EARNING LESS THAN 200% OF THE FEDERAL POVERTY LEVEL COMPARED TO 38% FOR BOSTON AND 25% FOR THE COMMONWEALTH OVERALL. -ECONOMIC CHALLENGES. 79% OF ROXBURY'S HOUSING UNITS AND 91% OF MISSION HILL'S HOUSING UNITS WERE RENTER-OCCUPIED COMPARED TO 66% FOR BOSTON AND 38% FOR THE COMMONWEALTH. 46% OF ROXBURY RESIDENTS AND 50% OF MISSION HILL RESIDENTS LIVING IN RENTAL UNITS WERE CONSIDERED TO BE "HOUSE POOR" AS 35% OR MORE OF THEIR INCOME WAS SPENT ON HOUSING COMPARED TO 41% FOR BOSTON AND THE COMMONWEALTH.-EDUCATIONAL ATTAINMENT. 77% OF ROXBURY'S POPULATION AND 85% OF MISSION HILL'S POPULATION HAD A HIGH SCHOOL DEGREE OR HIGHER COMPARED TO 85% FOR BOSTON AND 90% FOR THE COMMONWEALTH. ONLY 23% OF ROXBURY'S POPULATION AND 36% OF MISSION HILL'S POPULATION HAD A BACHELOR'S DEGREE OR HIGHER COMPARED TO 45% FOR BOSTON AND 40% FOR THE COMMONWEALTH.-VIOLENCE. KEY INFORMANTS AND COMMUNITY FORUM ATTENDEES NAMED VIOLENCE AS A LEADING HEALTH AND SAFETY CONCERN. NEIGHBORHOOD VIOLENCE CAN SEVERELY LIMIT AN INDIVIDUAL'S ABILITY AND MOTIVATION TO EXERCISE AND PARTICIPATE IN OUTDOOR EVENTS AND ACTIVITIES. FURTHERMORE, STUDIES HAVE SHOWN THAT NEIGHBORHOODS IN WHICH RESIDENTS SHARE FEELINGS OF MUTUAL TRUST AND CONNECTEDNESS ARE MORE LIKELY TO WORK TOGETHER TO ACHIEVE COMMON GOALS, LIKE CLEANER AND SAFER PUBLIC SPACES, AND MAINTAIN SOCIAL CONTROLS THAT DISCOURAGE UNDESIRABLE BEHAVIORS, LIKE UNDERAGE SUBSTANCE USE AND GANG ACTIVITY. AMONG RESIDENTS OF ROXBURY, THE HOMICIDE RATE PER 100,000 POPULATION WAS 16.1 COMPARED TO 6.6 FOR BOSTON OVERALL.4 THE RATE OF NONFATAL GUNSHOT/STABBING EMERGENCY DEPARTMENT VISITS WAS 153.6 PER 100,000 POPULATION IN ROXBURY, COMPARED TO 76.9 FOR BOSTON OVERALL.-TRANSPORTATION. COMMUNITY FORUM ATTENDEES IDENTIFIED A NEED FOR A BROAD INTERVENTION TO ADDRESS TRANSPORTATION EQUITY ISSUES ON MISSION HILL. ACCESS TO AFFORDABLE AND RELIABLE FORMS OF TRANSPORTATION WAS A KEY AREA OF CONCERN FOR OLDER ADULTS, WHO RELY ON VARIOUS FORMS OF PUBLIC TRANSPORT TO ATTEND DOCTOR'S APPOINTMENTS, VISIT THE PHARMACY, AND ACCESS OTHER HEALTH AND SOCIAL SERVICES.-OLDER ADULTS. 12% OF ROXBURY'S POPULATION AND 7% OF MISSION HILL'S POPULATION IS OVER 65 YEARS OF AGE COMPARED TO 10% FOR BOSTON AND 14% FOR THE COMMONWEALTH.6 MANY FORUM ATTENDEES IDENTIFIED OLDER ADULTS AS A POPULATION THAT HAS UNIQUE NEEDS AND DISPARATE HEALTH OUTCOMES, YET ARE RELUCTANT TO VOICE CONCERNS OVER FEAR OF DISPLACEMENT FROM THEIR HOMES AND COMMUNITIES.-DISPARITIES IN HEALTH OUTCOMES EXIST IN NEBH CBSA BY RACE/ETHNICITY, FOREIGN BORN STATUS, AND LANGUAGE: AS WAS ESTABLISHED IN THE 2013 NEBH COMMUNITY BENEFITS CHNA REPORT, THERE ARE MAJOR HEALTH DISPARITIES FOR RESIDENTS LIVING IN NEBH'S CBSA. THIS IS PARTICULARLY TRUE FOR RACIALLY/ETHNICALLY DIVERSE, FOREIGN BORN, AND NON-ENGLISH SPEAKING RESIDENTS LIVING IN ROXBURY, AT THE HEART OF NEBH'S CBSA, WHICH FACE MANY OF THE MOST SIGNIFICANT DISPARITIES IN THE CITY OF BOSTON AND MASSACHUSETTS OVERALL. THE IMPACT OF RACISM, BARRIERS TO CARE, AND DISPARITIES IN HEALTH OUTCOMES THAT THOSE LIVING IN NEBH'S CBSA FACE ARE WIDELY DOCUMENTED IN THE LITERATURE AND ARE CONFIRMED BY NUMEROUS NATIONAL, COMMONWEALTH, AND LOCAL DATA SOURCES, INCLUDING QUANTITATIVE DATA FROM THE BOSTON PUBLIC HEALTH COMMISSION 2014-15 HEALTH OF BOSTON REPORT.7 IT SHOULD ALSO BE NOTED THAT ONE OF THE DOMINANT THEMES FROM THE ASSESSMENT'S KEY INFORMANT INTERVIEWS AND COMMUNITY FORUMS WAS THE IMPACT THAT THE UNDERLYING SOCIAL DETERMINANTS LISTED ABOVE HAVE ON THE SERVICE AREA, PARTICULARLY ON LOW INCOME, RACIALLY/ETHNICALLY DIVERSE, AND OLDER ADULT COHORTS.-RACE/ETHNICITY. 9% OF ROXBURY'S POPULATION AND 45% OF MISSION HILL'S POPULATION IS NON- HISPANIC WHITE COMPARED TO 75% FOR BOSTON AND THE COMMONWEALTH. NON-HISPANIC BLACKS, NON-HISPANIC ASIANS, AND HISPANICS REPRESENT A SIGNIFICANTLY LARGER PERCENTAGE OF ROXBURY'S POPULATION (55%, 2%, 29%) AND MISSION HILL'S POPULATION (21%, 12%, 20%)COMPARED TO BOSTON (13%, 6%, 5%) AND THE COMMONWEALTH (6%, 6%, 10%).-FOREIGN BORN. 27% OF ROXBURY'S POPULATION AND 23% OF MISSION HILL'S POPULATION IS FOREIGN BORN COMPARED TO 15% FOR THE COMMONWEALTH.-LINGUISTICALLY ISOLATED. 43% OF ROXBURY'S POPULATION AND 39% OF MISSION HILL'S POPULATION IS LINGUISTICALLY ISOLATED COMPARED TO 37% FOR BOSTON AND 22% FOR THE COMMONWEALTH. 27% OF ROXBURY'S POPULATION AND 18% OF MISSION HILL'S POPULATION SPEAK SPANISH AT HOME COMPARED TO 16% FOR BOSTON AND 8% FOR THE COMMONWEALTH.IT IS CRUCIAL THAT THESE DISPARITIES BE ADDRESSED AND, TO THIS END, NEBH'S COMMUNITY HEALTH IMPROVEMENT PLAN CONTINUES TO INCLUDE A RANGE OF PROGRAMS THAT ARE TARGETED TO ADDRESS THESE DISPARITIES. HOWEVER, IT IS CRITICAL TO NOTE THAT THERE IS A MULTITUDE OF INDIVIDUAL, COMMUNITY AND SOCIETAL FACTORS THAT WORK TOGETHER TO CREATE THESE INEQUITIES. THE UNDERLYING ISSUE IS NOT ONLY RACE/ETHNICITY, FOREIGN BORN STATUS, OR LANGUAGE BUT RATHER A BROAD ARRAY OF INTER-RELATED ISSUES INCLUDING ECONOMIC OPPORTUNITY, EDUCATION, CRIME, AND COMMUNITY COHESION. ARGUABLY, THESE ARE THE LEADING DETERMINANTS OF HEALTH FOR ALL URBAN COMMUNITIES IN THE UNITED STATES, AND THEY ARE DAUNTING CHALLENGES. NEBH IS COMMITTED TO DOING WHAT IT CAN TO ADDRESS THESE FACTORS AND MANY OF THE COMPONENTS OF NEBH'S CHIP IS STRUCTURED TO ADDRESS THE EXISTING HEALTH DISPARITIES AND INEQUITIES IN SOME WAY.-LIMITED ACCESS TO PRIMARY CARE MEDICAL AND SPECIALTY CARE, ORAL HEALTH, AND BEHAVIORAL HEALTH SERVICES FOR LOW INCOME, MEDICAID INSURED, UNINSURED, AND OTHER POPULATION SEGMENTS FACING BARRIERS TO CARE. MASSACHUSETTS HAS ONE OF THE HIGHEST RATES OF HEALTH INSURANCE AND ONE OF THE STRONGEST, MOST ROBUST HEALTH SERVICE SYSTEMS IN THE NATION, YET THERE ARE STILL SUBSTANTIAL POCKETS OF LOW INCOME, MEDICAID INSURED, UNINSURED, AND UNDERINSURED RESIDENTS WHO HAVE LIMITED ACCESS TO NEEDED SERVICES AND/OR ARE NOT PROPERLY ENGAGED IN ESSENTIAL MEDICAL, ORAL, AND BEHAVIORAL HEALTH SERVICES. AS WILL BE DISCUSSED BELOW, THESE POPULATIONS ARE, IN TURN, MORE LIKELY TO USE THE EMERGENCY ROOM AND MORE LIKELY TO HAVE HEALTH RISK FACTORS SUCH AS OBESITY, POOR FITNESS, AND RISKY ALCOHOL USE AS WELL AS MORE LIKELY TO HAVE DIABETES, HYPERTENSION, AND ASTHMA.-LOW INCOME SEGMENTS MOST AT-RISK. KEY INFORMANTS AND COMMUNITY FORUM PARTICIPANTS STRESSED THE FACT THAT DESPITE THE RELATIVE AFFLUENCE OF THE AREA, THERE WERE POCKETS OF SERVICE AREA RESIDENTS WHO STRUGGLED WITH POOR HEALTH OUTCOMES AND FACED SIGNIFICANT BARRIERS TO ACCESS.12 THESE POPULATIONS WERE MORE LIKELY TO BE LOW INCOME, OLDER ADULT, AND FOREIGN BORN.-HIGH UNINSURANCE RATES IN LOW INCOME. AMONG LOW-INCOME RESIDENTS OF THE COMMONWEALTH, THE UNINSURANCE RATE WAS 8% - DOUBLE THE UNINSURANCE RATE OF THE COMMONWEALTH'S TOTAL POPULATION (4%).13 ACCORDING TO THE BLUE CROSS FOUNDATION, UNINSURED ADULTS IN THE COMMONWEALTH WERE MORE LIKELY TO BE YOUNG, MALE, AND SINGLE, WITH LOWER REPORTED EDUCATIONAL ATTAINMENT. HOWEVER, THE MAJORITY OF UNINSURED ADULTS WERE EMPLOYED.-LACK OF ACCESS TO PRIMARY MEDICAL AND ORAL HEALTH CARE SERVICES. UNINSURED ADULTS ARE LESS LIKELY TO USE HEALTH CARE SERVICES THAN THOSE THAT ARE INSURED. APPROXIMATELY 87% OF INSURED ADULTS IN THE COMMONWEALTH REPORTED VISITING A GENERAL PHYSICIAN WITHIN THE PAST 12 MONTHS, COMPARED TO 63% OF UNINSURED ADULTS. UNINSURED ADULTS ARE MORE LIKELY TO REPORT PROBLEMS OBTAINING CARE COMPARED TO THOSE THAT WERE INSURED (37% VERSUS 21%, RESPECTIVELY. MOST CONCERNING IS THAT AMONG ALL ADULTS WHO REPORTED A HEALTH CARE VISIT, UNINSURED ADULTS WERE NEARLY 30 PERCENTAGE POINTS LESS LIKELY TO RATE THE QUALITY OF CARE AS VERY GOOD OR EXCELLENT.15 FINALLY, 3 IN 10 (30.1%) OF THOSE LIVING AT 138% OF THE FEDERAL POVERTY LEVEL OR BELOW REPORTED NOT GETTING NEEDED DENTAL CARE DUE TO COST AND 1 IN 5 (19.3%) WERE NOT ABLE TO FILL A NEEDED DRUG PRESCRIPTION DUE TO COST.
-LACK OF ACCESS TO BEHAVIORAL HEALTH SERVICESONE OF THE MOST COMMON FINDINGS FROM THOSE WHO WERE INTERVIEWED OR PARTICIPATED IN THE COMMUNITY FORUMS WAS THE BURDEN OF MENTAL HEALTH AND SUBSTANCE ABUSE ON RESIDENTS THROUGHOUT NEBH'S SERVICE AREA. RESIDENTS SUFFERED FROM A BROAD RANGE OF ISSUES INCLUDING DEPRESSION, ANXIETY, DEMENTIA, ALCOHOL ABUSE, AND OPIOID ABUSE. IN ADDITION TO DISCUSSING THE BURDEN OF THESE ISSUES ON INDIVIDUALS, FAMILIES, AND THE COMMUNITY, PARTICIPANTS REFLECTED ON THE LACK OF EDUCATIONAL, ASSESSMENT, AND TREATMENT SERVICES AVAILABLE IN THE COMMUNITY TO SUPPORT THOSE WITH BEHAVIORAL HEALTH ISSUES.-HIGHER EMERGENCY DEPARTMENT UTILIZATION. APPROXIMATELY 38% OF UNINSURED ADULTS IN THE COMMONWEALTH REPORTED VISITING THE EMERGENCY DEPARTMENT IN THE PAST YEAR; 18% REPORTED THAT THEIR MOST RECENT ED VISIT WAS FOR A NON-EMERGENCY CONDITION THAT COULD HAVE BEEN TREATED BY A GENERAL PHYSICIAN IF ONE WAS AVAILABLE. THIS COMPARED TO 32% AND 13%, RESPECTIVELY, FOR INSURED ADULTS.-HIGH RATES OF THE LEADING HEALTH RISK FACTORS. ONE OF THE LEADING FINDINGS FROM THE ASSESSMENT IS THAT MANY COMMUNITIES AND/OR POPULATION SEGMENTS IN NEBH'S CBSA HAVE HIGH RATES OF CHRONIC PHYSICAL AND BEHAVIORAL HEALTH CONDITIONS. IN SOME INDIVIDUALS, THESE CONDITIONS HAVE UNDERLYING GENETIC ROOTS THAT ARE DIFFICULT TO COUNTER. HOWEVER, FOR MOST PEOPLE THESE CONDITIONS ARE WIDELY CONSIDERED TO BE PREVENTABLE OR MANAGEABLE. ADDRESSING THE LEADING HEALTH RISK FACTORS (E.G., LACK OF NUTRITIONAL FOOD AND PHYSICAL ACTIVITY, ALCOHOL/ILLICIT DRUG ABUSE, AND TOBACCO USE) IS CRITICAL TO CHRONIC DISEASE PREVENTION AND MANAGEMENT EFFORTS. IT SHOULD BE NOTED THAT MOST AREAS WITHIN NEBH'S SERVICE AREA FARE WELL AGAINST COMMONWEALTH AVERAGES ON THESE RISK FACTORS. HOWEVER, THERE ARE CITIES/TOWNS WHOSE RATES ARE NOT AS FAVORABLE. AS STATED ABOVE, LOW-INCOME, FOREIGN BORN, AND OLDER SEGMENTS OF THE POPULATION ARE MORE LIKELY TO BE AT-RISK.-OVERWEIGHT/OBESE. 30% OF ROXBURY ADULTS REPORTED IN OBESE CATEGORIES COMPARED TO 22% FOR BOSTON. 30% OF ROXBURY ADULTS CONSUMED VEGETABLES LESS THAN ONCE PER DAY COMPARED TO 25% FOR BOSTON.-CIGARETTE SMOKING. 18% OF ROXBURY ADULTS REPORTED AS CURRENT SMOKERS COMPARED TO 16% FOR BOSTON OVERALL.-ALCOHOL USE. ROXBURY'S ALCOHOL-RELATED HOSPITAL PATIENT ENCOUNTER RATE PER 1,000 POPULATION WAS 22.6 COMPARED TO 17.7 FOR BOSTON.-HIGH RATES OF SUBSTANCE USE AND MENTAL HEALTH ISSUES. DURING INTERVIEWS AND COMMUNITY FORUMS, RESIDENTS AND AREA SERVICE PROVIDERS SPOKE PASSIONATELY ABOUT THE TREMENDOUS IMPACT THAT MENTAL HEALTH AND SUBSTANCE USE ISSUES HAVE ON MANY INDIVIDUALS AND FAMILIES IN THE SERVICE AREA. DEPRESSION AND ANXIETY, ISOLATION, ALCOHOL ABUSE, OPIOID AND PRESCRIPTION DRUG ABUSE, AND POST-TRAUMATIC STRESS DISORDER WERE IDENTIFIED AS MAJOR HEALTH CONCERNS. OPIOID ABUSE WAS A PARTICULAR CONCERN FOR RESIDENTS AND SERVICE PROVIDERS IN NEBH'S SERVICE AREA AND THERE WERE CALLS FOR GREATER OUTREACH, EDUCATION, SCREENING, AND TREATMENT SERVICES FOR ALL SEGMENTS OF THE POPULATION. DESPITE THE BURDEN OF MENTAL HEALTH AND SUBSTANCE ABUSE ON ALL PEOPLE, THERE IS AN EXTREMELY LIMITED SERVICE SYSTEM AVAILABLE TO MEET SPECIALIZED NEEDS, ESPECIALLY FOR OLDER ADULTS, THOSE WITH MILD TO MODERATE EPISODIC ISSUES, AND THOSE WITH SEVERE, COMPLEX, CHRONIC CONDITIONS. EFFORTS NEED TO BE MADE TO EXPAND ACCESS, REDUCE BARRIERS TO CARE (INCLUDING STIGMA), AND IMPROVE THE QUALITY OF PRIMARY CARE AND SPECIALIZED BEHAVIORAL HEALTH SERVICES.-SUBSTANCE USE. ROXBURY'S RATE OF ADMISSIONS TO TREATMENT PROGRAMS FOR SUBSTANCE USE PER 1,000 POPULATION WAS 55.8 COMPARED TO 30.2 FOR BOSTON.-SUBSTANCE USE. ROXBURY'S ALCOHOL-RELATED HOSPITAL PATIENT ENCOUNTER RATE PER 1,000 POPULATION WAS 22.6 COMPARED TO 17.7 FOR BOSTON. SIMILARLY, THE DRUG-RELATED HOSPITAL PATIENT ENCOUNTER RATE PER 1,000 POPULATION WAS 12.2 COMPARED TO 6.8 FOR BOSTON.-SUBSTANCE USE. ROXBURY'S UNINTENTIONAL DRUG OVERDOSE DEATH RATE PER 100,000 POPULATION WAS 15.9 COMPARED TO 15.5 FOR BOSTON. THE UNINTENTIONAL OPIOID OVERDOSE/POISONING HOSPITAL PATIENT ENCOUNTER RATE WAS 1.9 FOR ROXBURY COMPARED TO 1.1 FOR BOSTON.-SUBSTANCE USE. ROXBURY'S SUBSTANCE ABUSE MORTALITY RATE PER 100,000 RESIDENTS WAS 36.3 COMPARED TO 33.9 FOR BOSTON (HOB 2012-2013 - AVERAGE ANNUAL RATES FOR 2005- 2011).-MENTAL HEALTH. THE RATE OF MENTAL HEALTH HOSPITALIZATIONS FOR ROXBURY WAS 9.0 COMPARED TO 8.0 FOR BOSTON.-MENTAL HEALTH. 13% OF ROXBURY ADULTS REPORTED AS BEING IN POOR MENTAL OR EMOTIONAL HEALTH MORE THAN 15 DAYS IN THE PAST MONTH COMPARED TO 12% FOR BOSTON RESIDENTS.-MENTAL HEALTH. KEY INFORMANTS AND COMMUNITY FORUM PARTICIPANTS IDENTIFIED ISOLATION AND DEPRESSION AS A LEADING ISSUE FACED BY THE AREA'S OLDER ADULT POPULATION. INTERVIEWEES AND FORUM PARTICIPANTS DISCUSSED ADDITIONAL CHALLENGES FACED BY OLDER ADULTS WHO ARE MORE LIKELY TO STRUGGLE WITH CHRONIC PHYSICAL HEALTH CONDITIONS. THEY FACE BARRIERS THAT MAKE IT HARDER FOR THEM TO LEAVE THEIR HOMES, ESPECIALLY IF THEY ARE SICK, FRAIL, OR DEPRESSED.-HIGH RATES OF CHRONIC AND ACUTE PHYSICAL HEALTH CONDITIONS, PARTICULARLY FOR LOW INCOME POPULATIONS (E.G., HEART DISEASE, HYPERTENSION, CANCER, AND ASTHMA). THE ASSESSMENT'S QUANTITATIVE DATA SHOWS THAT, OVERALL, NEBH'S SERVICE AREA FARES BETTER THAN THE COMMONWEALTH WITH RESPECT TO CHRONIC DISEASE RATES. IT SHOULD BE NOTED THAT EVEN FOR THOSE COMMUNITIES THAT DO NOT HAVE RATES THAT ARE STATISTICALLY HIGHER THAN THE COMMONWEALTH, THESE CONDITIONS ARE STILL THE LEADING CAUSES OF PREMATURE DEATH.-CARDIOVASCULAR DISEASE. THE HOSPITALIZATION RATE PER 1,000 POPULATION DUE TO HEART DISEASE WAS 13.2 FOR ROXBURY COMPARED TO 9.1 FOR BOSTON. THE MORTALITY RATE PER 100,000 DUE TO HEART DISEASE WAS 148.3 FOR ROXBURY COMPARED TO 133.6 FOR BOSTON.-HYPERTENSION. THE HOSPITALIZATION RATE PER 100,000 DUE TO HYPERTENSION WAS 110 FOR BOSTON COMPARED TO 45 FOR THE COMMONWEALTH. 28.3% OF ROXBURY ADULTS REPORTED HAVING HYPERTENSION COMPARED TO 24% FOR BOSTON OVERALL.-DIABETES. THE DIABETES PREVALENCE IN ROXBURY WAS SIGNIFICANTLY HIGHER COMPARED TO BOSTON OVERALL. 15.1% OF ROXBURY ADULTS REPORTED HAVING DIABETES COMPARED TO 8.6% OF BOSTON ADULTS. THE HOSPITALIZATION RATE DUE TO DIABETES PER 1,000 POPULATION WAS 3.5 FOR ROXBURY, COMPARED TO 1.9 FOR BOSTON.-ASTHMA. 13.8% OF ROXBURY ADULTS REPORTED HAVING ASTHMA COMPARED TO 11.1% FOR BOSTON. THE HOSPITALIZATION RATE DUE TO ASTHMA PER 1,000 POPULATION WAS 5.9 FOR ROXBURY, COMPARED TO 2.6 FOR BOSTON. SIMILARLY, THE HOSPITAL EMERGENCY DISCHARGE PER 1,000 POPULATION DUE TO ASTHMA WAS 17.5 FOR ROXBURY, COMPARED TO 9.0 FOR BOSTON OVERALL.-HIGH RATES OF HIV/AIDS. GREAT STRIDES HAVE BEEN MADE IN CONTROLLING AND MANAGING HIV/AIDS, AND FOR MANY IT IS MANAGED AS A CHRONIC CONDITION WITH MEDICATIONS. ALTHOUGH RATES OF ILLNESS, DEATH, AND HIV TRANSMISSION DECLINED OVERALL IN THE PAST DECADE, HIV/AIDS CONTINUES TO IMPACT CERTAIN SEGMENTS OF THE POPULATION, INCLUDING MEN WHO HAVE SEX WITH MEN AND INJECTION DRUG USERS. IN NEBH'S CBSA, RATES OF HIV/AIDS ARE PARTICULARLY HIGH IN ROXBURY. THE HOSPITALIZATION RATE PER 100,000 WHERE HIV/AIDS WAS THE PRIMARY REASON FOR THE VISIT WAS 40 FOR BOSTON COMPARED TO 12 FOR THE COMMONWEALTH.-HIGH RATES OF CANCER, PARTICULARLY FOR LOW INCOME, RACIALLY/ETHNICALLY DIVERSE, AND OTHERWISE AT- RISK POPULATION SEGMENTS. MANY OF THE COMMUNITIES THAT ARE PART OF NEBH'S SERVICE AREA HAVE HIGH CANCER INCIDENCE, HOSPITALIZATION OR MORTALITY RATES. THIS IS PARTICULARLY TRUE FOR CERTAIN CANCERS IN SPECIFIC COMMUNITIES. ROXBURY IS MORE BURDENED BY COLORECTAL CANCER, BREAST CANCER, LUNG CANCER, PANCREATIC CANCER, AND PROSTATE CANCER. THERE ARE A MYRIAD OF FACTORS ASSOCIATED WITH CANCER AND MANY OF THEM ARE DIFFICULT TO ASSESS OR ADDRESS. HOWEVER, AT THE ROOT OF ADDRESSING CANCER AND HIGH MORTALITY IS SCREENING, EARLY DETECTION, PEER SUPPORT, AND ACCESS TO TIMELY, SUPPORTIVE, QUALITY TREATMENT.-CANCER. ROXBURY'S MORTALITY RATE DUE TO COLORECTAL CANCER PER 100,000 POPULATION WAS25.5 COMPARED TO 16.4 FOR BOSTON. THE MORTALITY RATE DUE TO LUNG CANCER WAS 64.3 COMPARED TO 45.4 FOR BOSTON.-CANCER. ROXBURY'S MORTALITY RATE DUE TO BREAST CANCER IN FEMALES PER 100,000 POPULATION WAS 23.6 COMPARED TO 17.9 FOR BOSTON. THE MORTALITY RATE DUE TO PROSTATE CANCER WAS49.5 COMPARED TO 25.7 FOR BOSTON.-CANCER. ROXBURY'S MORTALITY RATE DUE TO PANCREATIC CANCER PER 100,000 WAS 16.1 COMPARED TO 12.1 FOR BOSTON.
COMMUNITY HEALTH PRIORITIESNEBH'S CHNA'S APPROACH AND PROCESS PROVIDED AMPLE OPPORTUNITY TO VET THE QUANTITATIVE AND QUALITATIVE DATA COMPILED DURING THE ASSESSMENT. NEBH HAS FRAMED THE COMMUNITY HEALTH NEEDS IN THREE PRIORITY AREAS, WHICH TOGETHER ENCOMPASS THE BROAD RANGE OF HEALTH ISSUES AND SOCIAL DETERMINANTS OF HEALTH FACING RESIDENTS LIVING IN NEBH'S CBSA. THESE THREE AREAS ARE: 1) SOCIAL DETERMINANTS HEALTH (INCLUDING POVERTY, FOOD INSECURITY, SAFETY AND VIOLENCE), 2) CHRONIC DISEASE MANAGEMENT AND PREVENTION (INCLUDING PHYSICAL, BEHAVIORAL, AND EMOTIONAL RISK FACTORS AS WELL AS CHRONIC DISEASE MANAGEMENT) AND 3) ELDER HEALTH (INCLUDING ACCESS TO CARE, FALLS PREVENTION, DEPRESSION/ANXIETY, AND ISOLATION).IT SHOULD BE NOTED THAT ONE OF THE PRIMARY DIFFERENCES WITH RESPECT TO NEBH'S COMMUNITY HEALTH ASSESSMENT IN 2016 COMPARED TO ITS ASSESSMENT IN 2013 WAS THE IMPACT AND BURDEN OF BEHAVIORAL HEALTH ISSUES. WHILE, NEBH DOES NOT HAVE THE EXPERTISE AND CAPACITY TO DEDICATE A GREAT DEAL OF COMMUNITY BENEFITS RESOURCES TO BEHAVIORAL HEALTH ISSUES, THE ORGANIZATION IS COMMITTED TO DOING WHAT IT CAN TO PROMOTE AWARENESS, EDUCATE, AND REDUCE THE IMPACTS OF BEHAVIORAL HEALTH ISSUES, PARTICULARLY FOR YOUTH/ADOLESCENT AND OLDER ADULT SEGMENTS OF ITS SERVICE AREA. FOR EXAMPLE, NEBH WORKS WITH COMMUNITY PARTNERS TO REDUCE VIOLENCE AND ITS IMPACTS AMONG YOUTH. NEBH ALSO PROMOTES PHYSICAL ACTIVITY AND SOCIALIZATION AMONG ITS OLDER ADULT POPULATION WITCH HAS CLEAR BENEFITS WITH RESPECT TO PHYSICAL AND EMOTIONAL WELL-BEING. FINALLY, WITH RESPECT TO CHRONIC DISEASE MANAGEMENT, NEBH SPONSORS EDUCATIONAL SESSIONS AND WORKSHOPS THAT EDUCATE PARTICIPANTS ON THE RISK FACTORS ASSOCIATED WITH CHRONIC DISEASE, INCLUDING THE PHYSICAL, BEHAVIORAL, AND EMOTIONAL FACTORS SUCH AS DEPRESSION, ALCOHOL AND DRUG ABUSE.
COMMUNITY HEALTH NEEDS ASSESSMENT - ADDRESSING COMMUNITY HEALTH NEEDSLARGE PROPORTIONS OF INDIVIDUALS RESIDING WITHIN BOSTON AND NEBH'S COMMUNITY BENEFITS SERVICE AREA LIVE IN POVERTY, HAVE LIMITED FORMAL EDUCATION, ARE UNEMPLOYED, AND STRUGGLE TO AFFORD FOOD AND OTHER ESSENTIAL HOUSEHOLD ITEMS. THESE POPULATIONS ARE DISPROPORTIONATELY FROM RACIAL/ETHNIC MINORITY GROUPS AND, PARTLY AS A RESULT OF THEIR POVERTY, FACE DISPARITIES IN HEALTH AND ACCESS TO CARE OUTCOMES. IT IS CRITICAL TO NOTE THAT THERE IS A MULTITUDE OF INDIVIDUAL, COMMUNITY AND SOCIETAL FACTORS THAT WORK TOGETHER TO CREATE THESE INEQUITIES. IT IS INSUFFICIENT TO TALK SOLELY ABOUT RACE/ETHNICITY, FOREIGN BORN STATUS, OR LANGUAGE AS THE UNDERLYING AND CORRELATIVE ISSUES RELATED TO HEALTH AND WELL-BEING INVOLVE ECONOMIC OPPORTUNITY, EDUCATION, CRIME, AND COMMUNITY COHESION. NEBH STRIVES TO ADDRESS THE PRIORITY AREAS IN ITS CHNA AND IMPLEMENTATION STRATEGY WHICH ARE AVAILABLE ON THE HOSPITAL'S WEBSITE. AS NOTED THROUGHOUT THIS FORM 990 SCHEDULE H, NEBH'S MOST RECENTLY COMPLETED CHNA WAS COMPLETED DURING THE FISCAL YEAR ENDED 2016. THAT CHNA AND IMPLEMENTATION STRATEGY (CHIP) ARE AVAILABLE ON THE NEBH WEBSITE AT:HTTPS://WWW.NEBH.ORG/WHO-WE-ARE/GIVING-BACK/IN ADDITION, THE CHNA AND CHIP WHICH WERE COMPLETED PREVIOUSLY COMPLETED DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2013 AND UNDER WHICH COMMUNITY BENEFITS ACTIVITIES WERE GUIDED FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2014, SEPTEMBER 30, 2015 AND SEPTEMBER 30, 2016 S ARE AVAILABLE ON THE NEBH WEBSITE AT: HTTPS://WWW.NEBH.ORG/WHO-WE-ARE/GIVING-BACK/ IN ADDITION, ALL OF THESE DOCUMENTS ARE ALSO AVAILABLE UPON REQUEST. (SCHEDULE H, PART V, SECTION B, LINE 7A)A SUMMARY OF NEBH'S COMMUNITY BENEFIT ACTIVITIES WHICH ADDRESS THE NEEDS IDENTIFIED IN THE CHNA COMPLETED DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2016 AND PRIORITIZED IN THE RELATED CHIP ARE PROVIDED HERE ALONG WITH THE ENTITIES WITH WHICH THE HOSPITAL PARTNERS RELATED TO THESE EFFORTS.COMMUNITY HEALTH PRIORITIES AND TARGET POPULATIONSONCE ALL OF THE ASSESSMENT'S FINDINGS WERE COMPILED, HOSPITAL AND COMMUNITY STAKEHOLDERS PARTICIPATED IN A PLANNING PROCESS THAT INTEGRATED DATA FINDINGS FROM PHASES I AND II OF THE PROJECT, INCLUDING INFORMATION GATHERED FROM INTERVIEWS AND COMMUNITY FORUMS. PARTICIPANTS REVIEWED THE ASSESSMENT FINDINGS AND THE CURRENT COMMUNITY BENEFITS PROGRAM ACTIVITIES. FROM THESE DISCUSSIONS, A LISTING OF COMMUNITY BENEFITS TARGET POPULATIONS AND COMMUNITY HEALTH PRIORITIES WERE IDENTIFIED. FINALLY, NEBH STAFF, WITH INPUT FROM JSI AND THE COMMUNITY BENEFITS COMMITTEE, DEVELOPED NEBH'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), WHICH BUILDS ON PRIOR WORK. CARE WAS TAKEN TO IDENTIFY THOSE ACTIVITIES THAT CONTINUE TO BE ALIGNED WITH COMMUNITY NEED AND ARE HAVING A A POSITIVE IMPACT ON THE COMMUNITY. NEW COMMUNITY HEALTH ACTIVITIES WERE IDENTIFIED IN RESPONSE TO KNOWLEDGE OF BEST PRACTICES AND NEW NEEDS IDENTIFIED BY THE ASSESSMENT. FOLLOWING IS A BRIEF SUMMARY OF THE TARGET POPULATIONS AND COMMUNITY HEALTH PRIORITIES THAT WERE IDENTIFIED. ALSO INCLUDED BELOW IS A REVIEW OF THE GOALS, OBJECTIVES, AND CORE ELEMENTS OF NEBH'S COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP).NEBH'S COMMUNITY HEALTH IMPLEMENTATION PLANGIVEN THE COMPLEX HEALTH ISSUES IN THE COMMUNITY, NEBH HAS BEEN STRATEGIC IN IDENTIFYING ITS PRIORITY AREAS IN ORDER TO MAXIMIZE THE IMPACT OF ITS COMMUNITY BENEFITS PROGRAM AND WORK TO IMPROVE THE OVERALL HEALTH AND WELLNESS OF RESIDENTS IN ITS CBSA. BASED ON THE DATA, NEBH HAS IDENTIFIED THE FOLLOWING AS THE HIGHEST PRIORITY NEEDS OF THE CBSA:1.SOCIAL DETERMINANTS AND HEALTH2.CHRONIC DISEASE MANAGEMENT AND PREVENTION3.ELDER HEALTHTHESE HEALTH PRIORITIES HAVE DIRECTED NEBH'S COMMUNITY HEALTH IMPLEMENTATION PLANNING PROCESS. THE PRIORITIES OUTLINED BELOW ARE DESIGNED TO PROMOTE COMMUNITY-BASED WELLNESS AND DISEASE PREVENTION, AND ENSURE ONGOING SELF-MANAGEMENT OF CHRONIC DISEASES AND BEHAVIORAL HEALTH DISORDERS. THE GOALS AND ACTIVITIES DRAWN FROM THESE PRIORITIES WILL MAKE EXTENSIVE USE OF EXISTING PARTNERSHIPS, RESOURCES AND PROGRAMS IN ORDER TO FACILITATE THE LARGEST POSSIBLE HEALTH IMPACT.THE FOLLOWING GOALS ADDRESS THE EXISTING ACCESS, CARE COORDINATION ISSUES, BARRIERS, AND TARGETED SERVICE GAPS IDENTIFIED THROUGH THE CHNA PROCESS.IMPROVEMENTS IN HEALTH STATUS BEGIN WITH KNOWLEDGE OF THE POPULATION'S CHARACTERISTICS AS WELL AS THE UNDERLYING SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS THAT IMPACT HEALTH AND HEALTH EQUITY. MORE SPECIFICALLY, DETERMINANTS SUCH AS POVERTY, EMPLOYMENT OPPORTUNITIES, VIOLENCE, TRANSPORTATION, RACIAL SEGREGATION, LITERACY, PROVIDER LINGUISTIC/CULTURAL COMPETENCY, SOCIAL SUPPORT, AND COMMUNITY COHESION LIMIT MANY PEOPLE'S ABILITY TO CARE FOR THEIR OWN AND/OR THEIR FAMILIES' HEALTH. THE FOLLOWING GOALS AND OBJECTIVES ADDRESS THE EXISTING CHALLENGES, ACCESS ISSUES, BARRIERS TO CARE, AND TARGETED SERVICE GAPS IDENTIFIED THROUGH THE NEEDS ASSESSMENT PROCESS.PRIORITY AREA # 1 : SOCIAL & ECONOMIC DETERMINANTS OF HEALTHA.INCREASE ACCESS TO HEALTHY FOODS AND OTHER BASIC HOUSEHOLD NEEDS-TARGET POPULATION: LOW-INCOME INDIVIDUALS AND FAMILIES-PROGRAMMATIC OBJECTIVES: I.EDUCATE INDIVIDUALS AND FAMILIES ABOUT HEALTHY EATING, MEAL PLANNING, HOUSEHOLD BUDGETING, ETC. II.DECREASE THE NUMBER OF INDIVIDUALS AND FAMILIES WHO SUFFER FROM FOOD INSECURITY AND/OR LACK BASIC HOUSEHOLD ITEMS-COMMUNITY ACTIVITIES:I.EMERGENCY FOOD PANTRY SERVICES FOR LOW-INCOME FAMILIES. NEBH PROVIDES FINANCIAL SUPPORT FOR THE FOOD PANTRY AT THE ABCD, PARKER HILL/FENWAY SITE. THE PANTRY PROVIDES EMERGENCY FOOD FOR LOW INCOME FAMILIES IN THE COMMUNITY. II.EMERGENCY FOOD FOR UNDERSERVED, LOW-INCOME RESIDENTS THAT LIVE IN MISSION HILL/ROXBURY. PROVIDED EMERGENCY FOOD TO FAMILIES IN NEED INCLUDING BABY FORMULA AND DIAPERS. NEBH WILL CONTINUE TO HELP FAMILIES IN OUR COMMUNITY THAT NEED FOOD. III.TURKEY GIVE-A-WAY DURING THANKSGIVING; NEBH PROVIDES FINANCIAL SUPPORT FOR THE SENIORS IN MISSION HILL DURING THE HOLIDAYS. THE MISSION HILL LEGACY PROJECT AND THE TOBIN COMMUNITY CENTER PROVIDED TURKEYS TO OVER 200 LOW INCOME SENIORS IN MISSION HILL/ROXBURY. IV.NEBH IS COMMITTED TO COMBATING HUNGER IN OUR LOCAL NEIGHBORHOOD BY PARTNERING WITH THE MISSION HILL ELEMENTARY SCHOOL AND MISSION HILL RESIDENTS. LAST YEAR, NEBH HELPED 46 FAMILIES WITH FOOD ASSISTANCE THROUGH STOP AND SHOP GIFT CARDS AND FOOD. DOE HOUSE IS ONE OF THE PINE STREET INN'S SUPPORTIVE HOUSING SITES FOR FORMER HOMELESS MEN AND WOMEN. ON THE THIRD WEDNESDAY OF THE MONTH, STAFFS PREPARE AND SERVE A HEALTHY MEAL FOR THEM AND SPEND TIME SOCIALIZING WITH THE RESIDENTS. EVERY MONTH, EACH RESIDENT RECEIVES A GIFT CARD TO STOP & SHOP SO THAT THEY MAY PURCHASE FOOD AND, MUCH NEEDED CLOTHING, WINTER COATS, TOILETRIES, ETC.V.NEBH IS COMMITTED TO PROVIDING ACCESS TO HEALTHY AND AFFORDABLE FOOD TO THE MISSION HILL COMMUNITY. NEBH COLLABORATED WITH ROXBURY TENANTS OF HARVARD (RTH) AND FAIR FOODS ON THE $2 A BAG PROGRAM TO OFFSET THE COST OF FRESH FRUITS AND VEGETABLES.VI.DURING DECEMBER, NEBH PARTICIPATES IN THE MISSION HILL ELEMENTARY SCHOOL'S "ADOPT A FAMILY" PROGRAM. OVER 74 CHILDREN AND 12 PARENTS/GRANDPARENTS RECEIVED HOLIDAY GIFTS AND MUCH NEEDED WINTER COATS AND BOOTS THAT WOULD OTHERWISE HAVE NOT BEEN AVAILABLE TO THEM. YEAR AFTER YEAR, NEBH EMPLOYEES AND THE HOSPITAL DONATE THE GIFTS. NEBH ALSO PROVIDES GIFTS FOR THE RESIDENTS OF THE DOE HOUSE.-COMMUNITY PARTNERS:-ACTION FOR BOSTON COMMUNITY DEVELOPMENT (ABCD)-SOCIEDAD LATINA-MISSION HILL ELEMENTARY SCHOOL-ROXBURY TENANTS OF HARVARD (RTH)-TOBIN COMMUNITY CENTER-FAIR FOODS-PINE STREET INN-DOE HOUSEB.PROMOTE VIOLENCE PREVENTION AND ADDRESS TRAUMA (SAFE NEIGHBORHOODS/COMMUNITY COHESION)-CREATING A STRONG FEELING OF COMMUNITY AND FOCUSING ON YOUTH EDUCATION ARE TWO IMPORTANT ASPECTS OF VIOLENCE PREVENTION. -NEBH WORKS WITH COMMUNITY GROUPS SUCH AS THE MISSION HILL YOUTH COLLABORATIVE (MHYC), THE MISSION HILL CRIME COMMITTEE AND THE BOSTON POLICE TO HELP EDUCATE OUR COMMUNITY AND TO KEEP OUR YOUTH ENGAGED IN PRODUCTIVE ACTIVITIES TO PREVENT VIOLENCE IN OUR COMMUNITY. THE MHYC SERVES OVER 1,500 YOUTH AND FAMILIES LIVING IN THE MISSION HILL AREA BY HOSTING EDUCATIONAL AND FUN EVENTS, SUCH AS HALLOWEEN ON THE HILL. SECURITY CAMERA'S AND ROUNDS -NEBH PERFORMS SECURITY ROUNDS THROUGHOUT THE MISSION HILL AREA 7 DAYS A WEEK 24 HOURS A DAY AT SCHEDULED AND UNSCHEDULED INTERVALS. THIS SERVICE PROVIDES VIOLENCE DETERRENCE IN THE NEIGHBORHOOD. NEBH IN CONJUNCTION WITH COMMUNITY LEADERS REVIEWED AND UPGRADED ITS VIDEO SYSTEM TO ENHANCE NEIGHBORHOOD SECURITY. NEBH ALSO WORKS WITH THE MISSION HILL PROBLEM PROPERTIES TASK FORCES TO IMPROVE SAFETY AND SECURITY OF THE COMMUNITY. C.INCREASE JOB OPPORTUNITIES FOR YOUTH AND ADULTS -TARGET POPULATION: YOUTH AND ADULTS
-PROGRAMMATIC OBJECTIVES:I.PROJECT SEARCH HIGH SCHOOL TRANSITION PROGRAM : A ONE-YEAR, SCHOOL-TO-WORK PROGRAM THAT TAKES PLACE ENTIRELY AT THE WORKPLACE. TOTAL WORKPLACE IMMERSION FACILITATES A SEAMLESS COMBINATION OF CLASSROOM INSTRUCTION, CAREER EXPLORATION, AND RELEVANT JOB-SKILLS TRAINING THROUGH STRATEGICALLY DESIGNED INTERNSHIPS. THE PROGRAM PROVIDES REAL-LIFE WORK EXPERIENCE COMBINED WITH TRAINING IN EMPLOYABILITY AND INDEPENDENT LIVING SKILLS TO HELP YOUTHS WITH SIGNIFICANT DISABILITIES MAKE SUCCESSFUL TRANSITIONS FROM SCHOOL TO PRODUCTIVE ADULT LIFE.II.IMPROVEMENTS IN HEALTH STATUS BEGIN WITH KNOWLEDGE OF THE POPULATION'S CHARACTERISTICS AS WELL AS THE UNDERLYING SOCIAL, ECONOMIC, AND ENVIRONMENTAL FACTORS THAT IMPACT HEALTH AND HEALTH EQUITY. MORE SPECIFICALLY, DETERMINANTS SUCH AS POVERTY, EMPLOYMENT OPPORTUNITIES, VIOLENCE, TRANSPORTATION, RACIAL SEGREGATION, LITERACY, PROVIDER LINGUISTIC/CULTURAL COMPETENCY, SOCIAL SUPPORT, AND COMMUNITY COHESION LIMIT MANY PEOPLE'S ABILITY TO CARE FOR THEIR OWN AND/OR THEIR FAMILIES' HEALTH.III.THE HOSPITAL'S FOCUS FOR WORKFORCE DEVELOPMENT IS PROVIDING EMPLOYMENT, JOB TRAINING AND SUPPORTING THE EDUCATIONAL NEEDS OF OUR COMMUNITY RESIDENTS. IN ADDITION TO PROMOTING NEIGHBORHOOD DEVELOPMENT BY PROVIDING JOBS, THE HOSPITAL WORKS WITH SCHOOLS ON INTERNSHIPS TO HELP ENCOURAGE YOUNG PEOPLE TO ENTER HEALTHCARE AS A CAREER AND TO SUCCEED.COMMUNITY ACTIVITIES:I.NEBH PARTNERED WITH MORGAN MEMORIAL, GOODWILL AND MADISON PARK HIGH SCHOOL TO OFFER A ONE-YEAR, SCHOOL-TO-WORK INTERNSHIP THROUGH THE PROJECT SEARCH HIGH SCHOOL TRANSITION PROGRAM. IN 2018, EIGHT STUDENTS PARTICIPATED IN THE PROGRAM. THE STUDENTS LEARNED SKILLS THAT WILL ENABLE THEM TO APPLY FOR A RELATED POSITION WHEN THEY GRADUATE FROM HIGH SCHOOL. AFTER COMPLETION OF THE PROGRAM, NEBH HIRED THREE STUDENTS INTO PERMANENT POSITIONS AT THE HOSPITAL.II.ABCD SUMMERWORKS PROGRAM OFFERS YOUTH LIVING IN MISSION HILL A MEANINGFUL WORK EXPERIENCE AT LOCAL NON-PROFIT, ACADEMIC, AND MEDICAL INSTITUTIONS DURING THE SUMMER. NEBH HAS SUPPORTED THIS PROGRAM FOR MANY YEARS, PROVIDING YOUTH LIVING IN MISSION HILL THE OPPORTUNITY FOR SUMMER EMPLOYMENT THROUGH ABCD.III.THE MEREDITH CAMERON YOUTH OPPORTUNITY INTERNSHIP OFFERS HIGH SCHOOL AND COLLEGE STUDENTS FROM BOSTON, (WITH A FOCUS ON MISSION HILL) PAID SUMMER INTERNSHIPS. ELEVEN STUDENTS WERE GAINFULLY EMPLOYED DURING THE SUMMER OF 2018. THE STUDENTS PARTICIPATED IN WEEKLY LUNCH AND LEARN LECTURES. INTRODUCING THEM TO CLINICAL AND ADMINISTRATIVE CAREERS.-COMMUNITY PARTNERS:-ACTION FOR BOSTON COMMUNITY DEVELOPMENT (ABCD)-SOCIEDAD LATINA-ROXBURY TENANTS OF HARVARD (RTH) -MISSION MAIN-TOBIN COMMUNITY CENTER-PRIVATE INDUSTRY COUNCIL (PIC)D.IMPROVE ACCESS AND SAFETY TO ESSENTIAL COMMUNITY VENUES FOR MISSION HILL RESIDENTS TARGET POPULATION: MISSION HILL COMMUNITYPROGRAMMATIC OBJECTIVES: I.INCREASE THE NUMBER OF MISSION HILL RESIDENTS WHO HAVE ACCESS TO AFFORDABLE TRANSPORTATION TO ENSURE ACCESS TO BASIC NEEDS AND REDUCE ISOLATIONII.IMPROVE ACCESSIBILITY AND BEAUTIFY COMMUNITY PARKS AND OTHER AREASIII.REMOVE TRASH AND PROVIDE CLEANING SERVICES IN COMMUNITY IV.BECAUSE THE NEIGHBORHOOD OF MISSION HILL IS LOCATED ON A "HILL", THE NEED FOR TRANSPORTATION UP AND DOWN THE HILL IS NEEDED ESPECIALLY FOR THE ELDERLY. AS PEOPLE GROW OLDER, THE LEVEL OF MOBILITY THAT THE ELDERLY POPULATION HAS CAN BECOME LIMITED. THE NEED FOR A BUS IN THE MISSION HILL COMMUNITY IS MUCH NEEDED. WITHOUT THE MONETARY ASSISTANCE FROM NEBH AND THE MBTA, THE COMMUNITY WOULD NOT HAVE TRANSPORTATION UP AND DOWN THE HILL.COMMUNITY ACTIVITIES:I.THE MISSION LINK BUS PROVIDES MUCH NEEDED TRANSPORTATION FOR THE ELDERLY, GETTING THEM TO AND FROM THEIR DOCTOR'S APPOINTMENTS, FOOD SHOPPING, PHARMACY, ETC. AS WELL AS PROVIDING THE OPPORTUNITY FOR THEM TO BE SOCIAL AND ACTIVE. NEBH IS COMMITTED TO ENABLING A HEALTHY LIFESTYLE FOR SENIORS THAT LIVE IN OUR COMMUNITY. MANY SENIORS WOULD NOT BE ABLE TO GET TO THEIR DOCTORS APPOINTMENTS, SHOP FOR FOOD, ATTEND EVENTS, ETC. IN MISSION HILL WITHOUT THE MISSION LINK BUS. II.MAINTENANCE OF THE CITY OF BOSTON'S MCLAUGHLIN PARK AND TWO BALL FIELDS ATOP MISSION HILL. THE CITY OF BOSTON'S MCLAUGHLIN PARK/FIELDS IS MAINTAINED ON A WEEKLY BASIS BY NEBH ALLOWING THE RESIDENTS OF MISSION HILL TO PLAY BASEBALL, SOFTBALL, SOCCER, ETC. THIS ALLOWS THE RESIDENTS TO MAINTAIN AN ACTIVE LIFESTYLE WITH PHYSICAL ACTIVITY. III.CLEANER NEIGHBORHOODS LEAD TO LOWER CRIME AND MORE ACTIVITY IN PARKS AND PLAY. MORE ACTIVITY LEADS TO BETTER HEALTH, IMPROVED PERFORMANCE IN SCHOOL AND LONG TERM ECONOMIC GAINS. SEVERAL LONG-TERM STUDIES HAVE BEEN DONE THAT SHOW THIS. CLEANER NEIGHBORHOOD. THEY DERIVE ECONOMIC VALUE FROM THIS AS WELL AS MENTAL AND PHYSICAL HEALTH BENEFITS. NEBH CONTINUES TO BEAUTIFY THE NEIGHBORHOOD HIRING A TRASH TRUCK EACH YEAR DURING STUDENT MOVE IN WEEK, HELPING WITH SNOW REMOVAL FOR THE CITY OF BOSTON, SWEEPING AND CLEANING THE STREETS THAT SURROUND THE HOSPITAL AND COMMUNITY AND WORKING WITH COMMUNITY MEMBERS AND MISSION MAIN STREETS ON KEEPING MISSION HILL CLEAN.IV.NEBH FINANCIALLY SUPPORTS MUCH NEEDED OFFICE SPACE FOR MISSION HILL MAIN STREETS IN A NEW ENGLAND BAPTIST HOSPITAL BUILDING IN MISSION HILL.-COMMUNITY PARTNERS:-MISSION LINK-FRIENDS OF MCLAUGHLIN PARK-CITY OF BOSTON-PROBLEM PROPERTIES TASK FORCE -MISSION HILL COMMUNITYPRIORITY AREA # 2 : CHRONIC DISEASE MANAGEMENT AND PREVENTIONLACK OF PHYSICAL ACTIVITY, POOR NUTRITION, ALCOHOL ABUSE, DEPRESSION/ISOLATION, AND TOBACCO USE ARE SOME OF THE LEADING RISK FACTORS FOR CHRONIC DISEASE AND POOR EMOTIONAL HEALTH. ADDRESSING THESE ISSUES AND DEVELOPING HEALTHY HABITS IN THESE AREAS ARE AMONG THE MOST IMPORTANT THINGS PEOPLE OF ALL AGES CAN DO TO IMPROVE THEIR HEALTH AND MANAGE THEIR CHRONIC HEALTH CONDITIONS. PHYSICAL ACTIVITY HELPS PREVENT MANY DISEASES (E.G. HEART DISEASE, DIABETES AND SOME CANCERS), STRENGTHENS BONES AND MUSCLES, REDUCES STRESS AND DEPRESSION AND MAKES IT EASIER FOR PEOPLE TO MAINTAIN A HEALTHY BODY WEIGHT. EATING A HEALTHY DIET CAN HELP LOWER PEOPLE'S RISK FOR HEART DISEASE, HIGH BLOOD PRESSURE, DIABETES,OSTEOPOROSIS AND CERTAIN CANCERS, AND ALSO HELPS PEOPLE MAINTAIN A HEALTHY BODY WEIGHT AND PROMOTE A SENSE OF OVERALL HEALTH AND EMOTIONAL WELL-BEING. LIMITING ALCOHOL CONSUMPTION AND NOT USING TOBACCO CAN DRAMATICALLY REDUCE ONE CHANCES OF CONTRACTING HEART DISEASE, DIABETES, AND RESPIRATORY DISEASE AS WELL AS DEPRESSION AND ANXIETY.THERE ARE A BROAD RANGE OF CHRONIC AND INFECTIOUS DISEASES PREVALENT IN NEBH'S CBSA, INCLUDING HEART DISEASE, DIABETES, ASTHMA, HYPERTENSION, CANCER, HIV/AIDS, AND DEPRESSION. ALTHOUGH TREATING THESE ILLNESSES REQUIRES A RANGE OF CLINICAL INTERVENTIONS, THERE IS A GREAT DEAL OF OVERLAP WITH RESPECT TO THE POTENTIAL COMMUNITY INTERVENTIONS. POPULATION-LEVEL RESPONSES TO CHRONIC AND INFECTIOUS ILLNESSES ALL REQUIRE COMMUNITY BASED EDUCATION, SCREENING, TIMELY ACCESS TO TREATMENT AND SEAMLESS COORDINATION OF FOLLOW-UP SERVICES, INCLUDING ACCESS TO WELLNESS ACTIVITIES THAT ADDRESS HEALTH RISK FACTORS.NEBH, IN COLLABORATION WITH PUBLIC HEALTH OFFICIALS, COMMUNITY BASED ORGANIZATIONS AND OTHER CLINICAL PROVIDERS IS ALREADY FULLY ENGAGED ON THESE ISSUES AND NEBH HAS A BROAD RANGE OF EXISTING PROGRAMS THAT WORK TO ADDRESS PREVENTION, SERVICE COORDINATION, IMPROVE FOLLOW-UP CARE, AND ENSURE THAT THOSE WITH CHRONIC AND INFECTIOUS CONDITIONS ARE ENGAGED IN THE SERVICES THEY NEED. HOWEVER, THESE EFFORTS NEED TO BE ENHANCED AND REFINED BASED ON DATA FROM THIS ASSESSMENT. MOVING FORWARD, IT IS CRITICAL THAT THESE ISSUES BE ADDRESSED AND PERFECTED SO THAT NEBH, OTHER CLINICAL PROVIDERS, AND THE BROAD RANGE OF KEY COMMUNITY BASED ORGANIZATIONS CAN WORK COLLABORATIVELY TO ADDRESS COMMUNITY NEED WITH RESPECT TO PHYSICAL, BEHAVIORAL, AND EMOTIONAL HEALTH ISSUES. THE FOLLOWING GOALS AND OBJECTIVES ADDRESS THE EXISTING EDUCATIONAL, ASSESSMENT, CARE COORDINATION, AND ACCESS TO CARE AND SERVICES ISSUES IDENTIFIED THROUGH THE ASSESSMENT PROCESS.A.PROMOTE GENERAL HEALTH AND WELLNESS-TARGET POPULATION: CHILDREN, YOUTH, AND ADULTS-PROGRAMMATIC OBJECTIVES: I.EDUCATE THE PUBLIC ABOUT HEALTH RISK FACTORS, HEALTH PROMOTION, AND BASIC WELLNESS -COMMUNITY ACTIVITIES:I.DECREASE THE NUMBER AND PERCENTAGE OF BOTH ADULTS AND CHILDREN WHO ARE OVERWEIGHT AND OBESE BY EDUCATING AND PROMOTING WELLNESS AND EXERCISE. NEBH CONTINUES TO MAINTAIN MCLAUGHLIN PARK IN MISSION HILL. THIS ALLOWS THE RESIDENTS OF BOSTON ACCESS TO TWO BALL FIELDS AND A PLAYGROUND, RESULTING IN ACTIVITY AND EXERCISE. NEBH COLLABORATES WITH ROXBURY TENANTS OF HARVARD (RTH) ON THREE PROGRAMS, EASY STEPS PROGRAM, AN EXERCISE CLASS FOR SENIORS THAT CONCENTRATES ON STRENGTH, BALANCE, FLEXIBILITY, FALL SAFETY AND ENDURANCE; WALK AND TALK, A WALKING GROUP THAT WALKS TWICE A WEEK; AND HEALTHY MOVES, A PROGRAM FOR SENIORS THAT HAVE COMPETED THE EASY STEPS PROGRAM.
COMMUNITY ACTIVITIES CONTINUEDTHIS PROGRAM FOCUSED ON BUILDING UPON THE STRENGTH, BALANCE, FLEXIBILITY, AND ENDURANCE LEARNED IN EASY STEPS AS WELL AS AN EDUCATIONAL SERIES THAT INCLUDED CLASSES ON COGNITIVE THINKING, FALL PREVENTION AND NUTRITION.OBESITY PREVENTION OBESITY HAS REACHED EPIDEMIC PROPORTIONS IN THE UNITED STATES. OBESITY IS BECOMING A MAJOR ISSUE IN MASSACHUSETTS AND HAS A SIGNIFICANT NEGATIVE IMPACT ON THE MUSCULOSKELETAL SYSTEM. NEBH HAS A LONG-STANDING COMMITMENT TO IMPROVING THE HEALTH STATUS OF BOSTON RESIDENTS, WITH A FOCUS ON MOVEMENT AND PREVENTION OF OBESITY. THE HOSPITAL SUPPORTS THE MISSION HILL LITTLE LEAGUE, MISSION HILL SOFTBALL LEAGUE, MAURICE J. TOBIN COMMUNITY CENTER, ROXBURY TENANTS OF HARVARD AND SOCIEDAD LATINA FOR THE PROGRAMS IN PHYSICAL ACTIVITY. THE HOSPITAL SUPPORTS THE GYM, LEAGUES, AND SUMMER CAMP AT THE MAURICE J. TOBIN COMMUNITY CENTER AS WELL AS THE HEALTH EDUCATORS IN ACTION PROGRAM AT SOCIEDAD LATINA. FOR MANY YEARS, NEBH HAS MAINTAINED AND IS A MAJOR CONTRIBUTOR TO THE LIGHTING AT MCLAUGHLIN FIELD AT NIGHT TO FOSTER ITS USE FOR PHYSICAL ACTIVITY. OVER THE LAST YEAR, TEEN HEALTH EDUCATORS IMPLEMENTED A RANGE OF HEALTH AND WELLNESS ACTIVITIES RELATED TO FITNESS AND NUTRITION THAT REACHED MORE THAN 1,643 MISSION HILL YOUTH AND FAMILIES. HEALTH EDUCATORS HELD ENGAGING ACTIVITIES SURROUNDING FITNESS AND NUTRITION, INCLUDING SPINNING THE "WHEEL OF HEALTH" TO RECEIVE FUN PRIZES AND A JEOPARDY-STYLE TRIVIA GAME, AS WELL AS HOLDING PEER-TO-PEER CONVERSATIONS WITH COMMUNITY YOUTH ON THE IMPORTANCE OF MAKING HEALTHY FOOD AND BEVERAGE CHOICES. HEATH EDUCATORS ENCOURAGE AND ENABLE MISSION HILL YOUTH AND FAMILIES TO MAKE POSITIVE BEHAVIOR CHANGES THAT IMPROVE THEIR OVERALL HEALTH AND QUALITY OF LIFE.B.INCREASE PHYSICAL ACTIVITY -TARGET POPULATION: CHILDREN, YOUTH, AND ADULTS-PROGRAMMATIC OBJECTIVES: I.EDUCATE ON HEALTHY EATING AND ACTIVE LIVINGII.INCREASE THE NUMBER OF CHILDREN AND ADULTS WHO ARE PHYSICALLY ACTIVEIII.IMPROVE ACCESSIBILITY AND BEAUTIFY OF WALKWAYS, COMMUNITY PARKS, AND RECREATION AREAS-COMMUNITY ACTIVITIES:I.THE SUMMER CAMP AT THE BOSTON CENTER FOR YOUTH AND FAMILIES-TOBIN COMMUNITY CENTER, ENCOURAGES YOUNG CHILDREN TO EXERCISE AND KEEP ACTIVE TO PREVENT OBESITY. DURING THE SUMMER OF 2018, NEBH SPONSORED TEN ADOLESCENTS FROM MISSION HILL. THEY WERE ABLE TO ATTEND SUMMER CAMP, KEEPING THEM HEALTHY AND ACTIVE. II.NEBH HAS A LONG-STANDING COMMITMENT TO IMPROVING THE HEALTH STATUS OF BOSTON RESIDENTS, WITH A FOCUS ON MOVEMENT AND PREVENTION OF OBESITY. THE HOSPITAL SUPPORTS THE MISSION HILL LITTLE LEAGUE, BOSTON CENTER FOR YOUTH AND FAMILIES-TOBIN COMMUNITY CENTER, ROXBURY TENANTS OF HARVARD, MISSION HILL LEGACY PROJECT AND SOCIEDAD LATINA FOR THEIR PROGRAMS IN PHYSICAL ACTIVITY. EACH COMMUNITY GROUP HAS MANY EVENTS AND PROGRAMS THAT THE HOSPITAL SUPPORTS. THE HOSPITAL WILL CONTINUE TO SUPPORT THEIR PROGRAMS THAT KEEP PEOPLE ACTIVE AND MOVING.III.THIS PROGRAM ENCOURAGES ELDERLY MEMBERS OF THE BOSTON COMMUNITY TO MAINTAIN AN ACTIVE LIFESTYLE THROUGH PARTICIPATION IN FITNESS AND HEALTH EDUCATION CLASSES. TWO FITNESS CLASSES WERE HELD IN 2018, WITH OVER 150 SENIORS ATTENDING EACH SESSION. SENIORS PARTICIPATED IN PHYSICAL ACTIVITY AND LECTURES ABOUT NUTRITION AND HEALTHY EATING. NEBH NUTRITIONISTS, PHYSICAL THERAPISTS AND NURSES ARE PART OF THE PROGRAM. IV. THE JR. CELTICS PROGRAM CHALLENGES 3RD-5TH GRADERS TO DEVELOP THEIR BASKETBALL GAME THROUGH SKILLS, DRILLS AND LEADERSHIP TRAINING. ALSO, PROVIDING PHYSICAL ACTIVITY. THE JR. CELTICS HELD 2 PROGRAMS IN THE MISSION HILL AREA THAT BENEFITTED YOUTH IN MISSION HILL. OVER 600 3RD-5TH GRADERS PARTICIPATED IN THIS ONGOING PROGRAM.C.INCREASE HEALTHY EATINGTARGET POPULATION: CHILDREN, YOUTH & ADULTSPROGRAMMATIC OBJECTIVES: I.EDUCATE ON HEALTHY EATING AND ACTIVE LIVINGII.DECREASE THE NUMBER OF INDIVIDUALS AND FAMILIES WHO SUFFER FROM FOOD INSECURITYIII.INCREASING ACCESS TO HEALTHY FOODS, FRUITS, AND VEGETABLES-COMMUNITY ACTIVITIES:I.SUPPORT COMMUNITY FOOD PANTRIESII.SUPPORT AND PROMOTE THE DEVELOPMENT OF COMMUNITY WORKSHOPS, COOKING CLASSES, AND EDUCATION SESSIONSIII.PROMOTE PARTICIPATION IN MOBILE FARMERS' MARKETSIV.SUPPORT AND COLLABORATE WITH BOSTON FOOD & FITNESS COLLABORATIVEV.THERE IS A HUGE NEED IN MISSION HILL FOR ACCESS TO AFFORDABLE, HEALTHY FOOD. NEBH IS COMMITTED TO HELPING TO PROVIDE ACCESS TO AFFORDABLE, HEALTHY FOOD. NEBH OFFERS $1 COUPONS TO THE RESIDENTS OF ROXBURY TENANTS OF HARVARD (RTH) TO OFFSET THE COST OF FRESH FRUITS AND VEGETABLES AT THE $2 A BAG PROGRAM EACH MONTH AT RTH. OVER 100 PEOPLE PURCHASE FRESH FRUIT AND VEGETABLES EACH MONTH.MISSION HILL ELEMENTARY SCHOOL, MISSION HILL LEGACY PROJECT AND BOSTONCANSHARE HUNGER IS ON THE RISE IN MASSACHUSETTS. FOOD IS NEEDED TO SUSTAIN FAMILIES DURING THE HOLIDAYS, SCHOOL VACATIONS AND WHEN THE CHILDREN ARE NOT ATTENDING SCHOOL. NEBH PARTNERED THE MISSION HILL ELEMENTARY SCHOOL AND THE MISSION HILL LEGACY PROJECT TO COMBAT HUNGER. NEBH IS COMMITTED TO COMBATING HUNGER IN OUR LOCAL NEIGHBORHOODS. EACH YEAR, MUCH NEEDED FOOD IS GIVEN DURING THE THANKSGIVING AND CHRISTMAS HOLIDAYS AND DURING SCHOOL VACATIONS. FOOD IS PROVIDED TO SUPPLEMENT STUDENT AND FAMILY FOOD NEEDS, AS MEALS ARE NOT SERVED BY THE SCHOOL SYSTEM DURING VACATIONS. LUNCH IS ALSO PROVIDED DURING THE WINTER MONTHS FOR CHILDREN PARTICIPATING IN THE YMCA AND THE CHILL FOUNDATION'S SKI PROGRAM. DURING THE HOLIDAYS, FOOD IS GIVEN TO SENIORS IN NEED THROUGH THE MISSION HILL SENIOR LEGACY PROGRAM. NEBH PROVIDES FINANCIAL SUPPORT FOR THE FOOD PANTRY AT THE ABCD PARKER HILL/FENWAY SITE. THE PANTRY PROVIDES EMERGENCY FOOD FOR LOW INCOME FAMILIES IN THE COMMUNITY. THE PANTRY HELPS OVER 100 FAMILIES A MONTH WITH FOOD ASSISTANCE. NEBH PROVIDES FOOD AND STOP & SHOP GIFT CARDS TO FAMILIES FROM THE MISSION HILL SCHOOL DURING HOLIDAYS AND SCHOOL VACATIONS AND TO FAMILIES THAT LIVE IN MISSION HILL THROUGHOUT THE YEAR. LAST YEAR NEBH HELPED 46 FAMILIES WITH FOOD ASSISTANCE THROUGH STOP AND SHOP GIFT CARDS AND FOOD.NEBH DONATED TO THE BOSTON CAN SHARE PROGRAM WHICH IS THE ANNUAL FOOD DRIVE SPONSORED BY THE MAYOR'S OFFICE OF FOOD INITIATIVES. INCREASE ACCESS TO HEALTHY FOODS -- ACCESS TO HEALTHY FRUITS AND VEGETABLESAS IDENTIFIED IN THE CHNA, THERE IS A NEED IN MISSION HILL FOR ACCESS TO AFFORDABLE HEALTHY FOOD. NEBH IS COMMITTED TO PROVIDING ACCESS TO AFFORDABLE HEALTHY FOOD BY PARTNERING WITH THE MISSION HILL HEALTH MOVEMENT AND THE MISSION HILL FARMERS MARKET. NEBH OFFERED $2 COUPONS TO THE FARMERS MARKET EACH WEEK DURING THE SUMMER AND FALL TO MISSION HILL/ROXBURY RESIDENTS SO THAT THEY MAY PURCHASE FRESH FRUIT AND VEGETABLES AT A DISCOUNTED RATE. OVER 3,950 COUPONS WERE GIVEN OUT TO COMMUNITY RESIDENTS.D.INCREASING SCREENING, IDENTIFICATION AND REFERRAL FOR PEOPLE WITH CHRONIC DISEASE AND / OR ASSOCIATED RISK FACTORSTARGET POPULATION: CHILDREN, YOUTH & ADULTS-PROGRAMMATIC OBJECTIVES:I.PROMOTE OBESITY SCREENING FOR CHILDREN AND YOUTH IN COMMUNITY BASED SETTINGII.LINK CHILDREN AND YOUTH WHO ARE OVERWEIGHT OR OBESE TO EVIDENCE BASED PROGRAMS THAT PROMOTE HEALTHY EATING AND ACTIVE LIVINGIII.INCREASE THE NUMBER OF ADULTS SCREENED FOR HYPERTENSION, DIABETES, DEPRESSION, HIGH CHOLESTEROL, AND OTHER LEADING CHRONIC DISEASESIV.LINK THOSE WHO HAVE CHRONIC DISEASE OR ITS ASSOCIATED RISK FACTORS TO PRIMARY CARE AND/OR EVIDENCE-BASED CHRONIC DISEASE MANAGEMENT PROGRAMS-COMMUNITY ACTIVITIES:I.NEBH PROVIDES MUCH NEEDED MEDICAL SUPPLIES TO THE MISSION HILL ELEMENTARY SCHOOL. EACH YEAR, A REQUEST COMES FROM THE SCHOOL NURSE FOR ITEMS SUCH AS COUGH MEDICINE, BAND AIDS, ACETAMINOPHEN, IBUPROFEN, COUGH DROPS, BANDAGES, ETC.II.THROUGH ROXBURY TENANTS OF HARVARD AND MISSION HILL MOVEMENT HEALTH, NEBH SUPPORTSAND PROMOTE COMMUNITY HEALTH FAIRS AND SCREENING/REFERRAL EVENTSIII.SUPPORT THE MISSION HILL HEALTH MOVEMENT'S ANNUAL HEALTH FAIR.OBESITY, FITNESS, NUTRITION, AND CHRONIC DISEASE - COMMUNITY PARTNERS: -BOSTON PUBLIC HEALTH COMMISSION-SOCIEDAD LATINA-ROXBURY TENANTS OF HARVARD (RTH)-MISSION MAIN-TOBIN COMMUNITY CENTER-MISSION HILL HEALTH MOVEMENT-ACTION FOR BOSTON COMMUNITY DEVELOPMENT (ABCD)-PUBLIC HOUSING FACILITIES-LITTLE LEAGUE-MISSION HILL LEGACY PROJECT-MARIA SANCHEZ HOUSE-BOSTON CELETICSPRIORITY AREA # 3 : ELDER HEALTHIN THE UNITED STATES, IN THE COMMONWEALTH, AND IN NEBH'S CBSA, PARTICULARLY ON MISSION HILL, OLDER ADULTS ARE ONE OF THE FASTEST GROWING POPULATIONS AND ARE WIDELY CONSIDERED TO BE AMONG THOSE MOST AT-RISK. THE FIRST "BABY BOOMERS" (ADULTS BORN BETWEEN 1946 AND 1964) TURNED 65 IN 2011 AND OVER THE NEXT 20 YEARS THESE "BABY BOOMERS" WILL GRADUALLY ENTER THE OLDER ADULT COHORT. OLDER ADULTS ARE MUCH MORE LIKELY TO DEVELOP CHRONIC ILLNESSES AND RELATED DISABILITIES SUCH AS HEART DISEASE, HYPERTENSION, AND DIABETES AS WELL AS CONGESTIVE HEART FAILURE, DEPRESSION,
PRIORITY AREA # 3 : ELDER HEALTH CONTINUEDANXIETY, ALZHEIMER'S, PARKINSON'S DISEASE, AND DEMENTIA. BY 2030, THE CDC AND THE HEALTHY PEOPLE 2020 INITIATIVE ESTIMATES THAT 37 MILLION PEOPLE NATIONWIDE (60% OF THE OLDER ADULT POPULATION 65+) WILL MANAGE MORE THAN ONE CHRONIC MEDICAL CONDITION. MANY EXPERIENCE HOSPITALIZATIONS, NURSING HOME ADMISSIONS, AND LOW-QUALITY CARE. THEY ARE ALSO PRONE TO FALLS AND MAY LOSE THEIR ABILITY TO LIVE INDEPENDENTLY AT HOME. CHRONIC CONDITIONS AND UNINTENTIONAL INJURY ARE AMONG THE LEADING CAUSE OF ILLNESS AND DEATH AMONG OLDER ADULTS.30 ACCORDING TO QUALITATIVE INFORMATION GATHERED THROUGH INTERVIEWS AND COMMUNITY FORUMS, ELDER HEALTH IS ONE OF THE HIGHEST PRIORITIES. CHRONIC DISEASE, DEPRESSION, ISOLATION AND FRAGMENTATION OF SERVICES WERE IDENTIFIED AS SOME OF THE LARGEST ISSUES FACING THE AREA'S SENIOR POPULATION.A.PROMOTE GENERAL HEALTH AND WELLNESS FOR ELDERS-TARGET POPULATION: ELDERS-PROGRAMMATIC OBJECTIVES: I.INCREASE GENERAL KNOWLEDGE ABOUT CHRONIC DISEASE, PHYSICAL ACTIVITY, NUTRITION, BEHAVIORAL HEALTH, AND FALLS PREVENTION -COMMUNITY ACTIVITIES:I.SUPPORT AND PROMOTE THE DEVELOPMENT OF COMMUNITY WORKSHOPS AND EDUCATIONAL SESSIONS II.CREATE AN ELDER HEALTH EDUCATION AND PREVENTION CENTERIII.WEEKLY YOGA CLASS FOR SENIORS AT THE BOSTON PUBLIC LIBRARY, PARKER HILL BRANCH. THE BENEFITS FROM YOGA INCLUDE FLEXIBILITY, INCREASED MUSCLE STRENGTH AND TONE, IMPROVED RESPIRATION, ENERGY AND VITALITY, MAINTAINING A BALANCED METABOLISM, WEIGHT REDUCTION, CARDIO AND CIRCULATORY HEALTH, AND PROTECTION FROM INJURY. KEEPING YOUR JOINTS MORE FLEXIBLE CAN HELP REDUCE PAIN THROUGH GENTLE STRETCHING. EACH WEEK, BETWEEN 20-25 OLDER ADULTS PARTICIPATE IN YOGA.IV.NEBH COLLABORATED WITH THE BOSTON CELTICS ON SR. CELTICS. THE SR. CELTICS PROGRAM ENCOURAGES ELDERLY MEMBERS OF THE MISSION HILL/ROXBURY COMMUNITY TO MAINTAIN AN ACTIVE LIFESTYLE THROUGH PARTICIPATION IN FITNESS AND HEALTH EDUCATION CLASSES. CELTICS PLAYERS, LEGENDS AND NEW ENGLAND BAPTIST HOSPITAL STAFF LED SENIORS IN GROUP WORKOUTS AND DISCUSSED THE BENEFITS OF PHYSICAL EXERCISE.V.EASY STEPS PROGRAM AND HEALTHY MOVES ARE PROGRAMS FOR SENIORS THAT FOCUS ON STRENGTH, BALANCE, FLEXIBILITY, ENDURANCE, NUTRITION AND FALL PREVENTION. EVERY WEEK, BETWEEN 15-20 ELDER RESIDENTS PARTICIPATE IN THE EASY STEPS AND HEALTHY MOVES PROGRAMS. RESIDENTS HAVE REPORTED THAT THEY FEEL HEALTHIER, STRONGER AND HAVE MORE ENERGY. B. REDUCE FALLS FOR ELDERS-TARGET POPULATION: ELDERS-PROGRAMMATIC OBJECTIVES: I.INCREASE BALANCE TRAINING AND PHYSICAL ACTIVITY; MEDICAL MANAGEMENT OF EXISTING ILLNESS; AND ENVIRONMENTAL/HOME MODIFICATIONS TRANSPORTATION - THE MISSION LINKBECAUSE THE NEIGHBORHOOD OF MISSION HILL IS LOCATED ON A STEEP HILL, AT THE HIGHEST ELEVATION IN BOSTON, IT PRESENTS A SIGNIFICANT ISSUE TO MOBILITY FOR THE ELDERLY POPULATION. THE NEED FOR REGULAR TRANSPORTATION TO AVOID SOCIAL ISOLATION OF THOSE SENIORS IN THE MISSION HILL COMMUNITY WAS IDENTIFIED AS A CRITICAL ISSUE DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT. NEBH HAS BEEN A MAJOR SPONSOR OF THE MISSION LINK BUS FOR MANY YEARS TO INCREASE ACCESS TO HEALTHY FOOD OPTIONS, MEDICAL CARE, AND PUBLIC TRANSPORTATION. C.DECREASE DEPRESSION AND SOCIAL ISOLATION IN ELDERS-TARGET POPULATION: ELDERS-PROGRAMMATIC OBJECTIVES: I.INCREASE THE NUMBER OF MISSION HILL RESIDENTS WHO HAVE ACCESS TO AFFORDABLE TRANSPORTATIONII.REDUCE ISOLATIONIII.INCREASE SCREENING, IDENTIFICATION, AND REFERRAL FOR ELDERS WITH DEPRESSION -COMMUNITY ACTIVITIES:I.THERE ARE MANY ISSUES RELATED TO OLDER ADULT HEALTH WITH ISOLATION BEING ONE OF THEM. NEBH IS COMMITTED TO THE SENIORS LIVING IN AND AROUND MISSION HILL/ROXBURY/JAMAICA PLAIN TO HELP WITH ELDER ISOLATION. IN 2018, NEBH HELD A BIRTHDAY CELEBRATION EACH QUARTER FOR SENIORS LIVING IN MISSION HILL/ROXBURY/JAMAICA PLAIN. BETWEEN 100-125 SENIORS FROM THE AREA COME TO THE CELEBRATION. THE PARTY IS HELD AT A DIFFERENT HOUSING DEVELOPMENT OR COMMUNITY AGENCY 4 TIMES A YEAR. SENIORS RECEIVE A HEALTHY LUNCH, GIFT AND ENJOY ENTERTAINMENT. II.MONTHLY BINGO AT THE MARIA SANCHEZ HOUSE - EACH MONTH, STAFF FROM NEBH PLAY BINGO WITH THE RESIDENTS OF THE MARIA SANCHEZ HOUSE. THIS HELPS WITH SOCIALIZING AND GETTING SENIORS OUT OF THEIR APARTMENT WHILE HAVING FUN. NEBH PROVIDES HEALTHY SNACKS AND PRIZES. III.THIS EXERCISE CLASS CONCENTRATES ON STRENGTH, BALANCE, FLEXIBILITY, AND ENDURANCE AND ENCOURAGES RELAXATION AND BREATHING TO FOCUS THE MIND AND DEAL WITH STRESS. EIGHT CLASSES WERE HELD OVER TWO MONTHS WITH 15 PEOPLE ATTENDING. WORKING WITH RTH ON INCREASING PARTICIPATION. D.INCREASE SCREENING, IDENTIFICATION AND REFERRAL FOR HEALTH ISSUES SUCH AS OSTEOPOROSIS, ARTHRITIS / LUPUS, AND DEPRESSIONTARGET POPULATION: ELDERSPROGRAMMATIC OBJECTIVES: I.INCREASE THE NUMBER OF ELDERS SCREENED FOR OSTEOPOROSIS, ARTHRITIS/LUPUS, DEPRESSION, JOINT ISSUES, AND OTHER LEADING ELDER HEALTH ISSUES/CONDITIONSII.LINK THOSE WHO HAVE CHRONIC DISEASE OR OTHER HEALTH ISSUES TO APPROPRIATE PRIMARY AND SPECIALTY CARE COMMUNITY ACTIVITIES:I.EVERY MONTH, 12-15 PEOPLE WITH ARTHRITIS AND OR LUPUS ATTEND THE SUPPORT GROUP. THE GROUP LEADER IS ALWAYS AVAILABLE FOR QUESTIONS AND CALLS FROM POTENTIAL GROUP MEMBERS. THE GROUP LEADER IS ALWAYS LOOKING FOR NEW MEMBERS AND SENDS OUT A MONTHLY MAILING TO THE GROUP AND POTENTIAL MEMBERS.II.RAISE FUNDS FOR THE GREATER BOSTON ARTHRITIS FOUNDATION'S JINGLE BELL RUN AND INCREASE AWARENESS TO HELP CURE AMERICA'S #1 CAUSE OF DISABILITY.OSTEOPOROSIS OSTEOPOROSIS IS A MAJOR PUBLIC HEALTH THREAT FOR AN ESTIMATED 54 MILLION AMERICANS AGE 50 AND OLDER. TWENTY PERCENT OF NON-HISPANIC CAUCASIAN AND ASIAN WOMEN AGED 50 AND OLDER ARE ESTIMATED TO HAVE OSTEOPOROSIS, AND 52 PERCENT ARE ESTIMATED TO HAVE LOW BONE MASS. THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (DPH) HAS IDENTIFIED OSTEOPOROSIS AS A PUBLIC HEALTH ISSUE AND ESTABLISHED THE OSTEOPOROSIS AWARENESS PROGRAM. PHYSICAL ACTIVITY CAN IMPROVE THE OVERALL HEALTH AND WELL-BEING OF OLDER ADULTS. EVEN MODEST LEVELS OF ACTIVITY, DONE EACH DAY FOR A TOTAL OF 30 MINUTES, CAN PREVENT OR CONTROL OSTEOPOROSIS AND WEIGHT GAIN. NEBH SUPPORTS TWO WALKING GROUPS AT ROXBURY TENANTS OF HARVARD (RTH): A WALKING/EXERCISE PROGRAM HELD IN MISSION HILL, SERVING BETWEEN 20-40 WOMEN AND MEN BETWEEN THE AGES OF 40 AND 90 FROM ALL ETHNIC BACKGROUNDS AT EACH SESSION. THE HOSPITAL ALSO OFFERS EDUCATIONAL PROGRAMS SUCH AS STRETCHING, EATING HEALTHY, ETC. TO THIS GROUP. IN ADDITION TO RTH, NEBH SUPPORTS SR. CELTICS AND WEEKLY YOGA FOR SENIORS AT THE BOSTON PUBLIC LIBRARY, PARKER HILL BRANCH, MENTIONED ABOVE, TO PROMOTE HEALTHY AND ACTIVE LIFESTYLE.-ELDER CARE - COMMUNITY PARTNERS-BOSTON PUBLIC HEALTH COMMISSION-MISSION HILL HEALTH MOVEMENT-ACTION FOR BOSTON COMMUNITY DEVELOPMENT (ABCD)-ROXBURY TENANTS OF HARVARD (RTH)-LEGACY PROJECT-PUBLIC HOUSING FACILITIES-MA DEPARTMENT OF PUBLIC HEALTH-NEBH AND CAREGROUP MEMBER ORGANIZATIONS2016 COMMUNITY HEALTH IMPLEMENTATION STRATEGY/PLAN - ISSUES NOT ADDRESSEDAS DESCRIBED IN DETAIL IN THIS SUPPORTING NARRATIVE TO THE FORM 990 SCHEDULE H, NEBH IS DEEPLY DEDICATED TO ITS COMMUNITY BENEFITS OPERATIONS AND TO IMPROVING THE HEALTH OF ITS COMMUNITY. HOWEVER, AS NOTED IN SCHEDULE H, PART V, SECTION B, QUESTION 11, THERE WERE SOME NEEDS IDENTIFIED IN THE CHNA THAT ARE NOT INCLUDED IN THE IMPLEMENTATION STRATEGY/CHIP. IN THE 2016 CHIP THAT GUIDED THE NEBH COMMUNITY BENEFIT ACTIVITIES FOR THE FISCAL PERIOD COVERED BY THIS FILING, EXAMPLES OF IDENTIFIED NEEDS THAT WERE NOT MET ARE CHRONIC DISEASE, BEHAVIORAL HEALTH AND MATERNAL AND CHILD HEALTH. NEBH IS UNABLE TO ADDRESS THESE NEEDS DUE TO LIMITED FINANCIAL RESOURCES. IN ADDITION, THE HOSPITAL IS AN ORTHOPEDIC SPECIALTY-REFERRAL HOSPITAL FOR THE NEW ENGLAND REGION. IT IS NOT A FULL-SERVICE COMMUNITY HOSPITAL. BECAUSE OF THIS, AND TO AVOID DUPLICATION OF SERVICES, THE HOSPITAL IDENTIFIED RESOURCES AND STRENGTHS IN ITS SPECIALTY AREAS WHEN DETERMINING ITS PRIORITIES IN ITS IMPLEMENTATION STRATEGY/PLAN. (SCHEDULE H PART V SECTION B QUESTION 11)AS NOTED IN DETAIL ABOVE, NEBH'S PRIMARY TOOL FOR ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED IS THROUGH THE CHNA AND CHIP (SCHEDULE H PART VI QUESTION 2). ISSUES NOT ADDRESSED: CHRONIC DISEASE NEW ENGLAND BAPTIST HOSPITAL IS FULLY ENGAGED THROUGH ITS AFFILIATIONS WITH OTHER HOSPITALS, CLINICS AND PHYSICIAN GROUPS WHO HAVE SIGNIFICANT EXPERTISE IN CHRONIC DISEASE MANAGEMENT TO ENSURE THAT THE NEEDS OF OUR COMMUNITY ASSOCIATED WITH DIABETES, CONGESTIVE HEART FAILURE, ETC., ARE MET. BEHAVIORAL HEALTH SUPPORT PROGRAMS IN NEARBY CLINICS AND HOSPITALS HAVE BEEN ESTABLISHED TO PROVIDE BEHAVIORAL HEALTH MANAGEMENT TO BETTER ASSESS, MONITOR AND TREAT PATIENTS WITH MOOD DISORDER, SUBSTANCE ABUSE, ETC., IN OUR COMMUNITY. MATERNAL AND CHILD HEALTH NEW ENGLAND BAPTIST DOES NOT PROVIDE MATERNAL AND CHILD HEALTH.
MATERNAL AND CHILD HEALTH CONTINUEDTHE COMMUNITY IS SURROUNDED BY MEDICAL INSTITUTIONS THAT OFFER THESE SERVICES.PRIORITY AREA 1: SOCIAL DETERMINANTS OF HEALTHPRIORITY AREA 2: CHRONIC DISEASE MANAGEMENT AND PREVENTIONON-GOING PLANNING, COMMUNITY ENGAGEMENT, AND IMPLEMENTATIONHISTORICALLY, NEBH HAS RELIED HEAVILY ON MISSION HILL'S AND ROXBURY'S LEADING HEALTH AND SOCIAL SERVICE ORGANIZATIONS TO IMPLEMENT ITS COMMUNITY BENEFIT INITIATIVES. TO THIS END, THE HOSPITAL HAS PROVIDED FINANCIAL SUPPORT DIRECTLY TO COMMUNITY ORGANIZATIONS SUCH AS SOCIEDAD LATINA, THE TOBIN COMMUNITY CENTER, MISSION HILL SENIOR LEGACY PROJECT, ACTION FOR BOSTON COMMUNITY DEVELOPMENT (ABCD), MISSION HILL LITTLE LEAGUE, AND THE ROXBURY TENANTS OF HARVARD (RTH) AS WELL AS MANY OTHER ORGANIZATIONS. NEBH WILL CONTINUE TO OPERATE IN THIS MANNER BUT WILL ALSO EXPAND EXISTING AND DEVELOP NEW COMMUNITY EDUCATION, OUTREACH, HEALTH PROMOTION, AND COMMUNITY ENRICHMENT ACTIVITIES. THIS ASSESSMENT WAS MEANT TO ENSURE THAT THE COMMUNITY BENEFIT PROGRAM WAS ALIGNED WITH AND RESPONSIVE TO THE NEEDS OF ITS TARGET POPULATION. ALL THE ACTIVITIES DISCUSSED IN NEBH'S COMMUNITY HEALTH IMPROVEMENT PLAN ARE ALIGNED WITH KEY FINDING IDENTIFIED DURING THE ASSESSMENT.THE EFFORTS THAT ARE PART OF NEBH'S COMMUNITY HEALTH IMPROVEMENT PLAN WILL BE IMPLEMENTED AND COORDINATED BY CHRISTINE DWYER, DIRECTOR OF PUBLIC AFFAIRS AND COMMUNITY RELATIONS AT NEBH, WHO WILL WORK IN CLOSE CONCERT WITH NEBH'S COMMUNITY BENEFIT COMMITTEE AND PATIENT AND FAMILY ADVISORY COUNCIL AS WELL AS KEY STAKEHOLDERS THROUGHOUT THE COMMUNITY. ULTIMATELY, THE COMMUNITY HEALTH IMPROVEMENT PLAN WILL BE OVERSEEN BY DAVID PASSAFARO, SR. VICE PRESIDENT, EXTERNAL AFFAIRS AND NEBH'S PRESIDENT'S COUNCIL, WHICH IS COMPRISED OF THE HOSPITAL'S SENIOR LEADERSHIP TEAM.NEW ENGLAND BAPTIST HOSPITAL IS COMMITTED TO COLLABORATING WITH COMMUNITY PARTNERS AND RESIDENTS TO STRENGTHEN THE COMMUNITY AND IMPROVE OVERALL HEALTH AND WELL-BEING. NEBH IS ALSO COMMITTED TO LEVERAGING EXISTING RESOURCES AND BUILDING LOCAL CAPACITY. NEBH LOOKS FORWARD TO STRENGTHENING ITS CONNECTIONS AND TO CONTINUED COLLABORATION WITH THE AREA'S SOCIAL SERVICE ORGANIZATIONS, COMMUNITY GROUPS, AND RESIDENTS.FORM 990 SCHEDULE H PART VI SUPPLEMENTAL INFORMATION THE PURPOSE OF THIS FORM 990 SCHEDULE H NARRATIVE DISCLOSURE IS TO HELP THE READER UNDERSTAND IN MORE DETAIL HOW NEBH CARES FOR ITS COMMUNITY BY PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AS WELL AS COMMUNITY BUILDING ACTIVITIES. AS DEMONSTRATED IN THIS SCHEDULE H, DURING THE PERIOD COVERED BY THIS FILING, 4.1% OF THE NEBH'S TOTAL EXPENSES WERE INCURRED IN PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST. IN ADDITION AS NOTED IN THE NARRATIVE BELOW, THERE ARE ADDITIONAL ACTIVITIES AND EXPENDITURES WHICH NEBH CONSIDERS FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS. UNDER THE INSTRUCTIONS TO THIS SCHEDULE H QUESTION 7 THESE ITEMS ARE NOT QUANTIFIED IN SCHEDULE H QUESTION 7, BUT IT IS WORTH NOTING THAT IF NEBH HAD INCLUDED THESE IN SCHEDULE H QUESTION 7, THE FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST WOULD BE 11.71% FOR THE PERIOD COVERED BY THIS FILING. THE PERCENTAGES CALCULATED IN PART I, LINE 7, COLUMN F WERE BASED ON EACH ITEM OF FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT AT COST AS A PERCENTAGE OF TOTAL EXPENSES REPORTED IN PART IX OF THIS FORM 990. FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - FINANCIAL ASSISTANCE AND MEANS TESTED GOVERNMENT PROGRAMSFINANCIAL ASSISTANCEAS REPORTED IN THE NEBH CONSOLIDATED FINANCIAL STATEMENT AND IN THIS FORM 990, SCHEDULE H, NEBH'S NET COST OF CHARITY CARE, INCLUDING CARE FOR EMERGENT SERVICES PROVIDED TO NON-PAYING PATIENTS AND PAYMENTS TO AND RECEIPTS FROM THE HEALTH SAFETY NET TRUST, WAS $3,223,843 IN FISCAL YEAR ENDED SEPTEMBER 30, 2018 AND HAS BEEN REPORTED AS PART OF THE FINANCIAL ASSISTANCE AND CHARITY CARE REPORTED IN THIS SCHEDULE H, PART I, LINE 7A. OTHER UNCOMPENSATED CHARITY CARE - MEDICAID AND MEDICAREIN ADDITION TO THE CHARITY CARE REPORTED ABOVE, NEW ENGLAND BAPTIST HOSPITAL ALSO PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN OTHER PROGRAMS DESIGNED TO SUPPORT LOW INCOME FAMILIES, INCLUDING THE MEDICAID PROGRAM, WHICH IS JOINTLY FUNDED BY FEDERAL AND STATE GOVERNMENTS. THE MASSACHUSETTS HEALTH REFORM LAW PROVIDED AN INITIATIVE FOR EXPANSION OF MEDICAID COVERAGE TO GREATER POPULATIONS AND FOR ENROLLMENT OF UNINSURED PATIENTS IN OTHER INSURANCE PROGRAMS. PAYMENTS FROM MEDICAID AND OTHER PROGRAMS WHICH INSURE LOW INCOME POPULATIONS DO NOT COVER THE COST OF SERVICES PROVIDED. DURING THE FISCAL PERIOD COVERED BY THIS FILING, NEBH COLLECTED $1,125,647 IN MEDICAID REVENUE WHICH WAS LESS THAN THE COST OF CARE PROVIDED BY NEBH FOR SUCH SERVICES BY $772,851 AS REPORTED ON THIS SCHEDULE H, PART I, LINE 7B. MEDICARE IS THE FEDERALLY SPONSORED HEALTH INSURANCE PROGRAM FOR ELDERLY OR DISABLED PATIENTS, AND THE HOSPITAL PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM. DURING THE FISCAL PERIOD COVERED BY THIS FILING, 35.36% OR 44,617 OF NEBH'S PATIENT ENCOUNTERS WERE WITH MEDICARE PATIENTS. THIS TRANSLATED TO MEDICARE REVENUE OF $71,485,789. HOWEVER, BECAUSE PAYMENTS TO HOSPITALS THROUGH THIS GOVERNMENT SPONSORED PROGRAM HAVE NOT KEPT PACE WITH INFLATION, REVENUE COLLECTED WAS LESS THAN THE COST OF SERVICES BY $17,990,558. OF THIS AMOUNT, $326,475 IS INCLUDED IN FORM 990 SCHEDULE H PART I, LINE 7G AND RELATED TO THE PROVISION OF SUBSIDIZED HEALTH SERVICES FOR PROVIDING CASTS AND MRSA TEST TO PATIENTS. IN RESPONSE TO THE FORM 990, SCHEDULE H, PART III, LINE 8, ALTHOUGH NEBH CONSIDERS THE PROVISION OF CLINICAL CARE TO ALL MEDICARE PATIENTS AS PART OF ITS COMMUNITY BENEFIT, THE ADDITIONAL MEDICARE SHORTFALL OF $17,988,618 IS NOT QUANTIFIED ON PAGE 1 OF THE SCHEDULE H. INSTEAD, PER THE IRS INSTRUCTIONS TO SCHEDULE H, NEBH HAS SEPARATELY REPORTED THIS AMOUNT IN SCHEDULE H, PART III, LINE 7, AS REQUIRED. IF NEBH HAD INCLUDED THE FULL MEDICARE SHORTFALL IN SCHEDULE H QUESTION 7, THE FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST WOULD BE 11.71% FOR THE PERIOD COVERED BY THIS FILING. BAD DEBTSAS REPORTED IN THE NEBH AUDITED FINANCIAL STATEMENT FOR THE PERIOD COVERED BY THIS FILING, IN ADDITION TO CHARITY CARE AND SHORTFALLS IN PROVIDING SERVICES TO PATIENTS INSURED UNDER STATE AND FEDERAL PROGRAMS, NEBH ALSO INCURS LOSSES RELATED TO SELF-PAY PATIENTS WHO FAIL TO MAKE PAYMENTS FOR SERVICES OR INSURED PATIENTS WHO FAIL TO PAY COINSURANCE OR DEDUCTIBLES FOR WHICH THEY ARE RESPONSIBLE UNDER INSURANCE CONTRACTS. BAD DEBT EXPENSE IS INCLUDED IN UNCOMPENSATED CARE EXPENSE IN THE CONSOLIDATED FINANCIAL STATEMENTS, AND INCLUDES THE PROVISION FOR ACCOUNTS ANTICIPATED TO BE UNCOLLECTIBLE. CHARGES FOR THOSE SERVICES WERE $41,751 DURING THE FISCAL PERIOD COVERED BY THIS FILING AS REPORTED IN THE FINANCIAL STATEMENTS AND IN THIS FORM 990 SCHEDULE H, PART III AS REQUIRED.AS REQUIRED BY THIS FORM 990, SCHEDULE H, PART III, LINE 4, BELOW ARE THE BAD DEBT AND ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTES FROM THE NEBH AUDITED FINANCIAL STATEMENTS. AS PREVIOUSLY NOTED IN THIS FORM 990, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF NEBH AND AFFILIATES FOR FISCAL YEAR ENDED SEPTEMBER 30, 2018 INCLUDE THE ACCOUNTS OF THE NEW ENGLAND BAPTIST MEDICAL ASSOCIATES AN ENTITY INTEGRALLY RELATED TO HELPING NEBH ACCOMPLISH ITS CHARITABLE PURPOSES. THE NEBH FORM 990 IS PREPARED FOR NEBH ONLY AND AS SUCH, THE METRICS INCLUDED IN THESE FOOTNOTES WILL NOT TIE TO THE FACE OF THE NEBH FORM 990, SCHEDULE H.FINANCIAL STATEMENT FOOTNOTES:BAD DEBTSTHE AUDITED FINANCIAL STATEMENTS OF NEW ENGLAND BAPTIST HOSPITAL (HOSPITAL) INCLUDE THE HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, OF WHICH NEBH IS ITS SOLE MEMBER. FOOTNOTE 3 (INCLUDED IN ITS ENTIRETY BELOW) OF THOSE STATEMENTS DESCRIBE AND DETAIL FY 2018 BAD DEBT EXPENSE. IN ADDITION, AS NOTED IN SCHEDULE H PART III SECTION A QUESTION 1, THE HOSPITAL RECORDS BAD DEBTS IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. AS SUCH, THE EXPENSE REPRESENTS THE EXPECTED LOST REVENUE RATHER THAN THE FULL CHARGES OR AT COST.(3) COMMUNITY SERVICE AND UNCOMPENSATED CARETHE COST OF THE CORPORATION'S UNREIMBURSED CHARITY AND OTHER UNCOMPENSATED CARE CONSISTED OF THE FOLLOWING (IN THOUSANDS): YEAR ENDED SEPTEMBER 30 2018 2017UNREIMBURSED CHARITY CARE-AT COST $89 $37UNCOMPENSATED CARE EXPENSE $4,112 $5,068 TOTAL $4,201 $5,105(A) UNREIMBURSED CHARITY CARETHE CORPORATION PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES, TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY.
FINANCIAL STATEMENT FOOTNOTES CONTINUEDBECAUSE THE CORPORATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE EXCEPT TO THE EXTENT REIMBURSED BY THE STATEWIDE HEALTH SAFETY NET (HSN).THE AMOUNT OF CHARITY CARE AT ESTABLISHED CHARGES, AND THE COST OF UNREIMBURSED CHARITY CARE AS ESTIMATED USING AN OVERALL RATIO OF COST TO CHARGE PROVIDED BY THE CORPORATION, IS COMPRISED OF THE COMPONENTS LISTED BELOW (IN THOUSANDS): YEAR ENDED SEPTEMBER 30 2018 2017CHARITY CARE-AT ESTABLISHED CHARGES $154 $65ESTIMATED COST OF CHARITY CARE $89 $37 B) UNCOMPENSATED CARETHE CORPORATION ALSO PROVIDES FOR THE DELIVERY OF CHARITY CARE TO THE INDIGENT STATEWIDE THROUGH PAYMENTS TO THE HSN THAT IS OPERATED BY THE COMMONWEALTH OF MASSACHUSETTS. IN ADDITION, THE CORPORATION PROVIDES SERVICES THAT WERE NOT PAID BY PATIENTS AND, THEREFORE, ARE RECORDED AS BAD DEBTS. THE CORPORATION HAS REPORTED ITS GROSS OBLIGATION TO THE HSN FOR THE DELIVERY OF CHARITY CARE TO THE INDIGENT STATEWIDE AND BAD DEBTS AMOUNTING TO $3,134 AND $4,149 AT SEPTEMBER 30, 2018 AND 2017, RESPECTIVELY, WHICH IS REFLECTED AS UNCOMPENSATED CARE EXPENSE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS.PATIENT ACCOUNTS RECEIVABLE AND RELATED ALLOWANCE FOR DOUBTFUL ACCOUNTSPATIENTS ACCOUNTS RECEIVABLE ARE REFLECTED NET OF AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENTS ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST COLLECTION HISTORY, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN GOVERNMENTAL AND EMPLOYEE HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS FOR EACH OF ITS MAJOR CATEGORIES OF REVENUE BY PAYER TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR CATEGORIES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THROUGHOUT THE YEAR, THE CORPORATION, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, WILL WRITE OFF THE DIFFERENCE BETWEEN THE STANDARD RATES (OR DISCOUNTED RATES IF APPLICABLE) AND THE AMOUNT ACTUALLY COLLECTED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN ADDITION TO THE REVIEW OF THE CATEGORIES OF REVENUE, MANAGEMENT MONITORS THE WRITE OFFS AGAINST ESTABLISHED ALLOWANCES TO DETERMINE THE APPROPRIATENESS OF THE UNDERLYING ASSUMPTIONS USED IN ESTIMATING THE ALLOWANCE FOR DOUBTFUL ACCOUNTSFINANCIAL ASSISTANCE POLICY - INTERNAL REVENUE CODE SECTION 501(R)(4)FINANCIAL ASSISTANCE POLICY PURPOSE NEBHS MISSION IS TO TRANSFORM PATIENTS' LIVES BY PROMOTING WELLNESS, RESTORING FUNCTION, LESSENING DISABILITY, ALLEVIATING PAIN, AND ADVANCING KNOWLEDGE IN MUSCULOSKELETAL DISEASES AND RELATED DISORDERS.NEBH ASSISTS PATIENTS IN OBTAINING FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND OTHER SOURCES WHENEVER APPROPRIATE. NEBH MAINTAINS A WRITTEN FINANCIAL ASSISTANCE POLICY WHICH IS INTENDED TO BE IN COMPLIANCE WITH APPLICABLE FEDERAL AND STATE LAWS. PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WILL RECEIVE DISCOUNTED CARE RECEIVED FROM QUALIFYING NEBH PROVIDERS.NEBH DOES NOT DISCRIMINATE BASED ON THE PATIENT'S AGE, GENDER, RACE, CREED, RELIGION, DISABILITY, SEXUAL ORIENTATION, GENDER IDENTITY, NATIONAL ORIGIN OR IMMIGRATION STATUS WHEN DETERMINING ELIGIBILITY.FINANCIAL ASSISTANCE POLICY, CREDIT AND COLLECTION POLICY AND EMERGENCY CARE POLICYAS REQUIRED BY IRC SECTION 501(R)(4) AND THE REGULATIONS PROMULGATED THEREUNDER, THE HOSPITAL MAINTAINS A WRITTEN FINANCIAL ASSISTANCE POLICY (FAP) WHICH APPLIES TO ALL MEDICALLY NECESSARY CARE PROVIDED BY THE HOSPITAL FACILITY. (SCHEDULE H PART I QUESTIONS 1A AND 1B). DETAIL RELATED TO MEDICALLY NECESSARY CARE COVERED BY THE POLICY IS INCLUDED WITHIN THE POLICY. ALTHOUGH NEBH IS NOT LICENSED TO OPERATE AN EMERGENCY DEPARTMENT, NEBH STILL PROVIDES CARE TO ALL WHO NEED URGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. ALL PATIENTS WHO PRESENT AT NEBH ARE TRIAGED TO THE APPROPRIATE VENUE FOR THEIR CARE DEPENDING UPON THEIR CLINICAL PRESENTATION. A CLINICAL RESOURCE NURSE AND HOSPITALIST COLLABORATE TO IDENTIFY VENUE PRIOR TO THE ARRIVAL OF PATIENT WHEN POSSIBLE. THE HOSPITALIST WILL MAKE A DETERMINATION AS TO THE BEST PATIENT DISPOSITION. CLINICAL SITUATIONS RECEIVED BY PHONE OR WALK-IN REQUIRING EMERGENCY MANAGEMENT ARE DIRECTED TO THE NEAREST EMERGENCY DEPARTMENT, SUCH AS BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC), A RELATED AFFILIATE AND TERTIARY CARE ACADEMIC MEDICAL CENTER WHICH OPERATES A LEVEL 1 TRAUMA EMERGENCY DEPARTMENT 24 HOURS A DAY, 7 DAYS A WEEK AND WHICH IS LOCATED APPROXIMATELY 1 MILE FROM NEBH.(SCHEDULE H PART V SECTION B QUESTION 21). THE FAP INCLUDES A LIST OF PROVIDERS OTHER THAN THE HOSPITAL ITSELF, WHICH ARE COVERED BY THE FAP AND SPECIFIES ELIGIBILITY CRITERIA FOR BOTH FREE AND DISCOUNTED CARE. THE FAP ALSO INCLUDES THE BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS. THE HOSPITAL MAINTAINS A SEPARATE CREDIT AND COLLECTION POLICY AS PERMITTED UNDER THE TREASURY REGULATIONS AND THIS CREDIT AND COLLECTION POLICY IS REFERENCED WITHIN THE FAP AS REQUIRED, ALONG WITH INFORMATION ON HOW TO OBTAIN A FREE COPY OF THE CREDIT AND COLLECTION POLICY. (SCHEDULE H PART III SECTION C QUESTIONS 9A AND 9B AND PART V SECTION B QUESTION 17). THE HOSPITAL'S FAP AND CREDIT & COLLECTION POLICY WERE ADOPTED BY THE HOSPITAL'S BOARD PRIOR TO SEPTEMBER 30, 2018 AND THESE DOCUMENTS WERE ALL EFFECTIVE AS OF OCTOBER 1, 2017, THE FIRST DAY OF THE HOSPITAL'S FISCAL YEAR IN WHICH THE HOSPITAL WAS REQUIRED TO BE IN COMPLIANCE WITH THE REGULATIONS PROMULGATED BY THE TREASURY AND RELATED TO IRC SECTION 501(R). FINANCIAL ASSISTANCE POLICY - APPLYING FOR ASSISTANCE THE HOSPITAL'S FAP INCLUDES INFORMATION ON THE METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE UNDER THE FAP. IN ADDITION, THE HOSPITAL'S FINANCIAL ASSISTANCE APPLICATION INCLUDES A LIST OF INFORMATION/DOCUMENTATION REQUIRED AS PART OF A PATIENT'S APPLICATION FOR FINANCIAL ASSISTANCE. (SCHEDULE H PART V SECTION B QUESTION 15)FINANCIAL ASSISTANCE POLICY - ELIGIBILITY GUIDELINES THE HOSPITAL'S FAP USES THE FEDERAL POVERTY GUIDELINES IN DETERMINING ELIGIBILITY FOR FREE AND DISCOUNTED CARE. (SCHEDULE H PART I QUESTION 3A AND 3B AND PART V SECTION B QUESTION 13). IN ADDITION, THE HOSPITAL'S FAP PROVIDES FOR FINANCIAL ASSISTANCE BASED ON MEDICAL HARDSHIP AND ASSET LEVEL (SCHEDULE H PART I QUESTIONS 3C AND 4, PART V SECTION B QUESTION 13 AND PART VI QUESTION 3). FINALLY, THE HOSPITAL UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT/GUARANTOR'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE APPLICATION FORM. OTHER INFORMATION MAY BE USED BY THE HOSPITAL TO DETERMINE WHETHER A PATIENT/GUARANTOR'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILITY AS OUTLINED IN THE HOSPITAL'S FAP. (SCHEDULE H PART I QUESTIONS 3C).FINANCIAL ASSISTANCE - PUBLIC ASSISTANCE PROGRAMS (SCHEDULE H PART I QUESTION 3C)IN ADDITION TO FINANCIAL ASSISTANCE ELIGIBILITY UNDER THE HOSPITAL'S FAP, FOR THOSE INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH PATIENTS TO ASSIST THEM IN APPLYING FOR PUBLIC ASSISTANCE AND/OR HOSPITAL FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER SOME OR ALL OF THEIR UNPAID HOSPITAL BILLS. IN ORDER TO HELP UNINSURED AND UNDERINSURED INDIVIDUALS FIND AVAILABLE AND APPROPRIATE OPTIONS, THE HOSPITAL WILL PROVIDE ALL INDIVIDUALS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PUBLIC ASSISTANCE AND FINANCIAL ASSISTANCE PROGRAMS DURING THE PATIENT'S INITIAL IN-PERSON REGISTRATION AT A HOSPITAL LOCATION FOR A SERVICE, IN ALL BILLING INVOICES THAT ARE SENT TO A PATIENT OR GUARANTOR, AND WHEN THE PROVIDER IS NOTIFIED OR THROUGH ITS OWN DUE DILIGENCE BECOMES AWARE OF A CHANGE IN THE PATIENT'S ELIGIBILITY STATUS FOR PUBLIC OR PRIVATE INSURANCE COVERAGE.HOSPITAL PATIENTS MAY BE ELIGIBLE FOR FREE OR REDUCED COST OF HEALTH CARE SERVICES THROUGH VARIOUS STATE PUBLIC ASSISTANCE PROGRAMS AS WELL AS THE HOSPITAL FINANCIAL ASSISTANCE PROGRAMS (INCLUDING BUT NOT LIMITED TO MASSHEALTH, THE PREMIUM ASSISTANCE PAYMENT PROGRAM OPERATED BY THE HEALTH CONNECTOR, THE CHILDREN'S MEDICAL SECURITY PROGRAM, THE HEALTH SAFETY NET, AND MEDICAL HARDSHIP). SUCH PROGRAMS ARE INTENDED TO ASSIST LOW-INCOME PATIENTS TAKING INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. FOR THOSE INDIVIDUALS THAT ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL, WHEN REQUESTED, HELP THEM WITH APPLYING FOR EITHER COVERAGE THROUGH PUBLIC ASSISTANCE PROGRAMS OR HOSPITAL FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER ALL OR SOME OF THEIR UNPAID HOSPITAL BILLS.
FINANCIAL STATEMENT FOOTNOTES CONTINUEDTHE HOSPITAL IS AVAILABLE TO ASSIST PATIENTS IN ENROLLING INTO STATE HEALTH COVERAGE PROGRAMS. THESE INCLUDE MASSHEALTH, THE PREMIUM ASSISTANCE PAYMENT PROGRAM OPERATED BY THE STATE'S HEALTH CONNECTOR, AND THE CHILDREN'S MEDICAL SECURITY PLAN. FOR THESE PROGRAMS, APPLICANTS CAN SUBMIT AN APPLICATION THROUGH AN ONLINE WEBSITE (WHICH IS CENTRALLY LOCATED ON THE STATE'S HEALTH CONNECTOR WEBSITE), A PAPER APPLICATION, OR OVER THE PHONE WITH A CUSTOMER SERVICE REPRESENTATIVE LOCATED AT EITHER MASSHEALTH OR THE CONNECTOR. INDIVIDUALS MAY ALSO ASK FOR ASSISTANCE FROM HOSPITAL FINANCIAL COUNSELORS (ALSO CALLED CERTIFIED APPLICATION COUNSELORS) WITH SUBMITTING THE APPLICATION EITHER ON THE WEBSITE OR THROUGH A PAPER APPLICATION.FINANCIAL ASSISTANCE POLICY - TRANSLATIONS THE HOSPITAL'S FAP, CREDIT AND COLLECTION POLICY AND PLAIN LANGUAGE SUMMARY OF THE FAP (SEE DETAIL BELOW) HAVE ALL BEEN TRANSLATED INTO THE LANGUAGES SPOKEN BY THOSE IN THE HOSPITAL'S COMMUNITY WHO MAY COMMUNICATE IN A LANGUAGE OTHER THAN ENGLISH. THE HOSPITAL HAS TRANSLATED THESE DOCUMENTS INTO THE LANGUAGES OF LIMITED ENGLISH PROFICIENCY (LEP) OF ITS PATIENTS, USING THE HEALTH AND HUMAN SECRETARY GUIDANCE SAFE HARBOR OF 5% OF THE POPULATION OR 1000 PERSONS, WHICHEVER IS LESS. BASED ON THE HOSPITAL'S REVIEW OF THIS SAFE HARBOR, THE HOSPITAL HAS TRANSLATED THESE DOCUMENTS INTO THE FOLLOWING LANGUAGES: GREEK, PORTUGUESE, RUSSIAN AND SPANISH. (SCHEDULE H PART V SECTION B QUESTION 16I).FINANCIAL ASSISTANCE POLICY - WIDELY PUBLICIZING AND AVAILABILITYCOPIES OF THE FAP, CREDIT AND COLLECTION POLICY, FAP SUMMARY AND APPLICATION FOR FINANCIAL ASSISTANCE ARE ALL AVAILABLE IN BOTH ENGLISH AND ALL LEP LANGUAGES AT THE HOSPITAL OR BY MAIL FREE OF CHARGE AND ON THE HOSPITAL'S WEBSITE AT (SCHEDULE H PART V SECTION B QUESTIONS 16A, 16B, 16C, 16D, 16E, 16H):WWW.NEBH.ORG/POLICIESIN ADDITION, THE FAP, CREDIT AND COLLECTION POLICY, FAP SUMMARY AND APPLICATION FOR FINANCIAL ASSISTANCE ARE ALL AVAILABLE IN THE HOSPITAL'S EMERGENCY DEPARTMENT AND FINANCIAL COUNSELING OFFICE. (SCHEDULE H PART V SECTION B QUESTION 16F AND SCHEDULE H PART VI QUESTION 3).THE HOSPITAL MAINTAINS SIGNAGE AND CONSPICUOUS PUBLIC DISPLAYS ABOUT FINANCIAL ASSISTANCE AND THE FAP DESIGNED TO ATTRACT THE ATTENTION OF PATIENTS AND VISITORS. SUCH SIGNAGE IS POSTED BOTH IN ENGLISH AND THE LEP LANGUAGES NOTED ABOVE. IN ADDITION, FINANCIAL COUNSELING PERSONNEL ROUTINELY VISIT LOCATIONS DESIGNATED FOR SIGNAGE TO ENSURE THAT SUCH SIGNAGE REMAINS VISIBLE TO PATIENTS AND VISITORS AS ATTENDED. THE HOSPITAL PROVIDES INFORMATION ABOUT THE FAP TO PATIENTS BEFORE DISCHARGE AND CONSPICUOUSLY WITHIN BILLING STATEMENTS. INFORMATION PROVIDED TO PATIENTS IN THESE COMMUNICATIONS INCLUDE CONTACT INFORMATION FOR THOSE THAT CAN HELP PROVIDE ADDITIONAL INFORMATION ABOUT THE FAP, INFORMATION ON THE APPLICATION PROCESS AND THE WEBSITE WHERE THE FAP CAN BE OBTAINED. ADDITIONALLY, A PLAIN LANGUAGE SUMMARY OF THE FAP IS PROVIDED TO PATIENTS AS PART OF THE INTAKE PROCESS. (SCHEDULE H PART V SECTION B QUESTION 16G). FINANCIAL ASSISTANCE POLICY - PLAIN LANGUAGE SUMMARYAS NOTED IN THIS NARRATIVE SUPPORT TO THE FORM 990 SCHEDULE H, THE HOSPITAL HAS A PLAIN LANGUAGE SUMMARY OF ITS FAP. THIS IS A WRITTEN STATEMENT DESIGNED TO NOTIFY PATIENTS AND VISITORS THAT THE HOSPITAL HAS A WRITTEN FAP AND PROVIDES FINANCIAL ASSISTANCE. THIS PLAIN LANGUAGE SUMMARY INCLUDES INFORMATION ON FREE AND DISCOUNTED CARE, HOW TO OBTAIN A COPY OF THE FAP POLICY AND APPLICATION, INCLUDING THE WEBSITE ADDRESS, THE LOCATION (INCLUDING THE BUILDING AND ROOM NUMBER) AND PHONE NUMBER OF THE FINANCIAL COUNSELING OFFICE. THE PLAIN LANGUAGE SUMMARY ALSO INCLUDES THE LIST OF LANGUAGES INTO WHICH THE FAP AND SUMMARY HAVE BEEN TRANSLATED AS WELL AS HOW TO ACCESS INFORMATION ON PROVIDERS NOT COVERED BY THE FAP AND TO WHICH OTHER RELATED HOSPITALS APPROVAL UNDER THE FAP WILL APPLY. LIMITATION ON CHARGES - INTERNAL REVENUE CODE SECTION 501(R)(5)LIMITATION ON CHARGESAS REQUIRED BY IRC SECTION 501(R)(5) AND THE REGULATIONS PROMULGATED THEREUNDER, THE HOSPITAL LIMITS THE AMOUNTS CHARGED FOR ANY URGENT OR OTHER MEDICALLY NECESSARY CARE IT PROVIDES TO A FINANCIAL ASSISTANCE ELIGIBLE PATIENT, TO NOT MORE THAN AMOUNTS GENERALLY BILLED (AGB) AND LIMITS THE AMOUNTS CHARGED TO ANY FINANCIAL ASSISTANCE ELIGIBLE PATIENT FOR ALL OTHER MEDICAL CARE TO LESS THAN GROSS CHARGES. AMOUNTS GENERALLY BILLED - LOOK BACK METHODTHE HOSPITAL CALCULATES ITS AGB, USING THE LOOK BACK METHOD, DIVIDING THE TOTAL PAYMENTS RECEIVED FROM ALL COMMERCIAL PLANS AND MEDICARE BY THE TOTAL CHARGES SENT TO THOSE SAME PAYERS FOR THE PREVIOUS FISCAL YEAR. CALCULATED AGB IS INCLUDED IN THE HOSPITAL'S FAP AS REQUIRED UNDER THE REGULATIONS DETAILING THE REQUIREMENTS UNDER IRC SECTION 501(R)(5). (SCHEDULE H PART V SECTION B QUESTION 22). PATIENT REFUNDS FOR CHARGES IN EXCESS OF AMOUNTS GENERALLY BILLEDTHE HOSPITAL REGULARLY MONITORS THE FINANCIAL ACCOUNTS OF FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. WHERE A PATIENT SUBMITS A COMPLETED APPLICATION FOR FINANCIAL ASSISTANCE AND IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL REFUNDS ANY AMOUNTS PREVIOUSLY PAID FOR CARE THAN EXCEEDS THE AMOUNT THAT THE PATIENT IS PERSONALLY RESPONSIBLE FOR PAYING WHERE SUCH AMOUNTS ARE EQUAL TO OR EXCEED $5.00.
BILLING AND COLLECTIONS -- 501(R)(6)EXTRAORDINARY COLLECTION ACTIVITIESTHE HOSPITAL DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIVITIES (ECAS) FOR FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. SPECIFICALLY, THE HOSPITAL DOES NOT REPORT TO CREDIT AGENCIES, ENGAGE IN LEGAL OR JUDICIAL PROCESSES OR SELL A PATIENT'S OUTSTANDING AMOUNTS OWED FOR PATIENT CARE. IN ADDITION, THIS EXTENDS TO ANY THIRD PARTY CONTRACTED WITH THE HOSPITAL RELATED TO BILLING AND COLLECTIONS. (SCHEDULE H PART V SECTION B QUESTIONS 18 AND 19).APPLICATION PERIOD PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME UP TO TWO HUNDRED FORTY (240) DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS AVAILABLE. FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - COMMUNITY HEALTH IMPROVEMENT SERVICES AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPSCOMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLANDETAIL RELATED TO THE NEBH COMMUNITY HEALTH NEEDS ASSESSMENT, IMPLEMENTATION STRATEGY AND COMMUNITY BENEFITS ACTIVITIES HAS BEEN PROVIDED IN FORM 990, SCHEDULE H, PART V, SECTION C ABOVE.COMMUNITY BENEFITS - ANNUAL COMMUNITY BENEFITS REPORTAS PREVIOUSLY NOTED IN THIS FILING, THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) WERE COMPLETED AND APPROVED BY THE BOARD OF TRUSTEES DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2016 AS REQUIRED PURSUANT TO THE REGULATIONS UNDER INTERNAL REVENUE CODE SECTION 501(R). IN ADDITION AS NOTED IN THIS FORM 990 SCHEDULE H, PART I, LINES 6A AND 6B, NEBH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS SUBMITTED TO THE MASSACHUSETTS ATTORNEY GENERAL (SCHEDULE H, PART VI, LINE 7). THAT FILING IS AVAILABLE FOR PUBLIC INSPECTION AT THE ATTORNEY GENERAL'S OFFICE, ON THE ATTORNEY GENERAL'S WEBSITE AND AT THE HOSPITAL UPON REQUEST AND ON NEBH'S WEBSITE AT: HTTPS://WWW.NEBH.ORG/WHO-WE-ARE/GIVING-BACK/ THERE ARE SOME DIFFERENCES BETWEEN THE MASSACHUSETTS ATTORNEY GENERAL DEFINITION OF CHARITY CARE AND COMMUNITY BENEFITS AND THE INTERNAL REVENUE SERVICE DEFINITION OF FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS. AS SUCH, THERE ARE VARIANCES BETWEEN THIS SCHEDULE H DISCLOSURE AND THE REPORT THE HOSPITAL FILED WITH THE ATTORNEY GENERAL'S OFFICE.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
ARTHRITIS FOUNDATION
29 CRAFTS ST CHATHAM 450NEWTONMA02458042113261501(C) (3)$25,000PREVENT & TREAT ARTHIRITIS
ROXBURY TENANTS OF HARVARD
11 NEW WHITNEY STBOSTONMA02115042555987501(C)(3)$7,000SUPPORT PROGRAMS TO KEEP SENIORS ACTIVE IN THE COMMUNITY
MISSION HILL LINK
8 BUCKNAM STBOSTONMA02120042921969501(C)(3)$51,000TRANSPORTATION FOR ELDERLY & PRESIDENTS IN MISSION HILL
SOCIEDAD LATINA
1530 TREMONT STROXBURYMA02120042678255501(C)(3)$21,500HEALTH EDUCATION IN ACTION PROGRAM IN COMMUNITY
CITY OF BOSTON
1 CITY HALL SQBOSTONMA02201$10,263FACILITIES , SECURITY , EQUIPMENT FOR COMMUNITY
BOSTON CELTICS SHAMROCK FOUNDATION
226 CAUSEWAY STBOSTONMA02114043174933501(C)(3)$69,702SUPPORT OF JR. CELTICS PROGRAM IN COMMUNITY.
METRO HOUSING BOSTON
1411 TREMONT STREETBOSTONMA02120042775991501(C)(3)$5,000REDUCE HOMELESSNESS
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVEDALLASTX75231135613797501(C) (3)$5,000SUPPORT OF THE BOSTON HEART WALK
FieldValueIRS element (for citing)
Total501c3 Org8Total501c3OrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BASILICO MD FACC FREDERICK C
TEE (EX-OFF)/CHAIR OF MED/SEC$123,703$123,703$30,788$30,788$0$0$0$0$14,746$14,746$169,237$169,237$0$0
HANNON FACHE PATRICIA
PRESIDENT/CEO/TRUSTEE (EX-OFF)$703,986$21,773$292,455$9,045$246,294$7,617$0$0$27,215$842$1,269,950$39,277$0$0
MATTINGLY MD DAVID
TTEE(EXOFF)/SURG CHF/ORTHO CHR$171,079$171,079$51,000$51,000$0$0$0$0$1,421$1,421$223,500$223,500$0$0
SMITH RN MS MARY SULLIVAN
TEE (EX-O), SVP, COO, CNO$346,232$10,708$87,058$2,693$6,959$215$11,383$352$4,076$126$455,708$14,094$0$0
TROMANHAUSER MD SCOTT
TEE/CHF MED QTY OFF/RES OP DIR$154,227$154,227$43,506$43,506$880$880$0$0$21$21$198,634$198,634$0$0
GHERINGHELLI MSF THOMAS J
SVP OF FINANCE & CFO$299,696$9,269$76,388$2,363$5,378$166$857$27$14,273$441$396,592$12,266$0$0
PASSAFARO DAVID
SVP, EXTERNAL AFFAIRS$263,838$0$75,000$0$1,758$0$12,550$0$28,951$0$382,097$0$0$0
THOMPSON LINDA E
SVP, HR & SERVICE EXCELLENCE$270,956$8,380$69,355$2,145$2,668$83$2,473$76$20,594$637$366,046$11,321$0$0
CALLAHAN ANN E
OR NURSE$207,979$0$0$0$863$0-$2,276$0$12,618$0$219,184$0$0$0
CAMPBELL BEAUDET JAYNE
OR NURSE$195,309$0$0$0$755$0$19,192$0$29,335$0$244,591$0$0$0
HAYEK MD JIHAD
PATHOLOGY CHAIR$159,145$159,145$2,000$2,000$729$729$7,893$7,893$16,417$16,417$186,184$186,184$0$0
HERMAN KATHERINE MORGAN
VICE PRESIDENT OF PHILANTHROPY$217,067$0$56,250$0$297$0$11,250$0$27,196$0$312,060$0$0$0
RICHMOND MD JOHN C
MED. DIR. OF NTWRK DEVEL$87,904$87,904$20,520$20,520$0$0$0$0$1,017$1,017$109,441$109,441$0$0
GREENSPAN ELIZABETH
FMR SVP, CHIEF STRATEGY OFF$135,987$4,206$43,229$1,337$139,987$4,329$145,257$4,492$28,779$890$493,239$15,254$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE J: ADDITIONAL COMPENSATION DISCLOSURESAS REQUIRED BY FORM 990, THE COMPENSATION DETAIL INCLUDED HERE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2018 IS CALENDAR YEAR 2017 DETAIL. REPORTABLE COMPENSATION LISTED IN FORM 990 PART VII INCLUDES BASE COMPENSATION, INCENTIVE COMPENSATION AND OTHER REPORTABLE COMPENSATION AS REPORTED IN FORM 990 SCHEDULE J. OTHER COMPENSATION LISTED IN FORM 990 PART VII INCLUDES DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS AS REPORTED IN FORM 990 SCHEDULE J. BASE COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED IN THIS RETURN BUT QUANTIFIED IN BASE COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: REGULAR WAGES, EMPLOYEE DEFERRALS TO A 401(K) AND/OR 403(B) PLAN OTHER REPORTABLE COMPENSATION: AMOUNTS QUANTIFIED IN OTHER REPORTABLE COMPENSATION WHICH MAY NOT BE SEPARATELY NOTED IN THIS FILING INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: TAXABLE EMPLOYER-SUBSIDIZED PARKING; TAXABLE MOVING EXPENSES; TAXABLE LIFE, DISABILITY, OR LONG-TERM CARE INSURANCE; AMOUNTS DEFERRED BY THE EMPLOYEE (PLUS EARNINGS) UNDER FULLY VESTED 457(B) PLAN; DISTRIBUTIONS FROM A 457(B) PLAN; AMOUNTS INCLUDIBLE IN INCOME UNDER A 457(F) PLAN; INCREASE/DECREASE IN VALUE OF NONQUALIFIED RETIREMENT BENEFITS; OTHER TAXABLE RETIREMENT BENEFITS DEFERRED COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED BUT QUANTIFIED IN DEFERRED COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: EMPLOYER CONTRIBUTIONS TO 401K RETIREMENT PLAN, EMPLOYER CONTRIBUTIONS TO 403B RETIREMENT PLAN, EMPLOYER CONTRIBUTION TO PENSION PLAN AND/OR THE CHANGE IN ACTUARIAL VALUE OF THE PENSION PLAN BENEFIT, UNFUNDED AND UNVESTED AMOUNTS DEFERRED UNDER 457(F) PLAN NON-TAXABLE BENEFITS: AMOUNTS NOT OTHERWISE SEPARATELY NOTED BUT QUANTIFIED IN NON-TAXABLE BENEFITS INCLUDE AMOUNTS FROM ONE OR MORE OF THESE NON-TAXABLE BENEFITS: EMPLOYEE CONTRIBUTIONS TO HEALTH INSURANCE, EMPLOYER CONTRIBUTIONS TO HEALTH INSURANCE, EMPLOYEE CONTRIBUTIONS TO FLEXIBLE SPENDING ACCOUNTS FOR DEPENDENT CARE AND/OR MEDICAL REIMBURSEMENT, ADOPTION ASSISTANCE, TUITION ASSISTANCE PURSUANT TO AN EMPLOYER PLAN, GROUP TERM LIFE INSURANCE, DISABILITY INSURANCE ALL TRUSTEES SERVE WITHOUT COMPENSATION OR BENEFITS. COMPENSATION PAID TO OFFICERS, TRUSTEES OR KEY EMPLOYEES WAS EARNED FOR WORK PERFORMED IN A CAPACITY OTHER THAN THAT OF TRUSTEE, AS DENOTED BY THE LISTED TITLES NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES MAY BE REFERRED TO IN THESE EXPLANATORY NOTES TO FORM 990 PART VII AND FORM 990 SCHEDULE J AS NEBH AND NEBMA RESPECTIVELY. AMELLO, JASON TRUSTEE - NEW ENGLAND BAPTIST HOSPITAL MR. ARMELLO DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. BACHMAN , JOHN TRUSTEE - NEW ENGLAND BAPTIST HOSPITAL MR. BACHMAN'S TERM ON THE NEW ENGLAND BAPTIST HOSPITAL BOARD BEGAN JANUARY 24, 2018. MR. BACHMAN DEVOTES, ON AVERAGE, 1 HOUR TO THE REPORTING ORGANIZATION. BARNETT, KEITH TRUSTEE - NEW ENGLAND BAPTIST HOSPITAL MR. BARNETT DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION BASILICO, M.D., F.A.C.C., FREDERICK C. TRUSTEE (EX-OFFICIO), PHYSICIAN IN CHIEF AND CHAIR OF MEDICINE - NEW ENGLAND BAPTIST HOSPITAL PRESIDENT, TRUSTEE (EX-OFFICIO), CHIEF OF MEDICINE - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES ASSISTANT CLINICAL PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. BASILICO DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. BASILICO PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. BASILICO IS PAID DIRECTLY BY NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, THE PORTION OF DR. BASILICO'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 123,703 INCENTIVE COMPENSATION: 30,788 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 14,746 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 123,703 INCENTIVE COMPENSATION: 30,788 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 14,746 COLLINS, CHRISTOPHER TRUSTEE - NEW ENGLAND BAPTIST HOSPITAL MR. COLLINS DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. FREDERICK, JOCELYN TRUSTEE - NEW ENGLAND BAPTIST HOSPITAL MS. FREDERICK'S TERM ON THE NEW ENGLAND BAPTIST HOSPITAL BOARD BEGAN JANUARY 24, 2018. MR. BACHMAN DEVOTES, ON AVERAGE, 1 HOUR TO THE REPORTING ORGANIZATION. HANNON, FACHE, PATRICIA TRUSTEE (EX-OFFICIO), PRESIDENT AND CHIEF EXECUTIVE OFFICER - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO) AND CHIEF EXECUTIVE OFFICER - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES MS. HANNON'S TERM AS PRESIDENT, CHIEF EXECUTIVE OFFICER AND TRUSTEE (EX-OFFICIO) FOR NEW ENGLAND BAPTIST HOSPITAL ENDED SEPTEMBER 30, 2018. MS. HANNON DEVOTED, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. MS. HANNON PERFORMED SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, ALTHOUGH MS. HANNON WAS PAID DIRECTLY BY NEW ENGLAND BAPTIST HOSPITAL, THE PORTION OF HER COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 703,986 INCENTIVE COMPENSATION: 292,455 OTHER REPORTABLE COMPENSATION: 246,294 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 27,215 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 21,773 INCENTIVE COMPENSATION: 9,045 OTHER REPORTABLE COMPENSATION: 7,617 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 842 OTHER REPORTABLE COMPENSATION INCLUDES PAYMENTS TOTALING $234,500 DESIGNED TO PROVIDE MS. HANNON WITH SUPPLEMENTAL RETIREMENT BENEFITS. JENNY, CHRISTOPHER TRUSTEE - NEW ENGLAND BAPTIST HOSPITAL MR. JENNY DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. KOLLIGIAN, ESQ., JOAN TRUSTEE AND SECRETARY - NEW ENGLAND BAPTIST HOSPITAL MS. KOLLIGIAN'S TERM AS SECRETARY AND TRUSTEE FOR NEW ENGLAND BAPTIST HOSPITAL ENDED ON JANUARY 24, 2018. MS. KOLLIGIAN DEVOTED, ON AVERAGE, 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION. LIBERT, JEFFREY TRUSTEE - NEW ENGLAND BAPTIST HOSPITAL MR. LIBERT DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. MATTINGLY, M.D., DAVID A. TRUSTEE (EX-OFFICIO), CHAIR OF ORTHOPEDICS AND SURGEON IN CHIEF - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO), CHAIR OF ORTHOPEDICS AND SURGEON IN CHIEF- NEW ENGLAND BAPTIST MEDICAL ASSOCIATES ASSOCIATE CLINICAL PROFESSOR, ORTHOPEDIC SURGERY - TUFTS MEDICAL SCHOOL DR. MATTINGLY DEVOTES, ON AVERAGE, A COMBINED 30 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. MATTINGLY PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. MATTINGLY IS PAID DIRECTLY BY NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, THE PORTION OF DR. MATTINGLY'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 171,079 INCENTIVE COMPENSATION: 51,000 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 1,421 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 171,079 INCENTIVE COMPENSATION: 51,000 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 1,421 NICHOLS, PETER TRUSTEE, CO-VICE CHAIR - NEW ENGLAND BAPTIST HOSPITAL DIRECTOR - CAREGROUP, INC. MR. NICHOLS DEVOTES, ON AVERAGE, A COMBINED 3 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. POGORZELSKI, DONALD E. TRUSTEE AND CO-VICE CHAIR - NEW ENGLAND BAPTIST HOSPITAL MR. POGORZELSKI DEVOTES, ON AVERAGE, 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION. RUBENSTEIN, JAMES TRUSTEE - NEW ENGLAND BAPTIST HOSPITAL MR. RUBENSTEIN DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. SAMSEL, ERVEN TRUSTEE AND BOARD CHAIR - NEW ENGLAND BAPTIST HOSPITAL MR. SAMSEL DEVOTES, ON AVERAGE, 5 HOURS PER WEEK TO THE REPORTING ORGANIZATION. SPITZ, M.D., DAMON J. TRUSTEE (EX-OFFICIO), PRESIDENT OF THE MEDICAL STAFF AND CHAIR OF THE DEPARTMENT OF RADIOLOGY - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO), BOARD CHAIR, RADIOLOGY CHAIR - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES ASSISTANT CLINICAL PROFESSOR, TUFTS MEDICAL SCHOOL DR. SPITZ DEVOTES, ON AVERAGE, A COMBINED 12 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES LISTED HERE.
FORM 990, SCHEDULE J: ADDITIONAL COMPENSATION DISCLOSURES (CONTINUED)PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 40,859 INCENTIVE COMPENSATION: 6,622 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 40,859 INCENTIVE COMPENSATION: 6,622 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 SULLIVAN SMITH, R.N., M.S., MARY TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL SENIOR VICE PRESIDENT, CHIEF OPERATING OFFICER, CHIEF NURSING OFFICER AND CHIEF COMPLIANCE AND PRIVACY OFFICER - NEW ENGLAND BAPTIST HOSPITAL MS. SULLIVAN SMITH DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND RELATED ENTITY MENTIONED BELOW. MS. SULLIVAN SMITH IS THE SENIOR VICE PRESIDENT, CHIEF OPERATING OFFICER, CHIEF NURSING OFFICER AND CHIEF COMPLIANCE AND PRIVACY OFFICER FOR NEBH AND ALSO PROVIDES ADMINISTRATIVE AND MEDICAL MANAGEMENT SERVICES FOR NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY FORM 990, ALTHOUGH MS. SULLIVAN SMITH IS PAID DIRECTLY BY NEBH, THE PORTION OF MS. SULLIVAN SMITH'S COMPENSATION ATTRIBUTABLE TO EACH SET OF RESPONSIBILITIES HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW: PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 346,232 INCENTIVE COMPENSATION: 87,058 OTHER REPORTABLE COMPENSATION: 6,959 DEFERRED COMPENSATION: 11,383 NON-TAXABLE BENEFITS: 4,076 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 10,708 INCENTIVE COMPENSATION: 2,693 OTHER REPORTABLE COMPENSATION: 215 DEFERRED COMPENSATION: 352 NON-TAXABLE BENEFITS: 126 TROMANHAUSER, M.D., MBA, MHCDS, SCOTT TRUSTEE, CHIEF MEDICAL QUALITY OFFICER AND DIRECTOR OF RESEARCH OPERATIONS - NEW ENGLAND BAPTIST HOSPITAL CHIEF MEDICAL QUALITY OFFICER AND CHIEF, SECTION OF SPINE SURGERY - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES ASSISTANT CLINICAL PROFESSOR, ORTHOPEDIC SURGERY - TUFTS MEDICAL SCHOOL DR. TROMANHAUSER DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION, AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. TROMANHAUSER PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. TROMANHAUSER IS PAID DIRECTLY BY NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, THE PORTION OF DR. TROMANHAUSER'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 154,227 INCENTIVE COMPENSATION: 43,506 OTHER REPORTABLE COMPENSATION: 880 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 21 PAYMENTS REPORTED BY NEBMA BASE COMPENSATION: 154,227 INCENTIVE COMPENSATION: 43,506 OTHER REPORTABLE COMPENSATION: 880 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 21 GHERINGHELLI, MSF, THOMAS, J. SENIOR VICE PRESIDENT OF FINANCE AND CHIEF FINANCIAL OFFICER - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO) AND TREASURER - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES MR. GHERINGHELLI DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. MR. GHERINGHELLI PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, ALTHOUGH MR. GHERINGHELLI IS PAID DIRECTLY BY NEW ENGLAND BAPTIST HOSPITAL, THE PORTION OF MR. GHERINGHELLI'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 299,696 INCENTIVE COMPENSATION: 76,388 OTHER REPORTABLE COMPENSATION: 5,378 DEFERRED COMPENSATION: 857 NON-TAXABLE BENEFITS: 14,273 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 9,269 INCENTIVE COMPENSATION: 2,363 OTHER REPORTABLE COMPENSATION: 166 DEFERRED COMPENSATION: 27 NON-TAXABLE BENEFITS: 441 PASSAFARO, DAVID SENIOR VICE PRESIDENT, EXTERNAL AFFAIRS - NEW ENGLAND BAPTIST HOSPITAL MR. PASSAFARO DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 263,838 INCENTIVE COMPENSATION: 75,000 OTHER REPORTABLE COMPENSATION: 1,758 DEFERRED COMPENSATION: 12,550 NON-TAXABLE BENEFITS: 28,951 FOR THE PERIOD COVERED BY THIS FILING, MR. PASSAFARO SERVED IN THE CAPACITY AS DENOTED BY THE TITLE ABOVE. MR. PASSAFARO ASSUMED THE ROLE OF NEBH PRESIDENT ON OCTOBER 1, 2018. THOMPSON, LINDA SENIOR VICE PRESIDENT, HUMAN RESOURCES AND SERVICE EXCELLENCE - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO) AND SECRETARY - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES MS. THOMPSON DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. MS. THOMPSON IS THE SENIOR VICE PRESIDENT FOR HUMAN RESOURCES AND SERVICE EXCELLENCE FOR NEBH AND ALSO PROVIDES ADMINISTRATIVE AND MANAGEMENT SERVICES FOR NEBMA. AS REQUIRED BY FORM 990, ALTHOUGH MS. THOMPSON IS PAID DIRECTLY BY NEW ENGLAND BAPTIST HOSPITAL, THE PORTION OF MS. THOMPSON'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 270,956 INCENTIVE COMPENSATION: 69,355 OTHER REPORTABLE COMPENSATION: 2,688 DEFERRED COMPENSATION: 2,473 NON-TAXABLE BENEFITS: 20,594 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 8,380 INCENTIVE COMPENSATION: 2,145 OTHER REPORTABLE COMPENSATION: 83 DEFERRED COMPENSATION: 76 NON-TAXABLE BENEFITS: 637 HAYEK, M.D., JIHAD CHAIRMAN, DEPARTMENT OF PATHOLOGY - NEW ENGLAND BAPTIST HOSPITAL IN HIS POSITION AS CHAIRMAN OF THE DEPARTMENT OF PATHOLOGY AT NEW ENGLAND BAPTIST HOSPITAL, DR. HAYEK PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES AND DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO NEBH AND NEBMA. AS REQUIRED BY FORM 990, ALTHOUGH DR. HAYEK IS PAID DIRECTLY BY NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, THE PORTION OF DR. HAYEK'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 159,145 INCENTIVE COMPENSATION: 2,000 OTHER REPORTABLE COMPENSATION: 729 DEFERRED COMPENSATION: 7,893 NON-TAXABLE BENEFITS: 16,417 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 159,145 INCENTIVE COMPENSATION: 2,000 OTHER REPORTABLE COMPENSATION: 729 DEFERRED COMPENSATION: 7,893 NON-TAXABLE BENEFITS: 16,417 HERMAN, K. MORGAN VICE PRESIDENT OF PHILANTHROPY - NEW ENGLAND BAPTIST HOSPITAL MS. HERMAN DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 217,067 INCENTIVE COMPENSATION: 56,250 OTHER REPORTABLE COMPENSATION: 297 DEFERRED COMPENSATION: 11,250 NON-TAXABLE BENEFITS: 27,196 RICHMOND, M.D., JOHN C. MEDICAL DIRECTOR FOR NETWORK DEVELOPMENT - NEW ENGLAND BAPTIST HOSPITAL PROFESSOR OF ORTHOPEDIC SURGERY - TUFTS MEDICAL SCHOOL DR. RICHMOND DEVOTES, ON AVERAGE, A COMBINED 24 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. IN HIS ROLE AS MEDICAL DIRECTOR FOR NETWORK DEVELOPMENT AT NEW ENGLAND BAPTIST HOSPITAL, DR. RICHMOND PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. RICHMOND IS PAID DIRECTLY BY NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, THE PORTION OF DR. RICHMOND'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 87,904 INCENTIVE COMPENSATION: 20,520 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 1,017 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 87,904 INCENTIVE COMPENSATION: 20,520 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 1,017 CALLAHAN, ANN E. OR NURSE - NEW ENGLAND BAPTIST HOSPITAL MS. CALLAHAN DEVOTES 50 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. BASE COMPENSATION: 207,979 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 863 DEFERRED COMPENSATION: (2,276) NON-TAXABLE BENEFITS: 12,618 CAMPBELL BEAUDET, JAYNE OR NURSE - NEW ENGLAND BAPTIST HOSPITAL MS. CAMPBELL BEAUDET DEVOTES 50 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. BASE COMPENSATION: 195,309 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 755 DEFERRED COMPENSATION: 19,192 NON-TAXABLE BENEFITS: 29,335
FORM 990, SCHEDULE J: ADDITIONAL COMPENSATION DISCLOSURES (CONTINUED)GREENSPAN, ELIZABETH FORMER SENIOR VICE PRESIDENT, STRATEGY & BUSINESS DEVELOPMENT AND CHIEF STRATEGY OFFICER - NEW ENGLAND BAPTIST HOSPITAL MS. GREENSPAN SERVED AS SENIOR VICE PRESIDENT STRATEGY AND BUSINESS DEVELOPMENT AND CHIEF STRATEGY OFFICER OF NEW ENGLAND BAPTIST HOSPITAL THROUGH JULY 15, 2017. AS REQUIRED BY FORM 990, ALTHOUGH MS. GREENSPAN WAS PAID DIRECTLY BY NEW ENGLAND BAPTIST HOSPITAL, THE PORTION OF MS. GREENSPAN COMPENSATION ATTRIBUTABLE TO EACH SET OF RESPONSIBILITIES HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 135,987 INCENTIVE COMPENSATION: 43,229 OTHER REPORTABLE COMPENSATION: 139,987 DEFERRED COMPENSATION: 145,257 NON-TAXABLE BENEFITS: 28,779 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 4,206 INCENTIVE COMPENSATION: 1,337 OTHER REPORTABLE COMPENSATION: 4,329 DEFERRED COMPENSATION: 4,492 NON-TAXABLE BENEFITS: 890 OTHER REPORTABLE COMPENSATION FOR MS. GREENSPAN INCLUDES SEVERANCE PAYMENTS OF $142,002. DEFERRED COMPENSATION INCLUDES FUTURE SEVERANCE TO BE PAID IN THE AMOUNT OF $142,002.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MASS DEVELOPMENT FINANCE AGENCY
A04343181457584YJW02018-06-13$479,594,374SEE PART VI000
MASS DEVELOPMENT FINANCE AGENCY
B04343181457584XMT52016-05-12$257,611,877SEE PART VI000
MASS DEVELOPMENT FINANCE AGENCY
C04343181457584XDH12015-09-02$203,702,204SEE PART VI000
MASS DEVELOPMENT FINANCE AGENCY
D0434318140000000002012-07-11$49,910,000REFUND ISSUE DATED 2/11/1998000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYr
A$482,429,721$4,594,374$26,884,283$450,951,064000Yes (1)
B$257,618,370$2,515,889$19,006,4930Yes (1)Yes (1)Yes (1)$8,805,000$236,095,9882016
C$203,702,204$2,348,479Yes (1)Yes (1)Yes (1)Yes (1)$22,970,000$201,353,725
D$49,910,000$368,094Yes (1)0Yes (1)Yes (1)$49,541,906

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePct
A00Yes (1)Yes (1)000Yes (1)
BYes (1)Yes (1)Yes (1)Yes (1)000Yes (1)
CYes (1)Yes (1)Yes (1)Yes (1)000Yes (1)0.005000.005000.01000
D000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)000000Yes (1)
B0Yes (1)000000Yes (1)
C0Yes (1)000000Yes (1)
D00Yes (1)00000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K - EXPLANATORY STATEMENTFOR THE PERIOD COVERED BY THIS FILING, CAREGROUP, INC., (CAREGROUP) WAS A MASSACHUSETTS NON-PROFIT CORPORATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND SERVED AS A SUPPORT ORGANIZATION OF BETH ISRAEL DEACONESS MEDICAL CENTER, BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, BETH ISRAEL DEACONESS HOSPITAL - MILTON, BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH, MOUNT AUBURN HOSPITAL, NEW ENGLAND BAPTIST HOSPITAL AND THESE ENTITIES' PHYSICIAN GROUPS AND OTHER AFFILIATED ENTITIES. CAREGROUP'S PURPOSE WAS TO OVERSEE THE FINANCIAL WELL-BEING OF THE AFFILIATED ENTITIES WHICH MAKE UP THE CAREGROUP SYSTEM. CAREGROUP AND SOME OF ITS AFFILIATES JOINTLY BORROWED DEBT AS AN OBLIGATED GROUP. THE FOLLOWING IS A LIST OF THE ENTITIES WHICH PARTICIPATED AS MEMBERS OF THE CAREGROUP OBLIGATED GROUP: CAREGROUP, BETH ISRAEL DEACONESS MEDICAL CENTER (MEDICAL CENTER), MOUNT AUBURN HOSPITAL (MAH), NEW ENGLAND BAPTIST HOSPITAL (NEBH), BETH ISRAEL DEACONESS - NEEDHAM (BID-NEEDHAM), MOUNT AUBURN PROFESSIONAL SERVICES (MAPS), MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP (APG), BETH ISRAEL DEACONESS HOSPITAL - MILTON AND BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH. THE INFORMATION REPORTED ON SCHEDULE K FOR BETH ISRAEL DEACONESS MEDICAL CENTER (MEDICAL CENTER) REFLECTS THE COMBINED CAREGROUP OBLIGATED GROUP DEBT ISSUED AFTER DECEMBER 31, 2002 WITH AN OUTSTANDING PRINCIPAL BALANCE IN EXCESS OF $100,000.
SCHEDULE K PART 1F - DESCRIPTION OF TAX-EXEMPT DEBT PURPOSEPURPOSES OF CAREGROUP SERIES J BONDS: - TO CONSTRUCT A NEW INPATIENT BUILDING AT BETH ISRAEL DEACONESS MEDICAL CENTER INCLUDING ACUTE AND INTENSIVE CARE, OPERATING/ PROCEDURE ROOMS, ANCILLARY CLINICAL AND CLINICAL SUPPORT SPACES. - TO CONSTRUCT AN OUTPATIENT AMBULATORY CARE BUILDING AT BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM - FACILITY AND COMPUTER SYSTEM UPGRADES AT BETH ISRAEL DEACONESS HOSPITAL - MILTON, BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM AND BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH. SCHEDULE K (1 OF 2), PART 1, LINE B, COLUMN F - DESCRIPTION OF TAX-EXEMPT DEBT PURPOSE PURPOSES OF CAREGROUP SERIES I BONDS: - REFUNDING THE REMAINING PORTION OF THE OUTSTANDING PRINCIPAL BALANCE OF THE CAREGROUP SERIES B BONDS, A PORTION OF THE CAREGROUP SERIES D BONDS AND ALL OF THE CAREGROUP SERIES E-1 BONDS CREATING AN IRREVOCABLE REFUNDING TRUST DATED MAY 12, 2016. - TO FINANCE AND REFINANCE THE ACQUISITION AND IMPLEMENTATION OF AN INTEGRATED INFORMATION TECHNOLOGY PLATFORM FOR MOUNT AUBURN HOSPITAL - TO FINANCE AND REFINANCE THE ACQUISITION AND INSTALLATION OF CAPITAL EQUIPMENT AND THE CONSTRUCTION OF IMPROVEMENTS AND RENOVATIONS TO MISCELLANEOUS OBLIGATED GROUP FACILITIES SCHEDULE K (1 OF 2), PART 1, LINE C, COLUMN F - DESCRIPTION OF TAX-EXEMPT DEBT PURPOSE PURPOSES OF CAREGROUP SERIES H BONDS: - REFUNDING THE REMAINING PORTION OF THE OUTSTANDING PRINCIPAL BALANCE OF THE MILTON SERIES D BONDS, THE PLYMOUTH SERIES D BONDS, THE PLYMOUTH SERIES E BONDS, AND A PORTION OF THE CAREGROUP SERIES E BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED SEPTEMBER 2, 2015 SCHEDULE K (1 OF 2), PART 1, LINE D, COLUMN F - DESCRIPTION OF TAX-EXEMPT DEBT PURPOSE PURPOSES OF CAREGROUP SERIES G BONDS: - REFUNDING THE REMAINING PORTION OF THE OUTSTANDING PRINCIPAL BALANCE OF THE CAREGROUP SERIES A BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED JULY 1,2012 SCHEDULE K (2 OF 2), PART 1, LINE A, COLUMN F - DESCRIPTION OF TAX-EXEMPT DEBT PURPOSE PURPOSES OF CAREGROUP SERIES F BONDS: - REFUNDING OF A PORTION OF THE OUTSTANDING PRINCIPAL BALANCE OF THE CAREGROUP SERIES A BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED SEPTEMBER 1, 2011
SCHEDULE K (1 OF 2) PART II, COLUMN A, LINE 3THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE DUE TO THE $26,884,283 OF INVESTMENT EARNINGS. SCHEDULE K (1 OF 2) PART II, COLUMN B, LINE 3 THE TOTAL PROCEEDS EXCEED THE ISSUE PRICE DUE TO THE $6,493 OF INVESTMENT EARNINGS. SCHEDULE K (1 OF 2) PART II, COLUMNS B, C & D, LINE 11 THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW SCHEDULE K (2 OF 2) PART II, COLUMN A, LINE 11 $8,993,760 OF THE PROCEEDS LISTED WERE USED FOR TERMINATION OF THE HEDGE AGREEMENT, WITH THE REMAINDER BEING REFUNDING PROCEEDS THAT ARE NO LONGER IN ESCROW SCHEDULE K (1 OF 2) PART III, COLUMN B, LINE 6 TOTAL FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE BY ENTITIES OTHER THAN A SECTION 501(C)(3) ORGANIZATION OR A STATE OR LOCAL GOVERNMENT AND FINANCED PROPERTY USED IN A PRIVATE BUSINESS USE AS A RESULT OF UNRELATED TRADE OR BUSINESS ACTIVITY CARRIED ON BY THE MEMBERS OF THE CAREGROUP OBLIGATED GROUP OR ANOTHER SECTION 501(C)(3) ORGANIZATION, OR A STATE OR LOCAL GOVERNMENT IS LESS THAN .1%. AS SUCH AND IN ACCORDANCE WITH THE INSTRUCTIONS FOR THE FORM 990, SCHEDULE K, THIS AMOUNT HAS BEEN REPORTED AS 0%. SCHEDULE K (1 OF 2) PART III, COLUMN D AND SCHEDULE K (2 OF 2) PART III, COLUMN A BOTH THE 2012 AND 2011 ISSUES ARE EXEMPT FROM COMPLETING PART III AS BOTH ISSUES WERE REFUNDINGS OF BONDS ISSUED PRIOR TO DECEMBER 31, 2002. SCHEDULE K PART III QUESTIONS 2 AND 3: FOR THE PERIOD COVERED BY THIS FILING, FACILITIES FINANCED WITH TAX-EXEMPT BONDS WERE PRIMARILY OCCUPIED BY CAREGROUP AND ITS AFFILIATED TAX-EXEMPT ENTITIES, INCLUDING BUT NOT LIMITED TO THE MEDICAL CENTER, BID-NEEDHAM, BID-PLYMOUTH, BID-MILTON, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, NEBH, NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, MAH, MAPS AND APG. SOME FINANCED SPACE MAY CONTAIN LEASE ARRANGEMENTS, AND THE AFFILIATES WHICH OWN THE DEBT FINANCED SPACE MAY OPT TO ENGAGE A MANAGEMENT SERVICES COMPANY (I.E. CLEANING, PATIENT TRANSPORT, AND FOOD SERVICES) OR ENGAGE IN RESEARCH PURSUANT TO RESEARCH AGREEMENTS WITHIN TAX EXEMPT DEBT FINANCED SPACE. ANY SUCH AGREEMENTS IN PLACE AS OF SEPTEMBER 30, 2018 WERE REVIEWED TO ENSURE PROPER ACCOUNTING OF ANY PRIVATE USE GENERATED FROM SUCH ACTIVITIES. IN ADDITION, SUCH AGREEMENTS ARE GENERALLY REVIEWED BY INSIDE COUNSEL PRIOR TO FINALIZING.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MASS DEVELOPMENT FINANCE AGENCYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN043431814BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2011-09-15BondIssuedDt
Issue Price$120,280,000IssuePriceAmt
PurposeREFUND ISSUE DATED 2/11/1998PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$75,775,000RetiredAmt
Total Proceeds$120,280,000TotalProceedsAmt
Issuance Costs From Proceeds$290,672IssuanceCostsFromProceedsAmt
Other Spent Proceeds$119,989,328OtherSpentProceedsAmt
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (19 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL CONTRIBUTOR #30
SUBSTANTIAL CONTRIBUTOR$927,062ANESTHESIA SERVICES0
SUBSTANTIAL CONTRIBUTOR #37
SUBSTANTIAL CONTRIBUTOR$2,643,325MEDICAL IMPLANTS0
SUBSTANTIAL CONTRIBUTOR #74
SUBSTANTIAL CONTRIBUTOR$627,611LEGAL SERVICES0
SUBSTANTIAL CONTRIBUTOR #64
SUBSTANTIAL CONTRIBUTOR$10,395,474EMPLOYEE HEALTH BENEFIT PLAN PROVIDER0
SUBSTANTIAL CONTRIBUTOR #123
SUBSTANTIAL CONTRIBUTOR$115,257LEGAL SERVICES0
SUBSTANTIAL CONTRIBUTOR #69
SUBSTANTIAL CONTRIBUTOR$164,573MANAGEMENT FEES0
SUBSTANTIAL CONTRIBUTOR #113
SUBSTANTIAL CONTRIBUTOR$395,688SNOW REMOVAL0
SUBSTANTIAL CONTRIBUTOR #3
SUBSTANTIAL CONTRIBUTOR$291,243PENSION SERVICES0
SUBSTANTIAL CONTRIBUTOR #122
SUBSTANTIAL CONTRIBUTOR$447,323PURCHASING SERVICES0
SUBSTANTIAL CONTRIBUTOR #32
SUBSTANTIAL CONTRIBUTOR$2,925,489FACILITY MAINTENANCE0
SUBSTANTIAL CONTRIBUTOR #65
SUBSTANTIAL CONTRIBUTOR$576,374CAFETERIA/SUPPORT SERVICES MANAGEMENT0
SUBSTANTIAL CONTRIBUTOR #130
SUBSTANTIAL CONTRIBUTOR$486,866SECURITY/SHUTTLE SERVICES0
SUBSTANTIAL CONTRIBUTOR #129
SUBSTANTIAL CONTRIBUTOR$485,389OFFICE SUPPLIES0
SUBSTANTIAL CONTRIBUTOR #134
SUBSTANTIAL CONTRIBUTOR$368,817CONSTRUCTION0
SUBSTANTIAL CONTRIBUTOR #115
SUBSTANTIAL CONTRIBUTOR$339,479HEALTH INSURANCE PAYMENT0
SUBSTANTIAL CONTRIBUTOR #44
SUBSTANTIAL CONTRIBUTOR$200,395ELEVATOR CONSTRUCTION AND MAINTENANCE0
SUBSTANTIAL CONTRIBUTOR #125
SUBSTANTIAL CONTRIBUTOR$784,367REAL ESTATE LEASES0
SUBSTANTIAL CONTRIBUTOR #47
SUBSTANTIAL CONTRIBUTOR$186,048PHYSICIAN LEASES0
SUBSTANTIAL CONTRIBUTOR #117
SUBSTANTIAL CONTRIBUTOR$873,360PARKING FOR PATIENTS/VISITORS0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L SUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationNEW ENGLAND BAPTIST HOSPITAL (NEBH) MAINTAINS AN ACCOUNTABLE BUSINESS EXPENSE REIMBURSEMENT PLAN. FROM TIME TO TIME, NEBH MAY REIMBURSE ITS OFFICERS, DIRECTORS/TRUSTEES AND/OR KEY EMPLOYEES FOR EXPENSES THEY INCURRED AND WHICH ARE PROPERLY ORDINARY AND NECESSARY BUSINESS EXPENSES OF THE REPORTING ENTITY. THE POLICIES AND PROCEDURES REQUIRED BY THE ACCOUNTABLE BUSINESS PLAN MUST BE FOLLOWED IN ORDER TO RECEIVE REIMBURSEMENT FOR SUCH EXPENSES AND IT IS POSSIBLE THAT ONE OR MORE INDIVIDUALS RECEIVED NON-TAXABLE REIMBURSEMENTS WHICH TOTALED $10,000 OR MORE DURING THE FISCAL PERIOD COVERED BY THIS FILING. ALL OF THE ABOVE TRANSACTIONS WERE NEGOTIATED AT ARMS-LENGTH AND IN ACCORDANCE WITH THE NEBH CONFLICT OF INTEREST POLICY.ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution12ContributionCnt
Noncash Contributions Rpt F990$90,439NoncashContributionsRptF990Amt
Method Of Determining RevenuesSTOCK MARKET QUOTEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationNEW ENGLAND BAPTIST HOSPITAL REPORTS THE NUMBER OF EACH SEPARATE GIFT AS AN ITEM FOR PURPOSES OF REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I & III:ORGANIZATION'S MISSION HTTPS://WWW.NEBH.ORG NEW ENGLAND BAPTIST HOSPITAL WILL TRANSFORM PATIENTS' LIVES BY PROMOTING WELLNESS, RESTORING FUNCTION, LESSENING DISABILITY, ALLEVIATING PAIN, AND ADVANCING KNOWLEDGE IN MUSCULOSKELETAL DISEASES AND RELATED DISORDERS.
FORM 990, PART III LINE 4A-D:EXEMPT PURPOSE ACHIEVEMENTS NEW ENGLAND BAPTIST HOSPITAL'S (NEBH OR HOSPITAL) PRIMARY PURPOSE IS THE OPERATION AND MAINTENANCE OF AN ACUTE CARE, ORTHOPEDIC SPECIALTY HOSPITAL AND PROVISION OF ALL SERVICES RELATED THERETO FOR THE BENEFIT OF PATIENTS. PATIENT CARE AND COMFORT IS THE HOSPITAL'S HIGHEST MISSION. THE HOSPITAL OPERATES AS AN ADULT MEDICAL / SURGICAL HOSPITAL WITH A NATIONAL REPUTATION IN ORTHOPEDIC CARE. PATIENTS ARE OFFERED A FULL RANGE OF SERVICES IN ORTHOPEDICS AND RHEUMATOLOGY, JOINT REPLACEMENT, SPINE CARE, FOOT AND ANKLE CARE, HAND SURGERY, OCCUPATIONAL MEDICINE AND SPORTS MEDICINE. THE HOSPITAL PROVIDES HIGH QUALITY CLINICAL SERVICES DIVIDED INTO CARE CENTERS: ORTHOPEDIC, MEDICAL, SURGICAL, DIAGNOSTICS AND SUPPORT SERVICES, REHABILITATION SERVICES AND PATIENT CARE. THROUGH THESE CARE CENTERS, NEBH PATIENTS RECEIVE NOT ONLY THE FINEST ORTHOPEDIC SERVICES, BUT ALSO DIAGNOSTIC, SURGICAL, MEDICAL AND REHABILITATIVE TREATMENT THAT'S BEYOND COMPARE. NEW ENGLAND BAPTIST HOSPITAL STRIVES TO PROVIDE THE MOST ADVANCED METHODS OF HEALTH CARE COMBINED WITH COMPASSIONATE, HIGHLY SKILLED AND WELL TRAINED PROVIDERS OF CARE. NEBH NURSES AND HEALTH CARE PROFESSIONALS PROVIDE A COMPREHENSIVE ARRAY OF PROGRAMS AND SERVICES THAT ARE FOCUSED ON PATIENTS AND MEETING THE NEBH COMMUNITY'S HEALTH CARE NEEDS. CARE TO ALL PATIENTS NEBH IS A FRONTLINE CAREGIVER PROVIDING MEDICALLY NECESSARY CARE FOR ALL PEOPLE REGARDLESS OF ABILITY TO PAY. ALTHOUGH NEBH IS NOT LICENSED TO OPERATE AN EMERGENCY DEPARTMENT, THE HOSPITAL OFFERS CARE FOR ALL PATIENTS THAT COME TO THE FACILITY FOR URGENT, WALK-IN CARE 24 HOURS A DAY, SEVEN DAYS A WEEK, AND 365 DAYS A YEAR. NEBH ASSISTS PATIENTS IN OBTAINING FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND OTHER SOURCES WHENEVER APPROPRIATE.(SEE SCHEDULE H FOR ADDITIONAL DETAIL). I. MEDICARE: MEDICARE IS THE FEDERALLY SPONSORED HEALTH INSURANCE PROGRAM FOR ELDERLY OR DISABLED PATIENTS AND NEBH PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM. DURING THE FISCAL PERIOD COVERED BY THIS FILING, 37.2% OR 45,479 OF NEBH'S PATIENT VISITS WERE WITH MEDICARE PATIENTS. THIS TRANSLATED TO $71,485,789 IN NET PATIENT SERVICE REVENUE, HOWEVER, BECAUSE PAYMENTS TO HOSPITALS THROUGH THIS GOVERNMENT SPONSORED PROGRAM HAVE NOT KEPT PACE WITH INFLATION, REVENUE COLLECTED WAS LESS THAN THE COST OF SERVICES BY $17,990,558. ALTHOUGH NEBH CONSIDERS THE PROVISION OF CLINICAL CARE TO MEDICARE PATIENTS AS PART OF ITS COMMUNITY BENEFIT, AS REQUIRED BY THE IRS REPORTING REQUIREMENTS, THE MAJORITY OF THIS SHORTFALL HAS NOT BEEN INCLUDED IN NEBH'S COMMUNITY BENEFIT CALCULATION ON PAGE 1 OF THE SCHEDULE H. RATHER IT HAS BEEN SEPARATELY REPORTED IN SCHEDULE H PART III AS REQUIRED. IF NEBH HAD INCLUDED THE FULL MEDICARE SHORTFALL IN THE CHARITY CARE AND COMMUNITY BENEFIT CALCULATION, THE PERCENTAGE ON SCHEDULE H PART I LINE 7K WOULD HAVE INCREASED FROM 4.19% TO 11.67%. (SEE NARRATIVE SUPPORT TO SCHEDULE H FOR ADDITIONAL INFORMATION.) II. INPATIENT CARE: NEW ENGLAND BAPTIST HOSPITAL CARES FOR ITS PATIENTS IN ITS 118 LICENSED BEDS. DURING FISCAL YEAR 2018, NEBH ADMITTED 8,529 PATIENTS, INCLUDING: 8,466 SURGICAL ADMISSIONS AND 63 MEDICAL ADMISSIONS; TOTAL DISCHARGES WERE 8,563 PATIENTS; AND TOTAL PATIENT DAYS WERE 20,775. NET INPATIENT REVENUE, NOT INCLUDED IN PART I, FOR FISCAL YEAR 2018 WAS $113,838,210. III. COMMUNITY WALK-IN CLINIC/ AMBULATORY / EMERGENT CARE: ALTHOUGH NEBH IS NOT LICENSED TO OPERATE AN EMERGENCY DEPARTMENT, NEBH STILL PROVIDES CARE TO ALL WHO NEED URGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. ALL PATIENTS WHO PRESENT AT NEBH ARE TRIAGED TO THE APPROPRIATE VENUE FOR THEIR CARE DEPENDING UPON THEIR CLINICAL PRESENTATION. A PHYSICIAN AND NURSE CLINICAL TEAM COLLABORATES TO IDENTIFY VENUE PRIOR TO THE ARRIVAL OF PATIENT WHEN POSSIBLE. THE PHYSICIAN WILL MAKE A DETERMINATION AS TO THE BEST PATIENT DISPOSITION. CLINICAL SITUATIONS RECEIVED BY PHONE OR WALK-IN REQUIRING EMERGENCY MANAGEMENT ARE DIRECTED TO THE NEAREST EMERGENCY DEPARTMENT, SUCH AS BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC), A RELATED AFFILIATE WITH WHOM NEBH HAS AN EMERGENCY TRANSFER AGREEMENT. BIDMC IS AN ACADEMIC MEDICAL CENTER WHICH OPERATES A LEVEL 1 TRAUMA EMERGENCY DEPARTMENT 24 HOURS A DAY, 7 DAYS A WEEK AND WHICH IS LOCATED APPROXIMATELY 1 MILE FROM NEBH. ALL PATIENTS WHO COME TO NEBH, AND WHO CAN BE ADEQUATELY TREATED AT NEBH, ARE TREATED AND NOT TRANSFERRED, REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR CARE. OUTPATIENT STATISTICS AND FINANCIAL RESULTS: NEBH'S OUTPATIENT CLINICS AND OTHER DEPARTMENTS HAD OVER 113,759 PATIENT VISITS DURING FISCAL YEAR 2018. THIS INCLUDES VISITS TO NEBH'S OCCUPATIONAL MEDICINE, SPINE CLINIC, PAIN CLINIC, AMBULATORY, RADIOLOGY, LAB, PHYSICAL THERAPY AND OTHER ANCILLARY DEPARTMENTS. NET OUTPATIENT REVENUE, NOT INCLUDED IN PART I, FOR FISCAL YEAR 2018 WAS $40,565,521. IV. COMMUNITY HEALTHCARE & EDUCATION AND OTHER PROGRAM SERVICES IN ADDITION TO PROVIDING MEDICAL CARE, NEW ENGLAND BAPTIST HOSPITAL (NEBH OR HOSPITAL) IS ALSO COMMITTED TO THE MAINTENANCE AND SUPPORT OF EDUCATIONAL ACTIVITIES AND THE PROMOTION OF HEALTH AND HEALTHCARE WITHIN THE COMMUNITIES SERVED BY NEBH, AND BEYOND, AND TO THE QUALITY OF LIFE OF THOSE INDIVIDUALS. TO THIS END, NEBH ENGAGES IN MANY COMMUNITY BENEFIT ACTIVITIES AVAILABLE TO THE COMMUNITY AT LARGE, BUT ESPECIALLY FOCUSED ON THE NEIGHBORING AREA OF MISSION HILL, BOSTON, WHICH IS AN UNDERSERVED AREA. COMMUNITY BENEFITS MISSION STATEMENT APPROVED BY NEBH BOARD OF TRUSTEES, OCTOBER 2009 "NEW ENGLAND BAPTIST HOSPITAL IS COMMITTED TO COLLABORATING WITH COMMUNITY PARTNERS AND RESIDENTS ACROSS BOSTON TO IDENTIFY AREAS OF SPECIAL NEED IN MUSCULOSKELETAL DISEASE AND COLLABORATE ON PROGRAMS TO ADDRESS THESE NEEDS, WITH SPECIAL FOCUS ON UNDERSERVED POPULATIONS THROUGH OUTREACH, EDUCATION AND PROVISION OF SERVICES TO ADDRESS MUSCULOSKELETAL HEALTH." A SUMMARY OF THE HOSPITAL'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ACCOMPLISHMENTS RELATED TO THE CHNA AND IMPLEMENTATION STRATEGY ARE INCLUDED IN DETAIL IN THE NOTES TO SCHEDULE H. A BRIEF LIST OF THE PROGRAM AND ACCOMPLISHMENTS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2018 IS BELOW. -MUSCULOSKELETAL HEALTH: ARTHRITIS, LUPUS, AND OSTEOPOROSIS PROGRAMS -OBESITY AND HUNGER PROGRAMS -VIOLENCE PREVENTION -COMMUNITY WORKFORCE DEVELOPMENT & JOB TRAINING -TRANSPORTATION FOR THE ELDERLY AND COMMUNITY -MISSION HILL / ROXBURY CLEAN NEIGHBORHOOD INITIATIVES FOR ADDITIONAL INFORMATION ON COMMUNITY BENEFITS PROVIDED SEE FORM 990 SCHEDULE H AND THE COMMUNITY BENEFITS REPORT WHICH WAS FILED WITH THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE. RESEARCH NEW ENGLAND BAPTIST HOSPITAL HAS CONDUCTED AND SUPPORTED RESEARCH ACTIVITIES TO IMPROVE ITS METHODS AND ABILITIES TO CARE FOR PATIENTS. NEBH'S RESEARCH PROGRAM IS PRIMARILY SELF-FUNDED AND DURING THE PERIOD COVERED BY THIS FILING, NEBH'S RESEARCH ACTIVITIES TOTALED $1,875,638. OF THIS AMOUNT THE HOSPITAL RECEIVED $388,701 IN RESEARCH REVENUE AND THE REMAINING $1,486,937 WAS FUNDED FROM NEBH INTERNAL SOURCES. SEE SCHEDULE H AND RELATED NOTES FOR FURTHER EXPLANATIONS.
FORM 990, PART IV, QUESTION 12A&BSTATEMENT REGARDING AUDITED FINANCIAL STATEMENTS EXPLANATION OF CONSOLIDATED AUDIT THE BOSTON, MA OFFICE OF KPMG ISSUED AN UNQUALIFIED OPINION ON THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF NEW ENGLAND BAPTIST HOSPITAL AND AFFILIATES FOR FISCAL YEAR ENDED SEPTEMBER 30, 2018. THESE STATEMENTS WERE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND INCLUDED THE ACCOUNTS OF NEW ENGLAND BAPTIST HOSPITAL (NEBH) AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES FOR WHICH NEBH SERVES AS THE SOLE MEMBER.
FORM 990, PART IV, QUESTION 24A:STATEMENT REGARDING TAX EXEMPT BOND ISSUE AS DESCRIBED IN THIS FORM 990, FOR THE PERIOD COVERED BY THIS FILING, CAREGROUP, INC., WAS AN ENTITY EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND SERVED AS A SUPPORT ORGANIZATION OF AND SOLE MEMBER OF NEW ENGLAND BAPTIST HOSPITAL (NEBH). DURING THIS SAME PERIOD THE NEBH WAS A MEMBER OF THE CAREGROUP OBLIGATED GROUP AND ITS TAX EXEMPT BOND FINANCING WAS ISSUED THROUGH CAREGROUP. THE SCHEDULE K AS INCLUDED IN THIS FORM 990 INCLUDES ALL OF THE CAREGROUP OBLIGATED GROUP OUTSTANDING DEBT FOR BONDS ISSUED AFTER DECEMBER 31, 2002 ONLY A PORTION OF WHICH IS ALLOCABLE TO AND REPORTED ON THE BALANCE SHEET OF NEBH.
FORM 990, PART IV QUESTION 24B:STATEMENT REGARDING TAX EXEMPT BOND ISSUE PROCEEDS IN THE PROJECT FUND WERE UNEXPECTEDLY HELD BEYOND THE THREE-YEAR TEMPORARY PERIOD, BUT WERE YIELD RESTRICTED IN COMPLIANCE WITH FEDERAL TAX REQUIREMENTS.
FORM 990, PART V, QUESTION 7G:GIFTS OF QUALIFIED INTELLECTUAL PROPERTY NEW ENGLAND BAPTIST HOSPITAL DID NOT RECEIVE ANY CONTRIBUTIONS OF QUALIFIED INTELLECTUAL PROPERTY OR VEHICLES DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2018 AND, AS SUCH, WAS NOT REQUIRED TO FILE FORM 8899.
FORM 990, PART V, QUESTION 7H:NEW ENGLAND BAPTIST HOSPITAL DID NOT RECEIVE AND CONTRIBUTIONS OF CARS, BOATS, AIRPLANES OR OTHER VEHICLES AND AS SUCH WAS NOT REQUIRED TO FILE FORM 1098-C.
FORM 990, PART V, LINE 13AFL,IL,KY,MD,MA,MI,MN,MS,NH,NJ,NM,NY
FORM 990, PART VI, SECTION A, LINE 2BUSINESS AND FAMILY RELATIONSHIPS AS NOTED ABOVE AND AS NOTED IN VARIOUS NARRATIVE DISCLOSURES WHICH SUPPORT THIS FORM 990 AND RELATED SCHEDULES, FOR THE PERIOD COVERED BY THIS FILING CAREGROUP WAS A MASSACHUSETTS NON-PROFIT CORPORATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. CAREGROUP'S PURPOSE WAS TO OVERSEE THE FINANCIAL WELL-BEING OF THE AFFILIATED ENTITIES WHICH MADE UP THE CAREGROUP SYSTEM. DURING THE PERIOD COVERED BY THIS FILING CAREGROUP SERVED AS THE SOLE MEMBER OF THE NEBH AND NEBH SERVED AS THE SOLE MEMBER OF NEW ENGLAND BAPTIST MEDICAL ASSOCIATES (NEBMA). CAREGROUP ALSO SERVED AS THE SOLE MEMBER OF BETH ISRAEL DEACONESS MEDICAL CENTER AND MOUNT AUBURN HOSPITAL (MAH). FOR THE SAME PERIOD, BIDMC SERVED AS THE SOLE MEMBER OF BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH, INC. (BID-PLYMOUTH) AND JORDAN HEALTH SYSTEMS, INC. (JHSI), BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, INC. (BIDN), MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION, D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP (APG), BETH ISRAEL DEACONESS HOSPITAL - MILTON, INC. (BID-MILTON) AND THE MILTON HOSPITAL FOUNDATION. IN ADDITION, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP) IS THE DEDICATED PHYSICIAN PRACTICE OF THE MEDICAL CENTER AND AN ENTITY INTEGRALLY RELATED TO HELPING THE MEDICAL CENTER AND ITS AFFILIATES ACCOMPLISH THEIR CHARITABLE PURPOSES. MAH SERVES AS THE SOLE MEMBER OF MOUNT AUBURN PROFESSIONAL SERVICES (MAPS) AND CAREGROUP PARMENTER HOME CARE & HOSPICE, INC. EACH OF THE ENTITIES LISTED IN THIS PARAGRAPH MAY HAVE, IN TURN, SERVED AS MEMBER OF ADDITIONAL ENTITIES WITHIN THE CAREGROUP NETWORK OF AFFILIATES. TWO OR MORE OF THE PERSONS LISTED IN THIS FORM 990 PART VII HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF SITTING ON ONE OR MORE BOARDS OF DIRECTORS/TRUSTEES OR BY SERVING IN AN EMPLOYMENT RELATIONSHIP WITH ONE OR MORE ENTITIES WITHIN THE CAREGROUP NETWORK OF AFFILIATED ORGANIZATIONS. ADDITIONAL DETAIL IS PROVIDED IN THE EXPLANATORY NOTES TO THIS FORM 990 SCHEDULE J.
FORM 990, PART VI, SECTION A, LINE 6MEMBERS OR STOCKHOLDERS STATEMENT FORM 990, PART VI SECTION A, LINE 7A & B: GOVERNING BODY ELECTIONS & DECISIONS FOR THE PERIOD COVERED BY THIS FILING CAREGROUP, INC. WAS THE SOLE MEMBER OF NEW ENGLAND BAPTIST HOSPITAL (NEBH OR HOSPITAL). ACCORDING TO NEBH BYLAWS, CAREGROUP HAD THE RIGHT TO APPROVE BUT NOT ELECT MEMBERS OF THE GOVERNING BODY. THE MEMBER FOR THE FISCAL PERIOD COVERED BY THIS FILING AND ACCORDING TO NEBH'S BYLAWS IN EFFECT FOR THIS PERIOD, HAD THE FOLLOWING RIGHTS: - TO APPROVE THE PRESIDENT WHO SHALL BE NEBH'S REPRESENTATIVE IN THE MANAGEMENT OF THE HOSPITAL; - THE POWER AND AUTHORITY TO APPROVE ANNUAL OPERATING AND CAPITAL BUDGETS FOR THE HOSPITAL; - TO APPROVE UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF 5% OF THE MOST RECENT APPROVED ANNUAL CAPITAL BUDGET IN THE AGGREGATE; - TO APPROVE ANY UNBUDGETED CAPITAL COMMITMENT IN EXCESS OF $5 MILLION; - TO SELECT THE INDEPENDENT AUDITORS TO EXAMINE THE FINANCIAL ACCOUNTS OF THE HOSPITAL; - TO APPROVE THE OVERALL STRATEGIC AND FINANCIAL PLANS FOR THE HOSPITAL, WHICH SHALL BE CONSISTENT WITH THE STRATEGIC AND FINANCIAL PLANS AND PROGRAMS OF THE MEMBER; - TO APPROVE THE BORROWING OF, OR INCURRENCE OF DEBT, IN ANY AMOUNT, OTHER THAN (A) FOR PURPOSES OF SECURING WORKING CAPITAL FROM A LENDER WHICH SHALL HAVE BEEN APPROVED BY THE PARENT AND PURSUANT TO THEN-EXISTING LOAN DOCUMENTATION CONTAINING THE TERMS AND PROVISIONS RELATING TO SUCH BORROWING WHICH SHALL HAVE BEEN APPROVED BY THE PARENT AND (B) DEBT INCURRED IN THE ORDINARY COURSE OF BUSINESS WHICH IS ANTICIPATED IN AND CONSISTENT WITH THE ANNUAL OPERATING BUDGET OR A CAPITAL BUDGET WHICH SHALL HAVE BEEN APPROVED BY THE PARENT FOR THE YEAR IN WHICH INCURRED; AND, - TO APPROVE ANY VOLUNTARY DISSOLUTION, MERGER OR CONSOLIDATION OF THE HOSPITAL, OR THE SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE HOSPITAL'S ASSETS, OR THE CREATION, ACQUISITION OR DISPOSAL OF ANY SUBSIDIARY OR AFFILIATED CORPORATION, OR THE ENTERING INTO OF ANY JOINT VENTURE OR OTHER PARTNERSHIP ARRANGEMENT BY THE HOSPITAL. THE MEMBER ALSO HAD THE POWER AND AUTHORITY TO INITIATE AND TO TAKE ON BEHALF OF THE HOSPITAL ANY OF THE FOREGOING ACTIONS DESCRIBED ABOVE, THE EXCLUSIVE POWER AND AUTHORITY TO INITIATE ANY BANKRUPTCY OR INSOLVENCY ACTION ON BEHALF OF THE HOSPITAL AND OTHER POWERS AND RIGHTS AS VESTED BY LAW.
FORM 990, PART VI, SECTION A, LINE 7ASEE STATEMENT ABOVE.
FORM 990, PART VI, SECTION A, LINE 7BSEE STATEMENT ABOVE.
FORM 990, PART VI, SECTION B, LINE 11BPROCESS OF FORM 990 REVIEW BY THE GOVERNING BODY AS NOTED IN VARIOUS DISCLOSURES THROUGHOUT THIS FILING, CAREGROUP SERVED AS THE SOLE MEMBER OF NEBH FOR THE PERIOD COVERED BY THIS FILING, OCTOBER 1, 2017 TO SEPTEMBER 30, 2018 (FISCAL YEAR ENDED SEPTEMBER 30, 2018). EFFECTIVE MARCH 1, 2019, PURSUANT TO A PLAN OF STATUTORY MERGER, CAREGROUP MERGED INTO BETH ISRAEL DEACONESS MEDICAL CENTER, AN AFFILIATE OF NEBH. AT THAT TIME, BETH ISRAEL LAHEY HEALTH, INC. (BILH) BECAME THE SOLE MEMBER OF NEBH. PRIOR TO FILING THE FORM 990, RELATED SCHEDULES AND REQUIRED DISCLOSURES (RETURN), THE RETURN IS REVIEWED BY THE HOSPITAL'S CHIEF FINANCIAL OFFICER, THE TAX DIRECTOR OF BILH AND DELOITTE TAX, LLP. A COPY OF THE COMPLETE RETURN IS THEN PROVIDED TO EACH MEMBER OF THE NEBH BOARD OF TRUSTEES PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICTS OF INTEREST POLICY MONITORING & COMPLIANCE NEW ENGLAND BAPTIST HOSPITAL (NEBH OR HOSPITAL) HAS A COMPREHENSIVE DISCLOSURE OF MATERIAL INTERESTS / CONFLICTS OF INTEREST POLICY APPLICABLE TO BOTH NEBH AND ITS AFFILIATE, NEW ENGLAND BAPTIST MEDICAL ASSOCIATES (NEBMA). AS NOTED IN THIS FILING, NEBH IS THE SOLE MEMBER OF NEBMA. PURSUANT TO THE POLICY, ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES OF BOTH ENTITIES ARE ASKED TO COMPLETE AN ANNUAL CONFLICT DISCLOSURE, WHICH IS DESIGNED TO REQUIRE DISCLOSURE OF ANY BUSINESS RELATIONSHIP MAINTAINED BY OFFICERS, TRUSTEES, OR KEY EMPLOYEES AND THEIR FAMILY MEMBERS, WHICH MAY RESULT IN A CONFLICT OF INTEREST. IN ADDITION, ANY INDIVIDUAL WHO COMMENCES A TERM AS AN OFFICER, TRUSTEE, OR KEY EMPLOYEE IS REQUIRED TO COMPLETE THE ANNUAL CONFLICT DISCLOSURE AT THE TIME SUCH POSITION COMMENCES. ALL ANNUAL DISCLOSURES ARE REVIEWED BY THE NEBH CHIEF COMPLIANCE & PRIVACY OFFICER FOR DETERMINATION OF ANY POTENTIAL OR ACTUAL CONFLICT. ANY ACTIVITY THAT REQUIRES ACTION UNDER THE DISCLOSURE OF MATERIAL INTEREST POLICY IS SUBJECT TO ONGOING REVIEW AND ACTION THROUGH THE NEBH COMPLIANCE OFFICE. PURSUANT TO THE DISCLOSURE OF MATERIAL INTEREST POLICY, CERTAIN ACTIVITIES WHICH COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED WHILE OTHER TYPES OF RELATIONSHIPS ARE PERMITTED, SUBJECT TO COMPLIANCE WITH A PLAN TO REQUIRE DISCLOSURE AND RECUSAL, INCLUDING APPROPRIATE DOCUMENTATION IN THE MINUTES. THE HOSPITAL CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS DISCLOSURE OF MATERIAL INTEREST POLICY THROUGH ITS AUDIT, INTEGRITY AND ORGANIZATIONAL ETHICS COMMITTEE (AIOE), A SUBCOMMITTEE OF THE BOARD OF TRUSTEES, AUTHORIZED BY THE HOSPITAL'S BY-LAWS AND COMPRISED BY INDEPENDENT TRUSTEES. THE COMMITTEE'S PURPOSE IS, AMONG OTHER THINGS, TO OVERSEE THE DESIGN AND IMPLEMENTATION OF THE HOSPITAL'S COMPLIANCE PROGRAM AND THE STEPS BEING TAKEN TO ENSURE AN EFFECTIVE COMPLIANCE PROGRAM IS IN PLACE, TO ENSURE THAT THERE IS ONGOING COMPLIANCE WITH RELEVANT LAWS AND REGULATIONS AND TO ENSURE THAT PROCESSES AND PROGRAMS PURSUE THE HIGHEST ETHICAL STANDARDS IN THE CONDUCT OF THE HOSPITAL'S MISSION. ADDITIONALLY, AS NOTED THROUGHOUT THESE NARRATIVE DISCLOSURES, FOR THE PERIOD COVERED BY THIS FILING CAREGROUP, INC. (CAREGROUP) SERVED AS THE SOLE MEMBER OF NEW ENGLAND BAPTIST HOSPITAL (NEBH OR HOSPITAL). IN ADDITION TO THE CONFLICT OF INTEREST PROCESS OUTLINED ABOVE, THE CAREGROUP TAX DEPARTMENT ISSUED A TAX QUESTIONNAIRE TO ALL CURRENT AND FORMER MEMBERS OF THE HOSPITAL BOARD OF TRUSTEES AS WELL AS CURRENT AND FORMER NEBH OFFICERS AND KEY EMPLOYEES. THE TAX QUESTIONNAIRE WAS DESIGNED TO GATHER THE INFORMATION NECESSARY FOR THE HOSPITAL TO COMPLETELY AND ACCURATELY PROCESS AND COMPLETE FORM 990 SCHEDULE L, TRANSACTIONS WITH INTERESTED PERSONS AND FORM 990, PART VI, QUESTION 2, FAMILY AND BUSINESS RELATIONSHIPS BETWEEN OFFICERS, DIRECTORS/TRUSTEES AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION B, LINE 15PROCESS TO DETERMINE CEO, OFFICER, AND KEY EMPLOYEE COMPENSATION NEW ENGLAND BAPTIST HOSPITAL HAS AN EXECUTIVE COMMITTEE THAT ALSO FUNCTIONS AS THE HOSPITAL'S COMPENSATION COMMITTEE THAT IS COMPOSED OF MEMBERS OF THE BOARD OF TRUSTEES. ALL MEMBERS ARE INDEPENDENT. THE EXECUTIVE COMMITTEE RETAINS A NATIONALLY RECOGNIZED COMPENSATION CONSULTANT TO PROVIDE AN INDEPENDENT ASSESSMENT OF MARKET DYNAMICS, PROGRAM COMPONENTS AND PROCESS, FAIR MARKET VALUE OF EXECUTIVE POSITIONS, COMPENSATION POLICY AND PRACTICES AND ADVISING THE COMMITTEE AS TO REASONABLENESS OF EXECUTIVE COMPENSATION. THE EXECUTIVE COMPENSATION GOVERNANCE DUTIES INCLUDE: - ANNUAL REVIEW OF PROGRAM, GOALS AND METRICS. - AN ANNUAL CALENDAR WITH MEETINGS, OBJECTIVES AND KEY DECISION POINTS IS SCHEDULED. - ACTIVITIES SUCH AS: IRS FORM 990 REVIEW, COMMITTEE UPDATES ON MARKET TRENDS, PERFORMANCE ASSESSMENT OF CEO AND REASONABLENESS OF CEO COMPENSATION IS PUBLISHED. - A REVIEW OF PERFORMANCE RESULTS IN THE VARIABLE COMPENSATION PROGRAM WITH VALIDATION BY CHAIRMAN OF AUDIT COMMITTEE IS PERFORMED. - A WELL-DEFINED PROCESS FOR SETTING SALARY, DETERMINING VARIABLE COMPENSATION DECISIONS AND THE PERFORMANCE OF THE CEO IS CONDUCTED. - BOARD BRIEFINGS AND COMMITTEE MEMBER EDUCATION ON EXECUTIVE COMPENSATION IS PERFORMED BY THE BOARD CHAIR. - THE NEBH CEO PARTICIPATED IN DISCUSSION ON PERFORMANCE AND IN DISCUSSION REGARDING MARKET CONTEXT FOR COMPENSATION, BUT DOES NOT PARTICIPATE IN SETTING CEO COMPENSATION IN ANY MANNER, SHAPE OR FORM.
FORM 990, PART VI, SECTION C, LINE 19OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST AT THE FOLLOWING LOCATION: NEW ENGLAND BAPTIST HOSPITAL 125 PARKER HILL AVE BOSTON, MA 02120
FORM 990, PART XI, LINE 9:TRANSFER IN/OUT FROM AFFILIATES -3,773,210. PENSION 944,634.
FORM 990, PART XII, QUESTION 2B AND 2C:FINANCIAL STATEMENTS AND COMMITTEE OVERSIGHT AS PREVIOUSLY REPORTED IN THIS FILING, NEW ENGLAND BAPTIST HOSPITAL (NEBH OR HOSPITAL) IS A PUBLIC CHARITY, EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. THE FINANCIAL RECORDS OF NEBH ARE AUDITED EACH YEAR AS PART OF THE NEBH CONSOLIDATED AUDITED FINANCIAL STATEMENT PROCESS. AS PREVIOUSLY NOTED, FOR THE FISCAL PERIOD COVERED BY THIS FILING THE AUDIT WAS PREPARED AND SIGNED BY THE BOSTON, MA OFFICE OF KPMG. THIS PROCESS IS MONITORED AND REVIEWED INTERNALLY BY THE NEBH AUDIT, INTEGRITY AND ORGANIZATIONAL ETHICS (AIOE) COMMITTEE.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
812 HUNTINGTON AVENUE LLC
125 PARKER HILL AVEBOSTONMA02120542195262SUPPORT NEBHMA$116,732$0NEW ENGLAND BAPTIST HOSPITAL
NEW ENGLAND BAPTIST CLINICAL INTEGRATION ORGANIZATION LLC
125 PARKER HILL AVEBOSTONMA02120465597247MEDICAL SERVICESMA$657,000-$175,000NEW ENGLAND BAPTIST HOSPITAL

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (35 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ASSOC PHYS HARVARD MED FAC PHY AT BIDMC
375 LONGWOOD AVEBOSTONMA02215320058309TO PROVIDE EMERGENCY MEDICAL SERVICESMA501(C)(3)LINE 12A, IHMFP AT BIDMC0
BI ANAESTHESIA FOUNDATION INC
330 BROOKLINE AVEBOSTONMA02215042997215SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMSMA501(C)(3)LINE 12A, IHMFP AT BIDMC0
BI COMMUNITY FOUNDATION INC
330 BROOKLINE AVEBOSTONMA02215042776678INACTIVE CORPORATIONMA501(C)(3)LINE 70N/A
BI DEACONESS DEPARTMENT OF MEDICINE FOUNDATION INC
330 BROOKLINE AVEBOSTONMA02215043079630SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMSMA501(C)(3)LINE 12A, IHMFP AT BIDMC0
BI DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION INC
330 BROOKLINE AVEBOSTONMA02215208253452SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMSMA501(C)(3)LINE 12A, IHMFP AT BIDMC0
BI DEACONESS DEPARTMENT OF NEUROLOGY FOUNDATION INC
330 BROOKLINE AVEBOSTONMA02215043030397SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMSMA501(C)(3)LINE 12A, IHMFP AT BIDMC0
BI DEACONESS DEPARTMENT OF ORTHOPAEDIC SURGERY FOUNDATION INC
330 BROOKLINE AVEBOSTONMA02215204974585SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMSMA501(C)(3)LINE 12A, IHMFP AT BIDMC0
BI DEACONESS DEPARTMENT OF SURGERY FOUNDATION INC
110 FRANCIS STREETBOSTONMA02215020671240SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMSMA501(C)(3)LINE 12A, IHMFP AT BIDMC0
BI DEACONESS HOSPITAL - NEEDHAM INC
148 CHESTNUT STNEEDHAMMA02492043229679HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS.MA501(C)(3)LINE 3BETH ISRAEL DEACONESS MEDICAL CENTER INC0
BETH ISRAEL DEACONESS MEDICAL CENTER
330 BROOKLINE AVEBOSTONMA02215042103881THE OPERAION OF A WORLD CLASS ACADEMIC MEDICAL CENTER IN BOSTON, MAMA501(C)(3)LINE 3CAREGROUP INC0
BIDMC AND CHILDREN'S HOSPITAL MEDICAL CARE CORP
300 LONGWOOD AVEBOSTONMA02215043200113OUTPATIENT AMBULATORY CARE CENTER IN LEXINGTON, MAMA501(C)(3)LINE 12A, I0N/A
BIDMC OBSTETRICS AND GYNECOLOGY FOUNDATION INC
330 BROOKLINE AVEBOSTONMA02215042794855SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMSMA501(C)(3)LINE 12A, IHMFP AT BIDMC0
BI DERMATOLOGY FOUNDATION INC
330 BROOKLINE AVEBOSTONMA02215043117601SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMSMA501(C)(3)LINE 12A, IHMFP AT BIDMC0
BIH PATHOLOGY FOUNDATION INC
330 BROOKLINE AVEBOSTONMA02215222548374SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMSMA501(C)(3)LINE 12A, IHMFP AT BIDMC0
BIH RADIOLOGIC FOUNDATION INC
330 BROOKLINE AVEBOSTONMA02215042571853SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMSMA501(C)(3)LINE 12A, IHMFP AT BIDMC0
CAREGROUP INC
109 BROOKLINE AVEBOSTONMA02215222629185OVERSEE FINCIAL HEALTH OF AFFILIATESMA501(C)(3)LINE 12C, III-FI0N/A
CARL J SHAPIRO INSTITUTE FOR EDUCATION AND RESEARCH
330 BROOKLINE AVEBOSTONMA02215043326928DEVELOP INNOVATIVE PROG AND MODELS FOR TEACHING AND RESEARCHMA501(C)(3)LINE 12A, I0N/A
CONTINUING EDU PROGRAM DBA BID DEPT OF PSYCH FDN
330 BROOKLINE AVE RABB 2BOSTONMA02215043242952SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMSMA501(C)(3)LINE 12A, IHMFP AT BIDMC0
MED CARE OF BOSTON MGMT CORP DBA BID HEALTHCARE
400 HUNNEWELL STNEEDHAMMA02494042810972OUTPATIENT, PRIMARY CARE AND SPECIALTY SERVICESMA501(C)(3)LINE 10BETH ISRAEL DEACONESS MEDICAL CENTER INC0
MOUNT AUBURN HOSPITAL
330 MOUNT AUBURN STCAMBRIDGEMA02138042103606HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONSMA501(C)(3)LINE 3CAREGROUP INC0
MOUNT AUBURN PROFESSIONAL SERVICES INC
330 MOUNT AUBURN STCAMBRIDGEMA02138043026897OFFERING MEDICAL CARE IN GENERAL AND SPECIALIZED PRACTICESMA501(C)(3)LINE 12A, IMOUNT AUBURN HOSPITAL0
NEW ENGLAND BAPTIST MEDICAL ASSOCIATES INC
125 PARKER HILL AVEBOSTONMA02120043235796OUTPATIENT MEDICAL SERVICES TO THE VARIOUS COMMUNITIES SERVICED BY NEBHMA501(C)(3)LINE 3NEW ENGLAND BAPTIST HOSPITAL INC0
LONGWOOD MEDICAL ENERGY COLLABORATIVE
164 LONGWOOD AVE STE 110BOSTONMA02115043476764COORDINATE AND PROVIDE STATEGIC PLANNING OPP FOR HMSMA501(C)(3)LINE 12A, I0N/A
HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC INC
375 LONGWOOD AVEBOSTONMA02215222768204GENERAL AND SPECIALIZED MEDICAL SERVICES TO THE PATIENTS OF BIDMC AND OTHERSMA501(C)(3)LINE 100N/A
BETH ISRAEL DEACONESS HOSPITAL - MILTON INC
199 REEDSDALE RDMILTONMA02186042103604HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS.MA501(C)(3)LINE 3BETH ISRAEL DEACONESS MEDICAL CENTER INC0
COMMUNITY PHYSICIAN ASSOCIATES INC
199 REEDSDALE RDMILTONMA02186043243146OUTPATIENT AND PRIMARY CARE SERVICESMA501(C)(3)LINE 3MILTON HOSPITAL FOUNDATION INC0
MILTON HOSPITAL FOUNDATION INC
199 REEDSDALE RDMILTONMA02186222566792PROMOTE HEALTHCAREMA501(C)(3)LINE 12A, IBETH ISRAEL DEACONESS MEDICAL CENTER INC0
BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH INC
275 SANDWICH STPLYMOUTHMA02186222667354HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS.MA501(C)(3)LINE 3BETH ISRAEL DEACONESS MEDICAL CENTER INC0
JORDAN HEALTH SYSTEMS INC
275 SANDWICH STPLYMOUTHMA02360042103805PROMOTE HEALTHCAREMA501(C)(3)LINE 7BETH ISRAEL DEACONESS MEDICAL CENTER INC0
JORDAN PHYSICIANS ASSOCIATES INC
275 SANDWICH STPLYMOUTHMA02360043228556OUTPATIENT AND PRIMARY CARE SERVICESMA501(C)(3)LINE 10JORDAN HEALTH SYSTEMS INC0
BI DEACONESS DEPARTMENT OF EMERGENCY MEDICINE FOUNDATION INC
330 BROOKLINE AVE W/CC-2BOSTONMA02215364803234SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMSMA501(C)(3)LINE 12A, IHMFP AT BIDMC0
CAREGROUP PARMENTER HOME CARE & HOSPICE INC
330 MT AUBURN STCAMBRIDGEMA02138473111453HOME CARE & HOSPICEMA501(C)(3)LINE 12A, IMOUNT AUBURN HOSPITAL0
BAIM INSTITUTE OF CLINICAL RESERCH INC FKA HCRI
930 W COMMONWEALTH AVEBOSTONMA02215043521077SCIENTIFIC & MEDICAL RESEARCHMA501(C)(3)LINE 70N/A
LONGWOOD MEDICAL INTL FOUNDATION
185 PILGRIM ROAD BOSTBOSTONMA02215043208878INACTIVE CORPORATIONMA501(C)(3)LINE 12A, IHMFP AT BIDMC0
BIDMC PHARMACY INC
330 BROOKLINE AVEBOSTONMA02215822526816OPERATE A SPECIALTY PHARMACYMA501(C)(3)LINE 12A, IBETH ISRAEL DEACONESS MEDICAL CENTER INC0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
BETH ISRAEL DEACONESS PHYS ORG LLC DBA BIDCO
ONE UNIVERSITY AVE NORTH ENTRANCEWESTWOODMA02090043426253COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMCMAN/A
BIDCO PHYSICIAN LLC
ONE UNIVERSITY AVE NORTH ENTRANCEWESTWOODMA02090461589743COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMCMAN/A
BIDCO HOSPITAL LLC
ONE UNIVERSITY AVE NORTH ENTRANCEWESTWOODMA02090461643790COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMCMAN/A
CAREGROUP CLINICAL RESEARCH LLC
109 BROOKLINE AVENUEBOSTONMA02215300228711TO PARTICIPATE IN A CLINICAL RESEARCH PARTNERSHIPMAN/A
CAREGROUP INVESTMENT PARTNERSHIP LLP
109 BROOKLINE AVENUEBOSTONMA02215043278109INVESTMENT PARTNERSHIPMABETH ISRAEL DEACONESS MEDICAL CENTEREXCLUDED$1,435,210$40,081,3680$52,50000.03920
PHYSICIAN PROFESSIONAL SERVICES LLP
10 CABOT ROADMEDFORDMA02215043275078TO PROVIDE MEDICAL BILLING SERVICESMAN/A
NEW ENGLAND BAPTIST ORTHOPEDIC NETWORK LLC
125 PARKER HILL AVEBOSTONMA02120465120176TO PROVIDE ORTHOPEDIC MEDICAL SERVICESMAN/A
DEDHAM MEDICAL URGENT CARE CENTER AFFILIATED WITH BIDMC LLC
275 GROVE STREET STE 3-300NEWTONMA02466463745783URGENT CARE CENTER FOR NON-LIFE THREATENING ILLNESSES & INJURIESDEN/A
BCD HOSPITAL ENERGY COLLABORATIVE LLC
375 LONGWOOD AVEBOSTONMA02215821711826LONG-TERM ENERGY SUPPLY PLANNING & ACQUISITION OF RELIABLE LOW-COST ENERGYDEN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
ANESTHESIA FINANCIAL SOLUTIONS INC
330 BROOKLINE AVEBOSTONMA02215043571311INACTIVE CORPORATIONMAN/AC0
JORDON COMMUNITY ACO INC
275 SANDWICH STPLYMOUTHMA02360454047430COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BID-PLYMOUTHMAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd