BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH INC (EIN 22-2667354)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-14
- IRS object ID
- 201812269349302381
- Schema version
- 2016v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-14T16:24:57-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TWO JERICHO PLAZA | AddressLine1Txt |
| City | JERICHO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11753 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222667354 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETH ISRAEL DEACONESS HOSPITAL- PLYMOUTH | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BETH | BusinessNameControlTxt |
| Phone | 5087462000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 275 SANDWICH STREET | AddressLine1Txt |
| City | PLYMOUTH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 023602183 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JASON RADZEVICH | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5087462000 | PhoneNum |
| Signature | 2018-08-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRISTINE KAWECKI | PreparerPersonNm |
| PTIN | P00743140 | PTIN |
| Phone | 5169187000 | PhoneNum |
| Preparation | 2018-08-03 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JASON RADZEVICH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 275 SANDWICH STREET | AddressLine1Txt |
| City | PLYMOUTH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 023602183 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $280,882,192 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BIDPLYMOUTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1953 | TotalEmployeeCnt |
| Total Volunteers | 338 | TotalVolunteersCnt |
| Total Gross UBI | $262,275 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,185,197 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,589,236 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $231,144,694 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $254,838,846 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,531,932 | PYInvestmentIncomeAmt |
| CY Investment Income | $707,572 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,891,692 | PYOtherRevenueAmt |
| CY Other Revenue | $1,929,336 | CYOtherRevenueAmt |
| PY Total Revenue | $237,753,515 | PYTotalRevenueAmt |
| CY Total Revenue | $263,064,990 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,349,656 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $51,250 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $122,883,774 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $128,646,903 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $19,200 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $487,684 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $108,999,036 | PYOtherExpensesAmt |
| CY Other Expenses | $119,643,546 | CYOtherExpensesAmt |
| PY Total Expenses | $235,232,466 | PYTotalExpensesAmt |
| CY Total Expenses | $248,360,899 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,521,049 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,704,091 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $187,529,857 | TotalAssetsBOYAmt |
| Total Assets EOY | $195,620,140 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $115,262,321 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $107,468,282 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $72,267,536 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $88,151,858 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $95,709,371 | ExpenseAmt |
| Grant | $51,250 | GrantAmt |
| Revenue | $115,833,449 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $102,144,111 | ExpenseAmt |
| Revenue | $117,539,361 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $26,861,235 | ExpenseAmt |
| Revenue | $22,133,361 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $224,714,717 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | Yes (1) | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 227 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1953 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY DWYER | PersonNm |
| Phone | 5087462000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 275 SANDWICH STREET | AddressLine1Txt |
| City | PLYMOUTH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02360 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| BABINI MICHAEL | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BAZZINOTTI LYLE LAWRENCE | |||||||||
| VICE CHAIR, DIRECTOR | 3.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| CARNUCCIO JOHN | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CLIFFORD FREDERIC | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| COUGHLIN KEVIN | |||||||||
| DIR, (EX-OFF)/CEO/SVP SYS DVMT | 55.00 | 10.00 | Yes (X) | $253,865 | $63,466 | $52,483 | Yes (X) | ||
| DAHLEN SHAWN D | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| FISCHER STEVEN | |||||||||
| DIRECTOR; ASST TREAS, BIDMC | 1.00 | 64.00 | Yes (X) | $0 | $595,328 | $75,402 | |||
| FORMELLA RN MSN NANCY | |||||||||
| COO, BIDMC; DIR | 1.00 | 59.00 | Yes (X) | $0 | $693,771 | $57,562 | |||
| FOSDICK KENNETH | |||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| GAGNON WILLIAM P | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HINKLEY CLARK | |||||||||
| CHAIR, DIRECTOR | 9.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| HOLDEN PETER J | |||||||||
| DIR (EX-OFF)/PRESIDENT/CEO | 55.00 | 10.00 | Yes (X) | $508,352 | $127,088 | $1,192,173 | Yes (X) | ||
| LAWRENCE MARY ELLEN | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LEWIS MD STANLEY M | |||||||||
| DIR; CHF SYS DEV OFF BIDMC | 1.00 | 59.00 | Yes (X) | $0 | $582,311 | $73,531 | |||
| LONIS-SCHEUB MD KIMBERLY | |||||||||
| DIRECTOR, EMERG MED PHYSICIAN | 59.00 | 1.00 | Yes (X) | $277,577 | $0 | $61,236 | |||
| MINEHAN ROSEMARY | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MUNCEY ESQ PETER | |||||||||
| SECRETARY, DIRECTOR | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PATEL MD ANIT | |||||||||
| DIR (EX-OFF)/MED STAFF PRES | 14.00 | 1.00 | Yes (X) | $31,406 | $0 | $0 | Yes (X) | ||
| SMALL KEELAS | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STIGLITZ CYNTHIA | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STUHLFAUT MD JOSHUA | |||||||||
| DIR (EX-OFF), MED STAFF PRES | 59.00 | 1.00 | Yes (X) | $464,241 | $0 | $0 | |||
| TABB MD KEVIN | |||||||||
| DIRECTOR | 1.00 | 64.00 | Yes (X) | $0 | $1,445,730 | $170,597 | |||
| TREHU MD STEPHEN | |||||||||
| DIRECTOR; CHIEF OF RADIOLOGY | 19.00 | 1.00 | Yes (X) | $352,441 | $0 | $0 | |||
| RADZEVICH JASON | |||||||||
| VP OF FINANCE, CFO & TREASURER | 48.00 | 12.00 | $272,889 | $68,222 | $56,685 | Yes (X) | |||
| BERRY-BARBOSA LISA | |||||||||
| VP, HR | 48.00 | 12.00 | $187,174 | $20,798 | $45,954 | Yes (X) | |||
| CONNOLLY MD JOHN | |||||||||
| VP MED MGMT, CHAIR ANESTHESIA | 59.00 | 1.00 | $636,565 | $0 | $5,288 | Yes (X) | |||
| DOHERTY RN DONNA | |||||||||
| CNO, VP PATIENT CARE SERVICES | 60.00 | 0.00 | $268,596 | $0 | $47,324 | Yes (X) | |||
| RUTHERFORD RONALD | |||||||||
| VP & CIO | 48.00 | 12.00 | $184,704 | $46,176 | $43,973 | Yes (X) | |||
| GORSUCH PHD W BRIAN | |||||||||
| CHIEF PHYSICIAN ASSISTANT | 60.00 | 0.00 | $231,841 | $0 | $32,667 | Yes (X) | |||
| DOLAWAY DEBORAH | |||||||||
| HOSPICE ADMINISTRATOR | 60.00 | 0.00 | $206,271 | $0 | $16,528 | Yes (X) | |||
| PASKOWSKI DC IAN | |||||||||
| CHIROPRACTOR | 60.00 | 0.00 | $204,433 | $0 | $28,230 | Yes (X) | |||
| HEBERT NP RICHARD M | |||||||||
| NURSE PRACTITIONER | 60.00 | 0.00 | $203,196 | $0 | $26,260 | Yes (X) | |||
| HOLLERAN ANDREA | |||||||||
| VP, STRAT PLAN & EXT AFFAIRS | 60.00 | 0.00 | $197,984 | $0 | $42,443 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,481,535 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,642,890 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,028,336 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 191 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HARVARD MEDICAL FACULTY PHYSICIANS | |||||
| 375 LONGWOOD AVE | BOSTON | MA | 02215 | MEDICAL | $7,677,568 |
| RUBICON BUILDERS | |||||
| 792 SOUTH MAIN ST | MANSFIELD | MA | 02048 | CONSTRUCTION | $2,694,096 |
| ALLIANCE ONCOLOGY LLC | |||||
| PO BOX 6600 | NEWPORT BEACH | CA | 92660 | MEDICAL | $2,355,062 |
| ALLIANCE HEALTHCARE SERVICES | |||||
| PO BOX 96485 | CHICAGO | IL | 60693 | MEDICAL | $1,761,096 |
| ISTO TECHNOLOGIES | |||||
| PO BOX 145 | HOPKINTON | MA | 01748 | MEDICAL | $877,850 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 35 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $101,940 | FundraisingAmt |
| Government Grants | $2,533,575 | GovernmentGrantsAmt |
| All Other Contributions | $2,953,721 | AllOtherContributionsAmt |
| Total Contributions | $5,589,236 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| OUTPATIENT | 621400 | $116,924,834 | $116,924,834 | |
| INPATIENT | 900099 | $115,833,449 | $115,833,449 | |
| EMERGENCY SERVICES | 642200 | $22,021,882 | $22,021,882 | |
| NON PATIENT LAB | 621500 | $47,481 | $47,481 | |
| RELATED ORG RENT | 900099 | $11,200 | $11,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $254,838,846 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $160,755 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$7,826 | UnrelatedBusinessRevenueAmt |
| Exclusion | $168,581 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $87,583 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $22,168 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $65,415 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $65,415 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $10,001 | UnrelatedBusinessRevenueAmt |
| Exclusion | $55,414 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,275,387 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,728,570 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $546,817 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $546,817 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $5,982 | UnrelatedBusinessRevenueAmt |
| Exclusion | $540,835 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $82,742 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $101,940 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $64,493 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,249 | TotalRevenueColumnAmt |
| Exclusion | $18,249 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $6,923 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $1,971 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,952 | TotalRevenueColumnAmt |
| Exclusion | $4,952 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|---|
| CAFETERIA SALES | 722210 | $919,277 | $919,277 | ||
| PURCHASE REBATES | 900099 | $253,014 | $253,014 | ||
| PETSCAN INCOME | 900099 | $206,637 | $206,637 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $461,792 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $461,792 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,840,720 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $263,064,990 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $255,506,171 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $262,275 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,707,308 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,250 | TotalAmt |
| Program Services | $51,250 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,108,749 | TotalAmt |
| Program Services | $2,409,064 | ProgramServicesAmt |
| Management And General | $1,699,685 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,984,461 | TotalAmt |
| Program Services | $89,872,053 | ProgramServicesAmt |
| Management And General | $7,855,358 | ManagementAndGeneralAmt |
| Fundraising | $257,050 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,349,281 | TotalAmt |
| Program Services | $3,971,796 | ProgramServicesAmt |
| Management And General | $368,745 | ManagementAndGeneralAmt |
| Fundraising | $8,740 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,698,168 | TotalAmt |
| Program Services | $13,392,970 | ProgramServicesAmt |
| Management And General | $1,274,980 | ManagementAndGeneralAmt |
| Fundraising | $30,218 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,506,244 | TotalAmt |
| Program Services | $6,854,760 | ProgramServicesAmt |
| Management And General | $636,401 | ManagementAndGeneralAmt |
| Fundraising | $15,083 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,727,213 | TotalAmt |
| Program Services | $7,727,213 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $620,793 | TotalAmt |
| Program Services | $427,684 | ProgramServicesAmt |
| Management And General | $193,109 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,259 | TotalAmt |
| Program Services | $139,661 | ProgramServicesAmt |
| Management And General | $82,598 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,778 | TotalAmt |
| Management And General | $33,778 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,200 | TotalAmt |
| Fundraising | $19,200 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,381,641 | TotalAmt |
| Program Services | $14,720,152 | ProgramServicesAmt |
| Management And General | $612,546 | ManagementAndGeneralAmt |
| Fundraising | $48,943 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,716,400 | TotalAmt |
| Program Services | $66,944,959 | ProgramServicesAmt |
| Management And General | $6,671,087 | ManagementAndGeneralAmt |
| Fundraising | $100,354 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,264,147 | TotalAmt |
| Program Services | $6,771,809 | ProgramServicesAmt |
| Management And General | $3,491,825 | ManagementAndGeneralAmt |
| Fundraising | $513 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,994 | TotalAmt |
| Program Services | $199,099 | ProgramServicesAmt |
| Management And General | $53,306 | ManagementAndGeneralAmt |
| Fundraising | $2,589 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,078 | TotalAmt |
| Program Services | $43,565 | ProgramServicesAmt |
| Management And General | $20,574 | ManagementAndGeneralAmt |
| Fundraising | $1,939 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,766,111 | TotalAmt |
| Program Services | $2,766,111 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,269,692 | TotalAmt |
| Program Services | $7,269,692 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,030,794 | TotalAmt |
| Program Services | $1,030,794 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUES | Desc |
| Total | $289,646 | TotalAmt |
| Program Services | $122,085 | ProgramServicesAmt |
| Management And General | $164,506 | ManagementAndGeneralAmt |
| Fundraising | $3,055 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,360,899 | TotalAmt |
| Program Services | $224,714,717 | ProgramServicesAmt |
| Management And General | $23,158,498 | ManagementAndGeneralAmt |
| Fundraising | $487,684 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,189,450 | BOYAmt |
| EOY | $3,868,629 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,121,701 | BOYAmt |
| EOY | $28,097,879 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,701,267 | BOYAmt |
| EOY | $3,782,343 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,863,797 | BOYAmt |
| EOY | $7,533,062 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $147,864,584 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $31,674,380 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,141,793 | BOYAmt |
| EOY | $116,190,204 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,000,416 | BOYAmt |
| EOY | $24,623,867 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,511,433 | BOYAmt |
| EOY | $11,524,156 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $187,529,857 | BOYAmt |
| EOY | $195,620,140 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,589,741 | BOYAmt |
| EOY | $37,831,284 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,385 | BOYAmt |
| EOY | $172,244 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,327,600 | BOYAmt |
| EOY | $60,231,104 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,255,595 | BOYAmt |
| EOY | $9,233,650 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,262,321 | BOYAmt |
| EOY | $107,468,282 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,638,981 | BOYAmt |
| EOY | $76,828,150 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $802,981 | BOYAmt |
| EOY | $762,690 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,825,574 | BOYAmt |
| EOY | $10,561,018 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,267,536 | BOYAmt |
| EOY | $88,151,858 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $187,529,857 | BOYAmt |
| EOY | $195,620,140 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $14,704,091 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $623,339 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $556,892 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $33,778 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $33,778 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF LOBBYING ACTIVITIES BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH (BID-PLYMOUTH) DOES NOT ENGAGE IN ANY DIRECT LOBBYING EFFORTS. HOWEVER, BID-PLYMOUTH PAYS DUES TO CERTAIN MEMBERSHIP ORGANIZATIONS, A PIECE OF WHICH MAY BE USED BY SUCH ORGANIZATIONS FOR LOBBYING ACTIVITIES ON BEHALF OF THIS INSTITUTION AND OTHER SIMILARLY SITUATED ORGANIZATIONS. IN ADDITION, BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC), BID-PLYMOUTH'S SOLE MEMBER, ENGAGED IN SOME LOBBYING EFFORTS ON BEHALF OF ITSELF AND OTHER AFFILIATED NETWORK ENTITIES. LOBBYING COSTS ASSOCIATED WITH THESE COMBINED LOBBYING ACTIVITIES WAS $33,778 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2017. TOTAL LOBBYING EXPENDITURES WERE MINIMAL AND NOT SUBSTANTIAL BASED ON REVENUES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,543,116 | BeginningYearBalanceAmt |
| Contributions | $586,128 | ContributionsAmt |
| Investment Earnings Or Losses | $308,650 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $114,186 | OtherExpendituresAmt |
| End Year Balance | $11,323,708 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,350,198 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $261,896 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $68,978 | OtherExpendituresAmt |
| End Year Balance | $10,543,116 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,250,430 | BeginningYearBalanceAmt |
| Contributions | $74,005 | ContributionsAmt |
| Investment Earnings Or Losses | -$955,949 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $18,288 | OtherExpendituresAmt |
| End Year Balance | $10,350,198 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,758,728 | BeginningYearBalanceAmt |
| Contributions | $1,393,030 | ContributionsAmt |
| Investment Earnings Or Losses | $221,017 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,122,345 | OtherExpendituresAmt |
| End Year Balance | $11,250,430 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,060,587 | BeginningYearBalanceAmt |
| Contributions | $1,326,794 | ContributionsAmt |
| Investment Earnings Or Losses | $436,271 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,064,924 | OtherExpendituresAmt |
| End Year Balance | $10,758,728 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.98000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.02000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $385,907 | OtherCostOrOtherBasisAmt |
| Book Value | $385,907 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $92,215,888 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,877,179 | DepreciationAmt |
| Book Value | $82,338,709 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,608,858 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,124,743 | DepreciationAmt |
| Book Value | $10,484,115 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,344,556 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,672,458 | DepreciationAmt |
| Book Value | $17,672,098 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,309,375 | OtherCostOrOtherBasisAmt |
| Book Value | $5,309,375 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $116,190,204 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RESTRICTED USE ASSETS | $11,323,711 |
| INVESTMENT IN SE MASS PETCT IMAGING LLC | $123,895 |
| DEPOSITS RECEIVABLE | $68,362 |
| OTHER RECEIVABLE | $8,188 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $11,524,156 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| PROFESSIONAL LIABILITIES | $6,046,989 |
| DUE TO AFFILIATES | $1,207,702 |
| DUE TO THIRD PARTY PAYORS | $1,415,589 |
| OTHER | $563,370 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,233,650 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,725,168,000 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $2,463,280,607 | OtherRevenueAmt |
| Revenue Not Reported | $2,463,280,607 | RevenueNotReportedAmt |
| Revenue Subtotal | $261,887,393 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,177,597 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,177,597 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $263,064,990 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,636,962,000 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $2,388,601,101 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,388,601,101 | ExpensesNotReportedAmt |
| Expenses Subtotal | $248,360,899 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $248,360,899 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | ENDOWMENT FUND BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH'S (BID-PLYMOUTH) ENDOWMENT FUNDS ARE INTENDED TO ENSURE THAT BID-PLYMOUTH ACCOMPLISHES ITS CHARITABLE MISSION OF IMPROVING THE HEALTH AND WELL-BEING OF ITS PATIENTS AND COMMUNITY BY PROVIDING A FULL CONTINUUM OF HEALTHCARE SERVICES. BID-PLYMOUTH DELIVERS THESE SERVICES WITH EXCELLENCE AND COMPASSION AND PROVIDES ACCESS TO TERTIARY CARE IN CLOSE COLLABORATION WITH ITS SOLE MEMBER, BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER), REGARDLESS OF THE PATIENT'S ABILITY TO PAY, RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, NATIONAL ORIGIN, ANCESTRY, AGE, OR DISABILITY. THE SPECIFIC USES OF THE ENDOWMENT VARY DEPENDING ON THE NATURE OF RESTRICTIONS, IF ANY, IMPOSED BY DONORS. THE BID-PLYMOUTH ENDOWMENT CONSISTS OF APPROXIMATELY FORTY FUNDS. INVESTMENT INCOME EARNED IS USED FOR HOSPITAL CAPITAL NEEDS, FREE CARE, AND FOR OTHER OPERATING EXPENSES AT THE DIRECTION OF THE DONORS. UNDER BID-PLYMOUTH'S CURRENT INVESTMENT SPENDING POLICY, WHICH IS WITHIN THE GUIDELINES SPECIFIED UNDER MASSACHUSETTS STATE LAW, 4% OF THE AVERAGE OF THE FAIR VALUE OF QUALIFYING LONG-TERM INVESTMENTS APPLIED TO A THREE-YEAR MOVING AVERAGE WITH A ONE YEAR LAG IS APPROPRIATED AS STATED BY THE DONOR. IN ESTABLISHING THIS POLICY, BID- PLYMOUTH CONSIDERED THE EXPECTED RETURN ON ITS ENDOWMENT AND ITS PROGRAMMING NEEDS. ACCORDINGLY, BID-PLYMOUTH EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO MAINTAIN ITS PURCHASING POWER AND TO PROVIDE A PREDICTABLE AND STABLE SOURCE OF REVENUE FOR THE ANNUAL OPERATING BUDGET. ADDITIONAL REAL GROWTH WILL BE PROVIDED THROUGH NEW GIFTS OR EXCESS INVESTMENT RETURN. |
| PART X, LINE 2: | FINANCIAL STATEMENT FOOTNOTE REGARDING LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740) AS NOTED THROUGHOUT THIS FILING, BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) IS THE SOLE MEMBER OF BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH (BIDP) AND BIDP IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF BIDMC AND AFFILIATES. THE TEXT OF THE FOOTNOTE BELOW IS FROM THE BIDMC CONSOLIDATED FINANCIAL STATEMENTS. THE MEDICAL CENTER, MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP (APG), BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM (BIDN), BETH ISRAEL DEACONESS HOSPITAL - MILTON (BIDM), BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH (BIDP), JORDAN HEALTH SYSTEMS, INC. AND HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (HMFP) HAVE ALL BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE ORGANIZATIONS DESCRIBED IN 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. THE MEDICAL CENTER 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 OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY TO BE REALIZED UPON SETTLEMENT. CHANGES IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE MEDICAL CENTER DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2017 OR 2016. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGES IN EQUITY INTERESTS IN LIMITED PARTNERSHIP 1,305,233. ASSETS RELEASED FROM RESTRICTION USED FOR OPERATIONS 1,397,338. CONSOLIDATED AFFILIATES NET ELIMINATIONS 2,460,578,036. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RESTRICTED REVENUE 10,278. RESTRICTED CONTRIBUTIONS 1,255,951. RENT EXPENSE OFFSET -22,168. FUNDRAISING EVENTS AND GAMING ACTIVITIES EXPENSE OFFSET -66,464. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE RECLASS TO OFFSET REVENUE 22,168. CONSOLIDATED AFFILIATES NET ELIMINATIONS 2,388,512,469. FUNDRAISING EVENTS AND GAMING ACTIVITIES EXPENSE OFFSET 66,464. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|
| CENTRAL AMERICA & THE CARIBBEAN | 0 | 0 | INVESTMENTS | $5,059,409 |
| EUROPE (INCLUDING ICELAND & GREENLAND) | 0 | 0 | INVESTMENTS | $634,885 |
| NORTH AMERICA | 0 | 0 | INVESTMENTS | $218,199 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $5,912,493 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $5,912,493 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (1) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | Yes (1) | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE F PART IV - FOREIGN FORMS | FormAndLineReferenceDesc |
| Explanation | FORM 990, SCHEDULE F, PART IV, LINE 1 ALTHOUGH BIDP WAS AN INDIRECT U.S. TRANSFEROR OF PROPERTY TO A FOREIGN CORPORATION DURING THE TAX YEAR, SUCH TRANSFERS DID NOT RESULT IN AN OBLIGATION TO FILE FORM 926, RETURN BY A U.S. TRANSFEROR OF PROPERTY TO A FOREIGN CORPORATION. FORM 990, SCHEDULE F, PART IV, LINE 3 ALTHOUGH BIDP 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. FORM 990, SCHEDULE F, PART IV, LINE 4 ALTHOUGH BIDP WAS AN INDIRECT SHAREHOLDER OF A PASSIVE FOREIGN INVESTMENT COMPANY OR A QUALIFIED ELECTING FUND DURING THE PERIOD COVERED BY THIS FILING, SUCH OWNERSHIP 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. FORM 990, SCHEDULE F, PART IV, LINE 5 ALTHOUGH BIDP 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GUTHRIE AND ASSOCIATES LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 189 EARLE DRIVE | AddressLine1Txt |
| City | NORTH KINGSTOWN | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02852 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | STRATEGY & PLANNING | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $0 | GrossReceiptsAmt |
| Retained By Contractor | $19,200 | RetainedByContractorAmt |
| Net To Organization | $0 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | $19,200 | TotalRetainedByContractorsAmt |
| Licensed States | CA | LicensedStatesCd |
| Licensed States | CT | LicensedStatesCd |
| Licensed States | FL | LicensedStatesCd |
| Licensed States | GA | LicensedStatesCd |
| Licensed States | MD | LicensedStatesCd |
| Licensed States | ME | LicensedStatesCd |
| Licensed States | MA | LicensedStatesCd |
| Licensed States | MN | LicensedStatesCd |
| Licensed States | NH | LicensedStatesCd |
| Licensed States | NJ | LicensedStatesCd |
| Licensed States | NC | LicensedStatesCd |
| Licensed States | OH | LicensedStatesCd |
| Licensed States | RI | LicensedStatesCd |
| Licensed States | VT | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BIDP GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $124,726 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $80,635 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $44,091 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $2,000 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $775 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $20,720 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $3,151 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $0 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $10,236 | OtherDirectExpensesEvent1Amt |
| Event2 | CH GOLF TOURNAMENT | Event2Nm |
| Gross Receipts Event2 | $35,800 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $11,525 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $24,275 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $50 | CashPrizesEvent2Amt |
| Non Cash Prizes Event2 | $0 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $0 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $12,173 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $0 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $2,229 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $24,156 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $9,780 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $14,376 | GrossRevenueOtherEventsAmt |
| Cash Prizes Other Events | $0 | CashPrizesOtherEventsAmt |
| Non Cash Prizes Other Events | $0 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $1,781 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $9,585 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $0 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $1,793 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $184,682 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $101,940 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $82,742 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $2,050 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $775 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $22,501 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $24,909 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $14,258 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $64,493 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $18,249 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,332,167 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $623,200 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,708,967 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00690 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,407,558 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,140,348 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,267,210 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02520 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,739,725 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,763,548 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,976,177 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03210 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,363,916 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,240,411 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,123,505 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00450 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $66,953,717 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $44,203,539 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,750,178 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09160 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $78,635 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $78,635 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $71,396,268 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $47,443,950 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,952,318 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09640 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $107,135,993 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $75,207,498 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,928,495 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12850 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,271,493 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $86,089,424 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $84,810,088 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $1,279,336 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETH ISRAEL DEACONESS HOSPITAL- PLYMOUTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 275 SANDWICH STREET | AddressLine1Txt |
| City | PLYMOUTH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 023602183 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BIDPLYMOUTH.ORG | WebsiteAddressTxt |
| State License | 2082 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | COMMUNITY HOSPITAL | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETH ISRAEL DEACONESS HOSPITAL- PLYMOUTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART VI | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART VI | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART VI | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART VI | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART VI | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH (BID-PLYMOUTH) SEEKS TO IMPROVE THE HEALTH AND WELLBEING OF PATIENTS AND COMMUNITY BY PROVIDING A FULL CONTINUUM OF HEALTHCARE SERVICES WITH EXCELLENCE AND COMPASSION. SERVING THE GREATER PLYMOUTH REGION, THE HOSPITAL COLLABORATES WITH COMMUNITY LEADERS, PUBLIC AND PRIVATE AGENCIES AND BUSINESSES, TO PROVIDE HEALTH PROMOTION, HEALTH PROTECTION AND PREVENTIVE SERVICES TO MEET THE BROAD RANGE OF OUR COMMUNITY'S HEALTH AND WELLNESS NEEDS AS IDENTIFIED THROUGH COMMUNITY FEEDBACK AND FORMAL COMMUNITY NEEDS ASSESSMENTS. AS PART OF ITS MISSION TO SUPPORT COMMUNITY HEALTH, BID-PLYMOUTH IS COMMITTED TO ASSESSING ROOT CAUSES OF HEALTH DISPARITIES AND TO ASSISTING IN IMPROVING HEALTH CARE FOR THE DISADVANTAGED AND UNDERSERVED. BID-PLYMOUTH'S COMMUNITY BENEFIT IS FULFILLED BY:-IMPLEMENTING PROGRAMS AND SERVICES IN MASSACHUSETTS' GREATER PLYMOUTH AND THE SOUTH SHORE REGION TO IMPROVE THE CURRENT AND FUTURE STATUS OF DISADVANTAGED AND MEDICALLY UNDERSERVED POPULATIONS THAT ARE CHALLENGED BY BARRIERS TO ACCESSING HEALTHCARE AND ARE IMPACTED BY OTHER SOCIAL DETERMINANTS OF HEALTH;-PROVIDING PATIENTS WITH EQUITABLE, RESPECTFUL, CULTURALLY-APPROPRIATE CARE; AND,-BUILDING STRONG PARTNERSHIPS WITH COMMUNITY AGENCIES AND BUSINESSES, ALONG WITH OUR ALLIES IN STATE AND LOCAL GOVERNMENT, TO SHIFT SOCIETAL PATTERNS TOWARD HEALTHY BEHAVIOR. AT THE POLICY LEVEL RIGHT DOWN TO TACTICAL IMPROVEMENTS TO SERVICES AND FACILITIES, WE ARE HELPING ESTABLISH AND SUPPORT THE SYSTEMS THAT UNDERPIN HEALTHY LIFESTYLES THROUGHOUT THE PLYMOUTH/SOUTH SHORE REGION.AS NOTED THROUGHOUT THIS NARRATIVE, BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER), IS A NATIONALLY RECOGNIZED TERTIARY CARE ACADEMIC MEDICAL CENTER, IS A TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL AND IS THE SOLE MEMBER OF BID-PLYMOUTH. THE MEDICAL CENTER IS COMMITTED TO ITS COMMUNITY. THE MEDICAL CENTER'S MISSION IS TO SERVE PATIENTS COMPASSIONATELY AND EFFECTIVELY, AND TO CREATE A HEALTHY FUTURE FOR THEM AND THEIR FAMILIES. THAT MISSION IS SUPPORTED BY THE MEDICAL CENTER'S COMMITMENT TO PERSONALIZED, EXCELLENT CARE FOR OUR PATIENTS; A WORKFORCE COMMITTED TO INDIVIDUAL ACCOUNTABILITY, MUTUAL RESPECT AND COLLABORATION; AND A COMMITMENT TO MAINTAINING OUR FINANCIAL HEALTH. THE MEDICAL CENTER IS COMMITTED TO BEING ACTIVE IN THE COMMUNITY AS WELL. SERVICE TO COMMUNITY IS AT THE CORE AND AN IMPORTANT PART OF THE MEDICAL CENTER'S MISSION. BIDMC HAS A COVENANT TO CARE FOR THE UNDERSERVED AND TO WORK TO CHANGE DISPARITIES IN ACCESS TO CARE. THE MEDICAL CENTER KNOWS THAT TO BE SUCCESSFUL WE NEED TO LEARN FROM THOSE WE SERVE. THE MEDICAL CENTER'S COMMUNITY BENEFIT MISSION IS FULFILLED BY:-IMPLEMENTING PROGRAMS AND SERVICES IN GREATER BOSTON AND OUTER CAPE COD TO IMPROVE THE CURRENT AND FUTURE HEALTH STATUS OF MEDICALLY UNDERSERVED COMMUNITIES WHICH ARE CHALLENGED BY BARRIERS IN ACCESSING AND INTERACTING EFFECTIVELY WITH THE HEALTHCARE SYSTEM AND IMPACTED BY OTHER SOCIAL DETERMINANTS OF HEALTH.-ENSURING THAT ALL PATIENTS RECEIVE EQUITABLE CARE THAT IS RESPECTFUL AND CULTURALLY RESPONSIVE AND THAT THE MEDICAL CENTER IS WELCOMING AND INCLUSIVE.; AND-ENCOURAGING COLLABORATIVE RELATIONSHIPS WITH OTHER PROVIDERS AND GOVERNMENT ENTITIES TO SUPPORT AND ENHANCE RATIONAL AND EFFECTIVE HEALTH POLICIES AND PROGRAMS. DURING THE FISCAL YEAR COVERED BY THIS FILING, BID-PLYMOUTH PROVIDED COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS OF $4,363,916 AS REPORTED ON THIS SCHEDULE H, PART I, LINES 7E AND 7I, COLUMN C. AS NOTED IN THE NARRATIVE DETAIL TO SCHEDULE H BELOW, BID-PLYMOUTH HAS PARTNERED WITH THE COMMONWEALTH OF MASSACHUSETTS ON MANY OF THESE EFFORTS BECAUSE THE HOSPITAL IS UNIQUELY QUALIFIED IN ITS COMMUNITIES, TO PROVIDE CERTAIN SERVICES, AND GRANT FUNDING RECEIVED OF $3,240,411 HAS SIMILARLY BEEN REPORTED IN THIS SCHEDULE H, PART I, LINES 7E AND 7I, COLUMN D. IN ADDITION, DURING THE FISCAL YEAR COVERED BY THIS FILING, THE MEDICAL CENTER PROVIDED NET COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS OF $16,283,021 AS REPORTED ON THE MEDICAL CENTER'S SCHEDULE H, PART I, LINES 7E AND 7I. COMMUNITY BENEFITS LEADERSHIPBID-PLYMOUTH IS A PUBLIC CHARITY EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF BID-PLYMOUTH, THE HOSPITAL'S SENIOR MANAGEMENT TEAM AND THE HOSPITAL'S BOARD OF DIRECTORS, HAVE ULTIMATE OVERSIGHT OF ALL COMMUNITY BENEFIT INITIATIVES. AS NOTED IN THIS FILING, THE BOARD IS COMPRISED OF A MAJORITY OF COMMUNITY RESIDENTS REPRESENTING HEALTH AND HUMAN SERVICE AGENCIES AND OTHER COMMUNITY ORGANIZATIONS, BUSINESS LEADERS, AND INDIVIDUAL RESIDENTS.THE HOSPITAL'S SENIOR LEADERSHIP TEAM, WHICH MEETS WEEKLY AND REGULARLY DISCUSSES TOPICS ON COMMUNITY OUTREACH AND HEALTH ISSUES DIRECTLY RELATED TO THE HOSPITAL'S COMMUNITY BENEFITS PLAN, IS DEDICATED TO PRIORITIZING, PLANNING AND TRACKING THE HOSPITAL'S WORK TO ADDRESS THE FINDINGS OF ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. |
| COMMUNITY HEALTH NEEDS ASSESSMENT | COMMUNITY HEALTH NEEDS ASSESSMENT - INTERNAL REVENUE CODE SECTION 501(R)INTERNAL REVENUE CODE (IRC) SECTION 501(R), ENACTED AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, 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 OF 1986, AS AMENDED. BID-PLYMOUTH COMPLETED ITS MOST RECENT NEEDS ASSESSMENT IN SEPTEMBER 2016. THE NEEDS ASSESSMENT AND ACCOMPANYING IMPLEMENTATION PLAN WERE APPROVED BY THE BID-PLYMOUTH BOARD OF DIRECTORS ON OR BEFORE SEPTEMBER 30, 2016. THE BID-PLYMOUTH COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE ASSOCIATED COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP OR IMPLEMENTATION STRATEGY) WERE THE CULMINATION OF SEVERAL MONTHS OF WORK AND WERE BORNE LARGELY OUT OF BID-PLYMOUTH'S COMMITMENT TO BETTER UNDERSTAND AND ADDRESS THE HEALTH-RELATED NEEDS OF THOSE LIVING IN ITS COMMUNITY BENEFITS SERVICE AREA WITH AN EMPHASIS ON THOSE WHO ARE MOST DISADVANTAGED. THE PROJECT ALSO FULFILLED THE COMMONWEALTH ATTORNEY GENERAL'S OFFICE AND FEDERAL INTERNAL REVENUE SERVICE (IRS) REGULATIONS THAT REQUIRE THAT BID-PLYMOUTH ASSESS COMMUNITY HEALTH NEEDS, ENGAGE THE COMMUNITY, IDENTIFY PRIORITY HEALTH ISSUES, AND CREATE A COMMUNITY HEALTH STRATEGY THAT DESCRIBES HOW THE BID-PLYMOUTH, IN COLLABORATION WITH THE COMMUNITY AND LOCAL HEALTH DEPARTMENT, WILL ADDRESS THE NEEDS AND THE PRIORITIES IDENTIFIED BY THE ASSESSMENT.COMMUNITY HEALTH NEEDS ASSESSMENT - TARGETED GEOGRAPHY AND POPULATIONTHE 2016 COMMUNITY HEALTH ASSESSMENT (CHNA) FOCUSED ON PLYMOUTH AND BARNSTABLE COUNTIES, INCLUDING THE COMMUNITIES OF BOURNE, CARVER, DUXBURY, HALIFAX, KINGSTON, PEMBROKE, PLYMPTON, PLYMOUTH, MARSHFIELD, MIDDLEBORO, SANDWICH AND WAREHAM. FOCUSING BID-PLYMOUTH'S CHNA ON THIS GEOGRAPHIC AREA FACILITATED THE ALIGNMENT OF THE HOSPITAL'S EFFORTS WITH COMMUNITY AND GOVERNMENTAL PARTNERS, AND SEVERAL COMMUNITY-BASED ORGANIZATIONS. COMMUNITY HEALTH NEEDS ASSESSMENT - APPROACH AND METHODS - CHNA COMPLETED DURING FISCAL YEAR ENDED SEPTEMBER 30, 2016 BID-PLYMOUTH, ALONG WITH ITS SOLE MEMBER BETH ISRAEL DEACONESS MEDICAL CENTER AND AFFILIATE HOSPITALS: BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM AND BETH ISRAEL DEACONESS HOSPITAL - MILTON ENGAGED JOHN SNOW, INC (JSI) TO CONDUCT ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND TO FURTHER UNDERSTAND THE COMMUNITIES' UNMET HEALTH NEEDS. (SCHEDULE H PART V SECTION B QUESTION 6A). THE RESULTS OF THIS PROCESS HELP GUIDE BID-PLYMOUTH'S EFFORTS TO IMPROVE THE HEALTH OF THE REGIONAL POPULATION SERVED. THE CHNA WAS CONDUCTED IN THREE PHASES, WHICH ALLOWED BID-PLYMOUTH TO:1.COMPILE AN EXTENSIVE AMOUNT OF QUANTITATIVE AND QUALITATIVE DATA2.ENGAGE AND INVOLVE KEY STAKEHOLDERS, BID-PLYMOUTH CLINICAL AND ADMINISTRATIVE STAFF, AND THE COMMUNITY AT-LARGE3.DEVELOP A REPORT AND DETAILED STRATEGIC PLAN4.COMPLY WITH ALL COMMONWEALTH ATTORNEY GENERAL AND FEDERAL IRS COMMUNITY BENEFIT REQUIREMENTS.THE 2016 CHNA WAS CONDUCTED IN A THREE-PHASED PROCESS. 1.PHASE I INVOLVED A RIGOROUS AND COMPREHENSIVE REVIEW OF EXISTING QUANTITATIVE DATA ALONG WITH QUALITATIVE DATA COLLECTION PRIMARILY THROUGH A SURVEY OF 190 PARTNERS TO CHARACTERIZE COMMUNITY NEEDS. OTHER DATA SOURCES INCLUDED:-VITAL STATISTICS, CANCER REGISTRY, COMMUNICABLE DISEASE REGISTRY,MA DPH/MASSCHIP-BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (MA DPH)-AMERICAN COMMUNITY SURVEY (US CENSUS)2.PHASE II INVOLVED A MORE TARGETED ASSESSMENT OF NEED AND BROADER COMMUNITY ENGAGEMENT ACTIVITIES THAT INCLUDED LISTENING SESSIONS WITH HEALTH, SOCIAL SERVICE, AND PUBLIC HEALTH SERVICE PROVIDERS AS WELL AS FORUMS THAT INCLUDED THE COMMUNITY AT-LARGE. OTHER DATA SOURCES INCLUDED CLAIMS DATA FOR HOSPITAL INPATIENT AND EMERGENCY DEPARTMENT DISCHARGES (CHIA) AND RESOURCE INVENTORY. ANALYSES INCLUDED COMPARATIVE BENCHMARKING AND MAPPING OF HEALTH INDICATOR DATA. 3.PHASE III INVOLVED A SERIES OF STRATEGIC PLANNING AND REPORTING ACTIVITIES THAT INVOLVED A BROAD RANGE OF INTERNAL AND EXTERNAL STAKEHOLDERS. THIS PHASE ALSO INCLUDED A RANGE OF COMMUNITY FORUMS, WHEREBY BID-PLYMOUTH COMMUNICATED THE RESULTS OF THE CHNA AND OUTLINED THE CORE ELEMENTS OF ITS CURRENT AND REVISED CHIP.(SCHEDULE H PART V SECTION B QUESTION 5).IN COLLECTING THIS DATA, BID-PLYMOUTH SOUGHT TO DETERMINE WHERE COMMUNITY PROGRAMS ARE ALREADY MEETING HEALTH AND WELLNESS NEEDS AND DETERMINE WHICH COMMUNITY HEALTH NEEDS REMAIN UNMET. DATA SOURCES INCLUDED A BROAD ARRAY OF PUBLICLY AVAILABLE SECONDARY DATA, A PARTNER SURVEY OF 190 PARTNERS IN THE BID-PLYMOUTH SERVICE AREA, AND FOUR FORUMS. SINCE THE BEGINNING OF THE ASSESSMENT IN EARLY OCTOBER 2015, DOZENS OF INDIVIDUALS PARTICIPATED IN FORUMS, AND ALMOST 200 INDIVIDUALS COMPLETED A PARTNER SURVEY FOR BID-PLYMOUTH'S SERVICE AREA. THESE PARTICIPANTS INCLUDED REPRESENTATIVES FROM HEALTH AND SOCIAL SERVICE PROVIDER ORGANIZATIONS, PUBLIC HEALTH DEPARTMENTS, COMMUNITY ADVOCACY GROUPS, COMMUNITY BUSINESSES, AND MANY OTHER TYPES OF COMMUNITY ORGANIZATIONS, AS WELL AS FROM THE COMMUNITY AT-LARGE. THE INFORMATION GATHERED AS PART OF THESE EFFORTS ALLOWED JSI AND BID-PLYMOUTH TO ENGAGE THE COMMUNITY AND GAIN A BETTER UNDERSTANDING OF COMMUNITY CAPACITY, STRENGTHS, AND CHALLENGES AS WELL AS COMMUNITY HEALTH STATUS, BARRIERS TO CARE, SERVICE GAPS, UNDERLYING DETERMINANTS OF HEALTH, AND OVERALL COMMUNITY NEED. 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). BID-PLYMOUTH CONDUCTED THIS CHNA PROCESS IN CONJUNCTION WITH ITS SOLE MEMBER, BETH ISRAEL DEACONESS MEDICAL CENTER, AS WELL AS THE OTHER HOSPITALS FOR WHICH BIDMC SERVES AS SOLE MEMBER, BID-MILTON AND BID-NEEDHAM. ALTHOUGH THESE HOSPITALS WORKED TOGETHER ON THE CHNA PROCESS, EACH HOSPITAL ULTIMATELY COMPILED ITS OWN INDEPENDENT CHNA AND IMPLEMENTATION STRATEGY. (SCHEDULE H, PART V, SECTION B, QUESTION 6A AND 6B).IN ADDITION TO THE METHODOLOGIES LISTED ABOVE, BID-PLYMOUTH GATHERS DATA ON AN ON-GOING BASIS THROUGH ITS SPEAKER'S BUREAU PROGRAM, HOUSECALLS, WHERE STAFF GATHER SURVEY DATA BY ASKING THOSE WHO ATTEND THE HEALTH EDUCATION PROGRAMS TO PROVIDE FEEDBACK AND IDENTIFY HEALTH-RELATED TOPICS THEY WOULD LIKE TO HEAR PRESENTED BY BID-PLYMOUTH CLINICIANS. DURING THE PERIOD COVERED BY THIS FILING, MORE THAN 180 AREA RESIDENTS PARTICIPATED IN BID-PLYMOUTH'S HOUSECALLS EDUCATIONAL PROGRAMS. TOPICS INCLUDED ORTHOPEDIC CARE FOR HANDS (DUPUYTREN'S DISEASE), COSMETIC AND VARICOSE VEIN TREATMENTS, MAKO TECHNOLOGY FOR PARTIAL KNEE REPLACEMENT, AND TREATMENT OPTIONS FOR PAIN MANAGEMENT. THE HOSPITAL ALSO WORKS WITH A PATIENT FAMILY ADVISORY COUNCIL (PFAC). THIS COMMITTEE MEETS AT LEAST QUARTERLY AND PROVIDES FEEDBACK TO HELP MAKE IMPROVEMENTS THROUGHOUT THE HOSPITAL. EXAMPLES OF IMPROVEMENT INITIATIVES INCLUDE FEEDBACK TO IMPROVE SIGNAGE AND PARKING FOR PATIENTS OF VISITORS WITH VARIED NEEDS, REVIEW AND COMMENT ON OUR FACILITY UPGRADE PLANS, AND BRINGING FORWARD THE VOICE OF THE COMMUNITY ON NEEDS FOR PATIENT ADVOCACY. COMMUNITY HEALTH NEEDS ASSESSMENT - KEY FINDINGS - CHNA COMPLETED DURING FISCAL YEAR ENDED SEPTEMBER 30, 2016BID-PLYMOUTH'S CHNA IDENTIFIED THE FOLLOWING KEY HEALTH-RELATED OPPORTUNITIES:1.DECREASING ALCOHOL AND SUBSTANCE USE, INCLUDING OPIOID USE2.INCREASING ACCESS TO HEALTHY FOOD AND PHYSICAL ACTIVITY3.BETTER MANAGING MENTAL ILLNESS4.ADDRESSING THE COMMUNITY'S HIGH PREVALENCE OF CHRONIC DISEASE AND CANCER5.INCREASING SUPPORT FOR OLDER ADULTS6.ADDRESSING CONCERNS AROUND LYME DISEASE AND PNEUMONIA THE CHNA'S APPROACH AND PROCESS PROVIDED AMPLE OPPORTUNITY TO VET THE QUANTITATIVE AND QUALITATIVE DATA COMPILED DURING THE ASSESSMENT. BID-PLYMOUTH HAS FRAMED THE COMMUNITY HEALTH NEEDS UNDER THREE AREAS, WHICH TOGETHER ENCOMPASS THE BROAD RANGE OF HEALTH ISSUES FACING THE COMMUNITY. THESE THREE AREAS ARE: 1.HEALTH RISK FACTORS2.PHYSICAL DISEASE MANAGEMENT AND PREVENTION3.BEHAVIORAL HEALTH INCLUDING MENTAL HEALTH AND SUBSTANCE USE DISORDER.BID-PLYMOUTH ALREADY LEADS AND SUPPORTS A NUMBER OF INITIATIVES UNDER THESE AREAS, AND FOR THE PERIODS FOR WHICH THIS CHNA AND ASSOCIATED IMPLEMENTATION PLAN (CHIP) WILL INFORM BID-PLYMOUTH'S COMMUNITY BENEFIT OPERATIONS (FISCAL YEARS ENDING SEPTEMBER 30, 2017, SEPTEMBER 30, 2018 AND SEPTEMBER 30, 2019), BID-PLYMOUTH WILL SEEK TO EXPAND ON THESE INITIATIVES TO FURTHER PROMOTE COMMUNITY HEALTH. |
| COMMUNITY HEALTH NEEDS ASSESSMENT - ADDRESSING COMMUNITY HEALTH NEEDS | BID-PLYMOUTH STRIVES TO ADDRESS THE PRIORITY AREAS IN ITS CHNA AND IMPLEMENTATION STRATEGY WHICH ARE AVAILABLE ON THE BID-PLYMOUTH WEBSITE. AS NOTED THROUGHOUT THIS FORM 990 SCHEDULE H, BID-PLYMOUTH'S MOST RECENTLY COMPLETED CHNA WAS COMPLETED DURING THE FISCAL YEAR ENDED 2016 AND THE FIRST YEAR OF ACCOMPLISHMENTS UNDER THAT CHNA AND IMPLEMENTATION STRATEGY (CHIP) ARE DETAILED IN THIS NARRATIVE SUPPORT TO THE FORM 990 SCHEDULE H FOR THIS FISCAL YEAR ENDING SEPTEMBER 30, 2017. THAT CHNA AND CHIP ARE AVAILABLE ON THE HOSPITAL'S WEBSITE AT (SCHEDULE H PART V SECTION B LINE 10A):HTTP://WWW.BIDPLYMOUTH.ORG/COMMUNITY-BENEFITSIN ADDITION, THE CHNA AND CHIP WHICH WERE 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 IS ALSO AVAILABLE ON THE HOSPITAL'S WEBSITE AT: HTTP://WWW.BIDPLYMOUTH.ORG/COMMUNITY-BENEFITSBOTH DOCUMENTS ARE ALSO AVAILABLE UPON REQUEST. (SCHEDULE H, PART V, SECTION B, LINE 7A.) A SUMMARY OF BID-PLYMOUTH'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 BID-PLYMOUTH PARTNERS RELATED TO THESE EFFORTS. 1. ACCESS TO CAREPRIMARY AND SPECIALTY CARE SERVICESDURING THE PERIOD COVERED BY THIS FILING, THE HOSPITAL RECRUITED ONE NEW PHYSICIAN AND THE HOSPITAL HAS CONTINUED TO RECRUIT NEW CLINICIANS. THE HOSPITAL IS ALSO PARTNERING WITH COMMUNITY SPECIALISTS SUCH AS ORTHOPEDICS, GASTROENTEROLOGY AND EAR, NOSE AND THROAT SPECIALISTS TO GROW THEIR PRACTICES. TO BETTER PROVIDE PRIMARY CARE TO THE UNINSURED POPULATION, THE HOSPITAL HAS INITIATED A PARTNERSHIP WITH HARBOR HEALTH COMMUNITY HEALTH CENTER. THIS PARTNERSHIP ALSO SUPPORTS PRIMARY CARE FOR THE UNDERSERVED SPEAKERS OF SPANISH AND PORTUGUESE IN THE REGION. THE HOSPITAL ALSO PROVIDES FINANCIAL SUPPORT TO HELP ENSURE THAT THE COMMUNITY CAN ACCESS TO PRIMARY CARE AND CERTAIN SPECIALTY CARE. DURING THE PERIOD COVERED BY THIS FILING, BID-PLYMOUTH PROVIDED $5,275,375 FOR SUCH ACTIVITIES AND THIS AMOUNT IS INCLUDED IN THIS FORM 990 SCHEDULE H PART I LINE 7G. IN ADDITION, AS NOTED THROUGHOUT THIS FILING, BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER) SERVES AS THE SOLE MEMBER OF BID-PLYMOUTH AND MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP (APG). APG ALSO WORKS WITH BID-PLYMOUTH TO PROVIDE ACCESS TO PRIMARY AND SPECIALTY CARE IN THE COMMUNITIES SERVED BY BID-PLYMOUTH AND DURING THE PERIOD COVERED BY THIS FILING, THE MEDICAL CENTER PROVIDED AN ADDITIONAL $469,487 OF SUPPORT RELATED TO THESE ACTIVITIES, BUT AS REQUIRED BY THIS FORM 990 SCHEDULE H, THIS AMOUNT HAS NOT BEEN REPORTED ON BID-PLYMOUTH'S SCHEDULE H PART I LINE 7G. ACCESS PROGRAMTHE AIDS COMPREHENSIVE CARE EDUCATION AND SUPPORT SERVICES PROGRAM (ACCESS) PROVIDES PRIMARY MEDICAL CARE TO HIV/AIDS CLIENTS. AS A PARTICIPANT IN THIS PROGRAM, BID-PLYMOUTH PROVIDES FREE AND ANONYMOUS HIV COUNSELING AND TESTING AS WELL AS PRIMARY MEDICAL CARE AND MEDICAL CASE MANAGEMENT SERVICES FOR PERSONS LIVING WITH HIV/AIDS IN THE GREATER PLYMOUTH AREA. BID-PLYMOUTH PROVIDES THESE SERVICES THROUGH RESOURCES MADE AVAILABLE THROUGH THE RYAN WHITE CARE ACT, AND PARTNERING WITH THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) FOR EARLY INTERVENTION SERVICES AND THE BOSTON PUBLIC HEALTH COMMISSION (BHPC) FOR MEDICAL CASE MANAGEMENT. DURING THE PERIOD COVERED BY THIS FILING, BID-PLYMOUTH PROVIDED APPROXIMATELY $340,000 IN CARE AND SERVICES RELATED TO ACCESS AND THE COSTS ASSOCIATED WITH THIS ACTIVITY HAVE BEEN REPORTED IN THIS FORM 990 SCHEDULE H PART I LINE 7E, COLUMN C. GRANT FUNDS RECEIVED WHICH ENABLE BID-PLYMOUTH TO PROVIDE THESE SERVICES TO THE COMMUNITY HAVE SIMILARLY BEEN REPORTED IN THIS FORM 990 SCHEDULE H PART I LINE 7E, COLUMN D AS REVENUE RECEIVED. AS SUCH, THE NET COMMUNITY BENEFIT CALCULATED IN THIS FORM 990 SCHEDULE H PART I LINE 7E, DOES NOT INCLUDE THE COST OF THESE ACTIVITIES. MANAGING COMPLEX CASES AND IMPROVING ACCESS TO BEHAVIORAL HEALTHTHROUGH FUNDING PROVIDED BY THE 2013 INCREASED CAPACITY BUILDING AND INFRASTRUCTURE (ICB) GRANT AND MONIES FROM CHART 2, IN EARLIER YEARS, BID-PLYMOUTH STAFF SUCCESSFULLY EXPANDED THE JORDAN COMMUNITY ACCOUNTABLE CARE ORGANIZATION'S (JCACO) CARE MANAGEMENT AND CLINICAL INITIATIVES. IN 2017, THE COMPLEX PATIENT PROGRAM (CPP) CONTINUED TO SCREEN ALL DUAL ELIGIBLE PATIENTS UPON DISCHARGE FOR COMMUNITY CASE MANAGEMENT SERVICES. THE INTEGRATED CARE INITIATIVE (ICI) FOR BEHAVIORAL HEALTH PATIENTS HAS CONTINUED TO GROW AS WELL. THIS PROGRAM CO-LOCATES BEHAVIORAL HEALTH PRACTITIONERS INTO PRIMARY CARE PRACTICES IN AN INTEGRATED CARE MODEL. EXPANSION OF THESE PROJECTS AND THE IMPLEMENTATION OF A NEW SOFTWARE SYSTEM FOR CREATING INDIVIDUALIZED CARE PLANS HAVE ALLOWED BID-PLYMOUTH TO DEVELOP A UNIQUE, HIGH VALUE, AND COST-EFFECTIVE APPROACH TO MANAGING COMPLEX PATIENTS. THE CPP IS PART OF THE BID-PLYMOUTH CARES PROGRAM WHERE STAFF CONNECT, ASSESS, RESPOND, EDUCATE AND SUPPORT PATIENTS WITH COMPLEX NEEDS ACROSS THE CARE CONTINUUM. WITH A FOCUS ON COMPLEX MEDICARE PATIENTS, THE DUAL ELIGIBLE AND BEHAVIORAL HEALTH POPULATIONS, HAS PROVEN TO BE SUCCESSFUL - INCREASING ACCESS TO SERVICES AND DECREASING READMISSIONS. ADDITIONALLY, THESE EFFORTS HAVE LED TO THE ESTABLISHMENT OF THE FIRST INTEGRATED BEHAVIORAL HEALTH AND PRIMARY CARE PRACTICE PILOT IN THE COMMUNITY.COMPLEX PATIENT PROGRAMUNDER CHART 2, THE COMMUNITY CASE MANAGEMENT COMPLEX PATIENT PROGRAM CONTINUES TO PROVIDE TARGETED OUTREACH AND ENGAGEMENT TO BETH ISRAEL DEACONESS CARE ORGANIZATION (BIDCO) DUAL ELIGIBLE (MEDICARE AND MASSHEALTH) AGED AND/OR DISABLED PATIENTS WITH COMPLEX MEDICAL AND/OR BEHAVIORAL HEALTH NEEDS WHO ARE AT HIGH RISK FOR HOSPITAL READMISSION, REPEAT ED VISITS, AND WHO MAY INCUR HIGH HEALTH CARE COSTS WITH POOR HEALTH OUTCOMES. THE GOAL OF THE PROGRAM IS TO PREVENT A RETURN OF THE PATIENT TO THE INPATIENT SETTING, SPECIFICALLY DURING THE INITIAL 30 DAYS POST DISCHARGE. PROGRAM STAFF PERFORMED AN IN-DEPTH CASE MANAGEMENT ASSESSMENT, COMPLETED BY THE TEAM NURSE CASE MANAGER AND SOCIAL WORKER TO ENSURE A SUCCESSFUL TRANSITION OF THE PATIENT TO THE COMMUNITY SETTING. WHEN PATIENTS MET PROGRAM BENCHMARKS, THEY WERE TRANSITIONED TO OTHER COMMUNITY PROVIDERS THROUGH A WARM HANDOFF. THIS PROCESS HELPS THE HOSPITAL AND COMMUNITY SERVE AS MANY PATIENTS FROM THIS COMPLEX POPULATION AS POSSIBLE. WHEN THE CHART 2 SUNSETTED ON SEPTEMBER 30, 2017, THE PROGRAM HAD DEMONSTRATED A 26.5% REDUCTION IN READMISSIONS WITHIN 30 DAYS FOR THIS PATIENT POPULATION. |
| BEHAVIORAL HEALTH INTEGRATED CARE INITIATIVE | IN RESPONSE TO UNMET NEEDS FOR BEHAVIORAL HEALTH IN OUR RECENT COMMUNITY ASSESSMENTS, BID-PLYMOUTH BEGAN INTEGRATING BEHAVIORAL HEALTH SERVICES INTO ITS PRIMARY CARE PRACTICE AS THE FAMILY BEHAVIORAL HEALTH INITIATIVE (FBHI). IN 2013, THE HOSPITAL CONDUCTED A SPECIFIC BEHAVIORAL HEALTH ASSESSMENT THROUGH HEALTH RESOURCES IN ACTION (HRIA) TO IDENTIFY BEHAVIORAL HEALTH NEEDS IN THE COMMUNITY-ASSESSING CURRENT SERVICES, DETECTING GAPS AND POTENTIAL SERVICE OPPORTUNITIES. HOSPITAL ADMINISTRATORS AND LOCAL MENTAL HEALTH/SUBSTANCE ABUSE CONTACTS EVALUATED THE AVAILABLE OPTIONS AND SOUGHT REGIONAL PARTNERS TO HELP BREAK DOWN BARRIERS TO ACCESSING MENTAL HEALTH SERVICES. BID-PLYMOUTH CURRENTLY HAS THREE SOCIAL WORKERS AND ONE NURSE PRACTITIONER, ALL OF WHOM WORK UNDER A PSYCHIATRIST. THE HOSPITAL IS EMBEDDING BEHAVIORAL HEALTH CLINICIANS INTO A GROWING NUMBER OF PRIMARY CARE PRACTICES. IN RESPONSE TO THE OPIOID CRISIS, BID-PLYMOUTH HAS ALSO ADDED SUBSTANCE ABUSE CLINICIANS AND A FULL-TIME NURSE PRACTITIONER TO THE EMERGENCY DEPARTMENT. THESE CLINICIANS COLLABORATE WITH COMMUNITY TREATMENT PROVIDERS TO ADDRESS THE HIGH NUMBER OF SUBSTANCE ABUSE RELATED CASES AND PROVIDE THE RIGHT LEVEL OF CARE IN THE EMERGENCY SETTING. WITH BEHAVIORAL HEALTH SERVICES AVAILABLE IN THE EMERGENCY DEPARTMENT, PATIENTS MAY BEGIN TREATMENT IN THIS SETTING, RATHER THAN DELAYING TREATMENT UNTIL PSYCHIATRIC BEDS ARE AVAILABLE. THIS IMMEDIATE CARE OFTEN DECREASES THE LEVEL OF INTERVENTION REQUIRED. WITH THE HOSPITAL'S FULLY INTEGRATED SYSTEM, PATIENTS CAN ADDRESS MEDICAL AND BEHAVIORAL HEALTH NEEDS IN ONE LOCATION. MEDICAL STAFFS HAVE ON-SITE BEHAVIORAL HEALTH SUPPORT TO PROVIDE COMPREHENSIVE HEALTHCARE IN A CONVENIENT, EFFICIENT AND COST-EFFECTIVE MANNER. IN ADDITION, COLLABORATION OF BEHAVIORAL HEALTH CLINICIANS WITH SCHOOL, LAW ENFORCEMENT, AND LOCAL ORGANIZATIONS EXPANDS A NETWORK OF SUPPORT THROUGHOUT THE COMMUNITY TO EFFECTIVELY ADDRESS SUBSTANCE ABUSE ISSUES.PREVENTURE ADDICTION PREVENTION PROGRAMIN ANOTHER EFFORT TO ADDRESS THE ADDICTION CRISIS, BID-PLYMOUTH IS PARTNERING WITH LOCAL MIDDLE SCHOOLS TO FUND THE PREVENTURE PROGRAM. PREVENTURE IS A RESEARCH-BASED ADDICTION PREVENTION PROGRAM TARGETING PERSONALITY TRAITS THAT CORRELATE WITH INCREASED RISK OF DEVELOPING SUBSTANCE USE ISSUES. BRIEF, COPING SKILL INTERVENTIONS THAT TARGET PERSONALITY RISK FACTORS HAVE BEEN TESTED IN RANDOMIZED CONTROLLED TRIALS AND HAVE DEMONSTRATED BENEFITS THAT LAST FOR UP TO THREE YEARS.IN THE PREVENTURE PROGRAM, STUDENTS COMPLETE A SCREENING QUESTIONNAIRE DESIGNED TO IDENTIFY HIGH-RISK PERSONALITY TYPES. APPROXIMATELY 20% OF STUDENTS ARE THEN INVITED TO PARTICIPATE IN TWO, 90-MINUTE GROUP WORKSHOPS. FOUR DIFFERENT WORKSHOPS ARE FACILITATED, EACH TAILORED TO THE NEEDS OF THOSE WITH A HIGH-RISK PERSONALITY TRAIT: SENSATION-SEEKING, IMPULSIVITY, ANXIETY SENSITIVITY, AND NEGATIVE THINKING. WORKSHOP CURRICULUM EDUCATES ADOLESCENTS ABOUT HOW THEIR PERSONALITY STYLE CAN AFFECT EMOTIONAL AND BEHAVIORAL REACTIONS. STUDENTS ENGAGE WITH ACTIVITIES FROM PREVENTURE PROGRAM MANUALS, PARTICIPATE IN INTERACTIVE GROUP EXERCISES, AND COMPLETE HOMEWORK BETWEEN SESSIONS. THE PREVENTURE PROGRAM HAS PROVEN BOTH FEASIBLE AND EFFECTIVE WHEN DELIVERED BY TRAINED SCHOOL-STAFF. CURRICULUM FOR EACH HIGH-RISK PERSONALITY TYPE WAS DEVELOPED WITH THE INPUT OF TEENS WITH THE CORRESPONDING PERSONALITY TYPE. PROJECT OUTREACH LAUNCHED IN DECEMBER 2015 AND NOW REACHING 27 COMMUNITIES, PROJECT OUTREACH IS A COLLABORATION OF PUBLIC SAFETY AGENCIES AND HEALTHCARE PROVIDERS. THE PROGRAM WAS CREATED TO RESPOND TO THE EVER-GROWING NUMBER OF OPIATE OVERDOSES BY CONDUCTING FOLLOW-UP VISITS WITHIN 12-24 HOURS AFTER AN OVERDOSE. IT IS NOT LIMITED TO THOSE ADDICTED TO OPIATES, BUT RATHER EVERYONE IMPACTED BY ADDICTION. PROJECT OUTREACH HOLDS DROP-IN CENTERS TWICE A MONTH FOR ANYONE NEEDING HELP AND/OR INFORMATION ABOUT DRUG AND ALCOHOL ADDICTION. REPRESENTATIVES FROM LOCAL TREATMENT CENTERS AS WELL AS COUNSELORS AND RECOVERING ADDICTS ARE ON SITE AT THE DROP-IN CENTERS. ALL 26 TOWNS IN PLYMOUTH COUNTY ARE CURRENTLY INVOLVED IN PROJECT OUTREACH. 164 PEOPLE WERE ASSISTED INTO TREATMENT DURING THE PERIOD COVERED BY THIS FILING.1.OVERDOSE FOLLOW-UP: AFTER AN OVERDOSE OCCURS IN A PARTICIPATING COMMUNITY, A PROJECT OUTREACH TEAM OF SAFETY OFFICIALS AND A HEALTHCARE PROVIDER DETERMINE THE BEST COURSE OF ACTION. IF IT IS DETERMINED THAT AN IN-PERSON FOLLOW-UP MAY BE VALUABLE, A HEALTHCARE WORKER AND SAFETY OFFICIAL WILL TRAVEL TO THE OVERDOSE VICTIM'S HOME. THE HEALTHCARE WORKER WILL DISCUSS TREATMENT OPTIONS WITH THE INDIVIDUAL AND HELP THEM GET INTO TREATMENT AS SOON AS POSSIBLE, IF DESIRED. 2.COMMUNITY OUTREACH: TWICE A MONTH, THE PROJECT OUTREACH TEAM HOSTS A DROP-IN CENTER STAFFED BY HEALTH CARE PROVIDERS KNOWLEDGEABLE IN ADDICTION TREATMENT. PROVIDERS AT THE DROP-IN CENTER DISTRIBUTE NARCAN AND PROVIDE TRAINING ON ITS USE, FREE OF CHARGE. NARCAN, ALSO KNOWN AS NALOXONE, IS A NASAL SPRAY THAT CAN REVERSE OPIATE OVERDOSE.DROP-IN CENTERS ARE OPEN TO ANYONE LOOKING FOR INFORMATION ABOUT TREATMENT. THE PROGRAM ENCOURAGES FAMILY AND FRIENDS TO STOP IN AND TALK TO HEALTHCARE PROVIDERS. THIS SETTING PROVIDES A UNIQUE OPPORTUNITY TO HAVE THE UNDIVIDED ATTENTION OF A HEALTHCARE WORKER WHO SPECIALIZES IN THE TREATMENT OF SUBSTANCE USE DISORDERS. SPECIALISTS ANSWER QUESTIONS, EXPLAIN THE SCIENCE OF ADDICTION, DISCUSS TREATMENT OPTIONS, HELP ADDRESS ISSUES WITH PAYING FOR TREATMENT, AND ASSIST WITH ADMISSION TO TREATMENT PROGRAMS.CLINICAL PATHWAYS TO ENSURE QUALITY CARE FOR ALLSINCE 2013, THE HOSPITAL HAS EXTENDED SUCCESSFUL CLINICAL PATHWAYS BEYOND THE HOSPITAL WALLS?FROM PRIMARY CARE PHYSICIAN OFFICES TO POST-DISCHARGE FROM THE HOSPITAL. THESE EFFORTS STANDARDIZE CARE COMMUNITY-WIDE TO ENSURE THAT ALL PATIENTS RECEIVE HIGH QUALITY AND COST-EFFECTIVE CARE AT THE RIGHT TIME, IN THE RIGHT PLACE. AN EXAMPLE IS BID-PLYMOUTH'S WORK IN PROACTIVELY MANAGING CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD). THE INTENT OF THIS PATHWAY IS TO PROMOTE THE HIGHEST QUALITY OF CARE AND EFFICIENCY IN SCREENING, DIAGNOSIS, AND MANAGEMENT OF COPD AND SMOKERS. PRIMARY CARE OFFICES CONTINUE TO PROVIDE SPIROMETRY TO ASSESS COPD AND OTHER CONDITIONS. ALL PATIENTS AGE 35 AND OLDER WHO ARE IDENTIFIED AS SMOKERS ARE SCREENED FOR COPD, SO INTERVENTIONS CAN BE MADE BEFORE PATIENTS GET SICK AND REQUIRE INPATIENT CARE. FOR THE PERIOD COVERED BY THIS FILING, ALL 14 OF BID-PLYMOUTH AFFILIATED PRIMARY CARE OFFICES OFFER SPIROMETRY TESTING. AN ONGOING, COMPREHENSIVE PROGRAM HAS ALSO BEEN DEVELOPED AT BID-PLYMOUTH TO IDENTIFY ALL INPATIENT SMOKERS AND HAVE THEM ASSESSED BY A RESPIRATORY THERAPIST TO DETERMINE THEIR NEED FOR NICOTINE REPLACEMENT, TO ENCOURAGE THEM TO STOP SMOKING, AND TO OBTAIN PERMISSION TO REFER SUCH PATIENTS TO A TOBACCO TREATMENT SPECIALIST. IMPROVING ACCESS TO THESE SMOKING CESSATION PROGRAMS IS PART OF THIS INTEGRATED PROGRAM (SEE "SMOKING CESSATION PROGRAMS" FOR MORE INFORMATION). BID-PLYMOUTH WILL CONTINUE TO IMPROVE ON THE MECHANISMS IN PLACE TO ENCOURAGE PATIENTS TO ENROLL IN THE QUITTER'S SMOKING CESSATION PROGRAM, IDENTIFY COPD PATIENTS, AND MAXIMIZE COPD CARE IN ORDER TO PREVENT HOSPITALIZATION. BID-PLYMOUTH WORKED WITH THE STATE TO COMMUNICATE NEW HEALTH COVERAGE PLANS FOR THE UNINSURED AND ENROLL THOSE WHO QUALIFY. FINANCIAL COUNSELORS SCREENED AND ENROLLED PATIENTS FOR MASSHEALTH, HEALTH SAFETY NET, MEDICAL HARDSHIP AND COMMONWEALTH CARE. THE HOSPITAL ASSISTED MORE THAN 2,852 PEOPLE WITH ENROLLMENT APPLICATIONS IN STATE INSURANCE PARTNERSHIP PROGRAMS; HOWEVER AS REQUIRED BY FORM 990, SCHEDULE H, COSTS ASSOCIATED WITH THIS SUPPORT FOR ACCESS TO HEALTH COVERAGE PLANS, HAS NOT BEEN INCLUDED IN FORM 990 SCHEDULE H QUESTION 7. |
| SMOKING CESSATION PROGRAMS | FROM OFFERING EDUCATION ON THE DANGERS OF TOBACCO USE TO ITS SMOKE-FREE CAMPUS, BID-PLYMOUTH HAS LONG BEEN A LEADER IN TOBACCO PREVENTION. SINCE 2013, THE HOSPITAL HAS TAKEN PREVENTION TO A NEW LEVEL, DEVELOPING A FORMALIZED, SYSTEM-WIDE APPROACH TO CONNECTING WITH TOBACCO USERS WHO WANT TO QUIT AND MAKING IT EASIER FOR THEM TO REACH THEIR GOALS. THE PROCESS ESTABLISHES CONSISTENT METHODS TO SCREEN FOR SMOKING STATUS OR CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), A LEADING CAUSE OF HOSPITALIZATIONS IN THE REGION.THROUGHOUT CY2017, BID-PLYMOUTH AND COMMUNITY PARTNERS CONTINUED TO WORK WITH PATIENTS IN THE COMMUNITY TO REDUCE SMOKING. PROVIDERS HAVE ENCOURAGED THE USE OF PHARMACOLOGIC AND NON-PHARMACOLOGIC OPTIONS TO ASSIST WITH SMOKING CESSATION. ANECDOTAL REPORTS SUGGEST THE TREND OF PRESCRIBING CESSATION AIDS APPEARS TO HAVE INCREASED. THE CLINICAL PATHWAY COMMITTEE IS WORKING WITH INDUSTRY PARTNERS TO COLLECT YEAR-OVER-YEAR DATA TO SUPPORT THIS PROCESS.THE HOSPITAL HAS ALSO EXPANDED ITS EFFORTS TO INFORM PHYSICIANS ABOUT THE QUITTERS TOBACCO TREATMENT PROGRAM, MAKING THE ENROLLMENT PROCESS EASIER FOR PATIENTS. THE SUCCESSFUL QUITTERS PROGRAM IS FACILITATED BY A CERTIFIED TOBACCO TREATMENT SPECIALIST. THE 6-WEEK COURSE INTRODUCES INTERACTIVE TECHNIQUES, RELAXATION, VISUALIZATION AND EDUCATION TO HELP PARTICIPANTS LEARN WHY THEY SMOKE, WHAT HAPPENS WHEN THEY QUIT, HOW TO HANDLE CRAVINGS AND WITHDRAWAL, AND HOW TO AVOID RELAPSE. SESSIONS ARE AVAILABLE IN ONE-TO-ONE OR GROUP SETTINGS. RESEARCH SHOWS THIS MULTIFACETED APPROACH TO BE HIGHLY EFFECTIVE IN HELPING USERS KICK THE HABIT. THE PROGRAM REPRESENTS THE HOSPITAL'S COMMITMENT TO BETTER HEALTHCARE FOR EVERYONE-STANDARDIZING AN APPROACH TO ADDRESS KEY HEALTH CONCERNS AND ENSURING PATIENTS ACROSS PLYMOUTH COUNTY RECEIVE RELIABLE, EFFECTIVE TREATMENT. THIS PROGRAM PROVIDES ONE EXAMPLE OF BID-PLYMOUTH'S COMMITMENT TO FINDING NEW WAYS TO MANAGE RESOURCES AND IMPROVE CARE COMMUNITY-WIDE, WHILE CONTROLLING HEALTHCARE COSTS.DURING THE PERIOD COVERED BY THIS FILING, 75% (12/16) OF THE ENROLLED PATIENTS COMPLETED THE COURSE AND HAVE QUIT SMOKING. THE TOBACCO TREATMENT SPECIALIST NOTED THAT ANOTHER 23 PATIENTS WHO HAD NOT ENROLLED IN THE QUITTERS PROGRAM ALSO REPORTED SUCCESSFULLY QUITTING SMOKING. IN TOTAL, 11% (35/328) OF THE PATIENTS REFERRED FOR SMOKING CESSATION SUCCESSFULLY QUIT. IN ADDITION, DURING THIS SAME PERIOD, THE QUITTERS PROGRAM ONCE AGAIN PROVIDED 3,000 BROCHURES TO ALL PRIMARY CARE OFFICES AFFILIATED WITH BID-PLYMOUTH. PROVIDERS EXPLAIN THE BENEFITS OF THE PROGRAM TO PATIENTS AND PROVIDE ENCOURAGEMENT TO STOP SMOKING.CARDIAC AND PULMONARY REHAB PROGRAMSBID-PLYMOUTH CONTINUES TO ADDRESS THE HIGH PREVALENCE OF HEART AND LUNG DISEASE IN PLYMOUTH COUNTY WITH CARDIAC REHAB AND PULMONARY REHAB PROGRAMS. DURING THE PERIOD COVERED BY THIS FILING, 66 PATIENTS WENT THROUGH BID-PLYMOUTH'S CARDIAC REHAB PROGRAM AND 52 PATIENTS WENT THROUGH OUR PULMONARY REHAB PROGRAM. BID-PLYMOUTH'S COMMUNITY HEALTH NEEDS ASSESSMENT HIGHLIGHTED THE HIGH INCIDENCE OF OBESITY-RELATED CHRONIC DISEASES IN OUR COMMUNITY. THE CARDIAC AND PULMONARY REHAB PROGRAMS ARE DESIGNED TO ADDRESS THIS NEED AND SUPPORT STATE INITIATIVES TO REDUCE OBESITY.-CARDIAC REHAB: BID-PLYMOUTH'S CARDIAC REHAB PROGRAM IS A SECONDARY PREVENTION PROGRAM FOCUSED ON IMPROVING QUALITY OF LIFE FOR THOSE WITH CORONARY ARTERY DISEASE, HEART VALVE DISEASE, OR CONGESTIVE HEART FAILURE. THE HOSPITAL AND ITS COMMUNITY IS COMMITTED TO HELPING PATIENTS RECOVERING FROM HOSPITALIZATION CAUSED BY A MYOCARDIAL INFARCTION ("HEART ATTACK"), HEART VALVE REPAIR OR REPLACEMENT, CORONARY BYPASS SURGERY, OR HEART FAILURE EXACERBATION. THE MULTIDISCIPLINARY CARDIAC REHAB TEAM INCLUDES REGISTERED NURSES, CLINICAL EXERCISE PHYSIOLOGISTS, REGISTERED DIETICIANS, AND SOCIAL WORKER SUPPORT. THE PROGRAM INCLUDES MONITORED EXERCISE SESSIONS AND EDUCATIONAL OFFERINGS, WITH A FOCUS ON THE LONG-TERM BENEFITS THAT CAN BE ACHIEVED THROUGH LIFESTYLE CHANGES. THE TEAM ALSO SERVES AS "EYES AND EARS" TO HELP MONITOR A PATIENT'S CONDITION BETWEEN APPOINTMENTS WITH HIS OR HER PHYSICIAN. -PULMONARY REHAB: PATIENTS WITH CHRONIC LUNG DISEASE OFTEN STRUGGLE WITH FEELING BREATHLESS? A SYMPTOM THAT CAN HAVE A SEVERE IMPACT ON PATIENTS' ABILITY TO MAINTAIN INDEPENDENT, ACTIVE LIFESTYLES. THE PULMONARY REHAB PROGRAM IS HERE TO HELP.BID-PLYMOUTH'S PULMONARY REHAB PROGRAM IS DIRECTED AT ASSISTING PATIENTS WITH PULMONARY DISEASE BY MANAGING THE SEVERITY OF THEIR SHORTNESS OF BREATH AND WORKING TO REDUCE THE RISK OF HOSPITALIZATION. THIS SECONDARY PREVENTION PROGRAM SERVES PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), PULMONARY FIBROSIS, AND OTHER CHRONIC LUNG DISEASES.THE PULMONARY REHAB TEAM INCLUDES REGISTERED NURSES, EXERCISE PHYSIOLOGISTS, REGISTERED DIETICIANS, AND SOCIAL WORKER SUPPORT. WE OFFER SUPERVISED EXERCISE SESSIONS, SMOKING CESSATION SUPPORT, AND NUTRITION COUNSELING. OUR TEAM CAN ALSO SERVE AS A LIAISON BETWEEN PATIENTS AND PHYSICIAN. |
| 2. HEALTHY PLYMOUTH INITIATIVES: | INCREASING AWARENESS AND EDUCATING PUBLIC ON HEALTH RISK FACTORS, ENCOURAGING PHYSICAL ACTIVITY, PROMOTING HEALTHY FOOD CHOICES, SUPPORTING REDUCED TOBACCO USE AMONG ADULTS, ASSISTING IN REDUCING NUMBER OF INDIVIDUALS WHO ARE UNINSURED, REDUCING BARRIERS TO ACCESSING PRIMARY CAREIN JANUARY 2011, BID-PLYMOUTH AND ITS AFFILIATE JORDAN HEALTH SYSTEM, INC. BROUGHT TOGETHER KEY COMMUNITY MEMBERS AND POSED THIS QUESTION: INSTEAD OF TRYING ONLY TO FIX DISEASE, WHAT IF EFFORTS COULD TRANSFORM THE COMMUNITY SO IT ENCOURAGED A HEALTHY LIFESTYLE? AS A RESULT OF THIS COLLABORATIVE WORK INITIATED BY BID-PLYMOUTH, THE TOWN OF PLYMOUTH, PLYMOUTH PUBLIC SCHOOLS AND OTHER COMMUNITY PARTNERS, A GROWING GROUP OF ORGANIZATIONS AND INDIVIDUALS CONTINUE TO FIND NEW WAYS TO WORK TOGETHER TO FOSTER BETTER HEALTH IN OUR COMMUNITY, LONG-TERM, AND AT A LOWER COST, THROUGH OUR HEALTHY PLYMOUTH INITIATIVE. BID-PLYMOUTH HAS DEDICATED EXECUTIVE LEVEL STAFF TO SUPPORTING AND FURTHERING THIS COMMUNITY OUTREACH. HEALTHY PLYMOUTH CONTINUES TO ADDRESS SIGNIFICANT BARRIERS TO HEALTHY LIFESTYLES IDENTIFIED IN BID-PLYMOUTH'S 2016 COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL HAS MADE PROGRESS SINCE 2016, THOUGH THESE CHALLENGING ISSUES REQUIRE CONTINUED WORK:-INCREASING AWARENESS AND EDUCATING THE PUBLIC ON HEALTH RISK FACTORS-ENCOURAGING PHYSICAL ACTIVITY-PROMOTING HEALTHY FOOD CHOICES-SUPPORTING REDUCED TOBACCO USE AMONG ADULTS -ASSISTING IN REDUCING NUMBER OF INDIVIDUALS WHO ARE UNINSURED -REDUCING BARRIERS TO ACCESSING PRIMARY CARETHE HOSPITAL HAS BEEN WORKING IN PARTNERSHIP WITH THE TOWN OF PLYMOUTH AND PLYMOUTH PUBLIC SCHOOLS TO IMPLEMENT PROGRAMS IN THESE KEY AREAS TO REDUCE OBESITY, IMPROVE NUTRITION, PROMOTE ACTIVE LIVING AND ADDRESS BEHAVIORAL HEALTH AND SUBSTANCE ABUSE NEEDS COMMUNITY-WIDE. IN ITS LEADERSHIP ROLE FOR HEALTHY PLYMOUTH, BID-PLYMOUTH HAS FOCUSED ON EMPOWERING DIVERSE MEMBERS OF THE PLYMOUTH COMMUNITY TO AFFECT LASTING CHANGE THROUGHOUT THE COMMUNITIES SERVED. PROGRAM ACHIEVEMENTS FOR THE PERIOD COVERED BY THIS FILNG ARE LISTED BELOW.MULTIFACETED COMMUNITY-WIDE RESPONSE TO OPIOID CRISIS AND SUBSTANCE ABUSE: BID-PLYMOUTH IS COMMITTED TO A MULTI-FACETED RESPONSE TO SUBSTANCE ABUSE, BUILDING COMMUNITY COALITIONS AND PROVIDING LEADERSHIP FOR STATE-WIDE EFFORTS TO REVERSE THE OPIOID EPIDEMIC AND OTHER SUBSTANCE ABUSE ISSUES. DURING THE PERIOD COVERED BY THIS FILING, THE HOSPITAL'S EFFORTS TO ADDRESS THIS ISSUE INCLUDED: -SETTING UP A COLLECTION BOX FOR UNUSED PAIN MEDICATIONS AT THE HOSPITAL. THIS EFFORT COLLECTED OVER 38 GALLONS OF UNUSED MEDICATIONS PER MONTH. IN TOTAL, 912 TOTAL GALLONS OF DRUG WASTE WAS SAFELY DISPOSED OF DURING THIS REPORTING PERIOD AND THE PREVIOUS REPORTING PERIOD.-INCREASING ACCESS TO BEHAVIORAL HEALTH, PARTICULARLY IN AN EMERGENCY DEPARTMENT SETTING THROUGH PARTNERSHIPS WITH COMMUNITY PROVIDERS AND STAKEHOLDERS, COMMUNITY EDUCATION, RESOURCE MANAGEMENT AND INTEGRATED BEHAVIORAL HEALTHCARE IN THE EMERGENCY DEPARTMENT AND PCP/SPECIALTY PRACTICES. PLYMOUTH COUNTY OUTREACH (PCO): PCO IS A COUNTY-WIDE INITIATIVE IN PARTNERSHIP WITH PUBLIC SAFETY AGENCIES, HEALTHCARE PROVIDERS AND TREATMENT ORGANIZATIONS, TO PROVIDE COMMUNITY FOLLOW-UP AFTER AN OPIOID OVERDOSE. PCO HAS RECEIVED WIDESPREAD RECOGNITION IN THE GREATER PLYMOUTH AREA AND BEYOND. BY THE END OF THE SECOND YEAR OF OPERATIONS, ALL TOWNS WITHIN PLYMOUTH COUNTY HAD JOINED THE INITIATIVE, WHICH PROVIDED FOLLOW-UP TO 250 INDIVIDUALS AND 271 FAMILY AND FRIENDS FOR THE PERIOD COVERED BY THIS FILING.PROVIDERS CREATED THIS PROGRAM TO RESPOND TO THE EVER-GROWING NUMBER OF OPIATE OVERDOSES BY CONDUCTING FOLLOW-UP VISITS WITHIN 12-24 HOURS AFTER AN OVERDOSE. BID-PLYMOUTH'S DIRECTOR OF SOCIAL WORK PROVIDES TRIAGE FOR THIS PROGRAM, ROUTING THE APPROPRIATE CARE RESPONDER TO EACH CALL FOR HELP. DROP-IN CENTER SESSIONS ARE OFFERED TWICE A MONTH, WHERE INDIVIDUALS STRUGGLING WITH ADDICTION AND THEIR LOVED ONES CAN LEARN ABOUT LOCAL TREATMENT SUPPORT OPTIONS. THESE SESSIONS INCLUDE LICENSED CLINICIANS, BID-PLYMOUTH'S DIRECTOR OF SOCIAL WORK, RECOVERY COACHES AND FAMILY SUPPORT GROUPS. IN ADDITION TO OFFERING RESOURCES, THESE CENTERS PROVIDE NARCAN KITS AND TRAINING FREE OF CHARGE, FEATURED PROGRAMS, GUEST SPEAKERS, DINNER, AND HOPE.INNOVATIVE ENGAGEMENT FOR YOUTH AS SUBSTANCE ABUSE PREVENTION: THE 2013 HRIA STUDY CONFIRMED THE IMPORTANCE OF PHYSICAL EXERCISE AND SCHOOL-RELATED PROGRAMS FOR MINIMIZING RISK-TAKING BEHAVIORS IN THE PLYMOUTH COMMUNITY. THE STUDY FOUND THAT "STUDENTS THEMSELVES FELT [THAT] IDLE TIME LED TO BOREDOM AND INCREASED INVOLVEMENT IN RISK-TAKING BEHAVIORS SUCH AS USING ALCOHOL AND DRUGS." WHEN THE RESEARCH WAS PRESENTED AT THE HEALTHY PLYMOUTH SUMMIT (SEE BELOW), THE HOSPITAL AND OTHER COMMUNITY MEMBERS WERE INSPIRED TO ACT. THE HOSPITAL AND COMMUNITY PARTNERS ARE NOW PROVIDING LEADERSHIP FOR NUMEROUS YOUTH-FOCUSED ENGAGEMENT INITIATIVES, INCLUDING: -HEALTHY PLYMOUTH OPPORTUNITIES PROGRAM (HPOP): THE THIRD ANNUAL HPOP FAIR, A JOB FAIR FOR MIDDLE AND HIGH-SCHOOL AGED STUDENTS AND LOCAL EMPLOYERS, WAS HELD TUESDAY, MARCH 2, 2017 AND TUESDAY, MARCH 14, 2017. THE EVENT PROVIDED A STRONG BASE FOR BUILDING COMMUNITY ENGAGEMENT AND EMPLOYMENT, WITH 32 ORGANIZATIONS ACROSS THE PLYMOUTH REGION OFFERING LEARNING OPPORTUNITIES TO 500 STUDENTS. IN ALIGNMENT WITH STATE PRIORITIES TO ADDRESS THE GROWING OPIOID CRISIS, BID-PLYMOUTH INCLUDES HPOP AMONG ITS NEW INITIATIVES TO KEEP YOUNG PEOPLE ENGAGED IN ACTIVITIES THAT PROMOTE POSITIVE COMMUNITY INVOLVEMENT. -TERRA CURA COMMUNITY GARDENS: DURING THE PERIOD COVERED BY THIS FILING, THE HEALTHY PLYMOUTH INITIATIVE AGAIN PARTNERED WITH AN ADVOCACY GROUP TO CONTINUE IMPLEMENTING AND MAINTAINING THE TERRA CURA COMMUNITY GARDENS. PERMACULTURE GARDEN CLUBS HAVE BEEN INSTALLED AT SEVEN ADDITIONAL SCHOOLS IN PLYMOUTH, RAISING THE TOTAL TO 11 SCHOOL GARDENS. GARDENS ARE CREATED AND SUSTAINED BY STUDENTS. THE CLUB FOCUSES ON PROVIDING LEARNING OPPORTUNITIES THAT ALLOW STUDENTS TO MAKE CONNECTIONS BETWEEN GROWING AND EATING HEALTHY FOOD. LOOKING FORWARD, GARDEN CLUBS WILL BE INTEGRATED INTO ALL PLYMOUTH SCHOOLS, AS WELL AS EXTENDED INTO THE COMMUNITY. FUTURE PLANS INCLUDE GROWING ENOUGH ORGANIC, NON-GMO TOMATOES TO MAKE TOMATO SAUCE THAT WILL BE SERVED IN SCHOOL KITCHENS.-APRIL VACATION PROGRAM: HEALTHY PLYMOUTH'S APRIL VACATION PROGRAM WAS LAUNCHED IN 2016 WITH THE GOAL OF PRODUCTIVELY ENGAGING YOUTH DURING TIME OFF FROM SCHOOL. THE SECOND ANNUAL APRIL VACATION PROGRAM TOOK PLACE FROM MONDAY, APRIL 17, 2017 TO FRIDAY, APRIL 21, 2017. THROUGHOUT THE WEEK, A VARIETY OF FREE, ENGAGING PROGRAMS WERE MADE AVAILABLE FOR MIDDLE AND HIGH SCHOOL STUDENTS. DURING THE PERIOD COVERED BY THIS FILNG, 500 STUDENTS ATTENDED A COFFEE HOUSE THE DAY CLASSES ENDED, WITH 56 STUDENTS PARTICIPATING IN THE PROGRAMS THROUGHOUT VACATION WEEK.THE HEALTHY PLYMOUTH AMAZING RACE FUNDRAISER: THIS ANNUAL EVENT AIMS TO BUILD COMMUNITY, PROMOTE HEALTHY LIVING, AND RAISE FUNDS AND AWARENESS FOR HEALTHY PLYMOUTH'S YOUTH ENGAGEMENT INITIATIVES. EVENT FUNDS ARE RAISED THROUGH CORPORATE SPONSORSHIP, INDIVIDUAL TEAM FUNDRAISING AND RACE ENTRY FEES. EACH YEAR, THE HEALTHY PLYMOUTH STEERING COMMITTEE DETERMINES THE ORGANIZATION OR INITIATIVE TO RECEIVE PROCEEDS. BID-PLYMOUTH'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT HIGHLIGHTED THE NEED TO ENCOURAGE PHYSICAL ACTIVITY. THE AMAZING RACE FUNDRAISER IS DESIGNED TO GET THE HOSPITAL'S COMMUNITY MOVING AND HAVING FUN. UP TO 40 TEAMS OF FOUR PARTICIPATE IN A FAST-PACED RACE THROUGH DOWNTOWN PLYMOUTH, FOLLOWING CLUES AND COMPLETING CHALLENGES ALONG THE WAY. CHALLENGES INCLUDE PHYSICAL TASKS AND BRAIN-TEASING PUZZLES THAT ARE FUN FOR ALL. THIS EVENT IS DESIGNED TO ATTRACT MULTIGENERATIONAL TEAMS INCLUDING FAMILIES, COWORKERS, AND FRIENDS. CHILDREN AGE TEN AND UP ARE WELCOME TO RACE.AFTER THE RACE, ALL PARTICIPANTS ARE WELCOMED TO A LIVELY AFTERPARTY FEATURING REFRESHMENTS, MUSIC, AND AN AWARDS CEREMONY WITH PRIZES FOR THE FASTEST TEAMS, TOP FUNDRAISERS, BEST DRESSED TEAM, AND BEST TEAM SPIRIT. |
| CREATIVE APPROACH TO SUBSTANCE ABUSE AWARENESS IN YOUTH: | A MEMBER OF THE BID-PLYMOUTH SENIOR LEADERSHIP TEAM ALONG WITH SOCIAL WORK STAFF MEMBERS, SIT ON THE BOARD OF THE PLYMOUTH YOUTH DEVELOPMENT COLLABORATIVE (PYDC). PYDC IS A COMMUNITY COALITION MOTIVATED AROUND INCREASING PROTECTIVE FACTORS AND REDUCING RISK FACTORS FOR CHILDREN AND YOUTH IN THE COMMUNITY. THIS ACTIVE COALITION, A RECENT RECIPIENT OF A DRUG FREE COMMUNITIES GRANT THROUGH THE SUBSTANCE ABUSE AND MENTAL HEALTH ADMINISTRATION (SAMHSA), CONTINUES TO BUILD AND STRENGTHEN LOCAL RESOURCES FOR YOUTH IN A COLLABORATIVE FASHION. PLYMOUTH YOUTH DEVELOPMENT COLLABORATIVE (PYDC) WILL CONTINUE TO GROW AS A COMMUNITY RESOURCE. ITS MOMENTUM, CREATIVITY AND IMPACT ARE THE RESULT OF TRUE COMMUNITY COLLABORATION.DURING THE PERIOD COVERED BY THIS FILING, THIS GROUP HAS CONTINUED TO BE A HIGHLY VISIBLE, ACTIVE AND GROWING RESOURCE IN THE COMMUNITY. SOME OUTREACH PROGRAMS INCLUDE:-DRUG STORY THEATRE: DRUG STORY THEATER (DST) TEACHES IMPROVISATIONAL THEATER TO TEENAGERS TO FACILITATE THEIR OWN RECOVERY FROM DRUGS AND ALCOHOL. ENROLLED PATIENTS CRAFT THEIR OWN SHOWS ABOUT THE LURE OF DRUGS AND ALCOHOL, THE EXPERIENCE OF ADDICTION, AND THE ROAD TO ADDICTION RECOVERY. THE SHOWS ARE PERFORMED IN MIDDLE AND HIGH SCHOOLS AND DESIGNED TO MAGNIFY INDIVIDUAL RECOVERY STORIES-TRANSFORMING THE TREATMENT OF ONE PERSON INTO THE PREVENTION OF MANY PEOPLE. DRUG STORY THEATER RESOURCES ARE DEVOTED TO THE TREATMENT AND PREVENTION OF ADOLESCENT SUBSTANCE ABUSE.-BEHAVIORAL AND EMOTIONAL HEALTH SUBCOMMITTEE: THIS TEAM CONVENES TO ADDRESS ONGOING CONCERNS ABOUT THE RELATIONSHIP BETWEEN BEHAVIORAL HEALTH, EMOTIONAL WELLBEING, AND SUBSTANCE ABUSE.-PARTNERSHIP WITH THE HERREN PROJECT: DURING THE PERIOD COVERED BY THIS FILING, WEEKLY GROUPS WERE HELD AT THE MIDDLE AND HIGH SCHOOL LEVELS TO SUPPORT STUDENTS IMPACTED BY SUBSTANCE USE. A COMMUNITY EVENT INVOLVING THE BID-PLYMOUTH, YMCA AND PLYMOUTH PUBLIC SCHOOLS WAS HELD TO EDUCATE AT-RISK YOUTH ABOUT THE RISKS ASSOCIATED WITH SUBSTANCE ABUSE. THE PROGRAM FEATURED CHRIS HERREN, AUTHOR OF THE MEMOIR BASKETBALL JUNKIE.-PHOTO VOICE PROJECT: PHOTO VOICE PUTS CAMERAS IN THE HANDS OF CREATIVE YOUTH. BY OFFERING THE OPPORTUNITY TO RECORD THEIR DAILY EXPERIENCES, THE PROJECT GIVES YOUTH THE OPPORTUNITY TO REFLECT UPON THEIR COMMUNITY'S STRENGTHS AND STRUGGLES-AS WELL AS THE WAYS THAT THEY MAY PLAY A PART IN BUILDING A BRIGHTER FUTURE BY MAKING HEALTHY CHOICES.-HIDDEN IN PLAIN SIGHT: THIS EDUCATIONAL SEMINAR TEACHES PARENTS ABOUT THE SIGNS OF SUBSTANCE ABUSE IN YOUTH AND OFFERS GUIDANCE ON HOW TO INTERVENE.MAKING HEALTHY EATING ACCESSIBLE TO ALL: HEALTHY PLYMOUTH NUTRITION INITIATIVES CONTINUE TO REACH MEMBERS OF ALL AGES AND SOCIOECONOMIC PROFILES BY MAKING HEALTHY FOOD OPTIONS MORE ACCESSIBLE VIA FARMER'S MARKETS, SCHOOLS AND OTHER COMMUNITY LOCATIONS. -SCHOOL NUTRITION PROGRAM: TO INSPIRE HEALTHY EATING AND LIFESTYLES FROM AN EARLY AGE, BID-PLYMOUTH DIETICIANS REGULARLY MEET WITH STUDENTS, PARENTS, PUBLIC SCHOOL DIRECTORS OF FOOD AND HEALTH SERVICES, LOCAL FOOD SECURITY REPRESENTATIVES, LOCAL FARMERS AND THE MASSACHUSETTS DEPARTMENT OF HEALTH (MDPH). A NUTRITION CURRICULUM AND HANDS-ON ACTIVITIES PROVIDE STUDENTS WITH KNOWLEDGE ABOUT HEALTHY OPTIONS AND TOOLS TO USE AT HOME. ONE EXAMPLE FROM THE PERIOD COVERED BY THIS FILING WAS WORKING WITH TERA CURA AND HEALTHY PLYMOUTH YOUTH ENGAGEMENT ON THE "TOMATO SAUCE INITIATIVE." TOMATOES GROWN IN SCHOOL GARDENS WERE USED TO PREPARE THE TOMATO SAUCE SERVED AT LUNCH ON SEPTEMBER 27, 2017. BID-PLYMOUTH DIETICIANS CONTINUE TO PROVIDE NUMEROUS EDUCATIONAL RESOURCES TO STUDENTS, INCLUDING NUTRITION BINGO GAMES.-HEALTHY NUTRITION EDUCATION INITIATIVE: BID-PLYMOUTH REGISTERED DIETICIANS CONTINUE TO PROVIDE NUTRITION EDUCATION, COOKING DEMONSTRATIONS AND OTHER SUPPORT TO LOCAL FARMER'S MARKETS. DURING THE CULINARY INSTITUTE PROGRAM AT PLYMOUTH FARMERS MARKET IN JUNE OF 2017, FOR EXAMPLE, THE TEAM PREPARED A HEALTHY CHICKEN SALAD USING INGREDIENTS SOURCED FROM THE FARMERS AT THE MARKET. THESE ONGOING EDUCATIONAL EFFORTS EDUCATE AND EMPOWER A BROAD SPECTRUM OF CONSUMERS ABOUT HEALTHIER CHOICES SOURCED LOCALLY.-HEALTHY MARKET INITIATIVE: CONVENIENCE STORES AND OTHER SMALL STORES WITHIN THE TOWN OF PLYMOUTH CAN EARN THE DESIGNATION OF "HEALTHY MARKET" BY IMPLEMENTING A SERIES OF STRUCTURED CHANGES DESIGNED TO ENCOURAGE HEALTHY CHOICES. TO BECOME A "HEALTHY MARKET," A STORE MUST PROVIDE HEALTHIER FOOD AND BEVERAGES (INCLUDING FRESH FRUITS AND VEGETABLES, WHOLE GRAIN PRODUCTS, LOWER SODIUM OPTIONS, AND LOW-FAT DAIRY) AND PROVIDE NUTRITIONAL INFORMATION FOR PREPARED FOODS. A BID-PLYMOUTH DIETICIAN HELPED CREATE A TOOLKIT THAT LOCAL STORES USE TO EARN THIS DESIGNATION. MARKET OWNERS SIGN A MEMORANDUM OF AGREEMENT WITH THE HOSPITAL, ENABLING THEM TO RECEIVE THIS RECOGNITION. THIS INITIATIVE EDUCATES CONSUMERS AND PROMOTES HEALTHY PRODUCTS, INCREASING ACCESS TO NUTRITIOUS, AFFORDABLE FOOD BY ALL PLYMOUTH RESIDENTS. BY THE PERIOD COVERED BY THIS FILING, THREE LOCAL MARKETS HAD EARNED THE DISTINCTION OF BEING A "HEALTHY MARKET" - INCLUDING ONE FOOD PANTRY, PLYMOUTH AREA COALITION'S PILGRIM'S HOPE. HOSPITAL DIETICIANS WORKED THROUGHOUT THE PERIOD COVERED BY THIS FILING TO TAG HEALTHY FOOD CHOICES THROUGHOUT THE STORES, AS WELL AS PARTICIPATING IN FOOD DEMONSTRATIONS AND PUBLIC EVENTS AT THE MARKETS. THE HOSPITAL AND HEALTHY PLYMOUTH CONTINUALLY SUPPORTED THE INITIATIVE BY PROVIDING RECIPE CARDS EACH MONTH? ALL PULLED FROM BID-PLYMOUTH'S COOKBOOK, LEFTOVER LOVE, WHICH SUPPLIED CREATIVE, HEALTHY USES FOR LEFTOVER FOOD TO SUPPORT COOKING ON A BUDGET AND WHICH BID-PLYMOUTH PUBLISHED DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2015. 3. OTHER COMMUNITY HEALTH AND SUPPORT INITIATIVESIN ADDITION TO FULFILLING HEALTHY PLYMOUTH INITIATIVES, BID-PLYMOUTH ALSO SERVES AS AN INDEPENDENT LEADER AND INNOVATOR IN COMMUNITY-BASED WELLNESS ACTIVITIES. EVERY YEAR, THE HOSPITAL HOSTS A NUMBER OF OUTREACH PROGRAMS AND EVENTS TO ADDRESS HEALTH RISK FACTORS. DURING THE PERIOD COVERED BY THIS FILING, THIS INCLUDED ACTIVITIES NOTED BELOW. PLANNING FOR WHAT MATTERS MOST FOR PEOPLE WITH SERIOUS ILLNESS: TO ENCOURAGE INDIVIDUALS TO HAVE OPEN CONVERSATIONS WITH THEIR HEALTH CARE PROVIDERS, FRIENDS AND FAMILIES, BID-PLYMOUTH HELD THEIR SECOND "HAVE YOU HAD THE CONVERSATION YET?" EVENT AT A LOCAL COUNTRY CLUB IN COLLABORATION WITH THE PATIENT FAMILY ADVISORY COMMITTEE (PFAC) AND CRANBERRY HOSPICE & PALLIATIVE CARE ON OCTOBER 27, 2016. THE PANEL OF EXPERTS INCLUDED A PHYSICIAN, AN ESTATE PLANNING ATTORNEY, A FINANCIAL PLANNER AND A MEMBER OF THE CLERGY. PFAC MEMBERS READ PERSONAL STORIES FROM THE AND THERE WERE VIDEO PRESENTATIONS FROM TED TALKS AND THE CONVERSATION PROJECT. THE PANEL PROVIDED A BROAD RANGE OF INFORMATION FOR PARTICIPANTS TO CONSIDER WHEN PLANNING FOR THEIR CARE SHOULD THEY BECOME SERIOUSLY ILL TO ENSURE THEY AND THEIR LOVED ONES ARE PREPARED FOR THE FUTURE.HOSTING WELLNESS EVENTS AND COMMUNITY OUTREACH:AS PART OF FULFILLING ITS MISSION TO SERVE THE OVERALL HEALTH OF THE COMMUNITY, PARTICULARLY FOR THE UNDERSERVED, BID-PLYMOUTH PROVIDED NUMEROUS EDUCATIONAL EVENTS DURING FY2017 DESIGNED TO HAVE A BROAD REACH ACROSS THE COMMUNITY. THESE EVENTS INCLUDED:-A CANCER SURVIVORS DAY IN JUNE WITH MORE THAN 400 ATTENDEES-A NIGHT OF SKIN CANCER SCREENING WITH OVER 100 ATTENDEES-PARTICIPATION IN PLYMOUTH AREA HEALTH FAIRS, WHERE BID-PLYMOUTH NUTRITIONISTS PROVIDE EDUCATIONAL SUPPORT TO PLYMOUTH PARENTS AND BUILD AWARENESS OF HEALTHY FOOD OPTIONS FOR CHILDREN AND OTHER HOSPITAL MEDICAL STAFF SHARE TIPS ON PREVENTION, SUCH AS BREAST SELF-EXAMS. AT THESE FAIRS, GIVEN THE PRIMARY CARE PHYSICIAN ACCESS CHALLENGES IDENTIFIED IN PLYMOUTH, A KEY INITIATIVE HAS BEEN CONNECTING VISITORS WITHOUT A PRIMARY CARE PHYSICIAN TO PHYSICIANS IN THE AREA WHO ARE RECEIVING NEW PATIENTS. |
| DELIVERING EDUCATIONAL LECTURES FOR ALL AGES: | THE HOSPITAL'S EDUCATIONAL LECTURE TOPICS AND LOCATIONS ARE DESIGNED TO MEET SPECIFIC NEEDS OF UNDERSERVED POPULATIONS, SUCH AS MEDICARE BENEFICIARIES, AND ALSO ADDRESS KEY HEALTH CONCERNS FOR THE GENERAL PUBLIC. ONE OF THE FREE LECTURE PROGRAMS, THE HOUSECALLS LECTURE SERIES, REACHED MORE THAN 180 AREA RESIDENTS ACROSS OUR 12-TOWN SERVICE AREA. IN FY2017, PHYSICIANS AND MEDICAL SUPPORT STAFF PROVIDED THE COMMUNITY WITH LECTURES ON TREATMENT OF ORTHOPEDIC CARE FOR HANDS (DUPUYTREN'S DISEASE), COSMETIC AND VARICOSE VEIN TREATMENTS, MAKO TECHNOLOGY FOR PARTIAL KNEE REPLACEMENT, AND TREATMENT OPTIONS FOR PAIN MANAGEMENT. IN 2018, THE HOUSECALLS PROGRAMS PLAN TO ADDRESS: NEW TECHNOLOGY FOR TOTAL KNEE REPLACEMENT, PAIN MANAGEMENT, CAUSES AND SOLUTIONS FOR BACK PAIN, HERNIAS AND WHEN TO HAVE SURGERY, MIGRAINE TREATMENTS AND SLEEP APNEA. MANY LECTURES ARE BROADCAST LOCALLY ON PUBLIC ACCESS TELEVISION, ARE COVERED IN COVERED IN MONTHLY LOCAL NEWSPAPER ARTICLES, AND PROMOTED THROUGH SOCIAL MEDIA TO REACH A BROADER AUDIENCE.MODELING HEALTHY BEHAVIORS AND COMMUNITY SUPPORT AS A COMMUNITY LEADER: AS THE LARGEST EMPLOYER IN PLYMOUTH AND ITS PRIMARY HEALTH ADVOCATE, BID-PLYMOUTH RUNS A RANGE OF PROGRAMS TO MAKE HEALTHY EATING ACCESSIBLE TO ITS EMPLOYEES, PATIENTS AND VISITORS. IN SHORT, THE HOSPITAL HAS TAKEN THE CRITICAL STEP TO INTERNALLY REFLECT THE CHANGE IT WANTS TO SEE THROUGHOUT THE PLYMOUTH COMMUNITY. SOME EXAMPLES OF INITIATIVES IN FY2017 INCLUDED:-MANY INTERNAL WELLNESS INITIATIVES CONTINUE TO ENCOURAGE HEALTHY EATING AND ACTIVE LIVING. PHYSICAL ACTIVITY CHALLENGES INCLUDE A COUCH TO 5K A HIGHLY SUCCESSFUL BIGGEST LOSER PROGRAM, AND "HOLIDAY ONE POUND CHALLENGE," A HOLIDAY WEIGHT MANAGEMENT CHALLENGE.-THE HOSPITAL CAFETERIA, WHERE EMPLOYEES AND VISITORS DINE, WORKS TO RAISE AWARENESS OF HEALTHY EATING OPTIONS. EFFORTS INCLUDE OFFERING "MINDFUL" MEAL OPTIONS DAILY, AS WELL AS PROVIDING NUTRIENT ANALYSIS OF MENU CHOICES. NUTRITION INFORMATION IS AVAILABLE TO DINERS IN TWO WAYS. A BARCODE THAT LINKS TO THE FREE DIET-PLANNING AND CALORIE-COUNTING APP MY FITNESS PAL IS AVAILABLE FOR MENU ITEMS. ALTERNATIVELY, EMPLOYEES CAN ACCESS A NUTRIENT ANALYSIS PROGRAM ON THE HOSPITAL'S INTRANET THAT HELPS COUNT AND TRACK CALORIES, SODIUM, FAT, PROTEIN, AND SEVERAL OTHER NUTRIENTS. -THE HOSPITAL HELD A FOOD DRIVE IN MARCH TO CELEBRATE NUTRITION MONTH AND SUPPORT THE GREATER PLYMOUTH FOOD WAREHOUSE, DELIVERING THE DONATED ITEMS TO LOCAL FOOD PANTRIES. DURING FY2017, THE LIVEWELL EMPLOYEE PROGRAM DEVELOPED A LIST OF NEEDS FOR THE BACKPACK PROGRAM. THIS INITIATIVE PROVIDES 5-7 LBS. OF FOOD TO AT-RISK YOUTH EACH FRIDAY. THE PROGRAM HELPED TO RAISE AWARENESS OF HEALTHY EATING ON A BUDGET AND FOSTERED COMMUNITY ENGAGEMENT.-FOOD DEMONSTRATIONS AND SAMPLINGS ARE HELD 3-4 TIMES PER YEAR IN THE DINING AREA DURING LUNCH HOUR TO ENCOURAGE EMPLOYEES, VISITORS, PATIENTS AND FAMILIES TO LEARN ABOUT HEALTHY FOODS THAT THEY MAY NOT HAVE TRIED. DURING FY2017, TWO VEGETABLE DEMONSTRATIONS WERE COORDINATED WITH SOUTH SHORE ORGANICS' NOURISH TO FLOURISH PROGRAM. EMPLOYEES LEARNED HOW TO MAKE A BEET SALAD AND A WHEATBERRY SALAD. TASTING AND RECIPES WERE INCLUDED.-THE HOSPITAL CONTINUED ITS HEALTHY VENDING MACHINE INITIATIVE. EMPLOYEES AND VISITORS CAN CHOOSE HEALTHIER OPTIONS. CURRENTLY, 60% OF THE VENDING MACHINE OPTIONS ARE HEALTHIER ITEMS INCLUDING TRAIL MIX, GREEK YOGURT, AND 100% FRUIT JUICES. -THE ONE-MILE WALKING TRAIL ON-CAMPUS CONTINUES TO ENCOURAGE PHYSICAL ACTIVITY FOR HOSPITAL EMPLOYEES AND VISITORS. THIS RESOURCE ENCOURAGES MANY EMPLOYEES AND HOSPITAL VISITORS TO BE ACTIVE AND ENJOY THE OUTDOORS. EMPLOYEES USE THE TRAIL DURING LUNCH BREAKS AND AFTER THEIR SHIFT ENDS. PEDIATRIC PALLIATIVE CARE PROGRAM:THE FRAGILE FOOTPRINTS PEDIATRIC PALLIATIVE CARE PROGRAM (FRAGILE FOOTPRINTS) IS DESIGNED TO IMPROVE THE QUALITY OF LIFE FOR CHILDREN WITH POTENTIALLY LIFE-LIMITING ILLNESS AND THEIR FAMILIES. AN INTERDISCIPLINARY TEAM OF NURSES, SOCIAL WORKERS, CHILD LIFE SPECIALISTS, SPIRITUAL CARE, COMPLEMENTARY THERAPY AND EXPRESSIVE ARTS PRACTITIONERS AND TRAINED VOLUNTEERS HELP TO DESIGN A PLAN OF CARE THAT WILL COORDINATE AND AUGMENT EXISTING SERVICES. BY PROVIDING A COLLABORATIVE APPROACH, FRAGILE FOOTPRINTS WORKS TO ADDRESS PROBLEMS COMMONLY EXPERIENCED BY FAMILIES OF MEDICALLY FRAGILE CHILDREN INCLUDING EMOTIONAL STRESS AND ANXIETY, SCHOOL AND ACTIVITY INTERRUPTIONS OF SIBLINGS, ISOLATION, FINANCIAL AND RELATIONSHIP ISSUES CREATED BY COMPLEX MEDICAL DEMANDS AND DISRUPTION OF "NORMAL" ROUTINES. THE FRAGILE FOOTPRINTS STAFF WORKS CLOSELY WITH AREA HEALTH PROVIDERS, TERTIARY HOSPITALS, AND COMMUNITY SUPPORT PROGRAMS TO SIMPLIFY AND CREATE A COMPREHENSIVE PLAN TO SUPPORT CHILDREN, PARENTS AND SIBLINGS.COMMUNITY PARTNERSBID-PLYMOUTH PARTNERS WITH A WIDE RANGE OF COMMUNITY LEADERS AND LOCAL GROUPS TO IMPROVE THE HEALTH STATUS OF THE PEOPLE LIVING IN THE HOSPITAL'S COMMUNITIES AND TO PROVIDE CARE FOR THEM AT THE RIGHT PLACE, AT THE RIGHT TIME. HOSPITAL LEADERS, CLINICAL AND ADMINISTRATIVE STAFF, AND VOLUNTEERS MEET REGULARLY WITH COMMUNITY LEADERS INCLUDING ELECTED OFFICIALS, BUSINESS OWNERS, COMMUNITY SERVICE PROVIDERS, EMERGENCY PERSONNEL, SCHOOL ADMINISTRATORS, MEDIA REPRESENTATIVES AND OTHERS WITH INSIGHT INTO THE COMMUNITY'S HEALTH NEEDS. AS NOTED IN THIS NARRATIVE SUPPORT TO FORM 990 SCHEDULE H, BEYOND ITS WALLS, BID-PLYMOUTH PLAYS AN ACTIVE ROLE IN COALITION BUILDING, WORKING TO EMPOWER A RANGE OF COMMUNITY LEADERS TO FOSTER SUSTAINABLE, HEALTHY LIFESTYLES THAT LEAD TO BETTER HEALTH FOR ALL MEMBERS OF THE COMMUNITY.BID-PLYMOUTH SEEKS COMMUNITY INVOLVEMENT IN THE HOSPITAL'S DEVELOPMENT AND EVALUATION OF ITS HEALTH AND EDUCATION PROGRAMS. BY SOLICITING FEEDBACK AT COMMUNITY EVENTS AND WORKSHOPS, AND CONDUCTING LARGER COMMUNITY HEALTH ASSESSMENTS, BID-PLYMOUTH IS ABLE TO FOCUS ITS RESOURCES ON CLINICAL SERVICES AND OTHER INITIATIVES THAT DIRECTLY SUPPORT THE COMMUNITY'S HEALTH NEEDS. IN ADDITION, COMMUNITY MEMBERS SERVE ON COMMITTEES THROUGHOUT BID-PLYMOUTH, PROVIDING FEEDBACK AND WORKING WITH STAFF TO IMPROVE COMMUNITY HEALTH CARE INITIATIVES.BID-PLYMOUTH COLLABORATES WITH PARTNERS THROUGHOUT THE REGION BY PARTICIPATING IN PROGRAMS, COMMITTEES AND OTHER COMMUNITY-FOCUSED ACTIVITIES. THIS HELPS INFORM THE HOSPITAL'S COMMUNITY BENEFITS PLANNING AND EFFORTS TO ADDRESS HEALTH DISPARITIES.IN SUPPORT OF THE IDENTIFIED HEALTH PRIORITIES AND PROGRAM INITIATIVES WITHIN GREATER PLYMOUTH, BID-PLYMOUTH COLLABORATES WITH NEARLY 100 COMMUNITY ORGANIZATIONS. BID-PLYMOUTH'S PARTNERS ARE COMMUNITY ORGANIZATIONS THAT ACTIVELY ENGAGE IN HEALTH INITIATIVES THROUGHOUT THE YEAR, WORKING SIDE-BY-SIDE WITH THE HOSPITAL TO BUILD COMMUNITY HEALTH AND WELLNESS. ASSOCIATES ATTENDED THE HEALTHY PLYMOUTH SUMMIT (WWW.HEALTHYPLYMOUTH.ORG) AND WORK WITH THE HOSPITAL ON SELECT COMMUNITY HEALTH INITIATIVES. WITH OUR EDUCATION AFFILIATES WE ARE ABLE TO ENHANCE OPPORTUNITIES FOR LEARNING AND TO BROADEN OUR PREVENTIVE REACH THROUGHOUT THE PLYMOUTH COMMUNITY AND BEYOND. |
| PARTNERS: | -AD MAKEPEACE -AMERICAN HEART ASSOCIATION-ANCHOR HOUSE, INC.-BAYSIDE RUNNERS-BAY STATE COMMUNITY SERVICES, INC. -BETH ISRAEL DEACONESS MEDICAL CENTER-BID-PLYMOUTH COMMUNITY BUSINESS PARTNERS (APPROXIMATELY 69 BUSINESSES)-BOSTON PUBLIC HEALTH COMMISSION-RYAN WHITE PART A-CAPE COD CANAL REGION CHAMBER OF COMMERCE -CLEANSLATE CENTERS -COMMUNITY HEALTH EDUCATION NETWORK AREA 23 (CHNA 23) -DUXBURY COUNCIL ON AGING -GREATER ATTLEBORO-TAUNTON REGIONAL TRANSIT AUTHORITY (GATRA)-GREATER PLYMOUTH AIDS CONSORTIUM -GREATER PLYMOUTH FOOD WAREHOUSE -HARBOR COMMUNITY HEALTH CENTER-HEALTH IMPERATIVES, INC.-HEALTH RESOURCE & SERVICE ADMINISTRATION (HRSA)-RYAN WHITE PART C -HEALTHY PLYMOUTH -HIGH POINT TREATMENT CENTER-GREATER PLYMOUTH COUNCIL OF HUMAN SERVICES AGENCIES-MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH -MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH PEDIATRIC PALLIATIVE CARE NETWORK -MCLEAN HOSPITAL-NATIONAL ALLIANCE ON MENTAL ILLNESS OF MASSACHUSETTS (NAMI MASS)-OLD COLONY ELDER SERVICES-OLD COLONY PLANNING COUNCIL -OLD COLONY YMCA -PINEHILLS LLC -PLIMOTH PLANTATION PLYMOUTH AREA CHAMBER OF COMMERCE-PLYMOUTH AREA COMMUNITY ACCESS TELEVISION (PACTV)-PLYMOUTH BOARD OF SELECTMEN-PLYMOUTH CONSERVATION COMMISSION -PLYMOUTH COUNCIL ON AGING -PLYMOUTH COUNTY DISTRICT ATTORNEY'S OFFICE-PLYMOUTH DEPARTMENT OF PUBLIC WORKS (DPW) -PLYMOUTH FAMILY NETWORK -PLYMOUTH LIONS CLUB-PLYMOUTH PUBLIC LIBRARY -PLYMOUTH PUBLIC SCHOOLS -PLYMOUTH ROTARY -PLYMOUTH TOWN HALL -PLYMOUTH YOUTH DEVELOPMENT COLLABORATIVE (PYDC) -RED CROSS BLOOD DRIVE-REGION V MASSACHUSETTS DPH BIO-TERRORISM COMMITTEE -SCHWARTZ CENTER ROUNDS -SODEXO-SOUTH SHORE COMMUNITY ACTION COUNCIL-SOUTH SHORE WOMEN'S RESOURCE CENTER (SSWRC) -THE HERREN PROJECT -THE PARENT CONNECTION OF DUXBURY -THE TINLEY CENTER-THORBAHN -TOWN OF PLYMOUTH -TOWN OF PLYMOUTH OPEN SPACE COMM. -UNITED WAY OF GREATER PLYMOUTH COUNTY-VILLAGE AT DUXBURY -WILDLANDS TRUSTASSOCIATES-BOYS & GIRLS CLUB OF BROCKTON-BOYS & GIRLS CLUB OF PLYMOUTH-COLCHESTER NEIGHBORHOOD FARMS-FITNESS MANAGEMENT SYSTEMS-KIWANIS CLUB OF PLYMOUTH-LEAGUE OF WOMEN VOTERS-THE MAGNIFICENT LEAVEN -METROPOLITAN AREA PLANNING COUNCIL (MAPC) OFFICE OF YOUTH AND ADOLESCENT DEVELOPMENT -EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES-NEW ENGLAND VILLAGES-NORTH RIVER FARMERS-PLYMOUTH GARDEN CLUB-PLYMOUTH HOUSING AUTHORITY-SIGNATURE HEALTHCARE / BROCKTON HOSPITAL -SEVEN HILLS TOBACCO-FREE COMMUNITY PARTNERSHIP-SOUTH SHORE CHAMBER OF COMMERCE-SOULE HOMESTEAD EDUCATION CENTER-SOUTHEASTERN MA AGRICULTURAL PARTNERSHIP, INC. (SEMAP)-SOUTHEASTERN REGIONAL OFFICE OF THE MA DEPARTMENT OF MENTAL RETARDATIONEDUCATIONAL AFFILIATES-BETHEL UNIVERSITY-BOSTON COLLEGE-BOSTON UNIVERSITY SCHOOL OF MEDICINE-BRIDGEWATER STATE UNIVERSITY -BRISTOL COMMUNITY COLLEGE-BUNKER HILL COMMUNITY COLLEGE-CAPE COD COMMUNITY COLLEGE -COASTAL CAROLINA UNIVERSITY-CURRY COLLEGE-DREXEL UNIVERSITY-EDWARD VIA COLLEGE OF OSTEOPATHIC MEDICINE-EMS ACADEMY-FIRST RESPONSE EMERGENCY MEDICAL EDUCATION PROGRAM-FISHER COLLEGE-FRAMINGHAM STATE UNIVERSITY-FRONTIER NURSING UNIVERSITY-GEORGE WASHINGTON UNIVERSITY-HEALTHCARE TRAINING SERVICES-JOHNSON AND WALES UNIVERSITY-LABOURE COLLEGE-LESLEY UNIVERSITY-MASSACHUSETTS BAY COMMUNITY COLLEGE-MASSACHUSETTS COLLEGE OF PHARMACY & ALLIED HEALTH SCIENCES-MASSASOIT COMMUNITY COLLEGE-MEDICAL PROFESSIONAL INSTITUTE-MEDICAL UNIVERSITY OF SOUTH CAROLINA-MGH INSTITUTE OF HEALTH PROFESSIONS, INC.-NEW ENGLAND INSTITUTE OF TECHNOLOGY-NORTHEASTERN UNIVERSITY-NOVA SOUTHEASTERN UNIVERSITY-OREGON HEALTH & SCIENCE UNIVERSITY-PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE-PHILADELPHIA UNIVERSITY-PRIORITY NUTRITION CARE, LLC-PROVIDENCE COLLEGE-QUINCY COLLEGE-REGIS COLLEGE-SALEM STATE UNIVERSITY-SIGNATURE HEALTHCARE-SIMMONS COLLEGE-SPRINGFIELD COLLEGE-TUFTS UNIVERSITY SCHOOL OF MEDICINE-UNIVERSITY OF BUFFALO-UNIVERSITY OF MASSACHUSETTS-UNIVERSITY OF NEW ENGLAND-UNIVERSITY OF NEW HAMPSHIRE-UNIVERSITY OF NORTH ALABAMA-UNIVERSITY OF RHODE ISLAND-UNIVERSITY OF SOUTH ALABAMA-UNIVERSITY OF ST. JOSEPH-UTAH STATE UNIVERSITY-WINGATE UNIVERSITY-YALE SCHOOL OF NURSINGAS DESCRIBED IN DETAIL IN THIS SUPPORTING NARRATIVE TO THE FORM 990 SCHEDULE H, BID-PLYMOUTH IS DEEPLY DEDICATED TO ITS COMMUNITY BENEFITS OPERATIONS AND TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES. HOWEVER, AS NOTED IN SCHEDULE H, PART V, SECTION B, QUESTION 11, THERE WERE SOME NEEDS IDENTIFIED IN THE 2016 CHNA THAT ARE NOT INCLUDED IN THE 2016 CHIP. EFFORTS TO IMPROVE TRANSPORTATION SYSTEMS ARE NOT PART OF THE HOSPITAL'S MISSION AND UNLIKE THE MANY PROGRAMS DESCRIBED HEREIN WHERE BID-PLYMOUTH IS UNIQUELY SITUATED TO IMPLEMENT SUCH PROGRAMS, IMPROVING TRANSPORTATION SYSTEMS IS OUTSIDE THE SCOPE OF THE HOSPITAL'S EXPERTISE, AND AS SUCH THESE NEEDS ARE NOT PART OF THE HOSPITAL'S 2016 CHIP. HOWEVER, AS NOTED WITHIN THIS NARRATIVE, THE HOSPITAL CAN AND DOES PROACTIVELY SUPPORT THE EVALUATION OF CURRENT TRANSPORTATION OPTIONS AND ADVOCATE FOR REVISIONS THAT WILL HELP AREA RESIDENTS EASILY ACCESS HEALTHY FOOD, EXERCISE AREAS, HEALTHCARE SERVICES, ETC. IN ADDITION, WHERE THE HOSPITAL IS UNABLE TO ADDRESS NEEDS BECAUSE OF LIMITED FINANCIAL RESOURCES, THE HOSPITAL EXPLORES PUBLIC FINANCING OPTIONS, PRIVATE FOUNDATION AND DONOR SUPPORT AND A RANGE OF OTHER FUNDING OPPORTUNITIES TO MEET HELP MEET COMMUNITY NEEDS. AS RESOURCES ARE IDENTIFIED AND BUSINESS PLANS ARE JUSTIFIED, THE HOSPITAL IMPLEMENTS THOSE HIGH PRIORITY PROJECTS WITH THE HIGHEST POTENTIAL IMPACT FOR A HEALTHIER COMMUNITY. AS NOTED IN DETAIL ABOVE, THE BID-PLYMOUTH'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). |
| 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 BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH (BID-PLYMOUTH OR HOSPITAL) CARES FOR ITS COMMUNITY BY PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS. AS DEMONSTRATED IN THIS SCHEDULE H, 12.86% OF BID-PLYMOUTH'S TOTAL EXPENSES AS REPORTED ON FORM 990 PART IX, LINE 24, ARE INCURRED IN PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST. IN ADDITION AS NOTED THROUGHOUT THIS SCHEDULE H NARRATIVE, THERE ARE ADDITIONAL ACTIVITIES AND EXPENDITURES WHICH BID-PLYMOUTH 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 BID-PLYMOUTH HAD INCLUDED THESE IN SCHEDULE H QUESTION 7, THE FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST WOULD BE 13.04% FOR THE PERIOD COVERED BY THIS FILING. IN ADDITION, IT IS IMPORTANT TO NOTE IN THIS CONTEXT THAT BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER) IS A TERTIARY CARE ACADEMIC MEDICAL CENTER, ENTITY EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, A TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL AND THE SOLE MEMBER OF BID-NEEDHAM. THE FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS PROVIDED BY BIDMC ARE PROVIDED BY THE SAME HEALTH CARE SYSTEM, AND ALTHOUGH THOSE ACTIVITIES ARE NOT QUANTIFIED ON THE BID-NEEDHAM SCHEDULE H PER THE INSTRUCTIONS TO THE FORM 990, THOSE ACTIVITIES ARE RELEVANT IN EVALUATING THE TOTAL COMMUNITY BENEFIT PROVIDED. BIDMC REPORTED APPROXIMATELY 16% OF TOTAL EXPENSES INCURRED IN PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST. COMMUNITY BENEFITS - ANNUAL COMMUNITY BENEFITS REPORTAS PREVIOUSLY NOTED IN THIS FILING, HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) WERE APPROVED BY THE COMMUNITY BENEFITS COMMITTEE AND BOARD OF DIRECTORS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2016 AND RELATE TO THE COMMUNITY BENEFIT ACTIVITIES REPORTED IN THIS NARRATIVE SUPPORT TO THE FORM 990 SCHEDULE H. IN ADDITION, AS NOTED IN THIS FORM 990 SCHEDULE H, PART I, LINES 6A AND 6B, THE HOSPITAL 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, ON THE HOSPITAL'S WEBSITE AND UPON REQUEST AT THE HOSPITAL. 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 MEDICAL CENTER FILED WITH THE ATTORNEY GENERAL'S OFFICE. COMMUNITY BENEFITS - EMERGENCY ROOM OPERATIONIN ADDITION, AS NOTED IN THIS FORM 990, SCHEDULE H, PART V, SECTION A, BID-NEEDHAM IS A GENERAL MEDICAL AND SURGICAL HOSPITAL, PROVIDING 24 HOUR EMERGENCY MEDICAL CARE TO ALL PATIENTS WITHOUT REGARD TO ABILITY TO PAY. FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - CHARITY CARE AND MEANS TESTED GOVERNMENT PROGRAMSFINANCIAL ASSISTANCEBID-PLYMOUTH'S NET COST OF CHARITY CARE, INCLUDING CARE FOR EMERGENT SERVICES PROVIDED TO NON-PAYING PATIENTS AND INCLUDING PAYMENTS TO THE HEALTH SAFETY NET TRUST, WAS $1,708,967 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2017 AND HAS BEEN REPORTED ON THIS SCHEDULE H, PART I, LINE 7A. THE MEDICAL CENTER, WHICH AS PREVIOUSLY NOTED IS THE SOLE MEMBER OF BID-PLYMOUTH, PROVIDED AN ADDITIONAL $12,582,350 OF FINANCIAL ASSISTANCE AND CHARITY CARE AT COST WHICH IS REPORTED ON THE MEDICAL CENTER FORM 990, SCHEDULE H, PART I, LINE 7A FOR THE SAME FISCAL PERIOD. HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (HMFP) IS AN ENTITY EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. HMFP IS THE DEDICATED PHYSICIAN PRACTICE OF THE MEDICAL CENTER. THE OPERATIONS OF HMFP AND THE ENTITIES FOR WHICH HMFP SERVES AS MEMBER ARE INTEGRALLY RELATED TO THE MEDICAL CENTER'S ACCOMPLISHMENTS OF ITS PURPOSES. HMFP AND ITS AFFILIATES ARE INTEGRALLY RELATED TO BID-PLYMOUTH AND TO SERVING THE COMMUNITIES SERVED BY BID-PLYMOUTH. AS PART OF THIS RELATIONSHIP, HMFP PATIENTS WHO MEET THE FREE CARE CRITERIA OF THE MEDICAL CENTER ARE PROVIDED FREE CARE AT HMFP AND ITS AFFILIATED ENTITIES. DURING THE FISCAL PERIOD COVERED BY THIS FILING, HMFP AND ITS AFFILIATED ENTITIES PROVIDED ADDITIONAL NET FREE CARE TO PATIENTS IN THE AMOUNT OF $1,851,463. SEE ADDITIONAL INFORMATION BELOW IN THIS SCHEDULE H NARRATIVE. SEE ADDITIONAL INFORMATION BELOW IN THIS SCHEDULE H NARRATIVE.OTHER UNCOMPENSATED CHARITY CARE - MEDICAID AND MEDICAREIN ADDITION TO THE CHARITY CARE REPORTED ABOVE, BID-PLYMOUTH ALSO PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN OTHER PROGRAMS DESIGNED TO SUPPORT LOW INCOME FAMILIES, INCLUDING PARTICULARLY 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, 15.7% OR 42,737 OF BID-PLYMOUTH'S PATIENT ENCOUNTERS WERE WITH MEDICAID PATIENTS. THIS TRANSLATED TO $27,140,348 IN MEDICAID REVENUE WHICH WAS LESS THAN THE COST OF CARE PROVIDED BY BID-PLYMOUTH FOR SUCH SERVICES BY $6,267,210 AS REPORTED ON THIS SCHEDULE H, PART I LINE 7B. IN ADDITION 21.9% OR 253,831 OF THE MEDICAL CENTER'S PATIENT CASES WERE WITH MEDICAID PATIENTS. THIS TRANSLATED TO AN ADDITIONAL $54,311,343 IN UNCOVERED COST BORNE BY BIDMC IN PROVIDING CARE TO MEDICAID PATIENTS. AS PREVIOUSLY NOTED, THIS ADDITIONAL BIDMC COST IS NOT QUANTIFIED IN THE BID- PLYMOUTH SCHEDULE H. MEDICARE IS THE FEDERALLY SPONSORED HEALTH INSURANCE PROGRAM FOR ELDERLY OR DISABLED PATIENTS, AND THE BID-PLYMOUTH PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM. DURING THE FISCAL PERIOD COVERED BY THIS FILING, 44.7% OR 121,620 OF BID-PLYMOUTH'S PATIENT ENCOUNTERS WERE WITH MEDICARE PATIENTS. THIS TRANSLATED TO $111,818,595 IN 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 $5,834,477. MANY OF THE SERVICES PROVIDED TO MEDICARE PATIENTS ARE RELATED TO THE PROVISION OF SUBSIDIZED HEALTH SERVICES AND MEDICARE LOSSES OF $7,113,813 RELATED TO THE PROVISION OF CARE FOR GERIATRIC PSYCHIATRIC PATIENTS, ONCOLOGY AND INFUSION PATIENTS AND LAB SERVICES ARE INCLUDED IN FORM 990 SCHEDULE H PART I, LINE 7G. REVENUES AND COSTS FOR OTHER MEDICARE SERVICES ARE REPORTED IN THIS FORM 990 SCHEDULE H PART III LINE 7 AS REQUIRED. BIDMC SIMILARLY PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM. DURING THE FISCAL PERIOD COVERED BY THIS FILING, 30.5% OR 352,952 OF THE MEDICAL CENTER'S PATIENT ENCOUNTERS WERE WITH MEDICARE PATIENTS. THIS TRANSLATED TO MEDICARE REVENUE OF $402,276,572. 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 $24,617,418. THIS ADDITIONAL BIDMC COST IS NOT QUANTIFIED IN THE BID-PLYMOUTH SCHEDULE H. |
| BAD DEBTS | IN ADDITION TO CHARITY CARE AND SHORTFALLS IN PROVIDING SERVICES TO PATIENTS INSURED UNDER STATE AND FEDERAL PROGRAMS, BID-PLYMOUTH 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 DURING THE FISCAL PERIOD COVERED BY THIS FILING OF $4,271,493 AND ARE REPORTED AS BAD DEBT ON FORM 990, SCHEDULE H, PART III, LINE 2.BIDMC SIMILARLY INCURS BAD DEBT LOSSES AND INCLUDES THE PROVISION FOR ACCOUNTS ANTICIPATED TO BE UNCOLLECTIBLE IN ITS FINANCIAL STATEMENTS. BIDMC CHARGES FOR THOSE SERVICES WERE $22,472,200 DURING THE FISCAL PERIOD COVERED BY THIS FILING AS REPORTED IN THE FINANCIAL STATEMENTS AND AS REPORTED ON THE BIDMC FORM 990, SCHEDULE H, PART III, LINE 2. THE PERCENTAGES CALCULATED IN PART I, LINE 7, COLUMN F WERE BASED ON EACH ITEM OF FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT AS A PERCENTAGE OF TOTAL EXPENSES REPORTED IN PART IX OF THIS FORM 990. 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 BETH ISRAEL DEACONESS MEDICAL CENTER'S (BIDMC OR MEDICAL CENTER) AUDITED FINANCIAL STATEMENTS. AS PREVIOUSLY NOTED IN THIS FORM 990, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE MEDICAL CENTER AND AFFILIATES FOR FISCAL YEAR ENDED SEPTEMBER 30, 2017 INCLUDE THE ACCOUNTS OF THE MEDICAL CENTER AND ITS SUBSIDIARIES, (BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH (BID-PLYMOUTH), JORDAN HEALTH SYSTEMS, INC., BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM (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 HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP), THE DEDICATED PHYSICIAN PRACTICE OF THE MEDICAL CENTER AND AN ENTITY INTEGRALLY RELATED TO HELPING THE MEDICAL CENTER ACCOMPLISH ITS CHARITABLE PURPOSES, AS WELL AS ALL ENTITIES FOR WHICH THESE ENTITIES SERVE AS MEMBER. THE BIDP FORM 990 IS PREPARED FOR BIDP ONLY AND AS SUCH, THE METRICS INCLUDED IN THESE FOOTNOTES WILL NOT TIE TO THE FACE OF THE BIDP FORM 990, SCHEDULE H.FINANCIAL STATEMENT FOOTNOTES:BAD DEBTSIN ADDITION TO CHARITY CARE AND SHORTFALLS IN PROVIDING SERVICES TO PATIENTS INSURED UNDER STATE AND FEDERAL PROGRAMS, THE MEDICAL CENTER 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 DEBTS ARE INCLUDED AS A COMPONENT OF NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED FINANCIAL STATEMENTS, AND INCLUDE THE PROVISION FOR ACCOUNTS ANTICIPATED TO BE UNCOLLECTIBLE. THE ESTIMATED COST OF PROVIDING SUCH SERVICES WAS $16,928,000 AND $16,257,000 IN 2017 AND 2016, RESPECTIVELY.PATIENT ACCOUNTS RECEIVABLE AND RELATED ALLOWANCE FOR DOUBTFUL ACCOUNTSPATIENT ACCOUNTS RECEIVABLE ARE REFLECTED NET OF AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THE MEDICAL CENTER 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 PAYOR 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 MEDICAL CENTER, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, WILL WRITE OFF PATIENTS' UNMET OR UNCOLLECTED RESPONSIBILITY 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 ACCOUNTS.THE MEDICAL CENTER'S METHODOLOGY FOR VALUING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE REMAINED SUBSTANTIALLY CONSISTENT IN 2017 AND 2016. THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS REPRESENTED APPROXIMATELY 9.3% OF PATIENT ACCOUNTS RECEIVABLE NET OF CONTRACTUAL ALLOWANCES IN 2017 AND 11.3% IN 2016.EMERGENCY CARE ACCESSAS PREVIOUSLY NOTED IN THIS FILING, BIDMC IS THE SOLE MEMBER OF BID-PLYMOUTH. THE MEDICAL CENTER IS A NATIONALLY RECOGNIZED ACADEMIC MEDICAL CENTER AND TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL. ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (APHMFP) IS AN INTEGRALLY RELATED PHYSICIAN PRACTICE OF BIDMC AND IS ALSO EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. APHMFP PHYSICIANS PROVIDE AROUND THE CLOCK PHYSICIAN PATIENT CARE COVERAGE AND MEDICAL DIRECTION OF THE BID-PLYMOUTH EMERGENCY DEPARTMENT. THESE PHYSICIANS ARE ALL CERTIFIED OR BOARD-ELIGIBLE IN LEVEL 1 TRAUMA. THE BID-PLYMOUTH DEPARTMENT OF EMERGENCY MEDICINE, PROVIDES MEDICALLY NECESSARY CARE FOR ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OFFERS THIS CARE FOR ALL PATIENTS THAT COME TO THIS FACILITY 24 HOURS A DAY, SEVEN DAYS A WEEK, AND 365 DAYS A YEAR.FINANCIAL ASSISTANCE POLICY - INTERNAL REVENUE CODE SECTION 501(R)(4)FINANCIAL ASSISTANCE POLICY PURPOSE BID-PLYMOUTH'S MISSION IS TO DISTINGUISH ITSELF FROM OTHER PROVIDERS THROUGH EXCELLENCE IN PATIENT CARE, EDUCATION, RESEARCH AND THROUGH IMPROVED HEALTH IN THE COMMUNITIES SERVED.BID-PLYMOUTH IS DEDICATED TO PROVIDING FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. THIS FINANCIAL ASSISTANCE POLICY IS INTENDED TO BE IN COMPLIANCE WITH APPLICABLE FEDERAL AND STATE LAWS FOR OUR SERVICE AREA. PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WILL RECEIVE DISCOUNTED CARE RECEIVED FROM QUALIFYING PROVIDERS.BID-PLYMOUTH 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 EMERGENCY AND OTHER MEDICALLY NECESSARY CARE PROVIDED BY THE HOSPITAL FACILITY. (SCHEDULE H PART I QUESTIONS 1A AND 1B). DETAIL RELATED TO EMERGENCY AND OTHER MEDICALLY NECESSARY CARE COVERED BY THE POLICY IS INCLUDED WITHIN THE POLICY AND THE DEFINITION OF EMERGENCY CARE MEETS THE DEFINITION OF THE EMERGENCY MEDICAL TREATMENT AND LABOR ACT (EMTALA), SECTION 1867 OF THE SOCIAL SECURITY ACT (42 USC 1395DD). (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, 2017 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.THE 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: SPANISH, PORTUGUESE AND VIETNAMESE. (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):HTTP://WWW.BIDPLYMOUTH.ORG/BODY.CFM?ID=90IN 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, INCLUDING BOTH THE EMERGENCY DEPARTMENT AND ADMISSIONS. 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 EMERGENCY 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 GROUPS COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLANDETAIL TO BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH'S (BID-PLYMOUTH OR HOSPITAL) COMMUNITY HEALTH NEEDS ASSESSMENT, IMPLEMENTATION STRATEGY AND COMMUNITY BENEFITS ACTIVITIES HAVE BEEN PROVIDED IN FORM 990, SCHEDULE H, PART V SECTION C ABOVE. FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - GRADUATE MEDICAL EDUCATION AS PREVIOUSLY NOTED IN THROUGHOUT THIS FORM 990, BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER) IS THE SOLE MEMBER OF BID-PLYMOUTH. ALTHOUGH BID-PLYMOUTH DOES NOT ENGAGE DIRECTLY IN GRADUATE MEDICAL EDUCATION, PROVIDING SUCH EDUCATION IS PART OF BIDMC'S CORE MISSION. THE MEDICAL CENTER'S DEVOTION TO TEACHING, RESPECT FOR STUDENTS/TRAINEES AND WILLINGNESS TO EMBRACE TECHNOLOGICAL AND CLINICAL PRACTICE INNOVATION MAKE THE MEDICAL CENTER A TOP CHOICE AMONG MEDICAL STUDENTS AND HEALTH CARE PROFESSIONALS. THE MEDICAL CENTER TRAINS HUNDREDS OF MEDICAL STUDENTS, INTERNS, RESIDENTS AND FELLOWS, AS WELL AS PROFESSIONALS IN NURSING, SOCIAL WORK AND THE ALLIED HEALTH SCIENCES. THE MEDICAL CENTER HAS 52 ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) APPROVED CLINICAL RESIDENCY AND FELLOWSHIP PROGRAMS WITH 627 RESIDENTS AND CLINICAL FELLOWS. IN ADDITION, THE MEDICAL CENTER HAS 42 NONSTANDARD CLINICAL FELLOWSHIP PROGRAMS WITH 62 TRAINEES PER YEAR. STAFF PHYSICIANS AT THE MEDICAL CENTER WHO HOLD FACULTY APPOINTMENTS AT HARVARD MEDICAL SCHOOL INSTRUCT THE DOCTORS OF TOMORROW THROUGH SUPERVISION OF THEIR DAILY PATIENT CARE AND A RANGE OF INTERACTIVE LEARNING EXPERIENCES.CORE CLINICAL TRAINING PROGRAMSTHE MEDICAL CENTER SPONSORS CORE CLINICAL TRAINING PROGRAMS IN THE FOLLOWING FIELDS:-ANESTHESIOLOGY-EMERGENCY MEDICINE-INTERNAL MEDICINE-NEUROLOGY-NEUROSURGERY-OBSTETRICS AND GYNECOLOGY-PATHOLOGY-PSYCHIATRY-RADIOLOGY-SURGERY-TRANSITIONAL YEARDURING THE FISCAL YEAR COVERED BY THIS FILING, THE MEDICAL CENTER HAD NET EXPENDITURES OF $72,842,238 REPORTED ON THIS SCHEDULE H, PART I, LINE 7F RELATED TO THE MEDICAL CENTER'S TEACHING FUNCTION WHICH REPRESENTED 4.62% OF THE MEDICAL CENTER'S TOTAL EXPENSES.RESIDENCY PROGRAMSTHE MEDICAL CENTER SPONSORS ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) APPROVED RESIDENCY PROGRAMS IN EACH OF THE CORE CLINICAL TRAINING PROGRAMS LISTED ABOVE. FELLOWSHIP PROGRAMSIN ADDITION TO THE RESIDENT TRAINING PROGRAMS LISTED ABOVE, THE MEDICAL CENTER SPONSORS A WIDE VARIETY OF FELLOWSHIP TRAINING PROGRAMS FOR ELIGIBLE DOCTORS WHO HAVE COMPLETED THEIR RESIDENCY AND WANT TO ENGAGE IN MORE SPECIALIZED STUDY. OVER HALF OF THESE PROGRAMS (55 OF 90) ARE ACGME APPROVED OR APPROVED BY A COMPARABLE BODY RELATED TO THE PARTICULAR SUBSPECIALTY. THE MEDICAL CENTER SPONSORS THE FOLLOWING FELLOWSHIP PROGRAMS:-ANESTHESIA: ADULT CARDIOTHORACIC ANESTHESIOLOGY, ADVANCED CLINICAL ANESTHESIA, CRITICAL CARE MEDICINE, NEUROANESTHESIA, OBSTETRIC ANESTHESIOLOGY, PAIN MEDICINE, REGIONAL ANESTHESIA, VASCULAR ANESTHESIA-EMERGENCY MEDICINE: EMERGENCY MEDICAL SERVICES, EMERGENCY ULTRASOUND, DISASTER MEDICINE, ACADEMIC EMERGENCY MEDICINE-INTERNAL MEDICINE: ADVANCED CARDIAC NON-INVASIVE IMAGING, ADVANCED ENDOSCOPY, CARDIAC MAGNETIC RESONANCE IMAGING CARDIOVASCULAR DISEASE, CELIAC DISEASE, CLINICAL CARDIAC ELECTROPHYSIOLOGY, CLINICAL INFORMATICS, ENDOCRINOLOGY, DIABETES, AND METABOLISM, GASTROENTEROLOGY, GENERAL MEDICINE, GERIATRIC MEDICINE, GI MOTILITY/FUNCTIONAL BOWEL DISORDERS, GLOBAL HEALTH, HEMATOLOGY AND ONCOLOGY, HEPATOLOGY, HOSPICE AND PALLIATIVE CARE, INFECTIOUS DISEASE, INFLAMMATORY BOWEL DISEASE, INTERVENTIONAL CARDIOLOGY, INTERVENTIONAL PULMONOLOGY, NEPHROLOGY, PULMONARY CRITICAL CARE, RHEUMATOLOGY, SLEEP MEDICINE, SLEEP RESPIRATION, TRANSPLANT HEPATOLOGY, TRANSPLANT NEPHROLOGY-NEUROLOGY: AUTONOMIC DISORDERS, COGNITIVE BEHAVIORAL NEUROLOGY, CLINICAL NEUROPHYSIOLOGY, EPILEPSY, MOVEMENT DISORDERS, MULTIPLE SCLEROSIS, NEUROLOGY-HIV, NEUROMUSCULAR MEDICINE, NEURO-ONCOLOGY, VASCULAR NEUROLOGY-OBSTETRICS AND GYNECOLOGY: FEMALE PELVIC MEDICINE & RECONSTRUCTIVE SURGERY, MATERNAL FETAL MEDICINE, MINIMALLY INVASIVE GYNECOLOGIC SURGERY, REPRODUCTIVE ENDOCRINOLOGY-PATHOLOGY: CYTOPATHOLOGY, HEMATOLOGY, MEDICAL MICROBIOLOGY, MEDICAL MICROBIOLOGY - CPEP, SELECTIVE PATHOLOGY -RADIOLOGY-DIAGNOSTIC: ABDOMINAL RADIOLOGY, BREAST IMAGING RADIOLOGY, INTERVENTIONAL RADIOLOGY-INDEPENDENT, INTERVENTIONAL RADIOLOGY-INTEGRATED MRI, MUSCULOSKELETAL IMAGING - MSK, NEURORADIOLOGY, THORACIC IMAGING RADIOLOGY, VASCULAR AND INTERVENTIONAL RADIOLOGY, RADIATION ONCOLOGY-SURGERY: ABDOMINAL TRANSPLANT SURGERY/KIDNEY, COLORECTAL SURGERY, CORNEA AND REFRACTIVE SURGERY, CEREBROVASCULAR AND ENDOVASCULAR NEUROSURGERY, INTERDISCIPLINARY BREAST SURGERY, MINIMALLY INVASIVE BARIATRIC SURGERY, NEUROSURGERY/ORTHO SPINE, NEUROSURGICAL ONCOLOGY & STERIOTACTIC NEUROSURGERY, ORTHOPAEDIC HAND SURGERY, ORTHOPAEDIC SPINE SURGERY, PLASTIC HAND SURGERY, PLASTIC SURGERY/AESTHETIC RECONSTRUCTION, PODIATRY, SURGICAL CRITICAL CARE, THORACIC SURGERY, UROLOGY MALE INFERTILITY/SEXUAL DYSFUNCTION, VASCULAR SURGERY, VASCULAR SURGERY-INTEGRATEDADDITIONAL INFORMATION ON THE MEDICAL CENTER'S CLINICAL RESIDENCY AND FELLOWSHIPS IS AVAILABLE IN THE SUPPORTING DETAIL TO THE MEDICAL CENTER'S FORM 990, SCHEDULE H. |
| FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - RESEARCH | AS PREVIOUSLY NOTED IN THROUGHOUT THIS FORM 990, BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER) IS THE SOLE MEMBER OF BID-PLYMOUTH. ALTHOUGH BID-PLYMOUTH DOES NOT ENGAGE DIRECTLY IN ANY FUNDAMENTAL BENCH RESEARCH, CONDUCTING RESEARCH IS PART OF BIDMC'S MISSION. THE MEDICAL CENTER IS A WORLD-CLASS RESEARCH INSTITUTION WHERE OUTSTANDING SCIENTISTS WORK TO DEVELOP NEW KNOWLEDGE FOR THE BETTERMENT OF THE HEALTH OF LOCAL AND EXTENDED COMMUNITIES. THE BIDMC RESEARCH PROGRAM STRIVES TO BE, AND IS, RENOWNED FOR ITS BENCH-TO-BEDSIDE MODEL OF TRANSLATIONAL RESEARCH AND FOR ITS COLLABORATION WITH INDUSTRY AS A PATHWAY FOR TRANSFERRING THE FRUITS OF RESEARCH INTO PRODUCTS THAT IMPROVE THE QUALITY OF LIFE.THE MEDICAL CENTER'S NOTABLE RESEARCH ACCOMPLISHMENTS INCLUDE CONSISTENTLY BEING RANKED IN THE TOP TIER OF INDEPENDENT HOSPITALS IN NATIONAL INSTITUTES OF HEALTH (NIH) FUNDING. THE MEDICAL CENTER SCIENTISTS CONTINUE TO SEARCH FOR IMPROVED UNDERSTANDING OF DISEASES AND BETTER TREATMENTS FOR PATIENTS, WHICH IN TURN DIRECTLY IMPACT THE LIVES OF OUR PATIENTS AND IMPROVE THE MEDICAL CENTER'S PATIENT CARE. DURING THE FISCAL PERIOD COVERED BY THIS FILING, MORE THAN 1,300 ACTIVE FEDERAL, INDUSTRY, AND FOUNDATION SPONSORED PROJECTS AND MORE THAN 2,500 ACTIVE EXEMPT, EXPEDITED, AND FULL BOARD-REVIEWED CLINICAL RESEARCH STUDIES. BIDMC RESEARCH LED BY MORE THAN 250 PRINCIPAL INVESTIGATORS, THE MAJORITY OF WHOM ARE HARVARD MEDICAL SCHOOL FACULTY. THE KEY AREAS OF RESEARCH INCLUDE VASCULAR BIOLOGY, MOLECULAR IMAGING, TRANSPLANTATION, SIGNAL TRANSDUCTION, CANCER BIOLOGY, METABOLIC DISEASE, NEUROBIOLOGY, AIDS, AND CARDIOLOGY/CARDIAC SURGERY.AS NOTED IN THIS FILING, THE MEDICAL CENTER IS A TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL AND IS COMMITTED TO MAINTAINING A COLLABORATIVE CULTURE; TO MAINTAINING MODERN, HIGH-QUALITY FACILITIES, AND TO TAKING FULL ADVANTAGE OF THE UNIQUE RELATIONSHIPS THAT EXIST AMONG THE HARVARD MEDICAL SCHOOL AND THE HARVARD TEACHING HOSPITALS. THE MEDICAL CENTER DESIGNS AND IMPLEMENTS MANY INTERDEPARTMENTAL AND INTERDISCIPLINARY RESEARCH PROGRAMS WITHIN THE INSTITUTION. THE MEDICAL CENTER ALSO COLLABORATES WITH OTHER NATIONALLY RECOGNIZED AND WORLD RENOWNED EXPERTS IN VARIOUS FIELDS IN AN EFFORT TO TRANSLATE NEW KNOWLEDGE INTO NOVEL MEDICAL TREATMENTS AND PATIENT CARE. THE MEDICAL CENTER PARTICIPATES IN HARVARD CATALYST, THE HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER, WHICH BRINGS TOGETHER THE INTELLECTUAL FORCE, TECHNOLOGIES, AND CLINICAL EXPERTISE AT HARVARD UNIVERSITY AND ITS ACADEMIC, HEALTH CARE, AND COMMUNITY PARTNERS TO CREATE CONNECTIONS, ENABLE RESEARCH AT THE CUTTING EDGE OF DISCOVERY, AND NURTURE CLINICAL AND TRANSLATIONAL RESEARCHERS WITH THE GOAL OF IMPROVING HUMAN HEALTH.STUDIES BY MEDICAL CENTER RESEARCHERS ARE ROUTINELY PUBLISHED IN THE WORLD'S LEADING SCIENTIFIC JOURNALS, INCLUDING NATURE, SCIENCE AND THE NEW ENGLAND JOURNAL OF MEDICINE, WHICH HELPS TO BRING THE RESEARCH FINDINGS TO CLINICIANS AND PATIENTS BEYOND THE MEDICAL CENTER. THE MEDICAL CENTER ENGAGES IN RESEARCH IN ALL OF THE FOLLOWING DISCIPLINES:-ANESTHESIA, CRITICAL CARE, AND PAIN MEDICINE -EMERGENCY MEDICINE -MEDICINE -ALLERGY AND INFLAMMATION -CARDIOVASCULAR MEDICINE -CENTER FOR VASCULAR BIOLOGY RESEARCH -CENTER FOR VIROLOGY AND VACCINE RESEARCH -CLINICAL INFORMATICS -CLINICAL NUTRITION -ENDOCRINOLOGY -EXPERIMENTAL MEDICINE -GASTROENTEROLOGY -GENERAL MEDICINE AND PRIMARY CARE -GENETICS -GERONTOLOGY -HEMATOLOGY AND ONCOLOGY -HEMOSTASIS AND THROMBOSIS -IMMUNOLOGY -INFECTIOUS DISEASE -INTERDISCIPLINARY MEDICINE AND BIOTECHNOLOGY -MOLECULAR AND VASCULAR MEDICINE -NEPHROLOGY -PULMONOLOGY -RHEUMATOLOGY -SIGNAL TRANSDUCTION -TRANSLATIONAL RESEARCH -TRANSPLANT IMMUNOLOGY-NEONATOLOGY -NEUROLOGY -OBSTETRICS AND GYNECOLOGY -ORTHOPAEDIC SURGERY -PATHOLOGY -PSYCHIATRY -RADIOLOGY -SURGERY -CARDIAC SURGERY -CENTER FOR MINIMALLY INVASIVE SURGERY -NEUROSURGERY -PLASTIC AND RECONSTRUCTIVE SURGERY -VASCULAR SURGERY-TRANSPLANT INSTITUTEDURING THE FISCAL YEAR COVERED BY THIS FILING, THE MEDICAL CENTER REPORTED $81,492,965 OF NET INTERNALLY FUNDED RESEARCH ON THIS SCHEDULE H, PART I, LINE 7H RELATED TO RESEARCH TO FURTHER SCIENCE AND PATIENT CARE, WHICH REPRESENTED 4.90% OF THE MEDICAL CENTER'S TOTAL EXPENSES. ADDITIONALLY, THE MEDICAL CENTER REPORTED $215,267,238 OF RESEARCH EXPENSES FUNDED BY GOVERNMENTS AND OTHER TAX-EXEMPT ENTITIES INCLUDING OTHER HOSPITALS, UNIVERSITIES AND FOUNDATIONS WHICH, IF INCLUDED IN THE BIDMC SCHEDULE H, PART I, LINE 7H CALCULATION, WOULD INCREASE THE NET COMMUNITY BENEFIT REPORTED FROM RESEARCH ACTIVITIES ON THE MEDICAL CENTER'S FORM SCHEDULE H, PART I, LINE 7H TO 17.84%. |
| PART VI QUESTIONS 5 AND 6 | ADDITIONAL PROMOTION OF COMMUNITY HEALTH AND AFFILIATED HEALTH CARE SYSTEMBID-PLYMOUTH MAINTAINS AN OPEN MEDICAL STAFF AND AS NOTED IN THIS FORM 990 PARTS I AND VI, THE MAJORITY OF BOARD MEMBERS ARE INDEPENDENT COMMUNITY MEMBERS. IN ADDITION, AS NOTED THROUGHOUT THIS NARRATIVE SUPPORT TO THE BID-PLYMOUTH FORM 990 AND SCHEDULES, THE MEDICAL CENTER IS PART OF THE CAREGROUP NETWORK OF AFFILIATES AND CAREGROUP SERVES AS THE MEDICAL CENTER'S SOLE MEMBER. THE MEDICAL CENTER SERVES AS THE SOLE MEMBER TO BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, BETH ISRAEL DEACONESS HOSPITAL - MILTON, BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH, MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP AND JORDAN HEALTH SYSTEMS, INC. HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER IS THE DEDICATED PHYSICIAN PRACTICE OF BIDMC. EACH OF THESE ENTITIES MAY, IN TURN, SERVE AS THE SOLE MEMBER OF ADDITIONAL AFFILIATES. BID-PLYMOUTH, THE MEDICAL CENTER AND EACH OF ITS AFFILIATES IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES THEY SERVE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| JORDAN HOSPITAL CLUB | |||||||
| 275 SANDWICH STREET | PLYMOUTH | MA | 02360 | 237181730 | 501C3 | $10,000 | GENERAL PURPOSE |
| BETH ISRAEL DEACONESS HOSPITAL NEEDHAM | |||||||
| 148 CHESTNUT STREET | NEEDHAM | MA | 02492 | 043229679 | 501C3 | $5,000 | GENERAL PURPOSE |
| MASSACHUSETTS HEALTH COUNCIL | |||||||
| 200 RESERVOIR STREET SUITE 101 | NEEDHAM | MA | 02494 | 042296739 | 501C3 | $5,000 | GENERAL PURPOSE |
| HEALTH LAW ADVOCATES | |||||||
| 1 FEDERAL STREET 5TH FLOOR | BOSTON | MA | 02110 | 043298116 | 501C3 | $5,000 | GENERAL PURPOSE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COUGHLIN KEVIN | ||||||||||||||
| DIR, (EX-OFF)/CEO/SVP SYS DVMT | $252,819 | $63,205 | $0 | $0 | $1,046 | $261 | $24,361 | $6,090 | $17,626 | $4,406 | $295,852 | $73,962 | $0 | $0 |
| FISCHER STEVEN | ||||||||||||||
| DIRECTOR; ASST TREAS, BIDMC | $0 | $533,797 | $0 | $13,648 | $0 | $47,883 | $0 | $23,850 | $0 | $51,552 | $0 | $670,730 | $0 | $0 |
| FORMELLA RN MSN NANCY | ||||||||||||||
| COO, BIDMC; DIR | $0 | $610,377 | $0 | $18,540 | $0 | $64,854 | $0 | $19,875 | $0 | $37,687 | $0 | $751,333 | $0 | $0 |
| HOLDEN PETER J | ||||||||||||||
| DIR (EX-OFF)/PRESIDENT/CEO | $339,777 | $84,944 | $0 | $0 | $168,575 | $42,144 | $936,000 | $234,000 | $17,738 | $4,435 | $1,462,090 | $365,523 | $0 | $0 |
| LEWIS MD STANLEY M | ||||||||||||||
| DIR; CHF SYS DEV OFF BIDMC | $0 | $531,104 | $0 | $13,475 | $0 | $37,732 | $0 | $29,150 | $0 | $44,381 | $0 | $655,842 | $0 | $0 |
| LONIS-SCHEUB MD KIMBERLY | ||||||||||||||
| DIRECTOR, EMERG MED PHYSICIAN | $269,509 | $0 | $0 | $0 | $8,068 | $0 | $31,800 | $0 | $29,436 | $0 | $338,813 | $0 | $0 | $0 |
| STUHLFAUT MD JOSHUA | ||||||||||||||
| DIR (EX-OFF), MED STAFF PRES | $464,241 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $464,241 | $0 | $0 | $0 |
| TABB MD KEVIN | ||||||||||||||
| DIRECTOR | $0 | $1,019,207 | $0 | $405,820 | $0 | $20,703 | $0 | $127,000 | $0 | $43,597 | $0 | $1,616,327 | $0 | $0 |
| TREHU MD STEPHEN | ||||||||||||||
| DIRECTOR; CHIEF OF RADIOLOGY | $352,441 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $352,441 | $0 | $0 | $0 |
| RADZEVICH JASON | ||||||||||||||
| VP OF FINANCE, CFO & TREASURER | $248,563 | $62,141 | $0 | $0 | $24,326 | $6,081 | $25,385 | $6,346 | $19,963 | $4,991 | $318,237 | $79,559 | $0 | $0 |
| BERRY-BARBOSA LISA | ||||||||||||||
| VP, HR | $182,606 | $20,290 | $0 | $0 | $4,568 | $508 | $19,276 | $2,142 | $22,082 | $2,454 | $228,532 | $25,394 | $0 | $0 |
| CONNOLLY MD JOHN | ||||||||||||||
| VP MED MGMT, CHAIR ANESTHESIA | $608,565 | $0 | $10,000 | $0 | $18,000 | $0 | $0 | $0 | $5,288 | $0 | $641,853 | $0 | $0 | $0 |
| DOHERTY RN DONNA | ||||||||||||||
| CNO, VP PATIENT CARE SERVICES | $246,534 | $0 | $0 | $0 | $22,062 | $0 | $25,292 | $0 | $22,032 | $0 | $315,920 | $0 | $0 | $0 |
| RUTHERFORD RONALD | ||||||||||||||
| VP & CIO | $170,396 | $42,599 | $0 | $0 | $14,308 | $3,577 | $17,756 | $4,439 | $17,422 | $4,356 | $219,882 | $54,971 | $0 | $0 |
| GORSUCH PHD W BRIAN | ||||||||||||||
| CHIEF PHYSICIAN ASSISTANT | $231,077 | $0 | $0 | $0 | $764 | $0 | $8,933 | $0 | $23,734 | $0 | $264,508 | $0 | $0 | $0 |
| DOLAWAY DEBORAH | ||||||||||||||
| HOSPICE ADMINISTRATOR | $180,614 | $0 | $0 | $0 | $25,657 | $0 | $6,845 | $0 | $9,683 | $0 | $222,799 | $0 | $0 | $0 |
| PASKOWSKI DC IAN | ||||||||||||||
| CHIROPRACTOR | $185,938 | $0 | $17,714 | $0 | $781 | $0 | $7,401 | $0 | $20,829 | $0 | $232,663 | $0 | $0 | $0 |
| HEBERT NP RICHARD M | ||||||||||||||
| NURSE PRACTITIONER | $197,301 | $0 | $0 | $0 | $5,895 | $0 | $3,987 | $0 | $22,273 | $0 | $229,456 | $0 | $0 | $0 |
| HOLLERAN ANDREA | ||||||||||||||
| VP, STRAT PLAN & EXT AFFAIRS | $191,693 | $0 | $0 | $0 | $6,291 | $0 | $20,291 | $0 | $22,152 | $0 | $240,427 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
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| PART I, LINE 1A | PART I QUESTION 1 GROSS-UP PAYMENTS BID-PLYMOUTH PROVIDES MEMBERS OF SENIOR MANAGEMENT WITH DISABILITY INSURANCE, THE COST OF WHICH IS TAXABLE TO THE PARTICIPANTS AND AS PART OF THAT BENEFIT, THE HOSPITAL INCLUDES A GROSS-UP TO COVER TAXES. EACH PARTICIPANT'S COST OF THE INSURANCE AND GROSS-UP ARE INCLUDED IN THE AMOUNTS REPORTED AS OTHER REPORTABLE COMPENSATION IN THIS FORM 990 SCHEDULE J. |
| PART I, LINES 4A-B | PART I QUESTION 4A: SEVERANCE AND CHANGE OF CONTROL PAYMENTS AS NOTED IN THIS FILING, MR. PETER HOLDEN SERVED IN HIS ROLE AS CHIEF EXECUTIVE OFFICER THROUGH NOVEMBER 4, 2016 AND BECAME ELIGIBLE FOR CERTAIN SALARY CONTINUATION PAYMENTS ON LEAVING BID-PLYMOUTH AS NOTED IN MORE DETAIL IN THE DISCLOSURES BELOW. PART I QUESTION 4B: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AS REQUIRED BY THIS FORM 990, SCHEDULE J, COMPENSATION INFORMATION, THE COMPENSATION DETAIL INCLUDED IN THIS FORM 990 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2017 IS CALENDAR YEAR 2016 DETAIL. IN ADDITION, AS NOTED THROUGHOUT THIS FILING, JORDAN HEALTH SYSTEMS INC. IS AN AFFILIATE OF BID-PLYMOUTH AND ALSO EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) OF 1986, AS AMENDED. DURING THE 2016 CALENDAR YEAR, JORDAN HEALTH SYSTEMS, INC. (JHSI) MAINTAINED AN IRC SECTION 457(B) PLAN PURSUANT TO WHICH ELIGIBLE EMPLOYEES COULD DEFER PART OF THEIR COMPENSATION. THIS PLAN WAS STRICTLY EMPLOYEE FUNDED WITH NO EMPLOYER DEFERRALS. UNDER THE DEFINITIONS TO THIS FORM 990, THIS PLAN IS CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. AMOUNTS DEFERRED ARE INCLUDED IN FORM 990 SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION, IN ACCORDANCE WITH THE INSTRUCTIONS TO THIS FORM 990. DURING THAT SAME PERIOD, BID-PLYMOUTH AND JORDAN HEALTH SYSTEMS, INC. (JHSI) MAINTAINED TWO IRC SECTION 457(F) PLANS. THESE PLANS ARE STRICTLY EMPLOYER FUNDED WITH NO EMPLOYEE DEFERRALS. UNDER THE DEFINITIONS TO THIS FORM 990, THESE PLANS ARE CONSIDERED SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS. EMPLOYER CONTRIBUTIONS TO EMPLOYEES WHICH ARE NOT VESTED ARE INCLUDED IN FORM 990 SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION. DISTRIBUTIONS FROM THESE PLANS AND/OR VESTED CONTRIBUTIONS ARE INCLUDED IN FORM 990 SCHEDULE J, PART II COLUMN B(III), OTHER REPORTABLE COMPENSATION, IN ACCORDANCE WITH THE INSTRUCTIONS TO THIS FORM 990. IN ADDITION, AS NOTED THROUGHOUT THIS FILING, BETH ISRAEL DEACONESS MEDICAL CENTER SERVES AS THE SOLE MEMBER OF BID-PLYMOUTH AND JHSI. DURING THE 2016 CALENDAR YEAR, THE MEDICAL CENTER WAS A PARTICIPATING EMPLOYER IN THE BETH ISRAEL DEACONESS MEDICAL CENTER EXECUTIVE RETIREMENT PROGRAM AND THE BETH ISRAEL DEACONESS MEDICAL CENTER 457(B) PLAN. PURSUANT TO THESE PLANS, ELIGIBLE EMPLOYEES RECEIVE CERTAIN RETIREMENT BENEFITS AND/OR CAN DEFER PART OF THEIR COMPENSATION. UNDER THE DEFINITIONS TO THIS FORM 990, THESE PLANS ARE CONSIDERED SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS. AMOUNTS DEFERRED BY PARTICIPANTS OR RECEIVED BY PARTICIPANTS AND RELATED TO THESE PLANS ARE INCLUDED IN FORM 990 SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION AND/OR FORM 990, SCHEDULE J, PART II, COLUMN C, DEFERRED COMPENSATION IN ACCORDANCE WITH THE INSTRUCTIONS TO THIS FORM 990. ADDITIONAL INFORMATION IS INCLUDED WITH THE EXPLANATORY NOTES TO SCHEDULE J BELOW. |
| PART I, LINE 7 | NON-FIXED PAYMENTS BID-PLYMOUTH'S AND JHSI'S EXECUTIVE COMPENSATION PACKAGES INCLUDE OPPORTUNITIES TO EARN INCENTIVE COMPENSATION BASED ON A COMBINATION OF MEETING OR EXCEEDING BID-PLYMOUTH'S OBJECTIVES FOR QUALITY AND PATIENT SAFETY, BID-PLYMOUTH'S CONSOLIDATED OPERATING MARGIN, AND MEETING INDIVIDUAL GOALS AND OBJECTIVES. THE INCENTIVE COMPENSATION FOR EACH EXECUTIVE IS REVIEWED AND APPROVED BY THE BID-PLYMOUTH EXECUTIVE COMPENSATION COMMITTEE, WHICH AS PREVIOUSLY NOTED, IS FULLY STAFFED BY INDEPENDENT MEMBERS. |
| SCHEDULE J ADDITIONAL EXPLANATORY FOOTNOTES | 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 REPORTABLE COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED IN THIS RETURN BUT QUANTIFIED IN OTHER REPORTABLE COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: AMOUNTS DEFERRED BY THE EMPLOYEE (PLUS EARNINGS) UNDER FULLY VESTED 457(B) PLAN; INCREASE/DECREASE IN VALUE OF NONQUALIFIED FULLY VESTED 457(B) PLAN; VESTED AMOUNTS UNDER 457(F) PLAN; TAXABLE EMPLOYER-SUBSIDIZED PARKING; TAXABLE MOVING EXPENSES; TAXABLE LIFE, DISABILITY, OR LONG-TERM CARE INSURANCE; AND 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, 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 THE 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, GROUP TERM LIFE INSURANCE, DISABILITY INSURANCE ALL DIRECTORS/TRUSTEES SERVE WITHOUT COMPENSATION OR BENEFITS. COMPENSATION PAID TO OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES WAS EARNED FOR WORK PERFORMED IN A CAPACITY OTHER THAN THAT OF DIRECTOR/TRUSTEE, AS DENOTED BY THE LISTED TITLES BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH, BETH ISRAEL DEACONESS HOSPITAL-MILTON, BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM, BETH ISRAEL DEACONESS MEDICAL CENTER, JORDAN PHYSICIAN ASSOCIATES, JORDAN HEALTH SYSTEMS INC. AND ASSOCIATED PHYSICIANS OF HARVARD MEDICAL PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER MAY BE REFERRED TO IN THESE EXPLANATORY NOTES TO FORM 990 PART VII AND FORM 990 SCHEDULE J AS BID-PLYMOUTH, BID-MILTON, BID-NEEDHAM, BIDMC, JPA, JHSI AND APHMFP RESPECTIVELY. IN ADDITION, BIDMC IS THE SOLE MEMBER OF MEDICAL CARE OF BOSTON MANAGEMENT CORP. D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP WHICH MAY BE REFERRED TO IN THESE EXPLANATORY NOTES AS BID - HEALTHCARE. FINALLY, THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL MAY BE REFERRED TO AS PFHC, HMS OR PFHC/HMS. BABINI, MICHAEL DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH DIRECTOR - JORDAN HEALTH SYSTEMS, INC. MR. BABINI DEVOTES, ON AVERAGE, A COMBINED 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. BAZZINOTTI, LYLE LAWRENCE VICE CHAIR, DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH VICE CHAIR, DIRECTOR - JORDAN HEALTH SYSTEMS, INC. MS. BAZZINOTTI DEVOTES, ON AVERAGE, A COMBINED 6 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. CARNUCCIO, JOHN DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH DIRECTOR - JORDAN HEALTH SYSTEMS, INC. MR. CARNUCCIO DEVOTES, ON AVERAGE, A COMBINED 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. CLIFFORD, FREDERIC DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH DIRECTOR - JORDAN HEALTH SYSTEMS, INC. MR. CLIFFORD'S TERM ON THE BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH AND JORDAN HEALTH SYSTEMS, INC. BOARDS ENDED DECEMBER 31, 2016. MR. CLIFFORD DEVOTED, ON AVERAGE, A COMBINED 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. COUGHLIN, KEVIN DIRECTOR (EX-OFFICIO) AND CHIEF EXECUTIVE OFFICER, SENIOR VICE PRESIDENT SYSTEMS DEVELOPMENT - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH DIRECTOR (EX-OFFICIO) AND CHIEF EXECUTIVE OFFICER, SENIOR VICE PRESIDENT SYSTEM DEVELOPMENT - JORDAN HEALTH SYSTEM, INC. CHIEF EXECUTIVE OFFICER, SENIOR VICE PRESIDENT SYSTEM DEVELOPMENT, TRUSTEE - JORDAN PHYSICIAN AFFILIATES MR. COUGHLIN SERVED AS INTERIM PRESIDENT AND CHIEF EXECUTIVE OFFICER FOR BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH, JORDAN HEALTH SYSTEMS, INC AND JORDAN PHYSICIAN ASSOCIATES FROM NOVEMBER 5, 2016 TO JUNE 12, 2017 AT WHICH TIME HE BECAME PRESIDENT AND CHIEF EXECUTIVE OFFICER. MR. COUGHLIN DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DURING THE PERIOD COVERED BY THIS FILING AND FOR THE 2016 CALENDAR YEAR, MR. COUGHLIN PERFORMED SERVICES FOR BID-PLYMOUTH AND JPA AND WAS COMPENSATED BY JHSI. AS REQUIRED BY FORM 990, ALTHOUGH MR. COUGHLIN IS PAID DIRECTLY BY JHSI, THE COMPENSATION IS ATTRIBUTABLE TO HIS SERVICES PERFORMED AT BID-PLYMOUTH AND HAS BEEN REPORTED ON FORM 990 AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY BID-PLYMOUTH: BASE COMPENSATION: 252,819 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 1,046 DEFERRED COMPENSATION: 24,361 NON-TAXABLE BENEFITS: 17,626 PAYMENTS REPORTED BY JPA: BASE COMPENSATION: 63,205 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 261 DEFERRED COMPENSATION: 6,090 NON-TAXABLE BENEFITS: 4,406 DEFERRED COMPENSATION REPORTED FOR MR. COUGHLIN INCLUDES A 457(F) PLAN CONTRIBUTION IN THE AMOUNT OF $17,700 WHICH HAS NOT VESTED. DAHLEN, SHAWN D. DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH DIRECTOR - JORDAN HEALTH SYSTEMS, INC. MR. DAHLEN DEVOTES, ON AVERAGE, A COMBINED 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. FISCHER, STEVEN DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH DIRECTOR - JORDAN HEALTH SYSTEMS, INC. SENIOR VICE PRESIDENT AND CHIEF FINANCIAL OFFICER - BETH ISRAEL DEACONESS MEDICAL CENTER ASSISTANT TREASURER - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL - MILTON DIRECTOR - MILTON HOSPITAL FOUNDATION DIRECTOR - COMMUNITY PHYSICIANS ASSOCIATES DIRECTOR AND TREASURER - BETH ISRAEL DEACONESS MEDICAL CENTER PHARMACY TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM MR. FISCHER DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DURING THE PERIOD COVERED BY THIS FILING AND FOR THE 2016 CALENDAR YEAR, MR. FISCHER PERFORMED SERVICES FOR BIDMC. AS REQUIRED BY THIS FORM 990, MR. FISCHER'S COMPENSATION HAS BEEN REPORTED AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 533,797 INCENTIVE COMPENSATION: 13,648 OTHER REPORTABLE COMPENSATION: 47,883 DEFERRED COMPENSATION: 23,850 NON-TAXABLE BENEFITS: 51,552 OTHER REPORTABLE COMPENSATION FOR MR. FISCHER INCLUDES COMBINED PAYMENTS RELATED TO NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $43,955. FORMELLA, R.N., M.S.N., NANCY DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH DIRECTOR - JORDAN HEALTH SYSTEMS, INC. CHIEF OPERATING OFFICER - BETH ISRAEL DEACONESS MEDICAL CENTER MS. FORMELLA'S TERM ON THE BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH AND JORDAN HEALTH SYSTEMS, INC. BOARDS ENDED NOVEMBER 30, 2016. MS. FORMELLA DEVOTED, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DURING THE PERIOD COVERED BY THIS FILING AND FOR THE 2016 CALENDAR YEAR, MS. FORMELLA PERFORMED SERVICES FOR BIDMC. AS REQUIRED BY THIS FORM 990, MS. FORMELLA'S COMPENSATION HAS BEEN REPORTED AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 610,377 INCENTIVE COMPENSATION: 18,540 OTHER REPORTABLE COMPENSATION: 64,854 DEFERRED COMPENSATION: 19,875 NON-TAXABLE BENEFITS: 37,687 OTHER REPORTABLE COMPENSATION FOR MS. FORMELLA INCLUDES COMBINED PAYMENTS RELATED TO NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $62,185. |
| SCHEDULE J EXPLANATORY FOOTNOTES (CONTINUED) | FOSDICK, KENNETH DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH DIRECTOR - JORDAN HEALTH SYSTEMS, INC. DIRECTOR - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP MR. FOSDICK DEVOTES, ON AVERAGE, A COMBINED 3 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. GAGNON, WILLIAM P. DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH DIRECTOR - JORDAN HEALTH SYSTEMS, INC. MR. GAGNON DEVOTES, ON AVERAGE, A COMBINED 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. HINKLEY, CLARK CHAIR, DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH CHAIR, DIRECTOR - JORDAN HEALTH SYSTEMS, INC. CHAIR, TRUSTEE - JORDAN PHYSICIAN ASSOCIATES DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER MR. HINKLEY DEVOTES, ON AVERAGE, A COMBINED 11 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. HOLDEN, PETER J. PRESIDENT, CHIEF EXECUTIVE OFFICER, DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH PRESIDENT, CHIEF EXECUTIVE OFFICER, DIRECTOR (EX-OFFICIO) - JORDAN HEALTH SYSTEMS, INC. PRESIDENT, CHIEF EXECUTIVE OFFICER, TRUSTEE (EX-OFFICIO) - JORDAN PHYSICIAN ASSOCIATES MR. HOLDEN SERVED IN THE ROLES NOTED ABOVE THROUGH NOVEMBER 4, 2016. DURING THE PERIOD COVERED BY THIS FILING AND FOR THE 2016 CALENDAR YEAR, MR. HOLDEN PERFORMED SERVICES FOR BID-PLYMOUTH AND JPA AND WAS COMPENSATED BY JHSI. AS REQUIRED BY FORM 990, THE PORTION OF MR. HOLDEN'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY BID-PLYMOUTH: BASE COMPENSATION: 339,777 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 168,575 DEFERRED COMPENSATION: 936,000 NON-TAXABLE BENEFITS: 17,738 PAYMENTS REPORTED BY JPA: BASE COMPENSATION: 84,944 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 42,144 DEFERRED COMPENSATION: 234,000 NON-TAXABLE BENEFITS: 4,435 AS NOTED ABOVE, MR. HOLDEN SEPARATED FROM JHSI, BID-PLYMOUTH AND JPA SERVICE ON NOVEMBER 4, 2016 AND BECAME ELIGIBLE FOR SEVERANCE AT THAT TIME. DURING THE REMAINDER OF THE 2016 CALENDAR YEAR, JHSI MADE PAYMENTS TO MR. HOLDEN PURSUANT TO HIS SEVERANCE ARRANGEMENT IN THE AMOUNT OF $46,750. THIS AMOUNT IS INCLUDED IN OTHER REPORTABLE COMPENSATION REPORTED ABOVE. MR. HOLDEN HAS RECEIVED/WILL RECEIVE ADDITIONAL SEVERANCE DURING THE CALENDAR YEARS 2017 AND 2018 IN THE AMOUNT OF $1,159,400. OF THIS AMOUNT, AND AS OF THE DATE OF FILING, $84,150 OF THIS AMOUNT IS UNVESTED. THESE AMOUNTS ARE REPORTED IN THE FORM 990 AND THIS MASSACHUSETTS FORM PC AS DEFERRED COMPENSATION AND WILL BE REPORTED AGAIN AS CURRENT COMPENSATION IN THE FORM 990 AND MASSACHUSETTS FORM PC FOR THE FISCAL YEARS ENDING SEPTEMBER 30, 2018 AND SEPTEMBER 30, 2019 AS REQUIRED. OTHER REPORTABLE COMPENSATION FOR MR. HOLDEN ALSO INCLUDES A DISTRIBUTION FROM A 457(F) PLAN IN THE AMOUNT OF $122,500 AND A DEFERRAL UNDER A 457(B) PLAN IN THE AMOUNT OF $17,500. LAWRENCE, MARY ELLEN DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH DIRECTOR - JORDAN HEALTH SYSTEMS, INC. MS. LAWRENCE DEVOTES, ON AVERAGE, A COMBINED 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. LEWIS, M.D., STANLEY DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH DIRECTOR - JORDAN HEALTH SYSTEMS, INC. SENIOR VICE PRESIDENT AND CHIEF SYSTEM DEVELOPMENT & STRATEGY OFFICER - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) - MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL - MILTON DIRECTOR - MILTON HOSPITAL FOUNDATION DIRECTOR - COMMUNITY PHYSICIANS ASSOCIATES ASSOCIATE PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. LEWIS DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 531,104 INCENTIVE COMPENSATION: 13,475 OTHER REPORTABLE COMPENSATION: 37,732 DEFERRED COMPENSATION: 29,150 NON-TAXABLE BENEFITS: 44,381 OTHER REPORTABLE COMPENSATION FOR DR. LEWIS INCLUDES COMBINED PAYMENTS RELATED TO NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $33,859. LONIS-SCHEUB, M.D., KIMBERLY DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH DIRECTOR - JORDAN HEALTH SYSTEMS, INC. EMERGENCY MEDICINE PHYSICIAN - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH DR. LONIS-SCHEUB DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. AS REQUIRED BY THIS FORM 990, COMPENSATION REPORTED BY BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH FOR THE 2016 CALENDAR YEAR REPRESENTS PAYMENTS MADE TO DR. LONIS-SCHEUB BY APHMFP RELATED TO HER POSITION AS AN EMERGENCY MEDICINE PHYSICIAN AT BID-PLYMOUTH. PAYMENTS REPORTED BY BID-PLYMOUTH: BASE COMPENSATION: 269,509 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 8,068 DEFERRED COMPENSATION: 31,800 NON-TAXABLE BENEFITS: 29,436 MINEHAN, ROSEMARY DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH DIRECTOR - JORDAN HEALTH SYSTEMS, INC. MS. MINEHAN'S TERM ON THE BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH AND JORDAN HEALTH SYSTEMS, INC. BOARDS ENDED APRIL 25, 2017. MS. MINEHAN DEVOTED, ON AVERAGE, A COMBINED 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. MUNCEY, ESQ., PETER SECRETARY, DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH SECRETARY, DIRECTOR - JORDAN HEALTH SYSTEMS, INC. MR. MUNCEY DEVOTES, ON AVERAGE, A COMBINED 4 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PATEL, M.D., ANIT T. DIRECTOR (EX-OFFICIO), PRESIDENT OF MEDICAL STAFF - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH DIRECTOR (EX-OFFICIO), PRESIDENT OF MEDICAL STAFF - JORDAN HEALTH SYSTEMS, INC. DR. PATEL'S TERMS AS PRESIDENT OF THE MEDICAL STAFF AND ON THE BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH AND JORDAN HEALTH SYSTEM BOARDS ENDED SEPTEMBER 17, 2017. DR. PATEL DEVOTED, ON AVERAGE, A COMBINED 15 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY BID-PLYMOUTH: BASE COMPENSATION: 31,406 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 SMALL, KEELAS DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH DIRECTOR - JORDAN HEALTH SYSTEMS, INC. MS. SMALL DEVOTES, ON AVERAGE, A COMBINED 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. STIGLITZ, CYNTHIA DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH DIRECTOR - JORDAN HEALTH SYSTEMS, INC. MS. STIGLITZ DEVOTES, ON AVERAGE, A COMBINED 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. STUHLFAUT, M.D., JOSHUA DIRECTOR (EX-OFFICIO), PRESIDENT OF THE MEDICAL STAFF - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH DIRECTOR (EX-OFFICIO), PRESIDENT OF THE MEDICAL STAFF - JORDAN HEALTH SYSTEMS, INC. RADIOLOGIST - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH DR. STUHLFAUT'S POSITIONS AS PRESIDENT OF THE MEDICAL STAFF AND DIRECTOR (EX-OFFICIO) FOR BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH AND JORDAN HEALTH SYSTEMS INC. BEGAN SEPTEMBER 19, 2017. DR. STUHLFAUT DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. AS REQUIRED BY THIS FORM 990, COMPENSATION REPORTED BY BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH FOR THE 2016 CALENDAR YEAR INCLUDES $464,241 PAID TO DR. STUHLFAUT BY RADIOLOGY ASSOCIATES OF PLYMOUTH FOR ADMINISTRATIVE AND MEDICAL SERVICES RELATED TO DR. STUHLFAUT'S SERVICES AT BID-PLYMOUTH. PAYMENTS REPORTED BY BID-PLYMOUTH: BASE COMPENSATION: 464,241 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 |
| SCHEDULE J EXPLANATORY FOOTNOTES (CONTINUED) | TABB, M.D., KEVIN DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH DIRECTOR - JORDAN HEALTH SYSTEMS, INC. DIRECTOR (EX-OFFICIO) AND CHIEF EXECUTIVE OFFICER - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER OBSTETRICS AND GYNECOLOGY FOUNDATION DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION TRUSTEE (EX-OFFICIO) - BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL - MILTON DIRECTOR - MILTON HOSPITAL FOUNDATION DIRECTOR - COMMUNITY PHYSICIANS ASSOCIATES PRESIDENT AND DIRECTOR - BETH ISRAEL DEACONESS MEDICAL CENTER PHARMACY PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. TABB'S TERM ON THE BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH AND JORDAN HEALTH SYSTEMS, INC. BOARDS BEGAN JANUARY 25, 2017. DR. TABB DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 1,019,207 INCENTIVE COMPENSATION: 405,820 OTHER REPORTABLE COMPENSATION: 20,703 DEFERRED COMPENSATION: 127,000 NON-TAXABLE BENEFITS: 43,597 OTHER REPORTABLE AND DEFERRED COMPENSATION FOR DR. TABB INCLUDES COMBINED PAYMENTS FROM NONQUALIFIED RETIREMENT PLANS IN THE AMOUNT OF $127,775. OF THIS AMOUNT, $109,775 IS BOTH UNFUNDED AND UNVESTED. TREHU, M.D., STEPHEN DIRECTOR - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH CHIEF OF RADIOLOGY - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH DIRECTOR - JORDAN HEALTH SYSTEMS, INC. DR. TREHU DEVOTES, ON AVERAGE, A COMBINED 20 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. AS REQUIRED BY THIS FORM 990, COMPENSATION REPORTED BY BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH FOR THE 2016 CALENDAR YEAR INCLUDES $351,190 PAID TO DR. TREHU BY RADIOLOGY ASSOCIATES OF PLYMOUTH FOR ADMINISTRATIVE AND MEDICAL SERVICES RELATED TO DR. TREHU'S POSITION AS CHIEF OF THE DEPARTMENT OF RADIOLOGY. PAYMENTS REPORTED BY BID-PLYMOUTH: BASE COMPENSATION: 352,441 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 RADZEVICH, JASON VICE PRESIDENT OF FINANCE, CHIEF FINANCIAL OFFICER AND TREASURER - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH VICE PRESIDENT OF FINANCE, CHIEF FINANCIAL OFFICER AND TREASURER - JORDAN HEALTH SYSTEMS, INC. VICE PRESIDENT OF FINANCE, CHIEF FINANCIAL OFFICER AND TREASURER - JORDAN PHYSICIAN ASSOCIATES MR. RADZEVICH DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DURING THE PERIOD COVERED BY THIS FILING AND FOR THE 2016 CALENDAR YEAR, MR. RADZEVICH PERFORMED SERVICES FOR BID-PLYMOUTH AND JPA AND WAS COMPENSATED BY JHSI. AS REQUIRED BY FORM 990, ALTHOUGH MR. RADZEVICH IS PAID DIRECTLY BY JHSI, HIS COMPENSATION IS ATTRIBUTABLE TO HIS SERVICES PERFORMED AT BID-PLYMOUTH AND JPA AND HAS BEEN REPORTED ON FORM 990 AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY BID-PLYMOUTH: BASE COMPENSATION: 248,563 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 24,326 DEFERRED COMPENSATION: 25,385 NON-TAXABLE BENEFITS: 19,963 PAYMENTS REPORTED BY JPA: BASE COMPENSATION: 62,141 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 6,081 DEFERRED COMPENSATION: 6,346 NON-TAXABLE BENEFITS: 4,991 DEFERRED COMPENSATION REPORTED FOR MR. RADZEVICH INCLUDES A 457(F) PLAN CONTRIBUTION IN THE AMOUNT OF $18,600 WHICH HAS NOT VESTED. BERRY-BARBOSA, LISA VICE PRESIDENT, HUMAN RESOURCES - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH VICE PRESIDENT, HUMAN RESOURCES - JORDAN HEALTH SYSTEMS, INC. VICE PRESIDENT, HUMAN RESOURCES - JORDAN PHYSICIAN ASSOCIATES MS. BERRY-BARBOSA DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DURING THE PERIOD COVERED BY THIS FILING AND FOR THE 2016 CALENDAR YEAR, MS. BERRY-BARBOSA PERFORMED SERVICES FOR BID-PLYMOUTH AND JPA AND WAS COMPENSATED BY JHSI. AS REQUIRED BY FORM 990, ALTHOUGH MS. BERRY-BARBOSA IS PAID DIRECTLY BY JHSI, HER COMPENSATION IS ATTRIBUTABLE TO HER SERVICES PERFORMED AT BID-PLYMOUTH AND JPA AND HAS BEEN REPORTED ON FORM 990 AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY BID-PLYMOUTH: BASE COMPENSATION: 182,606 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 4,568 DEFERRED COMPENSATION: 19,276 NON-TAXABLE BENEFITS: 22,082 PAYMENTS REPORTED BY JPA: BASE COMPENSATION: 20,290 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 508 DEFERRED COMPENSATION: 2,142 NON-TAXABLE BENEFITS: 2,454 DEFERRED COMPENSATION REPORTED FOR MS. BERRY BARBOSA INCLUDES A 457(F) PLAN CONTRIBUTION IN THE AMOUNT OF $12,000 WHICH HAS NOT VESTED. CONNOLLY, M.D., JOHN VICE PRESIDENT, MEDICAL MANAGEMENT, CHIEF OF ANESTHESIA - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH VICE PRESIDENT, MEDICAL MANAGEMENT, CHIEF OF ANESTHESIA - JORDAN HEALTH SYSTEM, INC. DR. CONNOLLY'S TERM AS VICE PRESIDENT, MEDICAL MANAGEMENT ENDED JANUARY 25, 2017. DR. CONNOLLY DEVOTED, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY BID-PLYMOUTH: BASE COMPENSATION: 608,565 INCENTIVE COMPENSATION: 10,000 OTHER REPORTABLE COMPENSATION: 18,000 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 5,288 AS REQUIRED BY THIS FORM 990, COMPENSATION REPORTED BY BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH FOR THE 2016 CALENDAR YEAR INCLUDES THE FOLLOWING ESTIMATED PAYMENTS MADE TO DR. CONNOLLY BY GUARDIAN ANESTHESIA RELATED TO HIS POSITION AS CHIEF OF THE DEPARTMENT OF ANESTHESIA AT BID-PLYMOUTH: $350,000 BASE AND OTHER REPORTABLE COMPENSATION AND $5,000 NON-TAXABLE BENEFITS. DOHERTY, R.N., DONNA CHIEF NURSING OFFICER AND VICE PRESIDENT, PATIENT CARE SERVICES - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH MS. DOHERTY DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. DURING THE PERIOD COVERED BY THIS FILING AND FOR THE 2016 CALENDAR YEAR, MS. DOHERTY PERFORMED SERVICES FOR BID-PLYMOUTH AND WAS COMPENSATED BY JHSI. AS REQUIRED BY FORM 990, ALTHOUGH MS. DOHERTY IS PAID DIRECTLY BY JHSI, THE COMPENSATION IS ATTRIBUTABLE TO HER SERVICES PERFORMED AT BID-PLYMOUTH AND HAS BEEN REPORTED ON FORM 990 AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY BID-PLYMOUTH: BASE COMPENSATION: 246,534 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 22,062 DEFERRED COMPENSATION: 25,292 NON-TAXABLE BENEFITS: 22,032 DEFERRED COMPENSATION REPORTED FOR MS. DOHERTY INCLUDES A 457(F) PLAN CONTRIBUTION IN THE AMOUNT OF $14,827 WHICH HAS NOT VESTED. RUTHERFORD, RON VICE PRESIDENT AND CHIEF INFORMATION OFFICER - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH CHIEF INFORMATION OFFICER - JORDAN HEALTH SYSTEMS, INC. CHIEF INFORMATION OFFICER - JORDAN PHYSICIAN ASSOCIATES MR. RUTHERFORD DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DURING THE PERIOD COVERED BY THIS FILING AND FOR THE 2016 CALENDAR YEAR, MR. RUTHERFORD PERFORMED SERVICES FOR BID-PLYMOUTH AND JPA AND WAS COMPENSATED BY JHSI. AS REQUIRED BY THIS FORM 990, THE PORTION OF MR. RUTHERFORD'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY BID-PLYMOUTH: BASE COMPENSATION: 170,396 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 14,308 DEFERRED COMPENSATION: 17,756 NON-TAXABLE BENEFITS: 17,422 PAYMENTS REPORTED BY JPA: BASE COMPENSATION: 42,599 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 3,577 DEFERRED COMPENSATION: 4,439 NON-TAXABLE BENEFITS: 4,356 DEFERRED COMPENSATION REPORTED FOR MR. RUTHERFORD INCLUDES A 457(F) PLAN CONTRIBUTION IN THE AMOUNT OF $12,695 WHICH HAS NOT VESTED. GORSUCH, PHD., W. BRIAN CHIEF PHYSICIAN ASSISTANT - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH DR. GORSUCH DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY BID-PLYMOUTH: BASE COMPENSATION: 231,077 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 764 DEFERRED COMPENSATION: 8,933 NON-TAXABLE BENEFITS: 23,734 |
| SCHEDULE J EXPLANATORY FOOTNOTES (CONTINUED) | DOLAWAY, DEBORAH HOSPICE ADMINISTRATOR - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH MS. DOLAWAY DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY BID-PLYMOUTH: BASE COMPENSATION: 180,614 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 25,657 DEFERRED COMPENSATION: 6,845 NON-TAXABLE BENEFITS: 9,683 PASKOWSKI, D.C., IAN CHIROPRACTOR - BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH TRUSTEE - JORDAN PHYSICIAN ASSOCIATES DR. PASKOWSKI, DEVOTES ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY BID-PLYMOUTH: BASE COMPENSATION: 185,938 INCENTIVE COMPENSATION: 17,714 OTHER REPORTABLE COMPENSATION: 781 DEFERRED COMPENSATION: 7,401 NON-TAXABLE BENEFITS: 20,829 HEBERT, N.P., RICHARD M. NURSE PRACTITIONER - BETH ISRAEL DEACONESS - PLYMOUTH MR. HEBERT DEVOTES, ON AVERAGE, DEVOTES 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY BID-PLYMOUTH: BASE COMPENSATION: 197,301 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,895 DEFERRED COMPENSATION: 3,987 NON-TAXABLE BENEFITS: 22,273 HOLLERAN, ANDREA VICE PRESIDENT STRATEGIC PLANNING, EXTERNAL AFFAIRS - BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH MS. HOLLERAN DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. DURING THE PERIOD COVERED BY THIS FILING AND FOR THE 2016 CALENDAR YEAR, MS. HOLLERAN PERFORMED SERVICES FOR BID-PLYMOUTH AND WAS COMPENSATED BY JHSI, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY BID-PLYMOUTH: BASE COMPENSATION: 191,693 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 6,291 DEFERRED COMPENSATION: 20,291 NON-TAXABLE BENEFITS: 22,152 DEFERRED COMPENSATION REPORTED FOR MS. HOLLERAN INCLUDES A 457(F) PLAN CONTRIBUTION IN THE AMOUNT OF $11,763 WHICH IS NOT VESTED. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MASS DEVELOPMENT FINANCE AGENCY | ||||||||
| A | 043431814 | 57584XMT5 | 2016-05-12 | $257,611,877 | SEE PART VI | 0 | 0 | 0 |
| MASS DEVELOPMENT FINANCE AGENCY | ||||||||
| B | 043431814 | 57584XDH1 | 2015-09-02 | $203,702,204 | SEE PART VI | 0 | 0 | 0 |
| MASS DEVELOPMENT FINANCE AGENCY | ||||||||
| C | 043431814 | 2012-07-11 | $49,910,000 | REFUND ISSUE DATED 2/11/1998 | 0 | 0 | 0 | |
| MASS DEVELOPMENT FINANCE AGENCY | ||||||||
| D | 043431814 | 2011-09-15 | $120,280,000 | REFUND ISSUE DATED 2/11/1998 | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $2,980,000 | $257,618,370 | $222,053,917 | $2,515,889 | $19,006,493 | $14,042,071 | 2016 | 0 | Yes (1) | Yes (1) | Yes (1) |
| B | $14,295,000 | $203,702,204 | $97,328,921 | $2,348,479 | $104,024,804 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | ||
| C | $49,910,000 | $368,094 | $49,541,906 | Yes (1) | 0 | Yes (1) | Yes (1) | ||||
| D | $63,350,000 | $120,280,000 | $290,672 | $119,989,328 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | |||
| B | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | 0.00500 | 0.00300 | 0.00800 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| EXPLANATORY STATEMENT | CAREGROUP, INC., (CAREGROUP) IS A MASSACHUSETTS NON-PROFIT CORPORATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED THAT SERVES 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 IS TO OVERSEE THE FINANCIAL WELL-BEING OF THE AFFILIATED ENTITIES WHICH MAKE UP THE CAREGROUP SYSTEM. CAREGROUP AND SOME OF ITS AFFILIATES JOINTLY BORROW DEBT AS AN OBLIGATED GROUP. THE OBLIGATED GROUP MEMBERS ARE: 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 (1 OF 2), PART 1, LINE A, 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 B, 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 C, 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 (1 OF 2), PART 1, LINE D, 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 (2 OF 2), PART 1, LINE A, COLUMN F - DESCRIPTION OF TAX-EXEMPT DEBT PURPOSE PURPOSES OF CAREGROUP SERIES E BONDS: -TO FINANCE OR REFINANCE VARIOUS RENOVATION AND CONSTRUCTION PROJECTS AND CAPITAL EQUIPMENT ACQUISITIONS FOR THE MEDICAL CENTER -TO FINANCE OR REFINANCE CONSTRUCTION, RENOVATION, FURNISHING AND VARIOUS OTHER CAPITAL ACQUISITIONS FOR MAH'S NEW AND EXPANDED FACILITIES WITH APPROXIMATELY 250,000 SQUARE FEET OF NEW AND RENOVATED SPACE TO INCLUDE: A NEW SIX-STORY ACUTE CARE FACILITY TO SUPPORT ADDITIONAL CRITICAL CARE AND MEDICAL/SURGICAL BEDS, EXPANDED OPERATING ROOMS AND INTERVENTIONAL RADIOLOGY ROOMS AND A NEW PARKING GARAGE -TO FINANCE OR REFINANCE CONSTRUCTION, RENOVATION, FURNISHING AND VARIOUS OTHER CAPITAL ACQUISITIONS FOR NEBH'S MASTER FACILITY PLAN, INCLUDING A NEW ATRIUM OF APPROXIMATELY 2,740 SQUARE FEET, A PRE-OPERATIVE AND POST ANESTHESIA UNIT OF APPROXIMATELY 14, 310 SQUARE FEET, CONSTRUCTION OF A CENTRAL STERILE SUPPLY AREA OF APPROXIMATELY 8,290 SQUARE FEET AND CONSTRUCTION OF NEW OPERATING ROOMS OF APPROXIMATELY 18,615 SQUARE FEET; -TO FINANCE OR REFINANCE CONSTRUCTION, RENOVATION, FURNISHING AND VARIOUS OTHER CAPITAL ACQUISITIONS FOR BID-NEEDHAM'S NEW AND EXPANDED FACILITIES INCLUDING AN APPROXIMATELY 59,000 SQUARE FOOT PROJECT ON TWO FLOORS TO RENOVATE AND EXPAND SERVICES IN THE EMERGENCY DEPARTMENT, INPATIENT UNITS, RADIOLOGY DEPARTMENT AND ASSOCIATED SUPPORT SERVICES; -TO REFINANCE $201,975,000 OF DEBT PREVIOUSLY ISSUED BY MEMBERS OF THE OBLIGATED GROUP, INCLUDING $138,075,000 OF THE CAREGROUP SERIES C BONDS DESCRIBED BELOW. PURPOSES OF CAREGROUP SERIES D BONDS: -REFUNDING OF THE OUTSTANDING PRINCIPAL BALANCE OF THE MAH SERIES B BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED JULY 13, 2004 PURPOSES OF CAREGROUP SERIES C BONDS: -REFUNDING OF THE OUTSTANDING PRINCIPAL BALANCE OF THE BETH ISRAEL HOSPITAL ASSOCIATION SERIES G BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED JULY 13, 2004 SCHEDULE K (1 OF 2) PART II, COLUMN A, 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 A, B & C, LINE 11 THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW. SCHEDULE K (1 OF 2) PART II, COLUMNS D, 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 (2 OF 2) PART II, COLUMN A, LINE 2 THE AMOUNT OF BONDS LEGALLY DEFEASED: THE 2015 ISSUE ADVANCE REFUNDED $100,675,000 OF THE 1998 AND 2008 ISSUES. THESE BONDS WILL BE CALLED BY JULY 1, 2018; THE 2016 ISSUE ADVANCED REFUNDED $143,845,000 OF THE E-1 ISSUE. THOSE BONDS WILL BE CALLED BY JULY 1, 2018. SCHEDULE K (2 OF 2) PART II, COLUMN A, LINE 3 THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE DUE TO THE INVESTMENT EARNINGS ON THE PROJECT FUND. SCHEDULE K (2 OF 2) PART II, COLUMN A, LINE 11 THE OTHER SPENT PROCEEDS ARE THE PROCEEDS USED TO REFUND PRIOR ISSUE(S). THE AMOUNTS ARE NOT LISTED ON LINE 6 BECAUSE THEY ARE NO LONGER IN ESCROW. SCHEDULE K (1 OF 2) PART III, COLUMNS C AND D 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 (2 OF 2) PART IV, COLUMN A, LINE 2C AN ARBITRAGE REBATE CALCULATION WAS COMPLETED AS OF SEPTEMBER 30, 2012. |
| SCHEDULE K PART III QUESTIONS 2 AND 3: | FACILITIES FINANCED WITH TAX-EXEMPT BONDS ARE 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, 2017 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MASS HEALTH AND ED FACILITIES AUTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 042456011 | BondIssuerEIN |
| CUSIP | 57586C3S2 | CUSIPNum |
| Bond Issued | 2008-06-09 | BondIssuedDt |
| Issue Price | $377,527,010 | IssuePriceAmt |
| Purpose | SEE PART VI | PurposeDesc |
| Defeased | Yes (1) | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $117,220,000 | RetiredAmt |
| Bond Defeased | $244,520,000 | BondDefeasedAmt |
| Total Proceeds | $378,911,689 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $3,929,290 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $134,556,855 | CapitalExpendituresAmt |
| Other Spent Proceeds | $213,068,927 | OtherSpentProceedsAmt |
| Substantial Completion | 2011 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00200 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00100 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00300 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN CONNOLLY MD | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | VICE PRESIDENT, MED | RelationshipDescriptionTxt |
| Transaction | $129,166 | TransactionAmt |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990 SCHEDULE L PART IV DISCLOSURES | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION OF TRANSACTIONS INVOLVING INTERESTED PERSONSFOR THE PERIOD COVERED BY THIS FILING, JOHN CONNOLLY, M.D., SERVED AS THE VICE PRESIDENT, MEDICAL MANAGEMENT AND THE CHAIR OF ANESTHESIA FOR BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH (BID-PLYMOUTH) AND JORDAN HEALTH SYSTEMS, INC. (JHSI). DR. CONNOLLY ALSO SERVES AS THE PRESIDENT OF GUARDIAN ANESTHESIA INC. (GUARDIAN), WHICH PROVIDES ANESTHESIA SERVICES TO BID-PLYMOUTH. DURING THE PERIOD COVERED BY THIS FILING, BID-PLYMOUTH PAID $129,166 TO GUARDIAN FOR ANESTHESIA SERVICES.SEE SCHEDULE J FOR ADDITIONAL INFORMATION. VARIOUS CURRENT AND FORMER OFFICERS, DIRECTORS/TRUSTEES AND KEY EMPLOYEES OF BID- PLYMOUTH MAY ALSO HOLD POSITIONS WITH OTHER ENTITIES WHICH MAKE CHARITABLE CONTRIBUTIONS TO BID-PLYMOUTH. SUCH CONTRIBUTIONS HAVE NOT BEEN INCLUDED IN THE DISCLOSURES ABOVE. BID-PLYMOUTH MAINTAINS AN ACCOUNTABLE BUSINESS EXPENSE REIMBURSEMENT PLAN. FROM TIME TO TIME, BID-PLYMOUTH 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 BID-PLYMOUTH CONFLICT OF INTEREST POLICY. | ExplanationTxt |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 5 | ContributionCnt |
| Noncash Contributions Rpt F990 | $69,177 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | STOCK MARKET QUOTE | MethodOfDeterminingRevenuesTxt |
Collectibles CollectiblesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 5 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,225 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | REPLACEMENT COST | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | HH FURNISHINGS | 24 | $6,327 | REPLACEMENT COST |
| Yes (X) | FASHION ACC & JEWLERY | 17 | $3,610 | REPLACEMENT COST |
| Yes (X) | WINE & BEER | 29 | $1,640 | REPLACEMENT COST |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | BID-PLYMOUTH 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I AND PART III, LINE 1 | DESCRIPTION OF ORGANIZATION'S MISSION THE MISSION OF THE BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH, INC. (BID-PLYMOUTH OR HOSPITAL) IS TO IMPROVE THE HEALTH AND WELL-BEING OF ITS PATIENTS AND COMMUNITY BY PROVIDING A FULL CONTINUUM OF HEALTHCARE SERVICES WITH EXCELLENCE AND COMPASSION AS WELL AS ACCESS TO TERTIARY CARE IN CLOSE COLLABORATION WITH ITS SOLE MEMBER, BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER), REGARDLESS OF THE PATIENT'S ABILITY TO PAY, RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, NATIONAL ORIGIN, ANCESTRY, AGE, OR DISABILITY. SERVING THE GREATER PLYMOUTH REGION BID-PLYMOUTH AND ITS AFFILIATES COLLABORATE WITH COMMUNITY LEADERS, PUBLIC AND PRIVATE AGENCIES AND BUSINESSES, TO PROVIDE HEALTH PROMOTION, HEALTH PROTECTION, AND PREVENTIVE SERVICES TO MEET THE BROAD RANGE OF OUR COMMUNITY'S HEALTH AND WELLNESS NEEDS AS IDENTIFIED THROUGH COMMUNITY FEEDBACK AND FORMAL COMMUNITY NEEDS ASSESSMENTS. AS PART OF ITS MISSION TO SUPPORT COMMUNITY HEALTH, THE HOSPITAL IS COMMITTED TO ASSESSING ROOT CAUSES OF HEALTH DISPARITIES AND TO ASSISTING IN IMPROVING HEALTH CARE FOR THE DISADVANTAGED AND UNDERSERVED. BID-PLYMOUTH IS A 164-BED ACUTE CARE HOSPITAL SERVING MORE THAN 250,000 RESIDENTS IN PLYMOUTH AND BARNSTABLE COUNTIES, INCLUDING THE COMMUNITIES OF BOURNE, CARVER, DUXBURY, HALIFAX, KINGSTON, LAKEVILLE, PEMBROKE, PLYMPTON, PLYMOUTH, MARSHFIELD, MIDDLEBORO, SANDWICH AND WAREHAM. THE HOSPITAL IS THE REGION'S LEADING PROVIDER OF HIGH-QUALITY HEALTHCARE, PROVIDING COMPREHENSIVE HEALTHCARE RANGING FROM PRIMARY AND PREVENTIVE CARE TO SPECIALTY SERVICES. THROUGHOUT BID-PLYMOUTH, QUALITY IMPROVEMENT IS PARAMOUNT AND ENCOMPASSES BOTH CLINICAL OUTCOMES AND THE SERVICE COMPONENTS OF ALL INTERACTIONS WITH PATIENTS AND THEIR FAMILIES. BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER), IS A NATIONALLY RECOGNIZED TERTIARY CARE ACADEMIC MEDICAL CENTER, IS A TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL AND IS THE SOLE MEMBER OF BID-PLYMOUTH. BIDMC IS EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND IS RECOGNIZED NATIONALLY FOR THE CLINICAL EXCELLENCE OF ITS FACULTY AND THE PATIENT CARE PROVIDED, AS WELL AS FOR THE MAGNITUDE AND BREADTH OF ITS RESEARCH AND FOR ITS COMMITMENT TO MEDICAL EDUCATION. MANY BID-PLYMOUTH PHYSICIANS ALSO HOLD APPOINTMENTS AT HARVARD OR OTHER MAJOR MEDICAL SCHOOLS AND ARE TIED CLOSELY WITH THEIR COLLEAGUES AT OTHER ACADEMIC MEDICAL CENTERS. |
| FORM 990, PART III LINE 4A | INPATIENT BID-PLYMOUTH PROVIDES A WIDE RANGE OF INPATIENT CARE INCLUDING SURGICAL SERVICES, INTENSIVE AND CARDIAC CARE, OBSTETRICS, SENIOR BEHAVIORAL HEALTH, AND COMPLETE DIAGNOSTIC FACILITIES. THE HOSPITAL'S INPATIENT UNITS INCLUDE 120 GENERAL MEDICAL/SURGICAL BEDS, 13 CRITICAL CARE BEDS, 12 OBSTETRICS BEDS, 13 NURSERY BASSINETS IN THE BIRTHPLACE, AND 19 BEDS IN A SECURE SENIOR BEHAVIORAL HEALTH UNIT. SURGICAL SERVICES ARE AVAILABLE 24 HOURS A DAY FOR CRITICALLY ILL OR INJURED PATIENTS REQUIRING IMMEDIATE SURGICAL INTERVENTION, OR FOR OTHER PATIENTS ON A NON-EMERGENT OR ELECTIVE BASIS. BID-PLYMOUTH'S HIGHLY QUALIFIED SURGEONS PERFORM ORTHOPEDIC PROCEDURES AND IMPLANTS, NEUROSURGERY, PLASTIC RECONSTRUCTION, GASTROINTESTINAL, GENERAL SURGICAL (INCLUDING BREAST), GYNECOLOGICAL, OPHTHALMOLOGIC, OTOLARYNOGOLOGIC, PODIATRIC, AND UROLOGICAL PROCEDURES. LIMITED VASCULAR AND THORACIC SURGERY IS ALSO PERFORMED. PATIENTS ARE UNDER THE CARE OF THE HOSPITAL'S MEDICAL STAFF, HOSPITALISTS, MID-LEVEL PROVIDERS AND SURGEONS IN GENERAL AND SPECIALTY PRACTICE. THE NURSING CARE TEAM CONSISTS OF REGISTERED NURSES AND QUALIFIED ANCILLARY CLINICIANS WORKING COLLABORATIVELY WITH SURGICAL AND ANESTHESIA PHYSICIANS. THE SCOPE OF NURSING PRACTICE IN THE PERIOPERATIVE AREA INCLUDES PREOPERATIVE ASSESSMENT AND PLANNING, INTRA-OPERATIVE INTERVENTION, POSTOPERATIVE ASSESSMENT AND INTERVENTION, DISCHARGE PLANNING AND DOCUMENTATION TO ENSURE HIGH QUALITY PATIENT CARE AND SAFETY. THE INPATIENT POPULATION THAT IS SERVED INCLUDES CHILDREN UNDER 15 YEARS OF AGE REQUIRING MINOR OUTPATIENT SURGERY AND ANY INDIVIDUALS WHO ARE 15 YEARS AND OLDER WHO REQUIRE MINOR OR MAJOR SURGICAL INTERVENTION. DURING THE PERIOD OCTOBER 1, 2016 TO SEPTEMBER 30, 2017 THE HOSPITAL HAD 10,401 ADMISSIONS, 758 NEWBORN DELIVERIES, 44,417 INPATIENT DAYS, AND PERFORMED 2,117 INPATIENT SURGICAL PROCEDURES. |
| FORM 990, PART III LINE 4B | EMERGENCY DEPARTMENT AS PREVIOUSLY NOTED IN THIS FILING, BIDMC IS A NATIONALLY RECOGNIZED TERTIARY CARE ACADEMIC MEDICAL CENTER AND TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL AND THE SOLE MEMBER OF BID-PLYMOUTH. ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (APHMFP) IS AN INTEGRALLY RELATED PHYSICIAN PRACTICE OF BIDMC AND IS ALSO EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. APHMFP PHYSICIANS PROVIDE AROUND THE CLOCK PHYSICIAN PATIENT CARE COVERAGE AND MEDICAL DIRECTION OF THE BID-PLYMOUTH EMERGENCY DEPARTMENT. THESE PHYSICIANS ARE ALL CERTIFIED OR BOARD-ELIGIBLE IN LEVEL 1 TRAUMA. DURING THE FISCAL YEAR COVERED BY THIS FILING, BID-PLYMOUTH HAD 45,966 EMERGENCY DEPARTMENT VISITS. |
| FORM 990, PART III LINE 4C | OUTPATIENT CLINICS AND SERVICES BID-PLYMOUTH PROVIDES A COMPREHENSIVE PROGRAM OF CLINICAL SERVICES ENCOMPASSING GENERAL INTERNAL MEDICINE AND ALL THE SUBSPECIALTIES OF INTERNAL MEDICINE, COVERING THE GAMUT OF SERVICES FROM PRIMARY TO TERTIARY CARE AS WELL AS PROVIDING SURGICAL SERVICES ON AN OUTPATIENT BASIS. THE HOSPITAL'S MEDICAL STAFF BLENDS EXPERIENCED PRIMARY CARE PHYSICIANS AND SPECIALISTS IN A WIDE VARIETY OF DISCIPLINES. THE BID-PLYMOUTH SERVICES AND CENTERS OF EXCELLENCE INCLUDE: -AIDS/HIV CARE, EDUCATION, AND SUPPORT -ANTICOAGULATION CLINIC -BREAST CENTER -CANCER CARE SERVICES: RADIATION AND MEDICAL ONCOLOGY, ONCOLOGY SOCIAL WORK, GENETIC COUNSELING AND TESTING, AND SURGERY -CARDIOVASCULAR SERVICES: DIAGNOSTIC AND INTERVENTIONAL -CARDIAC & PULMONARY REHABILITATION -DIABETES/ENDOCRINOLOGY -ENDOSCOPY -HOSPICE AND PALLIATIVE CARE -IMAGING/RADIOLOGY SERVICES: DIGITAL MAMMOGRAPHY, MRI, BREAST MRI, CT, PET/CT, ULTRASOUND, NUCLEAR MEDICINE, GENERAL X-RAY -LUNG CANCER PROGRAM -NEUROLOGY -OCCUPATIONAL HEALTH -OBSTETRICS, GYNECOLOGY, AND MIDWIFERY -ORTHOPEDICS -PATHOLOGY -PAIN MANAGEMENT -PODIATRY -PRIMARY & FAMILY CARE -PHYSICAL THERAPY /REHAB -SLEEP CENTER -SPINE CARE -STROKE SERVICES -SUBSTANCE ABUSE & BEHAVIORAL HEALTH -SURGERY: GENERAL, LAPAROSCOPIC, NEUROSURGERY, OTOLARYNGOLOGY, THORACIC, VASCULAR -UROLOGY -VEIN CENTER -WOUND HEALING & HYPERBARIC CENTER IN ADDITION, DIAGNOSTIC FACILITIES INCLUDE A COMPLETE 24-HOUR HISTOPATHOLOGY LABORATORY AND BLOOD BANKING SERVICES AS WELL AS DIAGNOSTIC IMAGING INCLUDING CT SCANNING, ULTRASOUND, ULTRASONIC CARDIOGRAPHY, BONE DENSITOMETRY, NUCLEAR MEDICINE, PLAIN FILM RADIOLOGY AND FLUOROSCOPY. IN ADDITION, THE HOSPITAL'S PICTURE ARCHIVAL AND COMMUNICATION SYSTEM (PACS) CAN INSTANTANEOUSLY TRANSMIT RADIOLOGIC IMAGES BETWEEN BID-PLYMOUTH AND BIDMC, MEANING THAT PATIENTS IN PLYMOUTH HAVE ACCESS TO THE SAME WORLD-CLASS SPECIALISTS AS PATIENTS AT BIDMC. THE SYSTEM FACILITATES, WHEN NECESSARY, MULTI-DISCIPLINARY EVALUATION OF IMAGES, RESULTING IN IMPROVED TECHNICAL PERFORMANCE AND FEEDBACK AND DIAGNOSES WITH GREATER DIAGNOSTIC ACCURACY. DURING THE FISCAL PERIOD COVERED BY THIS FILING, THERE WERE 283,000 OUTPATIENT ENCOUNTERS AT BID-PLYMOUTH, INCLUDING 4,271 AMBULATORY SURGICAL PROCEDURES, 17,240 ONCOLOGY VISITS, 26,815 PHYSICAL THERAPY VISITS, 5,979 ENDOSCOPIES, 4,202 PAIN CLINIC VISITS, 4,865 WOUND CENTER VISITS, 36,944 RADIOLOGIC EXAMS, 15,993 MAMMOGRAMS, 28,191 CT SCANS, 13,096 ULTRASOUND SCANS, 2,517 NUCLEAR MEDICINE EXAMS, AND 7,884 MRIS. SEE SCHEDULE H FOR ADDITIONAL INFORMATION ON CHARITY CARE AND COMMUNITY BENEFITS. |
| FORM 990, PART IV, QUESTION 12 AND 12A | STATEMENT RE AUDITED FINANCIAL STATEMENTS THE BOSTON, MA OFFICE OF KPMG ISSUED AN UNQUALIFIED OPINION ON THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE MEDICAL CENTER AND AFFILIATES FOR FISCAL YEAR ENDED SEPTEMBER 30, 2017. THESE STATEMENTS WERE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND INCLUDED THE ACCOUNTS OF THE MEDICAL CENTER AND ITS SUBSIDIARIES, (MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION, D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP (APG)), BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, INC. (BID-NEEDHAM), BETH ISRAEL DEACONESS HOSPITAL - MILTON, INC. (BID-MILTON), MILTON HOSPITAL FOUNDATION, BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH, INC. (BID-PLYMOUTH), JORDAN HEALTH SYSTEMS, INC. AND HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP), THE DEDICATED PHYSICIAN PRACTICE OF THE MEDICAL CENTER AND AN ENTITY INTEGRALLY RELATED TO HELPING THE MEDICAL CENTER ACCOMPLISH ITS CHARITABLE PURPOSES, AS WELL AS ALL ENTITIES FOR WHICH THESE ENTITIES SERVE AS MEMBER. |
| FORM 990,PART IV, QUESTION 24A | STATEMENT REGARDING TAX EXEMPT BOND ISSUE AS DESCRIBED IN THIS FORM 990, CAREGROUP, INC., IS AN ENTITY EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, IS A SUPPORT ORGANIZATION OF AND SOLE MEMBER OF THE MEDICAL CENTER. THE MEDICAL CENTER IS THE SOLE MEMBER OF BID-PLYMOUTH. BID-PLYMOUTH IS A MEMBER OF THE CAREGROUP OBLIGATED GROUP AND ITS TAX EXEMPT BOND FINANCING IS 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 BID-PLYMOUTH BALANCE SHEET. |
| FORM 990,PART IV, QUESTION 24B | INVESTMENT OF TAX-EXEMPT BOND PROCEEDS BEYOND THE TEMPORARY PERIOD EXCEPTION 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 | CONTRIBUTIONS OF INTELLECTUAL PROPERTY BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH DID NOT RECEIVE ANY CONTRIBUTIONS OF INTELLECTUAL PROPERTY AND AS SUCH, WAS NOT REQUIRED TO FILE FORM 8899. |
| FORM 990, PART V,QUESTION 7H | CONTRIBUTIONS OF CARS, BOATS, AIRPLANES AND OTHER VEHICLES BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH DID NOT RECEIVE ANY CONTRIBUTIONS OF CARS, BOATS, AIRPLANES OR OTHER VEHICLES AND AS SUCH, WAS NOT REQUIRED TO FILE FORM 1098-C. |
| FORM 990, PART VI, SECTION A, LINE 2 | THE FOLLOWING BIDP OFFICERS, DIRECTOR/TRUSTEES, AND KEY EMPLOYEES HAVE BUSINESS OR FAMILY RELATIONSHIPS: -CLARK HINKLEY AND SHAWN DAHLEN -- BUSINESS RELATIONSHIP -SHAWN DAHLEN AND JOHN CARNUCCIO - BUSINESS RELATIONSHIP AS NOTED IN VARIOUS NARRATIVE DISCLOSURES WHICH SUPPORT THIS FORM 990 AND RELATED SCHEDULES, CAREGROUP, INC. (CAREGROUP) IS 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 IS TO OVERSEE THE FINANCIAL WELL-BEING OF THE AFFILIATED ENTITIES WHICH MAKE UP THE CAREGROUP SYSTEM. CAREGROUP SERVES AS THE SOLE MEMBER AND A SUPPORT ORGANIZATION OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER). BIDMC IS 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) AND BETH ISRAEL DEACONESS HOSPITAL - MILTON, INC. (BID-MILTON) AND 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. CAREGROUP ALSO SERVES AS THE SOLE MEMBER AND A SUPPORT ORGANIZATION OF NEW ENGLAND BAPTIST HOSPITAL (NEBH) AND MOUNT AUBURN HOSPITAL (MAH), WHICH IN TURN SERVE AS THE SOLE MEMBER OF NEW ENGLAND BAPTIST MEDICAL ASSOCIATES (NEBMA) AND MOUNT AUBURN PROFESSIONAL SERVICES (MAPS), RESPECTIVELY. EACH OF THE ENTITIES LISTED IN THIS PARAGRAPH MAY, IN TURN, SERVE 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 6 | STATEMENT RE MEMBERS OR STOCKHOLDERS PART VI SECTION A LINE 7A STATEMENT RE ELECTION OF MEMBERS OF GOVERNING BODY PART VI SECTION A LINE 7B STATEMENT RE DECISION OF GOVERNING BODY SUBJECT TO APPROVAL BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER) IS A TERTIARY CARE ACADEMIC MEDICAL CENTER. BIDMC, A FLAGSHIP TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL, IS KNOWN FOR ITS EXEMPLARY PATIENT CARE, CONDUCTING "LEADING EDGE" CLINICAL AND BASIC SCIENCE RESEARCH AND SUPPORTING OUTSTANDING EDUCATIONAL PROGRAMS. BIDMC IS A HOSPITAL EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) OF 1986 AS AMENDED, AND ACTING THROUGH ITS BOARD OF DIRECTORS, IS THE SOLE MEMBER OF BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH, INC. (BID-PLYMOUTH OR HOSPITAL). PURSUANT TO THE AMENDED AND RESTATED BYLAWS OF BID-PLYMOUTH, THE MEDICAL CENTER AS SOLE CORPORATE MEMBER OF THE HOSPITAL (THE MEMBER) HAS THE RIGHT TO APPOINT THREE OF THE HOSPITAL'S MAXIMUM OF SEVENTEEN ELECTED VOTING DIRECTORS. THE REMAINING DIRECTORS ARE NOMINATED BY THE BOARD OF DIRECTORS AND SUBMITTED TO THE MEMBER FOR APPROVAL. A DIRECTOR MAY BE REMOVED FROM OFFICE BY THE MEMBER, EITHER WITH OR WITHOUT CAUSE. THE MEMBER SHALL FILL ANY BOARD VACANCIES WITH PERSONS NOMINATED BY THE BOARD, UNLESS THE VACANCY IS CREATED BY THE DEPARTURE OF A MEMBER-APPOINTED DIRECTOR, IN WHICH CASE THE MEMBER MAY ELECT A PERSON NOT NOMINATED BY THE BOARD. ADDITIONALLY, THE MEDICAL CENTER AS SOLE MEMBER HAS THE FOLLOWING RIGHTS: 1.THE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS WHICH IT MAY EXERCISE ON ITS OWN INITIATIVE UPON A TWO-THIRDS (2/3) VOTE OF ITS DIRECTORS ELIGIBLE TO VOTE ON ITS BOARD OF DIRECTORS, WITH OR WITHOUT THE APPROVAL OF THE BOARD OF DIRECTORS OF THE HOSPITAL, OR UPON A MAJORITY VOTE OF ITS DIRECTORS ELIGIBLE TO VOTE IN THE EVENT THE BOARD OF DIRECTORS OF THE HOSPITAL HAS RECOMMENDED ANY OF THE LISTED ACTIONS: A.REMOVE A MEMBER OF THE HOSPITAL'S BOARD OF DIRECTORS; B.UPON PRIOR DISCUSSION WITH THE BOARD, ESTABLISH OR MODIFY THE COMPENSATION OF, AND/OR APPOINT OR REMOVE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE HOSPITAL UPON PRIOR CONSULTATION WITH THE HOSPITAL'S BOARD OF DIRECTORS; C.AMEND THE HOSPITAL'S BYLAWS OR ARTICLES OF ORGANIZATION; D.CAUSE THE HOSPITAL TO ENTER INTO: (I)MANAGED CARE CONTRACTS, OTHER PAYER AGREEMENTS, EXCLUSIVE CONTRACTS, AGREEMENTS-NOT-TO-COMPETE, OR SIMILAR ARRANGEMENTS (II)CONTRACTS FOR MANAGEMENT SERVICES WITH POTENTIALLY SIGNIFICANT MULTI-YEAR BUDGETARY IMPACT; OR (III)OTHER MULTI-YEAR SERVICE CONTRACTS WITH POTENTIALLY SIGNIFICANT MULTI-YEAR BUDGETARY IMPACT; E.MERGE OR OTHERWISE CONSOLIDATE THE HOSPITAL WITH ANOTHER ENTITY; F.DISPOSE OF ALL OR SUBSTANTIALLY ALL OF THE HOSPITAL'S PROPERTY AND ASSETS OR DISPOSE OF ANY HOSPITAL SUBSIDIARY OR AFFILIATED CORPORATIONS; G.CREATE OR ACQUIRE A HOSPITAL SUBSIDIARY OR AFFILIATED CORPORATION; H.DISCONTINUE OR INSTITUTE A CLINICAL DEPARTMENT OR DEPARTMENTS OR PROGRAMS, WHICH COULD REASONABLY BE ANTICIPATED TO MATERIALLY AND ADVERSELY AFFECT THE HOSPITAL'S FINANCIAL STATUS OR ITS ABILITY TO CONTINUE TO CONDUCT ITS BUSINESS; I.TO THE EXTENT LEGALLY PERMISSIBLE, TAKE SUCH ACTIONS TO CAUSE ASSETS OF THE HOSPITAL TO BE TRANSFERRED, OTHER THAN IN THE ORDINARY COURSE OF CONDUCT OF HOSPITAL BUSINESS, TO THE MEMBER TO ADVANCE THE CHARITABLE PURPOSES OF THE MEMBER OR THE HOSPITAL; AND J.TO DISSOLVE THE HOSPITAL TO THE EXTENT PERMITTED BY LAW. 2.IN ADDITION, THE FOLLOWING ACTIONS OF THE HOSPITAL'S BOARD OF DIRECTORS REQUIRE THE PRIOR APPROVAL OF THE MEMBER: A.REMOVAL OF A MEMBER OF THE HOSPITAL BOARD; B.ANY ACTION LISTED AS A MEMBER RESERVED POWER IN THE BYLAWS; C.APPROVAL OF THE HOSPITAL'S STRATEGIC, FINANCIAL AND OPERATIONAL PLANS; D.APPROVAL OF THE HOSPITAL'S ANNUAL OPERATING AND CAPITAL BUDGETS; E.THE APPOINTMENT OF THE INDEPENDENT AUDITOR AND APPROVAL OF THE INDEPENDENT FINANCIAL AUDITS; F.ENTRY INTO MANAGED CARE CONTRACTS, EXCLUSIVE CONTRACTS AND OTHER MULTI-YEAR MATERIAL CONTRACTS; G.ENTRY INTO ANY PARTNERSHIP/AFFILIATION ARRANGEMENTS OR JOINT VENTURE PROPOSALS; AND H.AMENDMENTS TO THE BYLAWS OR ARTICLES OF ORGANIZATION OF THE HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | SEE STATEMENT ABOVE |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE STATEMENT ABOVE |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 REVIEW PROCESS PRIOR TO FILING THE FORM 990, RELATED SCHEDULES AND REQUIRED DISCLOSURES (RETURN), THE RETURN IS REVIEWED BY BID-PLYMOUTH'S CHIEF FINANCIAL OFFICER, THE TAX DIRECTOR OF CAREGROUP, AND THE RETURN IS REVIEWED AND SIGNED BY DELOITTE TAX, LLP. AS NOTED IN THIS RETURN, CAREGROUP IS THE SOLE MEMBER OF BETH ISRAEL DEACONESS MEDICAL CENTER WHICH IS, IN TURN, THE SOLE MEMBER OF BID-PLYMOUTH. THE COMPLETE FORM 990, INCLUDING ALL SCHEDULES AND ATTACHMENTS, IS PRESENTED TO THE BID-PLYMOUTH COMPLIANCE, AUDIT AND RISK COMMITTEE FOR REVIEW AND DISCUSSION. A COPY OF THE COMPLETE RETURN IS THEN PROVIDED TO EACH MEMBER OF THE BID-PLYMOUTH BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH (BIDP) HAS A WRITTEN, COMPREHENSIVE CONFLICT OF INTEREST POLICY. PURSUANT TO THAT POLICY, ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES OF BIDP ARE ASKED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST FORM WHICH IS DESIGNED TO REQUIRE DISCLOSURE OF ANY BUSINESS RELATIONSHIPS MAINTAINED BY OFFICERS, DIRECTORS OR KEY EMPLOYEES AND THEIR FAMILY MEMBERS AND WHICH MAY RESULT IN A CONFLICT OF INTEREST. BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) IS A TERTIARY CARE ACADEMIC MEDICAL CENTER EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND IS THE SOLE MEMBER OF BIDP. THE BIDMC OFFICE OF COMPLIANCE AND BUSINESS CONDUCT ADMINISTERS A CONFLICT OF INTEREST QUESTIONNAIRE PROCESS ANNUALLY IN CONJUNCTION WITH THE BIDP OFFICE OF COMPLIANCE AND BUSINESS CONDUCT AND PROVIDES A SUMMARY OF POSITIVE RESPONSES TO BIDP'S CHIEF COMPLIANCE & PRIVACY OFFICER WHO MEETS WITH THE BID-PLYMOUTH CONFLICT OF INTEREST SUB-COMMITTEE FOR REVIEW AND DETERMINATION OF ANY POTENTIAL OR ACTUAL CONFLICT. ANY ACTIVITY THAT REQUIRES ACTION UNDER THE CONFLICT OF INTEREST POLICY IS SUBJECT TO ONGOING REVIEW BY BIDP. PURSUANT TO THE CONFLICT OF INTEREST POLICY (CMPL0001), 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. IN ADDITION TO THE CONFLICT OF INTEREST PROCESS OUTLINED ABOVE, THE CAREGROUP TAX DEPARTMENT ISSUES AN ANNUAL TAX QUESTIONNAIRE TO ALL CURRENT AND FORMER MEMBERS OF THE BIDP BOARD OF DIRECTORS AS WELL AS CURRENT AND FORMER BIDP OFFICERS AND KEY EMPLOYEES. THE TAX QUESTIONNAIRE IS 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 15 | DESCRIPTION OF PROCESS TO DETERMINE COMPENSATION OF THE ORGANIZATIONS CEO AND OTHER OFFICERS AND KEY EMPLOYEES BID-PLYMOUTH HAS AN EXECUTIVE COMPENSATION COMMITTEE WHICH IS COMPOSED OF MEMBERS OF THE BOARD OF DIRECTORS, THE CHIEF FINANCIAL OFFICER AND THE VICE PRESIDENT OF HUMAN RESOURCES. THE BID-PLYMOUTH EXECUTIVE COMPENSATION COMMITTEE ESTABLISHES THE COMPENSATION STRUCTURE OF THE CHIEF EXECUTIVE OFFICER, CHIEF NURSING OFFICER, CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, CHIEF OPERATING OFFICER, CHIEF INFORMATION OFFICER SR. VICE PRESIDENTS AND VICE PRESIDENTS. THE BID-PLYMOUTH EXECUTIVE COMPENSATION COMMITTEE IS RESPONSIBLE FOR ASSURING THAT THE TOTAL COMPENSATION PROVIDED TO THESE INDIVIDUALS IS FAIR AND REASONABLE USING CURRENT AND CREDIBLE MARKET PRACTICE INFORMATION AND THAT IT COMPLIES WITH APPLICABLE LEGAL AND REGULATORY GUIDELINES. THE EXECUTIVE COMPENSATION COMMITTEE APPROVES RECOMMENDATIONS FOR INCENTIVE COMPENSATION TO THESE INDIVIDUALS ON AN ANNUAL BASIS AND AS SUCH, REVIEWS TOTAL COMPENSATION PROVIDED TO THESE INDIVIDUALS ANNUALLY. IN SETTING COMPENSATION, THE EXECUTIVE COMPENSATION COMMITTEE RELIED UPON WRITTEN COMPENSATION SURVEY STUDIES PRODUCED BY AN INDEPENDENT COMPENSATION CONSULTING FIRM THAT REGULARLY ASSESSES EXECUTIVE COMPENSATION AND BENEFITS OF SIMILAR ORGANIZATIONS. THE EXECUTIVE COMPENSATION COMMITTEE MET TO REVIEW THE COMPENSATION STRUCTURE OF THE INDIVIDUALS DESCRIBED ABOVE AND AT THAT TIME REVIEWED THE COMPENSATION SURVEY DATA PREPARED BY AN INDEPENDENT CONSULTING FIRM. TO ENSURE INDEPENDENCE, ONCE THE DATA WAS PRESENTED, NO BID-PLYMOUTH STAFF WAS PRESENT FOR THESE DISCUSSIONS. THE EXECUTIVE COMPENSATION COMMITTEE VOTED TO APPROVE THE COMPENSATION ARRANGEMENTS OF ALL INDIVIDUALS LISTED ABOVE EXCEPT FOR THE CEO WHICH WAS APPROVED BY THE FULL BID-PLYMOUTH BOARD. IN ADDITION, AS NOTED THROUGHOUT THIS NARRATIVE SUPPORT TO THE FORM 990, BIDMC IS THE SOLE MEMBER OF BID-PLYMOUTH AND THE BIDMC COMPENSATION COMMITTEE REVIEWS THE COMPENSATION OF THE BID-PLYMOUTH CEO AND THE INFORMATION IS REPORTED TO THE FULL BIDMC BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST AT THE FOLLOWING LOCATION: BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH, INC. 275 SANDWICH STREET PLYMOUTH, MA 02360 |
| FORM 990, PART XI, LINE 9: | TRANSFER TO AFFILIATES -5,447,606. PENSION ADJUSTMENT 4,699,265. UNREALIZED CHANGE IN EQUITY INTEREST 1,305,233. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (39 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ASSOC PHYS HARVARD MED FAC PHY AT BIDMC | |||||||||||
| 375 LONGWOOD AVE | BOSTON | MA | 02215 | 320058309 | TO PROVIDE EMERGENCY MEDICAL SERVICES | MA | 501(C)(3) | LINE 12A, I | HMFP AT BIDMC | 0 | |
| BI ANAESTHESIA FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042997215 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 12A, I | HMFP AT BIDMC | 0 | |
| BI COMMUNITY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042776678 | INACTIVE CORPORATION | MA | 501(C)(3) | LINE 7 | 0 | N/A | |
| BI DEACONESS DEPARTMENT OF MEDICINE FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043079630 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 12A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 208253452 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 12A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS DEPARTMENT OF NEUROLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043030397 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 12A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS DEPARTMENT OF ORTHOPAEDIC SURGERY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 204974585 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 12A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS DEPARTMENT OF SURGERY FOUNDATION INC | |||||||||||
| 110 FRANCIS STREET | BOSTON | MA | 02215 | 020671240 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 12A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS HOSPITAL - NEEDHAM INC | |||||||||||
| 148 CHESTNUT ST | NEEDHAM | MA | 02492 | 043229679 | HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS. | MA | 501(C)(3) | LINE 3 | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
| BETH ISRAEL DEACONESS MEDICAL CENTER | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042103881 | THE OPERAION OF A WORLD CLASS ACADEMIC MEDICAL CENTER IN BOSTON, MA | MA | 501(C)(3) | LINE 3 | CAREGROUP INC | 0 | |
| BIDMC AND CHILDREN'S HOSPITAL MEDICAL CARE CORP | |||||||||||
| 300 LONGWOOD AVE | BOSTON | MA | 02215 | 043200113 | OUTPATIENT AMBULATORY CARE CENTER IN LEXINGTON, MA | MA | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| BIDMC OBSTETRICS AND GYNECOLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042794855 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 12A, I | HMFP AT BIDMC | 0 | |
| BI DERMATOLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043117601 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 12A, I | HMFP AT BIDMC | 0 | |
| BIH PATHOLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 222548374 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 12A, I | HMFP AT BIDMC | 0 | |
| BIH RADIOLOGIC FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042571853 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 12A, I | HMFP AT BIDMC | 0 | |
| LONGWOOD MEDICAL INTL FOUNDATION | |||||||||||
| 185 PILGRIM ROAD | BOSTON | MA | 02215 | 043208878 | INACTIVE CORPORATION | MA | 501(C)(3) | LINE 12A, I | HMFP AT BIDMC | 0 | |
| CAREGROUP INC | |||||||||||
| 109 BROOKLINE AVE | BOSTON | MA | 02215 | 222629185 | OVERSEE FINCIAL HEALTH OF AFFILIATES | MA | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | |
| CARL J SHAPIRO INSTITUTE FOR EDUCATION AND RESEARCH | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043326928 | DEVELOP INNOVATIVE PROG AND MODELS FOR TEACHING AND RESEARCH | MA | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| CONTINUING EDU PROGRAM DBA BID DEPT OF PSYCH FDN | |||||||||||
| 330 BROOKLINE AVE RABB 2 | BOSTON | MA | 02215 | 043242952 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 12A, I | HMFP AT BIDMC | 0 | |
| MED CARE OF BOSTON MGMT CORP DBA BID HEALTHCARE | |||||||||||
| 400 HUNNEWELL ST | NEEDHAM | MA | 02494 | 042810972 | OUTPATIENT, PRIMARY CARE AND SPECIALTY SERVICES | MA | 501(C)(3) | LINE 10 | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
| MOUNT AUBURN HOSPITAL | |||||||||||
| 330 MOUNT AUBURN ST | CAMBRIDGE | MA | 02138 | 042103606 | HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS | MA | 501(C)(3) | LINE 3 | CAREGROUP INC | 0 | |
| MOUNT AUBURN PROFESSIONAL SERVICES INC | |||||||||||
| 330 MOUNT AUBURN ST | CAMBRIDGE | MA | 02138 | 043026897 | OFFERING MEDICAL CARE IN GENERAL AND SPECIALIZED PRACTICES | MA | 501(C)(3) | LINE 12A, I | MOUNT AUBURN HOSPITAL | 0 | |
| NEW ENGLAND BAPTIST HOSPITAL | |||||||||||
| 125 PARKER HILL AVE | BOSTON | MA | 02120 | 042103612 | ORTHOPEDIC SPECIALTY HOSPITAL | MA | 501(C)(3) | LINE 3 | CAREGROUP INC | 0 | |
| NEW ENGLAND BAPTIST MEDICAL ASSOCIATES INC | |||||||||||
| 125 PARKER HILL AVE | BOSTON | MA | 02120 | 043235796 | OUTPATIENT MEDICAL SERVICES TO THE VARIOUS COMMUNITIES SERVICED BY NEBH | MA | 501(C)(3) | LINE 3 | NEW ENGLAND BAPTIST HOSPITAL INC | 0 | |
| LONGWOOD MEDICAL ENERGY COLLABORATIVE | |||||||||||
| 25 SHATTUCK ST | BOSTON | MA | 02115 | 043476764 | COORDINATE AND PROVIDE STATEGIC PLANNING OPP FOR HMS | MA | 501(C)(3) | LINE 12A, I | 0 | N/A | |
| HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC INC | |||||||||||
| 375 LONGWOOD AVE | BOSTON | MA | 02215 | 222768204 | GENERAL AND SPECIALIZED MEDICAL SERVICES TO THE PATIENTS OF BIDMC AND OTHERS | MA | 501(C)(3) | LINE 10 | 0 | N/A | |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON INC | |||||||||||
| 199 REEDSDALE RD | MILTON | MA | 02186 | 042103604 | HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS. | MA | 501(C)(3) | LINE 3 | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
| COMMUNITY PHYSICIAN ASSOCIATES INC | |||||||||||
| 199 REEDSDALE RD | MILTON | MA | 02186 | 043243146 | OUTPATIENT AND PRIMARY CARE SERVICES | MA | 501(C)(3) | LINE 3 | MILTON HOSPITAL FOUNDATION INC | 0 | |
| MILTON HOSPITAL FOUNDATION INC | |||||||||||
| 199 REEDSDALE RD | MILTON | MA | 02186 | 222566792 | PROMOTE HEALTHCARE | MA | 501(C)(3) | LINE 12A, I | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
| BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH INC | |||||||||||
| 275 SANDWICH ST | PLYMOUTH | MA | 02186 | 222667354 | HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS. | MA | 501(C)(3) | LINE 3 | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
| JORDAN HEALTH SYSTEMS INC | |||||||||||
| 275 SANDWICH ST | PLYMOUTH | MA | 02360 | 042103805 | PROMOTE HEALTHCARE | MA | 501(C)(3) | LINE 7 | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
| JORDAN PHYSICIANS ASSOCIATES INC | |||||||||||
| 275 SANDWICH ST | PLYMOUTH | MA | 02360 | 043228556 | OUTPATIENT AND PRIMARY CARE SERVICES | MA | 501(C)(3) | LINE 10 | JORDAN HEALTH SYSTEMS INC | 0 | |
| BI DEACONESS DEPARTMENT OF EMERGENCY MEDICINE FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE W/CC-2 | BOSTON | MA | 02215 | 364803234 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 12A, I | HMFP AT BIDMC | 0 | |
| CAREGROUP PARMENTER HOME CARE & HOSPICE INC | |||||||||||
| 330 MT AUBURN ST | CAMBRIDGE | MA | 02138 | 473111453 | HOME CARE & HOSPICE | MA | 501(C)(3) | LINE 12A, I | MOUNT AUBURN HOSPITAL | 0 | |
| BAIM INSTITUTE OF CLINICAL RESERCH INC FKA HCRI | |||||||||||
| 930 W COMMONWEALTH AVE | BOSTON | MA | 02215 | 043521077 | SCIENTIFIC & MEDICAL RESEARCH | MA | 501(C)(3) | LINE 7 | 0 | N/A | |
| BI DEACONESS DEPARTMENT OF EMERGENCY MEDICINE FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE W/CC-2 | BOSTON | MA | 02215 | 364803234 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 12A, I | HMFP AT BIDMC | 0 | |
| LONGWOOD MEDICAL INTL FOUNDATION | |||||||||||
| 185 PILGRIM ROAD BOST | BOSTON | MA | 02215 | 043208878 | INACTIVE CORPORATION | MA | 501(C)(3) | LINE 12A, I | HMFP AT BIDMC | 0 | |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON INC | |||||||||||
| 199 REEDSDALE RD | MILTON | MA | 02186 | 042103604 | HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS. | MA | 501(C)(3) | LINE 3 | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
| BIDMC PHARMACY INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 822526816 | OPERATE A SPECIALTY PHARMACY | MA | 501(C)(3) | LINE 12A, I | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | UBI Code VUBICodeVAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BETH ISRAEL DEACONESS PHYS ORG LLC DBA BIDCO | |||||||||||||||
| ONE UNIVERSITY AVE NORTH ENTRANCE | WESTWOOD | MA | 02090 | 043426253 | COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMC | MA | N/A | ||||||||
| BIDCO PHYSICIAN LLC | |||||||||||||||
| ONE UNIVERSITY AVE NORTH ENTRANCE | WESTWOOD | MA | 02090 | 461589743 | COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMC | MA | N/A | ||||||||
| BIDCO HOSPITAL LLC | |||||||||||||||
| ONE UNIVERSITY AVE NORTH ENTRANCE | WESTWOOD | MA | 02090 | 461643790 | COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMC | MA | BIDMC | RELATED | -$849,298 | -$82,610 | 0 | 0 | 0.09920 | ||
| CAREGROUP CLINICAL RESEARCH LLC | |||||||||||||||
| 109 BROOKLINE AVENUE | BOSTON | MA | 02215 | 300228711 | TO PARTICIPATE IN A CLINICAL RESEARCH PARTNERSHIP | MA | N/A | ||||||||
| CAREGROUP INVESTMENT PARTNERSHIP LLP | |||||||||||||||
| 109 BROOKLINE AVENUE | BOSTON | MA | 02215 | 043278109 | INVESTMENT PARTNERSHIP | MA | BIDMC | EXCLUDED | $406,011 | $24,825,304 | 0 | 0 | 0.02560 | -$4,210 | |
| PHYSICIAN PROFESSIONAL SERVICES LLP | |||||||||||||||
| 10 CABOT ROAD | MEDFORD | MA | 02215 | 043275078 | TO PROVIDE MEDICAL BILLING SERVICES | MA | N/A | ||||||||
| NEW ENGLAND BAPTIST ORTHOPEDIC NETWORK LLC | |||||||||||||||
| 125 PARKER HILL AVE | BOSTON | MA | 02120 | 465120176 | TO PROVIDE ORTHOPEDIC MEDICAL SERVICES | MA | N/A | ||||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| ANESTHESIA FINANCIAL SOLUTIONS INC | |||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043571311 | INACTIVE CORPORATION | MA | N/A | C | 0 |
| JORDON COMMUNITY ACO INC | |||||||||
| 275 SANDWICH ST | PLYMOUTH | MA | 02360 | 454047430 | COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BID-PLYMOUTH | MA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |