2015-08-14T14:15:39-05:00 2014-09-30 861065772 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 11753 990 2013-10-01 042103612 NEW ENGLAND BAPTIST HOSPITAL NEWE 6177545800 125 PARKER HILL AVENUE BOSTON MA 02120 THOMAS GHERINGHELLI VICE PRESIDENT & CFO 6177545800 2015-08-12 0 P00743140 5169187000 2015-08-10 2013 2016-03-07 17:11:31Z PATRICIA HANNON FACHE 125 PARKER HILL AVENUE BOSTON MA 02120 239554023 0 X WWW.NEBH.ORG X 1889 MA SEE SCHEDULE O. 17 10 1453 50 2719956 -117977 3337614 3399899 209095338 221977533 2637988 4872797 5684124 7163661 220755064 237413890 122100 120004 0 0 96579224 102330695 31225 22287 1310260 115582510 129311757 212315059 231784743 8440005 5629147 220751434 243094329 101832582 117492384 118918852 125601945 X SEE SCHEDULE O. 0 0 81334355 50004 70231320 SEE SCHEDULE O 94299719 70000 104651388 SEE SCHEDULE O 41968653 46575726 SEE SCHEDULE O 798627 2783897 798627 2783897 218401354 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 0 0 1 1 0 1 1 1 0 1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 1 X 58 0 1 1453 1 1 1 0 0 0 0 1 1 0 0 0 0 0 X 17 10 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 AZ CO CT FL IL KY ME MD MA MI MN MS MO NH NJ NM NY NC ND OH OK OR PA SC UT WA WI NY AK X THOMAS J GHERINGHELLI 6177545800 125 PARKER HILL AVENUE BOSTON MA 021202847 BASILICO MD FREDERICK TRUSTEE; CHIEF OF MED 30.00 30.00 X 119074 119074 21428 BODEMD ROBERT TTEE; CHAIR ANESTHESIA 6.00 6.00 X 22472 22472 0 FELCH MARTHA SLOAN TRUSTEE 1.00 0.00 X 0 0 0 HANNON PATRICIA TTEE, PRESIDENT & CEO 58.00 2.00 X X 1057789 32716 17221 KEARNEY MD GARY TRUSTEE; CHIEF UROLOGY 14.00 1.00 X 21340 660 0 KOLLIGIAN ESQ JOAN TRUSTEE 1.00 0.00 X 0 0 0 LIBERT JEFFREY TRUSTEE 1.00 0.00 X 0 0 0 MALONEY RICHARD TRUSTEE & BOARD CHAIR 5.00 1.00 X X 0 0 0 MATTINGLY MD DAVID TTEE; CHAIR ORTHOPEDICS 15.00 15.00 X 53510 53510 0 NICHOLS PETER TRUSTEE & SECRETARY 2.00 0.00 X X 0 0 0 POGORZELSKI DONALD TTEE & BOARD VICE CHAIR 2.00 0.00 X 0 0 0 RICHMOND MD JOHN TTEE; DIR NETWORK DEVMT 30.00 30.00 X 151332 151332 0 RUBENSTEIN JAMES TRUSTEE 1.00 0.00 X 0 0 0 SAMSEL ERVEN TTEE & BOARD VICE CHAIR 2.00 0.00 X 0 0 0 SARGENT GIRARD TRUSTEE 1.00 0.00 X 0 0 0 SMITH RN MS MARY SULLIVAN SVP AND CNO & TRUSTEE 58.00 2.00 X X 310251 9595 15309 SMYTH PETER TRUSTEE & TREASURER 2.00 0.00 X X 0 0 0 STEWART EDWARD TRUSTEE & TREASURER 2.00 0.00 X X 0 0 0 GHERINGHELLI THOMAS VICE PRESIDENT & CFO 58.00 2.00 X 323103 9993 23795 MULKERRIN MAUREEN CIO & VP TECHNOLOGY 58.00 2.00 X 254340 7866 42596 ROSENBLUM RACHEL VP AMBUL OPS & PGM DEV 58.00 2.00 X 241836 7480 2957 THOMPSON LINDA VP HUMAN RESOURCES 58.00 2.00 X 265063 8198 14325 CAMPBELL BEAUDET JAYNE REG NURSE, OPER ROOM 60.00 0.00 X 187410 0 53038 GREENSPAN ELIZABETH VP STRATEG & NETWORK DEV 58.00 2.00 X 280080 8662 36382 HAYEK MD JIHAD CHAIR, DEPT OF PATHOLOGY 30.00 30.00 X 171406 171406 21476 MOSHER CHRISTOPHER VP PHILANTHROPY 60.00 0.00 X 204169 0 8707 SCHNEIDER PHD GARY CHIEF OF RESEARCH 60.00 0.00 X 235645 7288 29357 CAMER MD STEPHEN SEE SCH J, PART III 0.00 30.00 X 0 83859 0 GULCZYNSKI RN MS DIANE SEE SCH J, PART III 60.00 0.00 X 85837 0 3051 3984657 694111 289642 231 1 1 1 SHAWMUT DESIGN AND CONSTRUCTION 560 HARRISON AVE BOSTON MA 02118 BUILDING DESIGN AND CONSTRUCTION 2448194 PREMIER INC 13034 BALLANTYNE CORPORATE PLACE CHARLOTTE NC 28277 CONSULTING SERVICES 2414146 SODEXO INC & AFFILIATES PO BOX 81049 WOBURN MA 01813 CAFETERIA SERVICES 2342840 UNICCO SERVICE COMPANY 4002 SOLUTIONS CTR CHICAGO IL 60677 FACILITIES MANGEMENT 2159413 FULL CONTACT ADVERTISING LLC 186 LINCOLN STREET FL 8 BOSTON MA 02111 ADVERTISING 1187169 59 X 573032 2826867 99137 3399899 INPATIENT CARE 621400 104651388 104651388 MEDICARE 623000 70231320 70231320 WALK-IN CLINIC/ACU/EME 621990 46575726 46575726 PURCHASE REBATES 621990 291873 291873 RESEARCH 621990 227226 227226 221977533 730153 281918 448235 925742 1467729 -541987 -541987 10091 -552078 2643121 2015000 0 515477 2643121 1499523 4142644 40650 4101994 93284 573032 156927 -63643 -63643 PHYSICIAN ADMIN REIMB 900099 1843559 1843559 PARKING 900099 1798067 1798067 CAFETERIA 900099 1095254 1095254 3032411 2264798 543738 223875 7769291 237413890 224242331 2719956 7051704 120004 120004 3380632 2200799 1179833 172746 172746 81157387 75300130 5168312 688945 3317320 3041744 248597 26979 8356580 7662383 626234 67963 5946030 5452081 445590 48359 764326 700832 57278 6216 261837 240086 19622 2129 26919 26919 22287 22287 2345504 2150658 175770 19076 64396882 63480239 826902 89741 4388457 4161130 205071 22256 7915840 7392308 472277 51255 99638 91361 7467 810 355951 326381 26675 2895 4213215 4213215 5067432 5067432 11773834 10795758 882320 95756 735790 699049 33144 3597 MAINTENANCE AND REPAIRS 8868730 8148007 650163 70560 PURCHASED SERVICES 8254658 7775917 431871 46870 EQUIPMENT LEASES 4391657 4026833 329107 35717 FREE CARE 1671888 1671888 3779199 3510373 259977 8849 231784743 218401354 12073129 1310260 12286200 13946219 977925 721447 24975538 22786994 188456 75321 3203804 3384296 1722145 1979233 271120361 151610681 99879108 119509680 30313198 52427744 39392606 21243896 7812454 7019499 220751434 243094329 24972257 22599863 64698924 62415788 377192 24776359 11784209 7700374 101832582 117492384 X 92059475 98899683 13708547 13111417 13150830 13590844 118918852 125601945 220751434 243094329 X 5629147 608126 445820 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 26919 26919 0 PART II-B, LINE 1: DESCRIPTION OF LOBBYING ACTIVITIES: NEW ENGLAND BAPTIST HOSPITAL (NEBH OR HOSPITAL) IS ENGAGED IN LOBBYING EFFORTS ON BEHALF OF ITSELF AND OTHER AFFILIATED NETWORK ENTITIES. ADDITIONALLY, NEBH 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. NEBH ESTIMATES THE LOBBYING COSTS ASSOCIATED WITH THESE COMBINED LOBBYING ACTIVITIES TO BE LESS THAN $26,919 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2014. TOTAL LOBBYING EXPENDITURES WERE MINIMAL AND INSUBSTANTIAL BASED ON REVENUES. 47005000 1790000 3174000 1104000 50865000 41872000 4317000 5042000 4226000 47005000 37866000 2079000 4014000 2087000 41872000 37380000 4553000 137000 4204000 37866000 34323000 3109000 3270000 3322000 37380000 0.56640 0.30040 0.13320 0 0 3956331 3956331 157367844 80480862 76886982 9730413 1134254 8596159 100065773 69995565 30070208 119509680 PRIVATE EQUITY & VENTURE CAPITAL 1253994 F ABSOLUTE RETURN AND HEDGED EQUITY 14564929 F CREDIT RELATED 3244984 F REAL ASSETS 2179989 F 21243896 LT REINSURANCE DEBT - CRICO 2093975 LT DEFERRED PENSION LIABILITY 5606399 7700374 X 245584000 608126 5696362 6304488 239279512 -1865622 -1865622 237413890 240983000 9198257 9198257 231784743 0 231784743 PART V, LINE 4: NEW ENGLAND BAPTIST HOSPITAL ENDOWMENT FUND: UNDER THE NEW ENGLAND BAPTIST HOSPITAL'S (NEBH OR HOSPITAL) CURRENT LONG-TERM INVESTMENT SPENDING POLICY, WHICH IS WITHIN THE GUIDELINES SPECIFIED UNDER MASSACHUSETTS STATE LAW, 5% OF THE OF QUALIFYING INCOME AVAILABLE MAY BE APPROPRIATED. IN ESTABLISHING THESE POLICIES, NEBH CONSIDERED THE EXPECTED RETURN ON ITS ENDOWMENT AND ITS PROGRAMMING NEEDS. ACCORDINGLY, NEBH EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO MAINTAIN ITS PURCHASING POWER AND TO PROVIDE A PREDICTABLE AND STABLE SOURCE OF REVENUE TO THE ANNUAL OPERATING BUDGET. ADDITIONAL REAL GROWTH WILL BE PROVIDED THROUGH NEW GIFTS OR EXCESS INVESTMENT RETURN. PART X, LINE 2: THE TEXT OF THE FOOTNOTE TO THE CONSOLIDATED FINANCIAL STATEMENTS THAT ADDRESSES THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS IS AS FOLLOWS: THE CORPORATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE CORPORATION DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2014 OR 2013. PART XI, LINE 2D - OTHER ADJUSTMENTS: CONSOLIDATED AFFILIATES REVENUE NET OF ELIMINATIONS 5,696,362. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES DIRECTLY RELATED TO SPECIAL EVENTS -156,927. RENT EXPENSES RELATED TO RENTAL INCOME -1,708,695. PART XII, LINE 2D - OTHER ADJUSTMENTS: CONSOLIDATED AFFILIATES REVENUE NET OF ELIMINATIONS 7,332,635. FUNDRAISING EXPENSES DIRECTLY RELATED TO SPECIAL EVENTS 156,927. RENT EXPENSES RELATED TO RENTAL INCOME 1,708,695. FORM 990, SCHEDULE D, PART VII INVESTMENTS OTHER SECURITIES AS OF SEPTEMBER 30, 2014, NEW ENGLAND BAPTIST HOSPITAL (NEBH OR HOSPITAL) HAD INVESTMENTS OF OTHER SECURITIES OF $21,243,896 WITH CAREGROUP INVESTMENT PARTNERSHIP (EIN: 04-3278109: SEE SCHEDULE R FOR ADDITIONAL INFORMATION ON THIS RELATED ENTITY). THE HOLDINGS AS OF THIS DATE INCLUDED: CAREGROUP INVESTMENT PARTNERSHIP AMOUNTS (EIN: 04-3278109) PRIVATE EQUITIES & HEDGE FUNDS $1,253,994.00 REAL ASSETS $14,564,929.00 FIXED INCOME $3,244,984.00 TOTAL INVESTMENTS OTHER SECURITIES $21,179,989.00 CENTRAL AMERICA & THE CARIBBEAN 0 0 INVESTMENTS 6144315 EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS 77742 EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 INVESTMENTS 288192 NORTH AMERICA 0 0 INVESTMENTS 262457 SOUTH AMERICA 0 0 INVESTMENTS 66680 CENTRAL AMERICA & THE CARIBBEAN 0 0 PROGRAM SERVICES JOINTLY OWNED FOREIGN INSURANCE 4361 0 0 0 0 0 0 6843747 0 6843747 1 0 0 1 0 0 X X X X X 1 HEIDI PRICE 110 MARLBOROUGH ST BOSTON MA 02116 ADVISORY 0 0 16561 0 LAURA DUFFY ASSOCIATES 950 WATERTOWN ST WEST NEWTON MA 02465 WRITING 0 0 6326 0 22887 AK AZ CO FL GA IL KY MA MD ME MI MN MO MS ND NH NJ NM NY OH OK OR TN UT WA WI GALA 666316 573032 93284 156927 666316 573032 93284 156927 156927 -63643 1 1 1 X 1 X 1 1 0 1 1 166000 0 166000 0.00070 3954421 1429355 2525066 0.01090 4120421 1429355 2691066 0.01160 413379 413379 0.00180 1114938 253636 861302 0.00370 5025372 2527337 2498035 0.01080 2094360 192196 1902164 0.00820 342601 0 342601 0.00150 8990650 2973169 6017481 0.02600 13111071 4402524 8708547 0.03760 115668 115668 0.00050 115668 115668 0.00050 1 825948 67122358 79450262 -12327904 X 1 1 1 NONE 1 1 NEW ENGLAND BAPTIST HOSPITAL 125 PARKER HILL ROAD BOSTON MA 02120 WWW.NEBH.ORG MA STATE LI X X X SEE NARRATIVE DETAIL NEW ENGLAND BAPTIST HOSPITAL 1 1 X X X X X X X 12 1 0 1 X SEE PART V, SECTION C WITHIN PART VI X X X X X X X X 0 0 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X 1 0 X 0 X X 0 0 NEW ENGLAND BAPTIST HOSPITAL PART V, SECTION B, LINE 18E: FOR DISCLOSURES RELATED TO FORM 990 SCHEDULE H PART V, SECTION B PLEASE SEE SCHEDULE H PART VI SUPPLEMENTAL INFORMATION. NEW ENGLAND BAPTIST HOSPITAL PART V, SECTION B, LINE 19D: FOR DISCLOSURES RELATED TO FORM 990 SCHEDULE H PART V, SECTION B PLEASE SEE SCHEDULE H PART VI SUPPLEMENTAL INFORMATION. NEW ENGLAND BAPTIST HOSPITAL PART V, SECTION B, LINE 20D: FOR DISCLOSURES RELATED TO FORM 990 SCHEDULE H PART V, SECTION B PLEASE SEE SCHEDULE H PART VI SUPPLEMENTAL INFORMATION. SCHEDULE H, PART VI, LINE 1: PART I, LINE 3(C) FEDERAL POVERTY GUIDELINES AND PATIENT ELIGIBILITYFREE CAREFREE CARE IS PROVIDED FOR MEDICALLY NECESSARY SERVICE TO PATIENTS WHO HAVE BEEN DEEMED FINANCIALLY UNABLE TO PAY FOR ALL OR PART OF THE HOSPITAL CARE PURSUANT TO THE HOSPITAL'S CREDIT AND COLLECTION POLICY. ELIGIBILITY IS AVAILABLE TO MASSACHUSETTS RESIDENTS WHOSE FAMILY INCOME IS EQUAL TO OR LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINES (FPG).THE FPG IS UPDATED ANNUALLY AND IS POSTED ON THE STATE'S DIVISION OF HEALTH CARE FINANCE AND POLICY WEBSITE:HTTP://WWW.MASS.GOV/EOHHS/DOCS/MASSHEALTH/DESKGUIDES/FPL-DESKGUIDE.PDF DISCOUNTED CAREDISCOUNTED CARE IS PROVIDED TO LOW INCOME PATIENTS WHO MEET THE CRITERIA UNDER 114.6 CMR 13.04(1). IN ORDER TO BE DETERMINED A LOW INCOME PATIENT; AN INDIVIDUAL MUST BE A RESIDENT OF THE COMMONWEALTH AND DOCUMENT FAMILY INCOME EQUAL TO OR LESS THAN 400% OF THE FPG, SUBJECT TO THE FOLLOWING CONDITIONS.THE FOLLOWING INDIVIDUALS ARE NOT ELIGIBLE FOR LOW INCOME PATIENT STATUS:- INDIVIDUALS ENROLLED IN MASSHEALTH STANDARD AND MASSHEALTH FAMILY ASSISTANCE/DIRECT COVERAGE PROGRAMS;- INDIVIDUALS WHO HAVE BEEN DETERMINED ELIGIBLE FOR ANY MASSHEALTH PROGRAM INCLUDING MASSHEALTH PREMIUM ASSISTANCE BUT WHO HAVE FAILED TO ENROLL; AND- INDIVIDUALS WHOSE ENROLLMENT IN MASSHEALTH OR COMMONWEALTH CARE HAS BEEN TERMINATED DUE TO FAILURE TO PAY PREMIUMS. SCHEDULE H, PART VI, LINE 1: PART I, LINE 6(A): COMMUNITY BENEFIT REPORT FILED?YES, NEW ENGLAND BAPTIST HOSPITAL (NEBH OR HOSPITAL) PREPARES AND FILES AN ANNUAL NON-PROFIT HOSPITAL COMMUNITY BENEFIT REPORT WITH THE STATE OF MASSACHUSETTS OFFICE OF ATTORNEY GENERAL. CURRENT AND PAST FILINGS OF THE HOSPITAL'S COMMUNITY BENEFIT REPORT ARE MADE PUBLIC ON BOTH THE HOSPITAL'S PUBLIC WEBSITE AND THAT OF THE MASSACHUSETTS OFFICE OF ATTORNEY GENERAL:HTTP://WWW.NEBH.ORG/ABOUT-NEBH/OUR-COMMUNITY/HTTP://WWW.NEBH.ORG/MEDIA/110435/NEBH_CHNA2013.PDFHTTP://WWW.CBSYS.AGO.STATE.MA.US/HEALTHCARE/HCCBAR.ASP SCHEDULE H, PART VI, LINE 1: PART I, LINE 7(A-D): CHARITY CARE AND MEANS-TESTED PROGRAMSCHARITY CARE AT COST IS CALCULATED USING AN INTERNAL COST TO CHARGE RATIO CALCULATION. UNREIMBURSED MEDICAID COSTS ARE CALCULATED BY APPLYING THE COST TO CHARGE RATIO TO MEDICAID GROSS CHARGES AND SUBTRACTING MEDICAID NET REIMBURSEMENT. OTHER BENEFITS INCLUDE THE HOSPITAL'S GROSS OBLIGATION INTO THE MASSACHUSETTS HEALTH SAFETY NET POOL. PLEASE SEE THE NOTES TO THE AUDITED FINANCIALS FOR BAD DEBTS INCLUDED IN THIS SCHEDULE H DISCLOSURE (PART III, LINE 4) AND THE FOLLOWING SUMMARY: DIRECT NETCHARITY CARE & MEANS TESTED GOV'T OFFSETTING COMMUNITYPROGRAMS EXPENSE REVENUE BENEFIT EXPA) CHARITY CARE AT COST $166,000 $ - $ 166,000B) HEALTH SAFETY NET PAYMENTS $1,624,101 $ - $1,624,101 UNREIMBURSED MEDICAID, $2,330,320 $(1,429,355) $900,965TOTALS TO SCH H, PART I, LINE 7D $3,954,421 $(1,429,355) $2,525,066MEDICARE MEDICARE IS THE FEDERALLY SPONSORED HEALTH INSURANCE PROGRAM FOR ELDERLY OR DISABLED PATIENTS AND NEBH PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM. DURING THE FISCAL PERIOD COVERED BY THIS FILING, 38% OR 45,487 OF NEBH'S PATIENT VISITS WERE WITH MEDICARE PATIENTS. THIS TRANSLATED TO $ 67,901,000 IN NET PATIENT SERVICE REVENUE; HOWEVER, BECAUSE PAYMENTS TO HOSPITALS THROUGH THIS GOVERNMENT SPONSORED PROGRAM HAVE NOT KEPT PACE WITH INFLATION, REVENUE COLLECTED WAS LESS THAN THE COST OF SERVICES BY $12,327,000. ALTHOUGH NEBH CONSIDERS THE PROVISION OF CLINICAL CARE TO MEDICARE PATIENTS AS PART OF ITS COMMUNITY BENEFIT, THE ADDITIONAL MEDICARE SHORTFALL OF $12,327,000 IS NOT QUANTIFIED ON PAGE 1 OF THE SCHEDULE H, PER THE IRS INSTRUCTIONS. RATHER IT HAS BEEN SEPARATELY REPORTED IN SCHEDULE H PART III AS REQUIRED. IF NEBH HAD INCLUDED THE MEDICARE SHORTFALL IN THE CHARITY CARE AND COMMUNITY BENEFIT CALCULATION, THE PERCENTAGE ON SCHEDULE H WOULD HAVE INCREASED BY OVER 5.2%. SCHEDULE H, PART VI, LINE 1: PART I, LINE 7(E): COMMUNITY HEALTH IMPROVEMENT SERVICESSCHEDULE H, PART VI, LINE 1: PART I, LINE 7(I):CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPSCOMMUNITY BENEFITS MISSION STATEMENT NEW ENGLAND BAPTIST HOSPITAL IS COMMITTED TO COLLABORATING WITH COMMUNITY PARTNERS AND RESIDENTS ACROSS BOSTON TO IDENTIFY AREAS OF SPECIAL NEED IN MUSCULOSKELETAL DISEASE AND COLLABORATE ON PROGRAMS TO ADDRESS THESE NEEDS, WITH SPECIAL FOCUS ON UNDERSERVED POPULATIONS THROUGH OUTREACH, EDUCATION AND PROVISION OF SERVICES TO ADDRESS MUSCULOSKELETAL HEALTH.AS NOTED THROUGHOUT THIS NARRATIVE, NEW ENGLAND BAPTIST HOSPITAL'S (NEBH OR HOSPITAL) PRIMARY PURPOSE IS THE OPERATION AND MAINTENANCE OF AN ACUTE CARE, ORTHOPEDIC SPECIALTY HOSPITAL AND PROVISION OF ALL SERVICES RELATED THERETO FOR THE BENEFIT OF PATIENTS. THE HOSPITAL OPERATES AS AN ADULT MEDICAL / SURGICAL HOSPITAL WITH A NATIONAL REPUTATION IN ORTHOPEDIC CARE. PATIENTS ARE OFFERED A FULL RANGE OF SERVICES IN ORTHOPEDICS AND RHEUMATOLOGY, JOINT REPLACEMENT, SPINE CARE, FOOT AND ANKLE CARE, HAND SURGERY, OCCUPATIONAL MEDICINE AND SPORTS MEDICINE. COMMUNITY BENEFITS PHILOSOPHY NEBH IS COMMITTED TO ITS COMMUNITY. OUR PHILOSOPHY IS TO PARTNER DIRECTLY WITH LOCAL ORGANIZATIONS TO PROVIDE DIRECT SERVICES IN OUR PRIORITY AREAS, TO STREAMLINE AND REDUCE DUPLICATION AND TO BUILD POSITIVE RELATIONSHIPS IN THE NEIGHBORHOOD . DURING THE FISCAL YEAR COVERED BY THIS FILING, NEBH PROVIDED COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS OF $755,980 AS REPORTED ON THIS SCHEDULE H, PART I, LINES 7E AND 7I, COLUMN C. EXPENSE DIR. OFF NET COMME)COMMUNITY HEALTH IMPROVEMENT REVENUE BENE. EXP 7E NEBH COMMUNITY RELATIONS STAFF COSTS 129,866 - 129,8867E COMMUNITY BENEFITS (SEE CB REPORT) 283,513 - 283,513 413,379 - 413,379I)CASH & IN-KIND CONTRIB TO COMMUNITY GROUPS PILOT 278,154 - 278,154COMMUNITY SERVICE 39,447 - 39,447SPONSORSHIPS 25,000 - 25,000 342,601 - 342,601TOTAL 7E & 7I $755,980 - 755,980COMMUNITY BENEFITS LEADERSHIP THE HOSPITAL'S GOVERNING BOARD AND SENIOR MANAGEMENT ARE RESPONSIBLE FOR OVERSEEING THE DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY BENEFITS PLAN. COMMUNITY PLANNING IS DONE IN CONJUNCTION WITH MEMBERS OF THE DESIGNATED HOSPITAL COMMUNITY, WHO MAY PROVIDE INSIGHT AND RECOMMENDATIONS ON COMMUNITY HEALTH ISSUES. THE BOARD IS RESPONSIBLE FOR DEVELOPING POLICY TO IMPLEMENT AND EVALUATING THE HOSPITAL'S CURRENT AND FUTURE COMMUNITY PROGRAMS. THE DIRECTOR OF PUBLIC AFFAIRS AND COMMUNITY RELATIONS REPORTS TO SENIOR MANAGEMENT AND TO THE PRESIDENT OF THE HOSPITAL ON COMMUNITY BENEFIT ACTIVITIES AND PLANS. DIRECTOR OF PUBLIC AFFAIRS AND COMMUNITY RELATIONS, RESPONSIBILITIES INCLUDE:- PLANNING, ORGANIZING AND EVALUATING THE COMMUNITY BENEFITS PROGRAMMING IN COLLABORATION WITH HOSPITAL ADMINISTRATION, NEBH STAFF AND THE KEY STAKEHOLDERS WITHIN THE COMMUNITY.- COORDINATING THE HOSPITAL'S CURRENT COMMUNITY BENEFIT PROGRAM WITH NUMEROUS DEPARTMENTS THROUGHOUT THE HOSPITAL. COMMUNITY HEALTH NEEDS ASSESSMENT IN 2013, NEBH CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOCUSING ON MISSION HILL AND ROXBURY, ITS PRIMARY SERVICE AREA WITH RESPECT TO ITS COMMUNITY BENEFIT INITIATIVES. THE OVERALL GOAL OF THE ASSESSMENT WAS TO COMPILE INFORMATION FROM A RANGE OF QUANTITATIVE AND QUALITATIVE SOURCES TO CLARIFY THE HEALTH CARE NEEDS AND PRIORITIES OF COMMUNITY RESIDENTS AND ASSESS THE OVERALL STRENGTHS AND WEAKNESSES OF THE AREA'S HEALTH AND SOCIAL SERVICE SYSTEMS. ULTIMATELY, THE PURPOSE OF THE ASSESSMENT WAS TO FACILITATE THE DEVELOPMENT OF A STRATEGIC PLAN THAT WOULD GUIDE HOW NEBH WOULD WORK WITH STAKEHOLDERS IN MISSION AND HILL AND ROXBURY TO STRENGTHEN THE COMMUNITY AND IMPROVE HEALTH STATUS MOVING FORWARD. THE MOST SIGNIFICANT HEALTH-RELATED ISSUE FACING THE COMMUNITIES SURROUNDING NEBH ARE THE BROADER SOCIAL AND ECONOMIC DETERMINANTS (E.G., POVERTY, UNEMPLOYMENT, FOOD INSECURITY, VIOLENCE, TRANSPORTATION). IN ADDITION TO THIS UNDERLYING PRIORITY, ISSUES RELATED OBESITY, LACK OF PHYSICAL EXERCISE, AND POOR NUTRITION AS WELL AS THE CHRONIC DISEASES THAT ARE OFTEN ASSOCIATED WITH THESE FACTORS ARE SEEN AS ANOTHER PRIORITY. ALSO, ISSUES RELATED TO OLDER ADULT HEALTH (E.G., GENERAL HEALTH AND WELLNESS, FALLS PREVENTION, ISOLATION/DEPRESSION, OSTEOPOROSIS, CHRONIC DISEASE) ARE ALSO A PRIORITY. THE EXPRESSED NEEDS FROM THE CHNA, LED TO NEBH'S FOCUS ON THE FOLLOWING AREAS: MUSCULOSKELETAL HEALTH, OBESITY PREVENTION, VIOLENCE PREVENTION, WORKFORCE DEVELOPMENT, ELDER ISOLATION, ACCESS TO HEALTHY AFFORDABLE FOOD, FOOD INSECURITY/HUNGER AND MOBILITY AND TRANSPORTATION FOR THE ELDERLY. ISSUES ADDRESSED:NEBH IS COMMITTED TO IMPROVING THE HEALTH STATUS AND WELL-BEING OF THOSE LIVING THROUGHOUT ITS COMMUNITY BENEFIT SERVICE AREA. NEBH'S COMMUNITY HEALTH IMPROVEMENT PLAN, INCLUDES MANY ACTIVITIES THAT WILL IMPACT ALL RESIDENTS. THE INFORMATION GATHERED AS PART OF THIS EFFORT ALLOWED NEBH TO ENGAGE THE COMMUNITY AND GAIN A BETTER UNDERSTANDING OF THE HEALTH STATUS, HEALTH CARE NEEDS, SERVICE GAPS, AND BARRIERS TO CARE OF THOSE LIVING IN MISSION HILL AND ROXBURY, NEBH'S PRIMARY SERVICE FOR ITS COMMUNITY BENEFIT EFFORTS. THE IMPLEMENTATION PLAN STARTED IN SEPTEMBER 2013. NEBH WILL CONDUCT ANOTHER CHNA IN 2016.SEVERAL COMMUNITY PROGRAMS AND EVENTS IN WHICH NEBH PLAYS A LEADERSHIP ROLE INCLUDE:MUSCULOSKELETAL HEALTH ARTHRITIS AND LUPUS SUPPORT GROUPTHE GOAL OF THIS INITIATIVE IS TO ADDRESS ACCESS, EDUCATION, TREATMENT, AND SUPPORT NEEDS OF PEOPLE WITH ARTHRITIS AND LUPUS, ESPECIALLY UNDER-SERVED POPULATIONS IN THE CITY OF BOSTON, TARGETING WOMEN OF COLOR. THE LONG-TERM GOAL IS TO MEET THE IDENTIFIED NEEDS OF MORE SUPPORT AND EDUCATION. ARTHRITIS FOUNDATIONTHE ARTHRITIS FOUNDATION'S WALK TO CURE ARTHRITIS ENCOURAGES PEOPLE TO MOVE TO PREVENT OR TREAT ARTHRITIS. THERE ARE 27 MILLION PEOPLE WITH OSTEOARTHRITIS, THE MOST COMMON FORM OF ARTHRITIS, 1.3 MILLION PEOPLE WITH RHEUMATOID ARTHRITIS, AN AUTOIMMUNE DISEASE THAT CAN LEAD TO CHRONIC PAIN, LOSS OF FUNCTION AND DEFORMITY AND 300,000 CHILDREN (OR ONE IN 250) WITH JUVENILE ARTHRITIS, WHICH AFFECTS CHILDREN BETWEEN THE AGES OF INFANCY AND 18. BY 2030, AN ESTIMATED 67 MILLION AMERICANS AGES 18 YEARS OR OLDER ARE PROJECTED TO HAVE DOCTOR-DIAGNOSED ARTHRITIS. NEW ENGLAND BAPTIST HOSPITAL (NEBH) HAS PARTNERED WITH THE ARTHRITIS FOUNDATION'S, GREATER BOSTON CHAPTER ON THEIR WALK TO CURE ARTHRITIS, IN THE FIGHT AGAINST ARTHRITIS BY RAISING AWARENESS AND REDUCING THE IMPACT OF ARTHRITIS, WHICH IS THE NATION'S LEADING CAUSE OF DISABILITY. OSTEOPOROSISOSTEOPOROSIS IS A MAJOR PUBLIC HEALTH THREAT FOR AN ESTIMATED 54 MILLION AMERICANS AGE 50 AND OLDER. TWENTY PERCENT OF NON-HISPANIC CAUCASIAN AND ASIAN WOMEN AGED 50 AND OLDER ARE ESTIMATED TO HAVE OSTEOPOROSIS, AND 52 PERCENT ARE ESTIMATED TO HAVE LOW BONE MASS. THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (DPH) HAS IDENTIFIED OSTEOPOROSIS AS A PUBLIC HEALTH ISSUE AND ESTABLISHED THE OSTEOPOROSIS AWARENESS PROGRAM. PHYSICAL ACTIVITY CAN IMPROVE THE OVERALL HEALTH AND WELL-BEING OF OLDER ADULTS. EVEN MODEST LEVELS OF ACTIVITY, DONE EACH DAY FOR A TOTAL OF 30 MINUTES, CAN PREVENT OR CONTROL OSTEOPOROSIS AND WEIGHT GAIN. NEBH SUPPORTS TWO WALKING GROUPS AT ROXBURY TENANTS OF HARVARD: A WALKING/EXERCISE PROGRAM HELD IN MISSION HILL, SERVING BETWEEN 20-40 WOMEN AND MEN BETWEEN THE AGES OF 40 AND 90 FROM ALL ETHNIC BACKGROUNDS AT EACH SESSION. THE HOSPITAL ALSO OFFERS EDUCATIONAL PROGRAMS SUCH AS STRETCHING, EATING HEALTHY, ETC. TO THIS GROUP.GREATER BOSTON SENIOR GAMESSINCE 2001, NEBH HAS BEEN A SPONSOR OF THE GREATER BOSTON SENIOR GAMES. THE GAMES PROVIDE OLDER ADULTS (50 YEARS AND OLDER) THE OPPORTUNITY TO PARTICIPATE IN ATHLETIC COMPETITIONS, PROMOTING WELLNESS, AND KEEPING THEM ACTIVE. BENEFITS INCLUDE: MAINTAINING PHYSICAL, MENTAL AND EMOTIONAL FITNESS, SOCIALIZATION, KEEPING AN ACTIVE LIFESTYLE, REDUCING ISOLATION, PARTICIPATING IN COMMUNITY ACTIVITIES, MEETING PEOPLE WITH DIFFERENT CULTURES, LANGUAGES AND CUSTOMS AND MAINTAINING ENERGY AND ENTHUSIASM. DURING THE FIVE-DAY GAMES, SENIOR ATHLETES PARTICIPATE IN THEIR CHOICE OF EVENTS INCLUDING BILLIARDS, BOCCE, BOWLING, GOLF, HALF COURT BASKETBALL, HORSESHOES, SOCCER KICK, SOFTBALL THROW, SWIMMING, TENNIS, TRACK AND A NON-COMPETITIVE WALK. SCHEDULE H, PART VI, LINE 1: PART I, LINE 7(E)& 7(I): COMMUNITY HEALTH IMPROVEMENT SERVICES CONTINUEDJR. CELTICS PROGRAMTHE JR. CELTICS PROGRAM, PRESENTED BY NEW ENGLAND BAPTIST HOSPITAL, CHALLENGES OVER 350 3RD TO 5TH GRADERS TO DEVELOP THEIR BASKETBALL GAME THROUGH SKILLS, DRILLS AND LEADERSHIP TRAINING. THE JR. CELTICS HELD 2 PROGRAMS IN THE MISSION HILL AREA THAT BENEFITTED YOUTH IN MISSION HILL.MOBILITY AND ELDERLY TRANSPORTATION - THE MISSION LINKBECAUSE THE NEIGHBORHOOD OF MISSION HILL IS LOCATED ON A STEEP HILL, AT THE HIGHEST ELEVATION IN BOSTON, IT PRESENTS A SIGNIFICANT ISSUE TO MOBILITY FOR THE ELDERLY POPULATION. THE NEED FOR REGULAR TRANSPORTATION TO AVOID SOCIAL ISOLATION OF THOSE SENIORS IN THE MISSION HILL COMMUNITY WAS IDENTIFIED AS A CRITICAL ISSUE DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT. NEBH HAS BEEN A MAJOR SPONSOR OF THE MISSION LINK BUS FOR MANY YEARS. ELDER ISOLATIONTHE MISSION HILL LEGACY PROJECT BRINGS SENIORS FROM THROUGHOUT THE MISSION HILL NEIGHBORHOOD TOGETHER FOR SOCIAL AND EDUCATIONAL EVENTS. IT IS EVIDENT THAT THERE ARE MANY ISSUES RELATED TO OLDER ADULT HEALTH IN THE MISSION HILL COMMUNITY. NEBH IS COMMITTED TO THE MISSION HILL LEGACY PROJECT TO HELP WITH ELDER ISOLATION. NEBH PROVIDES AN EXERCISE PROGRAM AND A BIRTHDAY CELEBRATION PROGRAM THAT TRAVELS THROUGHOUT HOUSING DEVELOPMENTS IN MISSION HILL ON A QUARTERLY BASIS. OBESITY PREVENTION OBESITY HAS REACHED EPIDEMIC PROPORTIONS IN THE UNITED STATES. OBESITY IS BECOMING A MAJOR ISSUE IN MASSACHUSETTS AND HAS A SIGNIFICANT NEGATIVE IMPACT ON THE MUSCULOSKELETAL SYSTEM. NEBH HAS A LONG-STANDING COMMITMENT TO IMPROVING THE HEALTH STATUS OF BOSTON RESIDENTS, WITH A FOCUS ON MOVEMENT AND PREVENTION OF OBESITY. THE HOSPITAL SUPPORTS THE MISSION HILL LITTLE LEAGUE, MISSION HILL SOFTBALL LEAGUE, MAURICE J. TOBIN COMMUNITY CENTER, ROXBURY TENANTS OF HARVARD AND SOCIEDAD LATINA FOR THE PROGRAMS IN PHYSICAL ACTIVITY. THE HOSPITAL SUPPORTS THE GYM, LEAGUES, AND SUMMER CAMP AT THE MAURICE J. TOBIN COMMUNITY CENTER AS WELL AS THE HEALTH EDUCATORS IN ACTION PROGRAM AT SOCIEDAD LATINA. FOR MANY YEARS, NEBH HAS MAINTAINED AND IS A MAJOR CONTRIBUTOR TO THE LIGHTING AT MCLAUGHLIN FIELD AT NIGHT TO FOSTER ITS USE FOR PHYSICAL ACTIVITY. WORKFORCE DEVELOPMENT MEREDITH CAMERON YOUTH OPPORTUNITY INTERNSHIPNEW ENGLAND BAPTIST HOSPITAL MADE AN IMPORTANT COMMITMENT TO OUR COMMUNITY BY CREATING THE MEREDITH CAMERON YOUTH OPPORTUNITY INTERNSHIP, NAMED AFTER A LONG SERVICE HOSPITAL EMPLOYEE WHO PASSED AWAY IN 2009.THE GOAL OF THIS PROGRAM IS TO OFFER TWELVE TO FIFTEEN HIGH SCHOOL AND COLLEGE STUDENTS WHO PERMANENTLY RESIDE IN THE MISSION HILL/ROXBURY COMMUNITY AN 8 TO 10 WEEK PAID SUMMER EMPLOYMENT IN POSITIONS THAT WILL BE ENGAGING, ENRICHING AND REWARDING WHILE PROVIDING EXPOSURE TO HEALTH AND SCIENCE RELATED CAREER PATHS. THESE JOBS ARE IN CLINICAL AREAS THAT ALLOW THE STUDENTS TO OBSERVE/BECOME FAMILIAR WITH PATIENT CARE WHILE THEY PERFORM ANCILLARY FUNCTIONS OR IN DEPARTMENTS THAT SUPPORT OUR PATIENT CARE EFFORTS INVOLVING SOME EXPOSURE TO SCIENCE/HEALTH CARE CAREERS. NEBH WORKS WITH HIGH SCHOOL AND COLLEGE STUDENTS THROUGH EXISTING PARTNERSHIPS WITH THE ROXBURY TENANTS OF HARVARD, ABCD PARKER HILL/ FENWAY NEIGHBORHOOD SERVICE CENTER AND SOCIEDAD LATINA, A YOUTH AGENCY IN MISSION HILL. IN 2014, FIFTEEN STUDENTS WERE GAINFULLY EMPLOYED FOR THE SUMMER. FOUR OF THE 15 WERE HIRED AS PERMANENT PART TIME EMPLOYEES.ABCD SUMMER WORKS PROGRAMNEBH HAS BEEN A SPONSOR OF THE SUMMERWORKS PROGRAM FOR MANY YEARS. THE PROGRAM OFFERS YOUTH LIVING IN MISSION HILL A MEANINGFUL WORK EXPERIENCE AT LOCAL NON-PROFIT, ACADEMIC, AND MEDICAL INSTITUTIONS DURING THE SUMMER. CRISTO REY BOSTON HIGH SCHOOL CORPORATE WORK STUDY PROGRAMTHE SIGNATURE COMPONENT OF CRISTO REY BOSTON HIGH SCHOOL IS THE CORPORATE WORK STUDY PROGRAM. THE SCHOOL SERVES FAMILIES WITH LIMITED FINANCIAL RESOURCES. EVERY ONE OF THEIR STUDENTS WORKS FIVE FULL DAYS PER MONTH TO PAY FOR MOST OF THE COST OF THEIR EDUCATION AND TO GAIN PROFESSIONAL EXPERIENCE. BY WORKING, STUDENTS LEARN ABOUT THE CORPORATE WORLD, CONNECT ACADEMIC COURSEWORK TO THE WORK THEY DO AT THEIR CORPORATE PLACEMENTS, AND GAIN SKILLS THAT WILL SERVE THEM BEYOND HIGH SCHOOL. APPRENTICESHIP LEARNINGAPPRENTICE LEARNING IS A BOSTON-BASED NON-PROFIT WHICH PROVIDES 8TH GRADERS IN URBAN PUBLIC SCHOOLS THE OPPORTUNITY TO EXPERIENCE FIRSTHAND THE ADULT WORLD OF WORK AS PART OF THEIR SCHOOL DAY. STUDENTS SPEND 2 HOURS PER WEEK FOR 6 WEEKS AT THE HOSPITAL WITH VARIOUS STAFF MEMBERS.VIOLENCE PREVENTIONCREATING A STRONG FEELING OF COMMUNITY AND FOCUSING ON YOUTH EDUCATION ARE TWO IMPORTANT ASPECTS OF VIOLENCE PREVENTION. NEBH WORKS WITH COMMUNITY GROUPS SUCH AS THE MISSION HILL YOUTH COLLABORATIVE (MHYC), THE MISSION HILL CRIME COMMITTEE AND THE BOSTON POLICE TO HELP EDUCATE OUR COMMUNITY AND TO KEEP OUR YOUTH ENGAGED IN PRODUCTIVE ACTIVITIES TO PREVENT VIOLENCE IN OUR COMMUNITY. THE MHYC SERVES OVER 1,500 YOUTH AND FAMILIES LIVING IN THE MISSION HILL AREA BY HOSTING EDUCATIONAL AND FUN EVENTS, SUCH AS HALLOWEEN ON THE HILL. SECURITY CAMERAS AND ROUNDSNEBH PERFORMS SECURITY ROUNDS THROUGHOUT THE MISSION HILL AREA 7 DAYS A WEEK 24 HOURS A DAY AT SCHEDULED AND UNSCHEDULED INTERVALS. THIS SERVICE PROVIDES VIOLENCE DETERRENCE IN THE NEIGHBORHOOD. NEBH IN CONJUNCTION WITH COMMUNITY LEADERS REVIEWED AND UPGRADED ITS VIDEO SYSTEM TO ENHANCE NEIGHBORHOOD SECURITY. NEBH ALSO WORKS WITH THE MISSION HILL PROBLEM PROPERTIES TASK FORCES TO IMPROVE SAFETY AND SECURITY OF THE COMMUNITY. FOOD INSECURITY/HUNGER MISSION HILL ELEMENTARY SCHOOL, MISSION HILL LEGACY PROJECT AND BOSTONCANSHAREHUNGER IS ON THE RISE IN MASSACHUSETTS. FOOD IS NEEDED TO SUSTAIN FAMILIES DURING THE HOLIDAYS, SCHOOL VACATIONS AND WHEN THE CHILDREN ARE NOT ATTENDING SCHOOL. NEBH PARTNERED THE MISSION HILL ELEMENTARY SCHOOL AND THE MISSION HILL LEGACY PROJECT TO COMBAT HUNGER. NEBH IS COMMITTED TO COMBATING HUNGER IN OUR LOCAL NEIGHBORHOODS. EACH YEAR, MUCH NEEDED FOOD IS GIVEN DURING THE THANKSGIVING AND CHRISTMAS HOLIDAYS AND DURING SCHOOL VACATIONS. FOOD IS PROVIDED TO SUPPLEMENT STUDENT AND FAMILY FOOD NEEDS, AS MEALS ARE NOT SERVED BY THE SCHOOL SYSTEM DURING VACATIONS. LUNCH IS ALSO PROVIDED DURING THE WINTER MONTHS FOR CHILDREN PARTICIPATING IN THE YMCA AND THE CHILL FOUNDATION'S SKI PROGRAM. DURING THE HOLIDAYS, FOOD IS GIVEN TO SENIORS IN NEED THROUGH THE MISSION HILL LEGACY PROGRAM. NEBH DONATED TO THE BOSTON CAN SHARE PROGRAM WHICH IS THE ANNUAL FOOD DRIVE SPONSORED BY THE MAYOR'S OFFICE OF FOOD INITIATIVES.INCREASE ACCESS TO HEALTHY FOODS ACCESS TO HEALTHY FRUITS AND VEGETABLESAS IDENTIFIED IN THE CHNA, THERE IS A NEED IN MISSION HILL FOR ACCESS TO AFFORDABLE HEALTHY FOOD. NEBH IS COMMITTED TO PROVIDING ACCESS TO AFFORDABLE HEALTHY FOOD BY PARTNERING WITH THE MISSION HILL HEALTH MOVEMENT AND THE MISSION HILL FARMERS MARKET. NEBH OFFERED $2 COUPONS TO THE FARMERS MARKET EACH WEEK DURING THE SUMMER AND FALL TO MISSION HILL/ROXBURY RESIDENTS SO THAT THEY MAY PURCHASE FRESH FRUIT AND VEGETABLES AT A DISCOUNTED RATE. OVER 2,914 COUPONS WERE GIVEN OUT TO COMMUNITY RESIDENTS. SCHEDULE H, PART VI, LINE 1: PART I, LINE 7(F): HEALTH PROFESSIONS EDUCATIONNEW ENGLAND BAPTIST HOSPITAL (NEBH) SERVES AS A TEACHING HOSPITAL AFFILIATED WITH THE TUFTS UNIVERSITY SCHOOL OF MEDICINE AND PHILADELPHIA COLLEGE OF MEDICINE AND MAINTAINS RESIDENCY PROGRAMS SPECIALIZING IN ORTHOPEDICS AND RADIOLOGY. RESIDENTS IN THESE PROGRAMS OBTAIN EDUCATION NECESSARY TO BE LICENSED AS A HEALTH PROFESSIONAL, AND THEIR SELECTION AND ROTATION BEYOND THE NEBH PROGRAM IS IN NO WAY RESTRICTED. IN ADDITION, THE HOSPITAL OFFERS ANNUALLY ONE INTERNATIONAL PROFESSIONAL SIMILAR OPPORTUNITY FOR EDUCATION THROUGH ITS INTERNATIONAL FELLOWSHIP PROGRAM. IN FY 2014, THE HOSPITAL HEALTH PROFESSIONS EDUCATION WAS AS FOLLOWS: F) HEALTH PROFESSIONS EDUCATION EXPENS DIRECT OFFSETTING NET COMM REVENUE BENEFIT EXPRESIDENTS (OFFSET BY GME REIMB) 1,098,538 (253,636) 844,902INTERNATIONAL FELLOWSHIP(FROM RESTRICTED FUNDS) 16,400 - 16,400 1,114,938 (253,636) 861,302 SCHEDULE H, PART VI, LINE 1: PART I, LINE 7(G): SUBSIDIZED HEALTH SERVICESNEW ENGLAND BAPTIST HOSPITAL (NEBH) PROVIDES CERTAIN HEALTH IMPROVEMENT SERVICES WITH THE PURPOSE OF IMPROVING COMMUNITY HEALTH. THESE SERVICES ARE PROVIDED FOR THE BENEFIT OF OUR COMMUNITY, AND SUBSIDIZED BY THE ORGANIZATION: IF NEBH DISCONTINUED THESE SERVICES, THEN OTHER COMMUNITY NOT-FOR-PROFIT ORGANIZATIONS OR GOVERNMENT AGENCIES WOULD BEAR THE ADDITIONAL BURDEN OF COVERAGE AND SERVICE. THE FOLLOWING IS A LIST OF THE PROGRAMS (PLEASE SEE DESCRIPTIONS OF THE PROGRAMS BELOW) THAT WERE SUBSIDIZED BY THE HOSPITAL IN FY 2014: EXPENSE DIR. OFFSET NET COMMG) SUBSIDIZED HEALTH SERVICES7G ORTHOPEDIC BRACES TO PATIENTS AT NO COST 436,429 - 436,4297G COMMUNITY HEALTH SERVICES IN MISSION HILL BY DR. TSIKITAS 471,645 (240,710) 230,9367G PSYCHIATRIC CARE & COUNSELING 114,913 - 114,9137G COMMUNITY HEALTH SERVICES IN HYDE PARK BY DR. TALALAYEVSKY 520,976 (336,743) 184,233 AMBULATORY CARE UNIT 3,481,408 1,949,884) 1,531,524 5,025,372 (2,527,337) 2,498,035ORTHOPEDIC BRACES PROVIDED TO PATIENTS AT NO COSTAS A CENTER OF ORTHOPEDIC EXCELLENCE, NEBH IS A PLACE WHERE THE CARE AND COMFORT OF OUR PATIENTS EXTENDS BEYOND THEIR HOSPITAL VISIT. THE NEBH BRACE PROGRAM PROVIDES PATIENTS WITH THE CUSTOM DURABLE MEDICAL EQUIPMENT (DME) THEY NEED AFTER SURGERY OR HOSPITAL VISIT. EACH PATIENT NEED IS DIFFERENT AND THE PROGRAM IS DESIGNED TO BEST PROTECT, SUPPORT, AND REHABILITATE PATIENTS IN OUR COMMUNITY. COMMON NEEDS INCLUDE: AN ACU PATIENT NEEDING A CUSTOM CAST, WALKING BOOT, WALKER OR BRACE AFTER A FALL; A PATIENT REQUIRING A CUSTOMIZED ORTHOTIC FOR PROTECTION BEFORE GOING HOME AFTER SURGERY; OR A PATIENT CONTINUING REHABILITATION USING A CONTINUOUS PASSIVE MOTION DEVICES (CPM'S). THIS PROGRAM IS DESIGNED TO ALLOW OUR PATIENTS TO SAFELY EXIT THE HOSPITAL AND SUPPORT THEM AS THEY RETURN TO THEIR DAILY ROUTINES. IN FY 2014, THE BRACE PROGRAM REQUIRED A NET SUBSIDY OF $436K.COMMUNITY HEALTH SERVICES ON MISSION HILL & HYDE PARK.NEBH IS A REFERRAL AND APPOINTMENT BASED ORTHOPEDIC SPECIALTY HOSPITAL. IN FY 2014 TOTAL INPATIENT HOSPITAL ADMISSIONS WERE 7,986, OF WHICH 97% WERE FOR SURGICAL PROCEDURES - PRIMARILY HIP, KNEE, AND OTHER MUSCULOSKELETAL PROCEDURES; AND OUTPATIENT ACTIVITY WERE PREDOMINANTLY APPOINTMENT SURGERIES AND RELATED ANCILLARY VISITS TO RADIOLOGY, LAB, AND PHYSICAL THERAPY CLINICS. THE ACU, AS MENTIONED ABOVE, IS DESIGNED TO MEET THE URGENT CARE NEEDS NOT MET BY OUR APPOINTMENT BASED STRUCTURE. BEYOND URGENT CARE AND APPOINTMENT SURGERIES, THOUGH, THE HOSPITAL IDENTIFIED A NEED WITHIN ITS IMMEDIATE COMMUNITY FOR CONTINUING CARE. IN FY 2009, THE HOSPITAL HIRED A PRIMARY CARE PHYSICIAN WITH OFFICES ON MISSION HILL, DR. BILL TSIKITAS, TO PROVIDE THOSE IN THE MISSION HILL COMMUNITY WITH A FIRST CONTACT FOR UNDIAGNOSED HEALTH CONCERNS OR PREVENTIVE CARE NEEDS. SIMILARLY TO THE ACU, PATIENTS WITH CONDITIONS BEST SERVED BY OTHER HEALTH CARE ORGANIZATIONS ARE TRANSFERRED. HIS PRACTICE IS NOT DESIGNED OR MAINTAINED TO FIND AND REFER ORTHOPEDIC CASES. IN FY 2014, DR. TSIKITAS' PRACTICE REQUIRED A SUBSIDY $231K AND THE HOSPITAL EXPECTS A SIMILAR FINANCIAL LOSS IN FUTURE YEARS. BOSTON'S FOREIGN-BORN POPULATION HAS INCREASED BY ALMOST 50% OVER THE PAST TWENTY YEARS AND NOW MAKES UP AN ESTIMATED 28% OF THE POPULATION, WELL ABOVE THE STATE AND NATIONAL AVERAGES MAKING BOSTON ONE OF THE MOST DIVERSE CITIES IN THE UNITED STATES. THE ORIGIN OF THESE RECENT IMMIGRANTS IS INCREDIBLY DIVERSE: NO SINGLE COUNTRY OF ORIGIN REPRESENTS MORE THAN 10% OF THIS FOREIGN-BORN POPULATION AND IT IS ESTIMATED THAT THERE ARE OVER 140 DIFFERENT LANGUAGES SPOKEN IN BOSTON HOMES. SETTLEMENT OF RECENT IMMIGRANTS IS SIMILARLY DIVERSE, AS EVERY BOSTON NEIGHBORHOOD HAS SEEN ITS FOREIGN-BORN POPULATION GROW AT HIGHER RATES THAN THE GENERAL POPULATION. HYDE PARK, A NEIGHBORHOOD AT THE SOUTHERN EDGE OF BOSTON (APPROXIMATELY A FIFTEEN MINUTE DRIVE FROM NEBH) HAS EXPERIENCED SIMILAR GROWTH IN DIVERSITY. NEBH HAS SINCE FY 2005 SUBSIDIZED THE PRACTICE OF DR. GREGORY TALALAYEVSKY, A RUSSIAN-SPEAKING PRIMARY CARE PHYSICIAN, TO THE MEET THE UNIQUE NEEDS OF THAT COMMUNITY. DR. TALALAYEVSKY SMALL PRACTICE HAS A STEADY PATIENT BASE OF THE ELDERLY AND RUSSIAN-SPEAKING POPULATION IN HYDE PARK. THESE PATIENTS AND OTHER NON-PROFITS OR GOVERNMENT AGENCIES WOULD SUFFER UNWANTED BURDENS IF HIS PRACTICE WERE TO CLOSE. IN FY 2014, DR. TALALAYEVSKY'S PRACTICE REQUIRED A SUBSIDY $184K AND THE HOSPITAL EXPECTS A SIMILAR FINANCIAL LOSS IN FUTURE YEARS.PASTORAL & PSYCHIATRIC CARE NEBH OFFERS MINISTRY SERVICES AND IS FULLY ACCREDITED THROUGH THE ASSOCIATION OF CLINICAL PASTORAL EDUCATION. CHAPLAINS, LED BY DR. KEN LARSEN, PROVIDE SPIRITUAL COUNSELING UPON REQUEST. A FULL CHAPEL IS OPEN TO ALL VISITORS, PATIENTS, AND EMPLOYEES, AS WELL AS PRAYER ROOM LOCATED NEXT TO THE INTENSIVE CARE UNIT (ICU). ADDITIONALLY, DR. LARSEN AND HIS STAFF OFFER PASTORAL AND PSYCHIATRIC CARE TO PATIENTS AND FAMILIES, SUPPORTING THEIR EMOTIONAL WELL-BEING WHILE THEY RECOVER PHYSICALLY. NEBH STANDARD PSYCHIATRIC CARE INCLUDES EVALUATIONS DURING PRE-ADMISSION SCREENING, MONITORING OF PATIENTS DURING PRE & POST-OPERATIVE PERIODS, AND FOR CERTAIN PATIENTS, SUPPORT DURING DETOXIFICATION AND MANAGEMENT OF PAIN. THE HOSPITAL OFFERS THESE PASTORAL AND PSYCHIATRIC SERVICES WITHOUT REIMBURSEMENT, FOR THE WELL-BEING OF ITS PATIENTS, THEIR FAMILIES, AND OUR COMMUNITY. IN FY 2014, THESE SERVICES REQUIRED A SUBSIDY $115K AND THE HOSPITAL EXPECTS A SIMILAR FINANCIAL LOSS IN FUTURE YEARS.AMBULATORY CARE UNIT (ACU)NEW ENGLAND BAPTIST HOSPITAL PROVIDES AN AMBULATORY CARE UNIT (ACU) DESPITE IT GENERATING A NET FINANCIAL LOSS FOR THE ORGANIZATION. THESE SERVICES ARE OFFERED FOR THE BENEFIT OF OUR COMMUNITY: IF NEBH DISCONTINUED THESE SERVICES, THEN OTHER COMMUNITY NOT-FOR-PROFIT ORGANIZATIONS OR GOVERNMENT AGENCIES WOULD BEAR THE ADDITIONAL BURDEN OF COVERAGE AND SERVICE.ALTHOUGH NEBH IS NOT LICENSED TO OPERATE AN EMERGENCY DEPARTMENT, NEBH STILL PROVIDES CARE TO ALL WHO NEED URGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. NEBH OPERATES AN AMBULATORY CARE UNIT (ACU) WHICH FUNCTIONS AS AN URGENT CARE CLINIC. TRIAGE AND ASSESSMENT OF A PATIENT'S CONDITION IS AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK REGARDLESS OF THE ACU'S HOURS OF OPERATION. THE ACU OPERATES TREATMENT HOURS 7 DAYS A WEEK, WITH EARLY MORNING, FULL DAY AND EVENING HOURS ON ALL DAYS, TO ACCOMMODATE AS MANY PATIENTS AS POSSIBLE. WHERE A PATIENT COMES TO NEBH IN NEED OF URGENT CARE AFTER ACU HOURS, CARE IS STILL PROVIDED. NO PATIENT IS TURNED AWAY WITHOUT CARE. AFTER ACU HOURS, THE PATIENT IS SEEN AND THEIR MEDICAL CONDITION ASSESSED TO DETERMINE WHETHER THEY CAN BE TREATED AT NEBH OR WHETHER THEIR CONDITION WOULD REQUIRE A TRANSFER TO BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC), A RELATED TERTIARY CARE ACADEMIC MEDICAL CENTER AND ORGANIZATION EXEMPT FROM INCOME TAXATION UNDER INTERNAL REVENUE CODE SECTION 501(C) (3) OF 1986, AS AMENDED, WHICH IS LOCATED JUST MILES AWAY FROM NEBH. ALL PATIENTS WHO COME TO NEBH, AND WHO CAN BE ADEQUATELY TREATED AT NEBH, ARE TREATED AND NOT TRANSFERRED, REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR CARE. SINCE CARE IS NOT CONDITIONAL ON AVAILABLE BUDGET OR OTHERWISE RATIONED, THE ACU MAY RUN A DEFICIT. IN FY 2014, THE SHORTFALL WAS $1,531K. SCHEDULE H, PART VI, LINE 1: PART I, LINE 7(H): RESEARCHTHE NEBH DIVISION OF RESEARCH SUPPORTS EXISTING RESEARCH GROUPS WITHIN AND OUTSIDE OF THE HOSPITAL IN CLINICAL, TRANSACTIONAL, AND PATIENT-CENTERED RESEARCH, WITH A FOCUS ON THREE KEY AREAS: JOINT REPLACEMENT, OSTEOARTHRITIS, AND SPINE RESEARCH. EACH YEAR, THE DIVISION OF RESEARCH HOSTS A SYMPOSIUM WHERE RESEARCH PRINCIPAL INVESTIGATORS SHARE THEIR KNOWLEDGE TO THE PUBLIC. NEBH RESEARCH IS PREDOMINANTLY SELF-FUNDED. SCHEDULE H,PART VI, LINE 1:PART III, LINE 4 AUDITED FINANCIALS FOOTNOTE FOR BAD DEBT EXPENSETHE AUDITED FINANCIAL STATEMENTS OF NEW ENGLAND BAPTIST HOSPITAL (HOSPITAL) INCLUDE THE HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, OF WHICH NEBH IS ITS SOLE MEMBER. FOOTNOTE 3 (INCLUDED IN ITS ENTIRETY BELOW) OF THOSE STATEMENTS DESCRIBE AND DETAIL FY 2014 BAD DEBT EXPENSE.THE HOSPITAL RECORDS BAD DEBTS IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. AS SUCH, THE EXPENSE REPRESENTS THE EXPECTED LOST REVENUE RATHER THAN THE FULL CHARGES OR AT COST.(3)COMMUNITY SERVICE AND UNCOMPENSATED CARETHE COST OF THE CORPORATION'S UNREIMBURSED CHARITY AND OTHER UNCOMPENSATED CARE CONSISTED OF THE FOLLOWING (IN THOUSANDS): YEAR ENDED SEPTEMBER 30 2014 2013UNREIMBURSED CHARITY CARE-AT COST $166 $105UNCOMPENSATED CARE EXPENSE $2,607 $3,094TOTAL $2,773 $3,199(A)UNREIMBURSED CHARITY CARETHE CORPORATION PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES, TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY.BECAUSE THE CORPORATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE EXCEPT TO THE EXTENT REIMBURSED BY THE STATEWIDE HEALTH SAFETY NET (HSN).THE AMOUNT OF CHARITY CARE AT ESTABLISHED CHARGES, AND THE ESTIMATED COST OF UNREIMBURSED CHARITY CARE PROVIDED BY THE CORPORATION, IS COMPRISED OF THE COMPONENTS LISTED BELOW (IN THOUSANDS): YEAR ENDED SEPTEMBER 30 2014 2013CHARITY CARE- AT ESTABLISHED CHARGES $280 $184ESTIMATED COST OF CHARITY CARE $166 $105THE CORPORATION ALSO PROVIDES FOR THE DELIVERY OF CHARITY CARE TO THE INDIGENT STATEWIDE THROUGH PAYMENTS TO THE HSN THAT IS OPERATED BY THE COMMONWEALTH OF MASSACHUSETTS. IN ADDITION, THE CORPORATION PROVIDES SERVICES THAT WERE NOT PAID BY PATIENTS AND, THEREFORE, ARE RECORDED AS BAD DEBTS. THE CORPORATION HAS REPORTED ITS GROSS OBLIGATION TO THE HSN FOR THE DELIVERY OF CHARITY CARE TO THE INDIGENT STATEWIDE AND BAD DEBTS AMOUNTING TO $1,672 AND $1,624 AT SEPTEMBER 30, 2014 AND 2013, RESPECTIVELY, WHICH IS REFLECTED AS UNCOMPENSATED CARE EXPENSE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS. SCHEDULE H, PART V, LINE 1: PART III, SECTION B, LINE 8 MEDICARE SHORTFALL AND COSTING METHODOLOGYMEDICAL SHORTFALLTHE HOSPITAL MAY ON OCCASION REPORT A SHORTFALL RELATED TO ITS CARE OF MEDICARE PATIENTS. THIS SHORTFALL CAN BE CONSIDERED A COMMUNITY BENEFIT DUE TO ONE OR MORE OF THE FOLLOWING REASONS:- IRS REV. RUL. 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT.- MEDICARE IS THE LARGEST PAYER FOR THE HOSPITAL AND ITS COMMUNITY. THE HOSPITAL MUST ACCEPT THESE PATIENTS REGARDLESS OF WHETHER THEY MAKE A SURPLUS OR DEFICIT FROM PROVIDING SUCH SERVICES. IF THE MEDICARE PARTICIPATION IS PREMISED ON THIS FACT, THEN PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH IS A COMMUNITY BENEFIT.- IN OUR COMMUNITY, MANY LOW INCOME INDIVIDUALS RECEIVE MEDICARE BENEFITS.- THE ELDERLY ARE OFTEN AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE SERVICES, CMS WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY.MEDICARE COSTING METHODOLOGYTHE HOSPITAL USES THE COST TO CHARGE RATIO AS COMPUTED IN ITS FY 2014 MEDICARE COST REPORT FILING FOR AMOUNTS REPORTED IN PART III, SECTION B OF THIS TAX RETURN. SCHEDULE H, PART VI, LINE 1: PART III, LINE 9B: BILLING & COLLECTION PRACTICESDOES THE ORGANIZATIONS COLLECTION POLICY CONTAIN PROVISIONS FOR PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OF FINANCIAL ASSISTANCE?YES. PLEASE SEE SECTION IV OF THE HOSPITAL'S CREDIT & COLLECTION POLICY, INCLUDED IN ITS ENTIRETY IN THE RESPONSE TO PART V, LINES 15 - 18. THIS SECTION DESCRIBES THE OVERALL HOSPITAL POLICIES AND PRACTICES, INCLUDING SPECIFIC GUIDANCE FOR LOW INCOME AND CHARITY CARE PATIENTS. SCHEDULE H, PART VI, LINE 1: PART V, SECTION A: FACILITY INFORMATION:NEW ENGLAND BAPTIST HOSPITAL IS AN ACUTE CARE MEDICAL / SURGICAL HOSPITAL WITH A HARVARD MEDICAL SCHOOL AFFILIATED TEACHING PROGRAM IN THE AREAS OF ORTHOPEDICS AND RADIOLOGY. ALTHOUGH NEBH IS NOT LICENSED TO OPERATE AN EMERGENCY DEPARTMENT, NEBH STILL PROVIDES CARE TO ALL WHO NEED URGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. SCHEDULE H, PART VI: LINE 1 & 2, PART V, SECTION B, LINES 1-9 NEEDS ASSESSMENTCOMMUNITY 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. NEW ENGLAND BAPTIST HOSPITAL COMPLETED ITS MOST RECENT NEEDS ASSESSMENT IN JUNE 2013. THE NEEDS ASSESSMENT AND ACCOMPANYING IMPLEMENTATION PLAN WERE APPROVED BY THE NEBH BOARD OF DIRECTORS ON OR BEFORE SEPTEMBER 30, 2013. AS DESCRIBED IN DETAIL IN THIS SUPPORTING NARRATIVE TO THE FORM 990 SCHEDULE H, NEBH IS DEEPLY DEDICATED TO ITS COMMUNITY BENEFITS OPERATIONS AND TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES. HOWEVER, AS NOTED IN SCHEDULE H, PART V, SECTION B, QUESTION 7, THERE WERE SOME NEEDS IDENTIFIED IN THE CHNA THAT ARE NOT INCLUDED IN THE CHIP. THE HOSPITAL IS AN ORTHOPEDIC SPECIALTY-REFERRAL HOSPITAL FOR THE NEW ENGLAND REGION. IT IS NOT A FULL-SERVICE COMMUNITY HOSPITAL. BECAUSE OF THIS, AND TO AVOID DUPLICATION OF SERVICES, THE HOSPITAL IDENTIFIED RESOURCES AND STRENGTHS IN ITS SPECIALTY AREAS. SIMILAR TO THE COMMUNITY NEEDS ASSESSMENT PROCESS, THE HOSPITAL EVALUATED RESOURCES AND STRENGTHS OF ITS SPECIALTY AREAS AND THEN SOUGHT OUT COMMUNITY PARTNERS FOR EACH AREA TO HELP DEVELOP AND IMPLEMENT PLANS AND PROJECTS ACCORDING TO COMMUNITY NEED. 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.CHRONIC DISEASE: NEW ENGLAND BAPTIST HOSPITAL IS FULLY ENGAGED THROUGH ITS AFFILIATIONS WITH OTHER HOSPITALS, CLINICS AND PHYSICIAN GROUPS WHO HAVE SIGNIFICANT EXPERTISE IN CHRONIC DISEASE MANAGEMENT TO ENSURE THAT THE NEEDS OF OUR COMMUNITY ASSOCIATED WITH DIABETES, CONGESTIVE HEART FAILURE, ETC., ARE MET. MATERNAL HEALTH: NEW ENGLAND BAPTIST DOES NOT PROVIDE MATERNAL AND CHILD HEALTH. THE COMMUNITY IS SURROUNDED BY MEDICAL INSTITUTIONS THAT OFFER THESE SERVICES.AS NOTED IN DETAIL ABOVE, THE NEBH'S PRIMARY TOOL FOR ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED IS THROUGH THE CHNA AND CHIP (SCHEDULE H PART VI QUESTION 2), HEREIN DESCRIBED. COMMUNITY HEALTH NEEDS ASSESSMENT - TARGETED GEOGRAPHY & POPULATION- NEBH'S PRIMARY SERVICE AREA SPANS GREATER BOSTON AND BEYOND- NEBH'S COMMUNITY BENEFIT SERVICE AREA INCLUDES MISSION HILL AND PARTS OF ROXBURY AND JAMAICA PLAINCOMMUNITY HEALTH NEEDS ASSESSMENT - APPROACH & METHODSNEBH IS COMMITTED TO COLLABORATING WITH COMMUNITY PARTNERS AND RESIDENTS FROM ACROSS BOSTON TO IDENTIFY AREAS OF SPECIAL NEED AND IMPROVE THE OVERALL HEALTH OF THE REGION. NEBH WORKS WITH ALL SEGMENTS OF THE POPULATION BUT IN RECOGNITION OF ITS STRONG TIES TO ITS SURROUNDING COMMUNITY AND ITS SPECIFIC CLINICAL EXPERTISE, NEBH FOCUSES ITS COMMUNITY BENEFIT EFFORTS ON IMPROVING THE HEALTH AND WELL-BEING OF THE LOW INCOME, UNDERSERVED POPULATIONS LIVING IN MISSION HILL AND ROXBURY AND ON MUSCULOSKELETAL HEALTH. NEBH CURRENTLY OPERATES NUMEROUS EDUCATIONAL, OUTREACH, AND COMMUNITY-STRENGTHENING INITIATIVES, COLLABORATES WITH MANY OF THE COMMUNITY'S LEADING SERVICE ORGANIZATIONS. THE HOSPITAL CONTRIBUTES OVER $2.5 MILLION ANNUALLY TO SUPPORT ITS COMMUNITY BENEFIT COMMITMENTS AND THE MASSACHUSETTS UNCOMPENSATED CARE POOL. NEBH IS EAGER TO EXPLORE WAYS THAT IT CAN FURTHER ENGAGE AND ENRICH ITS CONNECTIONS TO THE COMMUNITY.THIS REPORT AND ASSOCIATED COMMUNITY HEALTH IMPROVEMENT PLAN IS THE CULMINATION OF FOUR MONTHS OF WORK. THIS PROJECT WAS BORNE LARGELY OUT OF NEBH'S DESIRE TO BETTER UNDERSTAND AND ADDRESS THE HEALTH-RELATED NEEDS OF THOSE LIVING IN ITS SURROUNDING COMMUNITY. HOWEVER, THE PROJECT ALSO FULFILLS LONG-STANDING REQUIREMENTS OF THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE AND A NEW FEDERAL INTERNAL REVENUE SERVICE (IRS) REQUIREMENTS, WHICH MANDATE THAT ALL NONPROFIT HOSPITALS CONDUCT A PERIODIC COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND STRATEGIC PLANNING PROCESS. THE COMMONWEALTH REQUIRES NONPROFIT HOSPITALS AND MANAGED CARE ORGANIZATIONS TO UPDATE THEIR CHNAS EVERY YEAR AND THE IRS REQUIRES THAT A CHNA BE CONDUCTED EVERY THREE YEARS. MORE SPECIFICALLY, THE COMMONWEALTH AND IRS REGULATIONS REQUIRE THAT NEBH ASSESS COMMUNITY HEALTH NEED, ENGAGE THE COMMUNITY, IDENTIFY PRIORITY HEALTH ISSUES, AND CREATE A COMMUNITY HEALTH STRATEGY THAT DESCRIBES HOW THE HOSPITAL, IN COLLABORATION WITH THE COMMUNITY AND LOCAL HEALTH DEPARTMENT, WILL ADDRESS THE NEEDS AND THE PRIORITIES IDENTIFIED BY THE ASSESSMENT.IN LIGHT OF THESE REQUIREMENTS, NEBH HIRED JOHN SNOW, INC. (JSI), A NATIONALLY RECOGNIZED PUBLIC HEALTH CONSULTING FIRM, TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOCUSING ON MISSION HILL AND ROXBURY, ITS PRIMARY SERVICE AREA WITH RESPECT TO ITS COMMUNITY BENEFIT INITIATIVES. THE OVERALL GOAL OF THE ASSESSMENT WAS TO COMPILE INFORMATION FROM A RANGE OF QUANTITATIVE AND QUALITATIVE SOURCES TO CLARIFY THE HEALTH CARE NEEDS AND PRIORITIES OF COMMUNITY RESIDENTS AND ASSESS THE OVERALL STRENGTHS AND WEAKNESSES OF THE AREA'S HEALTH AND SOCIAL SERVICE SYSTEMS. ULTIMATELY, THE PURPOSE OF THE ASSESSMENT WAS TO FACILITATE THE DEVELOPMENT OF A STRATEGIC PLAN THAT WOULD GUIDE HOW NEBH WOULD WORK WITH STAKEHOLDERS IN MISSION AND HILL AND ROXBURY TO STRENGTHEN THE COMMUNITY AND IMPROVE HEALTH STATUS MOVING FORWARD. THE CHNA WAS CONDUCTED IN THREE PHASES:- PHASE I: THE JSI PROJECT TEAM CONDUCTED A PRELIMINARY NEEDS ASSESSMENT THAT RELIED HEAVILY ON QUANTITATIVE HEALTH-RELATED DATA DRAWN FROM THE MASSACHUSETTS COMMUNITY HEALTH INFORMATION PROFILE (MASSCHIP) SYSTEM AS WELL AS OTHER NATIONAL, STATE, AND LOCAL SOURCES. THESE DATA ALLOWED THE JSI PROJECT TEAM TO UNDERSTAND THE UNDERLYING CHARACTERISTICS OF AREA RESIDENTS AND IDENTIFY THE SPECIFIC SEGMENTS OF THE COMMUNITY MOST AT-RISK. - PHASE II: JSI CONDUCTED A SERIES OF INTERVIEWS WITH KEY STAKEHOLDERS AND TWO FOCUS GROUPS WITH COMMUNITY MEMBERS. THE FOCUS GROUPS HELPED THE JSI PROJECT TEAM TO ENGAGE THE COMMUNITY AND BETTER UNDERSTAND THEIR HEALTH STATUS, HEALTH-SEEKING BEHAVIORS, SERVICE GAPS, HEALTH-RELATED CHALLENGES, AND PRIORITIES. - PHASE III: CHRISTINE DWYER, DIRECTOR OF PUBLIC AFFAIRS AND COMMUNITY RELATIONS, AND BETH GREENSPAN, VICE PRESIDENT, CHIEF STRATEGY OFFICER, WORKED WITH JSI TO INTEGRATE THE CHNA'S FINDINGS, INCLUDING FEEDBACK FROM NEBH STAFF AND THE COMMUNITY, AND DEVELOPED NEBH'S COMMUNITY HEALTH IMPROVEMENT PLAN. IN PHASE III, JSI ALSO DEVELOPED A FINAL CHNA REPORT, OBTAINED APPROVAL FOR ITS COMMUNITY HEALTH IMPROVEMENT PLAN FROM NEBH'S BOARD OF TRUSTEES, AND DISSEMINATED THE RESULTS OF THE PROJECT TO INTERNAL AND EXTERNAL STAKEHOLDERS.THE CHNA UTILIZED A PARTICIPATORY, COLLABORATIVE APPROACH TO LOOK AT HEALTH IN ITS BROADEST CONTEXT. AS NOTED ABOVE, THE ASSESSMENT PROCESS INCLUDED SYNTHESIZING EXISTING DATA ON SOCIAL, ECONOMIC, AND HEALTH INDICATORS IN THE REGION AS WELL AS INFORMATION FROM COMMUNITY DIALOGUES CONDUCTED WITH COMMUNITY RESIDENTS, AND INTERVIEWS WITH COMMUNITY STAKEHOLDERS. (SCHEDULE H, PART V, SECTION B, QUESTION 3). NEBH CONDUCTED THIS CHNA PROCESS INDEPENDENTLY AS REPORTED IN SCHEDULE H, PART V, SECTION B, QUESTION 4.COMMUNITY HEALTH NEEDS ASSESSMENT - KEY FINDINGSTHE FOLLOWING ARE KEY FINDINGS RELATED TO COMMUNITY CHARACTERISTICS AND THE DETERMINANTS OF HEALTH FOR NEBH'S COMMUNITY BENEFIT SERVICE AREA. SINCE MISSION HILL IS THE DOMINANT GEOGRAPHY IN NEBH'S COMMUNITY BENEFIT SERVICE AREA, THE FOCUS OF THIS SUMMARY IS ON MISSION HILL AS COMPARED TO ROXBURY AND BOSTON OVERALL- AGE: MISSION HILL'S POPULATION HAS LARGER PROPORTIONS OF OLDER ADULTS (65+) AND SMALLER PROPORTIONS OF CHILDREN (<18) THAN THE POPULATIONS IN ROXBURY AND BOSTON OVERALL. WITH RESPECT TO AGE, THE MOST STRIKING FINDING IS THE EXTREMELY LARGE PROPORTION OF YOUNG ADULTS (COLLEGE STUDENTS) THAT RESIDE IN MISSION HILL COMPARED TO ROXBURY AND BOSTON OVERALL, WHICH SKEWS THE AGE DISTRIBUTION. MORE THAN 40% (40.2%) OF MISSION HILL'S POPULATION IS BETWEEN 18 AND 24 YEARS OLD, COMPARED TO 16.4 FOR ROXBURY AND 19.0% FOR BOSTON OVERALL. SCHEDULE H, PART VI: LINE 1 & 2, PART V, SECTION B, LINES 1-9 NEEDS ASSESSMENT CONTINUED- RACE/ETHNICITY, FOREIGN BORN STATUS, AND LANGUAGE: THE PROPORTION OF RACIAL/ETHNIC MINORITY POPULATIONS IN MISSION HILL IS HIGH RELATIVE TO THE COMMONWEALTH OF MASSACHUSETTS OVERALL BUT MIRRORS THE PROPORTIONS IN BOTH ROXBURY AND BOSTON OVERALL. HOWEVER, THE SPECIFIC CHARACTERISTICS OF THE RACIAL/ETHNIC MINORITY POPULATION IN MISSION HILL ARE VERY DIFFERENT. IN MISSION HILL THERE ARE MUCH LARGER PERCENTAGES OF ASIAN RESIDENTS AND SMALLER PROPORTIONS OF AFRICAN AMERICAN AND HISPANIC RESIDENTS COMPARED TO ROXBURY. ACROSS MISSION HILL, ROXBURY,AND BOSTON OVERALL. HOWEVER, THE SPECIFIC CHARACTERISTICS OF THE RACIAL/ETHNIC MINORITY POPULATION IN MISSION HILL ARE VERY DIFFERENT. IN MISSION HILL THERE ARE MUCH LARGER PERCENTAGES OF ASIAN RESIDENTS AND SMALLER PROPORTIONS OF AFRICAN AMERICAN AND HISPANIC RESIDENTS COMPARED TO ROXBURY. ACROSS MISSION HILL, ROXBURY, AND BOSTON OVERALL, MORE THAN ONE-THIRD OF THE POPULATIONS ARE FOREIGN BORN AND MORE THAN ONE-THIRD OF THE POPULATIONS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THERE ARE CLEAR AND WELL-RECOGNIZED HEALTH DISPARITIES AMONG RACIAL/ETHNIC MINORITY AND FOREIGN POPULATIONS COMPARED TO THE MAJORITY NON-HISPANIC WHITE POPULATION. IN ADDITION, THERE ARE SIGNIFICANT HEALTH LITERACY ISSUES AMONG RACIAL/ETHNIC MINORITIES, PARTICULARLY WITH FOREIGN-BORN POPULATIONS AND FOR THOSE WITH LIMITED ABILITY TO SPEAK ENGLISH. - INCOME/POVERTY: LARGE PROPORTIONS OF THE POPULATIONS IN MISSION HILL AND ROXBURY LIVE IN POVERTY (< 100% OF THE FEDERAL POVERTY LEVEL - FPL) OR LOW-INCOME HOUSEHOLDS (< 200% FPL) AND STRUGGLE TO PAY FOR FOOD AND OTHER BASIC HOUSEHOLD ITEMS. IN MISSION HILL 39% OF THE HOUSEHOLDS ARE LIVING IN POVERTY, COMPARED TO 35% IN ROXBURY, AND 21% IN BOSTON OVERALL. THE SIGNIFICANT AND NEGATIVE IMPACTS OF POVERTY WERE ALSO DISCUSSED IN NEARLY ALL OF INTERVIEWS AND IN EACH FOCUS GROUP. THE MISSION HILL FIGURES ARE SOMEWHAT SKEWED BY THE LARGE NUMBERS OF COLLEGE STUDENTS THAT LIVE IN THE AREA AND DO NOT HAVE A REGULAR INCOME. IF THESE YOUNG ADULTS LIVING IN NON-FAMILY HOUSEHOLDS ARE TAKEN OUT OF THE ANALYSIS, MISSION HILL FAIRS SLIGHTLY BETTER THAN ROXBURY. HOWEVER, POVERTY AND ITS IMPACTS ARE STILL MAJOR ISSUE FOR MISSION HILL'S FAMILIES AND OTHER MORE PERMANENT RESIDENTS. - EDUCATION: COMPARED TO BOSTON, RESIDENTS OF MISSION HILL ARE LESS LIKELY TO HAVE A HIGH SCHOOL DIPLOMA. COMPARED TO ROXBURY, HOWEVER, MISSION HILL RESIDENTS ARE MORE LIKELY TO HAVE A HIGH SCHOOL DIPLOMA. ONCE AGAIN, THIS DATA IS SKEWED BY THE HIGH NUMBER OF TRANSIENT YOUNG ADULT RESIDENTS WHO ATTEND BOSTON'S MANY UNIVERSITIES AND COLLEGES AND LIVE IN MISSION HILL.- LACK OF EMPLOYMENT, THE ECONOMIC DOWNTURN, AND ITS IMPACTS: WHILE MISSION HILL RESIDENTS APPEAR BETTER OFF THAN RESIDENTS OF ROXBURY ON THIS ISSUE, A LARGE PROPORTION OF THE MISSION HILL POPULATION ARE EITHER UNEMPLOYED OR DO NOT CONSIDER THEMSELVES PART OF THE WORKFORCE. THE UNEMPLOYMENT RATE IN MISSION HILL FOR PEOPLE OVER THE AGE OF 16 YEARS OLD IS JUST 8.1%, COMPARED TO 16.5% IN ROXBURY AND 10.2% IN BOSTON OVERALL. HOWEVER, IN ORDER TO GET A CLEAR PICTURE OF THIS ISSUE ONE MUST ALSO CONSIDER THE NUMBER AND PROPORTION OF THE POPULATION WHO DO NOT CONSIDER THEMSELVES PART OF THE WORKFORCE. IN MISSION HILL NEARLY 40% (5,873) OF THE 16-YEAR-OLD-AND-OVER POPULATION DOES NOT CONSIDER ITSELF TO BE PART OF LABOR FORCE, WHICH MEANS THAT 41% (5,873) OF THE TOTAL POPULATION IS NOT EMPLOYED. VIEWED IN THIS MANNER, MISSION HILL IS STILL BETTER OFF THAN ROXBURY BUT NOT NEARLY TO THE EXTENT THAT UNEMPLOYMENT FIGURES ALONE SUGGEST. IN ROXBURY, 51% (17,837) OF THE POPULATION IS NOT EMPLOYED AND IN BOSTON OVERALL THE FIGURE, NOT SURPRISINGLY, IS MUCH LOWER AT 38% (199,006). UNEMPLOYMENT AND THE IMPACT THAT THE ECONOMIC DOWNTURN HAS HAD ON THE MISSION HILL COMMUNITY OVER THE PAST 3-5 YEARS WAS ONE OF THE DOMINANT, IF NOT THE MOST DOMINANT, THEMES IN THE INTERVIEWS AND FOCUS GROUPS. LACK OF EMPLOYMENT OPPORTUNITIES FOR MISSION HILL'S YOUTH AND ADULTS HAS GREATLY IMPACTED THEIR ABILITY TO PROVIDE FOOD AND OTHER BASIC HOUSEHOLD ITEMS, TO SAY NOTHING OF OTHER COMFORTS THAT MANY TAKE FOR GRANTED. THESE ISSUES HAVE ALSO IMPACTED PEOPLE'S EMOTIONAL HEALTH AND LED TO ISOLATION, PARTICULARLY FOR OLDER ADULTS ON LIMITED FIXED INCOMES. CERTAINLY, POVERTY, UNEMPLOYMENT, ISOLATION, AND EMOTIONAL WELL-BEING ARE IMPORTANT DETERMINANTS OF HEALTH AND WELLNESS. - FOOD INSECURITY: ANOTHER DOMINANT THEME FROM THE INTERVIEWS AND FOCUS GROUPS WAS THE LACK OF ACCESS TO AFFORDABLE, HEALTHY FOODS. INTERVIEWEES AND FOCUS GROUP PARTICIPANTS DISCUSSED THE FACT THAT THERE ARE FEW PLACES FOR RESIDENTS OF MISSION HILL AND ROXBURY TO BUY REASONABLY PRICED FRESH VEGETABLES AND OTHER NUTRITIONAL FOODS. PARTICIPANTS ALSO SPOKE OF THE HIGH PRICES AND LACK OF FRESH VEGETABLES AT THE LARGE, LOCAL GROCERY STORES IN THE AREA AND THE LONG DISTANCES THAT THEY HAD TO TRAVEL TO ACCESS MORE AFFORDABLE HEALTHY FOOD OPTIONS.- TRANSPORTATION: GIVEN THE STEEP AND HILLY LANDSCAPE OF MISSION HILL, TRANSPORTATION WAS SEEN AS A MAJOR BARRIER AND DETERMINANT OF HEALTH AND WELL-BEING. LACK OF TRANSPORTATION WAS A LEADING THEME FROM THE ASSESSMENT INTERVIEWEES AND FOCUS GROUP PARTICIPANTS, ESPECIALLY FOR OLDER ADULT AND LOW-INCOME RESIDENTS LACKING A PERSONAL VEHICLE. INTERVIEWEES AND FOCUS GROUP PARTICIPANTS DISCUSSED CHALLENGES RELATED TO NAVIGATING THE HILLY TERRAIN ON MISSION HILL, THE ISOLATION THAT THOSE WITHOUT A PERSONAL CAR EXPERIENCED, THE NECESSITY FOR MANY TO TRAVEL OUTSIDE THE MISSION HILL AREA TO FIND AFFORDABLE FOOD AND OTHER BASIC ITEMS, AND THE IMPORTANCE OF THE MISSION LINK PUBLIC TRANSPORTATION SERVICE. - ACCESS TO RECREATIONAL FACILITIES: DESPITE THE DENSITY OF THE MISSION HILL COMMUNITY, ACCESS TO RECREATIONAL FACILITIES AND OPEN SPACES IS ONE OF MISSION HILL'S ASSETS. THERE ARE A NUMBER OF PARKS, RECREATIONAL AREAS, AND INDOOR COMMUNITY CENTERS. AS WILL BE DISCUSSED LATER IN THE REPORT, A HIGH PROPORTION OF THE POPULATION IS OVERWEIGHT AND DOES NOT GET REGULAR PHYSICAL EXERCISE, BUT NOT NECESSARILY BECAUSE RECREATIONAL FACILITIES OR OPEN SPACES ARE IN SHORT SUPPLY. - VIOLENCE: RATES OF HOMICIDE AND NON-FATAL GUNSHOT WOUNDS SEEN IN THE CITY'S HOSPITAL EMERGENCY DEPARTMENTS ARE CONSIDERABLY HIGHER IN ROXBURY (INCLUDING MISSION HILL) THAN IN BOSTON OVERALL. WHILE THERE WAS A CLEAR CONSENSUS AMONG INTERVIEWEES AND FOCUS GROUP PARTICIPANTS THAT THIS ISSUE HAD IMPROVED DRAMATICALLY OVER THE PAST 2 DECADES AND THAT MISSION HILL WAS CONSIDERABLY SAFER THAN ROXBURY OVERALL, THIS GROUP AGREED THAT VIOLENCE STILL HAD A MAJOR IMPACT ON THE COMMUNITY. VIOLENCE NEGATIVELY AFFECTS THE HEALTH OF THOSE DIRECTLY INVOLVED BUT ALSO HAS MAJOR NEGATIVE EMOTIONAL EFFECTS ON THOSE WHO ARE INDIRECTLY INVOLVED AND THE COMMUNITY MORE BROADLY. THESE IMPACTS INCLUDE MENTAL HEALTH ISSUES, ISOLATION, AND LACK OF COMMUNITY COHESION. NEARLY EVERYONE WHO WAS INTERVIEWED OR INVOLVED IN FOCUS GROUPS DISCUSSED THE IMPACTS OF VIOLENCE AND ITS ASSOCIATED TRAUMA, PARTICULARLY ON THE AREA'S YOUTH AND THEIR FAMILIES. NEARLY EVERYONE WE TALKED WITH SAID THAT THEY KNEW SOMEONE WHO HAD BEEN IMPACTED DIRECTLY BY VIOLENCE AND UNDERSTOOD FIRST-HAND THE TOLL IT TOOK ON THE COMMUNITY. COMMUNITY HEALTH NEEDS ASSESSMENT - COMMUNITY HEALTH PRIORITIESTHE CHNA'S APPROACH PROVIDED AMPLE OPPORTUNITY TO VET THE QUANTITATIVE AND QUALITATIVE DATA COMPILED DURING THE ASSESSMENT. IN ADDITION, INTERVIEW AND FOCUS GROUP PARTICIPANTS WERE ASKED WHAT THEY PERCEIVED TO BE THE LEADING COMMUNITY HEALTH PRIORITIES. ULTIMATELY, THERE WAS LITTLE DEBATE THAT THE MOST SIGNIFICANT HEALTH-RELATED ISSUE FACING THE COMMUNITIES SURROUNDING NEBH WAS THE BROADER 1) SOCIAL AND ECONOMIC DETERMINANTS (E.G., POVERTY, UNEMPLOYMENT, FOOD INSECURITY, VIOLENCE, TRANSPORTATION), WHICH PREVENT MANY RESIDENTS, PARTICULARLY LOW INCOME, RACIAL/ETHNIC MINORITY, AND OLDER ADULT RESIDENTS FROM MAINTAINING A HEALTHY LIFESTYLE AND/OR ACCESSING THE REGULAR PREVENTIVE AND ACUTE HEALTH SERVICES THEY NEED. IN ADDITION TO THIS UNDERLYING PRIORITY, 2) ISSUES RELATED OBESITY, LACK OF PHYSICAL EXERCISE, AND POOR NUTRITION AS WELL AS THE CHRONIC DISEASES THAT ARE OFTEN ASSOCIATED WITH THESE FACTORS WERE SEEN AS ANOTHER PRIORITY. FINALLY, ISSUES RELATED TO 3) ELDER HEALTH (E.G., GENERAL HEALTH AND WELLNESS, FALLS PREVENTION, ISOLATION/DEPRESSION, OSTEOPOROSIS, CHRONIC DISEASE) WERE ALSO A PRIORITY. THIS IS PARTICULARLY TRUE IF ONE PRIORITIZES THE MORE PERMANENT RESIDENTS OF THE COMMUNITY, WHO ARE DISPROPORTIONATELY OLDER THAN THE COMMUNITY OVERALL. SCHEDULE H, PART VI: LINE 1 & 2, PART V, SECTION B, LINES 1-9 COMMUNITY HEALTH NEEDS ASSESSMENT - IMPROVEMENT PLAN - PRIORITY AREA # 1 : SOCIAL & ECONOMIC DETERMINANTS OF HEALTHA. INCREASE ACCESS TO HEALTHY FOODS AND OTHER BASIC HOUSEHOLD NEEDS- TARGET POPULATION: LOW-INCOME INDIVIDUALS AND FAMILIES- PROGRAMMATIC OBJECTIVES: I. EDUCATE INDIVIDUALS AND FAMILIES ABOUT HEALTHY EATING, MEAL PLANNING, HOUSEHOLD BUDGETING, ETC. II. DECREASE THE NUMBER OF INDIVIDUALS AND FAMILIES WHO SUFFER FROM FOOD INSECURITY AND/OR LACK BASIC HOUSEHOLD ITEMS- COMMUNITY ACTIVITIES:I. SUPPORT COMMUNITY FOOD PANTRIESII. SUPPORT AND PROMOTE THE DEVELOPMENT OF COMMUNITY WORKSHOPS, COOKING CLASSES, AND EDUCATIONAL SESSIONSIII. PROMOTE A MOBILE FARMERS' MARKET TO THE COMMUNITY AT A DISCOUNTED RATE- COMMUNITY PARTNERS:- ACTION FOR BOSTON COMMUNITY DEVELOPMENT (ABCD)- PARKER HILL/FENWAY AND JAMAICA PLAIN- MISSION HILL ELEMENTARY SCHOOL TO COMBAT HUNGER- ROXBURY TENANTS OF HARVARD (RTH)- MISSION MAINB. INCREASE JOB OPPORTUNITIES FOR YOUTH AND ADULTS - TARGET POPULATION: YOUTH AND ADULTS- PROGRAMMATIC OBJECTIVES: I. PROVIDE SUMMER INTERNSHIP AND EMPLOYMENT OPPORTUNITIES FOR YOUTHII. PROVIDE CAREER TRAINING AND EMPLOYMENT OPPORTUNITIES FOR ADULTS INTERESTED IN HEALTH CAREERS - COMMUNITY ACTIVITIES:I. SUPPORT THE MEREDITH CAMERON YOUTH OPPORTUNITY INTERNSHIPII. PROMOTE HOSPITAL JOB OPPORTUNITIES TO MISSION HILL RESIDENTS - COMMUNITY PARTNERS:- ACTION FOR BOSTON COMMUNITY DEVELOPMENT (ABCD)- SOCIEDAD LATINA- ROXBURY TENANTS OF HARVARD (RTH) - MISSION MAINC. IMPROVE ACCESS AND SAFETY TO ESSENTIAL COMMUNITY VENUES FOR MISSION HILL RESIDENTS - TARGET POPULATION: MISSION HILL COMMUNITY- PROGRAMMATIC OBJECTIVES: I. INCREASE THE NUMBER OF MISSION HILL RESIDENTS WHO HAVE ACCESS TO AFFORDABLE TRANSPORTATION TO ENSURE ACCESS TO BASIC NEEDS AND REDUCE ISOLATIONII. IMPROVE ACCESSIBILITY AND BEAUTIFY COMMUNITY PARKS AND OTHER AREASIII. REMOVE TRASH AND PROVIDE CLEANING SERVICES IN COMMUNITY - COMMUNITY ACTIVITIES:I. SUPPORT MISSION LINKII. MAINTAIN MCLAUGHLIN FIELDIII. MAKE COMMUNITY IMPROVEMENTS TO WALKWAYS AND OTHER PUBLIC AREASIV. PROVIDE TRASH TRUCK AND CLEAN PUBLIC AREAS AFTER MOVE-IN DAY - COMMUNITY PARTNERS:- MISSION LINK- FRIENDS OF MCLAUGHLIN PARK- CITY OF BOSTON- PROBLEM PROPERTIES TASK FORCE PRIORITY AREA # 2 : OBESITY, FITNESS, NUTRITION, AND CHRONIC DISEASEA. PROMOTE GENERAL HEALTH AND WELLNESS- TARGET POPULATION: CHILDREN, YOUTH, AND ADULTS- PROGRAMMATIC OBJECTIVES: I. EDUCATE THE PUBLIC ABOUT HEALTH RISK FACTORS, HEALTH PROMOTION, AND BASIC WELLNESS - COMMUNITY ACTIVITIES:I. SUPPORT AND PROMOTE THE DEVELOPMENT OF COMMUNITY WORKSHOPS AND EDUCATIONAL SESSIONS ON KEY HEALTH ISSUES IN COMMUNITY VENUES B. INCREASE PHYSICAL ACTIVITY - TARGET POPULATION: CHILDREN, YOUTH, AND ADULTS- PROGRAMMATIC OBJECTIVES: I. EDUCATE ON HEALTHY EATING AND ACTIVE LIVINGII. INCREASE THE NUMBER OF CHILDREN AND ADULTS WHO ARE PHYSICALLY ACTIVEIII. IMPROVE ACCESSIBILITY AND BEAUTIFY OF WALKWAYS, COMMUNITY PARKS, AND RECREATION AREAS- COMMUNITY ACTIVITIES:I. SUPPORT AND PROMOTE THE DEVELOPMENT OF COMMUNITY WORKSHOPS AND EDUCATIONAL SESSIONSII. SUPPORT AND PROMOTE THE DEVELOPMENT OF WALKING AND OTHER PHYSICAL ACTIVITY GROUPS IN COMMUNITY VENUESIII. SUPPORT AND COLLABORATE WITH BOSTON FOOD AND FITNESS COLLABORATIVEIV. MAINTAIN MCLAUGHLIN FIELDV. MAKE COMMUNITY IMPROVEMENTS TO WALKWAYS AND OTHER PUBLIC AREASVI. SUPPORT LITTLE LEAGUEVII. SUPPORT SUMMER CAMP AT THE TOBIN COMMUNITY CENTERC. INCREASE HEALTHY EATING- TARGET POPULATION: CHILDREN, YOUTH & ADULTS- PROGRAMMATIC OBJECTIVES: I. EDUCATE ON HEALTHY EATING AND ACTIVE LIVINGII. DECREASE THE NUMBER OF INDIVIDUALS AND FAMILIES WHO SUFFER FROM FOOD INSECURITYIII. INCREASING ACCESS TO HEALTHY FOODS, FRUITS, AND VEGETABLES- COMMUNITY ACTIVITIES:I. SUPPORT COMMUNITY FOOD PANTRIESII. SUPPORT AND PROMOTE THE DEVELOPMENT OF COMMUNITY WORKSHOPS, COOKING CLASSES, AND EDUCATION SESSIONSIII. PROMOTE PARTICIPATION IN MOBILE FARMERS' MARKETSIV. SUPPORT AND COLLABORATE WITH BOSTON FOOD & FITNESS COLLABORATIVED. INCREASING SCREENING, IDENTIFICATION AND REFERRAL FOR PEOPLE WITH CHRONIC DISEASE AND / OR ASSOCIATED RISK FACTORS- TARGET POPULATION: CHILDREN, YOUTH & ADULTS- PROGRAMMATIC OBJECTIVES: I. PROMOTE OBESITY SCREENING FOR CHILDREN AND YOUTH IN COMMUNITY BASED SETTINGII. LINK CHILDREN AND YOUTH WHO ARE OVERWEIGHT OR OBESE TO EVIDENCE BASED PROGRAMS THAT PROMOTE HEALTHY EATING AND ACTIVE LIVINGIII. INCREASE THE NUMBER OF ADULTS SCREENED FOR HYPERTENSION, DIABETES, DEPRESSION, HIGH CHOLESTEROL, AND OTHER LEADING CHRONIC DISEASESIV. LINK THOSE WHO HAVE CHRONIC DISEASE OR ITS ASSOCIATED RISK FACTORS TO PRIMARY CARE AND/OR EVIDENCE-BASED CHRONIC DISEASE MANAGEMENT PROGRAMS- COMMUNITY ACTIVITIES:I. SUPPORT AND PROMOTE COMMUNITY HEALTH FAIRS AND SCREENING/REFERRAL EVENTSII. DEVELOP PRIMARY AND SPECIALTY CARE REFERRAL NETWORKS FOR THOSE IN NEED SUPPORT AND COLLABORATE WITH BOSTON FOOD & FITNESS COLLABORATIVEOBESITY, FITNESS, NUTRITION, AND CHRONIC DISEASE - COMMUNITY PARTNERS: - BOSTON PUBLIC HEALTH COMMISSION- SOCIEDAD LATINA- ROXBURY TENANTS OF HARVARD (RTH)- MISSION MAIN- TOBIN COMMUNITY CENTER- MISSION HILL HEALTH MOVEMENT- ACTION FOR BOSTON COMMUNITY DEVELOPMENT (ABCD)- PUBLIC HOUSING FACILITIES- BOSTON FOOD AND FITNESS COLLABORATIVE- LITTLE LEAGUEPRIORITY AREA # 3 : ELDER HEALTHA. PROMOTE GENERAL HEALTH AND WELLNESS FOR ELDERS- TARGET POPULATION: ELDERS- PROGRAMMATIC OBJECTIVES: I. INCREASE GENERAL KNOWLEDGE ABOUT CHRONIC DISEASE, PHYSICAL ACTIVITY, NUTRITION, BEHAVIORAL HEALTH, AND FALLS PREVENTION- COMMUNITY ACTIVITIES:I. SUPPORT AND PROMOTE THE DEVELOPMENT OF COMMUNITY WORKSHOPS AND EDUCATIONAL SESSIONS II. CREATE AN ELDER HEALTH EDUCATION AND PREVENTION CENTERIII. PARTICIPATE IN MA DEPARTMENT OF PUBLIC HEALTH STANFORD SELF-MANAGEMENT SUPPORT PROGRAM INITIATIVEB. REDUCE FALLS FOR ELDERS- TARGET POPULATION: ELDERS- PROGRAMMATIC OBJECTIVES: I. INCREASE BALANCE TRAINING AND PHYSICAL ACTIVITY; MEDICAL MANAGEMENT OF EXISTING ILLNESS; AND ENVIRONMENTAL/HOME MODIFICATIONS- COMMUNITY ACTIVITIES:I. PARTICIPATE IN MA DEPARTMENT OF PUBLIC HEALTH STANFORD SELF-MANAGEMENT SUPPORT PROGRAM INITIATIVEC. DECREASE DEPRESSION AND SOCIAL ISOLATION IN ELDERS- TARGET POPULATION: ELDERS- PROGRAMMATIC OBJECTIVES: I. INCREASE THE NUMBER OF MISSION HILL RESIDENTS WHO HAVE ACCESS TO AFFORDABLE TRANSPORTATIONII. REDUCE ISOLATIONIII. INCREASE SCREENING, IDENTIFICATION, AND REFERRAL FOR ELDERS WITH DEPRESSION- COMMUNITY ACTIVITIES:I. SUPPORT MISSION LINKII. DEVELOP OR SUPPORT COMMUNAL ACTIVITIES THAT BRING ELDERS TOGETHERIII. SUPPORT ACTIVITIES SPONSORED BY LEGACY PROJECTIV. DEVELOP OR SUPPORT ELDER HEALTH SCREENING INITIATIVES THAT INCLUDE DEPRESSION SCREENINGD. INCREASE SCREENING, IDENTIFICATION AND REFERRAL FOR HEALTH ISSUES SUCH AS OSTEOPOROSIS, ARTHRITIS / LUPUS, AND DEPRESSION- TARGET POPULATION: ELDERS- PROGRAMMATIC OBJECTIVES: I. INCREASE THE NUMBER OF ELDERS SCREENED FOR OSTEOPOROSIS, ARTHRITIS/LUPUS, DEPRESSION, JOINT ISSUES, AND OTHER LEADING ELDER HEALTH ISSUES/CONDITIONSII. LINK THOSE WHO HAVE CHRONIC DISEASE OR OTHER HEALTH ISSUES TO APPROPRIATE PRIMARY AND SPECIALTY CARE- COMMUNITY ACTIVITIES:I. DEVELOP OR SUPPORT ELDER HEALTH SCREENING INITIATIVESII. DEVELOP PRIMARY CARE AND SPECIALTY CARE REFERRAL NETWORKS FOR THOSE IN NEED ELDER CARE - COMMUNITY PARTNERS- BOSTON PUBLIC HEALTH COMMISSION- MISSION HILL HEALTH MOVEMENT- ACTION FOR BOSTON COMMUNITY DEVELOPMENT (ABCD)- ROXBURY TENANTS OF HARVARD (RTH)- LEGACY PROJECT- PUBLIC HOUSING FACILITIES- MA DEPARTMENT OF PUBLIC HEALTH- NEBH AND CAREGROUP MEMBER ORGANIZATIONS SCHEDULE H, PART VI, LINE 1: PART V, SECTION B, LINES 9 - 22 THE RESPONSE TO PART V, SECTION B, LINES 9 - 22 CORRESPONDS TO APPLICABLE SECTIONS OF OUR PUBLISHED CREDIT & COLLECTION POLICY. THAT POLICY IS ORGANIZED AS FOLLOWS IN RELATION TO THE SCHEDULE H NARRATIVE REQUESTS: I. ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS: PART V, SECTION B, LINES, 9 - 14II. HOSPITAL COLLECTION PRACTICES & POLICIES PART V, SECTION B, LINES, 15 -18III. DEPOSITS AND INSTALLMENT PLANS: PART V, SECTION B, LINES, 15-18 IV. DELIVERY OF HEALTH CARE SERVICES: PART V, SECTION B, LINE 19 V. NOTICE OF AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER COVERAGE OPTIONS: PART V, SECTION B, LINES, 20 -22VI.CREDIT & COLLECTION POLICY, EFFECTIVE JANUARY 1, 2014INTRODUCTIONTHE HOSPITAL IS THE FRONTLINE CAREGIVER PROVIDING MEDICALLY NECESSARY CARE FOR ALL PEOPLE REGARDLESS OF ABILITY TO PAY. THE HOSPITAL OFFERS THIS CARE FOR ALL PATIENTS THAT COME TO OUR FACILITY 24 HOURS A DAY, SEVEN DAYS A WEEK, AND 365 DAYS A YEAR. THE HOSPITAL ASSISTS PATIENTS IN OBTAINING FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND OTHER SOURCES WHENEVER APPROPRIATE. TO REMAIN VIABLE AS IT FULFILLS ITS MISSION, THE HOSPITAL MUST MEET ITS FIDUCIARY RESPONSIBILITY TO APPROPRIATELY BILL AND COLLECT FOR MEDICAL SERVICES PROVIDED TO PATIENTS. IT IS IMPORTANT TO NOTE THAT WHILE THE FEDERAL AND STATE GOVERNMENT USES DIFFERENT NAMES FOR THE POLICIES THAT HOSPITAL MUST FOLLOW TO SHOW HOW THEY ARE PROVIDING FINANCIAL ASSISTANCE TO PATIENTS; THE OVERALL REQUIREMENTS ARE THE SAME. AS A RESULT, THIS POLICY IS DESIGNED TO COMPLY WITH BOTH THE STATE HEALTH SAFETY NET REGULATIONS ON "CREDIT AND COLLECTION POLICIES" AND THE FEDERAL HEALTHCARE REFORM LAW'S "FINANCIAL ASSISTANCE POLICY" REQUIREMENTS AS RECENTLY CLARIFIED BY THE INTERNAL REVENUE SERVICE IN THEIR FEBRUARY 23, 2011 INSTRUCTIONS TO THE FORM 990. THE HOSPITAL DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, CITIZENSHIP, ALIENAGE, RELIGION, CREED, SEX, SEXUAL PREFERENCE, AGE, OR DISABILITY IN ITS POLICIES OR IN ITS APPLICATION OF POLICIES, CONCERNING THE ACQUISITION AND VERIFICATION OF FINANCIAL INFORMATION, PRE-ADMISSION OR PRE-TREATMENT DEPOSITS, PAYMENT PLANS, DEFERRED OR REJECTED ADMISSIONS, LOW INCOME PATIENT STATUS AS DETERMINED BY THE MASSACHUSETTS OFFICE OF MEDICAID, DETERMINATION THAT A PATIENT IS LOW-INCOME, OR IN ITS BILLING AND COLLECTION PRACTICES.THIS CREDIT AND COLLECTION POLICY IS DEVELOPED TO ENSURE COMPLIANCE WITH APPLICABLE CRITERIA REQUIRED UNDER (1) THE HEALTH SAFETY NET ELIGIBLE SERVICES REGULATION (114.6 CMR 13.00), (2) THE CENTERS FOR MEDICARE AND MEDICAID SERVICES MEDICARE BAD DEBT REQUIREMENTS (42 CFR 413.89), (3) THE MEDICARE PROVIDER REIMBURSEMENT MANUAL (PART 1, CHAPTER 3), AND (4) THE INTERNAL REVENUE CODE SECTION 501(R) AS REQUIRED UNDER THE SECTION 9007(A) OF THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT (PUB. L. NO. 111-148) AND AS RECENTLY CLARIFIED IN THE FEBRUARY 28, 2011 IRS CLARIFICATION TO REPORTING SUCH INFORMATION IN THE HOSPITAL IRS 990 RETURNS. SCHEDULE H, PART VI, LINE 1: PART V, SECTION B, LINE 10: USING FPG FOR FREE CARE FREE CAREFREE CARE IS PROVIDED FOR MEDICALLY NECESSARY SERVICE TO PATIENTS WHO HAVE BEEN DEEMED FINANCIALLY UNABLE TO PAY FOR ALL OR PART OF THE HOSPITAL CARE PURSUANT TO THE HOSPITAL'S CREDIT AND COLLECTION POLICY. ELIGIBILITY IS AVAILABLE TO MASSACHUSETTS RESIDENTS WHOSE FAMILY INCOME IS EQUAL TO OR LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINES (FPG). THE FPG IS UPDATED ANNUALLY AND IS POSTED ON THE STATE'S DIVISION OF HEALTH CARE FINANCE AND POLICY WEBSITE:HTTP://WWW.MASS.GOV/EOHHS/DOCS/MASSHEALTH/DESKGUIDES/FPL-DESKGUIDE.PDF SCHEDULE H, PART VI, LINE 1: PART V, SECTION B, LINE 11: USING FPG FOR FREE CARE DISCOUNTED CAREDISCOUNTED CARE IS PROVIDED TO LOW INCOME PATIENTS WHO MEET THE CRITERIA UNDER 114.6 CMR 13.04(1). IN ORDER TO BE DETERMINED A LOW INCOME PATIENT; AN INDIVIDUAL MUST BE A RESIDENT OF THE COMMONWEALTH AND DOCUMENT FAMILY INCOME EQUAL TO OR LESS THAN 400% OF THE FPG, SUBJECT TO THE FOLLOWING CONDITIONS.THE FOLLOWING INDIVIDUALS ARE NOT ELIGIBLE FOR LOW INCOME PATIENT STATUS:-INDIVIDUALS ENROLLED IN MASSHEALTH STANDARD AND MASSHEALTH FAMILY ASSISTANCE/DIRECT COVERAGE PROGRAMS;- INDIVIDUALS WHO HAVE BEEN DETERMINED ELIGIBLE FOR ANY MASSHEALTH PROGRAM INCLUDING MASSHEALTH PREMIUM ASSISTANCE BUT WHO HAVE FAILED TO ENROLL; AND INDIVIDUALS WHOSE ENROLLMENT IN MASSHEALTH OR COMMONWEALTH CARE HAS BEEN TERMINATED DUE TO FAILURE TO PAY PREMIUMS. SCHEDULE H, PART VI, LINE 1: PART V, SECTION B, LINE 12 & 13: FINANCIAL ASSISTANCE PRORGRAM I. DOCUMENTING ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS1. GENERAL PRINCIPLESFINANCIAL ASSISTANCE IS INTENDED TO ASSIST LOW-INCOME PATIENTS WHO DO NOT OTHERWISE HAVE THE ABILITY TO PAY FOR THEIR HEALTH CARE SERVICES. SUCH ASSISTANCE TAKES INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE.FOR THOSE PATIENTS THAT ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH THEM TO ASSIST WITH APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER ALL OR SOME OF THEIR UNPAID HOSPITAL BILLS. THE HOSPITAL PROVIDES THIS ASSISTANCE FOR BOTH RESIDENTS AND NON-RESIDENTS OF MASSACHUSETTS; HOWEVER, THERE MAY NOT BE COVERAGE IN A STATE PUBLIC ASSISTANCE PROGRAM FOR A MASSACHUSETTS HOSPITAL'S SERVICES THROUGH AN OUT-OF STATE RESIDENT. IN ORDER FOR THE HOSPITAL TO ASSIST UNINSURED AND UNDERINSURED PATIENTS FIND THE MOST APPROPRIATE COVERAGE OPTIONS AS WELL AS DETERMINE IF THE PATIENT IS FINANCIALLY ELIGIBLE FOR ANY DISCOUNTS IN PAYMENTS, PATIENTS MUST ACTIVELY WORK WITH HOSPITALS TO VERIFY THE PATIENT'S DOCUMENTED FAMILY INCOME, OTHER INSURANCE COVERAGE, AND ANY OTHER INFORMATION THAT COULD BE USED IN DETERMINING ELIGIBILITY. 2. ENROLLMENT IN A PUBLIC ASSISTANCE PROGRAMHOSPITALS HAVE NO ROLE IN SPECIFICALLY DETERMINING THE ELIGIBILITY FOR ENROLLMENT WITHIN A PUBLIC ASSISTANCE PROGRAM. IN MASSACHUSETTS, INDIVIDUALS APPLY FOR COVERAGE IN MASSHEALTH, THE PREMIUM ASSISTANCE PAYMENT PROGRAM OFFERED THROUGH THE HEALTH CONNECTOR (INCLUDING CONNECTORCARE), HEALTH SAFETY NET, THE CHILDREN'S MEDICAL SECURITY PROGRAM, OR MEDICAL HARDSHIP MUST DO SO THROUGH A SINGLE UNIFORM APPLICATION THAT IS SUBMITTED THROUGH THE STATE'S NEW ENROLLMENT SYSTEM CALLED THE HEALTH INSURANCE EXCHANGE (HIX). THROUGH THIS PROCESS, THE INDIVIDUAL 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 THE HOSPITAL'S FINANCIAL COUNSELORS (CAC -"CERTIFIED APPLICATION COUNSELOR") WITH SUBMITTING THE APPLICATION EITHER ON THE WEBSITE OR THROUGH A PAPER APPLICATION. IN ORDER TO APPLY FOR COVERAGE, THE FOLLOWING PROCESS OCCURS:1. AN INDIVIDUAL IS REQUESTED TO DEVELOP AN ONLINE ACCOUNT FOR USE BY THE STATE TO CONDUCT AN IDENTITY VERIFICATION OF THE INDIVIDUAL. ONCE THIS IS COMPLETED, THE INDIVIDUAL IS THEN ABLE TO SUBMIT A COMPLETED APPLICATION THROUGH THE HCENTIVE SYSTEM ON THE CONNECTOR WEBSITE. IF THE INDIVIDUAL DOES NOT WANT TO GO THROUGH THE ONLINE IDENTITY VERIFICATION SYSTEM, THEY CAN SUBMIT A PAPER APPLICATION. OTHER VERIFICATION MAY STILL BE NEEDED, INCLUDING PROOF OF INCOME, RESIDENCY, AND CITIZENSHIP. 2. ONCE THE APPLICATION IS RECEIVED, THE STATE WILL VERIFY THE ELIGIBILITY BY COMPARING THE INDIVIDUALS FINANCIAL AND OTHER DEMOGRAPHIC INFORMATION TO A FEDERAL DATA SITE AS WELL AS CONDUCTING AN INCOME REVIEW USING A MODIFIED ADJUSTED GROSS INCOME REVIEW. IF NECESSARY, THE INDIVIDUAL WILL ALSO SUBMIT ADDITIONAL VERIFICATION AS REQUESTED BY THE SYSTEM. ONCE THIS OCCURS, THE INDIVIDUAL IS DEEMED:A. ELIGIBLE FOR MASSHEALTH COVERAGE, UPON WHICH THE INDIVIDUAL IS NOTIFIED BY MAIL FROM MASSHEALTH, WHICH INCLUDES ELIGIBILITY INFORMATION INCLUDING START DATE AND OTHER PERTINENT INFORMATION; ORB. IF THE INDIVIDUAL IS ELIGIBLE FOR A QUALIFIED HEALTH PLAN THROUGH THE HEALTH CONNECTOR PROGRAM, THEY ARE NOTIFIED OF THEIR ELIGIBILITY AND DIRECTED TO TAKE ADDITIONAL STEPS. THIS INCLUDES: (1) CHOOSING A PLAN, (2) PAYING THEIR MONTHLY PREMIUM, (3) ENROLLING AND RECEIVING THEIR PROOF OF COVERAGE.MORE INFORMATION REGARDING THE MASSHEALTH AND CONNECTOR PROGRAM BENEFITS AND APPLICATION PROCESS CAN BE FOUND AT WWW.MASS.GOV/MASSHEALTH AND WWW.MAHEALTHCONNECTOR.ORG.3. HOSPITAL SCREENING AND ELIGIBILITY APPROVAL PROCESSTHE HOSPITAL PROVIDES PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE THROUGH THE COMMONWEALTH OF MASSACHUSETTS OR THROUGH THE HOSPITAL'S OWN FINANCIAL ASSISTANCE PROGRAM, WHICH MAY COVER ALL OR SOME OF THEIR UNPAID HOSPITAL BILL. FOR THOSE PATIENTS THAT REQUEST SUCH ASSISTANCE, THE HOSPITAL ASSISTS PATIENTS BY SCREENING THEM FOR ELIGIBILITY IN AN AVAILABLE PUBLIC PROGRAM AND ASSISTING THEM IN APPLYING FOR THE PROGRAM. THESE INCLUDE, BUT ARE NOT LIMITED TO, PROGRAMS OFFERED THROUGH THE HEALTH CONNECTOR (INCLUDING CONNECTORCARE), HEALTH SAFETY NET, THE CHILDREN'S MEDICAL SECURITY PROGRAM, OR MEDICAL HARDSHIP MUST DO SO THROUGH A SINGLE UNIFORM APPLICATION THAT IS SUBMITTED THROUGH THE STATE'S NEW ENROLLMENT SYSTEM CALLED THE HEALTH INSURANCE EXCHANGE (HIX). IT IS THE PATIENT'S OBLIGATION TO PROVIDE THE HOSPITAL WITH ACCURATE AND TIMELY INFORMATION REGARDING THEIR FULL NAME, ADDRESS, TELEPHONE NUMBER, DATE OF BIRTH, SOCIAL SECURITY NUMBER (IF AVAILABLE), CURRENT HEALTH INSURANCE COVERAGE OPTIONS (INCLUDING ANY OTHER INSURANCE OR COVERAGE OPTIONS (LIKE A MOTOR VEHICLE POLICY OR WORKER'S COMPENSATION POLICY) THAT CAN COVER THE COST OF THE CARE RECEIVED), ANY OTHER APPLICABLE FINANCIAL RESOURCES, AND CITIZENSHIP AND RESIDENCY INFORMATION. THIS INFORMATION WILL BE USED TO DETERMINE COVERAGE FOR THE SERVICES PROVIDED TO THE PATIENT. IF THERE IS NO SPECIFIC COVERAGE FOR THE SERVICES PROVIDED, THE HOSPITAL WILL USE THE INFORMATION TO DETERMINE IF THE SERVICES MAY BE COVERED BY AN APPLICABLE PROGRAM THAT WILL COVER CERTAIN SERVICES DEEMED BAD DEBT. IN ADDITION, THE HOSPITAL WILL USE THIS INFORMATION TO DISCUSS ELIGIBILITY FOR CERTAIN HEALTH INSURANCE PROGRAMS. IF THE PATIENT OR GUARANTOR IS UNABLE TO PROVIDE THE NECESSARY INFORMATION, THE HOSPITAL MAY (AT THE PATIENT'S REQUEST) MAKE REASONABLE EFFORTS TO OBTAIN ANY ADDITIONAL INFORMATION FROM OTHER SOURCES. THIS WILL OCCUR WHEN THE PATIENT IS SCHEDULING THEIR SERVICES, DURING PRE-REGISTRATION, WHILE THE PATIENT IS ADMITTED IN THE HOSPITAL, UPON DISCHARGE, OR FOR A REASONABLE TIME FOLLOWING DISCHARGE FROM THE HOSPITAL. INFORMATION THAT THE HOSPITAL OBTAINS WILL BE MAINTAINED IN ACCORDANCE WITH APPLICABLE FEDERAL AND STATE PRIVACY AND SECURITY LAWS.THE SCREENING AND APPLICATION PROCESS FOR A PUBLIC HEALTH INSURANCE PROGRAMS IS DONE THROUGH EITHER THE VIRTUAL GATEWAY (WHICH IS AN INTERNET PORTAL DESIGNED BY THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES TO PROVIDE THE GENERAL PUBLIC, MEDICAL PROVIDERS, AND COMMUNITY-BASED ORGANIZATIONS WITH AN ONLINE APPLICATION FOR THE PROGRAMS OFFERED BY THE STATE) OR THROUGH A STANDARD PAPER APPLICATION THAT IS COMPLETED BY THE PATIENT AND ALSO SUBMITTED DIRECTLY TO THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES FOR PROCESSING. THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES SOLELY MANAGES THE APPLICATION PROCESS FOR THE PROGRAMS LISTED ABOVE, WHICH IS AVAILABLE FOR CHILDREN, ADULTS, SENIORS, VETERANS, HOMELESS, AND DISABLED INDIVIDUALS. IN SPECIAL CIRCUMSTANCES, THE HOSPITAL MAY APPLY FOR THE PATIENT FOR ELIGIBILITY IN THE PROGRAMS OFFERED THROUGH THE HEALTH CONNECTOR (INCLUDING CONNECTORCARE), HEALTH SAFETY NET, THE CHILDREN'S MEDICAL SECURITY PROGRAM, OR MEDICAL HARDSHIP USING A SPECIFIC FORM DESIGNED BY THE MASSACHUSETTS DIVISION OF HEALTH CARE FINANCE AND POLICY. SPECIAL CIRCUMSTANCES INCLUDE INDIVIDUALS SEEKING FINANCIAL ASSISTANCE COVERAGE DUE TO BEING INCARCERATED, VICTIMS OF SPOUSAL ABUSE, OR APPLYING DUE TO A MEDICAL HARDSHIP. SCHEDULE H, PART VI, LINE 1: PART V, SECTION B, LINE 12 & 13: (CONTD.) THE HOSPITAL SPECIFICALLY ASSISTS THE PATIENT IN COMPLETING THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES STANDARD APPLICATION AND SECURING THE NECESSARY DOCUMENTATION REQUIRED BY THE APPLICABLE FINANCIAL ASSISTANCE PROGRAM. NECESSARY DOCUMENTATION INCLUDES PROOF OF: (1) ANNUAL HOUSEHOLD INCOME (PAYROLL STUBS, RECORD OF SOCIAL SECURITY PAYMENTS, AND A LETTER FROM THE EMPLOYER, TAX RETURNS, OR BANK STATEMENTS), (2) CITIZENSHIP AND IDENTITY, (3) IMMIGRATION STATUS FOR NON-CITIZENS (IF APPLICABLE), AND (4) ASSETS OF THOSE INDIVIDUALS WHO ARE ALSO ENROLLED IN THE MEDICARE PROGRAM. THE HOSPITAL WILL THEN SUBMIT THIS DOCUMENTATION TO THE MASSACHUSETTS OFFICE OF MEDICAID AND ASSIST THE PATIENT IN SECURING ANY ADDITIONAL DOCUMENTATION IF SUCH IS REQUESTED BY THE STATE AFTER COMPLETING THE APPLICATION. MASSACHUSETTS PLACES A THREE DAY TIME LIMITATION ON SUBMITTING ALL NECESSARY DOCUMENTATION FOLLOWING THE SUBMISSION OF THE APPLICATION FOR A PROGRAM. FOLLOWING THIS THREE DAY PERIOD, THE PATIENT AND THE PROVIDER MUST WORK WITH THE MASSHEALTH ENROLLMENT CENTERS TO SECURE THE ADDITIONAL DOCUMENTATION NEEDED FOR ENROLLMENT IN THE APPLICABLE FINANCIAL ASSISTANCE PROGRAM.ALL APPLICATIONS ARE REVIEWED AND PROCESSED BY THE MASSACHUSETTS OFFICE OF MEDICAID, WHICH USES THE FEDERAL POVERTY GUIDELINES, ASSET INFORMATION, AS WELL AS THE NECESSARY DOCUMENTATION LISTED ABOVE AS THE BASIS FOR DETERMINING ELIGIBILITY FOR STATE SPONSORED PUBLIC ASSISTANCE PROGRAMS. A COPY OF THE FEDERAL POVERTY GUIDELINES THAT ARE USED BY THE STATE IS ATTACHED TO THIS POLICY.HOSPITALS HAVE NO ROLE IN THE DETERMINATION OF PROGRAM ELIGIBILITY MADE BY THE STATE, BUT AT THE PATIENT'S REQUEST MAY TAKE A DIRECT ROLE IN APPEALING OR SEEKING INFORMATION RELATED TO THE COVERAGE DECISIONS. IT IS STILL THE PATIENT'S RESPONSIBILITY TO INFORM THE HOSPITAL OF ALL COVERAGE DECISIONS MADE BY THE STATE TO ENSURE ACCURATE AND TIMELY ADJUDICATION OF ALL HOSPITAL BILLS.4. FUTURE PROGRAMSAS FUTURE COVERAGE OPTIONS ARE DEVELOPED, AS DISCUSSED IN BOTH FEDERAL AND STATE HEALTHCARE REFORM PROPOSALS, THE HOSPITAL WILL MAKE APPROPRIATE CHANGES TO THIS CREDIT AND COLLECTION POLICY. SCHEDULE H, PART VI, LINE 1: PART V, SECTION B, LINES 15: HOSPITAL COLLECTIONS PRACTICESYES, THE HOSPITAL HAS A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINS THE ACTIONS IT MAY TAKE UPON NON-PAYMENT. BELOW IS AN EXCERPT DESCRIBING THESE ACTIONS.THE HOSPITAL HAS A FIDUCIARY DUTY TO SEEK REIMBURSEMENT FOR SERVICES IT HAS PROVIDED FROM INDIVIDUALS WHO ARE ABLE TO PAY, FROM THIRD PARTY INSURERS WHO COVER THE COST OF CARE, AND FROM OTHER PROGRAMS OF ASSISTANCE FOR WHICH THE PATIENT IS ELIGIBLE. TO DETERMINE WHETHER A PATIENT IS ABLE TO PAY FOR THE SERVICES PROVIDED AS WELL AS TO ASSIST THE PATIENT IN FINDING ALTERNATIVE COVERAGE OPTIONS IF THEY ARE UNINSURED OR UNDERINSURED, THE HOSPITAL FOLLOWS THE FOLLOWING CRITERIA RELATED TO BILLING AND COLLECTING FROM PATIENTS. II. HOSPITAL BILLING AND COLLECTION PRACTICESTHE HOSPITAL HAS A FIDUCIARY DUTY TO SEEK REIMBURSEMENT FOR SERVICES IT HAS PROVIDED FROM INDIVIDUALS WHO ARE ABLE TO PAY, FROM THIRD PARTY INSURERS WHO COVER THE COST OF CARE, AND FROM OTHER PROGRAMS OF ASSISTANCE FOR WHICH THE PATIENT IS ELIGIBLE. TO DETERMINE WHETHER A PATIENT IS ABLE TO PAY FOR THE SERVICES PROVIDED AS WELL AS TO ASSIST THE PATIENT IN FINDING ALTERNATIVE COVERAGE OPTIONS IF THEY ARE UNINSURED OR UNDERINSURED, THE HOSPITAL FOLLOWS THE FOLLOWING CRITERIA RELATED TO BILLING AND COLLECTING FROM PATIENTS. A. COLLECTING INFORMATION ON PATIENT FINANCIAL RESOURCES AND INSURANCE COVERAGE1) PATIENT OBLIGATIONS:PRIOR TO THE DELIVERY OF ANY HEALTH CARE SERVICES (EXCEPT FOR CASES THAT ARE AN EMERGENCY OR URGENT CARE SERVICE LEVEL), THE PATIENT IS EXPECTED TO PROVIDE TIMELY AND ACCURATE INFORMATION ON THEIR INSURANCE STATUS, DEMOGRAPHIC INFORMATION, CHANGES TO THEIR FAMILY INCOME OR INSURANCE STATUS, AND INFORMATION ON ANY DEDUCTIBLES OR CO-PAYMENTS THAT ARE OWED BASED ON THEIR EXISTING INSURANCE OR FINANCIAL PROGRAM'S PAYMENT OBLIGATIONS. THE DETAILED INFORMATION WILL INCLUDE:A) FULL NAME, ADDRESS, TELEPHONE NUMBER, DATE OF BIRTH, SOCIAL SECURITY NUMBER (IF AVAILABLE), CURRENT HEALTH INSURANCE COVERAGE OPTIONS, CITIZENSHIP AND RESIDENCY INFORMATION, AND THE PATIENT'S APPLICABLE FINANCIAL RESOURCES THAT MAY BE USED TO PAY THEIR BILL;B) FULL NAME OF THE PATIENT'S GUARANTOR, THEIR ADDRESS, TELEPHONE NUMBER, DATE OF BIRTH, SOCIAL SECURITY NUMBER (IF AVAILABLE), CURRENT HEALTH INSURANCE COVERAGE OPTIONS, AND THEIR APPLICABLE FINANCIAL RESOURCES THAT MAY BE USED TO PAY FOR THE PATIENT'S BILL; ANDC) OTHER RESOURCES THAT MAY BE USED TO PAY THEIR BILL, INCLUDING OTHER INSURANCE PROGRAMS, MOTOR VEHICLE OR HOMEOWNERS INSURANCE POLICIES IF THE TREATMENT WAS DUE TO AN ACCIDENT, WORKER'S COMPENSATION PROGRAMS, STUDENT INSURANCE POLICIES, AND ANY OTHER FAMILY INCOME SUCH AS AN INHERITANCES, GIFTS, OR DISTRIBUTIONS FROM AN AVAILABLE TRUST, AMONG OTHERS.IT IS ULTIMATELY THE PATIENT'S OBLIGATION TO KEEP TRACK OF AND TIMELY PAY THEIR UNPAID HOSPITAL BILL, INCLUDING ANY EXISTING CO-PAYMENTS, CO-INSURANCE, AND DEDUCTIBLES. THE PATIENT IS FURTHER REQUIRED TO INFORM EITHER THEIR CURRENT HEALTH INSURER (IF THEY HAVE ONE) OR THE AGENCY THAT DETERMINED THE PATIENT'S ELIGIBILITY STATUS IN A PUBLIC PROGRAM OF ANY CHANGES IN FAMILY INCOME OR INSURANCE STATUS. THE HOSPITAL MAY ALSO ASSIST THE PATIENT WITH UPDATING THEIR ELIGIBILITY IN A PUBLIC PROGRAM WHEN THERE ARE ANY CHANGES IN FAMILY INCOME OR INSURANCE STATUS, BUT ONLY IF THE HOSPITAL IS MADE AWARE BY THE PATIENT OF FACTS THAT MAY INDICATE A CHANGE IN THE PATIENT'S ELIGIBILITY STATUS.PATIENTS ARE REQUIRED TO NOTIFY THE APPLICABLE PUBLIC PROGRAM IN WHICH THEY ARE ENROLLED (E.G., OFFICE OF MEDICAID AND THE HEALTH SAFETY NET), OF ANY INFORMATION RELATED TO A CHANGE IN FAMILY INCOME OR ANY LAWSUIT OR INSURANCE CLAIM THAT MAY COVER THE COST OF THE SERVICES PROVIDED BY THE HOSPITAL. A PATIENT IS FURTHER REQUIRED TO ASSIGN THE RIGHT TO A THIRD PARTY PAYMENT THAT WILL COVER THE COSTS OF THE SERVICES PAID BY THE APPLICABLE PUBLIC PROGRAM, SUCH AS THE OFFICE OF MEDICAID OR THE HEALTH SAFETY NET. 2) HOSPITAL OBLIGATIONS:THE HOSPITAL WILL MAKE ALL REASONABLE AND DILIGENT EFFORTS TO COLLECT THE PATIENT'S INSURANCE AND OTHER INFORMATION TO VERIFY COVERAGE FOR THE HEALTH CARE SERVICES TO BE PROVIDED BY THE HOSPITAL. THESE EFFORTS MAY OCCUR WHEN THE PATIENT IS SCHEDULING THEIR SERVICES, DURING PRE-REGISTRATION, WHILE THE PATIENT IS ADMITTED IN THE HOSPITAL, UPON DISCHARGE, OR DURING THE COLLECTION PROCESS WHICH MAY OCCUR FOR A REASONABLE TIME FOLLOWING DISCHARGE FROM THE HOSPITAL. THIS INFORMATION WILL BE OBTAINED PRIOR TO THE DELIVERY OF ANY NON-EMERGENT AND NON-URGENT HEALTH CARE SERVICES (I.E., ELECTIVE PROCEDURES AS DEFINED IN THIS CREDIT AND COLLECTION POLICY). THE HOSPITAL WILL DELAY ANY ATTEMPT TO OBTAIN THIS INFORMATION DURING THE DELIVERY OF ANY EMTALA LEVEL EMERGENCY OR URGENT CARE SERVICES, IF THE PROCESS TO OBTAIN THIS INFORMATION WILL DELAY OR INTERFERE WITH EITHER THE MEDICAL SCREENING EXAMINATION OR THE SERVICES UNDERTAKEN TO STABILIZE AN EMERGENCY MEDICAL CONDITION. THE HOSPITAL'S REASONABLE AND DILIGENT EFFORTS WILL INCLUDE, BUT IS NOT LIMITED TO, REQUESTING INFORMATION ABOUT THE PATIENT'S INSURANCE STATUS, CHECKING ANY AVAILABLE PUBLIC OR PRIVATE INSURANCE DATABASES, AND FOLLOWING THE BILLINGS RULES OF A KNOWN THIRD PARTY PAYER. WHEN HOSPITAL REGISTRATION OR ADMISSION STAFF ARE MADE AWARE OF ANY SUCH INFORMATION, THEY SHALL ALSO INFORM PATIENTS OF THEIR RESPONSIBILITY TO INFORM IN WRITING WITHIN 10 DAYS THE HEALTH SAFETY NET OR MASSHEALTH OF ANY CHANGES TO FAMILY INCOME OR INSURANCE STATUS, INCLUDING ANY LAWSUIT OR INSURANCE CLAIM, CIVIL ACTION, OR OTHER PROCEEDING THAT MAY COVER THE COST OF THE SERVICES PROVIDED BY THE HOSPITAL.IF THE PATIENT OR GUARANTOR/GUARDIAN IS UNABLE TO PROVIDE THE INFORMATION NEEDED, AND THE PATIENT CONSENTS, THE HOSPITAL WILL MAKE REASONABLE EFFORTS TO CONTACT RELATIVES, FRIENDS, GUARANTOR/GUARDIAN, AND/OR OTHER APPROPRIATE THIRD PARTIES FOR ADDITIONAL INFORMATION. THE HOSPITAL WILL ALSO MAKE REASONABLE AND DILIGENT EFFORTS TO INVESTIGATE WHETHER A THIRD PARTY RESOURCE MAY BE RESPONSIBLE FOR THE SERVICES PROVIDED BY THE HOSPITAL, INCLUDING BUT NOT LIMITED TO: (1) A MOTOR VEHICLE OR HOME OWNER'S LIABILITY POLICY, (2) GENERAL ACCIDENT OR PERSONAL INJURY PROTECTION POLICIES, (3) WORKER'S COMPENSATION PROGRAMS, (4) STUDENT INSURANCE POLICIES, AMONG OTHERS. IN ACCORDANCE WITH APPLICABLE STATE REGULATIONS OR THE INSURANCE CONTRACT, FOR ANY CLAIM WHERE THE HOSPITAL'S REASONABLE AND DILIGENT EFFORTS RESULTED IN A PAYMENT FROM A PRIVATE INSURER OR PUBLIC PROGRAM, THE HOSPITAL WILL REPORT THE PAYMENT AND OFFSET IT AGAINST ANY CLAIM THAT MAY HAVE BEEN PAID BY THE PRIVATE INSURER OR PUBLIC PROGRAM. FOR STATE PUBLIC ASSISTANCE PROGRAMS, THE HOSPITAL IS NOT REQUIRED TO SECURE ASSIGNMENT ON A PATIENT'S RIGHT TO A THIRD PARTY COVERAGE ON SERVICES PROVIDED DUE TO AN ACCIDENT. IN THESE CASES THE STATE OF MASSACHUSETTS WILL ATTEMPT TO SEEK ASSIGNMENT ON THE COSTS OF THE SERVICES PROVIDED TO THE PATIENT AND WHICH WAS PAID FOR BY EITHER THE OFFICE OF MEDICAID OR THE HEALTH SAFETY NET.THE HOSPITAL FURTHER MAINTAINS ALL INFORMATION IN ACCORDANCE WITH APPLICABLE FEDERAL AND STATE PRIVACY, SECURITY, AND ID THEFT LAWS.B. HOSPITAL BILLING PRACTICESTHE HOSPITAL MAKES THE SAME REASONABLE EFFORT AND FOLLOWS THE SAME REASONABLE PROCESS FOR COLLECTING ON BILLS OWED BY AN UNINSURED PATIENT AS IT DOES FOR ALL OTHER PATIENTS. THE HOSPITAL WILL FIRST SHOW THAT IT HAS A CURRENT UNPAID BALANCE THAT IS RELATED TO SERVICES PROVIDED TO THE PATIENT AND NOT COVERED BY A PRIVATE INSURER OR A FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL FOLLOWS REASONABLE COLLECTION/BILLING PROCEDURES, WHICH INCLUDE: 1) AN INITIAL BILL SENT TO THE PATIENT OR THE PARTY RESPONSIBLE FOR THE PATIENT'S PERSONAL FINANCIAL OBLIGATIONS, THE INITIAL BILL WILL INCLUDE INFORMATION ABOUT THE AVAILABILITY OF A FINANCIAL ASSISTANCE PROGRAM THAT MIGHT BE ABLE TO COVER THE COST OF THE HOSPITAL'S BILL;2) SUBSEQUENT BILLINGS, TELEPHONE CALLS, COLLECTION LETTERS, PERSONAL CONTACT NOTICES, COMPUTER NOTIFICATIONS, OR ANY OTHER NOTIFICATION METHOD THAT CONSTITUTES A GENUINE EFFORT TO CONTACT THE PARTY RESPONSIBLE FOR THE OBLIGATION AND INFORMS THE PATIENT OF THE AVAILABILITY OF FINANCIAL ASSISTANCE;3) IF POSSIBLE, DOCUMENTATION OF ALTERNATIVE EFFORTS TO LOCATE THE PARTY RESPONSIBLE FOR THE OBLIGATION OR THE CORRECT ADDRESS ON BILLINGS RETURNED BY THE POSTAL SERVICE SUCH AS "INCORRECT ADDRESS" OR "UNDELIVERABLE;"4) SENDING A FINAL NOTICE BY CERTIFIED MAIL FOR UNINSURED PATIENTS (THOSE WHO ARE NOT ENROLLED IN A PUBLIC PROGRAM SUCH AS THE HEALTH SAFETY NET OR MASSHEALTH) WHO INCUR AN EMERGENCY BAD DEBT BALANCE OVER $1,000 ON EMERGENCY LEVEL SERVICES ONLY, WHERE NOTICES HAVE NOT BEEN RETURNED AS "INCORRECT ADDRESS" OR "UNDELIVERABLE" AND ALSO NOTIFYING THE PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE COMMUNICATION; SCHEDULE H, PART VI, LINE 1: PART V, SECTION B, LINES 15: (CONTD.) 5) DOCUMENTATION OF CONTINUOUS BILLING OR COLLECTION ACTION UNDERTAKEN ON A REGULAR, FREQUENT BASIS IS MAINTAINED. SUCH DOCUMENTATION IS MAINTAINED UNTIL AUDIT REVIEW BY A FEDERAL AND/OR STATE AGENCY OF THE FISCAL YEAR COST REPORT IN WHICH THE BILL OR ACCOUNT IS REPORTED. THE FEDERAL MEDICARE PROGRAM AND THE STATE DIVISION OF HEALTH CARE FINANCE AND POLICY FOR PURPOSES OF THE HEALTH SAFETY NET PROGRAM, DEEMS 120 DAYS AS APPROPRIATE FOR PERIOD OF TIME REPRESENTING CONTINUOUS BILLING OR COLLECTION ACTIONS.6) CHECKING THE MASSACHUSETTS ELIGIBILITY VERIFICATION SYSTEM (EVS) TO ENSURE THAT THE PATIENT IS NOT A LOW INCOME PATIENT AS DETERMINED BY THE OFFICE OF MEDICAID AND HAS NOT SUBMITTED AN APPLICATION TO THE VIRTUAL GATEWAY SYSTEM FOR COVERAGE OF THE SERVICES UNDER A PUBLIC PROGRAM, PRIOR TO SUBMITTING CLAIMS TO THE HEALTH SAFETY NET OFFICE FOR EMERGENCY BAD DEBT COVERAGE OF AN EMERGENCY LEVEL OR URGENT CARE SERVICE.C. HOSPITAL FINANCIAL ASSISTANCE PROGRAMSPATIENTS WHO ARE ELIGIBLE FOR ENROLLMENT IN A STATE PUBLIC ASSISTANCE PROGRAM, LIKE THE MASSACHUSETTS MASSHEALTH OR HEALTH SAFETY NET PROGRAMS, ARE DEEMED ENROLLED IN A FINANCIAL ASSISTANCE PROGRAM. FOR ALL PATIENTS THAT ARE ENROLLED IN THESE STATE PUBLIC ASSISTANCE PROGRAMS, THE HOSPITAL MAY ONLY BILL THOSE PATIENTS FOR THE SPECIFIC CO-PAYMENT, CO-INSURANCE, OR DEDUCTIBLE THAT IS OUTLINED IN THE APPLICABLE STATE REGULATIONS AND WHICH MAY FURTHER BE INDICATED ON THE STATE MEDICAID MANAGEMENT INFORMATION SYSTEM. THE HOSPITAL WILL SEEK A SPECIFIED PAYMENT FOR THOSE PATIENTS THAT DO NOT QUALIFY FOR ENROLLMENT IN A MASSACHUSETTS STATE PUBLIC ASSISTANCE PROGRAM, SUCH AS OUT-OF-STATE RESIDENTS, BUT WHO MAY OTHERWISE MEET THE GENERAL FINANCIAL ELIGIBILITY CATEGORIES OF A STATE PUBLIC ASSISTANCE PROGRAM. FOR THESE PATIENTS, THE DISCOUNTED PAYMENT AMOUNT WILL BE SET AT A PERCENTAGE OF CHARGES BASED ON AN AVERAGE OF ONE OF OUR BEST NEGOTIATED HMO PAYORS FOR BOTH INPATIENT AND OUTPATIENT SERVICES.THE HOSPITAL, WHEN REQUESTED BY THE PATIENT AND BASED ON AN INTERNAL REVIEW OF EACH PATIENT'S FINANCIAL STATUS, MAY OFFER A PATIENT AN ADDITIONAL DISCOUNT ON AN UNPAID BILL. ANY SUCH REVIEW SHALL BE PART OF A SEPARATE HOSPITAL FINANCIAL ASSISTANCE PROGRAM THAT IS APPLIED ON A UNIFORM BASIS TO PATIENTS, AND WHICH TAKES INTO CONSIDERATION THE PATIENT'S DOCUMENTED FINANCIAL SITUATION AND THE PATIENT'S INABILITY TO MAKE A PAYMENT AFTER REASONABLE COLLECTION ACTIONS. ANY DISCOUNT THAT IS PROVIDED BY THE HOSPITAL IS CONSISTENT WITH FEDERAL AND STATE REQUIREMENTS, AND DOES NOT INFLUENCE A PATIENT TO RECEIVE SERVICES FROM THE HOSPITAL. D. POPULATIONS EXEMPT FROM COLLECTION ACTIVITIESTHE FOLLOWING INDIVIDUALS AND PATIENT POPULATIONS ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES PURSUANT TO STATE REGULATIONS AND POLICIES:1) PATIENTS ENROLLED IN A PUBLIC HEALTH INSURANCE PROGRAM, INCLUDING BUT NOT LIMITED TO, MASSHEALTH, EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN, HEALTHY START, CHILDREN'S MEDICAL SECURITY PLAN, "LOW INCOME PATIENTS" AS DETERMINED BY THE OFFICE OF MEDICAID - SUBJECT TO THE FOLLOWING EXCEPTIONS:A. THE HOSPITAL MAY SEEK COLLECTION ACTION AGAINST ANY PATIENT ENROLLED IN THE ABOVE MENTIONED PROGRAMS FOR THEIR REQUIRED CO-PAYMENTS AND DEDUCTIBLES THAT ARE SET FORTH BY EACH SPECIFIC PROGRAM;B. THE HOSPITAL MAY ALSO INITIATE BILLING OR COLLECTION FOR A PATIENT WHO ALLEGES THAT HE OR SHE IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COSTS OF THE HOSPITAL SERVICES, BUT FAILS TO PROVIDE PROOF OF SUCH PARTICIPATION. UPON RECEIPT OF SATISFACTORY PROOF THAT A PATIENT IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM, (INCLUDING RECEIPT OR VERIFICATION OF SIGNED APPLICATION) THE HOSPITAL SHALL CEASE ITS BILLING OR COLLECTION ACTIVITIES; C. THE HOSPITAL MAY CONTINUE COLLECTION ACTION ON ANY LOW INCOME PATIENT FOR SERVICES RENDERED PRIOR TO THE LOW INCOME PATIENT DETERMINATION, PROVIDED THAT THE CURRENT LOW INCOME PATIENT STATUS HAS BEEN TERMINATED, EXPIRED, OR NOT OTHERWISE IDENTIFIED ON THE STATE VIRTUAL GATEWAY OR ELIGIBILITY VERIFICATION SYSTEM. HOWEVER, ONCE A PATIENT IS DETERMINED ELIGIBLE AND ENROLLED IN THE HEALTH SAFETY NET, MASSHEALTH, OR CERTAIN COMMONWEALTH CARE PROGRAMS, THE HOSPITAL WILL CEASE COLLECTION ACTIVITY FOR SERVICES PROVIDED PRIOR TO THE BEGINNING OF THEIR ELIGIBILITY. D. THE HOSPITALS MAY SEEK COLLECTION ACTION AGAINST ANY OF THE PATIENTS PARTICIPATING IN THE PROGRAMS LISTED ABOVE FOR NON-COVERED SERVICES THAT THE PATIENT HAS AGREED TO BE RESPONSIBLE FOR, PROVIDED THAT THE HOSPITAL OBTAINED THE PATIENT'S PRIOR WRITTEN CONSENT TO BE BILLED FOR THE SERVICE.E. STANDARD COLLECTION ACTIONS1) THE HOSPITAL WILL NOT UNDERTAKE ANY "EXTRAORDINARY COLLECTION ACTIVITIES" UNTIL SUCH TIME AS THE HOSPITAL HAS MADE A REASONABLE EFFORT AND FOLLOWED A REASONABLE REVIEW OF THE PATIENT'S FINANCIAL STATUS, WHICH WILL DETERMINE THAT A PATIENT IS ENTITLED TO FINANCIAL ASSISTANCE OR EXEMPTION FROM ANY COLLECTION OR BILLING ACTIVITIES UNDER THIS CREDIT AND COLLECTION POLICY. THE HOSPITAL WILL KEEP ANY AND ALL DOCUMENTATION THAT WAS USED IN THIS DETERMINATION PURSUANT TO THE HOSPITAL'S APPLICABLE RECORD RETENTION POLICY. EXTRAORDINARY COLLECTION ACTIVITIES MAY INCLUDE LAWSUITS, LIENS ON RESIDENCES, ARRESTS, BODY ATTACHMENTS, OR AS OTHERWISE DESCRIBED BELOW IN COMPLIANCE WITH STATE REQUIREMENTS.2) THE HOSPITAL WILL NOT UNDERTAKE COLLECTION ACTION AGAINST AN INDIVIDUAL THAT HAS BEEN APPROVED FOR MEDICAL HARDSHIP UNDER THE MASSACHUSETTS HEALTH SAFETY NET PROGRAM WITH RESPECT TO THE AMOUNT OF THE BILL THAT EXCEEDS THE MEDICAL HARDSHIP CONTRIBUTION. THE HOSPITAL WILL FURTHER CEASE ANY COLLECTION EFFORTS AGAINST AN EMERGENCY BAD DEBT CLAIM THAT IS APPROVED FOR MEDICAL HARDSHIP UNDER THE HEALTH SAFETY NET PROGRAM.3) THE HOSPITAL WILL NOT GARNISH A LOW INCOME PATIENT'S (AS DETERMINED BY THE OFFICE OF MEDICAID) OR THEIR GUARANTOR'S WAGES OR EXECUTE A LIEN ON THE LOW INCOME PATIENT'S OR THEIR GUARANTOR'S PERSONAL RESIDENCE OR MOTOR VEHICLE UNLESS: (1) THE HOSPITAL CAN SHOW THE PATIENT OR THEIR GUARANTOR HAS THE ABILITY TO PAY, (2) THE PATIENT/GUARANTOR DID NOT RESPOND TO HOSPITAL REQUESTS FOR INFORMATION OR THE PATIENT/GUARANTOR REFUSED TO COOPERATE WITH THE HOSPITAL TO SEEK AN AVAILABLE FINANCIAL ASSISTANCE PROGRAM, AND (3) FOR PURPOSES OF THE LIEN, IT WAS APPROVED BY THE HOSPITAL'S BOARD OF TRUSTEES ON AN INDIVIDUAL CASE BY CASE BASIS.4) THE HOSPITALS AND ITS AGENTS SHALL NOT CONTINUE COLLECTION OR BILLING ON A PATIENT WHO IS A MEMBER OF A BANKRUPTCY PROCEEDING EXCEPT TO SECURE ITS RIGHTS AS A CREDITOR IN THE APPROPRIATE ORDER, PROVIDED THAT THE STATE OF MASSACHUSETTS WILL FILE ITS OWN RECOVERY ACTION FOR THOSE PATIENTS ENROLLED IN MASSHEALTH OR THE HEALTH SAFETY NET. THE HOSPITAL AND ITS AGENTS WILL ALSO NOT CHARGE INTEREST ON AN OVERDUE BALANCE FOR A LOW INCOME PATIENT OR FOR PATIENTS WHO ARE LOW INCOME BASED ON THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. 5) THE HOSPITAL MAINTAINS COMPLIANCE WITH APPLICABLE BILLING REQUIREMENTS, INCLUDING THE DEPARTMENT OF PUBLIC HEALTH REGULATIONS (105 CMR 130.332) FOR NON-PAYMENT OF SPECIFIC SERVICES OR READMISSIONS THAT THE HOSPITAL DETERMINES WAS THE RESULT OF A SERIOUS REPORTABLE EVENTS (SRE). SRES THAT DO NOT OCCUR AT THE HOSPITAL ARE EXCLUDED FROM THIS DETERMINATION OF NON-PAYMENT. THE HOSPITAL ALSO DOES NOT SEEK PAYMENT FROM A LOW INCOME PATIENT DETERMINED ELIGIBLE FOR THE HEALTH SAFETY NET PROGRAM WHOSE CLAIMS WERE INITIALLY DENIED BY AN INSURANCE PROGRAM DUE TO AN ADMINISTRATIVE BILLING ERROR BY THE HOSPITAL. SCHEDULE H, PART VI, LINE 1: PART V, SECTION B, LINES 15: (CONTD.) F. OUTSIDE COLLECTION AGENCIESTHE HOSPITAL CONTRACTS WITH AN OUTSIDE COLLECTION AGENCY TO ASSIST IN THE COLLECTION OF CERTAIN ACCOUNTS, INCLUDING PATIENT RESPONSIBLE AMOUNTS NOT RESOLVED AFTER ISSUANCE OF HOSPITAL BILLS OR FINAL NOTICES. HOWEVER, AS DETERMINED THROUGH THIS CREDIT AND COLLECTION POLICY, THE HOSPITAL MAY ASSIGN SUCH DEBT AS BAD DEBT OR CHARITY CARE (OTHERWISE DEEMED AS UNCOLLECTIBLE) PRIOR TO 120 DAYS IF IT IS ABLE TO DETERMINE THAT THE PATIENT WAS UNABLE TO PAY FOLLOWING THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL HAS A SPECIFIC AUTHORIZATION OR CONTRACT WITH THE OUTSIDE COLLECTION AGENCY AND REQUIRES SUCH AGENCIES TO ABIDE BY THE HOSPITAL'S CREDIT AND COLLECTION POLICIES FOR THOSE DEBTS THAT THE AGENCY IS PURSUING, INCLUDING THE OBLIGATION TO REFRAIN FROM "EXTRAORDINARY COLLECTION ACTIVITIES" UNTIL SUCH TIME AS THE HOSPITAL HAS MADE A REASONABLE EFFORT AND FOLLOWED A REASONABLE PROCESS FOR DETERMINING THAT A PATIENT IS ENTITLED TO ASSISTANCE OR EXEMPTION FROM ANY COLLECTION OR BILLING PROCEDURES UNDER THIS CREDIT AND COLLECTION POLICY. ALL OUTSIDE COLLECTION AGENCIES HIRED BY THE HOSPITAL WILL PROVIDE THE PATIENT WITH AN OPPORTUNITY TO FILE A GRIEVANCE AND WILL FORWARD TO THE HOSPITAL THE RESULTS OF SUCH PATIENT GRIEVANCES. THE HOSPITAL REQUIRES THAT ANY OUTSIDE COLLECTION AGENCY THAT IT USES IS LICENSED BY THE COMMONWEALTH OF MASSACHUSETTS AND THAT THE OUTSIDE COLLECTION AGENCY ALSO IS IN COMPLIANCE WITH THE MASSACHUSETTS ATTORNEY GENERAL'S DEBT COLLECTION REGULATIONS AT 940 C.M.R. 7.00.NEITHER THE HOSPITAL NOR ANY AUTHORIZED THIRD PARTY TOOK ANY OF THE ACTIONS LISTED IN FORM 990, SCHEDULE H, PART V, SECTION B, QUESTION 17 OR 18.III. DEPOSITS AND INSTALLMENT PLANSPURSUANT TO THE MASSACHUSETTS HEALTH SAFETY NET REGULATIONS PERTAINING TO PATIENTS THAT ARE EITHER: (1) DETERMINED TO BE A "LOW INCOME PATIENT" OR (2) QUALIFY FOR MEDICAL HARDSHIP, THE HOSPITAL WILL PROVIDE THE PATIENT WITH INFORMATION ON DEPOSITS AND PAYMENT PLANS BASED ON THE PATIENT'S DOCUMENTED FINANCIAL SITUATION. ANY OTHER PLAN WILL BE BASED ON THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM, AND WILL NOT APPLY TO PATIENTS WHO HAVE THE ABILITY TO PAY.A. EMERGENCY SERVICES A HOSPITAL MAY NOT REQUIRE PRE-ADMISSION AND/OR PRE-TREATMENT DEPOSITS FROM INDIVIDUALS THAT REQUIRE EMERGENCY LEVEL SERVICES OR THAT ARE DETERMINED TO BE LOW INCOME PATIENTS. B. LOW INCOME PATIENT DEPOSITSA HOSPITAL MAY REQUEST A DEPOSIT FROM INDIVIDUALS DETERMINED TO BE LOW INCOME PATIENTS. SUCH DEPOSITS MUST BE LIMITED TO 20% OF THE DEDUCTIBLE AMOUNT, UP TO $500. ALL REMAINING BALANCES ARE SUBJECT TO THE PAYMENT PLAN CONDITIONS ESTABLISHED IN 114.6 CMR 13.08.C. DEPOSITS FOR MEDICAL HARDSHIP PATIENTSA HOSPITAL MAY REQUEST A DEPOSIT FROM PATIENTS ELIGIBLE FOR MEDICAL HARDSHIP. DEPOSITS WILL BE LIMITED TO 20% OF THE MEDICAL HARDSHIP CONTRIBUTION UP TO $1,000. ALL REMAINING BALANCES WILL BE SUBJECT TO THE PAYMENT PLAN CONDITIONS ESTABLISHED IN 114.6 CMR 13.08.D. PAYMENT PLANS FOR LOW INCOME PATIENTS PURSUANT TO THE MASSACHUSETTS HEALTH SAFETY NET PROGRAMAN INDIVIDUAL WITH A BALANCE OF $1,000 OR LESS, AFTER INITIAL DEPOSIT, MUST BE OFFERED AT LEAST A ONE-YEAR PAYMENT PLAN INTEREST FREE WITH A MINIMUM MONTHLY PAYMENT OF NO MORE THAN $25. A PATIENT THAT HAS A BALANCE OF MORE THAN $1,000, AFTER INITIAL DEPOSIT, MUST BE OFFERED AT LEAST A TWO-YEAR INTEREST FREE PAYMENT PLAN.E. PAYMENT PLANS FOR HSN PARTIAL LOW INCOME PATIENTS.PURSUANT TO THE MASSACHUSETTS HEALTH SAFETY NET PROGRAM, SERVICES RENDERED IN A HOSPITAL LICENSED HEALTH CENTER MUST BE OFFERED THE SAME PAYMENT PLANS AS THE MAIN CAMPUS.THE HOSPITAL ALSO OFFERS THE HEALTH SAFETY NET PARTIAL LOW INCOME PATIENT A CO-INSURANCE PLAN, THAT ALLOWS THE PATIENT TO PAY 20% OF THE HEALTH SAFETY NET PAYMENT FOR EACH VISIT UNTIL THE PATIENT MEETS THEIR ANNUAL DEDUCTIBLE. THE REMAINING BALANCE WILL BE WRITTEN OFF TO THE HEALTH SAFETY NET.SCHEDULE H, PART VI, LINE 1: PART V, SECTION B, LINES 17 OR 18: ACTIONS ON COLLECTIONSNEITHER THE NEW ENGLAND BAPTIST HOSPITAL NOR ANY AUTHORIZED THIRD PARTY TOOK ANY OF THE ACTIONS LISTED IN FORM 990, SCHEDULE H, PART V, SECTION B, QUESTION 17 OR 18. SCHEDULE H, PART VI, LINE 1: PART V, SECTION B, LINE 19: POLICY RELATING TO EMERGENCY MEDICAL CARE IV. DELIVERY OF HEALTH CARE SERVICESTHE HOSPITAL EVALUATES THE DELIVERY OF HEALTH CARE SERVICES FOR ALL PATIENTS WHO PRESENT FOR SERVICES REGARDLESS OF THEIR ABILITY TO PAY. HOWEVER, NON-EMERGENT OR NON-URGENT HEALTH CARE SERVICES (I.E., ELECTIVE OR PRIMARY CARE SERVICES) MAY BE DELAYED OR DEFERRED BASED ON THE CONSULTATION WITH THE HOSPITAL'S CLINICAL STAFF AND, IF NECESSARY AND, IF AVAILABLE, THE PATIENT'S PRIMARY CARE PROVIDER. THE HOSPITAL MAY DECLINE TO PROVIDE A PATIENT WITH NON-EMERGENT, NON-URGENT SERVICES IN THOSE CASES WHEN THE HOSPITAL IS UNABLE TO IDENTIFY A PAYMENT SOURCE OR ELIGIBILITY IN A FINANCIAL ASSISTANCE PROGRAM. SUCH PROGRAMS INCLUDE MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, AND OTHERS. CHOICES RELATED TO THE DELIVERY AND ACCESS TO CARE IS OFTEN DEFINED IN EITHER THE INSURANCE CARRIER'S OR THE FINANCIAL ASSISTANCE PROGRAM'S COVERAGE MANUAL. THE URGENCY OF TREATMENT ASSOCIATED WITH EACH PATIENT'S PRESENTING CLINICAL SYMPTOMS WILL BE DETERMINED BY A MEDICAL PROFESSIONAL AS DETERMINED BY LOCAL STANDARDS OF PRACTICE, NATIONAL AND STATE CLINICAL STANDARDS OF CARE, AND THE HOSPITAL MEDICAL STAFF POLICIES AND PROCEDURES.FURTHER, ALL HOSPITALS FOLLOW THE FEDERAL EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT (EMTALA) REQUIREMENTS BY CONDUCTING A MEDICAL SCREENING EXAMINATION TO DETERMINE WHETHER AN EMERGENCY MEDICAL CONDITION EXISTS. IT IS IMPORTANT TO NOTE THAT CLASSIFICATION OF PATIENTS' MEDICAL CONDITION IS FOR CLINICAL MANAGEMENT PURPOSES ONLY, AND SUCH CLASSIFICATIONS ARE INTENDED FOR ADDRESSING THE ORDER IN WHICH PHYSICIANS SHOULD SEE PATIENTS BASED ON THEIR PRESENTING CLINICAL SYMPTOMS. THESE CLASSIFICATIONS DO NOT REFLECT EVALUATION OF THE PATIENT'S MEDICAL CONDITION REFLECTED IN FINAL DIAGNOSIS.FOR THOSE PATIENTS THAT ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH PATIENTS TO ASSIST WITH FINDING A FINANCIAL ASSISTANCE PROGRAM THAT MAY COVER SOME OR ALL OF THEIR UNPAID HOSPITAL BILL(S). FOR THOSE PATIENTS WITH PRIVATE INSURANCE, THE HOSPITAL MUST WORK THROUGH THE PATIENT AND THE INSURER TO DETERMINE WHAT MAY BE COVERED UNDER THE PATIENT'S INSURANCE POLICY. AS THE HOSPITAL IS OFTEN NOT ABLE TO GET THIS INFORMATION FROM THE INSURER IN A TIMELY MANNER, IT IS THE PATIENT'S OBLIGATION TO KNOW WHAT SERVICES WILL BE COVERED PRIOR TO SEEKING NON-EMERGENCY LEVEL AND NON-URGENT CARE SERVICES. DETERMINATION OF TREATMENT BASED ON MEDICAL CONDITIONS IS MADE ACCORDING TO THE FOLLOWING DEFINITIONS: 1. EMERGENCY AND URGENT CARE SERVICESANY PATIENT WHO COMES TO THE HOSPITAL WILL BE EVALUATED AS TO THE LEVEL OF EMERGENCY LEVEL OR URGENT CARE SERVICES WITHOUT REGARD TO THE PATIENT'S IDENTIFICATION, INSURANCE COVERAGE, OR ABILITY TO PAY. THE EVALUATION OF EMERGENCY LEVEL OR URGENT CARE SERVICES AS DEFINED BELOW IS FURTHER USED BY THE HOSPITAL FOR PURPOSES OF DETERMINING ALLOWABLE EMERGENCY AND URGENT BAD DEBT COVERAGE UNDER THE HEALTH SAFETY NET FUND.A) EMERGENCY LEVEL SERVICES INCLUDES:I. MEDICALLY NECESSARY SERVICES PROVIDED AFTER THE ONSET OF A MEDICAL CONDITION, WHETHER PHYSICAL OR MENTAL, MANIFESTING ITSELF BY SYMPTOMS OF SUFFICIENT SEVERITY INCLUDING SEVERE PAIN, THAT THE ABSENCE OF PROMPT MEDICAL ATTENTION COULD REASONABLY BE EXPECTED BY A PRUDENT LAYPERSON WHO POSSESSES AN AVERAGE KNOWLEDGE OF HEALTH AND MEDICINE TO RESULT IN PLACING THE HEALTH OF THE PERSON OR ANOTHER PERSON IN SERIOUS JEOPARDY, SERIOUS IMPAIRMENT TO BODY FUNCTION OR SERIOUS DYSFUNCTION OF ANY BODY ORGAN OR PART OR, WITH RESPECT TO A PREGNANT WOMAN, AS FURTHER DEFINED IN SECTION 1867(E) (1) (B) OF THE SOCIAL SECURITY ACT, 42 U.S.C. 1295DD(E)(1)(B). A MEDICAL SCREENING EXAMINATION AND ANY SUBSEQUENT TREATMENT FOR AN EXISTING EMERGENCY MEDICAL CONDITIONS OR ANY OTHER SUCH SERVICE RENDERED TO THE EXTENT REQUIRED PURSUANT TO THE FEDERAL EMTALA (42 USC 1395(DD) QUALIFIES AS AN EMERGENCY LEVEL SERVICE.B) URGENT CARE SERVICES INCLUDE:I. MEDICALLY NECESSARY SERVICES PROVIDED AFTER SUDDEN ONSET OF A MEDICAL CONDITION, WHETHER PHYSICAL OR MENTAL, MANIFESTING ITSELF BY ACUTE SYMPTOMS OF SUFFICIENT SEVERITY (INCLUDING SEVERE PAIN) THAT A PRUDENT LAYPERSON WOULD BELIEVE THAT THE ABSENCE OF MEDICAL ATTENTION WITHIN 24 HOURS COULD REASONABLY EXPECT TO RESULT IN: PLACING THE PATIENT'S HEALTH IN JEOPARDY, IMPAIRMENT TO BODILY FUNCTION, OR DYSFUNCTION OF ANY BODILY ORGAN OR PART. URGENT CARE SERVICES ARE PROVIDED FOR CONDITIONS THAT ARE NOT LIFE THREATENING AND DO NOT POSE A HIGH RISK OF SERIOUS DAMAGE TO AN INDIVIDUAL'S HEALTH, BUT PROMPT MEDICAL SERVICES ARE NEEDED.C) EMTALA LEVEL REQUIREMENTS:I. NEW ENGLAND BAPTIST HOSPITAL IS NOT LICENSED FOR AND DOES NOT HAVE AN EMERGENCY ROOM AND THEREFORE DOES NOT ANTICIPATE THE UNSCHEDULED PRESENTATION OF PATIENTS REQUIRING EMERGENCY SERVICES. IF AND WHEN APPROPRIATE, EMERGENCY AND URGENT SERVICES WILL BE PROVIDED WITHOUT REGARD TO A PATIENT'S IDENTIFICATION, INSURANCE COVERAGE, OR ABILITY TO PAY. IN ACCORDANCE WITH FEDERAL REQUIREMENTS, EMTALA IS TRIGGERED FOR ANYONE WHO COMES TO THE HOSPITAL PROPERTY REQUESTING EXAMINATION OR TREATMENT OF AN EMERGENCY LEVEL SERVICE (EMERGENCY MEDICAL CONDITION) OR TREATMENT FOR A MEDICAL CONDITION. MOST COMMONLY, UNSCHEDULED PERSONS PRESENT THEMSELVES AT THE AMBULATORY CARE UNIT (ACU) SEEKING URGENT CARE. HOWEVER, UNSCHEDULED PERSONS REQUESTING SERVICES FOR AN EMERGENCY MEDICAL CONDITION WHILE PRESENTING AT ANOTHER INPATIENT UNIT, CLINIC, OR OTHER ANCILLARY AREA MAY ALSO BE SUBJECT TO AN EMERGENCY MEDICAL SCREENING EXAMINATION IN ACCORDANCE WITH EMTALA. EXAMINATION AND TREATMENT FOR EMERGENCY MEDICAL CONDITIONS OR ANY SUCH OTHER SERVICE RENDERED TO THE EXTENT REQUIRED UNDER EMTALA, WILL BE PROVIDED TO THE PATIENT AND WILL QUALIFY AS EMERGENCY CARE. THE DETERMINATION THAT THERE IS AN EMERGENCY MEDICAL CONDITION IS MADE BY THE EXAMINING PHYSICIAN OR OTHER QUALIFIED MEDICAL PERSONNEL OF THE HOSPITAL AS DOCUMENTED IN THE MEDICAL RECORD. THE DETERMINATION THAT THERE IS AN URGENT OR PRIMARY MEDICAL CONDITION IS ALSO MADE BY THE EXAMINING PHYSICIAN OR OTHER QUALIFIED MEDICAL PERSONNEL OF THE HOSPITAL AS DOCUMENTED IN THE MEDICAL RECORD.2. NON-EMERGENT, NON-URGENT SERVICES: FOR PATIENTS WHO EITHER (1) ARRIVE TO THE HOSPITAL SEEKING NON-EMERGENT OR NON-URGENT LEVEL CARE OR (2) SEEK ADDITIONAL CARE FOLLOWING STABILIZATION OF AN EMERGENCY MEDICAL CONDITION, THE HOSPITAL MAY PROVIDE ELECTIVE SERVICES AFTER CONSULTING WITH THE HOSPITAL'S CLINICAL STAFF AND REVIEWING THE PATIENT'S COVERAGE OPTIONS. A) ELECTIVE SERVICES: MEDICALLY NECESSARY SERVICES THAT DO NOT MEET THE DEFINITION OF EMERGENT OR URGENT ABOVE. TYPICALLY, THESE SERVICES ARE EITHER PRIMARY CARE SERVICES OR MEDICAL PROCEDURES SCHEDULED IN ADVANCE BY THE PATIENT OR BY THE HEALTH CARE PROVIDER (HOSPITAL, PHYSICIAN OFFICE, OTHER). 3. LOCATIONS WHERE PATIENTS MAY PRESENT:PATIENTS ARE ABLE TO SEEK EMERGENCY LEVEL SERVICES AND URGENT CARE SERVICES WHEN THEY COME TO THE HOSPITAL'S DESIGNATED URGENT CARE AREA. NEBH IS NOT LICENSED FOR AN EMERGENCY ROOM. HOWEVER, PATIENTS WITH EMERGENT AND URGENT CONDITIONS MAY ALSO PRESENT IN A VARIETY OF OTHER LOCATIONS, INCLUDING BUT NOT LIMITED TO ANCILLARY DEPARTMENTS SUCH AS RADIOLOGY AND LABORATORY, HOSPITAL CLINICS AND OTHER AREAS. THE HOSPITAL ALSO PROVIDES OTHER ELECTIVE SERVICES AT THE MAIN HOSPITAL, CLINICS AND OTHER OUTPATIENT LOCATIONS. SCHEDULE H, PART VI, LINE 1: PART V, SECTION B, LINE 20 - 22: INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCENEW ENGLAND BAPTIST HOSPITAL (NEBH) NOTIFIES ITS PATIENTS ABOUT ITS FINANCIAL ASSISTANCE POLICY THROUGH ITS FINANCIAL COUNSELORS AND PUBLIC DISCLOSURES, AS DESCRIBED HERE WITHIN. IN ADDITION, ONCE NEBH BECOMES AWARE OF A PATIENTS HSN OR FINANCIAL ELIGIBILITY STATUS, ALL INVOICES ARE ADJUSTED ACCORDINGLY. NEBH CREDIT & COLLECTION POLICY FURTHER DESCRIBES ITS PRACTICES AND NOTIFICATIONS FOR INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE:FOR PATIENTS WHO EITHER (1) ARRIVE TO THE HOSPITAL SEEKING NON-EMERGENT OR NON-URGENT LEVEL CARE OR (2) SEEK ADDITIONAL CARE FOLLOWING STABILIZATION OF AN EMERGENCY MEDICAL CONDITION, THE HOSPITAL MAY PROVIDE ELECTIVE SERVICES AFTER CONSULTING WITH THE HOSPITAL'S CLINICAL STAFF AND REVIEWING THE PATIENT'S COVERAGE OPTIONS. V. NOTICE OF AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER COVERAGE OPTIONS1. GENERAL PRINCIPLESFOR THOSE PATIENTS WHO ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH THEM TO ASSIST WITH APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER SOME OR ALL OF THEIR UNPAID HOSPITAL BILLS. IN ORDER TO HELP UNINSURED AND UNDERINSURED PATIENTS FIND AVAILABLE AND APPROPRIATE FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL PROVIDE ALL PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE BILLS THAT ARE SENT TO PATIENTS AS WELL AS IN GENERAL NOTICES THAT ARE POSTED THROUGHOUT THE HOSPITAL.THE GOAL OF THESE NOTICES IS TO ASSIST PATIENTS IN APPLYING FOR COVERAGE WITHIN A FINANCIAL ASSISTANCE PROGRAM, SUCH AS MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, AND HEALTH SAFETY NET. WHEN APPLICABLE, THE HOSPITAL MAY ALSO ASSIST PATIENTS IN APPLYING FOR COVERAGE OF SERVICES AS A MEDICAL HARDSHIP BASED ON THE PATIENT'S DOCUMENTED INCOME AND ALLOWABLE MEDICAL EXPENSES. THE HOSPITAL WILL PROVIDE, UPON REQUEST, SPECIFIC INFORMATION ABOUT THE ELIGIBILITY PROCESS TO BE A LOW INCOME PATIENT UNDER EITHER THE MASSACHUSETTS HEALTH SAFETY NET PROGRAM OR ADDITIONAL ASSISTANCE FOR PATIENTS WHO ARE LOW INCOME THROUGH THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL WILL ALSO NOTIFY THE PATIENT ABOUT AVAILABLE PAYMENT PLANS THAT MAY BE AVAILABLE TO THEM BASED ON THEIR FAMILY SIZE AND INCOME.2. ROLE OF HOSPITAL PATIENT FINANCIAL COUNSELORS AND OTHER FINANCE STAFFTHE HOSPITAL WILL TRY TO IDENTIFY AVAILABLE COVERAGE OPTIONS FOR PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED WITH THEIR CURRENT INSURANCE PROGRAM WHEN THE PATIENT IS SCHEDULING THEIR SERVICES, WHILE THE PATIENT IS IN THE HOSPITAL, UPON DISCHARGE, AND FOR A REASONABLE TIME FOLLOWING DISCHARGE FROM THE HOSPITAL. THE HOSPITAL REGISTRATION AND ADMISSION STAFF WILL DIRECT ALL PATIENTS SEEKING AVAILABLE COVERAGE OPTIONS OR FINANCIAL ASSISTANCE TO THE HOSPITAL'S PATIENT FINANCIAL COUNSELING OFFICE TO DETERMINE IF THEY ARE ELIGIBLE AND THEN TO SCREEN FOR ELIGIBILITY IN AN APPROPRIATE COVERAGE OPTION. THE HOSPITAL WILL THEN ASSIST THE PATIENT IN APPLYING FOR THE APPROPRIATE COVERAGE OPTIONS THAT ARE AVAILABLE OR NOTIFY THEM OF THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM.THE HOSPITAL WILL ALSO PROVIDE INFORMATION ON HOW TO CONTACT THE APPROPRIATE STAFF WITHIN THE HOSPITAL'S FINANCE OFFICE TO VERIFY THE ACCURACY OF THE HOSPITAL BILL OR TO DISPUTE CERTAIN CHARGES.3. NOTIFICATION PRACTICES:THE HOSPITAL WILL POST A NOTICE (SIGNS) OF AVAILABILITY OF FINANCIAL ASSISTANCE AS OUTLINED IN THIS CREDIT AND COLLECTION POLICY IN THE FOLLOWING LOCATIONS:A) INPATIENT, CLINICS, URGENT CARE DEPARTMENT ADMISSION AND/OR REGISTRATION AREAS;B) PATIENT FINANCIAL COUNSELOR AREAS;C) CENTRAL ADMISSION/REGISTRATION AREAS; AND/ORD) BUSINESS OFFICE AREAS THAT IS OPEN TO PATIENTS.E) POSTED SIGNS WILL BE CLEARLY VISIBLE AND LEGIBLE TO PATIENTS VISITING THESE AREAS. THE HOSPITAL WILL ALSO INCLUDE A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IN ALL INITIAL BILLS.WHEN THE PATIENT CONTACTS THE HOSPITAL, THE HOSPITAL FINANCE STAFF WILL ATTEMPT TO IDENTIFY IF A PATIENT QUALIFIES FOR A PUBLIC FINANCIAL ASSISTANCE PROGRAM OR A PAYMENT PLAN. A PATIENT WHO IS ENROLLED IN A PUBLIC FINANCIAL ASSISTANCE PROGRAM (E.G., MASSHEALTH OR THE HEALTH SAFETY NET) MAY QUALIFY FOR CERTAIN PLANS. PATIENTS MAY ALSO QUALIFY FOR ADDITIONAL ASSISTANCE BASED ON THE HOSPITAL'S OWN INTERNAL CRITERIA FOR FINANCIAL ASSISTANCE, OR QUALIFY FOR COVERAGE OF SERVICES AS A MEDICAL HARDSHIP BASED ON THE PATIENT'S DOCUMENTED INCOME AND ALLOWABLE MEDICAL EXPENSES.FOR CASES WHERE THE HOSPITAL IS USING THE VIRTUAL GATEWAY APPLICATION, THE HOSPITAL WILL ASSIST THE PATIENT IN COMPLETING THE APPLICATION FOR MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, OR OTHER FORMS OF FINANCIAL ASSISTANCE PROGRAMS AS THEY BECOME PART OF THE VIRTUAL GATEWAY PROGRAM. ALL SIGNS AND NOTICES SHALL BE TRANSLATED INTO LANGUAGES OTHER THAN ENGLISH IF SUCH LANGUAGE IS PRIMARILY SPOKEN BY 10% OR MORE OF THE RESIDENTS IN THE HOSPITAL SERVICE AREA, WHICH IS BASED ON THE HOSPITAL ADMISSIONS AND/OR DISCHARGE INFORMATION. SCHEDULE H, PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCENEW ENGLAND BAPTIST HOSPITAL INFORMS AND EDUCATES ITS PATIENTS ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS AS DESCRIBED IN ITS CREDIT & COLLECTIONS POLICY:DOCUMENTING ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS1. GENERAL PRINCIPLESFINANCIAL ASSISTANCE IS INTENDED TO ASSIST LOW-INCOME PATIENTS WHO DO NOT OTHERWISE HAVE THE ABILITY TO PAY FOR THEIR HEALTH CARE SERVICES. SUCH ASSISTANCE TAKES INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. FOR THOSE PATIENTS THAT ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH THEM TO ASSIST WITH APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER ALL OR SOME OF THEIR UNPAID HOSPITAL BILLS. THE HOSPITAL PROVIDES THIS ASSISTANCE FOR BOTH RESIDENTS AND NON-RESIDENTS OF MASSACHUSETTS; HOWEVER, THERE MAY NOT BE COVERAGE IN A STATE PUBLIC ASSISTANCE PROGRAM FOR A MASSACHUSETTS HOSPITAL'S SERVICES THROUGH AN OUT-OF STATE RESIDENT. IN ORDER FOR THE HOSPITAL TO ASSIST UNINSURED AND UNDERINSURED PATIENTS FIND THE MOST APPROPRIATE COVERAGE OPTIONS AS WELL AS DETERMINE IF THE PATIENT IS FINANCIALLY ELIGIBLE FOR ANY DISCOUNTS IN PAYMENTS, PATIENTS MUST ACTIVELY WORK WITH HOSPITALS TO VERIFY THE PATIENT'S DOCUMENTED FAMILY INCOME, OTHER INSURANCE COVERAGE, AND ANY OTHER INFORMATION THAT COULD BE USED IN DETERMINING ELIGIBILITY.2. HOSPITAL SCREENING AND ELIGIBILITY APPROVAL PROCESSTHE HOSPITAL PROVIDES PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE THROUGH THE COMMONWEALTH OF MASSACHUSETTS OR THROUGH THE HOSPITAL'S OWN FINANCIAL ASSISTANCE PROGRAM, WHICH MAY COVER ALL OR SOME OF THEIR UNPAID HOSPITAL BILL. FOR THOSE PATIENTS THAT REQUEST SUCH ASSISTANCE, THE HOSPITAL ASSISTS PATIENTS BY SCREENING THEM FOR ELIGIBILITY IN AN AVAILABLE PUBLIC PROGRAM AND ASSISTING THEM IN APPLYING FOR THE PROGRAM. THESE PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO: MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, AND THE HEALTH SAFETY NET. WHEN APPLICABLE, THE HOSPITAL MAY ALSO ASSIST PATIENTS IN APPLYING FOR COVERAGE OF SERVICES AS A MEDICAL HARDSHIP BASED ON THE PATIENT'S DOCUMENTED FAMILY INCOME, CURRENT AND PRIOR INSURANCE COVERAGE, AND ALLOWABLE MEDICAL EXPENSES. IT IS THE PATIENT'S OBLIGATION TO PROVIDE THE HOSPITAL WITH ACCURATE AND TIMELY INFORMATION REGARDING THEIR FULL NAME, ADDRESS, TELEPHONE NUMBER, DATE OF BIRTH, SOCIAL SECURITY NUMBER (IF AVAILABLE), CURRENT HEALTH INSURANCE COVERAGE OPTIONS (INCLUDING ANY OTHER INSURANCE OR COVERAGE OPTIONS (LIKE A MOTOR VEHICLE POLICY OR WORKER'S COMPENSATION POLICY) THAT CAN COVER THE COST OF THE CARE RECEIVED), ANY OTHER APPLICABLE FINANCIAL RESOURCES, AND CITIZENSHIP AND RESIDENCY INFORMATION. THIS INFORMATION WILL BE USED TO DETERMINE COVERAGE FOR THE SERVICES PROVIDED TO THE PATIENT. IF THERE IS NO SPECIFIC COVERAGE FOR THE SERVICES PROVIDED, THE HOSPITAL WILL USE THE INFORMATION TO DETERMINE IF THE SERVICES MAY BE COVERED BY AN APPLICABLE PROGRAM THAT WILL COVER CERTAIN SERVICES DEEMED BAD DEBT. IN ADDITION, THE HOSPITAL WILL USE THIS INFORMATION TO DISCUSS ELIGIBILITY FOR CERTAIN HEALTH INSURANCE PROGRAMS. IF THE PATIENT OR GUARANTOR IS UNABLE TO PROVIDE THE NECESSARY INFORMATION, THE HOSPITAL MAY (AT THE PATIENT'S REQUEST) MAKE REASONABLE EFFORTS TO OBTAIN ANY ADDITIONAL INFORMATION FROM OTHER SOURCES. THIS WILL OCCUR WHEN THE PATIENT IS SCHEDULING THEIR SERVICES, DURING PRE-REGISTRATION, WHILE THE PATIENT IS ADMITTED IN THE HOSPITAL, UPON DISCHARGE, OR FOR A REASONABLE TIME FOLLOWING DISCHARGE FROM THE HOSPITAL. INFORMATION THAT THE HOSPITAL OBTAINS WILL BE MAINTAINED IN ACCORDANCE WITH APPLICABLE FEDERAL AND STATE PRIVACY AND SECURITY LAWS.THE SCREENING AND APPLICATION PROCESS FOR A PUBLIC HEALTH INSURANCE PROGRAMS IS DONE THROUGH EITHER THE VIRTUAL GATEWAY (WHICH IS AN INTERNET PORTAL DESIGNED BY THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES TO PROVIDE THE GENERAL PUBLIC, MEDICAL PROVIDERS, AND COMMUNITY-BASED ORGANIZATIONS WITH AN ONLINE APPLICATION FOR THE PROGRAMS OFFERED BY THE STATE) OR THROUGH A STANDARD PAPER APPLICATION THAT IS COMPLETED BY THE PATIENT AND ALSO SUBMITTED DIRECTLY TO THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES FOR PROCESSING. THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES SOLELY MANAGES THE APPLICATION PROCESS FOR THE PROGRAMS LISTED ABOVE, WHICH IS AVAILABLE FOR CHILDREN, ADULTS, SENIORS, VETERANS, HOMELESS, AND DISABLED INDIVIDUALS. IN SPECIAL CIRCUMSTANCES, THE HOSPITAL MAY APPLY FOR THE PATIENT FOR ELIGIBILITY IN THE HEALTH SAFETY NET PROGRAM USING A SPECIFIC FORM DESIGNED BY THE MASSACHUSETTS DIVISION OF HEALTH CARE FINANCE AND POLICY. SPECIAL CIRCUMSTANCES INCLUDE INDIVIDUALS SEEKING FINANCIAL ASSISTANCE COVERAGE DUE TO BEING INCARCERATED, VICTIMS OF SPOUSAL ABUSE, OR APPLYING DUE TO A MEDICAL HARDSHIP. THE HOSPITAL SPECIFICALLY ASSISTS THE PATIENT IN COMPLETING THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES STANDARD APPLICATION AND SECURING THE NECESSARY DOCUMENTATION REQUIRED BY THE APPLICABLE FINANCIAL ASSISTANCE PROGRAM. NECESSARY DOCUMENTATION INCLUDES PROOF OF: (1) ANNUAL HOUSEHOLD INCOME (PAYROLL STUBS, RECORD OF SOCIAL SECURITY PAYMENTS, AND A LETTER FROM THE EMPLOYER, TAX RETURNS, OR BANK STATEMENTS), (2) CITIZENSHIP AND IDENTITY, (3) IMMIGRATION STATUS FOR NON-CITIZENS (IF APPLICABLE), AND (4) ASSETS OF THOSE INDIVIDUALS WHO ARE ALSO ENROLLED IN THE MEDICARE PROGRAM. THE HOSPITAL WILL THEN SUBMIT THIS DOCUMENTATION TO THE MASSACHUSETTS OFFICE OF MEDICAID AND ASSIST THE PATIENT IN SECURING ANY ADDITIONAL DOCUMENTATION IF SUCH IS REQUESTED BY THE STATE AFTER COMPLETING THE APPLICATION. MASSACHUSETTS PLACES A THREE DAY TIME LIMITATION ON SUBMITTING ALL NECESSARY DOCUMENTATION FOLLOWING THE SUBMISSION OF THE APPLICATION FOR A PROGRAM. FOLLOWING THIS THREE DAY PERIOD, THE PATIENT AND THE PROVIDER MUST WORK WITH THE MASSHEALTH ENROLLMENT CENTERS TO SECURE THE ADDITIONAL DOCUMENTATION NEEDED FOR ENROLLMENT IN THE APPLICABLE FINANCIAL ASSISTANCE PROGRAM. ALL VIRTUAL GATEWAY AND PAPER APPLICATIONS ARE REVIEWED AND PROCESSED BY THE MASSACHUSETTS OFFICE OF MEDICAID, WHICH USES THE FEDERAL POVERTY GUIDELINES, ASSET INFORMATION, AS WELL AS THE NECESSARY DOCUMENTATION LISTED ABOVE AS THE BASIS FOR DETERMINING ELIGIBILITY FOR STATE SPONSORED PUBLIC ASSISTANCE PROGRAMS. THE ELIGIBILITY FOR ENROLLMENT INTO THE HEALTH SAFETY NET PROGRAM FOR FULL OR PARTIAL HEALTH SAFETY NET COVERAGE IS ALSO DETERMINED THROUGH THE VIRTUAL GATEWAY. THE HOSPITAL WILL ALSO ASSIST OTHER PATIENTS, SUCH AS MINORS RECEIVING CONFIDENTIAL SERVICES OR INDIVIDUALS WHO HAVE BEEN BATTERED OR ABUSED, OBTAIN COVERAGE THROUGH THE HEALTH SAFETY NET BY USING THE MASSACHUSETTS DIVISION OF HEALTH CARE FINANCE AND POLICY SPECIAL CIRCUMSTANCE APPLICATION. A COPY OF THE FEDERAL POVERTY GUIDELINES THAT ARE USED BY THE STATE IS ATTACHED TO THIS POLICY. HOSPITALS HAVE NO ROLE IN THE DETERMINATION OF PROGRAM ELIGIBILITY MADE BY THE STATE, BUT AT THE PATIENT'S REQUEST MAY TAKE A DIRECT ROLE IN APPEALING OR SEEKING INFORMATION RELATED TO THE COVERAGE DECISIONS. IT IS STILL THE PATIENT'S RESPONSIBILITY TO INFORM THE HOSPITAL OF ALL COVERAGE DECISIONS MADE BY THE STATE TO ENSURE ACCURATE AND TIMELY ADJUDICATION OF ALL HOSPITAL BILLS.3. FUTURE PROGRAMSAS FUTURE COVERAGE OPTIONS ARE DEVELOPED, AS DISCUSSED IN BOTH FEDERAL AND STATE HEALTHCARE REFORM PROPOSALS, THE HOSPITAL WILL MAKE APPROPRIATE CHANGES TO THIS CREDIT AND COLLECTION POLICY. SCHEDULE H, PART VI, LINE 3: (CONTD.) NOTICE OF AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER COVERAGE OPTIONS1. GENERAL PRINCIPLESFOR THOSE PATIENTS WHO ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH THEM TO ASSIST WITH APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER SOME OR ALL OF THEIR UNPAID HOSPITAL BILLS. IN ORDER TO HELP UNINSURED AND UNDERINSURED PATIENTS FIND AVAILABLE AND APPROPRIATE FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL PROVIDE ALL PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE BILLS THAT ARE SENT TO PATIENTS AS WELL AS IN GENERAL NOTICES THAT ARE POSTED THROUGHOUT THE HOSPITAL. THE GOAL OF THESE NOTICES IS TO ASSIST PATIENTS IN APPLYING FOR COVERAGE WITHIN A FINANCIAL ASSISTANCE PROGRAM, SUCH AS MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, AND HEALTH SAFETY NET. WHEN APPLICABLE, THE HOSPITAL MAY ALSO ASSIST PATIENTS IN APPLYING FOR COVERAGE OF SERVICES AS A MEDICAL HARDSHIP BASED ON THE PATIENT'S DOCUMENTED INCOME AND ALLOWABLE MEDICAL EXPENSES. THE HOSPITAL WILL PROVIDE, UPON REQUEST, SPECIFIC INFORMATION ABOUT THE ELIGIBILITY PROCESS TO BE A LOW INCOME PATIENT UNDER EITHER THE MASSACHUSETTS HEALTH SAFETY NET PROGRAM OR ADDITIONAL ASSISTANCE FOR PATIENTS WHO ARE LOW INCOME THROUGH THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL WILL ALSO NOTIFY THE PATIENT ABOUT AVAILABLE PAYMENT PLANS THAT MAY BE AVAILABLE TO THEM BASED ON THEIR FAMILY SIZE AND INCOME.2. ROLE OF HOSPITAL PATIENT FINANCIAL COUNSELORS AND OTHER FINANCE STAFFTHE HOSPITAL WILL TRY TO IDENTIFY AVAILABLE COVERAGE OPTIONS FOR PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED WITH THEIR CURRENT INSURANCE PROGRAM WHEN THE PATIENT IS SCHEDULING THEIR SERVICES, WHILE THE PATIENT IS IN THE HOSPITAL, UPON DISCHARGE, AND FOR A REASONABLE TIME FOLLOWING DISCHARGE FROM THE HOSPITAL. THE HOSPITAL REGISTRATION AND ADMISSION STAFF WILL DIRECT ALL PATIENTS SEEKING AVAILABLE COVERAGE OPTIONS OR FINANCIAL ASSISTANCE TO THE HOSPITAL'S PATIENT FINANCIAL COUNSELING OFFICE TO DETERMINE IF THEY ARE ELIGIBLE AND THEN TO SCREEN FOR ELIGIBILITY IN AN APPROPRIATE COVERAGE OPTION. THE HOSPITAL WILL THEN ASSIST THE PATIENT IN APPLYING FOR THE APPROPRIATE COVERAGE OPTIONS THAT ARE AVAILABLE OR NOTIFY THEM OF THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL WILL ALSO PROVIDE INFORMATION ON HOW TO CONTACT THE APPROPRIATE STAFF WITHIN THE HOSPITAL'S FINANCE OFFICE TO VERIFY THE ACCURACY OF THE HOSPITAL BILL OR TO DISPUTE CERTAIN CHARGES.3. NOTIFICATION PRACTICES:THE HOSPITAL WILL POST A NOTICE (SIGNS) OF AVAILABILITY OF FINANCIAL ASSISTANCE AS OUTLINED IN THIS CREDIT AND COLLECTION POLICY IN THE FOLLOWING LOCATIONS:A) INPATIENT, CLINICS, URGENT CARE DEPARTMENT ADMISSION AND/OR REGISTRATION AREAS;B) PATIENT FINANCIAL COUNSELOR AREAS;C) CENTRAL ADMISSION/REGISTRATION AREAS; AND/ORD) BUSINESS OFFICE AREAS THAT IS OPEN TO PATIENTS.POSTED SIGNS WILL BE CLEARLY VISIBLE AND LEGIBLE TO PATIENTS VISITING THESE AREAS. THE HOSPITAL WILL ALSO INCLUDE A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IN ALL INITIAL BILLS. WHEN THE PATIENT CONTACTS THE HOSPITAL, THE HOSPITAL FINANCE STAFF WILL ATTEMPT TO IDENTIFY IF A PATIENT QUALIFIES FOR A PUBLIC FINANCIAL ASSISTANCE PROGRAM OR A PAYMENT PLAN. A PATIENT WHO IS ENROLLED IN A PUBLIC FINANCIAL ASSISTANCE PROGRAM (E.G., MASSHEALTH OR THE HEALTH SAFETY NET) MAY QUALIFY FOR CERTAIN PLANS. PATIENTS MAY ALSO QUALIFY FOR ADDITIONAL ASSISTANCE BASED ON THE HOSPITAL'S OWN INTERNAL CRITERIA FOR FINANCIAL ASSISTANCE, OR QUALIFY FOR COVERAGE OF SERVICES AS A MEDICAL HARDSHIP BASED ON THE PATIENT'S DOCUMENTED INCOME AND ALLOWABLE MEDICAL EXPENSES. FOR CASES WHERE THE HOSPITAL IS USING THE VIRTUAL GATEWAY APPLICATION, THE HOSPITAL WILL ASSIST THE PATIENT IN COMPLETING THE APPLICATION FOR MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, OR OTHER FORMS OF FINANCIAL ASSISTANCE PROGRAMS AS THEY BECOME PART OF THE VIRTUAL GATEWAY PROGRAM. ALL SIGNS AND NOTICES SHALL BE TRANSLATED INTO LANGUAGES OTHER THAN ENGLISH IF SUCH LANGUAGE IS PRIMARILY SPOKEN BY 10% OR MORE OF THE RESIDENTS IN THE HOSPITAL SERVICE AREA, WHICH IS BASED ON THE HOSPITAL ADMISSIONS AND/OR DISCHARGE INFORMATION. SCHEDULE H, PART VI, LINE 4: COMMUNITY INFORMATION THE COMMUNITY SERVED BY NEW ENGLAND BAPTIST HOSPITAL (NEBH) IS DETERMINED BY PROXIMITY TO THE HOSPITAL AND AN EVALUATION OF DISCHARGE DATA. ITS PRIMARY COMMUNITY SERVICE AREA IS THE BOSTON NEIGHBORHOOD OF MISSION HILL; HOWEVER, THE HOSPITAL'S PATIENT BASE AND SERVICES EXTEND TO OTHER BOSTON NEIGHBORHOODS AND SURROUNDING TOWNS. PRIMARY COMMUNITY SERVICE AREA: MISSION HILL, BOSTON AND PARTS OF ROXBURY AND JAMAICA PLAINSMISSION HILL IS A ONE SQUARE MILE NEIGHBORHOOD LOCATED APPROXIMATELY ONE MILE FROM BOSTON'S DOWNTOWN BUSINESS DISTRICT. APPROXIMATELY THREE QUARTERS OF THE NEIGHBORHOOD IS RESIDENTIAL MADE-UP OF PRIVATELY OWNED ONE TO THREE FAMILY BUILDINGS AND A NUMBER OF MULTI-FAMILY BUILDINGS. MISSION HILL'S POPULATION OF AROUND 19,000 PEOPLE IS RACIALLY AND ECONOMICALLY DIVERSE. ATOP THE HILL IS NEW ENGLAND BAPTIST HOSPITAL AND MCLAUGHLIN PLAYGROUND, WHICH EXTENDS FROM THE HOSPITAL GROUNDS DOWN PARKER HILL AVENUE. MCLAUGHLIN PLAYGROUND, IS ONE OF THE HIGHEST POINTS IN THE CITY WHERE YOU CAN OBSERVE A PANORAMIC VIEW OF DOWNTOWN BOSTON, BOSTON HARBOR, AND THE BLUE HILLS.COMMUNITY HEALTH NEEDS ASSESSMENT - KEY FINDINGSTHE FOLLOWING ARE KEY FINDINGS RELATED TO COMMUNITY CHARACTERISTICS AND THE DETERMINANTS OF HEALTH FOR NEBH'S COMMUNITY BENEFIT SERVICE AREA. SINCE MISSION HILL IS THE DOMINANT GEOGRAPHY IN NEBH'S COMMUNITY BENEFIT SERVICE AREA, THE FOCUS OF THIS SUMMARY IS ON MISSION HILL AS COMPARED TO ROXBURY AND BOSTON OVERALL- AGE: MISSION HILL'S POPULATION HAS LARGER PROPORTIONS OF OLDER ADULTS (65+) AND SMALLER PROPORTIONS OF CHILDREN (<18) THAN THE POPULATIONS IN ROXBURY AND BOSTON OVERALL. WITH RESPECT TO AGE, THE MOST STRIKING FINDING IS THE EXTREMELY LARGE PROPORTION OF YOUNG ADULTS (COLLEGE STUDENTS) THAT RESIDE IN MISSION HILL COMPARED TO ROXBURY AND BOSTON OVERALL, WHICH SKEWS THE AGE DISTRIBUTION. MORE THAN 40% (40.2%) OF MISSION HILL'S POPULATION IS BETWEEN 18 AND 24 YEARS OLD, COMPARED TO 16.4 FOR ROXBURY AND 19.0% FOR BOSTON OVERALL.- RACE/ETHNICITY, FOREIGN BORN STATUS, AND LANGUAGE: THE PROPORTION OF RACIAL/ETHNIC MINORITY POPULATIONS IN MISSION HILL IS HIGH RELATIVE TO THE COMMONWEALTH OF MASSACHUSETTS OVERALL BUT MIRRORS THE PROPORTIONS IN BOTH ROXBURY AND BOSTON OVERALL. HOWEVER, THE SPECIFIC CHARACTERISTICS OF THE RACIAL/ETHNIC MINORITY POPULATION IN MISSION HILL ARE VERY DIFFERENT. IN MISSION HILL THERE ARE MUCH LARGER PERCENTAGES OF ASIAN RESIDENTS AND SMALLER PROPORTIONS OF AFRICAN AMERICAN AND HISPANIC RESIDENTS COMPARED TO ROXBURY. ACROSS MISSION HILL, ROXBURY, AND BOSTON OVERALL, MORE THAN ONE-THIRD OF THE POPULATIONS ARE FOREIGN BORN AND MORE THAN ONE-THIRD OF THE POPULATIONS SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THERE ARE CLEAR AND WELL-RECOGNIZED HEALTH DISPARITIES AMONG RACIAL/ETHNIC MINORITY AND FOREIGN POPULATIONS COMPARED TO THE MAJORITY NON-HISPANIC WHITE POPULATION. IN ADDITION, THERE ARE SIGNIFICANT HEALTH LITERACY ISSUES AMONG RACIAL/ETHNIC MINORITIES, PARTICULARLY WITH FOREIGN-BORN POPULATIONS AND FOR THOSE WITH LIMITED ABILITY TO SPEAK ENGLISH. - INCOME/POVERTY: LARGE PROPORTIONS OF THE POPULATIONS IN MISSION HILL AND ROXBURY LIVE IN POVERTY (< 100% OF THE FEDERAL POVERTY LEVEL - FPL) OR LOW-INCOME HOUSEHOLDS (< 200% FPL) AND STRUGGLE TO PAY FOR FOOD AND OTHER BASIC HOUSEHOLD ITEMS. IN MISSION HILL 39% OF THE HOUSEHOLDS ARE LIVING IN POVERTY, COMPARED TO 35% IN ROXBURY, AND 21% IN BOSTON OVERALL. THE SIGNIFICANT AND NEGATIVE IMPACTS OF POVERTY WERE ALSO DISCUSSED IN NEARLY ALL OF INTERVIEWS AND IN EACH FOCUS GROUP. THE MISSION HILL FIGURES ARE SOMEWHAT SKEWED BY THE LARGE NUMBERS OF COLLEGE STUDENTS THAT LIVE IN THE AREA AND DO NOT HAVE A REGULAR INCOME. IF THESE YOUNG ADULTS LIVING IN NON-FAMILY HOUSEHOLDS ARE TAKEN OUT OF THE ANALYSIS, MISSION HILL FAIRS SLIGHTLY BETTER THAN ROXBURY. HOWEVER, POVERTY AND ITS IMPACTS ARE STILL MAJOR ISSUE FOR MISSION HILL'S FAMILIES AND OTHER MORE PERMANENT RESIDENTS. - EDUCATION: COMPARED TO BOSTON, RESIDENTS OF MISSION HILL ARE LESS LIKELY TO HAVE A HIGH SCHOOL DIPLOMA. COMPARED TO ROXBURY, HOWEVER, MISSION HILL RESIDENTS ARE MORE LIKELY TO HAVE A HIGH SCHOOL DIPLOMA. ONCE AGAIN, THIS DATA IS SKEWED BY THE HIGH NUMBER OF TRANSIENT YOUNG ADULT RESIDENTS WHO ATTEND BOSTON'S MANY UNIVERSITIES AND COLLEGES AND LIVE IN MISSION HILL.- LACK OF EMPLOYMENT, THE ECONOMIC DOWNTURN, AND ITS IMPACTS: WHILE MISSION HILL RESIDENTS APPEAR BETTER OFF THAN RESIDENTS OF ROXBURY ON THIS ISSUE, A LARGE PROPORTION OF THE MISSION HILL POPULATION ARE EITHER UNEMPLOYED OR DO NOT CONSIDER THEMSELVES PART OF THE WORKFORCE. THE UNEMPLOYMENT RATE IN MISSION HILL FOR PEOPLE OVER THE AGE OF 16 YEARS OLD IS JUST 8.1%, COMPARED TO 16.5% IN ROXBURY AND 10.2% IN BOSTON OVERALL. HOWEVER, IN ORDER TO GET A CLEAR PICTURE OF THIS ISSUE ONE MUST ALSO CONSIDER THE NUMBER AND PROPORTION OF THE POPULATION WHO DO NOT CONSIDER THEMSELVES PART OF THE WORKFORCE. IN MISSION HILL NEARLY 40% (5,873) OF THE 16-YEAR-OLD-AND-OVER POPULATION DOES NOT CONSIDER ITSELF TO BE PART OF LABOR FORCE, WHICH MEANS THAT 41% (5,873) OF THE TOTAL POPULATION IS NOT EMPLOYED. VIEWED IN THIS MANNER, MISSION HILL IS STILL BETTER OFF THAN ROXBURY BUT NOT NEARLY TO THE EXTENT THAT UNEMPLOYMENT FIGURES ALONE SUGGEST. IN ROXBURY, 51% (17,837) OF THE POPULATION IS NOT EMPLOYED AND IN BOSTON OVERALL THE FIGURE, NOT SURPRISINGLY, IS MUCH LOWER AT 38% (199,006). UNEMPLOYMENT AND THE IMPACT THAT THE ECONOMIC DOWNTURN HAS HAD ON THE MISSION HILL COMMUNITY OVER THE PAST 3-5 YEARS WAS ONE OF THE DOMINANT, IF NOT THE MOST DOMINANT, THEMES IN THE INTERVIEWS AND FOCUS GROUPS. LACK OF EMPLOYMENT OPPORTUNITIES FOR MISSION HILL'S YOUTH AND ADULTS HAS GREATLY IMPACTED THEIR ABILITY TO PROVIDE FOOD AND OTHER BASIC HOUSEHOLD ITEMS, TO SAY NOTHING OF OTHER COMFORTS THAT MANY TAKE FOR GRANTED. THESE ISSUES HAVE ALSO IMPACTED PEOPLE'S EMOTIONAL HEALTH AND LED TO ISOLATION, PARTICULARLY FOR OLDER ADULTS ON LIMITED FIXED INCOMES. CERTAINLY, POVERTY, UNEMPLOYMENT, ISOLATION, AND EMOTIONAL WELL-BEING ARE IMPORTANT DETERMINANTS OF HEALTH AND WELLNESS. - FOOD INSECURITY: ANOTHER DOMINANT THEME FROM THE INTERVIEWS AND FOCUS GROUPS WAS THE LACK OF ACCESS TO AFFORDABLE, HEALTHY FOODS. INTERVIEWEES AND FOCUS GROUP PARTICIPANTS DISCUSSED THE FACT THAT THERE ARE FEW PLACES FOR RESIDENTS OF MISSION HILL AND ROXBURY TO BUY REASONABLY PRICED FRESH VEGETABLES AND OTHER NUTRITIONAL FOODS. PARTICIPANTS ALSO SPOKE OF THE HIGH PRICES AND LACK OF FRESH VEGETABLES AT THE LARGE, LOCAL GROCERY STORES IN THE AREA AND THE LONG DISTANCES THAT THEY HAD TO TRAVEL TO ACCESS MORE AFFORDABLE HEALTHY FOOD OPTIONS.- TRANSPORTATION: GIVEN THE STEEP AND HILLY LANDSCAPE OF MISSION HILL, TRANSPORTATION WAS SEEN AS A MAJOR BARRIER AND DETERMINANT OF HEALTH AND WELL-BEING. LACK OF TRANSPORTATION WAS A LEADING THEME FROM THE ASSESSMENT INTERVIEWEES AND FOCUS GROUP PARTICIPANTS, ESPECIALLY FOR OLDER ADULT AND LOW-INCOME RESIDENTS LACKING A PERSONAL VEHICLE. INTERVIEWEES AND FOCUS GROUP PARTICIPANTS DISCUSSED CHALLENGES RELATED TO NAVIGATING THE HILLY TERRAIN ON MISSION HILL, THE ISOLATION THAT THOSE WITHOUT A PERSONAL CAR EXPERIENCED, THE NECESSITY FOR MANY TO TRAVEL OUTSIDE THE MISSION HILL AREA TO FIND AFFORDABLE FOOD AND OTHER BASIC ITEMS, AND THE IMPORTANCE OF THE MISSION LINK PUBLIC TRANSPORTATION SERVICE. - ACCESS TO RECREATIONAL FACILITIES: DESPITE THE DENSITY OF THE MISSION HILL COMMUNITY, ACCESS TO RECREATIONAL FACILITIES AND OPEN SPACES IS ONE OF MISSION HILL'S ASSETS. THERE ARE A NUMBER OF PARKS, RECREATIONAL AREAS, AND INDOOR COMMUNITY CENTERS. AS WILL BE DISCUSSED LATER IN THE REPORT, A HIGH PROPORTION OF THE POPULATION IS OVERWEIGHT AND DOES NOT GET REGULAR PHYSICAL EXERCISE, BUT NOT NECESSARILY BECAUSE RECREATIONAL FACILITIES OR OPEN SPACES ARE IN SHORT SUPPLY. - VIOLENCE: RATES OF HOMICIDE AND NON-FATAL GUNSHOT WOUNDS SEEN IN THE CITY'S HOSPITAL EMERGENCY DEPARTMENTS ARE CONSIDERABLY HIGHER IN ROXBURY (INCLUDING MISSION HILL) THAN IN BOSTON OVERALL. WHILE THERE WAS A CLEAR CONSENSUS AMONG INTERVIEWEES AND FOCUS GROUP PARTICIPANTS THAT THIS ISSUE HAD IMPROVED DRAMATICALLY OVER THE PAST 2 DECADES AND THAT MISSION HILL WAS CONSIDERABLY SAFER THAN ROXBURY OVERALL, THIS GROUP AGREED THAT VIOLENCE STILL HAD A MAJOR IMPACT ON THE COMMUNITY. VIOLENCE NEGATIVELY AFFECTS THE HEALTH OF THOSE DIRECTLY INVOLVED BUT ALSO HAS MAJOR NEGATIVE EMOTIONAL EFFECTS ON THOSE WHO ARE INDIRECTLY INVOLVED AND THE COMMUNITY MORE BROADLY. THESE IMPACTS INCLUDE MENTAL HEALTH ISSUES, ISOLATION, AND LACK OF COMMUNITY COHESION. NEARLY EVERYONE WHO WAS INTERVIEWED OR INVOLVED IN FOCUS GROUPS DISCUSSED THE IMPACTS OF VIOLENCE AND ITS ASSOCIATED TRAUMA, PARTICULARLY ON THE AREA'S YOUTH AND THEIR FAMILIES. NEARLY EVERYONE WE TALKED WITH SAID THAT THEY KNEW SOMEONE WHO HAD BEEN IMPACTED DIRECTLY BY VIOLENCE AND UNDERSTOOD FIRST-HAND THE TOLL IT TOOK ON THE COMMUNITY. SCHEDULE H, PART VI, LINE 5 & 6: PROMOTION OF COMMUNITY HEALTH ACTIVITIES AND AFFILIATED NETWORKSSCHEDULE H PART VI QUESTIONS 5 AND 6 - ADDITIONAL PROMOTION OF COMMUNITY HEALTH AND AFFILIATED HEALTH CARE SYSTEMNEW ENGLAND BAPTIST HOSPITAL 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. NEW ENGLAND BAPTIST HOSPITAL IS THE SOLE MEMBER OF ITS AFFILIATED ENTITY NEW ENGLAND BAPTIST MEDICAL ASSOCIATES.IN ADDITION, AS NOTED, NEBH IS PART OF THE CAREGROUP NETWORK OF AFFILIATES, WHICH INCLUDES MOUNT AUBURN HOSPITAL, BETH ISRAEL DEACONESS HOSPITAL AND ITS NETWORK OF AFFILIATES INCLUDING BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, BETH ISRAEL DEACONESS HOSPITAL - MILTON, AND BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH, EACH OF THESE ENTITIES MAY, IN TURN, SERVE AS THE SOLE MEMBER OF ADDITIONAL AFFILIATES. NEW ENGLAND BAPTIST HOSPITAL AND EACH OF ITS AFFILIATES IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES THEY SERVE. SCHEDULE H, PART VI, LINE 7: STATE FILINGS OF THE COMMUNITY BENEFIT REPORTNEW ENGLAND BAPTIST HOSPITAL PREPARES AND FILES AN ANNUAL NON-PROFIT HOSPITAL COMMUNITY BENEFIT REPORT WITH THE STATE OF MASSACHUSETTS OFFICE OF ATTORNEY GENERAL. CURRENT AND PAST FILINGS OF THE HOSPITAL'S COMMUNITY BENEFIT REPORT ARE MADE PUBLIC ON BOTH THE HOSPITAL'S PUBLIC WEBSITE AND THAT OF THE MASSACHUSETTS OFFICE OF ATTORNEY GENERAL:HTTP://WWW.NEBH.ORG/HOME/ABOUT-US/COMMUNITY-PROGRAMS/DEFAULT.ASPXHTTP://WWW.CBSYS.AGO.STATE.MA.US/HEALTHCARE/HCCBAR.ASPHTTP://WWW.NEBH.ORG/MEDIA/110435/NEBH_CHNA2013.PDF SCHEDULE H, PART VI: OTHER INFORMATION NEW ENGLAND BAPTIST HOSPITAL (NEBH OR HOSPITAL) IS GOVERNED BY A BOARD OF TRUSTEES MADE UP OF 28 VOLUNTEERS, MANY OF WHOM LIVE AND WORK IN THE COMMUNITY AND SERVE TO SUPPORT THE MISSION AND VALUES OF THE HOSPITAL. NEBH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY AND ENDEAVORS TO PROVIDE THEM WITH THE SAFEST AND MOST TECHNOLOGICALLY ADVANCED ENVIRONMENT POSSIBLE THROUGH THE EFFECTIVE USE OF SURPLUS FUNDS. SOME OF OUR SURPLUS FUNDS HAVE BEEN USED TO FUND THE CONTINUING RENOVATION OR OUR EXISTING FACILITIES, INCLUDING INPATIENT UNITS AND OTHER CLINICAL AREAS. NEBH STRIVES TO FULLY SERVE THE COMMUNITY THROUGH PARTICIPATION IN GOVERNMENT SPONSORED HEALTHCARE PROGRAMS SUCH AS MEDICARE, MEDICAID, MASSHEALTH AND COMMONWEALTH CARE. NEBH ALSO SERVES AS A TEACHING HOSPITAL AFFILIATED WITH THE HARVARD MEDICAL SCHOOL AND MAINTAINS RESIDENCY PROGRAMS SPECIALIZING IN ORTHOPEDICS AND RADIOLOGY. COMMUNITY MEMBERS ALSO USE NEBH AS A CONDUIT FOR VOLUNTEERING AS EVIDENCED BY MORE THAN 50 VOLUNTEERS WHO ASSIST WITH PATIENT SERVICES, ADMINISTRATION AND THE GIFT SHOP. 0 MISSION HILL LINK 8 BUCKNAM ST BOSTON MA 02120 042921969 501(C)(3) 50004 0 TRANSPORTATION FOR ELDERLY & RESIDENTS IN MISSION HILL BOSTON CELTICS SHAMROCK FOUNDATION 226 CAUSEWAY STREET BOSTON MA 02114 043174933 501(C)(3) 70000 0 SUPPORT OF JR. CELTICS PROGRAM, IN COMMUNITY 2 0 X X X X 1 0 0 0 0 0 0 1 0 BASILICO MD FREDERICK TRUSTEE; CHIEF OF MED 96491 96491 21312 21312 1271 1271 0 0 10714 10714 129788 129788 0 0 HANNON PATRICIA TTEE, PRESIDENT & CEO 590857 18274 259039 8012 207893 6430 0 0 16704 517 1074493 33233 0 0 RICHMOND MD JOHN TTEE; DIR NETWORK DEVMT 124469 124469 26842 26842 21 21 0 0 0 0 151332 151332 0 0 SMITH RN MS MARY SULLIVAN SVP AND CNO & TRUSTEE 251390 7775 55002 1701 3859 119 12174 377 2675 83 325100 10055 0 0 GHERINGHELLI THOMAS VICE PRESIDENT & CFO 261078 8075 58139 1798 3886 120 583 18 22498 696 346184 10707 0 0 MULKERRIN MAUREEN CIO & VP TECHNOLOGY 203355 6289 46009 1423 4976 154 22898 708 18420 570 295658 9144 0 0 ROSENBLUM RACHEL VP AMBUL OPS & PGM DEV 195509 6047 42872 1326 3455 107 2868 89 0 0 244704 7569 0 0 THOMPSON LINDA VP HUMAN RESOURCES 212114 6560 48100 1488 4849 150 -3379 -105 17275 534 278959 8627 0 0 CAMPBELL BEAUDET JAYNE REG NURSE, OPER ROOM 178462 0 0 0 8948 0 31563 0 21475 0 240448 0 0 0 GREENSPAN ELIZABETH VP STRATEG & NETWORK DEV 225050 6960 51237 1585 3793 117 11799 365 23491 727 315370 9754 0 0 HAYEK MD JIHAD CHAIR, DEPT OF PATHOLOGY 168790 168790 1250 1250 1366 1366 -1359 -1359 12097 12097 182144 182144 0 0 MOSHER CHRISTOPHER VP PHILANTHROPY 92663 0 0 0 111506 0 0 0 8707 0 212876 0 0 0 SCHNEIDER PHD GARY CHIEF OF RESEARCH 235039 7269 0 0 606 19 7760 240 20716 641 264121 8169 0 0 CAMER MD STEPHEN SEE SCH J, PART III 0 83859 0 0 0 0 0 0 0 0 0 83859 0 0 GULCZYNSKI RN MS DIANE SEE SCH J, PART III 80256 0 0 0 5581 0 0 0 0 3051 85837 3051 0 0 PART I, LINE 4A SEVERANCE AND CHANGE OF CONTROL PAYMENTS: AS NOTED IN THIS FILING, CHRISTOPHER MOSHER SERVED AS VICE PRESIDENT FOR PHILANTHROPY UNTIL MAY 17, 2013 AND BECAME ELIGIBLE FOR CERTAIN SALARY CONTINUATION PAYMENTS ON LEAVING NEBH AS NOTED IN MORE DETAIL IN THE DISCLOSURES BELOW. PART I, LINE 7 CONTINGENT COMPENSATION: NEW ENGLAND BAPTIST HOSPITAL (NEBH) EXECUTIVES AND KEY EMPLOYEES MAY HAVE COMPENSATION PACKAGES THAT INCLUDE OPPORTUNITIES TO EARN INCENTIVE COMPENSATION BASED ON A COMBINATION OF MEETING OR EXCEEDING NEBH'S BUDGETED CONSOLIDATED OPERATING MARGIN AND MEETING INDIVIDUAL GOALS AND OBJECTIVES. THE INCENTIVE COMPENSATION FOR EACH EXECUTIVE AND KEY EMPLOYEE IS REVIEWED AND APPROVED BY THE NEBH COMPENSATION COMMITTEE WHICH, AS PREVIOUSLY NOTED, IS STAFFED BY INDEPENDENT MEMBERS OF THE BOARD OF TRUSTEES. FORM 990, SCHEDULE J: ADDITIONAL COMPENSATION DISCLOSURES 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. OTHER 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; TAXABLE EMPLOYER-SUBSIDIZED PARKING; TAXABLE MOVING EXPENSES; EARNED TIME CASHED; 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. 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 TRUSTEES SERVE WITHOUT COMPENSATION OR BENEFITS. COMPENSATION PAID TO OFFICERS, TRUSTEES OR KEY EMPLOYEES WAS EARNED FOR WORK PERFORMED IN A CAPACITY OTHER THAN THAT OF TRUSTEE, AS DENOTED BY THE LISTED TITLES NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES MAY BE REFERRED TO IN THESE EXPLANATORY NOTES TO FORM 990 PART VII AND FORM 990 SCHEDULE J AS NEBH AND NEBMA RESPECTIVELY. BASILICO, M.D., F.A.C.C., FREDERICK C. TRUSTEE (EX-OFFICIO) AND PHYSICIAN IN CHIEF FOR MEDICINE - NEW ENGLAND BAPTIST HOSPITAL PRESIDENT AND TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES ASSISTANT CLINICAL PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. BASILICO DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. BASILICO PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. BASILICO IS PAID DIRECTLY BY NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, THE PORTION OF DR. BASILICO'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 96,491 INCENTIVE COMPENSATION: 21,312 OTHER REPORTABLE COMPENSATION: 1,271 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 10,714 PAYMENTS REPORTED BY NEBMA BASE COMPENSATION: 96,491 INCENTIVE COMPENSATION: 21,312 OTHER REPORTABLE COMPENSATION: 1,271 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 10,714 BODE, M.D., ROBERT H. MEDICAL STAFF PRESIDENT AND TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL CHAIR, DEPARTMENT OF ANESTHESIA - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO) AND BOARD CHAIR - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES ASSOCIATE PROFESSOR OF ANESTHESIA - BOSTON UNIVERSITY MEDICAL SCHOOL DR. BODE'S TERM AS THE PRESIDENT OF THE MEDICAL STAFF AND TRUSTEE (EX-OFFICIO) OF THE NEBH BOARD AND BOARD CHAIR OF NEBMA BEGAN JANUARY 1, 2014. DR. BODE DEVOTES, ON AVERAGE, A COMBINED 12 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. BODE IS THE CHAIR OF THE DEPARTMENT OF ANESTHESIA AT NEW ENGLAND BAPTIST HOSPITAL AND ALSO PROVIDES ADMINISTRATIVE AND MEDICAL MANAGEMENT SERVICES FOR NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, COMPENSATION REPORTED BY NEBH FOR THE 2013 CALENDAR YEAR INCLUDES $44,944 PAID TO DR. BODE BY ANESTHESIA ASSOCIATES OF MASSACHUSETTS, P.C. AND RELATED TO DR. BODE'S POSITION AS CHAIR OF THE DEPARTMENT OF ANESTHESIA AT NEW ENGLAND BAPTIST HOSPITAL. THE PORTION OF DR. BODE'S COMPENSATION ATTRIBUTABLE TO EACH SET OF RESPONSIBILITIES HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 22,472 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 PAYMENTS REPORTED BY NEBMA BASE COMPENSATION: 22,472 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 FELCH, MARTHA SLOAN TRUSTEE - NEW ENGLAND BAPTIST HOSPITAL MS. FELCH DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. HANNON, F.A.C.H.E., PATRICIA TRUSTEE (EX-OFFICIO), PRESIDENT AND CHIEF EXECUTIVE OFFICER - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO) AND CHIEF EXECUTIVE OFFICER - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES MS. HANNON DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. MS. HANNON IS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER FOR NEW ENGLAND BAPTIST HOSPITAL AND CHIEF EXECUTIVE OFFICER FOR NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. FOR SERVICES PROVIDED IN THESE ROLES, MS. HANNON RECEIVES PAYMENTS FROM NEW ENGLAND BAPTIST HOSPITAL. AS SUCH AND AS REQUIRED BY THIS FORM 990, MS. HANNON'S COMPENSATION IS REPORTED HERE AS IF PAID BY NEBH AND NEBMA. THE 2013 CALENDAR YEAR COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 590,857 INCENTIVE COMPENSATION: 259,039 OTHER REPORTABLE COMPENSATION: 207,893 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 16,704 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 18,274 INCENTIVE COMPENSATION: 8,012 OTHER REPORTABLE COMPENSATION: 6,430 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 517 OTHER REPORTABLE COMPENSATION INCLUDES PAYMENTS OF $210,000 DESIGNED TO PROVIDE MS. HANNON WITH SUPPLEMENTAL RETIREMENT BENEFITS. KEARNEY, M.D., GARY PRESIDENT OF THE MEDICAL STAFF AND TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL VICE CHAIR, DEPARTMENT OF SURGERY AND CHIEF, UROLOGY - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE AND BOARD CHAIR - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES CLINICAL ASSISTANT PROFESSOR IN SURGERY/UROLOGY - HARVARD MEDICAL SCHOOL DR. KEARNEY'S TERM AS THE PRESIDENT OF THE MEDICAL STAFF AND TRUSTEE (EX-OFFICIO) OF NEBH BOARD AND BOARD CHAIR OF NEBMA ENDED JANUARY 1, 2014. DR. KEARNEY DEVOTES, ON AVERAGE, A COMBINED 15 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. KEARNEY PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. KEARNEY IS PAID DIRECTLY BY NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, THE PORTION OF DR. KEARNEY'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 21,340 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 660 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 KOLLIGIAN, ESQ., JOAN TRUSTEE - NEW ENGLAND BAPTIST HOSPITAL MS. KOLLIGIAN DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. LIBERT, JEFFREY TRUSTEE - NEW ENGLAND BAPTIST HOSPITAL MR. LIBERT DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. MALONEY, RICHARD J. TRUSTEE AND BOARD CHAIR - NEW ENGLAND BAPTIST HOSPITAL DIRECTOR (EX-OFFICIO) - CAREGROUP, INC. MR. MALONEY DEVOTES, ON AVERAGE, A COMBINED 6 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. FORM 990, SCHEDULE J: ADDITIONAL COMPENSATION DISCLOSURES (CONTINUED) MATTINGLY, M.D., DAVID A CHAIR OF ORTHOPEDICS, SURGEON IN CHIEF AND TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL CHIEF, JOINT RECONSTRUCTION - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES ASSOCIATE CLINICAL PROFESSOR, ORTHOPEDIC SURGERY - TUFTS MEDICAL SCHOOL DR. MATTINGLY'S TERM AS CHAIR OF THE DEPARTMENT OF ORTHOPEDICS AND SURGEON IN CHIEF BEGAN JULY 18, 2014. DR. MATTINGLY DEVOTES, ON AVERAGE, A COMBINED 30 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. MATTINGLY PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. MATTINGLY IS PAID DIRECTLY BY NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, THE PORTION OF DR. KEARNEY'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 52,020 INCENTIVE COMPENSATION: 1,250 OTHER REPORTABLE COMPENSATION: 240 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 52,020 INCENTIVE COMPENSATION: 1,250 OTHER REPORTABLE COMPENSATION: 240 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 NICHOLS, PETER TRUSTEE AND SECRETARY - NEW ENGLAND BAPTIST HOSPITAL MR. NICHOLS DEVOTES, ON AVERAGE, 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION. POGORZELSKI, DONALD E. TRUSTEE AND VICE CHAIR - NEW ENGLAND BAPTIST HOSPITAL MR. POGORZELSKI DEVOTES, ON AVERAGE, 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION. RICHMOND, M.D., JOHN C. TRUSTEE (EX-OFFICIO) AND CHAIR, DEPARTMENT OF ORTHOPEDICS - NEW ENGLAND BAPTIST HOSPITAL MEDICAL DIRECTOR FOR NETWORK DEVELOPMENT - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES PROFESSOR OF ORTHOPEDIC SURGERY - TUFTS MEDICAL SCHOOL DR. RICHMOND WAS THE CHAIR OF THE DEPARTMENT OF ORTHOPEDICS AND TRUSTEE (EX-OFFICIO) OF NEBH UNTIL JULY 18, 2014 WHEN HE BECAME THE MEDICAL DIRECTOR FOR NETWORK DEVELOPMENT. DR. RICHMOND DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. RICHMOND PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. RICHMOND IS PAID DIRECTLY BY NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, THE PORTION OF DR. RICHMOND'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 124,469 INCENTIVE COMPENSATION: 26,842 OTHER REPORTABLE COMPENSATION: 21 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 124,469 INCENTIVE COMPENSATION: 26,842 OTHER REPORTABLE COMPENSATION: 21 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 RUBENSTEIN, JAMES TRUSTEE - NEW ENGLAND BAPTIST HOSPITAL MR. RUBENSTEIN DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. SAMSEL, ERVEN TRUSTEE AND VICE CHAIR - NEW ENGLAND BAPTIST HOSPITAL MR. SAMSEL DEVOTES, ON AVERAGE, 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION. SARGENT, GIRARD TRUSTEE - NEW ENGLAND BAPTIST HOSPITAL MR. SARGENT DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. SULLIVAN SMITH, R.N., M.S., MARY SENIOR VICE PRESIDENT FOR HOSPITAL OPERATIONS, CHIEF NURSING OFFICER, AND TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL MS. SULLIVAN SMITH IS THE SENIOR VICE PRESIDENT FOR HOSPITAL OPERATIONS AND CHIEF NURSING OFFICER AND ALSO PROVIDES ADMINISTRATIVE AND MEDICAL MANAGEMENT SERVICES FOR NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY FORM 990, ALTHOUGH MS. SULLIVAN SMITH IS PAID DIRECTLY BY NEBH, THE PORTION OF MS. SMITH'S COMPENSATION ATTRIBUTABLE TO EACH SET OF RESPONSIBILITIES HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW: PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 251,390 INCENTIVE COMPENSATION: 55,002 OTHER REPORTABLE COMPENSATION: 3,859 DEFERRED COMPENSATION: 12,174 NON-TAXABLE BENEFITS: 2,675 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 7,775 INCENTIVE COMPENSATION: 1,701 OTHER REPORTABLE COMPENSATION: 119 DEFERRED COMPENSATION: 377 NON-TAXABLE BENEFITS: 83 SMYTH, PETER TRUSTEE AND TREASURER - NEW ENGLAND BAPTIST HOSPITAL MR. SMYTH BECAME TREASURER OF NEW ENGLAND BAPTIST HOSPITAL ON JANUARY 27, 2014 AND DEVOTES, ON AVERAGE, 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION. STEWART, EDWARD TRUSTEE AND TREASURER - NEW ENGLAND BAPTIST HOSPITAL MR. STEWART'S TERM AS TREASURER AND TRUSTEE OF NEW ENGLAND BAPTIST HOSPITAL ENDED JANUARY 27, 2014. MR. STEWART DEVOTED, ON AVERAGE, 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION. GHERINGHELLI, M.S.F., THOMAS, J. VICE PRESIDENT, FINANCE AND CHIEF FINANCIAL OFFICER - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO) AND TREASURER - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES MR. GHERINGHELLI DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. MR. GHERINGHELLI PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, ALTHOUGH MR. GHERINGHELLI IS PAID DIRECTLY BY NEW ENGLAND BAPTIST HOSPITAL, THE PORTION OF MR. GHERINGHELLI'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 261,078 INCENTIVE COMPENSATION: 58,139 OTHER REPORTABLE COMPENSATION: 3,886 DEFERRED COMPENSATION: 583 NON-TAXABLE BENEFITS: 22,498 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 8,075 INCENTIVE COMPENSATION: 1,798 OTHER REPORTABLE COMPENSATION: 120 DEFERRED COMPENSATION: 18 NON-TAXABLE BENEFITS: 696 DEFERRED COMPENSATION INCLUDES A DECREASE IN THE ACTUARIAL VALUE OF THE PENSION PLAN. MULKERRIN, M.S., R.N., MAUREEN CHIEF INFORMATION OFFICER AND VICE PRESIDENT, INNOVATION AND TECHNOLOGY - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES MS. MULKERRIN DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. FORM 990, SCHEDULE J: ADDITIONAL COMPENSATION DISCLOSURES (CONTINUED) MS. MULKERRIN IS THE CHIEF INFORMATION OFFICER AND VICE PRESIDENT OF INNOVATION AND TECHNOLOGY FOR NEW ENGLAND BAPTIST HOSPITAL AND ALSO PROVIDES ADMINISTRATIVE SERVICES FOR NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY FORM 990, ALTHOUGH MS. MULKERRIN IS PAID DIRECTLY BY NEW ENGLAND BAPTIST HOSPITAL, THE PORTION OF MS. MULKERRIN'S COMPENSATION ATTRIBUTABLE TO EACH SET OF RESPONSIBILITIES HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 203,355 INCENTIVE COMPENSATION: 46,009 OTHER REPORTABLE COMPENSATION: 4,976 DEFERRED COMPENSATION: 22,898 NON-TAXABLE BENEFITS: 18,420 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 6,289 INCENTIVE COMPENSATION: 1,423 OTHER REPORTABLE COMPENSATION: 154 DEFERRED COMPENSATION: 708 NON-TAXABLE BENEFITS: 570 ROSENBLUM, M.H.A., RACHEL VICE PRESIDENT, AMBULATORY OPERATIONS AND PROGRAM DEVELOPMENT - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES MS. ROSENBLUM'S TERM ON THE NEBMA BOARD BEGAN JANUARY 27, 2014. MS. ROSENBLUM DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. MS. ROSENBLUM IS THE VICE PRESIDENT FOR AMBULATORY OPERATIONS AND PROGRAM DEVELOPMENT FOR NEW ENGLAND BAPTIST HOSPITAL AND ALSO PROVIDES ADMINISTRATIVE SERVICES FOR NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY FORM 990, ALTHOUGH MS. ROSENBLUM IS PAID DIRECTLY BY NEW ENGLAND BAPTIST HOSPITAL, THE PORTION OF MS. ROSENBLUM'S COMPENSATION ATTRIBUTABLE TO EACH SET OF RESPONSIBILITIES HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 195,509 INCENTIVE COMPENSATION: 42,872 OTHER REPORTABLE COMPENSATION: 3,455 DEFERRED COMPENSATION: 2,868 NON-TAXABLE BENEFITS: 0 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 6,047 INCENTIVE COMPENSATION: 1,326 OTHER REPORTABLE COMPENSATION: 107 DEFERRED COMPENSATION: 89 NON-TAXABLE BENEFITS: 0 THOMPSON, LINDA VICE PRESIDENT, HUMAN RESOURCES AND SERVICE EXCELLENCE - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO) AND SECRETARY - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES MS. THOMPSON DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. MS. THOMPSON PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY FORM 990, ALTHOUGH MS. THOMPSON IS PAID DIRECTLY BY NEW ENGLAND BAPTIST HOSPITAL, THE PORTION OF MS. THOMPSON'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 212,114 INCENTIVE COMPENSATION: 48,100 OTHER REPORTABLE COMPENSATION: 4,849 DEFERRED COMPENSATION: (3,379) NON-TAXABLE BENEFITS: 17,275 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 6,560 INCENTIVE COMPENSATION: 1,488 OTHER REPORTABLE COMPENSATION: 150 DEFERRED COMPENSATION: (105) NON-TAXABLE BENEFITS: 534 DEFERRED COMPENSATION INCLUDES A DECREASE IN THE ACTUARIAL VALUE OF THE PENSION PLAN. CAMPBELL BEAUDET, JAYNE REGISTERED NURSE, OPERATING ROOM - NEW ENGLAND BAPTIST HOSPITAL MS. CAMPBELL BEAUDET DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 178,462 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 8,948 DEFERRED COMPENSATION: 31,563 NON-TAXABLE BENEFITS: 21,475 GREENSPAN, ELIZABETH VICE PRESIDENT, STRATEGIC PLANNING AND NETWORK DEVELOPMENT - NEW ENGLAND BAPTIST HOSPITAL MS. GREENSPAN PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES AND DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO NEBH AND NEBMA. AS REQUIRED BY FORM 990, ALTHOUGH MS. GREENSPAN IS PAID DIRECTLY BY NEW ENGLAND BAPTIST HOSPITAL, THE PORTION OF MS. GREENSPAN'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 225,050 INCENTIVE COMPENSATION: 51,237 OTHER REPORTABLE COMPENSATION: 3,793 DEFERRED COMPENSATION: 11,799 NON-TAXABLE BENEFITS: 23,491 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 6,960 INCENTIVE COMPENSATION: 1,585 OTHER REPORTABLE COMPENSATION: 117 DEFERRED COMPENSATION: 365 NON-TAXABLE BENEFITS: 727 HAYEK, M.D., JIHAD CHAIR, DEPARTMENT OF PATHOLOGY - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES INSTRUCTOR - HARVARD MEDICAL SCHOOL DR. HAYEK DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. HAYEK PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. HAYEK IS PAID DIRECTLY BY NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, THE PORTION OF DR. HAYEK'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 168,790 INCENTIVE COMPENSATION: 1,250 OTHER REPORTABLE COMPENSATION: 1,366 DEFERRED COMPENSATION: (1,359) NON-TAXABLE BENEFITS: 12,097 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 168,790 INCENTIVE COMPENSATION: 1,250 OTHER REPORTABLE COMPENSATION: 1,366 DEFERRED COMPENSATION: (1,359) NON-TAXABLE BENEFITS: 12,097 DEFERRED COMPENSATION INCLUDES A DECREASE IN THE ACTUARIAL VALUE OF THE PENSION PLAN. MOSHER, CHRISTOPHER VICE PRESIDENT FOR PHILANTHROPY - NEW ENGLAND BAPTIST HOSPITAL MR. MOSHER SERVED AS VICE PRESIDENT FOR PHILANTHROPY UNTIL MAY 17, 2013 AND DEVOTED, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 92,663 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 111,506 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 8,707 OTHER REPORTABLE COMPENSATION FOR MR. MOSHER INCLUDES SALARY CONTINUATION PAYMENTS PAID IN THE AMOUNT OF 110,001 DURING THE CALENDAR YEAR 2013. SCHNEIDER, PH.D., GARY CHIEF OF RESEARCH - NEW ENGLAND BAPTIST HOSPITAL DR. SCHNEIDER PERFORMS SERVICES FOR BOTH NEW ENGLAND BAPTIST HOSPITAL AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES AND DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO NEBH AND NEBMA. AS REQUIRED BY FORM 990, ALTHOUGH DR. SCHNEIDER IS PAID DIRECTLY BY NEW ENGLAND BAPTIST HOSPITAL, THE PORTION OF DR. SCHNEIDER'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY NEBH: BASE COMPENSATION: 235,039 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 606 DEFERRED COMPENSATION: 7,760 NON-TAXABLE BENEFITS: 20,716 PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 7,269 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 19 DEFERRED COMPENSATION: 240 NON-TAXABLE BENEFITS: 641 CAMER, M.D., STEPHEN J. FORMER TRUSTEE (EX-OFFICIO) AND FORMER CHAIR, DEPARTMENT OF SURGERY - NEW ENGLAND BAPTIST HOSPITAL FORMER TRUSTEE AND FORMER PRESIDENT - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES SURGEON - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES CLINICAL PROFESSOR IN SURGERY - TUFTS MEDICAL SCHOOL DR. CAMER DEVOTES, ON AVERAGE, A COMBINED 30 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. CAMER'S TERM ON THE NEBH BOARD ENDED JANUARY 28, 2013. PAYMENTS REPORTED BY NEBMA: BASE COMPENSATION: 83,859 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 GULCZYNSKI, R.N., M.S., DIANE EXECUTIVE DIRECTOR, BUNDLED EPISODES OF CARE - NEW ENGLAND BAPTIST HOSPITAL FORMER VICE PRESIDENT, CLINICAL OPERATIONS, FORMER CHIEF NURSING OFFICER, AND FORMER TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL MS. GULCZYNSKI DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS MADE BY NEBH: BASE COMPENSATION: 80,256 BONUS AND INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,581 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 3,051 A MA DEVELOPMENT FINANCE AGENCY 043431814 NONEAVAIL 2012-07-11 49910000 REFUND ISSUES DATED 2/11/1998 0 0 0 B MA DEVELOPMENT FINANCE AGENCY 043431814 NONEAVAIL 2011-09-15 120280000 REFUND ISSUES DATED 2/11/1998 0 0 0 C MA HLTH & ED FAC AUTH 042456011 57586C3S2 2008-06-09 377527010 REFUND ISSUES DATED 1/19/1989, 9/23/1992, 8/12/2004 & CAPITAL PROJECTS 0 0 0 D MA HLTH & ED FAC AUTH 042456011 57586CDK8 2004-08-12 187125000 REFUND ISSUES DATED 9/23/1992, 11/9/1994 0 0 0 A 49910000 368094 49541906 1 0 1 1 B 29700000 120280000 290672 119989328 1 0 1 1 C 75420000 378911689 27356617 3929290 134556855 213068927 2011 1 0 1 1 D 154175000 187125000 1796643 7991727 177336630 1 0 1 1 C 0 1 1 1 0 0.00600 0.00100 0.00700 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 1 0 1 1 CITI BANK 21.000000000000 0 1 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K - 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, MOUNT AUBURN HOSPITAL, NEW ENGLAND BAPTIST HOSPITAL AND THESE ENTITIES PHYSICIAN GROUPS AND AFFILIATED ENTITIES OTHER CAREGIVERS. 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) AND MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A AFFILIATED PHYSICIANS GROUP (APG). THE INFORMATION REPORTED ON SCHEDULE K FOR BETH ISRAEL DEACONESS MEDICAL CENTER (MEDICAL CENTER) REFLECTS THE COMBINED CAREGROUP OBLIGATED GROUP DEBT ISSUED AFTER DECEMBER 31, 2002 WITH AN OUTSTANDING PRINCIPAL BALANCE IN EXCESS OF $100,000. SCHEDULE K, PART 1F: DESCRIPTION OF TAX-EXEMPT DEBT 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. 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. 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 PART II, COLUMN C, LINE 3: THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE DUE TO THE INVESTMENT EARNINGS ON THE PROJECT FUND. SCHEDULE K PART II, COLUMNS A, B AND D, 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 PART II, COLUMN C, LINE 11: OF THE PROCEEDS LISTED, $8,993,760 WERE USED FOR TERMINATION OF THE HEDGE AGREEMENT, WITH THE REMAINDER USED FOR REFUNDING PURPOSES OF THE ISSUE. SCHEDULE K PART III, QUESTIONS 2 & 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, 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, 2014 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 PART IV COLUMN C, LINE 2C: AN ARBITRAGE REBATE CALCULATION WAS COMPLETED AS OF SEPTEMBER 30, 2012. SCHEDULE K PART IV COLUMN D, LINE 2C AN ARBITRAGE REBATE CALCULATION WAS COMPLETED AS OF SEPTEMBER 30, 2013. SCHEDULE K PART IV, COLUMN D, LINE 4C AT THE TIME OF ISSUE, THE CAREGROUP OBLIGATED GROUP ENTERED INTO THREE FLOATING-TO-FIXED INTEREST RATE SWAPS, TWO OF WHICH HAD 21 YEAR MATURITY DATES AND THE THIRD HAD A 20 YEAR MATURITY. THESE HEDGES WERE TERMINATED IN 2008. ANAESTHESIA ASSOCIATES OF MASSACHUS R. BODE, MD-TRUSTEE 743849 STAFFING SERVICES 0 SCHEDULE L PART IV COL (D) DESCRIPTION OF TRANSACTIONS INVOLVING INTERESTED PERSONS:DR. ROBERT H. BODE, PRESIDENT OF THE MEDICAL STAFF AND TRUSTEE (EX-OFFICIO) OF NEW ENGLAND BAPTIST HOSPITAL ALSO SERVED AS THE CHAIR OF THE DEPARTMENT OF ANESTHESIA FOR NEW ENGLAND BAPTIST HOSPITAL DURING THE PERIOD COVERED BY THIS FILING. DR. BODE IS ALSO A DIRECTOR OF ANAESTHESIA ASSOCIATES OF MASSACHUSETTS, P.C. (AAM) AND DURING THE PERIOD COVERED BY THIS FILING, NEW ENGLAND BAPTIST HOSPITAL PAID $743,849 TO AAM FOR THE PROVISION OF SERVICES INCLUDING STAFFING THE ANESTHESIA DEPARTMENT TO PROVIDE FULL COVERAGE OF THE DEPARTMENT AND THE CHAIR OF THE ANESTHESIA DEPARTMENT. SEE FORM 990 SCHEDULE J FOR ADDITIONAL INFORMATION. NEW ENGLAND BAPTIST HOSPITAL (NEBH) MAINTAINS AN ACCOUNTABLE BUSINESS EXPENSE REIMBURSEMENT PLAN. FROM TIME TO TIME, NEBH MAY REIMBURSE ITS OFFICERS, DIRECTORS/TRUSTEES AND/OR KEY EMPLOYEES FOR EXPENSES THEY INCURRED AND WHICH ARE PROPERLY ORDINARY AND NECESSARY BUSINESS EXPENSES OF THE REPORTING ENTITY. THE POLICIES AND PROCEDURES REQUIRED BY THE ACCOUNTABLE BUSINESS PLAN MUST BE FOLLOWED IN ORDER TO RECEIVE REIMBURSEMENT FOR SUCH EXPENSES AND IT IS POSSIBLE THAT ONE OR MORE INDIVIDUALS RECEIVED NON-TAXABLE REIMBURSEMENTS WHICH TOTALED $10,000 OR MORE DURING THE FISCAL PERIOD COVERED BY THIS FILING.ALL OF THE ABOVE TRANSACTIONS WERE NEGOTIATED AT ARMS-LENGTH AND IN ACCORDANCE WITH THE NEBH CONFLICT OF INTEREST POLICY. X 14 99137 COST OR SELLING PRICE 0 0 1 0 FORM 990 PART I & III ORGANIZATION'S MISSION: HTTP://WWW.NEBH.ORG/ABOUT-NEBH/MISSION/ NEW ENGLAND BAPTIST HOSPITAL WILL TRANSFORM THE LIVES OF THOSE WE SERVE BY PROMOTING WELLNESS, RESTORING FUNCTION, LESSENING DISABILITY, ALLEVIATING PAIN, AND ADVANCING KNOWLEDGE IN MUSCULOSKELETAL DISEASES AND RELATED DISORDERS. FORM 990, PART III, LINE 4A-D EXEMPT PURPOSE ACHIEVEMENTS NEW ENGLAND BAPTIST HOSPITAL'S (NEBH OR HOSPITAL) PRIMARY PURPOSE IS THE OPERATION AND MAINTENANCE OF AN ACUTE CARE, ORTHOPEDIC SPECIALTY HOSPITAL AND PROVISION OF ALL SERVICES RELATED THERETO FOR THE BENEFIT OF PATIENTS. THE HOSPITAL OPERATES AS AN ADULT MEDICAL / SURGICAL HOSPITAL WITH A NATIONAL REPUTATION IN ORTHOPEDIC CARE. PATIENTS ARE OFFERED A FULL RANGE OF SERVICES IN ORTHOPEDICS AND RHEUMATOLOGY, JOINT REPLACEMENT, SPINE CARE, FOOT AND ANKLE CARE, HAND SURGERY, OCCUPATIONAL MEDICINE AND SPORTS MEDICINE. WE PROVIDE A NUMBER OF QUALITY CLINICAL SERVICES. THESE CLINICAL SERVICES ARE DIVIDED INTO CARE CENTERS. WE HAVE AN ORTHOPEDIC CARE CENTER, AS WELL AS CARE CENTERS FOR MEDICAL, SURGICAL, DIAGNOSTICS AND SUPPORT SERVICES, REHABILITATION SERVICES AND PATIENT CARE. THROUGH OUR CARE CENTERS, OUR PATIENTS RECEIVE NOT ONLY THE FINEST ORTHOPEDIC SERVICES, BUT ALSO DIAGNOSTIC, SURGICAL, MEDICAL AND REHABILITATIVE TREATMENT THAT'S BEYOND COMPARE. NEW ENGLAND BAPTIST HOSPITAL STRIVES TO PROVIDE THE MOST ADVANCED METHODS OF HEALTH CARE COMBINED WITH COMPASSIONATE, HIGHLY SKILLED AND WELL TRAINED PROVIDERS OF CARE. OUR NURSES AND HEALTH CARE PROFESSIONALS PROVIDE A COMPREHENSIVE ARRAY OF PROGRAMS AND SERVICES THAT ARE FOCUSED ON OUR PATIENTS AND MEETING OUR COMMUNITY'S HEALTH CARE NEEDS. THE CARE AND COMFORT OF OUR PATIENTS IS OUR HIGHEST MISSION. CARE TO ALL PATIENTS NEBH IS THE FRONTLINE CAREGIVER PROVIDING MEDICALLY NECESSARY CARE FOR ALL PEOPLE REGARDLESS OF ABILITY TO PAY. ALTHOUGH NEBH IS NOT LICENSED TO OPERATE AN EMERGENCY DEPARTMENT, THE HOSPITAL OFFERS CARE FOR ALL PATIENTS THAT COME TO OUR FACILITY 24 HOURS A DAY, SEVEN DAYS A WEEK, AND 365 DAYS A YEAR. NEBH ASSISTS PATIENTS IN OBTAINING FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND OTHER SOURCES WHENEVER APPROPRIATE. I. MEDICAID & MEDICARE: MEDICAID NEBH PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN 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, 1.3% OR 1,693 OF NEBH'S PATIENT ENCOUNTERS WERE WITH MEDICAID PATIENTS. THIS TRANSLATED TO $2,330,320 IN MEDICAID REVENUE WHICH WAS LESS THAN THE COST OF CARE PROVIDED BY NEBH FOR SUCH SERVICES BY $900,965, AS REPORTED WITHIN SCHEDULE H, PART I, LINE 7B. NEBH ALSO MADE PAYMENTS TO THE HEALTH SAFETY NET TRUST (HSN) TO SUPPORT THE DELIVERY OF CHARITY CARE TO PATIENTS THROUGHOUT MASSACHUSETTS. THE HOSPITAL'S TOTAL PAYMENTS TO THE HSN WERE $1,624,101 FOR THE PERIOD COVERED BY THIS FILING AND QUANTIFIED AS PART OF CHARITY CARE REPORTED IN THIS SCHEDULE H, PART I LINE 1A. THIS AMOUNT IS ALSO REPORTED AS A COMPONENT OF UNCOMPENSATED CARE EXPENSE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS. MEDICARE MEDICARE IS THE FEDERALLY SPONSORED HEALTH INSURANCE PROGRAM FOR ELDERLY OR DISABLED PATIENTS AND NEBH PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM. DURING THE FISCAL PERIOD COVERED BY THIS FILING, 38% OR 45,487 OF NEBH'S PATIENT VISITS WERE WITH MEDICARE PATIENTS. THIS TRANSLATED TO $ 67,901,000 IN NET PATIENT SERVICE REVENUE; HOWEVER, BECAUSE PAYMENTS TO HOSPITALS THROUGH THIS GOVERNMENT SPONSORED PROGRAM HAVE NOT KEPT PACE WITH INFLATION, REVENUE COLLECTED WAS LESS THAN THE COST OF SERVICES BY $12,327,904. ALTHOUGH NEBH CONSIDERS THE PROVISION OF CLINICAL CARE TO MEDICARE PATIENTS AS PART OF ITS COMMUNITY BENEFIT, THE ADDITIONAL MEDICARE SHORTFALL OF $12,327,904 IS NOT QUANTIFIED ON PAGE 1 OF THE SCHEDULE H, PER THE IRS INSTRUCTIONS. RATHER IT HAS BEEN SEPARATELY REPORTED IN SCHEDULE H PART III AS REQUIRED. IF NEBH HAD INCLUDED THE MEDICARE SHORTFALL IN THE CHARITY CARE AND COMMUNITY BENEFIT CALCULATION, THE PERCENTAGE ON SCHEDULE H WOULD HAVE INCREASED BY OVER 5.2%. II. INPATIENT CARE: NEW ENGLAND BAPTIST HOSPITAL CARES FOR ITS PATIENTS IN ITS 135 LICENSED BEDS. DURING FISCAL YEAR 2014, NEBH ADMITTED 8,196 PATIENTS, INCLUDING: 7,986 SURGICAL ADMISSIONS AND 210 MEDICAL ADMISSIONS; TOTAL DISCHARGES WERE 8,168 PATIENTS; AND TOTAL PATIENT DAYS WERE 25,907. NET INPATIENT REVENUE, NOT INCLUDED IN PART I, FOR FISCAL YEAR 2014 WAS $ 104,651,388. III. COMMUNITY WALK-IN CLINIC/ AMBULATORY CARE UNIT/ EMERGENT CARE: ALTHOUGH NEBH IS NOT LICENSED TO OPERATE AN EMERGENCY DEPARTMENT, NEBH STILL PROVIDES CARE TO ALL WHO NEED URGENT CARE, REGARDLESS OF THEIR ABILITY TO PAY. NEBH OPERATES A COMMUNITY WALK-IN CLINIC (CWC) WHICH FUNCTIONS AS AN URGENT CARE CLINIC. TRIAGE AND ASSESSMENT OF A PATIENT'S CONDITION IS AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK REGARDLESS OF THE CWC'S HOURS OF OPERATION. THE CWC OPERATES TREATMENT HOURS 7 DAYS A WEEK, WITH EARLY MORNING, FULL DAY AND EVENING HOURS ON ALL DAYS, IN ORDER TO ACCOMMODATE AS MANY PATIENTS AS POSSIBLE. WHERE A PATIENT COMES TO NEBH IN NEED OF URGENT CARE AFTER CWC HOURS, CARE IS STILL PROVIDED. NO PATIENT IS TURNED AWAY WITHOUT CARE. AFTER CWC HOURS, THE PATIENT IS SEEN AND THEIR MEDICAL CONDITION ASSESSED TO DETERMINE WHETHER THEY CAN BE TREATED AT NEBH OR WHETHER THEIR CONDITION WOULD REQUIRE A TRANSFER TO BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC), A RELATED TERTIARY CARE ACADEMIC MEDICAL CENTER AND ORGANIZATION EXEMPT FROM INCOME TAXATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) OF 1986, AS AMENDED, WHICH IS LOCATED JUST MILES AWAY FROM NEBH. ALL PATIENTS WHO COME TO NEBH, AND WHO CAN BE ADEQUATELY TREATED AT NEBH, ARE TREATED AND NOT TRANSFERRED, REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR CARE. OUTPATIENT STATISTICS AND FINANCIAL RESULTS: PATIENT VISITS TO NEBH'S OUTPATIENT CLINICS AND OTHER DEPARTMENTS TOTALED OVER 130,000 DURING FISCAL YEAR 2014. THIS INCLUDES VISITS TO NEBH'S OCCUPATIONAL MEDICINE, SPINE CLINIC, PAIN CLINIC, AMBULATORY CARE UNIT, RADIOLOGY, LAB, PHYSICAL THERAPY AND OTHER ANCILLARY DEPARTMENTS. NET OUTPATIENT REVENUE FOR FY 2014 WAS $ 46,575,726, SINCE CARE IS NOT CONDITIONAL ON AVAILABLE BUDGET OR OTHERWISE RATIONED, THE CWC MAY RUN A DEFICIT. IV. COMMUNITY HEALTHCARE & EDUCATION AND OTHER PROGRAM SERVICES IN ADDITION TO PROVIDING MEDICAL CARE, NEW ENGLAND BAPTIST HOSPITAL (NEBH OR HOSPITAL) IS ALSO COMMITTED TO THE MAINTENANCE AND SUPPORT OF EDUCATIONAL ACTIVITIES AND THE PROMOTION OF HEALTH AND HEALTHCARE WITHIN THE COMMUNITIES SERVED BY NEBH, AND BEYOND, AND TO THE QUALITY OF LIFE OF THOSE INDIVIDUALS. TO THIS END, NEBH ENGAGES IN MANY COMMUNITY BENEFIT ACTIVITIES AVAILABLE TO THE COMMUNITY AT LARGE, BUT ESPECIALLY FOCUSED ON THE NEIGHBORING AREA OF MISSION HILL, BOSTON, WHICH IS AN UNDERSERVED AREA. COMMUNITY BENEFITS MISSION STATEMENT APPROVED BY NEBH BOARD OF TRUSTEES, OCTOBER 2009 "NEW ENGLAND BAPTIST HOSPITAL IS COMMITTED TO COLLABORATING WITH COMMUNITY PARTNERS AND RESIDENTS ACROSS BOSTON TO IDENTIFY AREAS OF SPECIAL NEED IN MUSCULOSKELETAL DISEASE AND COLLABORATE ON PROGRAMS TO ADDRESS THESE NEEDS, WITH SPECIAL FOCUS ON UNDERSERVED POPULATIONS THROUGH OUTREACH, EDUCATION AND PROVISION OF SERVICES TO ADDRESS MUSCULOSKELETAL HEALTH." THE HOSPITAL'S COMMUNITY BENEFIT REPORT AND DETAILS ARE INCLUDED IN THE NOTES TO SCHEDULE H, BUT A BRIEF LIST OF THE PROGRAMS DURING THE FY 2014. - MUSCULOSKELETAL HEALTH: ARTHRITIS, LUPUS, AND OSTEOPOROSIS PROGRAMS - OBESITY AND HUNGER PROGRAMS - VIOLENCE PREVENTION - COMMUNITY WORKFORCE DEVELOPMENT & JOB TRAINING - TRANSPORTATION FOR THE ELDERLY AND COMMUNITY - MISSION HILL / ROXBURY CLEAN NEIGHBORHOOD INITIATIVES FOR ADDITIONAL INFORMATION ON COMMUNITY BENEFITS PROVIDED SEE FORM 990 SCHEDULE H AND THE COMMUNITY BENEFITS REPORT WHICH WAS FILED WITH THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE. RESEARCH NEW ENGLAND BAPTIST HOSPITAL HAS CONDUCTED AND SUPPORTED RESEARCH ACTIVITIES TO IMPROVE ITS METHODS AND ABILITIES TO CARE FOR PATIENTS. NEBH'S RESEARCH PROGRAM IS PRIMARILY SELF-FUNDED. SEE SCHEDULE H AND RELATED NOTES FOR FURTHER EXPLANATIONS. THE HOSPITAL RECEIVED $227,226 IN RESEARCH REVENUE. PROGRAM PURCHASING REBATES AND DISCOUNTS THE HOSPITAL RECEIVED $291,873 IN PURCHASE DISCOUNTS AND REBATES FROM VENDORS. THIS REVENUE WAS RECEIVED BASED ON THE VOLUME OF PURCHASES OF MEDICAL SUPPLIES, IMPLANTS, AND OTHER PROGRAM SERVICE RELATED PURCHASES. $190,912 OF THE $291,873 IN PURCHASE DISCOUNTS WAS CONSIDERED UNRELATED BUSINESS INCOME FROM A PARTNERSHIP DISTRIBUTION WITH YANKEE ALLIANCE. FORM 990, PART IV (Q12A&B): STATEMENT REGARDING AUDITED FINANCIAL STATEMENTS EXPLANATION OF CONSOLIDATED AUDIT: THE BOSTON, MA OFFICE OF KPMG ISSUED AN UNQUALIFIED OPINION ON THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF NEW ENGLAND BAPTIST HOSPITAL AND AFFILIATES FOR FISCAL YEAR ENDED SEPTEMBER 30, 2014. THESE STATEMENTS WERE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND INCLUDED THE ACCOUNTS OF NEW ENGLAND BAPTIST HOSPITAL (NEBH) AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES FOR WHICH NEBH SERVES AS THE SOLE MEMBER. FORM 990, PART IV (24A): STATEMENT REGARDING TAX EXEMPT BOND ISSUE: AS DESCRIBED IN THIS FORM 990, CAREGROUP, INC., IS A 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 NEW ENGLAND BAPTIST HOSPITAL (NEBH). NEBH 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 BALANCE SHEET OF NEBH. FORM 990, PART IV (24B) STATEMENT REGARDING TAX EXEMPT BOND ISSUE: PROCEEDS IN THE PROJECT FUND WERE UNEXPECTEDLY HELD BEYOND THE THREE-YEAR TEMPORARY PERIOD, BUT WERE YIELD RESTRICTED IN COMPLIANCE WITH FEDERAL TAX REQUIREMENTS. FORM 990, PART V QUESTION 7G GIFTS OF QUALIFIED INTELLECTUAL PROPERTY: NEW ENGLAND BAPTIST HOSPITAL DID NOT RECEIVE ANY CONTRIBUTIONS OF QUALIFIED INTELLECTUAL PROPERTY OR VEHICLES DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2014 AND AS SUCH, WAS NOT REQUIRED TO FILE FORM 8899. FORM 990, PART V, LINE 7H CONTRIBUTIONS OF CARS, BOATS, AIRPLANES AND OTHER VEHICLES: NEW ENGLAND BAPTIST HOSPITAL DID NOT RECEIVE AND CONTRIBUTIONS OF CARS, BOATS, AIRPLANES OR OTHER VEHICLES AND AS SUCH WAS NOT REQUIRED TO FILE FORM 1098-C. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS AND FAMILY RELATIONSHIPS: THE FOLLOWING NEW ENGLAND BAPTIST HOSPITAL OFFICERS, DIRECTORS/TRUSTEES, AND KEY EMPLOYEES HAVE BUSINESS OR FAMILY RELATIONSHIPS: DAVID A. MATTINGLY, M.D. AND JOHN C. RICHMOND, M.D. - 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 NEW ENGLAND BAPTIST HOSPITAL (NEBH) WHICH IN TURN SERVE AS THE SOLE MEMBER OF NEW ENGLAND BAPTIST MEDICAL ASSOCIATES (NEBMA). CAREGROUP ALSO 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 AFFILIATED PHYSICIANS GROUP (APG) AND BETH ISRAEL DEACONESS HOSPITAL - MILTON, INC. (BID-MILTON). 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. ADDITIONALLY, CAREGROUP SERVES AS THE SOLE MEMBER AND A SUPPORT ORGANIZATION OF MOUNT AUBURN HOSPITAL (MAH), WHICH IN TURN SERVE AS THE SOLE MEMBER OF MOUNT AUBURN PROFESSIONAL SERVICES (MAPS). 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 MEMBERS OR STOCKHOLDERS STATEMENT: CAREGROUP, INC. IS THE SOLE MEMBER OF NEW ENGLAND BAPTIST HOSPITAL (NEBH OR HOSPITAL). ACCORDING TO NEBH BYLAWS, CAREGROUP APPROVES BUT DOES NOT ELECT MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7A GOVERNING BODY ELECTIONS & DECISIONS: THE MEMBER, ACCORDING TO NEBH'S BYLAWS, HAS THE FOLLOWING RIGHTS: - TO APPROVE THE PRESIDENT WHO SHALL BE NEBH'S REPRESENTATIVE IN THE MANAGEMENT OF THE HOSPITAL; - THE POWER AND AUTHORITY TO APPROVE ANNUAL OPERATING AND CAPITAL BUDGETS FOR THE HOSPITAL; - TO APPROVE UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF 5% OF THE MOST RECENT APPROVED ANNUAL CAPITAL BUDGET IN THE AGGREGATE; - TO APPROVE ANY UNBUDGETED CAPITAL COMMITMENT IN EXCESS OF $5 MILLION; - TO SELECT THE INDEPENDENT AUDITORS TO EXAMINE THE FINANCIAL ACCOUNTS OF THE HOSPITAL; - TO APPROVE THE OVERALL STRATEGIC AND FINANCIAL PLANS FOR THE HOSPITAL, WHICH SHALL BE CONSISTENT WITH THE STRATEGIC AND FINANCIAL PLANS AND PROGRAMS OF THE MEMBER; - TO APPROVE THE BORROWING OF, OR INCURRENCE OF DEBT, IN ANY AMOUNT, OTHER THAN (A) FOR PURPOSES OF SECURING WORKING CAPITAL FROM A LENDER WHICH SHALL HAVE BEEN APPROVED BY THE PARENT AND PURSUANT TO THEN-EXISTING LOAN DOCUMENTATION CONTAINING THE TERMS AND PROVISIONS RELATING TO SUCH BORROWING WHICH SHALL HAVE BEEN APPROVED BY THE PARENT AND (B) DEBT INCURRED IN THE ORDINARY COURSE OF BUSINESS WHICH IS ANTICIPATED IN AND CONSISTENT WITH THE ANNUAL OPERATING BUDGET OR A CAPITAL BUDGET WHICH SHALL HAVE BEEN APPROVED BY THE PARENT FOR THE YEAR IN WHICH INCURRED; AND, - TO APPROVE ANY VOLUNTARY DISSOLUTION, MERGER OR CONSOLIDATION OF THE HOSPITAL, OR THE SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE HOSPITAL'S ASSETS, OR THE CREATION, ACQUISITION OR DISPOSAL OF ANY SUBSIDIARY OR AFFILIATED CORPORATION, OR THE ENTERING INTO OF ANY JOINT VENTURE OR OTHER PARTNERSHIP ARRANGEMENT BY THE HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7B GOVERNING BODY ELECTIONS & DECISIONS: THE MEMBER ALSO HAS THE POWER AND AUTHORITY TO INITIATE AND TO TAKE ON BEHALF OF THE HOSPITAL ANY OF THE FOREGOING ACTIONS DESCRIBED ABOVE, THE EXCLUSIVE POWER AND AUTHORITY TO INITIATE ANY BANKRUPTCY OR INSOLVENCY ACTION ON BEHALF OF THE HOSPITAL AND OTHER POWERS AND RIGHTS AS VESTED BY LAW. FORM 990, PART VI, SECTION B, LINE 11 PROCESS OF FORM 990 REVIEW BY THE GOVERNING BODY: PRIOR TO FILING THE FORM 990, RELATED SCHEDULES AND REQUIRED DISCLOSURES (RETURN), THE RETURN IS REVIEWED BY THE HOSPITAL'S CHIEF FINANCIAL OFFICER, THE TAX DIRECTOR OF CAREGROUP, WHICH AS PREVIOUSLY NOTED IS THE MEMBER OF THE HOSPITAL AND THE RETURN IS REVIEWED AND SIGNED BY DELOITTE TAX, LLP. THE COMPLETE FORM 990 IS PRESENTED TO THE AUDIT, INTEGRITY AND ORGANIZATIONAL ETHICS (AIOE) COMMITTEE FOR REVIEW AND DISCUSSION. A COPY OF THE COMPLETE RETURN IS THEN PROVIDED TO EACH MEMBER OF THE HOSPITAL'S BOARD OF TRUSTEES PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C CONFLICTS OF INTEREST POLICY MONITORING & COMPLIANCE: NEW ENGLAND BAPTIST HOSPITAL (NEBH OR HOSPITAL) HAS A COMPREHENSIVE CONFLICTS OF INTEREST POLICY APPLICABLE TO BOTH NEBH AND ITS AFFILIATE, NEW ENGLAND BAPTIST MEDICAL ASSOCIATES (NEBMA). PURSUANT TO THAT POLICY, ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES OF BOTH ENTITIES ARE ASKED TO COMPLETE AN ANNUAL CONFLICT DISCLOSURE, WHICH IS DESIGNED TO REQUIRE DISCLOSURE OF ANY BUSINESS RELATIONSHIP MAINTAINED BY OFFICERS, TRUSTEES, OR KEY EMPLOYEES AND THEIR FAMILY MEMBERS, WHICH MAY RESULT IN A CONFLICT OF INTEREST. IN ADDITION, ANY INDIVIDUAL WHO COMMENCES A TERM AS AN OFFICER, TRUSTEE, OR KEY EMPLOYEE IS REQUIRED TO COMPLETE THE ANNUAL CONFLICT DISCLOSURE AT THE TIME SUCH POSITION COMMENCES. NEW ENGLAND BAPTIST HOSPITAL (NEBH OR HOSPITAL) CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ITS COMPLIANCE SUBCOMMITTEE, WHICH BY THE HOSPITAL'S BY-LAWS IS ORGANIZED AS FOLLOWS: THERE SHALL BE A COMPLIANCE SUBCOMMITTEE OF THE FINANCE AND AUDIT COMMITTEE, WHICH SHALL BE CHAIRED BY AN INDEPENDENT, ELECTED TRUSTEE AND COMPRISED OF AT LEAST THREE (3) ADDITIONAL MEMBERS OF THE FINANCE AND AUDIT COMMITTEE AND SUCH OTHER PERSONS AS MAY BE APPOINTED FROM TIME TO TIME BY THE CHAIR OF THE SUBCOMMITTEE IN CONSULTATION WITH THE CHAIR OF THE FINANCE AND AUDIT COMMITTEE. THE COMPLIANCE SUBCOMMITTEE SHALL ASSIST IN THE DEVELOPMENT AND IMPLEMENTATION OF THE HOSPITAL'S COMPLIANCE PROGRAM, AND SHALL WORK WITH HOSPITAL MANAGEMENT TO PROMOTE A CULTURE THAT ENCOURAGES ETHICAL CONDUCT AND A COMMITMENT TO COMPLIANCE WITH THE LAW. THE COMPLIANCE SUBCOMMITTEE SHALL RECEIVE REPORTS FROM THE HOSPITAL'S CHIEF COMPLIANCE OFFICER, AND SHALL ASSIST SUCH OFFICER IN THE OVERSIGHT OF INTERNAL PROCESSES AND PROGRAMS THAT PROMOTE ADHERENCE TO STATE AND FEDERAL LAWS AND REGULATIONS. IN COOPERATION WITH SENIOR MANAGEMENT, THE CHIEF COMPLIANCE OFFICER, AND THE VARIOUS HOSPITAL DEPARTMENTS, THE COMPLIANCE SUBCOMMITTEE SHALL: A) IDENTIFY AND ANALYZE THE HOSPITAL'S POSITION IN THE HEALTH CARE INDUSTRY, THE LEGAL AND REGULATORY REQUIREMENTS WITH WHICH IT MUST COMPLY, AND PARTICULAR AREAS OF RISK WHERE UNETHICAL OR UNLAWFUL CONDUCT MIGHT OCCUR; B) EVALUATE EXISTING STANDARDS, POLICIES, AND PROCEDURES THAT ADDRESS THESE AREAS AND FORMULATE RECOMMENDATIONS IN RESPONSE TO SPECIFIC RISKS OR SYSTEMIC SHORTCOMINGS; C) RESEARCH, REVIEW, RECOMMEND AND MONITOR APPROPRIATE EMPLOYEE SCREENING POLICIES, TRAINING AND EDUCATION PROGRAMS AT ALL LEVELS OF THE ORGANIZATION, AND WRITTEN POLICIES AND PROCEDURES THAT EMPHASIZE LEGAL COMPLIANCE AND ETHICAL BEHAVIOR; D) OVERSEE THE DEVELOPMENT AND OVERSIGHT OF SYSTEMS FOR THE DETECTION, REPORTING, AND DETERRENCE OF POTENTIAL VIOLATIONS, INCLUDING APPROPRIATE INTERNAL MECHANISMS THROUGH WHICH HOSPITAL EMPLOYEES MAY REPORT OR SEEK GUIDANCE REGARDING POTENTIAL VIOLATIONS WITHOUT FEAR OF RETRIBUTION; E) REVIEW AND EVALUATE POLICIES AND PROCEDURES FOR RESPONDING TO ALLEGATIONS OF IMPROPER OR ILLEGAL CONDUCT AND FORMULATE GUIDELINES FOR APPROPRIATE DISCIPLINARY ACTION AGAINST EMPLOYEES WHO HAVE VIOLATED INTERNAL POLICIES OR RELEVANT STATUTES. ALL ANNUAL DISCLOSURES ARE REVIEWED BY THE NEBH VICE PRESIDENT, HEALTH CARE INFORMATICS & RESEARCH FOR DETERMINATION OF ANY POTENTIAL OR ACTUAL CONFLICT. ANY ACTIVITY THAT REQUIRES ACTION UNDER THE CONFLICT OF INTEREST POLICY IS SUBJECT TO THE ONGOING REVIEW AND ACTION THROUGH THE NEBH COMPLIANCE OFFICE. PURSUANT TO THE CONFLICT OF INTEREST POLICY, CERTAIN ACTIVITIES WHICH COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED WHILE OTHER TYPES OF RELATIONSHIPS ARE PERMITTED, SUBJECT TO COMPLIANCE WITH A PLANT TO REQUIRE DISCLOSURE AND RECUSAL, INCLUDING APPROPRIATE DOCUMENTATION IN THE MINUTES. ADDITIONALLY, AS NOTED THROUGHOUT THESE NARRATIVE DISCLOSURES, CAREGROUP, INC. (CAREGROUP) IS THE SOLE MEMBER OF NEW ENGLAND BAPTIST HOSPITAL (NEBH OR HOSPITAL). IN ADDITION TO THE CONFLICT OF INTEREST PROCESS OUTLINED ABOVE, CAREGROUP TAX DEPARTMENT ISSUES A TAX QUESTIONNAIRE TO ALL CURRENT AND FORMER MEMBERS OF THE HOSPITAL BOARD OF TRUSTEES AS WELL AS CURRENT AND FORMER NEBH OFFICERS AND KEY EMPLOYEES. THE TAX QUESTIONNAIRE 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 PROCESS TO DETERMINE CEO, OFFICER, AND KEY EMPLOYEE COMPENSATION: NEW ENGLAND BAPTIST HOSPITAL (NEBH OR HOSPITAL) INDEPENDENTLY REVIEWS AND APPROVES COMPENSATION FOR ITS EXECUTIVES (INCLUDING CEO) AND OTHER SENIOR OFFICIALS THROUGH ITS PERSONNEL AND COMPENSATION COMMITTEE. OUTSIDE, INDEPENDENT CONSULTANTS ARE UTILIZED AND PROVIDE COMPARATIVE MARKET DATA, AND MAKE RECOMMENDATIONS TO THE COMMITTEE, WHICH BY THE HOSPITAL'S BY-LAWS IS ORGANIZED AND PROCEEDS AS FOLLOWS: THE PERSONNEL AND COMPENSATION COMMITTEE SHALL BE COMPRISED OF A CHAIR, WHO SHALL BE A TRUSTEE, THE PRESIDENT OF THE HOSPITAL, EX-OFFICIO WITHOUT VOTE, THE VICE PRESIDENT, HUMAN RESOURCES OF THE HOSPITAL, EX-OFFICIO WITHOUT VOTE, THE TREASURER, EX-OFFICIO WITH VOTE, AND THREE (3) OR MORE PERSONS SELECTED FROM AMONG THE TRUSTEES AND/OR MEMBERS OF THE BOARD OF VISITORS. THE PERSONNEL AND COMPENSATION COMMITTEE SHALL: (1) PERIODICALLY REVIEW AND RECOMMEND TO THE BOARD OF TRUSTEES PERSONNEL AND COMPENSATION POLICIES AND PRACTICES FOR THE HOSPITAL, CONSISTENT WITH THE FISCAL POLICIES OF THE FINANCE AND AUDIT COMMITTEE AND THE FISCAL AND STRATEGIC POLICIES OF THE PARENT; (2) ANNUALLY REVIEW THE PERFORMANCE OF, AND RECOMMEND TO THE BOARD OF TRUSTEES OVERALL COMPENSATION FOR, THE PRESIDENT AND ANY VICE PRESIDENTS OF THE HOSPITAL; (3) ANNUALLY PROVIDE REPORTS TO THE PARENT'S COMPENSATION COMMITTEE REGARDING THE GENERAL COMPENSATION ARRANGEMENTS OF THE HOSPITAL PRESIDENT AND OTHER SENIOR OFFICERS, FOR INFORMATIONAL PURPOSES ONLY; (4) CONSIDER ISSUES RELATING TO PERSONNEL PLANNING, EMPLOYEE RELATIONS, EMPLOYEE EDUCATION AND DEVELOPMENT, QUALITY OF WORK LIFE, AND MORALE; AND (5) REVIEW AND MAKE RECOMMENDATIONS REGARDING OTHER SIGNIFICANT HUMAN RESOURCES ISSUES AND POLICIES AS APPROPRIATE. NO MEMBER OF THE PERSONNEL AND COMPENSATION COMMITTEE SHALL PARTICIPATE IN THE CONSIDERATION OF HIS/HER PERSONAL COMPENSATION ARRANGEMENTS. FORM 990, PART VI, SECTION C, LINE 19 OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE THE GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST AT THE FOLLOWING LOCATION: NEW ENGLAND BAPTIST HOSPITAL 125 PARKER HILL AVE BOSTON, MA 02120 FORM 990, PART VIII LINE 11D OTHER REVENUE DESCRIPTION TOTAL RELATED UNRELATED REVENUE REVENUE OR EXEMPT BUSINESS EXCLUDED FROM FUNCTION REVENUE TAX NEBMA SUPPORT REV 1,368,933 1,368,933 - - NEBMA MANAGEMENT FEES 31,906 31,906 - - BIOSKILLS LEARNING 123,246 - 123,246 - EVENTS GIFT SHOP 223,875 - - 223,875 ANESTHESIA NURSE 67,618 - 67,618 - PRACTITIONER OTHER PROGRAM 469,730 469,730 - - ANSWERING SERVICE 98,614 - 98,614 - ANTENNA RENTAL 115,526 - 115,526 - MANAGED CARE EMPL REIMB 127,046 - 127,046 - MEDICAL RECORD FEES 19,809 19,809 - - LAUNDRY AND LINENS 11,689 - 11,689 - PHYSICIAN INTEREST 6,853 6,853 - - EDUCATION EVENTS 370 370 - - TRANSFER TO OCA 367,196 367,196 - - RESTRICTED FUND TOTAL 3,032,411 2,264,797 543,739 223,875 FORM 990, PART XI, LINE 9: TRANSFER IN / OUT FROM AFFILIATES -1,962,781. MINIMUM ADDITIONAL PENSION LIABILITY 2,408,601. 821 HUNTINGTON LLC 821 HUNTINGTON BOSTON MA 02120 SUPPORT NEBH MA 0 0 NEW ENGLAND BAPTIST HOSPITAL 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 11A, 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 11A, I HMFP AT BIDMC 0 BI COMMUNITY FOUNDATION INC 330 BROOKLINE AVE BOSTON MA 02215 042776678 INACTIVE CORPORATION MA 501(C)(3) LINE 7 N/A 0 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 11A, 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 11A, 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 11A, 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 11A, 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 11A, I HMFP AT BIDMC 0 BI DEACONESS HOSPITAL - NEEDHAM INC 148 CHESTNUT ST NEEDHAM MA 00000 043229679 HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS. 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MA 501(C)(2) CAREGROUP INC 0 HARVARD MEDICAL COLLABORATIVE INC 25 SHATTUCK ST BOSTON MA 02115 043476764 COORDINATE AND PROVIDE STATEGIC PLANNING OPP FOR HMS MA 501(C)(3) LINE 11A, I N/A 0 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 9 N/A 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. 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