2012-08-10T14:55:26-05:00 2011-09-30 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 11753 990 2010-10-01 222667354 JORDAN HOSPITAL INC JORD 5087462000 275 SANDWICH ST PLYMOUTH MA 023602183 JOSEPH IANNONI 5087462000 2012-08-10 1 5169187000 2010 2016-02-24 21:20:13Z JOSEPH IANNONI 275 SANDWICH STREET BOSTON MA 02360 199598337 0 X WWW.JORDANHOSPITAL.ORG X 1985 MA SEE SCHEDULE O 15 14 1646 350 1865438 -323240 2298779 2283558 192729354 196207353 830660 1013610 111968 93816 195970761 199598337 0 0 0 0 101379263 104730570 0 0 0 87519251 90276921 188898514 195007491 7072247 4590846 169690534 167588398 123672736 123970841 46017798 43617557 SEE SCHEDULE O 0 0 172633400 194341915 SERVICES RENDERED INCLUDE INPATIENT, OUTPATIENT AND EMERGENCY CARE DELIVERED WITHIN THE INSTITUTION'S SERVICE AREA. 172633400 1 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 210 0 1 1646 1 1 1 0 0 0 0 0 0 0 0 0 X 15 14 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 1 0 MA X PATRICIA HALEY 5087462000 275 SANDWICH ST PLYMOUTH MA 02360 ROBERT KELLY 1.00 X 0 0 0 LYLE BAZZINOTTI 1.00 X 0 0 0 MICHAEL BABINI 1.00 X 0 0 0 KENNETH FOSDICK 1.00 X 0 0 0 CLARK HINKLEY 1.00 X 0 0 0 LYON CARTER 1.00 X 0 0 0 KIMBERLY MELLONI MD 1.00 X 0 0 0 EDWARD SANTOS 1.00 X 0 0 0 WILFRED SHEEHAN 1.00 X 0 0 0 KEELAS SMALL 1.00 X 0 0 0 FREDERIC CLIFFORD 1.00 X 0 0 0 JOHN CARNUCCIO 1.00 X 0 0 0 SHAWN DAHLEEN 1.00 X 0 0 0 STEPHEN TREHU MD 1.00 X 0 0 0 PETER MUNCEY ESQ 1.00 X 0 0 0 DAVID DELANEY 1.00 X 0 0 0 DENISE NORRIS 1.00 X 63493 0 19106 PETER HOLDEN 40.00 X 0 670830 31024 JOSEPH IANNONI 40.00 X 0 350396 26311 JOANNE FORD 53.00 X 174220 0 22468 GAIL ROBBINS 40.00 X 169669 0 24181 MARK TARLTON 40.00 X 151560 0 17177 DEBORAH SULLIVAN 40.00 X 150187 0 12395 CHRISTINE KLUCZNIK 40.00 X 149134 0 19089 ALAN KNIGHT X 0 0 0 ELLIOT SCHWARTZ X 0 0 0 858263 1021226 171751 113 0 1 0 BAYSIDE EMERGENCY MEDICAL ASSOCIATES PC 1342 BELMONT ST SUITE 205 BROCKTON MA 02301 EMERGENCY MEDICINE MGMNT 6868806 ALLIANCE ONCOLOGY LLC 100 BAYVIEW CIRCLE SUITE 400 NEWPORT BEACH CA 92660 RADIATION THERAPY MGMNT 2144852 ALLIANCE HEALTHCARE SERVICES 100 BAYVIEW CIRCLE SUITE 400 NEWPORT BEACH CA 92660 IMAGING SERVICES MANAGEMENT 1560364 ANGELICA TEXTILE SERVICES 482 PAWTUCKET AVENUE PAWTUCKET RI 02860 LINEN MGMNT 756053 PLYMOUTH ROCK LITHOTRIPSY 437 TURNPIKE STREET CANTON MA 02021 MEDICAL LITHOTRIPSY SVCS 492700 13 485376 1798182 23906 2283558 NET PATIENT REVENUE 900099 194341915 194341915 NON-PATIENT LAB 621500 1865438 1865438 196207353 626182 626182 5124 5124 93816 93816 93816 93816 346954 35350 346954 35350 382304 382304 199598337 194341915 1865438 1107426 82308407 72258000 10050407 3804650 3340077 464573 12663153 11116897 1546256 5954360 5227293 727067 575258 575258 443635 443635 53287337 45092408 8194929 7529755 6781550 748205 205411 158166 47245 421595 269821 151774 4898458 4898458 9279375 9279375 1076203 1076203 PHYSICIAN EXPENSE 7598562 7598562 BAD DEBT EXPENSE 4961332 4961332 195007491 172633400 22374091 0 16509266 8461205 181278 109746 21356270 21122008 2073728 2392733 2613015 2376836 184605081 97294630 90509033 87310451 12166301 22735448 24281643 23079971 169690534 167588398 25055549 20995267 79590000 78145000 19027187 24830574 123672736 123970841 X 34874047 33745263 1758828 1216895 9384923 8655399 46017798 43617557 169690534 167588398 X 4590846 -6991087 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 1 0 0 1 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: JORDAN HOSPITAL PAID MEMBERSHIP DUES TO MEMBER ORGANIZATIONS WHICH MAY ENGAGE IN LOBBYING ACTIVITIES. THEREFORE, A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES. 11143750 1667255 -763788 2174923 9872294 11541125 1822428 162354 2382157 11143751 12515339 858367 -837782 994799 11541125 0.00000 0.87670 0.12330 0 0 54225 54225 80471902 27080534 53391368 30198603 14578720 15619883 73186139 55635376 17550763 694212 694212 87310451 FUNDS HELD BY TRUSTEE 7255484 DUE FROM AFFILIATES 1475273 FUNDS HELD BY OUTSIDE TRUSTEES 9072922 OTHER RECEIVABLES 64360 CURRENT LIMITED USE ASSETS 4693145 ASSETS HELD AS COLLATERAL 518787 23079971 ESTIMATED 3RD PARTY SETTLEMENT 6396225 OTHER CURRENT LIABILITIES 5265885 OTHER LIABILITIES 514704 CAPITAL LEASE 365690 ADDTL MINIMUM PENSION LIABILITY 12288070 24830574 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT FUNCTIONS TO SUPPORT AND PROVIDE INCOME FOR THE FURTHERANCE OF THE HEALTHCARE MISSION OF JORDAN HOSPITAL, INC AND ITS AFFILIATES. 1 1 1 X 1 X 1 1 0 1 1 3882661 3882661 0.01990 6378806 6378806 0.03270 10261467 10261467 0.05260 2069592 2069592 0.01060 2069592 2069592 0.01060 12331059 12331059 0.06320 51173 51173 0.00030 51173 51173 0.00030 102346 102346 0.00060 1 4961332 0 77722516 82876695 -5154179 X 1 1 1 JORDAN SURGICAL MANAGEMENT COMPANY LLC MANAGEMENT OF OPERATING ROOM 0.50000 0.50000 2 SOUTHEASTERN MASS PETCT IMAGING CENTER PET & CT IMAGING SERVICES 0.45000 0.10000 1 1 JORDAN HOSPITAL INC

275 SANDWICH STREET PLYMOUTH MA 023602183

X X X X NA 1 PART I, LINE 7: THE COSTING METHODOLOGY USED WAS DERIVED FROM WORKSHEET 2. RATIO OF CARE COST-TO-CHARGES. PART II: 2012 PROGRAM PLANS ARE LIKELY TO ADDRESS: HEART HEALTH, COLON CANCER AWARENESS, ARTHRITIS TREATMENT, DIABETES, SLEEP DISORDERS, WOUND TREATMENT, AND DEMENTIA. ALL HOUSECALLS EVENTS ARE FREE AND OPEN TO THE PUBLIC. PRE-REGISTRATION IS REQUIRED. REGISTER AT 800-2JORDAN (800-256-7326). PEDIATRIC PALLIATIVE CARE: BRIEF DESCRIPTION OR OBJECTIVE. THE FRAGILE FOOTPRINTS PEDIATRIC PALLIATIVE CARE PROGRAM IS PART OF THE MASSACHUSETTS PEDIATRIC CARE NETWORK ADMINISTERED BY THE MASSACHUSETTS DEPT. OF PUBLIC HEALTH, DIVISION FOR PERINATAL, EARLY CHILDHOOD AND SPECIAL HEALTH NEEDS. THE PROGRAM PROVIDES MEDICAL CASE MANAGEMENT AND SUPPORT TO MEDICALLY FRAGILE CHILDREN AND THEIR FAMILIES. PROGRAM TYPE DIRECT SERVICE TARGET POPULATION REGIONS SERVED: 48 TOWNS IN PLYMOUTH, BRISTOL, BARNSTABLE AND DUKES COUNTIES.HEALTH INDICATOR: CHILD CARE, BEREAVEMENT, HOSPICE. SEX: ALL. AGE GROUP: PRENATAL TO 19 YEARS. ETHNIC GROUP: NOT SPECIFIED LANGUAGE: NOT SPECIFIED PARTNERS MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, PEDIATRIC PALLIATIVE CARE NETWORK CONTACT INFORMATION DEBORAH DOLAWAY, LICSW. ADMINISTRATOR, CRANBERRY HOSPICE & PALLIATIVE CARE, 36 CORDAGE PARK CIRCLE, PLYMOUTH. 508-746-0215 DDOLAWAY@JORDANHOSPITAL.ORG. DETAILED DESCRIPTION: FRAGILE FOOTPRINTS PEDIATRIC PALLIATIVE CARE PROGRAM IS DESIGNED TO IMPROVE THE QUALITY OF LIFE FOR CHILDREN WITH POTENTIALLY LIFE-LIMITING ILLNESS AND THEIR FAMILIES. AN INTERDISCIPLINARY TEAM OF NURSES, SOCIAL WORKERS, CHILD LIFE SPECIALISTS, SPIRITUAL CARE, COMPLEMENTARY THERAPY AND EXPRESSIVE ARTS PRACTITIONERS AND TRAINED VOLUNTEERS HELP TO DESIGN A PLAN OF CARE THAT WILL COORDINATE AND AUGMENT EXISTING SERVICES. BY PROVIDING A COLLABORATIVE APPROACH, FRAGILE FOOTPRINTS WORKS TO ADDRESS PROBLEMS COMMONLY EXPERIENCED BY FAMILIES OF MEDICALLY FRAGILE CHILDREN INCLUDING EMOTIONAL STRESS AND ANXIETY, SCHOOL AND ACTIVITY INTERRUPTIONS OF SIBLINGS, ISOLATION, FINANCIAL AND RELATIONSHIP ISSUES CREATED BY COMPLEX MEDICAL DEMANDS AND DISRUPTION OF "NORMAL" ROUTINES. THE FRAGILE FOOTPRINTS STAFF WORKS CLOSELY WITH AREA HEALTH PROVIDERS, TERTIARY HOSPITALS, AND COMMUNITY SUPPORT PROGRAMS TO SIMPLIFY AND CREATE A COMPREHENSIVE PLAN TO SUPPORT CHILDREN, PARENTS AND SIBLINGS. BIOTERRORISM PROGRAM (IN CONJUNCTION WITH MASS DPH ASPR GRANT): BRIEF DESCRIPTION OR OBJECTIVE THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (MDPH) HAS BEEN AWARDED, FOR THE TENTH YEAR, COOPERATIVE AGREEMENT FUNDING FROM THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES, OFFICE OF THE ASSISTANT SECRETARY FOR PREPAREDNESS AND RESPONSE (ASPR). THE FY2011 AWARD WILL SUPPORT MASSACHUSETTS'S FY2011 HOSPITAL PREPAREDNESS PROGRAM (HPP). THE PURPOSE OF THIS FUNDING IS TO CONTINUE TO DEVELOP AND SUPPORT AN EFFECTIVE STATEWIDE HOSPITAL AND HEALTH CARE EMERGENCY PREPAREDNESS AND RESPONSE SYSTEM IN MASSACHUSETTS. JORDAN HOSPITAL HAS A REPRESENTATIVE THAT PARTICIPATES IN HOSPITAL PREPAREDNESS AND COLLABORATES WITH ALL THE OTHER ACUTE CARE HOSPITALS WITHIN REGION 5 IN HOSPITAL PREPAREDNESS AND IN DEVELOPING PRIORITIES FOR BOTH THE REGION AND THE HOSPITAL. THE JORDAN HOSPITAL EMERGENCY PREPAREDNESS REPRESENTATIVE ATTENDS MONTHLY MEETINGS, WORKS WITH COMMUNITY PARTNERS SUCH AS POLICE, FIRE AND EMS AND THE JORDAN HOSPITAL STAFF TO ASSURE READINESS IN THE CASE OF A DISASTER. PROGRAM TYPE OUTREACH TO UNDERSERVED, PREVENTION TARGET POPULATION REGIONS SERVED: COUNTY-PLYMOUTH, REGION 5 HEALTH INDICATOR: ENVIRONMENTAL QUALITY SEX: ALL AGE GROUP: ALL ETHNIC GROUP: NOT SPECIFIED LANGUAGE: NOT SPECIFIED PARTNERS REGION 5 HOSPITALS CONTACT INFORMATION JANE STILES RN, MM- EMERGENCY PREPAREDNESS COORDINATOR, AT 508-830-2812, JSTILES@JORDANHOSPITAL.ORG DETAILED DESCRIPTION THE FUNDING HAS OVERARCHING REQUIREMENTS SUCH AS NATIONAL INCIDENT MANAGEMENT SYSTEMS (NIMS), NEEDS FOR AT-RISK POPULATIONS, EDUCATION, PREPAREDNESS TRAINING, EXERCISES, EVALUATIONS AND CORRECTIVE ACTIONS. ALSO LEVEL ONE SUB-CAPABILITIES SUCH AS INTEROPERABLE COMMUNICATION SYSTEM, HOSPITAL AVAILABLE BED TRACKING SYSTEM (HAVBED), FATALITY MANAGEMENT PLANS, HOSPITAL EVACUATION AND SHELTER-IN-PLACE PLANS, DECONTAMINATION PROCEDURES AND THE MDU (MASS DECONTAMINATION UNIT WITH PLYMOUTH FIRE DEPARTMENT), PHARMACEUTICAL CACHES, PERSONAL PROTECTIVE EQUIPMENT, REGIONAL PROJECT DEVELOPMENT AND LABORATORY RESPONSE NETWORK. ESSENTIAL COMMUNITY PROVIDER PROGRAM: BRIEF DESCRIPTION OR OBJECTIVE AN EHR (ELECTRONIC HEALTH RECORD) COMMITTEE WAS FORMED TO DESIGN, IMPLEMENT AND ADOPT A FULLY FUNCTIONAL EHR TO INCLUDE COMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE) AND ELECTRONIC PHYSICIAN DOCUMENTATION. PROGRAM TYPE DIRECT SERVICE TARGET POPULATION REGIONS SERVED: COUNTY-PLYMOUTH HEALTH INDICATOR: ALL SEX: ALL AGE GROUP: ALL ETHNIC GROUP: NOT SPECIFIED LANGUAGE: NOT SPECIFIED PARTNERS CONTACT INFORMATION RON RUTHERFORD, DEPUTY CIO JORDAN HOSPITAL, INC., 275 SANDWICH ST, PLYMOUTH, MA 02360(508) 830-2286 OR E-MAIL: RRUTHERFORD@JORDANHOSPITAL.ORG DETAILED DESCRIPTION: THE ESSENTIAL COMMUNITY PROVIDER FUNDING ASSISTS IN THE TRANSITION TOWARDS PROVIDING MORE ACCESSIBLE AND COST-EFFECTIVE HEALTH CARE AND ALLOWS US TO FOCUS ON AREAS FOR INNOVATION AND IMPROVEMENT TO BENEFIT OUR RESIDENTS. MAJOR INITIATIVES INCLUDE: THE TARGETED AREAS OF FOCUS INCLUDE CONVERSION OF PAPER-BASED DOCUMENTATION, INFRASTRUCTURE DEVELOPMENT, AND PLANNING FOR A FUNCTIONAL HEALTH INFORMATION EXCHANGE (HIE). THESE INITIATIVES ARE CRITICAL TO THE DEVELOPMENT OF A COMPLETE AND FULLY FUNCTIONAL ELECTRONIC HEALTH RECORD THAT IS PLANNED FOR COMPLETED IMPLEMENTATION BY 2013. THE MAJOR COMPONENTS OF THE EHR HAVE BEEN SPORADICALLY IMPLEMENTED OVER THE PAST FEW YEARS AT JORDAN HOSPITAL. SIGNIFICANT INVESTMENTS IN CAPITAL AND LABOR HAVE BEEN MADE TO FULLY IMPLEMENT ALL COMPONENTS OF THE EMR IN AN EFFORT TO IMPROVE PATIENT SAFETY AND QUALIFY FOR FEDERAL FUNDS UNDER MEANINGFUL USE STAGE I. THIS INCLUDES COMPUTERIZED PHYSICIAN ORDER ENTRY, PHYSICIAN ELECTRONIC DOCUMENTATION, CLINICIAN DOCUMENTATION, ELECTRONIC MEDICATION ADMINISTRATION RECORDS AND OTHER REQUIREMENTS FOR ACHIEVING MEANINGFUL USE STAGE I IN FY 2012 AS OUTLINED BY ARRA/HITECH. THE IMPLEMENTATION OF EHR WILL PROVIDE COORDINATED CONNECTION OF PATIENT HEALTH INFORMATION SO WE CAN BEST CARE FOR PATIENTS. THIS IS PARTICULARLY IMPORTANT FOR PATIENTS WITH CO-MORBIDITIES WHO SEE MULTIPLE PRACTITIONERS IN MULTIPLE LOCATIONS. THE EHR WILL GIVE ALL PROVIDERS THE ABILITY TO ACCESS ALL CARE A PATIENT RECEIVES FROM ANY PRACTITIONER TO OPTIMIZE PATIENT CARE. PART III, LINE 8: MEDICARE OUTPATIENT, PSYCHIATRIC AND HOSPICE SERVICES TOTAL $4,591,240 OF THE LOSS REPORTED ON LINE 7. THESE LOSSES REPRESENT SUBSIDIZED HEALTH SERVICES PROVIDED TO THE MEDICARE POPULATION AND SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED IS COST TO CHARGE RATIOS TAKEN FROM THE MEDICARE COST REPORT. PART VI, LINE 2: COMMUNITY BENEFITS MISSION STATEMENT: JORDAN HOSPITAL SEEKS TO PROMOTE HEALTH AND WELLNESS SERVICES WITH EXCELLENCE. SERVING THE GREATER PLYMOUTH REGION, THE HOSPITAL COLLABORATES WITH COMMUNITY LEADERS, PUBLIC AND PRIVATE AGENCIES AND BUSINESSES, TO PROVIDE HEALTH PROMOTION, HEALTH PROTECTION AND PREVENTIVE SERVICES TO MEET THE BROAD RANGE OF OUR COMMUNITY'S HEALTH AND WELLNESS NEEDS AS IDENTIFIED THROUGH COMMUNITY FEEDBACK AND FORMAL COMMUNITY NEEDS ASSESSMENTS. AS PART OF ITS MISSION TO SUPPORT COMMUNITY HEALTH, JORDAN HOSPITAL IS COMMITTED TO ASSESSING ROOT CAUSES OF HEALTH DISPARITIES AND TO ASSISTING IN IMPROVING HEALTH CARE FOR THE DISADVANTAGED AND UNDERSERVED. PROGRAM ORGANIZATION AND MANAGEMENT: JORDAN HOSPITAL IS A NON-PROFIT,501 (C)(3), ORGANIZATION. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF JORDAN HOSPITAL, AND AS SUCH, THE PARENT BOARD OF JORDAN HEALTH SYSTEMS, INC., THE HOSPITAL'S SENIOR MANAGEMENT TEAM AND THE BOARD OF DIRECTORS, HAVE ULTIMATE OVERSIGHT OF ALL COMMUNITY BENEFIT INITIATIVES. THE BOARD IS COMPRISED OF COMMUNITY RESIDENTS REPRESENTING HEALTH AND HUMAN SERVICE AGENCIES AND OTHER COMMUNITY ORGANIZATIONS, BUSINESS LEADERS, AND INDIVIDUAL RESIDENTS. SENIOR STAFF: PETER J. HOLDEN, PRESIDENT AND CHIEF EXECUTIVE OFFICER; WILLIAM KIRKWOOD, VICE PRESIDENT ORGANIZATIONAL DEVELOPMENT; ANDREA HOLLERAN, VICE PRESIDENT OF EXTERNAL AFFAIRS; DONNA DOHERTY, VICE PRESIDENT OF NURSING & CNO; JOSEPH IANNONI, VICE PRESIDENT OF FINANCE & CFO; CYNTHIA OUTHOUSE, VICE PRESIDENT OF PHILANTHROPY; JAMES FANALE, M.D., SR. VICE PRESIDENT OF SYSTEM DEVELOPMENT; JAMES ALBERT, VICE PRESIDENT & CIO; BOARD MEMBERS: CLARK HINKLEY - RETIRED, MICHAEL BABINI - REAL ESTATE SERVICES CONSULTANT, LYLE BAZZINOTTI - MASS. HEFA, JOHN CARNUCCIO - MGMT CONSULTANT, LYON CARTER II - PARTNER, CARTER CRANBERRY, FREDERIC M.CLIFFORD - PRINCIPAL, CLIFFORD ASSOCIATES, SHAWN DAHLEN - CONTRACTOR, SHAWN DAHLEN & CO., KENNETH FOSDICK - MARINE ENGINEERING, ROBERT KELLY - RETIRED, KIMBERLY MELLONI, M.D. - EMERGENCY MEDICINE, PETER MUNCEY, ESQ. - LAWYER, EDWARD SANTOS - RETIRED BANKER, WILFRED SHEEHAN - RETIRED, KEELAS SMALL - OWNER, COMFORT INN, STEPHEN TREHU, M.D. RADIOLOGIST. EX-OFFICIO DIRECTORS:PETER HOLDEN, PRESIDENT AND CEO, JORDAN HOSPITAL, INC., MARK DEMATTEO, M.D. PRESIDENT OF MEDICAL-DENTAL STAFF. KEY COLLABORATIONS AND PARTNERSHIPS: JORDAN HOSPITAL PARTNERS WITH A WIDE RANGE OF COMMUNITY LEADERS AND LOCAL GROUPS TO IMPROVE THE HEALTH STATUS OF THE PEOPLE LIVING IN OUR COMMUNITIES AND TO PROVIDE CARE FOR THEM AT THE RIGHT PLACE, AT THE RIGHT TIME. HOSPITAL LEADERS, CLINICAL AND ADMINISTRATIVE STAFF, AND VOLUNTEERS MEET REGULARLY WITH LEADERS FROM OUR COMMUNITY INCLUDING ELECTED OFFICIALS, BUSINESS OWNERS, COMMUNITY SERVICE PROVIDERS, EMERGENCY PERSONNEL, SCHOOL ADMINISTRATORS, MEDIA REPRESENTATIVES AND OTHERS WITH INSIGHT INTO THE COMMUNITY'S HEALTH NEEDS. BEYOND ITS WALLS, JORDAN HOSPITAL PLAYS AN ACTIVE ROLE IN COALITION BUILDING, WORKING TO EMPOWER A RANGE OF COMMUNITY LEADERS TO FOSTER SUSTAINABLE, HEALTHY LIFESTYLES THAT LEAD TO BETTER HEALTH FOR ALL MEMBERS OF THE COMMUNITY. JORDAN HOSPITAL SEEKS COMMUNITY INVOLVEMENT IN THE HOSPITAL'S DEVELOPMENT AND EVALUATION OF ITS HEALTH AND EDUCATION PROGRAMS. BY SOLICITING FEEDBACK AT COMMUNITY EVENTS AND WORKSHOPS, AND CONDUCTING LARGER COMMUNITY HEALTH ASSESSMENTS, JORDAN HOSPITAL IS ABLE TO FOCUS ITS RESOURCES ON CLINICAL SERVICES AND OTHER INITIATIVES THAT DIRECTLY SUPPORT OUR COMMUNITY'S HEALTH NEEDS. IN ADDITION, COMMUNITY MEMBERS SERVE ON COMMITTEES THROUGHOUT JORDAN HOSPITAL, PROVIDING FEEDBACK AND WORKING WITH STAFF TO IMPROVE COMMUNITY HEALTH CARE INITIATIVES. IN SUPPORT OF THE IDENTIFIED HEALTH PRIORITIES AND PROGRAM INITIATIVES WITHIN GREATER PLYMOUTH, JORDAN HOSPITAL COLLABORATES WITH OVER 90 COMMUNITY PARTNERS. KEY COLLABORATORS (THOSE MARKED WITH * ARE HEALTHY COMMUNITY INITIATIVE PARTNERS) INCLUDE: AD MAKEPEACE*, AMERICAN HEART ASSOCIATION, BAY STATE COLLEGE, BAYSIDE RUNNERS*, BEAT CANCER BOOT CAMP, BOSTON COLLEGE, BOSTON PUBLIC HEALTH COMMISSION-RYAN WHITE PART A, BOYS & GIRLS CLUB OF BROCKTON*, BOYS & GIRLS CLUB OF PLYMOUTH*, BRIDGEWATER STATE COLLEGE*, CAPE COD CANAL REGION CHAMBER OF COMMERCE*, CAPE COD COMMUNITY COLLEGE, COLCHESTER NEIGHBORHOOD FARMS*, COMMUNITIES MOBILIZING FOR CHANGE ON ALCOHOL (CMCA)*, COMMUNITY HEALTH EDUCATION NETWORK AREA 23 (CHNA 23)*, CURRY COLLEGE, DUXBURY COUNCIL ON AGING*, EIGHT-TOWN TOBACCO CONTROL PROGRAM, ESSENTIAL COMMUNITY PROVIDER TRUST FUND, EXPLORE HISTORIC PLYMOUTH*, FITNESS MANAGEMENT SYSTEMS GREATER ATTLEBORO-TAUNTON REGIONAL TRANSIT AUTHORITY (GATRA)*, GREATER PLYMOUTH AIDS CONSORTIUM, GREATER PLYMOUTH FOOD WAREHOUSE*, GREATER PLYMOUTH COUNCIL OF HUMAN SERVICES AGENCIES, HEALTH RESOURCE & SERVICE ADMINISTRATION (HRSA)-RYAN WHITE PART C, JORDAN HOSPITAL COMMUNITY BUSINESS PARTNERS (APPROXIMATELY 69 BUSINESSES)*, KIWANIS CLUB OF PLYMOUTH, LABOURE COLLEGE, LEAGUE OF WOMEN VOTERS*, MARIBETT FARMS*, MASS BAY COMMUNITY COLLEGE, MASSACHUSETTS COLLEGE OF PHARMACY & ALLIED HEALTH SCIENCES, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH*, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH PEDIATRIC PALLIATIVE CARE NETWORK, MASSASOIT COMMUNITY COLLEGE, MASSACHUSETTS GENERAL HOSPITAL INSTITUTE OF HEALTH PROFESSIONS, METROPOLITAN AREA PLANNING COUNCIL (MAPC)* , NEW ENGLAND INSTITUTE OF TECHNOLOGY, NEW ENGLAND VILLAGES*, NORTH RIVER FARMERS*, NORTHEASTERN UNIVERSITY, OFFICE OF YOUTH AND ADOLESCENT DEVELOPMENT - EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES*, OLD COLONY ELDER SERVICES*, OLD COLONY PLANNING COUNCIL*, PINEHILLS LLC* PLIMOTH PLANTATION*, PLYMOUTH AREA COMMUNITY ACCESS TELEVISION (PACTV) , PLYMOUTH BOARD OF SELECTMEN*, PLYMOUTH CHAMBER OF COMMERCE*, PLYMOUTH CONSERVATION COMMISSION*, PLYMOUTH COUNCIL ON AGING*, PLYMOUTH COUNTY DISTRICT ATTORNEY'S OFFICE, PLYMOUTH DEPARTMENT OF PUBLIC WORKS (DPW)*, PLYMOUTH FAMILY NETWORK*, PLYMOUTH GARDEN CLUB*, PLYMOUTH HOUSING AUTHORITY*, PLYMOUTH LIONS CLUB, PLYMOUTH PUBLIC LIBRARY*, PLYMOUTH PUBLIC SCHOOLS*, PLYMOUTH PUBLIC SCHOOLS HEALTH ADVISORY COMMITTEE*, PLYMOUTH ROTARY*, PLYMOUTH TOWN HALL*, PLYMOUTH YOUTH DEVELOPMENT COALITION*, QUINCY COLLEGE, QUINNIPIAC UNIVERSITY RED CROSS BLOOD DRIVE, REGION V MASSACHUSETTS DPH BIO-TERRORISM COMMITTEE, REGIS COLLEGE, SCHWARTZ CENTER ROUNDS, SOUTH SHORE CHAMBER OF COMMERCE*, SIGNATURE HEALTHCARE BROCKTON, SIMMONS COLLEGE, SODEXO, SOULE HOMESTEAD EDUCATION CENTER*, SOUTHEAST CENTER FOR HEALTHY COMMUNITIES (FORMERLY MASS. PREVENTION CENTER)*, SOUTH SHORE COMMUNITY ACTION COUNCIL*, SOUTH SHORE WOMEN'S RESOURCE CENTER (SSWRC)*, SOUTH SHORE BOARDS OF HEALTH TOBACCO COLLABORATIVE, SOUTHEASTERN MASSACHUSETTS AGRICULTURAL PARTNERSHIP, INC. (SEMAP)*, SOUTHEASTERN MASSACHUSETTS AREA HEALTH EDUCATION CENTER (SMAHEC), SOUTHEASTERN REGIONAL OFFICE OF THE MASSACHUSETTS DEPARTMENT OF MENTAL RETARDATION, THE MAGNIFICENT LEAVEN*, THE PARENT CONNECTION OF DUXBURY*, THORBAHN*, TOWN OF PLYMOUTH*, TOWN OF PLYMOUTH OPEN SPACE COMMITTEE*, TUFTS UNIVERSITY SCHOOL OF MEDICINE, UNITED WAY*, UNIVERSITY OF MASSACHUSETTS AT AMHERST, UNIVERSITY OF MASSACHUSETTS AT BOSTON, UNIVERSITY OF MASSACHUSETTS AT DARTMOUTH, UNIVERSITY OF MASSACHUSETTS AT WORCESTER, UPPER CAPE COD REGIONAL TECHNICAL SCHOOL, VILLAGE AT DUXBURY*, WILDLANDS TRUST*. COMMUNITY HEALTH NEEDS ASSESSMENT: JORDAN HOSPITAL ENGAGED SOUTHEAST CENTER FOR HEALTHY COMMUNITIES TO BEGIN CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT OF BOTH ARCHIVAL AND QUALITATIVE DATA GATHERED FROM JORDAN HOSPITAL'S CATCHMENT AREAS, WHICH INCLUDE 12 LOCAL TOWNS. THE ASSESSMENT EVALUATES HEALTH NEEDS OF DISADVANTAGED POPULATIONS, AMONG OTHER COMMUNITY HEALTH NEEDS. THE ASSESSMENT WAS COMPLETED IN THE FALL OF 2010. RESEARCH INTO COMMUNITY HEALTH NEEDS FOR JORDAN HOSPITAL'S SERVICE AREA COMPRISES FOUR DISTINCT SOURCES OF INFORMATION GATHERING: 1. DEPARTMENT OF PUBLIC HEALTH DATA FROM MASSCHIP, WHICH ALLOWS JORDAN HOSPITAL TO COMPARE NATIONAL-AND STATE-LEVEL INFORMATION ON HEALTH STATUS INDICATORS FOR A RANGE OF HEALTH ISSUES, SUCH AS DIABETES, ELDER HEALTH, AND ADOLESCENT HEALTH; 2. FOCUS GROUPS HELD WITH DIVERSE LOCAL COMMUNITY MEMBERS, AGE 18 AND OLDER, TO DETERMINE THEIR PERCEIVED HEALTH NEEDS, ACCESS TO HEALTH CARE AND ANY OBSTACLES IN ACCESSING HEALTH SERVICES, AND WHAT THEY CONSIDER TO BE MAJOR PROBLEMS IN HEALTHCARE; 3. KEY INFORMANT INTERVIEWS WITH PROFESSIONALS WHO WORK WITH THE LOCAL BRAZILIAN, PORTUGUESE-SPEAKING POPULATION TO DETERMINE HOW HEALTH CARE ACCESS HAD CHANGED FOR THIS POPULATION SINCE THE MASSACHUSETTS HEALTH CARE REFORM INITIATIVE AND HOW THEIR HEALTH STATUS HAS CHANGED WITH NEW INSURANCE REQUIREMENTS; 4. A REVIEW OF EXISTING PROGRAMS AND SERVICES IN THE JORDAN HOSPITAL CATCHMENT AREA. IN COLLECTING THIS DATA, JORDAN HOSPITAL SEEKS TO DETERMINE WHERE OTHER COMMUNITY PROGRAMS ARE ALREADY MEETING HEALTH AND WELLNESS NEEDS AND TO DETERMINE WHAT COMMUNITY HEALTH NEEDS ARE UNMET. PART VI, LINE 3: OUR EVALUATION OF THE REGIONAL COMMUNITY IDENTIFIED THE FOLLOWING KEY COMMUNITY HEALTH INDICATORS: HIGHER THAN STATE AVERAGE MORTALITY RATE FROM LUNG CANCER; HIGHER THAN STATE AVERAGE PERCENTAGE OF WOMEN REPORTING SMOKING DURING PREGNANCY; HIGHER THAN STATE AVERAGE HOSPITALIZATION FOR CORONARY HEART DISEASE; HIGHER THAN STATE AVERAGE PERCENTAGE OF PEOPLE AGE 18 AND OLDER REPORTING THEY HAD BEEN DIAGNOSED WITH DIABETES IN THE SOUTH AREA; HIGHER THAN AVERAGE EXPOSURE TO RISK OF BIOTERRORISM IN REGION, FROM PROXIMITY TO NUCLEAR POWER PLANT; DIFFICULT ACCESS TO SERVICES AND RESOURCES FOR FAMILIES WITH MEDICALLY FRAGILE CHILDREN; DIFFICULT ACCESS TO HEALTH CARE FOR RESIDENTS, REGARDLESS OF BACKGROUND: DIFFICULTY FINDING PRIMARY CARE PHYSICIAN, FEW TAKING NEW PATIENTS, COST. IN ADDITION TO THIS ASSESSMENT, JORDAN HOSPITAL RELIES ON DATA COLLECTED THROUGH ITS SPEAKER'S BUREAU PROGRAM, HOUSECALLS. SINCE 2005, HOUSECALLS STAFF HAS GATHERED SURVEY DATA BY ASKING THOSE WHO ATTEND THE HEALTH EDUCATION PROGRAMS TO PROVIDE FEEDBACK ON THE PROGRAM AND IDENTIFY HEALTH-RELATED TOPICS THEY WOULD LIKE TO HEAR. DURING 2011, MORE THAN 570 AREA RESIDENTS PARTICIPATED IN JORDAN HOSPITAL'S HOUSECALLS EDUCATIONAL PROGRAMS. PRESENTATIONS COVERED TOPICS INCLUDING BREAST CANCER, SLEEP DISORDERS, DIABETES, OBESITY, DEMENTIA, HEART DISEASE, PREGNANCY, SPORTS INJURIES, SINUSITIS,AND ARTHRITIS. OF THOSE ATTENDING THE PROGRAMS, 99% OF THE SURVEY RESPONDENTS RATED THE PRESENTATION AS EXCELLENT OR VERY GOOD WHILE 98% FELT THEY COULD APPLY THE HEALTH INFORMATION PRESENTED TO THEIR LIVES. JORDAN HOSPITAL WORKS WITH OUR PATIENT FAMILY ADVISORY COUNCIL (PFAC). THIS COMMITTEE MEETS QUARTERLY AND PROVIDES US FEEDBACK TO MAKE IMPROVEMENTS THROUGHOUT THE HOSPITAL INCLUDING MODIFICATIONS IN OUR PATIENT FAMILY GUIDEBOOK TO MAKE IT MORE USER-FRIENDLY, MODIFICATION OF THE COMMUNICATION "WHITE BOARDS" DISPLAYED IN PATIENT ROOMS TO BE MORE PATIENT-FAMILY ORIENTED AND CHANGES TO THE SEXUAL ASSAULT PROGRAM IN THE EMERGENCY DEPARTMENT WHERE WE CREATED A MORE PRIVATE SETTING BASED ON FEEDBACK FROM MEMBERS TO BETTER SERVE THE NEEDS OF THE COMMUNITY. COMMUNITY BENEFITS PLAN: THE HOSPITAL PROVIDES A COMPREHENSIVE RANGE OF WELLNESS/HEALTH PROMOTION, DISEASE RISK REDUCTION AND SAFETY EDUCATION CLASSES, AND SUPPORT GROUPS. SURVEYS ARE PROVIDED TO PROGRAM PARTICIPANTS AND THE ONGOING VALUE OF COMMUNITY PROGRAMS IS ASSESSED ON A REGULAR BASIS. THE PROGRAMS THE HOSPITAL PRESENTED DURING 2011 WERE DEVELOPED, IN PART, BASED UPON OUR PRIOR COMMUNITY NEEDS ASSESSMENT AND OUR ONGOING INTERACTION WITH OUR COMMUNITY LEADERS AND COMMUNITY SERVICE AGENCIES. GOING FORWARD, WE ANTICIPATE THAT OUR PROGRAMS WILL EVOLVE BASED ON THE COMMUNITY NEEDS ASSESSMENT WE COMPLETED IN 2010 AND OUR GROWING ROLE OF LEADERSHIP IN A COMMUNITY-WIDE EFFORT TO CREATE A MORE HEALTH-SUSTAINING ENVIRONMENT FOR ALL RESIDENTS. DATA COLLECTED WILL HELP US TARGET OUR PROGRAMS TO MEET SPECIFIC UNMET COMMUNITY HEALTH NEEDS AND REDUCE HEALTH DISPARITIES FOR DISADVANTAGED POPULATIONS IN OUR AREA. IN THE HOSPITAL'S COLLABORATIVE WORK WITH THE TOWN OF PLYMOUTH THROUGH THE HEALTHY COMMUNITIES INITIATIVE, TEAMS COMPOSED OF HOSPITAL STAFF, COMMUNITY BUSINESS LEADERS, PUBLIC SCHOOL REPRESENTATIVES, MUNICIPAL AND ELECTED LEADERS, AND OTHER PARTNERS WILL CONTINUE TO DEVELOP WORK PLANS WITH MEASURABLE GOALS AND A DEFINED AUDIENCE. FURTHER, OUR DATA COLLECTED THROUGH OUR COMMUNITY INITIATIVES WILL SUPPORT OUR EVALUATION OF OUR PROGRAMS TO DETERMINE WHETHER OUR PROGRAMS IMPROVE THE OVERALL LEVEL OF COMMUNITY HEALTH. THIS LATEST ASSESSMENT AND OUR OUTREACH EFFORTS IN 2012 WILL STRENGTHEN JORDAN HOSPITAL'S WORK WITH LOCAL HEALTH AND HUMAN SERVICE AGENCIES INCLUDING COMMUNITY HEALTH EDUCATION NETWORK (CHNA). THIS ONGOING WORK WILL HELP JORDAN HOSPITAL DEVELOP PROGRAMS WITH MEASURABLE GOALS TO ENSURE WE ADDRESS KEY FINDINGS FROM OUR 2010 COMMUNITY ASSESSMENT: CHRONIC DISEASE- CORONARY, LUNG, DIABETES; STATE HEALTH PRIORITIES OF REDUCING OBESITY BY ENCOURAGING NUTRITION, EXERCISE, AND SMOKING CESSATION. KEY ACCOMPLISHMENTS OF REPORTING YEAR:IN JANUARY 2011, JORDAN HEALTH SYSTEM BROUGHT TOGETHER KEY COMMUNITY MEMBERS AND POSED THIS QUESTION: INSTEAD OF TRYING ONLY TO FIX DISEASE, WHAT IF WE TRANSFORMED OUR COMMUNITY SO IT ENCOURAGED A HEALTHY LIFESTYLE? AS A RESULT OF THE COLLABORATIVE WORK INITIATED BY JORDAN HOSPITAL, THE TOWN OF PLYMOUTH, PLYMOUTH PUBLIC SCHOOLS AND OTHER COMMUNITY PARTNERS ARE NOW FINDING NEW WAYS TO WORK TOGETHER WITH US TO FOSTER BETTER HEALTH IN OUR COMMUNITY, LONG-TERM, AND AT A LOWER COST, THROUGH OUR HEALTHY COMMUNITY INITIATIVE (HCI). JORDAN HOSPITAL HAS DEDICATED VP-LEVEL STAFF TO SUPPORTING AND FURTHERING THIS COMMUNITY OUTREACH. THE INITIAL TEAM MEETING INSPIRED A SERIES OF SPIRITED DISCUSSIONS AND BROUGHT MORE PARTNERS AND RESOURCES TO THE TABLE. THE MEETING RESULTED IN A COMMUNITY-WIDE COMMITMENT TO THE SHARED GOAL OF EXPANDING THE BREADTH AND IMPACT OF HEALTH INITIATIVES IN OUR REGION. JORDAN HOSPITAL PLAYED A KEY LEADERSHIP ROLE IN WRITING AND WINNING A GRANT FOR THE TOWN OF PLYMOUTH TO RECEIVE A COMMUNITY TRANSFORMATION AWARD FROM THE CENTERS FOR DISEASE CONTROL (CDC) AND MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (MDPH) IN JANUARY 2011. PLYMOUTH IS ONE OF A SELECT GROUP OF TOWNS TO BE ACCEPTED INTO THE MASS IN MOTION MUNICIPAL WELLNESS PROGRAM. THE HOSPITAL HAS BEEN ACTIVELY INVOLVED IN ALL STAGES, FROM VISION TO IMPLEMENTATION, AND HAS COMMITTED WITH THE TOWN OF PLYMOUTH AND PLYMOUTH PUBLIC SCHOOLS TO FOCUSING ON FOUR KEY AREAS TO REDUCE OBESITY, IMPROVE NUTRITION AND PROMOTE ACTIVE LIVING COMMUNITY-WIDE. THE AWARD RECOGNIZES COMMUNITIES THAT HAVE DEMONSTRATED STRATEGIC PLANNING COMBINED WITH SOLIDARITY AND FOCUS. OUR THREE-YEAR PLAN HAS MEASURABLE OBJECTIVES BASED ON THE HIGHEST PRIORITIES IDENTIFIED THROUGH COMMUNITY INPUT. THE PLAN ADDRESSES: 1. SAFE ROUTES TO SCHOOL: IMPROVING WALKABILITY AND BIKEABILITY TO AREA SCHOOLS. OBJECTIVE: BY SEPTEMBER 30, 2012, PLYMOUTH WILL PROMOTE THE MASSDOT SAFE ROUTES TO SCHOOL PROGRAM SO THAT THE TOWN HAS A MINIMUM OF 50% OF ELEMENTARY AND MIDDLE SCHOOL STUDENTS ENROLLED IN AN ACTIVE SAFE ROUTE TO SCHOOL PROGRAM; 2. SCHOOL NUTRITION: IMPROVING NUTRITIONAL QUALITY OF FOODS AND BEVERAGES IN LOCAL SCHOOLS. OBJECTIVE: BY SEPTEMBER 30, 2014, 100% OF THE PLYMOUTH SCHOOL SYSTEM WILL HAVE IMPLEMENTED THE BASIC NUTRITIONAL GUIDELINES IN THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH GUIDELINES; 3. COMPLETE STREETS INITIATIVE: MAKING STREETS SAFE FOR ALL USERS (PEDESTRIANS, BICYCLISTS AND USERS OF PUBLIC TRANSPORTATION) BY ESTABLISHING COMMUNITY DESIGN STANDARDS. OBJECTIVE: BY SEPTEMBER 30, 2014, A COMPLETE STREETS POLICY WILL BE PROMULGATED AND IMPLEMENTED IN PLYMOUTH; 4. HEALTHY NEIGHBORHOOD MARKET: INCREASING ACCESSIBILITY, AVAILABILITY, AFFORDABILITY AND IDENTIFICATION OF HEALTHY FOODS IN COLLABORATION WITH LOCAL RETAILERS. OBJECTIVE: BY SEPTEMBER 30, 2014, A MINIMUM OF 25% OF CONVENIENCE/SMALL STORES WITHIN THE TOWN OF PLYMOUTH WILL OFFER AND PROMOTE HEALTHIER FOOD AND BEVERAGES (INCLUDING FRESH FRUITS AND VEGETABLES, WHOLE GRAIN PRODUCTS, LOWER SODIUM OPTIONS, AND LOW FAT DAIRY) THROUGH AN ESTABLISHED HEALTHY NEIGHBORHOOD MARKET PROGRAM. AS PART OF THE HEALTHY COMMUNITIES INITIATIVE, IN JUNE 2011, JORDAN HOSPITAL HOSTED A COMMUNITY-WIDE SUMMIT OF OVER 60 DIVERSE MEMBERS. AT THIS SUMMIT, EVERYONE FROM LOCAL FARMERS AND TRANSIT AUTHORITY STAFF TO SCHOOL AND HEALTHCARE LEADERS CAME TOGEHTER TO FOCUS ON COMBATING CHRONIC DISEASE BY TRANSFORMING HOW WE LIVE IN THE COMMUNITY WE SHARE-MAKING IT EASIER FOR AREA RESIDENTS FROM ALL SOCIO-ECONOMIC BACKGROUNDS TO CHOOSE BETTER NUTRITION AND ACTIVE LIFESTYLES. JORDAN HOSPITAL ENGAGED MARK FENTON-A NATIONALLY RESPECTED AUTHORITY ON BUILDING COMMUNITIES THAT SUPPORT A HEALTHIER, MORE ACTIVE POPULATION AND MORE SUSTAINABLE LIFESTYLES-AS KEYNOTE SPEAKER FOR THE SUMMIT AND AS A SPEAKER AT OTHER PUBLIC VENUES TO EDUCATE AND INSPIRE HCI PARTICIPATION. MR. FENTON FACILITATED DISCUSSION ON TOPICS SUCH AS: WHAT IT MEANS TO BUILD A HEALTHIER COMMUNITY; IMPORTANCE OF COALITION BUILDING AND CREATING POLICY LEVEL CHANGE FOR SUSTAINABLE IMPACT: MAKING THE HEALTHY CHOICE THE EASY CHOICE FOR ALL RESIDENTS; EFFECTIVENESS OF PROGRAM DEVELOPMENT ARISING FROM POLICY CHANGE, SO PROGRAMS SUPPORT POLICY GOALS. FOR EXAMPLE, SCHOOL NUTRITION AND SAFE ROUTES TO SCHOOL INITIATIVES SUPPORT LONG-TERM, ONGOING PROGRAMS THAT OCCUR MORE THAN ONCE AND HAVE LONG-TERM, BROAD IMPACT; CONNECTION BETWEEN HOSPITAL AND MUNICIPAL LEADERS, TO DRIVE INITIATIVES SUCH AS ADDING BIKE RACKS TO PUBLIC BUSSES, FACILITATING HEALTHY CHOICES FOR THE ENTIRE COMMUNITY AND, IN PARTICULAR, FOR DISADVANTAGED POPULATIONS, WHO ARE THE GREATEST USERS OF PUBLIC TRANSPORTATION. AT THE HCI SUMMIT, MULTI-DISCIPLINARY TEAMS DEVELOPED ACTION PLANS FOR IMPLEMENTING A RANGE OF POLICY LEVEL CHANGES WITH LONG-TERM HEALTH IMPROVEMENT GOALS AND THE POTENTIAL FOR SYSTEMIC, SUSTAINABLE IMPACT. PART VI, LINE 4: THIS WORK HAS ALREADY MADE PROGRESS IN LAUNCHING HEALTH-ENHANCING INITIATIVES: JORDAN HEALTH SYSTEM HOSTED A WELL-ATTENDED COMPLETE STREETS TRAINING PROGRAM FOR AREA MUNICIPALITIES TO EDUCATE DIVERSE COMMUNITY LEADERS ABOUT HOW STREETS DESIGNED FOR MULTIPLE MODES OF TRANSPORTATION SUPPORT HEALTH AND TO INTRODUCE IDEAS FOR IMPLEMENTATION THROUGHOUT THE REGION. THE HOSPITAL, ALONG WITH THE TOWN OF PLYMOUTH AND OLD COLONY PLANNING COUNCIL, HAS DEVELOPED A THREE-YEAR WORK PLAN THAT INCLUDES INPUT FROM RESIDENTS, INTERESTED GROUPS, AND MUNICIPAL LEADERSHIP. NEW POLICIES WILL ENSURE ROADWAY IMPROVEMENTS AND RENOVATIONS THAT ENABLE RESIDENTS TO WALK, BIKE AND DRIVE SAFELY TO THEIR DESTINATIONS, EXPANDING HEALTH-ENHANCING TRANSPORTATION OPTIONS FOR ALL RESIDENTS, INCLUDING THE UNDERSERVED AND ADDRESSING OBESITY AND RESULTING CHRONIC ILLNESS. THE HEALTHY COMMUNITY INITIATIVE'S TRAILS, PARKS, AND RECREATION GROUP IS SUPPORTING THE WORK OF THE PLYMOUTH OPEN SPACE COMMITTEE TO CONNECT TRAILS THROUGHOUT THE REGION, GIVING RESIDENTS ACCESS TO BUSINESSES AND BASIC SERVICES THEY USE ALL THE TIME. THIS WORK FURTHER SIMPLIFIES THE PROCESS OF MAKING ACTIVE LIFESTYLE CHOICES THAT ARE COST EFFECTIVE AND GIVE GREATER ACCESS TO BASIC SERVICES TO THE UNDERSERVED. PLYMOUTH YOUTH DEVELOPMENT COUNCIL IS BROADENING ITS FOCUS BEYOND MANAGING SUBSTANCE ABUSE IN AT-RISK YOUTH TO ENCOURAGING HEALTHY YOUTH CHOICES BY INCLUDING ACTIVE LIVING AND HEALTHY EATING IN THE SPECTRUM OF ISSUES WHERE THEY PROVIDE SUPPORT AND EDUCATION. THIS WORK ADDRESSES OUR FINDINGS OF A HIGH INCIDENCE OF SMOKING, LUNG AND HEART DISEASE IN OUR COMMUNITY AND PROVIDES PROACTIVE PREVENTION MEASURES FOR AT-RISK YOUTH. THE HEALTHY COMMUNITY INITIATIVE'S COMMUNITY NUTRITION GROUP, WITH THE SUPPORT OF JORDAN HOSPITAL, HAS DEVELOPED A THREE-YEAR WORK PLAN, FOCUSING ON THE DEVELOPMENT OF HEALTHY NEIGHBORHOOD MARKETS AND ASSISTING THE PLYMOUTH PUBLIC SCHOOLS IN IMPROVING SCHOOL NUTRITION. FOR ALL HEALTHY COMMUNITY INITIATIVE EFFORTS, WORK PLANS WITH MEASURABLE GOALS TIED TO CDC AND STATE HEALTH PRIORITIES FOCUS ON REDUCING OBESITY BY ENCOURAGING NUTRITION, EXERCISE, AND SMOKING CESSATION. JORDAN HOSPITAL'S WORK TO MERGE THE MISSIONS OF HEALTHCARE, BUSINESS AND CONSERVATION GROUPS GENERATES SUSTAINABLE SOLUTIONS THAT HAVE THE POTENTIAL TO BRING BETTER HEALTH TO ALL MEMBERS OF THE COMMUNITY, FOR MANY GENERATIONS. JORDAN HOSPITAL SUCCESSFULLY APPLIED FOR $518,298 IN GRANTS TO SUPPORT COMMUNITY HEALTH INITIATIVES ADDRESSING AIDS/HIV, CANCER, PARENTING, BIOTERRORISM AND PEDIATRIC PALLIATIVE CARE AMONG OTHERS. OTHER SUCCESSFUL GRANTS SUPPORTED HOSPITAL-BASED CLINICAL AND PATIENT CARE IMPROVEMENTS. JORDAN HOSPITAL CONTINUES TO ADDRESS THE HIGH PREVALENCE OF HEART AND LUNG DISEASE AND SMOKING DURING PREGNANCY IN PLYMOUTH COUNTY THROUGH OUR OUTREACH PROGRAM TO LOCAL SCHOOLS, EDUCATING PARENTS AND STUDENTS ABOUT TOBACCO AVOIDANCE, NUTRITION AND EXERCISE. THIS PROGRAMMING SUPPORTS STATE INITIATIVES TO REDUCE OBESITY AND SERVES TO ADDRESS THE LOCAL INCIDENCE OF CHRONIC DISEASES, SUCH AS DIABETES AND HEART DISEASE, WHICH OFTEN RESULT FROM OBESITY AND WERE SHOWN AS SIGNIFICANT COMMUNITY HEALTH ISSUES IN OUR REGION. JORDAN HOSPITAL WORKED WITH THE STATE TO COMMUNICATE NEW HEALTH COVERAGE PLANS FOR THE UNINSURED AND ENROLL THOSE WHO QUALIFY. FINANCIAL COUNSELORS SCREENED AND ENROLLED PATIENTS FOR MASSHEALTH, HEALTH SAFETY NET, MEDICAL HARDSHIP AND COMMONWEALTH CARE. THE HOSPITAL ASSISTED PEOPLE WITH ENROLLMENT IN STATE INSURANCE PARTNERSHIP PROGRAMS. PLANS FOR NEXT REPORTING YEAR: JORDAN HOSPITAL WILL REVIEW THE DATA COLLECTED THROUGH ITS 2010 COMMUNITY NEEDS ASSESSMENT AND ONGOING WORK IN LIGHT OF IDENTIFIED HEALTH AND HUMAN SERVICES (EOHHS) STATEWIDE PRIORITIES TO SUPPORT HEALTH CARE REFORM, MANAGE CHRONIC DISEASE IN DISADVANTAGED POPULATIONS, REDUCE HEALTH DISPARITIES, AND PROMOTE WELLNESS OF VULNERABLE POPULATIONS. THE HOSPITAL WILL ALSO CONTINUE TO GATHER DATA AND FEEDBACK THROUGH ITS WORK WITH THE WIDE-REACHING HEALTHY COMMUNITY INITIATIVE. JORDAN HOSPITAL WILL CONTINUE TO PLAY A LEADERSHIP ROLE IN BUILDING COMMUNITY-WIDE COALITIONS TO DEVELOP INFRASTRUCTURE AND PROGRAMS THAT FACILITATE HEALTHY LIFESTYLE CHOICES FOR ALL, INCLUDING DISADVANTAGED POPULATIONS. OUR OUTREACH WILL CONTINUE TO SUPPORT STUDENT EDUCATION AND AWARENESS OF HEALTH AND WELLNESS ISSUES. JORDAN HOSPITAL WILL CONTINUE TO OFFER ITS CURRENT ROSTER OF COMMUNITY EDUCATION PROGRAMS AT LITTLE OR NO CHARGE TO THE PUBLIC THROUGH THE USE OF GRANTS AND OTHER FUNDING SOURCES. THE HEALTHY COMMUNITY INITIATIVE PROGRAMS AS WELL AS THE HOSPITAL'S FAMILY EDUCATION, DIABETES EDUCATION AND ACCESS PROGRAM (AIDS COMPREHENSIVE CARE, EDUCATION & SUPPORT SERVICES PROGRAM) ARE INITIATIVES THAT THE HOSPITAL PLANS TO FOSTER AND FURTHER DEVELOP. THE HOSPITAL WILL CONTINUE TO STRIVE, WITH OUR COMMUNITY PARTNERS, TO MEET THE COMMUNITY HEALTH NEEDS IN OUR REGION AND TO GO BEYOND BY EXTENDING OPTIONS FOR HEALTHY LIFESTYLES TO ALL COMMUNITY MEMBERS, MAKING BETTER HEALTH SUSTAINABLE AND COST EFFECTIVE. CONTACT: FOR FURTHER INFORMATION, PLEASE CONTACT ANDREA HOLLERAN, VICE PRESIDENT OF EXTERNAL AFFAIRS, JORDAN HOSPITAL, 275 SANDWICH STREET, PLYMOUTH, MA 02360. TEL: (508) 830-2427. EMAIL: AHOLLERAN@JORDANHOSPITAL.ORG. SELECT COMMUNITY BENEFITS PROGRAMS: ACCESS PROGRAM BRIEF DESCRIPTION OR OBJECTIVE ACCESS (AIDS COMPREHENSIVE CARE, EDUCATION & SUPPORT SERVICES PROGRAM) PROVIDES MEDICAL CARE, EDUCATION, SUPPORT, AND MEDICAL CASE MANAGEMENT TO PEOPLE WITH HIV/AIDS AND THEIR FAMILIES. IN ADDITION TO PATIENT CARE, THE PROGRAM OFFERS HIV EDUCATION TO THE COMMUNITY. FREE AND ANONYMOUS HIV TESTING IS ALSO AVAILABLE. PROGRAM TYPE DIRECT SERVICES TARGET POPULATION REGIONS SERVED: COUNTY-PLYMOUTH HEALTH INDICATOR: OTHER: HIV/AIDS SEX: ALL AGE GROUP: ADULT ETHNIC GROUP: NOT SPECIFIED LANGUAGE: NOT SPECIFIED PARTNERS AIDS BUREAU OF THE U. S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA)(HTTP://HAB.HRSA.GOV/) CONTACT INFORMATION RUTH COOPER, RN, PROGRAM DIRECTOR, AT (508) 732-8981 OR EMAIL AT RCOOPER@JORDANHOSPITAL.ORG. FOR FREE ANONYMOUS COUNSELING AND TESTING INFORMATION, PLEASE CONTACT ASHLEY FRAZIER, (508) 732-8982 OR EMAIL AT AFRAZIER@JORDANHOSPITAL.ORG. DETAILED DESCRIPTION JORDAN HOSPITAL PROVIDES PRIMARY MEDICAL CARE AND MEDICAL CASE MANAGEMENT SERVICES FOR PERSONS LIVING WITH HIV/AIDS IN THE GREATER PLYMOUTH AREA. FREE AND ANONYMOUS HIV COUNSELING AND TESTING IS ALSO PROVIDED. PARTS A AND C FUNDING IS RECEIVED FOR THESE SERVICES THROUGH THE RYAN WHITE CARE ACT. PART C FUNDING IS PROVIDED THROUGH THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) FOR EARLY INTERVENTION SERVICES. PART A FUNDING IS PROVIDED THROUGH THE BOSTON PUBLIC HEALTH COMMISSION (BHPC) FOR MEDICAL CASE MANAGEMENT. THE AIDS COMPREHENSIVE CARE EDUCATION AND SUPPORT SERVICES PROGRAM (ACCESS) PROVIDES PRIMARY MEDICAL CARE TO HIV/AIDS CLIENTS. CARE INCLUDES PHYSICAL EXAMINATIONS; TREATMENT PLANNING; LABORATORY TESTING; IMMUNIZATIONS AND SCREENING; REFERRALS TO SPECIALTY CARE AND CLINICAL TRIALS AS WELL AS MEDICAL CASE MANAGEMENT. FOR INFORMATION ABOUT ELIGIBILITY AND SERVICES PROVIDE UNDER THE GRANT, PLEASE CONTACT RUTH COOPER, RN,PROGRAM DIRECTOR, AT (508) 732-8981. FOR FREE ANONYMOUS COUNSELING AND TESTING, PLEASE CONTACT ASHLEY FRAZIER AT (508) 732-8982 OR AFRAZIER@JORDANHOSPITAL.ORG. JORDAN HOSPITAL PHYSICIAN SPEAKING PROGRAM: BRIEF DESCRIPTION OR OBJECTIVE JORDAN HOSPITAL HEALTHCARE PROFESSIONALS, FROM PHYSICIANS TO DIETICIANS, OFFER A RANGE OF PROGRAMS TO COMMUNITY RESIDENTS. THE RECENT COMMUNITY NEEDS ASSESSMENT INSTRUCTS PROGRAM CONTENT. JORDAN HOSPITAL OFFERED SEMINARS FOCUSED ON BREAST CANCER, SLEEP DISORDERS, DIABETES, OBESITY, DEMENTIA, HEART DISEASE, PREGNANCY, SPORTS INJURIES, SINUSITIS, AND ARTHRITIS. PROGRAM TYPE COMMUNITY EDUCATION TARGET POPULATION REGIONS SERVED: COUNTY-PLYMOUTH HEALTH INDICATOR: OTHER: ARTHRITIS, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: DIABETES, OTHER: NUTRITION, OTHER: PROSTATE DISEASE, OTHER: OSTEOPOROSIS/MENOPAUSE, PHYSICAL ACTIVITY, DEMENTIA, EXERCISE AND SPORTS INJURY PREVENTION SEX: ALL AGE GROUP: ADULT ETHNIC GROUP: NOT SPECIFIED LANGUAGE: NOT SPECIFIED PARTNERS NOT SPECIFIED CONTACT INFORMATION ALL HOUSECALLS EVENTS ARE FREE AND OPEN TO THE PUBLIC. PRE-REGISTRATION IS REQUIRED. REGISTER AT 800-2JORDAN (800-256-7326). DETAILED DESCRIPTION JORDAN HOSPITAL LAUNCHED HOUSECALLS IN 2005 AS AN EDUCATIONAL SPEAKER SERIES THAT BRINGS IMPORTANT HEALTH AND PREVENTION INFORMATION TO THE COMMUNITY. JORDAN HOSPITAL PHYSICIANS AND OTHER HEALTH CARE PROVIDERS WILL PROVIDE REGULAR HEALTH INFORMATION SEMINARS AT VARIOUS LOCATIONS THROUGHOUT THE 12-TOWN JORDAN HOSPITAL SERVICE AREA. 2011 HOUSECALLS PROGRAMS INCLUDED: SPORTS INJURIES IN YOUNG ATHLETES, PREGNANCY AND BACK PAIN, SINUS PAIN RELIEF, TREATMENT OF ARTHRITIS, HEART DISEASE, BARIATRIC SURGERY, DIABETES TREATMENTS, ADVANCES IN BREAST CANCER, SLEEP DISORDERS, AND DEMENTIA. PART VI, LINE 6: HEALTHY COMMUNITY INITIATIVE: BRIEF DESCRIPTION OR OBJECTIVE JORDAN HOSPITAL, WITH THE TOWN OF PLYMOUTH AND PLYMOUTH PUBLIC SCHOOLS, HAS BROUGHT TOGETHER MORE THAN 60 COMMUNITY PARTNERS-FROM CITY OFFICIALS TO LOCAL FARMERS-TO ENVISION AND BUILD A MORE HEALTH SUSTAINING COMMUNITY, WHERE THE HEALTHY CHOICE IS THE EASY CHOICE. PROGRAM TYPE COMMUNITY EDUCATION, COMMUNITY HEALTH NEEDS ASSESSMENT, COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE, HEALTHY COMMUNITIES PARTNERSHIP, OUTREACH TO UNDERSERVED, PREVENTION, SCHOOL/HEALTH CENTER PARTNERSHIP TARGET POPULATION REGIONS SERVED: COUNTY-PLYMOUTH HEALTH INDICATOR: OBESITY, HEART DISEASE, LUNG DISEASE, CANCER, DIABETES, NUTRITION SEX: ALL AGE GROUP: ALL ETHNIC GROUP: NOT SPECIFIED LANGUAGE: NOT SPECIFIED PARTNERS TOWN OF PLYMOUTH, PLYMOUTH PUBLIC SCHOOLS, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH CONTACT INFORMATION ANDREA HOLLERAN, VP OF EXTERNAL AFFAIRS JORDAN HOSPITAL, 275 SANDWICH ST, PLYMOUTH, MA 02360 (508) 830-2029 AHOLLERAN@JORDANHOSPITAL.ORG DETAILED DESCRIPTION: AS A RESULT OF THE COLLABORATIVE WORK INITIATED BY JORDAN HOSPITAL, THE TOWN OF PLYMOUTH, PLYMOUTH PUBLIC SCHOOLS AND OTHER COMMUNITY PARTNERS ARE NOW FINDING NEW WAYS TO WORK TOGETHER WITH JORDAN HOSPITAL TO FOSTER BETTER HEALTH IN OUR COMMUNITY, LONG-TERM, AND AT A LOWER COST, THROUGH THE HEALTHY COMMUNITY INITIATIVE (HCI). SUPPORTED BY JORDAN HOSPITAL'S VICE PRESIDENT OF EXTERNAL AFFAIRS, THE HOSPITAL HAS MADE A COMMUNITY-WIDE COMMITMENT TO THE SHARED GOAL OF EXPANDING THE BREADTH AND IMPACT OF HEALTH INITIATIVES IN THE REGION. AS PART OF THE MASS IN MOTION MUNICIPAL WELLNESS PROGRAM, THE HOSPITAL HAS BEEN ACTIVELY INVOLVED IN ALL STAGES, FROM VISION TO IMPLEMENTATION, AND HAS COMMITTED WITH THE TOWN OF PLYMOUTH AND PLYMOUTH PUBLIC SCHOOLS TO FOCUSING ON FOUR KEY AREAS TO REDUCE OBESITY, IMPROVE NUTRITION AND PROMOTE ACTIVE LIVING COMMUNITY-WIDE. THE PROGRAM'S THREE-YEAR PLAN HAS MEASURABLE OBJECTIVES BASED ON THE HIGHEST PRIORITIES IDENTIFIED THROUGH COMMUNITY INPUT. THE PLAN ADDRESSES: 1. SAFE ROUTES TO SCHOOL: IMPROVING WALKABILITY AND BIKEABILITY TO AREA SCHOOLS. OBJECTIVE: BY SEPTEMBER 30, 2012, PLYMOUTH WILL PROMOTE THE MASSDOT SAFE ROUTES TO SCHOOL PROGRAM SO THAT THE TOWN HAS A MINIMUM OF 50% OF ELEMENTARY AND MIDDLE SCHOOL STUDENTS ENROLLED IN AN ACTIVE SAFE ROUTE TO SCHOOL PROGRAM; 2. SCHOOL NUTRITION: IMPROVING NUTRITIONAL QUALITY OF FOODS AND BEVERAGES IN LOCAL SCHOOLS. OBJECTIVE: BY SEPTEMBER 30, 2014, 100% OF THE PLYMOUTH SCHOOL SYSTEM WILL HAVE IMPLEMENTED THE BASIC NUTRITIONAL GUIDELINES IN THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH GUIDELINES; 3. COMPLETE STREETS INITIATIVE: MAKING STREETS SAFE FOR ALL USERS (PEDESTRIANS, BICYCLISTS AND USERS OF PUBLIC TRANSPORTATION) BY ESTABLISHING COMMUNITY DESIGN STANDARDS. OBJECTIVE: BY SEPTEMBER 30, 2014, A COMPLETE STREETS POLICY WILL BE PROMULGATED AND IMPLEMENTED IN PLYMOUTH; 4. HEALTHY NEIGHBORHOOD MARKET: INCREASING ACCESSIBILITY, AVAILABILITY, AFFORDABILITY AND IDENTIFICATION OF HEALTHY FOODS IN COLLABORATION WITH LOCAL RETAILERS. OBJECTIVE: BY SEPTEMBER 30, 2014, A MINIMUM OF 25% OF CONVENIENCE/SMALL STORES WITHIN THE TOWN OF PLYMOUTH WILL OFFER AND PROMOTE HEALTHIER FOOD AND BEVERAGES (INCLUDING FRESH FRUITS AND VEGETABLES, WHOLE GRAIN PRODUCTS, LOWER SODIUM OPTIONS, AND LOW FAT DAIRY) THROUGH AN ESTABLISHED HEALTHY NEIGHBORHOOD MARKET PROGRAM. FINANCIAL INFORMATION: COMMUNITY BENEFITS PROGRAMS- EXPENDITURES AMOUNT: DIRECT EXPENSES $148,849ASSOCIATED EXPENSES $57,034 DETERMINATION OF NEED EXPENDITURES $27,385 EMPLOYEE VOLUNTEERISM $0OTHER LEVERAGED RESOURCES $0 NET CHARITY CARE-EXPENDITURES AMOUNT:HSN ASSESSMENT $1,518,779HSN DENIED CLAIMS --FREE/DISCOUNT CARE $2,363,882TOTAL NET CHARITY CARE $3,882,661CORPORATE SPONSORSHIPS: $5,300TOTAL EXPENDITURES $4,121,229TOTAL REVENUES FOR 2011 $206,230,268TOTAL PATIENT CARE-RELATED EXPENSES FOR 2011 $186,188,676APPROVED PROGRAM BUDGET FOR 2012 $443,200(*EXCLUDING EXPENDITURES THAT CANNOT BE PROJECTED AT THE TIME OF THE REPORT.)OPTIONAL FINANCIAL INFORMATIONCOMMUNITY SERVICE PROGRAMSEXPENDITURES AMOUNTDIRECT EXPENSES $207,228ASSOCIATED EXPENSES $4,145DETERMINATION OF NEED EXPENDITURES $0EMPLOYEE VOLUNTEERISM $1,619,652OTHER LEVERAGED RESOURCES $0TOTAL COMMUNITY SERVICE PROGRAMS $1,831,024 REPORTS FILED WITH STATES PART VI, LINE 7 MA 0 0 0 0 0 0 0 1 0 PETER HOLDEN 0 461332 0 45000 0 164498 0 0 0 31024 0 701854 0 0 JOSEPH IANNONI 0 316524 0 21700 0 12172 0 0 0 26311 0 376707 0 0 JOANNE FORD 162614 0 2639 0 8967 0 0 0 22468 0 196688 0 0 0 GAIL ROBBINS 163683 0 4000 0 1986 0 0 0 24181 0 193850 0 0 0 MARK TARLTON 142865 0 7000 0 1695 0 0 0 17177 0 168737 0 0 0 DEBORAH SULLIVAN 143382 0 4000 0 2805 0 0 0 12395 0 162582 0 0 0 CHRISTINE KLUCZNIK 143130 0 4000 0 2004 0 0 0 19089 0 168223 0 0 0 MHEFA SERIES E REVENUE BONDS 042456011 57585K5J3 2003-07-01 49935000 CONSTRUCTION & CAPITAL PROJECTS 0 0 0 49935000 4152575 822277 36234529 2005 0 0 1 1 0 0 0 0 1 0.00690 0.00690 1 0 0 0 0 0 0 KIMBERLY MELLONI MD PRESIDENT OF BEMA, SITS ON JHS BOARD 6868806 KIM MELLONI, JORDAN HOSPITAL BOARD MEMBER, IS PRESIDENT OF BAYSIDE EMERGENCY MANAGEMENT ASSOCIATES WHICH PROVIDES CONTRACTED SERVICES FOR JORDAN HOSPITAL'S EMERGENCY DEPARTMENT. DURING THE YEAR ENDED 9/30/11, JORDAN HOSPITAL WAS CONTRACTED TO PAY $6,868,806 FOR SERVICES PROVIDED BY BAYSIDE EMERGENCY MANAGEMENT ASSOCIATES. 0 FORM 990, PART I LINE 1 AND PART III, LINE 1 JORDAN HOSPITAL SEEKS TO PROMOTE HEALTH AND WELLNESS SERVICES WITH EXCELLENCE. SERVING THE GREATER PLYMOUTH REGION, THE HOSPITAL COLLABORATES WITH COMMUNITY LEADERS, PUBLIC AND PRIVATE AGENCIES AND BUSINESSES, TO PROVIDE HEALTH PROMOTION, HEALTH PROTECTION AND PREVENTIVE SERVICES TO MEET THE BROAD RANGE OF OUR COMMUNITY'S HEALTH AND WELLNESS NEEDS AS IDENTIFIED THROUGH COMMUNITY FEEDBACK AND FORMAL COMMUNITY NEEDS ASSESSMENTS. AS PART OF ITS MISSION TO SUPPORT COMMUNITY HEALTH, JORDAN HOSPITAL IS COMMITTED TO ASSESSING ROOT CAUSES OF HEALTH DISPARITIES AND TO ASSISTING IN IMPROVING HEALTH CARE FOR THE DISADVANTAGED AND UNDERSERVED. FORM 990, PART VI, SECTION A, LINE 2 KIM MELLONI, JORDAN HOSPITAL BOARD MEMBER, IS PRESIDENT OF BAYSIDE EMERGENCY MANAGEMENT ASSOCIATES WHICH PROVIDES CONTRACTED SERVICES FOR JORDAN HOSPITAL'S EMERGENCY DEPARTMENT. DURING THE YEAR ENDED 9/30/11, JORDAN HOSPITAL WAS CONTRACTED TO PAY $6,868,806 FOR SERVICES PROVIDED BY BAYSIDE EMERGENCY MANAGEMENT ASSOCIATES. FORM 990, PART VI, SECTION B, LINE 11 JORDAN HOSPITAL, INC.'S FORM 990 IS INITIALLY PREPARED BY AN OUTSIDE PAID PREPARER. THE 990 IS REVIEWED BY INTERNAL MANAGEMENT AND FOLLOWING THAT REVIEW, IT IS PRESENTED BY MANAGEMENT TO THE AUDIT COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS MADE AVAILABLE TO ALL MEMBER OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C JORDAN HEALTH SYSTEMS, INC. HAS A WRITTEN CONFLICT OF INTEREST POLICY, WHISTLEBLOWER POLICY, AND DOCUMENT RETENTION AND DESTRUCTION POLICY IN PLACE WHICH APPLIES TO THE SYSTEM AND ITS RELATED ORGANIZATIONS. ALL OFFICERS AND BOARD MEMBERS ARE SUBJECT TO THE POLICIES. OFFICERS AND DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE, IN WRITING, ANNUALLY, TO DISCLOSE ANY FINANCIAL OR BUSINESS RELATIONSHIPS THAT HE, SHE, OR ANY FAMILY MEMBER MAY HAVE WITHIN THE JORDAN SYSTEM. THE QUESTIONNAIRE RESPONSES ARE REVIEWED BY THE ORGANIZATION. ALL CONFLICTS ARE RESOLVED AT THIS REVIEW IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,651,018. FUNDS UTILIZED FOR PROPERTY & EQUIPMENT 10,493. NET ASSETS RELEASED FROM RESTRICTIONS 200,461. TRANSFERS BETWEEN NET ASSET CATEGORY -3,051,109. PENSION ADJUSTMENT -2,499,914. TOTAL TO FORM 990, PART XI, LINE 5: -6,991,087. JORDAN PHYSICIAN ASSOCIATES INC 275 SANDWICH STREET PLYMOUTH MA 02360 043228556 HEALTHCARE MA 501(C)(3) 9 JHSI 0 JORDAN AMBULATORY HEALTH CARE INC 36 CORDAGE PARK CIRCLE PLYMOUTH MA 02360 222667348 HEALTHCARE MA 501(C)(3) 3 JHSI 0 JORDAN HEALTH FOUNDATION INC 275 SANDWICH STREET PLYMOUTH MA 02360 510432984 PHILANTHROPY MA 501(C)(3) 11 JHSI 0 JORDAN HEALTH SYSTEMS INC 275 SANDWICH STREET PLYMOUTH MA 02360 042103805 HEALTHCARE MA 501(C)(3) 7 N/A 0 JH REALTY CORPORATION 275 SANDWICH STREET PLYMOUTH MA 02360 222667673 REAL ESTATE MA 501(C)(3) 11 JHSI 0 ATLANTIC MEDICAL MANAGEMENT 275 SANDWICH STREET PLYMOUTH MA 02360 043161451 SUPPORT STAFFING MA JHSI C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1