SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
MASS GENERAL BRIGHAM INCORPORATED &
AFFILIATES GROUP RETURN
Employer identification number

90-0656139
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    130,642,601 37,742,559 92,900,042 0.540 %
b Medicaid (from Worksheet 3, column a) . . . . .     1,546,146,396 935,908,350 610,238,046 3.570 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     1,676,788,997 973,650,909 703,138,088 4.110 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     55,745,825 10,525,673 45,220,152 0.260 %
f Health professions education (from Worksheet 5) . . .     250,450,675 72,243,445 178,207,230 1.040 %
g Subsidized health services (from Worksheet 6) . . . .     134,280,815 83,574,507 50,706,308 0.300 %
h Research (from Worksheet 7) .     2,051,333,754 1,787,822,372 263,511,382 1.540 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     16,325,666   16,325,666 0.100 %
j Total. Other Benefits . .     2,508,136,735 1,954,165,997 553,970,738 3.240 %
k Total. Add lines 7d and 7j .     4,184,925,732 2,927,816,906 1,257,108,826 7.350 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
80,057,156
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
2,564,545,762
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
3,192,456,390
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-627,910,628
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?14Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 THE GENERAL HOSPITAL CORPORATION
55 FRUIT STREET
BOSTON,MA02114
WWW.MASSGENERAL.ORG
04-2697983 		X X X X   X X      
2 THE BRIGHAM AND WOMEN'S HOSPITAL INC
75 FRANCIS STREET
BOSTON,MA02115
WWW.BRIGHAMANDWOMENS.ORG
04-2312909 		X X X X   X X      
3 NORTH SHORE MEDICAL CENTER INC
81 HIGHLAND AVENUE
SALEM,MA01970
WWW.NSMC.PARTNERS.ORG
04-3399616 		X X X X   X X      
4 NEWTON-WELLESLEY HOSPITAL
2014 WASHINGTON STREET
NEWTON,MA02462
WWW.NWH.ORG
04-2103611 		X X X X   X X      
5 BRIGHAM AND WOMEN'S FAULKNER HOSPITAL INC
1153 CENTRE STREET
BOSTON,MA02130
WWW.BRIGHAMANDWOMENSFAULKNER.ORG
04-2768256 		X X   X   X X      
6 THE MCLEAN HOSPITAL CORPORATION
115 MILL STREET
BELMONT,MA02478
WWW.MCLEANHOSPITAL.ORG
04-2697981 		X     X   X        
7 THE SPAULDING REHABILITATION HOSPITAL CORPORATION
300 FIRST AVENUE
CHARLESTOWN,MA02129
WWW.SPAULDINGNETWORK.ORG
04-2551124 		X               REHAB. FACILITY  
8 REHABILITATION HOSPITAL OF THE CAPE AND ISLANDS CORPORATION
311 SERVICE ROAD
EAST SANDWICH,MA02537
WWW.SPAULDINGNETWORK.ORG
04-3071419 		X               REHAB. FACILITY  
9 SPAULDING HOSPITAL-CAMBRIDGE INC
1575 CAMBRIDGE STREET
CAMBRIDGE,MA02138
WWW.SPAULDINGNETWORK.ORG
27-0273715 		X               REHAB. FACILITY  
10 NANTUCKET COTTAGE HOSPITAL
57 PROSPECT STREET
NANTUCKET,MA02554
WWW.NANTUCKETHOSPITAL.ORG
04-2103823 		X           X      
11 MARTHA'S VINEYARD HOSPITAL INC
LINTON LANE PO BOX 1477
OAK BLUFFS,MA02557
WWW.MVHOSPITAL.COM
04-2104691 		X       X   X      
13 COOLEY DICKINSON HOSPITAL INC
30 LOCUST STREET
NORTHHAMPTON,MA01060
WWW.COOLEY-DICKINSON.ORG
22-2617175 		X X         X      
14 WENTWORTH-DOUGLASS HOSPITAL
789 CENTRAL AVENUE
DOVER,NH03820
WWW.WDHOSPITAL.COM
02-0260334 		X X         X      
15 MASSACHUSETTS EYE & EAR INFIRMARY
243 CHARLES STREET
BOSTON,MA02114
WWW.MASSEYEANDEAR.ORG
04-2103591 		X     X   X X      
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
THE GENERAL HOSPITAL CORPORATION
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H SUPPLEMENTAL INFO
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
THE GENERAL HOSPITAL CORPORATION
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SCHEDULE H SUPPLEMENTAL INFO
b
SEE SCHEDULE H SUPPLEMENTAL INFO
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
THE GENERAL HOSPITAL CORPORATION
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
THE GENERAL HOSPITAL CORPORATION
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
THE BRIGHAM AND WOMEN'S HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		2
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H SUPPLEMENTAL INFO
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
THE BRIGHAM AND WOMEN'S HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SCHEDULE H SUPPLEMENTAL INFO
b
SEE SCHEDULE H SUPPLEMENTAL INFO
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
THE BRIGHAM AND WOMEN'S HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
THE BRIGHAM AND WOMEN'S HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
NORTH SHORE MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		3
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 20
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 20
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H SUPPLEMENTAL INFO
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
NORTH SHORE MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SCHEDULE H SUPPLEMENTAL INFO
b
SEE SCHEDULE H SUPPLEMENTAL INFO
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
NORTH SHORE MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
NORTH SHORE MEDICAL CENTER INC
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
NEWTON-WELLESLEY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		4
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 20
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 20
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H SUPPLEMENTAL INFO
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
NEWTON-WELLESLEY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SCHEDULE H SUPPLEMENTAL INFO
b
SEE SCHEDULE H SUPPLEMENTAL INFO
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
NEWTON-WELLESLEY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
NEWTON-WELLESLEY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
BRIGHAM AND WOMEN'S FAULKNER HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		5
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H SUPPLEMENTAL INFO
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
BRIGHAM AND WOMEN'S FAULKNER HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SCHEDULE H SUPPLEMENTAL INFO
b
SEE SCHEDULE H SUPPLEMENTAL INFO
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
BRIGHAM AND WOMEN'S FAULKNER HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
BRIGHAM AND WOMEN'S FAULKNER HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
THE MCLEAN HOSPITAL CORPORATION
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		6
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H SUPPLEMENTAL INFO
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
THE MCLEAN HOSPITAL CORPORATION
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SCHEDULE H SUPPLEMENTAL INFO
b
SEE SCHEDULE H SUPPLEMENTAL INFO
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
THE MCLEAN HOSPITAL CORPORATION
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
THE MCLEAN HOSPITAL CORPORATION
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
THE SPAULDING REHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		7
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H SUPPLEMENTAL INFO
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
THE SPAULDING REHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SCHEDULE H SUPPLEMENTAL INFO
b
SEE SCHEDULE H SUPPLEMENTAL INFO
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
THE SPAULDING REHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
THE SPAULDING REHABILITATION HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
REHABILITATION HOSPITAL OF THE CAPE
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		8
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H SUPPLEMENTAL INFO
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
REHABILITATION HOSPITAL OF THE CAPE
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SCHEDULE H SUPPLEMENTAL INFO
b
SEE SCHEDULE H SUPPLEMENTAL INFO
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
REHABILITATION HOSPITAL OF THE CAPE
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
REHABILITATION HOSPITAL OF THE CAPE
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
SPAULDING HOSPITAL-CAMBRIDGE INC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		9
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 19
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H SUPPLEMENTAL INFO
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
SPAULDING HOSPITAL-CAMBRIDGE INC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SCHEDULE H SUPPLEMENTAL INFO
b
SEE SCHEDULE H SUPPLEMENTAL INFO
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
SPAULDING HOSPITAL-CAMBRIDGE INC
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
SPAULDING HOSPITAL-CAMBRIDGE INC
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
NANTUCKET COTTAGE HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		10
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 20
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 20
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H SUPPLEMENTAL INFO
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
NANTUCKET COTTAGE HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SCHEDULE H SUPPLEMENTAL INFO
b
SEE SCHEDULE H SUPPLEMENTAL INFO
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
NANTUCKET COTTAGE HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
NANTUCKET COTTAGE HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MARTHA'S VINEYARD HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		11
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H SUPPLEMENTAL INFO
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MARTHA'S VINEYARD HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SCHEDULE H SUPPLEMENTAL INFO
b
SEE SCHEDULE H SUPPLEMENTAL INFO
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
MARTHA'S VINEYARD HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MARTHA'S VINEYARD HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
COOLEY DICKINSON HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		13
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H SUPPLEMENTAL INFO
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
COOLEY DICKINSON HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SCHEDULE H SUPPLEMENTAL INFO
b
SEE SCHEDULE H SUPPLEMENTAL INFO
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
COOLEY DICKINSON HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
COOLEY DICKINSON HOSPITAL INC
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
WENTWORTH-DOUGLASS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		14
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H SUPPLEMENTAL INFO
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
WENTWORTH-DOUGLASS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SCHEDULE H SUPPLEMENTAL INFO
b
SEE SCHEDULE H SUPPLEMENTAL INFO
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
WENTWORTH-DOUGLASS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
WENTWORTH-DOUGLASS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MASSACHUSETTS EYE & EAR INFIRMARY
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		15
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H SUPPLEMENTAL INFO
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MASSACHUSETTS EYE & EAR INFIRMARY
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SCHEDULE H SUPPLEMENTAL INFO
b
SEE SCHEDULE H SUPPLEMENTAL INFO
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
MASSACHUSETTS EYE & EAR INFIRMARY
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MASSACHUSETTS EYE & EAR INFIRMARY
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
THE GENERAL HOSPITAL CORPORATION PART V, SECTION B, LINE 5: IN EACH COLLABORATIVE, PARTICIPANTS ENGAGED COMMUNITY ORGANIZATIONS, LOCAL OFFICIALS, SCHOOLS, HEALTH CARE PROVIDERS, THE BUSINESS AND FAITH COMMUNITIES, RESIDENTS, AND OTHERS IN AN APPROXIMATELY YEAR-LONG PROCESS, TAILORED TO UNIQUE LOCAL CONDITIONS, TO BETTER UNDERSTAND THE HEALTH ISSUES THAT MOST AFFECT COMMUNITIES AND THE ASSETS AVAILABLE TO ADDRESS THEM. THE KEY METHODS OF THE CHNA INCLUDED: PRIMARY DATA COLLECTION VIA BROADLY DISTRIBUTED MULTILINGUAL (UP TO SEVEN LANGUAGES) COMMUNITY SURVEYS WITH 4,298 TOTAL RESPONDENTS; 39 FOCUS GROUPS WITH 350 COMMUNITY RESIDENTS IN ENGLISH, SPANISH, CHINESE, AND HAITIAN CREOLE; AND 73 KEY INFORMANT INTERVIEWS WITH ORGANIZATIONAL, GOVERNMENT, AND COMMUNITY LEADERS. REVIEW OF SECONDARY DATA FROM MULTIPLE CITIES, STATE, AND NATIONAL SOURCES INCLUDING THE U.S. CENSUS, THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, THE BOSTON PUBLIC HEALTH COMMISSION, AND THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS). RIGOROUS DATA ANALYSIS, INCLUDING REVIEWING DIFFERENCES AMONG CERTAIN POPULATIONS, SPECIFICALLY YOUTH AND ELDERLY, AS WELL AS BY RACE AND ETHNICITY. A HIGHLY PARTICIPATORY PROCESS. IN BOSTON THAT MEANT THE PUBLIC WAS INVITED TO THREE SEPARATE MEETINGS ATTENDED BY 75-150 PEOPLE EACH TO GUIDE THE PROCESS DESIGN, REVIEW DATA, SELECT PRIORITIES, AND DEVELOP STRATEGIES.
THE BRIGHAM AND WOMEN'S HOSPITAL, INC PART V, SECTION B, LINE 5: BWH PARTICIPATED IN THE COLLABORATIVE, A COLLABORATION FORMED IN 2018 TO UNDERTAKE THE FIRST LARGE-SCALE COLLABORATIVE CITYWIDE CHNA-CHIP. THE COLLABORATIVE HIRED HEALTH RESOURCES IN ACTION (HRIA), A NONPROFIT PUBLIC HEALTH ORGANIZATION, AS A CONSULTANT PARTNER TO PROVIDE STRATEGIC GUIDANCE AND FACILITATION OF THE PROCESS, COLLECT AND ANALYZE DATA, AND PREPARE THE REPORT. THE COLLABORATIVE AIMED TO ENGAGE AGENCIES, ORGANIZATIONS, AND RESIDENTS IN BOSTON THROUGH ITS VARIOUS COMMITTEES AND GROUPS. SECONDARY DATA FROM A VARIETY OF SOURCES WERE ANALYZED DURING THIS PROCESS, INCLUDING, BUT NOT LIMITED TO, THE BOSTON BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BBRFSS), YOUTH RISK BEHAVIOR SURVEY (YRBS), U.S. CENSUS AMERICAN COMMUNITY SURVEY (ACS), VITAL RECORDS, AND THE ACUTE HOSPITAL CASE MIX DATABASE FROM THE CENTER FOR HEALTH INFORMATION AND ANALYSIS. PRIMARY DATA WERE COLLECTED THROUGH A COMMUNITY SURVEY, FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. FORTY-FIVE KEY INFORMANT INTERVIEWS WERE COMPLETED, SIX OF WHICH WERE ADDITIONAL INTERVIEWS SUBMITTED BY WORK GROUP VOLUNTEERS. INTERVIEWS WERE 45-60 MINUTE SEMI-STRUCTURED DISCUSSIONS THAT ENGAGED INSTITUTIONAL, ORGANIZATIONAL, COMMUNITY LEADERS, AND FRONT-LINE STAFF ACROSS THE FOLLOWING SECTORS: PUBLIC HEALTH, HEALTH CARE, HOUSING AND HOMELESSNESS, TRANSPORTATION, COMMUNITY DEVELOPMENT, FAITH, EDUCATION, PUBLIC SAFETY, ENVIRONMENTAL JUSTICE, GOVERNMENT, WORKFORCE DEVELOPMENT, SOCIAL SERVICES, FOOD INSECURITY, AND BUSINESS ORGANIZATIONAL STAFF THAT WORK WITH SPECIFIC POPULATIONS SUCH AS YOUTH, SENIORS, DISABLED, LGBTQ, AND IMMIGRANTS.
NORTH SHORE MEDICAL CENTER, INC. PART V, SECTION B, LINE 5: THE 2020 CHNA FOCUSED ON EIGHT COMMUNITIES: DANVERS, LYNN, LYNNFIELD, MARBLEHEAD, NAHANT, PEABODY, SALEM, AND SWAMPSCOTT. IN 2020, SALEM HOSPITAL PROVIDED CARE TO 101,754 RESIDENTS OF THESE PRIORITY COMMUNITIES AND RESIDENTS COMPRISED 58.4% OF SALEM HOSPITAL PATIENTS. THE CHNA EMPLOYED A SOCIAL DETERMINANTS OF HEALTH (SDOH) FRAMEWORK TO EXAMINE HOW FACTORS LIKE INCOME, EDUCATION, EMPLOYMENT, FOOD SECURITY, HOUSING, ACCESS TO AFFORDABLE AND QUALITY HEALTH SERVICES IMPACT THE HEALTH OF COMMUNITY MEMBERS, PARTICULARLY THOSE MOST LIKELY TO EXPERIENCE INEQUITIES IN SDOH. THE CHNA UTILIZED EXISTING DATA FROM THE U.S. CENSUS, CENTERS FOR DISEASE CONTROL AND PREVENTION, MASSACHUSETTS DEPARTMENTS OF PUBLIC HEALTH AND ELEMENTARY AND SECONDARY EDUCATION, THE FEDERAL BUREAU OF INVESTIGATION, AND MASS GENERAL BRIGHAM. THE CHNA ALSO GATHERED DATA VIA EIGHT ONLINE FOCUS GROUPS WITH 50 CLINICAL AND COMMUNITY LEADERS FROM 43 ORGANIZATIONS IN THE FOLLOWING SECTORS: COMMUNITY HEALTH CENTERS, BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE DISORDER) SERVICES, YOUTH SERVICES, ELDER SERVICES, HOUSING, FOOD SECURITY, THE FAITH COMMUNITY, AND HEALTH CARE ADVOCACY. THE FOCUS GROUP DATA WERE ANALYZED FOR COMMON AND DIVERGENT THEMES ABOUT HEALTH CONCERNS AND SDOH.
NEWTON-WELLESLEY HOSPITAL PART V, SECTION B, LINE 5: NWH UTILIZED THE SOCIAL DETERMINANTS OF HEALTH FRAMEWORK TO GUIDE THE CHNA AND CHIP PROCESS. THIS FRAMEWORK EXAMINES HOW INDIVIDUAL HEALTH OUTCOMES ARE INFLUENCED BY UPSTREAM SOCIAL AND ECONOMIC FACTORS SUCH AS HOUSING, EDUCATIONAL OPPORTUNITIES, FOOD ACCESS, AND ECONOMIC STABILITY. THE CHNA DESCRIBES SOCIAL AND ECONOMIC DETERMINANTS AND REVIEWS KEY HEALTH OUTCOMES AMONG RESIDENTS OF THE NEWTON-WELLESLEY HOSPITAL SERVICE AREA. THE CHIP PRIORITIZES ADDRESSING THESE UPSTREAM FACTORS TO PROMOTE HEALTH EQUITY, THE PRINCIPLE THAT ALL PEOPLE HAVE A FAIR AND JUST OPPORTUNITY TO BE HEALTHY. THE CHNA WAS GUIDED BY A PARTICIPATORY, COLLABORATIVE APPROACH, WHICH EXAMINED HEALTH IN ITS BROADEST SENSE. THIS PROCESS INCLUDED EXAMINING EXISTING SECONDARY DATA ON SOCIAL, ECONOMIC, AND HEALTH ISSUES IN THE REGION. INSTEAD OF PURSUING QUALITATIVE DATA COLLECTION THROUGH RESIDENT FOCUS GROUPS AND STAKEHOLDER INTERVIEWS, NWH SOLICITED RESIDENT FEEDBACK THOUGH COMMUNITY-WIDE EVENTS SUCH AS TOWN HALL MEETINGS AND FORUMS AND OBTAINED PROGRAMMING FEEDBACK FROM COMMUNITY PARTNERS AND STAKEHOLDERS. NWH PLANS TO PURSUE EXTENSIVE QUALITATIVE DATA COLLECTION, INCORPORATE UPDATED SECONDARY DATA, AND CONDUCT A COMMUNITY HEALTH SURVEY FOR THE 2022 CHNA CYCLE.
BRIGHAM AND WOMEN'S FAULKNER HOSPITAL PART V, SECTION B, LINE 5: THE CHNA AIMED TO ENGAGE AGENCIES, ORGANIZATIONS AND RESIDENTS IN BOSTON THROUGH DIFFERENT AVENUES. THE COLLABORATIVE'S STRUCTURE PROVIDED AN ENGAGEMENT AND DECISION-MAKING FRAMEWORK FOR THIS WORK. IT IS COMPRISED OF THE FOLLOWING: STEERING COMMITTEE COMPRISED OF 19 MEMBERS REPRESENTING HOSPITALS, HEALTH CENTERS, BOSTON PUBLIC HEALTH COMMISSION, PUBLIC HEALTH ORGANIZATION FOCUSED ON COMMUNITY, COMMUNITY DEVELOPMENT CORPORATIONS AND 8 COMMUNITY REPRESENTATIVES. ITS ROLE IS TO PROVIDE STRATEGIC DIRECTION AND OVERSIGHT OF THE PROCESS. OPERATIONS COMMITTEE COMPRISED OF STEERING COMMITTEE CO-CHAIRS AND THE COLLABORATIVE'S COORDINATOR. THIS COMMITTEE RESOLVES OPERATIONAL ISSUES REQUIRING IMMEDIATE ACTIONS. WORK GROUPS COMPRISED OF GENERAL MEMBERSHIP AND OPEN TO ANYONE WHO IS INTERESTED IN BEING INVOLVED. THE WORK GROUPS PROVIDE INPUT AND ASSISTANCE ON IMPLEMENTING CHNA-CHIP ACTIVITIES. FOR THE BOSTON CHNA, TWO WORK GROUPS WERE FORMED: O SECONDARY DATA WORK GROUP COMPRISED OF 32 MEMBERS REPRESENTING A RANGE OF ORGANIZATIONS, INCLUDING HOSPITALS, HEALTH CENTERS, LOCAL PUBLIC HEALTH AND COMMUNITY-BASED ORGANIZATIONS, AMONG OTHERS. THE WORK GROUP'S CHARGE IS TO PROVIDE GUIDANCE ON SECONDARY DATA APPROACH AND INDICATORS AND FOSTER CONNECTIONS WITH KEY NETWORKS AND GROUPS TO PROVIDE RELEVANT DATA. O COMMUNITY ENGAGEMENT WORK GROUP COMPRISED OF 54 MEMBERS REPRESENTING A RANGE OF ORGANIZATIONS, INCLUDING HOSPITALS, HEALTH CENTERS, LOCAL PUBLIC HEALTH, EDUCATION, COMMUNITY DEVELOPMENT, SOCIAL SERVICES AND COMMUNITY-BASED ORGANIZATIONS, AMONG OTHERS. THE WORK GROUP'S CHARGE IS TO PROVIDE GUIDANCE ON THE APPROACH TO COMMUNITY ENGAGEMENT, INPUT ON PRIMARY DATA COLLECTIONS METHODS AND SUPPORT WITH LOGISTICS FOR PRIMARY DATA COLLECTION. GENERAL MEMBERSHIP ATTENDS EVENTS, SHARES IN FORMATION AND PARTICIPATES IN WORK GROUPS. THE COLLABORATIVE HIRED HEALTH RESOURCES IN ACTION (HRIA), A NON-PROFIT PUBLIC HEALTH ORGANIZATION, AS A CONSULTANT PARTNER TO PROVIDE STRATEGIC GUIDANCE AND FACILITATION OF THE PROCESS, COLLECT AND ANALYZE DATA AND DEVELOP THE REPORT DELIVERABLES.
THE MCLEAN HOSPITAL CORPORATION PART V, SECTION B, LINE 5: DUE TO MCLEAN'S HIGHLY SPECIALIZED MISSION AND SERVICES, WE RELY PRIMARILY ON COMMUNITY, REGIONAL AND STATE-WIDE PUBLIC HEALTH AND COMMUNITY NEEDS DATA AND ASSESSMENTS AS WELL AS FEEDBACK FROM CHNA 17 AND MIDDLEBOROUGH TOWN OFFICIALS. NEEDS ASSESSMENTS THAT WERE REVIEWED CAN BE FOUND BELOW: MOUNT AUBURN HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT (2018)HTTPS://WWW.MOUNTAUBURNHOSPITAL.ORG/APP/FILES/PUBLIC/1518/2018-COMMUNITY-HEALTHNEEDS-ASSESSMENT.PDF NEWTON-WELLESLEY HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT (AUGUST 2018)HTTPS://WWW.NWH.ORG/MEDIA/FILE/CHNA.PDF COMMUNITY HEALTH AND RACIAL EQUITY IN COMMUNITY HEALTH NETWORK AREA 17 (SEPTEMBER 2017)HTTPS://DRIVE.GOOGLE.COM/FILE/D/1I9M1GZMKJ3--KKICUICYKHVRSC44GALW/VIEWHTTPS://DRIVE.GOOGLE.COM/FILE/D/1M84WJM3QLD6ERBLF_PXLG55MK8GDXPDU/VIEW
THE SPAULDING REHABILITATION HOSPITAL PART V, SECTION B, LINE 5: IN FY18, AN INTERNAL WORKING GROUP WITH SUPPORT OF AN OUTSIDE CONSULTANT CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF A CONTINUOUS QUALITY IMPROVEMENT APPROACH TO COMMUNITY BENEFIT PLANNING. THE ASSESSMENT INVOLVED A REVIEW OF PATIENT DATA FROM THE PAST YEAR (JUNE 1, 2017-MAY 31, 2018); DATA FROM THE CENSUS, AMERICAN COMMUNITY SURVEY DATA, AND MASSACHUSETTS BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BRFSS); INFORMATION RELATED TO THE CENTER FOR DISEASE CONTROL AND PREVENTION'S (CDC) HEALTHY PEOPLE 2020 (HP2020); AND SEMI-STRUCTURED INTERVIEWS WITH PARTNERS INTERNAL (WITHIN SPAULDING BOSTON) AND EXTERNAL (IN THE COMMUNITY) PARTNERS. BASED ON THE ASSESSMENT FINDINGS, THE WORKING GROUP REFINED THE COMMUNITY BENEFIT AGENDA. THE PATIENT AND COMMUNITY DATA WERE USED IN FORMULATING THE COMMUNITY BENEFIT PRIORITIES, GOAL, OBJECTIVES, AND TARGET COMMUNITIES. THE PARTNER INTERVIEWS WERE USED TO DESCRIBE THE COMMUNITY BENEFIT WORK; DETERMINE THE EXTENT TO WHICH THE INITIATIVES ARE ALIGNED WITH THE REVISED PRIORITIES, GOALS AND OBJECTIVES; AND TO DESCRIBE THE PROGRESS MADE IN FY18. THE WORKING GROUP THEN ESTABLISHED A PLAN AND TARGETS FOR FY19. ON NOVEMBER 14, 2018, THE PLAN WAS REVIEWED AND APPROVED BY THE SPAULDING BOSTON BOARD OF TRUSTEES.
REHABILITATION HOSPITAL OF THE CAPE PART V, SECTION B, LINE 5: IN FY19, AN INTERNAL WORKING GROUP AT SPAULDING CAPE COD CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF A CONTINUOUS QUALITY IMPROVEMENT APPROACH TO COMMUNITY BENEFIT PLANNING. IN 2016, IN COMPLIANCE WITH SECTION 501(R)(3) OF THE INTERNAL REVENUE CODE, SPAULDING CAPE COD CONDUCTED ITS FIRST COMMUNITY HEALTH ASSESSMENT USING A COLLABORATIVE AND DYNAMIC APPROACH TO REVIEW AVAILABLE DATA, EXISTING PROGRAMS, AND VIEWS FROM PEOPLE WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL. AS REQUIRED BY FEDERAL REGULATION, THESE ASSESSMENTS AND PLANS ARE REQUIRED EVERY THREE YEARS. THIS ASSESSMENT INCLUDED A REVIEW OF PATIENT DATA FROM THE PAST YEAR (OCTOBER 1, 2018-SEPTEMBER 30, 2019), A REVIEW OF PUBLICLY AVAILABLE HEALTH AND DEMOGRAPHIC DATA, AND INTERVIEWS WITH INTERNAL AND COMMUNITY PARTNERS. ADDITIONALLY, SPAULDING CAPE COD PARTICIPATES ACTIVELY IN THE HEALTHY AGING CAPE COD WORK GROUP, LED BY THE BARNSTABLE COUNTY DEPARTMENT OF HUMAN SERVICES. SPAULDING CAPE COD WILL CONTINUE TO WORK WITH OUR LOCAL HEALTH CARE PARTNERS, SPECIFICALLY CAPE COD HEALTHCARE, TO PARTNER FOR IMPLANTATION STRATEGIES THAT LEVERAGE OUR COLLECTIVE RESOURCES SERVING THE NEEDS OF OUR COMMUNITY. BASED ON THE ASSESSMENT FINDINGS, THE WORKING GROUP REFINED THE COMMUNITY BENEFIT AGENDA FROM 2016. GIVEN SPAULDING CAPE COD'S LOCATIONS AND THE SPECIALTY NATURE OF THE CARE PROVIDED, THE TARGET POPULATIONS FOR THE PURPOSES OF THE 2019 CHNA WERE DEFINED AS RESIDENTS OF BARNSTABLE COUNTY, PLYMOUTH COUNTY, AND THE ISLANDS, PARTICULARLY THE ELDERLY AND PERSONS LIVING WITH A DISABILITY. BOTH QUANTITATIVE AND QUALITATIVE DATA WERE COLLECTED AND REVIEWED FOR THIS CNHA IN ORDER TO HELP IDENTIFY MAJOR ASPECTS OF THE COMMUNITY THAT IMPACT THE HEALTH OF ITS PRIORITY POPULATIONS. THE DATA WERE EVALUATED THROUGH A SOCIAL DETERMINANTS OF HEALTH LENS, BY CONSIDERING THE ECONOMIC, ENVIRONMENTAL, AND SOCIAL FACTORS THAT INFLUENCE HEALTH. THE PROGRAMS AND INITIATIVES IDENTIFIED BY THE WORKING GROUP SUPPORT THE OVERALL NEEDS IDENTIFIED BY THE HEALTH ASSESSMENT AND DESCRIBED PROGRESS MADE IN FY19 AND PLANS FOR FY20-FY22. ON NOVEMBER 5, SPAULDING CAPE COD SENIOR MANAGEMENT REVIEWED THE FY20 GOALS AND PRIORITIES AND APPROVED OF THEIR PLAN. ON NOVEMBER 6, 2019, THE PLAN WAS REVIEWED AND APPROVED BY THE SPAULDING CAPE COD BOARD OF TRUSTEES. THIS REPORT DESCRIBES SPAULDING CAPE COD'S MISSION AND COMMUNITY BENEFIT REPORT FOR THE FINAL YEAR OF THE CYCLE (FY19 - OCTOBER 1, 2018-SEPTEMBER 30, 2019).
SPAULDING HOSPITAL-CAMBRIDGE, INC. PART V, SECTION B, LINE 5: IN FY19, AN INTERNAL WORKING GROUP AT SPAULDING HOSPITAL CAMBRIDGE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF A CONTINUOUS QUALITY IMPROVEMENT APPROACH TO COMMUNITY BENEFIT PLANNING. IN 2016, IN COMPLIANCE WITH SECTION 501(R)(3) OF THE INTERNAL REVENUE CODE, SPAULDING CAMBRIDGE CONDUCTED ITS FIRST COMMUNITY HEALTH ASSESSMENT USING A COLLABORATIVE AND DYNAMIC APPROACH TO REVIEW AVAILABLE DATA, EXISTING PROGRAMS, AND VIEWS FROM PEOPLE WHO REPRESENT THE BROAD INTEREST OF THE COMMUNITY SERVED BY THE HOSPITAL. THIS YEAR'S ASSESSMENT INCLUDED A REVIEW OF PATIENT DATA FROM THE PAST YEAR (OCTOBER 1, 2018-SEPTEMBER 30, 2019), A REVIEW OF PUBLICLY AVAILABLE HEALTH AND DEMOGRAPHIC DATA, AND INTERVIEWS WITH INTERNAL AND COMMUNITY PARTNERS. BASED ON THE ASSESSMENT FINDINGS, THE WORKING GROUP REFINED THE COMMUNITY BENEFIT AGENDA FROM 2016. GIVEN THE SPECIALTY NATURE OF THE CARE PROVIDED AND THE BROAD GEOGRAPHIC REACH OF OUR PATIENTS, WE DEFINE OUR PRIMARY COMMUNITY SERVED BEYOND OUR IMMEDIATE GEOGRAPHIC LOCATION, BUT INSTEAD ON OUR SPECIFIC PATIENT POPULATION: THE ELDERLY, THOSE PERSONS WITH COMPLEX AND CHRONIC HEALTH CONDITIONS AND PERSONS LIVING WITH A DISABILITY. BOTH QUANTITATIVE AND QUALITATIVE DATA WERE COLLECTED FOR THIS CHA IN ORDER TO HELP IDENTIFY MAJOR ASPECTS OF THE COMMUNITY THAT IMPACT THE HEALTH OF ITS PRIORITY POPULATIONS. THE DATA WERE EVALUATED THROUGH A SOCIAL DETERMINANTS OF HEALTH LENS, BY CONSIDERING THE ECONOMIC, ENVIRONMENTAL, AND SOCIAL FACTORS THAT INFLUENCE HEALTH. THE PROGRAMS AND INITIATIVES IDENTIFIED BY THE WORKING GROUP SUPPORT THE OVERALL NEEDS IDENTIFIED BY THE HEALTH ASSESSMENT AND DESCRIBED PROGRESS MADE IN FY19 AND PLANS FOR FY20-FY22. ON NOVEMBER 6, 2019, THE PLAN WAS REVIEWED AND APPROVED BY THE SPAULDING CAMBRIDGE BOARD OF TRUSTEES.
NANTUCKET COTTAGE HOSPITAL PART V, SECTION B, LINE 5: THIS CHNA SEEKS TO IDENTIFY AND PRIORITIZE PERSISTENT AND EMERGING COMMUNITY HEALTH NEEDS ON NANTUCKET ISLAND. THE ASSESSMENT UTILIZES THE WORLD HEALTH ORGANIZATION SOCIAL DETERMINANTS OF HEALTH FRAMEWORK (FIGURE 1.), DEFINING HEALTH IN THE BROADEST SENSE AND RECOGNIZING NUMEROUS FACTORS AT MULTIPLE LEVELS, INCLUDING: LIFESTYLE BEHAVIORS INCLUDING ACTIVE LIVING AND HEALTHY EATING HABITS CLINICAL CARE INCLUDING ACCESS TO MEDICAL AND BEHAVIORAL HEALTH SERVICES AS WELL AS INSURANCE COVERAGE SOCIAL AND ECONOMIC FACTORS INCLUDING POVERTY, UNEMPLOYMENT AND ACCESS TO AFFORDABLE HOUSING, AND THE PHYSICAL ENVIRONMENT INCLUDING AIR AND WATER QUALITY. THE PROCESS OF GATHERING THE QUALITATIVE AND QUANTITATIVE DATA INVOLVED A COMBINATION OF DIRECT COMMUNITY OUTREACH THROUGH PUBLIC TOWN HALLS, SURVEYS, AND A ROBUST SERIES OF STAKEHOLDER INTERVIEWS. THE STAKEHOLDER INTERVIEWS TARGETED CIVIC LEADERS, COMMUNITY ADVOCATES, AND HEALTHCARE PROVIDERS, EMPHASIZING COLLECTING FEEDBACK ABOUT THE COMMUNITY ISSUES FACING OUR MOST VULNERABLE RESIDENTS. INTERVIEWEES WERE ASKED TO IDENTIFY KEY HEALTH NEEDS, POPULATIONS IMPACTED MOST HEAVILY BY THESE KEY HEALTH NEEDS, PERCEIVED BARRIERS TO ADDRESSING NEEDS, AND SUGGESTIONS FOR ADDRESSING THESE NEEDS MOVING FORWARD.
MARTHA'S VINEYARD HOSPITAL PART V, SECTION B, LINE 5: MVH'S FY19 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) KICKED OFF ON APRIL 22, 2019 WITH A MEETING OF THE HOSPITAL'S NEW 15-MEMBER COMMUNITY BENEFIT ADVISORY COMMITTEE (CBAC) REPRESENTING A RANGE OF HEALTH AND HUMAN SERVICES ORGANIZATIONS AND OFFERING VARIED EXPERTISE ABOUT POPULATIONS AND/OR HEALTH ISSUES ON THE ISLAND. THE GROUP REVIEWED THE ATTORNEY GENERAL'S REVISED COMMUNITY BENEFIT GUIDELINES, DISCUSSED DATA COLLECTION STRATEGIES AND THE CHNA TIMELINE, AND IDENTIFIED POPULATIONS AND ISSUES FOR INCLUSION IN THE CHNA, WHICH CONSISTED OF: (1) A REVIEW OF SECONDARY DATA FROM MULTIPLE PUBLICLY AVAILABLE LOCAL, STATE, AND FEDERAL SOURCES (E.G., U.S. CENSUS BUREAU, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, MARTHA'S VINEYARD COMMISSION) WHICH PROVIDED DEMOGRAPHIC, HEALTH, AND BEHAVIORAL HEALTH DATA, AS WELL AS DATA ON SOCIAL DETERMINANTS OF HEALTH. (2) THE MARTHA'S VINEYARD QUALITY OF LIFE SURVEY WAS ADMINISTERED PRIMARILY AS AN ONLINE SURVEY IN ENGLISH AND PORTUGUESE WITH SOME SURVEYS COMPLETED IN HARD COPY. THE SURVEY WAS ADMINISTERED BETWEEN MAY 21 AND JUNE 14, 2019 AND RECEIVED 346 RESPONSES (327 IN ENGLISH AND 19 IN PORTUGUESE). DATA ANALYSIS WAS CONDUCTED USING EXCEL AND SPSS. (3) THE MARTHA'S VINEYARD HOSPITAL ANNUAL PUBLIC FORUM, HELD ON JUNE 4, 2019 AND ATTENDED BY ROUGHLY 60 COMMUNITY MEMBERS, INCLUDED A QUESTION AND ANSWER PERIOD IN WHICH RESIDENTS DISCUSSED HEALTH-RELATED CONCERNS. THE MEETING VIDEO, AVAILABLE ON THE MVH WEBSITE, WAS ANALYZED TO IDENTIFY COMMON AND DIVERGENT THEMES AMONG THE CONCERNS EXPRESSED BY ATTENDEES. (4) KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH 16 REPRESENTATIVES FROM A RANGE OF ORGANIZATIONS ON THE ISLAND WHO COULD OFFER PERSPECTIVES ON THE ISLAND'S HEALTH NEEDS IN GENERAL, AS WELL AS EXPERTISE ON SPECIFIC POPULATIONS AND/OR HEALTH ISSUES. THE INTERVIEWS WERE UP TO 60 MINUTES LONG, CONDUCTED VIA TELEPHONE, AND USED A SEMI-STRUCTURED INTERVIEW TOOL. THE INTERVIEW DATA WERE REVIEWED FOR COMMON AND DIVERGENT THEMES AND TO IDENTIFY ILLUSTRATIVE QUOTES THAT DEMONSTRATED THE MAJOR ISSUES AFFECTING THE HEALTH OF ISLAND RESIDENTS.
COOLEY DICKINSON HOSPITAL, INC. PART V, SECTION B, LINE 5: THE 2019 CHNA UPDATES THE PRIORITIZED COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2016 CHNA. THE PRIORITIZED HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA INCLUDE COMMUNITY LEVEL SOCIAL AND ECONOMIC DETERMINANTS THAT IMPACT HEALTH, BARRIERS TO ACCESSING CARE, AND HEALTH BEHAVIORS AND OUTCOMES. WE ALSO PROVIDE CONTEXT FOR THE ROLE THAT SOCIAL POLICIES AND THE PRACTICES OF SYSTEMS HAVE ON HEALTH OUTCOMES. ASSESSMENT METHODS INCLUDED: 1) ANALYSIS OF SOCIAL, ECONOMIC, AND HEALTH QUANTITATIVE DATA FROM THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, THE U.S. CENSUS BUREAU, THE COUNTY HEALTH RANKING REPORTS, THE MASSACHUSETTS HEALTHY AGING COLLABORATIVE, SOCIAL EXPLORER, AND A VARIETY OF OTHER DATA SOURCES; 2) ANALYSIS OF FINDINGS FROM 12 FOCUS GROUPS, 45 INTERVIEWS WITH KEY INFORMANTS (INCLUDING WITH LOCAL AND REGIONAL PUBLIC HEALTH OFFICIALS), 10 COMMUNITY CHATS CONDUCTED BY THE CONSULTANT TEAM AND THE REGIONAL ADVISORY COUNCIL (RAC) AS PART OF THIS CHNA, AND A MEETING OF THE CDHC COMMUNITY BENEFITS ADVISORY COUNCIL; 3) THE EXPERIENCES OF COMMUNITY MEMBERS WHO GAVE INPUT IN FOCUS GROUPS OR KEY INFORMANT INTERVIEWS IN OTHER REGIONS WERE OCCASIONALLY CONSIDERED RELEVANT TO THIS SERVICE AREA AND WERE INCLUDED; AND 4) REVIEW OF EXISTING ASSESSMENT REPORTS PUBLISHED SINCE 2016 THAT WERE COMPLETED BY COMMUNITY AND REGIONAL AGENCIES SERVING HAMPSHIRE COUNTY. THE ASSESSMENT FOCUSED ON COUNTY-LEVEL DATA AND SELECT COMMUNITY-LEVEL DATA AS AVAILABLE. GIVEN DATA CONSTRAINTS, THE FOLLOWING COMMUNITIES WERE IDENTIFIED FOR THE MAJORITY OF THE COMMUNITY LEVEL DATA ANALYSES: AMHERST, EASTHAMPTON, AND NORTHAMPTON. OTHER COMMUNITIES WERE INCLUDED AS DATA WAS AVAILABLE AND ANALYSIS INDICATED AN IDENTIFIED HEALTH NEED FOR THAT COMMUNITY. SOME OF THE DATA SOURCES SUPPLIED DATA IN RATES (E.G. RATES PER 100,000 OF THE POPULATION), INCLUDING THE MAIN SOURCE OF DATA FOR HEALTH OUTCOMES, THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH. CREATING RATES ALLOWS US TO COMPARE OUTCOMES FROM GEOGRAPHIES THAT MIGHT BE DRASTICALLY DIFFERENT IN SIZE OR POPULATION, FOR EXAMPLE, THE STATE OF MASSACHUSETTS AND THE TOWN OF HATFIELD. IF ALL WE COULD REPORT WAS THE NUMBER OF PEOPLE HOSPITALIZED, FOR EXAMPLE, IT WOULD NOT BE POSSIBLE TO COMPARE HOW HATFIELD IS DOING COMPARED TO THE STATE. FOR EXAMPLE, IF 38 PEOPLE IN A TOWN OF ABOUT 3,300 (HATFIELD) WERE HOSPITALIZED IN ONE YEAR FOR CARDIOVASCULAR DISEASE, THE RATE IS 748 PER 100,000. IF OVER 92,000 PEOPLE ACROSS THE APPROXIMATELY 6.9 MILLION PEOPLE IN THE STATE OF MASSACHUSETTS WERE HOSPITALIZED FOR THE SAME THING IN ONE YEAR, THE RATE IS 1,216 PER 100,000. THUS, WE CAN SEE THAT THE TOWN OF HATFIELD HAD A LOWER RATE OF HOSPITALIZATION. COMMUNITY HEALTH NEEDS ASSESSMENTS ARE REQUIRED TO IDENTIFY "VULNERABLE POPULATIONS". WE USE THE TERM "PRIORITY POPULATIONS". TO THE EXTENT POSSIBLE GIVEN DATA AND RESOURCE CONSTRAINTS, PRIORITY POPULATIONS WERE IDENTIFIED USING QUALITATIVE AND QUANTITATIVE INFORMATION. QUALITATIVE DATA INCLUDED FOCUS GROUP FINDINGS, INTERVIEWS, INPUT FROM OUR REGIONAL ADVISORY COMMITTEE AND COMMUNITY BENEFITS ADVISORY COMMITTEES, AND COMMUNITY OUTREACH. WE USED QUANTITATIVE DATA TO IDENTIFY PRIORITY POPULATIONS BY DISAGGREGATING BY RACE/ETHNICITY; AGE WITH A FOCUS ON CHILDREN/YOUTH AND OLDER ADULTS; AND LGBTQ (LESBIAN/GAY/BI-SEXUAL/TRANSGENDER/QUEER) POPULATIONS.
WENTWORTH-DOUGLASS HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY HEALTH NEEDS WERE IDENTIFIED BY COLLECTING AND ANALYZING DATA FROM MULTIPLE SOURCES. CONSIDERING A VAST ARRAY OF INFORMATION IS IMPORTANT WHEN ASSESSING COMMUNITY HEALTH NEEDS, TO ENSURE THE ASSESSMENT CAPTURES A WIDE RANGE OF FACTS AND PERSPECTIVES AND TO INCREASE CONFIDENCE THAT SIGNIFICANT COMMUNITY HEALTH NEEDS HAVE BEEN IDENTIFIED ACCURATELY AND OBJECTIVELY. STATISTICS FOR NUMEROUS COMMUNITY HEALTH INDICATORS WERE ANALYZED, INCLUDING DATA PROVIDED BY LOCAL, STATE, AND FEDERAL GOVERNMENT AGENCIES, LOCAL COMMUNITY SERVICE ORGANIZATIONS, AND WENTWORTH-DOUGLASS. COMPARISONS TO BENCHMARKS WERE MADE WHEREVER POSSIBLE. THIS CHNA ALSO INCORPORATED FINDINGS FROM OTHER RECENTLY CONDUCTED, RELEVANT STATE AND COUNTY HEALTH ASSESSMENTS. INPUT FROM 51 INDIVIDUALS FROM 30 INTERNAL AND EXTERNAL ORGANIZATIONS, REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY WAS TAKEN INTO ACCOUNT THROUGH KEY INFORMANT INTERVIEWS. INTERVIEWEES INCLUDED: INDIVIDUALS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS.
MASSACHUSETTS EYE & EAR INFIRMARY PART V, SECTION B, LINE 5: MASS. EYE AND EAR UTILIZED A SMALL COMMUNITY BENEFIT (CB) WORKING GROUP UNDER THE LEADERSHIP OF JENNIFER STREET, SENIOR VICE PRESIDENT FOR COMMUNICATIONS AND PLANNING AND OUTSIDE CONSULTANTS HOPE KENEFICK, MSW, PHD AND DAWN BAXTER, MBA TO COORDINATE ITS CHNA AND PLANNING PROCESSES. THE TEAM ANALYZED PATIENT AND COMMUNITY-LEVEL DATA, GATHERED INSIGHTS FROM COMMUNITY PARTNERS AND OTHER KEY INFORMANTS, IDENTIFIED THE HOSPITAL'S PRIORITY COMMUNITIES, POPULATIONS, AND ISSUES, AND DEVELOPED PRELIMINARY GOALS, OBJECTIVES, AND STRATEGIES FOR THE IMPLEMENTATION PLAN. JENNIFER STREET AND THE CB WORKING GROUP CONVENED THE CB ADVISORY COMMITTEE1, A NEW 15-MEMBER GROUP COMPRISED OF INTERNAL AND EXTERNAL STAKEHOLDERS, TO REVIEW AND DISCUSS THE CHNA FINDINGS, PRIORITIES, AND THE PROPOSED IMPLEMENTATION PLAN ELEMENTS. MEMBERSHIP OF THE CB ADVISORY COMMITTEE WILL BE EXPANDED IN FY19 TO INCLUDE ADDITIONAL EXTERNAL PARTNERS WITH EXPERTISE IN THE PLAN'S PRIORITY POPULATIONS AND ISSUES. JENNIFER STREET THEN MET WITH THE HOSPITAL'S SENIOR LEADERSHIP, INCLUDING THE PRESIDENT/CEO, AND THE OFFICERS AND VICE PRESIDENTS FROM THE HOSPITALS CLINICAL, RESEARCH, AND ADMINISTRATIVE AREAS TO REVIEW THE COMMUNITY BENEFIT MISSION STATEMENT, CHNA FINDINGS, AND THE PROPOSED IMPLEMENTATION PLAN. THE CB WORKING GROUP INCORPORATED THE FEEDBACK PROVIDED BY THESE GROUPS AND READIED THE DOCUMENT FOR PRESENTATION TO THE HOSPITAL'S BOARD OF DIRECTORS IN MARCH OF 2019. FOLLOWING THE BOARD MEETING, THE CB WORKING GROUP PREPARED THE FINAL 2019-2021 COMMUNITY BENEFIT DOCUMENT.
COOLEY DICKINSON HOSPITAL, INC. PART V, SECTION B, LINE 6A: COOLEY DICKINSON HEALTH CARE (CDHC) IS A MEMBER OF THE COALITION OF WESTERN MASSACHUSETTS HOSPITALS ("COALITION"). THE COALITION IS A PARTNERSHIP BETWEEN EIGHT NON-PROFIT HOSPITALS/HEALTH PLAN IN WESTERN MASSACHUSETTS: BAYSTATE MEDICAL CENTER, BAYSTATE FRANKLIN MEDICAL CENTER, BAYSTATE NOBLE HOSPITAL, BAYSTATE WING HOSPITAL, COOLEY DICKINSON HEALTH CARE, MERCY MEDICAL CENTER, SHRINERS HOSPITALS FOR CHILDREN SPRINGFIELD, AND HEALTH NEW ENGLAND, A LOCAL HEALTH INSURER WHOSE SERVICE AREAS COVERS THE FOUR COUNTIES OF WESTERN MASSACHUSETTS. THE COALITION FORMED IN 2012 TO BRING HOSPITALS WITHIN WESTERN MASSACHUSETTS TOGETHER TO SHARE RESOURCES AND WORK IN PARTNERSHIP TO CONDUCT THEIR COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND ADDRESS REGIONAL NEEDS.
THE GENERAL HOSPITAL CORPORATION PART V, SECTION B, LINE 6B: MASS GENERAL PARTICIPATED FOR THE FIRST TIME EVER IN THREE COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESSES IN BOSTON, NORTH SUFFOLK (CHELSEA, REVERE, AND WINTHROP), AND EVERETT-MALDEN. PREVIOUSLY, MASS GENERALAND MOST PROVIDERSCONDUCTED ASSESSMENTS INDEPENDENTLY. THE GOAL OF COLLABORATION IS TO DEVELOP COORDINATED STRATEGIES AS WELL AS SOLUTIONS THAT CAN ACHIEVE RESULTS. 2. THE COMMUNITIES IDENTIFIED HOUSING QUALITY AND AFFORDABILITY AND ECONOMIC STABILITY AND MOBILITY, IMPORTANT SOCIAL DETERMINANTS OF HEALTH, AMONG THEIR TOP FOUR PRIORITIES FOR THE FIRST TIME EVER. SUBSTANCE USE DISORDER REMAINS A TOP PRIORITY, WITH THE NEW ADDITION OF MENTAL HEALTH. 3. MASS GENERAL HAS A HISTORICAL COMMITMENT TO THE COMMUNITIES OF CHELSEA, REVERE, AND CHARLESTOWN WHERE WE HAVE HEALTH CENTERS. BUT, BECAUSE WE ARE PART OF THE BOSTON CHNA COLLABORATIVE, WE WILL ALSO INCLUDE THE NEIGHBORHOODS IN BOSTON WITH THE GREATEST DISPARITIESROXBURY, DORCHESTER, MATTAPAN AND EAST BOSTON, AMONG OTHERSAS NEIGHBORHOODS OF FOCUS. 4. FOR THE FIRST TIME, MASS GENERAL IS INCLUDING ADDITIONAL INFORMATION ON COMMUNITIES WHERE WE HAVE LICENSED HEALTH CARE FACILITIES, INCLUDING WALTHAM, NEWTON, DANVERS, AND CONCORD.IN BOSTON, A FIRST-EVER CITYWIDE COLLABORATIVE FORMED THAT INCLUDES EVERY BOSTON TEACHING HOSPITAL, THE BOSTON PUBLIC HEALTH COMMISSION, COMMUNITY HEALTH CENTERS, AND COMMUNITY-BASED ORGANIZATIONS. THE PROCESS WAS FACILITATED AND GUIDED BY HEALTH RESOURCES IN ACTION (HRIA), A NON-PROFIT PUBLIC HEALTH CONSULTING GROUP IN BOSTON. THE CONFERENCE OF BOSTON TEACHING HOSPITALS ACTED AS THE "BACKBONE ORGANIZATION, PROVIDING INFRASTRUCTURE SUPPORT. AS A MEMBER OF THE BOSTON COLLABORATIVE STEERING COMMITTEE, MASS GENERAL HELPED GUIDE THE ENTIRE PROCESS, INCLUDING DATA GATHERING, ANALYSIS, PRIORITIZATION, AND STRATEGY DEVELOPMENT. IN NORTH SUFFOLK (CHELSEA, REVERE, AND WINTHROP), CITY AND TOWN LEADERS FORMED THE NORTH SUFFOLK PUBLIC HEALTH COLLABORATIVE (NSPHC) TO INCREASE THEIR COLLECTIVE IMPACT ON IMPROVING HEALTH. LIKE BOSTON, THE COLLABORATIVE WAS MADE UP OF AREA HOSPITAL SYSTEMS, HEALTH CENTERS, LOCAL HEALTH DEPARTMENTS, AND COMMUNITY-BASED ORGANIZATIONS. MASS GENERAL CO-LED THE NORTH SUFFOLK CHNA PROCESS, OVERSEEING DATA COLLECTION, ANALYSIS, AND REPORTING. MASS GENERAL ALSO PROVIDED TECHNICAL SUPPORT FOR THE DESIGN OF FOCUS GROUPS, KEY INFORMANT INTERVIEWS, AND SURVEY QUESTIONS. IN EVERETT-MALDEN WE JOINED WITH TWO HEALTHCARE PROVIDERS TO CONDUCT A RAPID CHNA. MASS GENERAL ACTED AS CO-COORDINATOR WITH CAMBRIDGE HEALTH ALLIANCE AND MELROSE-WAKEFIELD HEALTHCARE, DEVELOPING A SURVEY INSTRUMENT AND FOCUS GROUP GUIDE, ASSISTING WITH DATA COLLECTION AND ANALYSIS, AND PILOTING A NEW CHNA FRAMEWORK CALLED THRIVE, A TOOL FOR ENGAGING COMMUNITIES IN UNDERSTANDING IMPACTS ON HEALTH AND HOW TO RESPOND. IN FOUR TOWNS WEST OF BOSTON (CONCORD, DANVERS, NEWTON, AND WALTHAM) WHERE MGH HAS OUTPATIENT FACILITIES, WE REVIEWED DATA AND CONFIRMED THE HEALTH NEEDS REPORTED IN EACH HOSPITAL'S CHNA.
THE BRIGHAM AND WOMEN'S HOSPITAL, INC PART V, SECTION B, LINE 6B: BWH PARTNERED WITH OTHER ORGANIZATIONS AS PART OF THE BOSTON CHNA-CHIP COLLABORATIVEA HIGHLY-ENGAGED GROUP COMPRISED OF COMMUNITY ORGANIZATIONS AND BOSTON RESIDENTS, HOSPITALS, COMMUNITY HEALTH CENTERS, AND THE BOSTON PUBLIC HEALTH COMMISSION.
BRIGHAM AND WOMEN'S FAULKNER HOSPITAL PART V, SECTION B, LINE 6B: OVERVIEW OF BOSTON CHNA-CHIP COLLABORATIVE THE BOSTON CHNA-CHIP COLLABORATIVE IS AN INITIATIVE CREATED BY SEVERAL STAKEHOLDERSCOMMUNITY ORGANIZATIONS, HEALTH CENTERS, HOSPITALS AND THE BOSTON PUBLIC HEALTH COMMISSIONFORMED TO UNDERTAKE THE FIRST LARGE-SCALE COLLABORATIVE CITY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WITH WIDE RANGING PARTNERSHIP. WHILE COMMUNITY HEALTH ASSESSMENT AND PLANNING WORK HAVE BEEN LONG-STANDING ENDEAVORS AMONG INDIVIDUAL ORGANIZATIONS, THE BOSTON CHNA-CHIP COLLABORATIVE ALIGNS AND COORDINATES RESOURCES BETWEEN MULTI-SECTOR STAKEHOLDERS ACROSS BOSTON (LEARN MORE ABOUT THE COLLABORATIVE AT WWW.BOSTONCHNA.ORG).
WENTWORTH-DOUGLASS HOSPITAL PART V, SECTION B, LINE 6B: THE HOSPITAL'S MOST RECENT CHNA WAS CONDUCTED WITH WENTWORTH-DOUGLASS PHYSICIAN CORP (WDPC), A RELATED 501(C) (3) ENTITY.
THE GENERAL HOSPITAL CORPORATION PART V, SECTION B, LINE 11: MGH CCHI SUPPORTS MULTISECTOR COALITIONS IN THE COMMUNITIES OF REVERE, CHELSEA, CHARLESTOWN AND EAST BOSTON. RECOVERY COACHES, WHO ARE SIMILAR TO COMMUNITY HEALTH WORKERS FOR ADDICTION, ARE ASSIGNED TO EACH OF OUR HEALTH CENTERS, BOSTON HEALTH CARE FOR THE HOMELESS, AND HIGH UTILIZERS IN THE ED. THEY ARE PAIRED WITH MGH PATIENTS WHO HAVE BEEN DIAGNOSED WITH A SUBSTANCE USE DISORDER. THE KRAFT CENTER LAUNCHED THE CARE ZONE VAN, A MOBILE HEALTH PROGRAM IN PARTNERSHIP WITH THE BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM, COMBINES HARM REDUCTION, CLINICAL SERVICES INCLUDING MEDICATION ASSISTED TREATMENT (MAT), DATA HOT SPOTTING, AND MOBILITY TO BRING ADDICTION SERVICES TO BOSTON'S MOST VULNERABLE RESIDENTS LIVING WITH SUBSTANCE USE DISORDER (SUD). MASS GENERAL AND HEALTHY CHELSEA ARE MEMBERS OF THE CHELSEA THRIVES COLLABORATIVE, WHICH WORKS TO DECREASE CRIME AND INCREASE FEELINGS OF SAFETY IN CHELSEA. CHELSEA THRIVES LAUNCHED THE CHELSEA HUB, A POLICE LED INITIATIVE MADE UP OF DESIGNATED STAFF FROM COMMUNITY AND GOVERNMENT AGENCIES THAT MEET WEEKLY TO ADDRESS SPECIFIC SITUATIONS REGARDING CLIENTS FACING ELEVATED LEVELS OF RISK, AND DEVELOP IMMEDIATE, COORDINATED, AND INTEGRATED RESPONSES THROUGH MOBILIZATION OF RESOURCES. THROUGH HOSPITAL AND COMMUNITY PROGRAMS LIKE HAVEN (HELPING ABUSE & VIOLENCE END NOW) AND VIAP (VIOLENCE INTERVENTION ADVOCACY PROGRAM), WE ADDRESS INTIMATE PARTNER AND COMMUNITY VIOLENCE AND ASSIST VICTIMS WITH PHYSICAL AND EMOTIONAL RECOVERY, EMPOWERING THEM TO MAKE POSITIVE CHANGES IN THEIR LIVES. IN JUNE 2019, MASS GENERAL LAUNCHED THE CENTER FOR GUN VIOLENCE PREVENTION DEDICATED TO ADVANCING THE HEALTH AND SAFETY OF CHILDREN AND ADULTS THROUGH INJURY AND GUN VIOLENCE PREVENTION RESEARCH, CLINICAL CARE, EDUCATION AND COMMUNITY ENGAGEMENT.
THE BRIGHAM AND WOMEN'S HOSPITAL, INC PART V, SECTION B, LINE 11: SUPPORT INTERVENTIONS AND PARTNERSHIPS THAT REDUCE FINANCIAL INSTABILITY AND INCREASE ECONOMIC MOBILITY FOR LOW-INCOME RESIDENTS IN OUR PRIORITY COMMUNITIES.PROVIDE ECONOMIC MOBILITY AND WORKFORCE DEVELOPMENT COACHING TO PREGNANT AND PARENTING WOMEN THROUGH THE FAMILY PARTNERSHIP PROGRAM, AS WELL AS GROUP-BASED SKILL DEVELOPMENT AND INFORMATION SHARING VIA OUR COMMUNITY CALENDAR.PARTNER WITH COMMUNITY-BASED ORGANIZATIONS IN OUR PRIORITY NEIGHBORHOODS TO SUPPORT FINANCIAL LITERACY AND WORKFORCE DEVELOPMENT FOR YOUNG PARENTS.PROVIDE A CONTINUUM OF EDUCATION, CAREER EXPOSURE, AND EMPLOYMENT PROGRAMMING FOR YOUNG PEOPLE IN PARTNERSHIP WITH BOSTON PUBLIC SCHOOLS AND THE BOSTON PRIVATE INDUSTRY COUNCIL.SUPPORT JAMAICA PLAIN NEIGHBORHOOD DEVELOPMENT CORPORATION TO LEAD A YOUTH EMPLOYMENT PROGRAM FOCUSED ON OUT OF SCHOOL YOUTH.INCREASE AWARENESS AND PROMOTION OF LOCAL BUSINESSES AMONG THE BWH COMMUNITY TO SUPPORT ECONOMIC VITALITY IN OUR LOCAL NEIGHBORHOODS.PROVIDE RESIDENTS FROM MISSION HILL AND OTHER LOCAL NEIGHBORHOODS WITH EMPLOYMENT AND CAREER COUNSELING, SKILLS DEVELOPMENT TRAINING AND REFERRALS, AND FACILITATE JOB INTERVIEWS OF QUALIFIED COMMUNITY RESIDENTS.PARTNER WITH LOCALLY BASED ORGANIZATIONS AND INSTITUTIONS TO CREATE CAREER TRAINING PROGRAMS AND PATHWAYS AT BRIGHAM HEALTH FOR ADULTS WHO HAVE EXPERIENCED SIGNIFICANT BARRIERS TO EMPLOYMENT.
NORTH SHORE MEDICAL CENTER, INC. PART V, SECTION B, LINE 11: THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EXAMINED THE HEALTH STATUS OF THE NORTH SHORE COMMUNITIES WITHIN THE SALEM HOSPITAL SERVICE AREA AND COMPARED FINDINGS IN 2018 TO THOSE OF THE PREVIOUS CHNA (2015). BASED ON REVIEW OF SECONDARY DATA AND THE ENGAGEMENT OF COMMUNITY RESIDENTS AND LEADERS, AS WELL AS HOSPITAL AND HEALTH CENTER PROVIDERS AND STAFF, THE 2018 CHNA IDENTIFIED ASSETS, SOCIAL DETERMINANTS OF HEALTH, AND HEALTH NEEDS WITHIN THE HOSPITAL SERVICE AREA. THEREAFTER, THE HOSPITAL'S COMMUNITY AFFAIRS AND HEALTH ACCESS COMMITTEE (CAHAC), THE 20-MEMBER BODY OF CLINICAL AND COMMUNITY LEADERS CHARGED WITH REVIEWING THE CHNA, UTILIZED THE 2018 CHNA FINDINGS IN A PLANNING PROCESS TO DEVELOP THE HOSPITAL'S NEXT THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE 2019-2021 CHIP FOCUSED ON THREE PRIORITIES: (1) BEHAVIORAL HEALTH MENTAL HEALTH (INCLUDING DEPRESSION, TRAUMA, AND STRESS) SUBSTANCE USE DISORDERS (INCLUDING OPIOIDS, ALCOHOL, AND MARIJUANA) GAPS IN TREATMENT STIGMA (2) HEALTH CARE ACCESS ACCESSIBILITY (TRANSPORTATION, AFTER-HOURS CARE, SPECIALTY CARE) HEALTH INSURANCE/COST CARE COORDINATION/NAVIGATION (3) HEALTH CARE ENVIRONMENT & TRUST CULTURALLY SENSITIVE CARE DELIVERY (INCLUDING TRAINING/RETENTION OF DIVERSE WORKFORCE) OFFERING SERVICES IN MULTIPLE LANGUAGES IN ADDITION TO THE PRIORITIES, THE CAHAC RECOMMENDED MAINTAINING A CROSS-CUTTING FOCUS ON VULNERABLE POPULATIONS (SUCH AS IMMIGRANTS, SENIORS, YOUTH, AND THE HOMELESS POPULATION) AND INCORPORATING HEALTH EDUCATION STRATEGIES WHEN ADDRESSING PRIORITIZED NEEDS. SINCE THE CREATION OF THE 2019-2021 CHIP, SALEM HOSPITAL HAS IMPLEMENTED SERVICES AND PROGRAMS TO ADDRESS THE IDENTIFIED PRIORITIES AND CROSS-CUTTING NEEDS.
NEWTON-WELLESLEY HOSPITAL PART V, SECTION B, LINE 11: DURING JUNE TO AUGUST 2021, HRIA LED A FACILITATED PROCESS WITH NWH'S COMMUNITY BENEFITS COMMITTEE MEMBERS. THE COMMITTEE IS COMPRISED OF ABOUT 24 MEMBERS REPRESENTING COMMUNITY STAKEHOLDERS IN THE HOSPITAL SERVICE AREA AND NEWTON-WELLESLEY HOSPITAL CLINICAL AND NON-CLINICAL STAFF. IN JULY 2021, HRIA PRESENTED THE PRIORITIES IDENTIFIED BY THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), INCLUDING THE MAGNITUDE AND SEVERITY OF THESE ISSUES AND THEIR IMPACT ON PRIORITY POPULATIONS. MEMBERS OF THE COMMUNITY BENEFITS COMMITTEE DETERMINED THAT ALL THE COMMUNITY NEEDS IDENTIFIED IN THE CHNA SHOULD BE INCLUDED IN THE 2021 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IN THE FOLLOWING CLUSTERED PRIORITY CATEGORIES: PRIORITY 1: MENTAL HEALTH PRIORITY 2: SUBSTANCE USE PRIORITY 3: SOCIAL DETERMINANTS OF HEALTH PRIORITY 4: CHRONIC DISEASE THESE PRIORITY CATEGORIES CONTINUE FROM THE PREVIOUS CHNA-CHIP PROCESS, AS THEY REPRESENT ONGOING, CRITICAL NEEDS, ESPECIALLY FOR KEY POPULATIONS; AND SEVERAL INITIATIVES ARE STILL IN PROGRESS TO ADDRESS THEM. WHILE COVID19 IS NOT BEING ADDRESSED AS A STANDALONE PRIORITY IN THE 2021-2022 CHIP, THE CHIP STRATEGIES ADDRESS THE WIDER SOCIAL AND ECONOMIC IMPACTS OF THE PANDEMIC THAT ARE HIGHLIGHTED IN THE 2021 CHNA. IN LATE JULY 2021, COMMITTEE MEMBERS UTILIZED A PRIORITIZATION MATRIX WITH COMMONLY AGREED UPON SELECTION CRITERIA TO IDENTIFY PRIORITY AREAS AND STRATEGIES AND DETERMINE WHICH EXISTING PROGRAMS AND INITIATIVES SHOULD BE CONTINUED FROM THE PREVIOUS 2018-2021 CHIP. OF NOTE, THERE WERE SIX PRIORITIES IN THE PREVIOUS 2018 CHIP THAT WERE CONDENSED INTO FOUR BROAD CATEGORIES. IN SEPTEMBER 2021, HRIA LED A CHIP PLANNING SESSION THAT INCLUDED MAPPING CURRENT AND EMERGING PROGRAMS AND INITIATIVES AGAINST CURRENT NEEDS IDENTIFIED IN THE CHNA, AS WELL AS DECISION-MAKING REGARDING WHICH EXISTING PROGRAMS AND INITIATIVES WOULD BE CONTINUED. ALL AREAS HIGHLIGHTED BY THE 2021 CHNA ARE BEING ADDRESSED BY THE 2021 COMMUNITY HEALTH IMPROVEMENT PLAN. THIS PLAN IS MEANT TO BE REVIEWED QUARTERLY AND ADJUSTED TO ACCOMMODATE EMERGING ISSUES THAT MERIT ATTENTION.
BRIGHAM AND WOMEN'S FAULKNER HOSPITAL PART V, SECTION B, LINE 11: EXPANDED FOOD INSECURITY WORK WITH PARTNERS TO PROVIDE STIPENDS TO MORE FAMILIES IN ADDITIONAL NEIGHBORHOOD OF ROSLINDALE. EXPANDED TARGETED DIABETES EDUCATION AND FOOD STIPENDS ON THE FRESH TRUCK TO INCLUDE MORE THAN 550 PATIENTS AT HYDE PARK COMMUNITY PHYSICIANS. PROVIDED NEW INITIATIVES OF EDUCATION AND AWARENESS TO THE DRUG EPIDEMIC TO PARENTS, COMMUNITY RESIDENTS AND CHILDREN WITH OUR COMMUNITY PARTNERS. CLOSE COLLABORATIVE WORK WITH COMMUNITY GROUPS ON A VARIETY OF HEALTH ISSUES, SUCH AS SENIOR SAFETY; TRANSPORTATION BARRIERS AND FOOD INSECURITY. ADDED TRAUMA INFORMED YOGA CLASSES FOR VIOLENCE SURVIVORS AS PART OF THE DV WORK.
THE MCLEAN HOSPITAL CORPORATION PART V, SECTION B, LINE 11: MCLEAN'S IMPLEMENTATION STRATEGY THAT ADDRESSES PRIORITIZED NEEDS IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT WAS APPROVED BY THE MCLEAN HOSPITAL BOARD OF TRUSTEES ON SEPTEMBER 15, 2016. THE IMPLEMENTATION STRATEGY, APPROVED BY THE MCLEAN HOSPITAL BOARD OF TRUSTEES ON JANUARY 19, 2017, FOCUSES ON PEOPLE AND FAMILIES AFFECTED BY PSYCHIATRIC ILLNESS AND SUBSTANCE USE DISORDERS WITHIN CHNA 17 SERVICE AREAS AND MIDDLEBOROUGH. FOR THE PERIOD 2017-2019, MCLEAN'S IMPLEMENTATION STRATEGY INCLUDES: EXPANDING PSYCHIATRIC SERVICES TO MEET COMMUNITY NEEDS IMPROVING COMMUNITY MENTAL HEALTH THROUGH INNOVATIVE PROGRAMS CARING FOR UNINSURED AND UNDERINSURED STRENGTHENING MENTAL HEALTH THROUGH EDUCATION FOR PROFESSIONALS, CONSUMERS AND THEIR FAMILIES, AND THE PUBLIC PROVIDING COMMUNITY SUPPORT AND CONTRIBUTIONS.
THE SPAULDING REHABILITATION HOSPITAL PART V, SECTION B, LINE 11: ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH: SPAULDING IS COMMITTED TO ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH OF CHRONIC UNEMPLOYMENT ABOUT PEOPLE WITH DISABILITIES AND THE UNDEREMPLOYMENT FOR STAFF AND COMMUNITY MEMBERS WITH SOCIOECONOMIC LIMITATIONS TO FURTHER EDUCATION. THE SPAULDING BOSTON COMMUNITY BENEFIT PROGRAM SUPPORTED THE FOLLOWING INITIATIVES IN FY18 TO INCREASE OPPORTUNITIES FOR EDUCATION AND PROFESSIONAL ADVANCEMENT FOR THIS DISADVANTAGED COMMUNITIES. IMPROVING ACCESS TO CARE TO REDUCE BARRIERS TO HEALTH CARE, THE SPAULDING BOSTON COMMUNITY BENEFIT PROGRAM PROVIDES FREE CARE TO PATIENTS WHOSE CARE WOULD NOT OTHERWISE BE FULLY SUPPORTED BY THEIR PAYERS. IN FY18, SRH PROVIDED THE FOLLOWING FREE CARE2: OUT-PATIENT SERVICES: $777,428 IN-PATIENT SERVICES $200,993 TOTAL $978,421PROMOTING WELLNESS AND PREVENTING INJURY AND DISEASE TO INCREASE WELLNESS AND PREVENT INJURY AND DISEASE, ESPECIALLY FOR CHILDREN, SENIORS, AND THOSE WITH DISABILITIES, SPAULDING BOSTON COMMUNITY BENEFIT PROGRAM SUPPORTED MANY INITIATIVES - PLEASE SEE THE CHNA FOR MORE DETAIL.
REHABILITATION HOSPITAL OF THE CAPE PART V, SECTION B, LINE 11: IN LIGHT OF THE NEEDS IDENTIFIED AND THE CONSIDERATIONS ABOVE, SCC HAS COMMITTED TO ADDRESSING THE FOLLOWING PRIORITIES: ACCESS TO SPECIALTY REHABILITATION CARE SUPPORT AND ADVOCACY TO IMPROVE SAFETY AND INDEPENDENCE FOR OLDER ADULTS SUPPORT AND ADVOCACY FOR PERSONS LIVING WITH A DISABILITY IN ADDITION TO THESE IDENTIFIED NEEDS, SCC'S HOSPITAL LEADERS HAVE DECIDED TO ADD A PRIORITY AREA RELATED TO ENVIRONMENT TO ITS CHIP. GIVEN ITS LOCATIONS IN THE UNIQUE HABITAT OF CAPE COD AND ITS STATUS AS THE LARGEST PRIVATE EMPLOYER IN THE TOWN OF SANDWICH, SPAULDING CAPE COD RECOGNIZES ITS ROLE AS A LEADER IN ADOPTING GREEN PRACTICES TO HELP PRESERVE THE ENVIRONMENT OF CAPE COD. IN FACT, SCC HAS ADOPTED POLICIES TO REDUCE AND RECYCLE WASTE, SAVE ENERGY, AND EMPLOY SUSTAINABLE PRACTICES FOR MANY YEARS, INITIATIVES THAT RESULTED IN EARNING THE HIGHEST-LEVEL RECOGNITION FROM PRACTICE GREENHEALTH IN 2016 FOR ITS ONGOING PROGRAMS. FURTHERMORE, EMERGING SCIENCE IS MAKING CLEAR THE LINK BETWEEN ENVIRONMENTAL FACTORS, SUCH AS CLIMATE CHANGE, ON HEALTH. IDENTIFIED NEEDS NOT ADDRESSED GIVEN THE SPECIFIC CLINICAL EXPERTISE AND LIMITED RESOURCES OF SPAULDING CAPE COD, ADDRESSING ALL OF THE ISSUES IDENTIFIED BY THIS CHNA IS NOT FEASIBLE. THE HOSPITAL INTENDS TO FOCUS ITS EFFORTS WHERE IT CAN MAKE THE STRONGEST IMPACT. AS A RESULT, THE FOLLOWING NEEDS WILL NOT BE PRIORITIZED BY THE HOSPITAL: SUBSTANCE USE DISORDERS MENTAL HEALTH DISORDERS HOUSING ASSISTANCE.
SPAULDING HOSPITAL-CAMBRIDGE, INC. PART V, SECTION B, LINE 11: SHC USED THE FOLLOWING CRITERIA TO PRIORITIZE NEEDS IDENTIFIED BY THIS ASSESSMENT: COMMUNITY NEED: REVIEW OF CURRENT DATA AND ASSESSMENTS FROM LOCAL, STATE AND NATIONAL ORGANIZATIONS COLLABORATIVE OPPORTUNITIES: OVERVIEW AND EVALUATION OF PARTNERSHIPS WITH LOCAL COMMUNITY ORGANIZATIONS COMMUNITY INTEREST AND READINESS: IN-DEPTH AND THOUGHTFUL DIALOGUE AND INPUT FROM INDIVIDUALS THOUGH STAKEHOLDER MEETINGS, FOCUS GROUPS AND SURVEY OPPORTUNITIES ESTIMATED EFFECTIVENESS AND IMPACT ADEQUATE RESOURCES FOR IMPLEMENTATION IN LIGHT OF THE NEEDS IDENTIFIED AND THE CONSIDERATIONS ABOVE, SHC HAS COMMITTED TO ADDRESSING THE FOLLOWING PRIORITIES: ACCESS TO CARE DISABILITY/ELDER ADVOCACY ENVIRONMENT WORKFORCE DEVELOPMENT IDENTIFIED NEEDS NOT ADDRESSED GIVEN THE SPECIFIC CLINICAL EXPERTISE AND LIMITED RESOURCES OF SPAULDING HOSPITAL CAMBRIDGE, ADDRESSING ALL OF THE ISSUES IDENTIFIED BY THIS CHA IS NOT FEASIBLE. THE HOSPITAL INTENDS TO FOCUS ITS EFFORTS WHERE IT CAN MAKE THE STRONGEST IMPACT. AS A RESULT, THE FOLLOWING NEEDS WILL NOT BE PRIORITIZED BY THE HOSPITAL: AFFORDABLE HOUSING HOMELESSNESS SUBSTANCE USE DISORDERS
NANTUCKET COTTAGE HOSPITAL PART V, SECTION B, LINE 11: ENHANCE OVERALL WELLNESS FOR THE NANTUCKET COMMUNITY THROUGH THE IMPLEMENTATION OF AN EFFECTIVE AND COLLABORATIVE BEHAVIORAL HEALTH SYSTEM:STRATEGIES: EDUCATE ALL EMPLOYERS (E.G., SMALL AND LARGE EMPLOYERS, BUILDER'S ASSOCIATION, CHAMBER OF COMMERCE), ON NANTUCKET AND IMPLEMENT EMPLOYEE ASSISTANCE PROGRAMS TO RECOGNIZE AND REFER HIGH RISK EMPLOYEES. EXPAND EDUCATION ABOUT SUICIDE RISK BY ASSESSING AND ENHANCING SIGNS OF SUICIDE (SOS) PROGRAM IN NANTUCKET SCHOOLS. REDUCE THE STIGMA SURROUNDING SUICIDAL THOUGHTS BY IMPLEMENTING AN EVIDENCED-BASED PEER-TO-PEER PROGRAM FOR THE REDUCTION OF SUICIDE IN THE MIDDLE AND HIGH SCHOOL (E.G., INCORPORATE IN EXISTING HEALTH EDUCATION OR ESTABLISH A HIRED POSITION). ESTABLISH A FULL-SERVICE MOBILE CRISIS UNIT. INCREASE THE AVAILABILITY TO ACCESS NEEDED BEHAVIORAL HEALTH SERVICES.BY 2020, DECREASE THE NEED FOR EMERGENCY EVALUATION FOR MENTAL HEALTH AND SUBSTANCE USE DISORDERS BY 10% PER YEAR: STRATEGIES: EDUCATE ALL EMPLOYERS (E.G., SMALL AND LARGE EMPLOYERS, BUILDER'S ASSOCIATION, CHAMBER OF COMMERCE), ON NANTUCKET AND IMPLEMENT EMPLOYEE ASSISTANCE PROGRAMS TO RECOGNIZE AND REFER HIGH RISK EMPLOYEES. EXPAND EDUCATION ABOUT SUICIDE RISK BY ASSESSING AND ENHANCING SIGNS OF SUICIDE (SOS) PROGRAM IN NANTUCKET SCHOOLS. REDUCE THE STIGMA SURROUNDING SUICIDAL THOUGHTS BY IMPLEMENTING AN EVIDENCED-BASED PEER-TO-PEER PROGRAM FOR THE REDUCTION OF SUICIDE IN THE MIDDLE AND HIGH SCHOOL (E.G., INCORPORATE IN EXISTING HEALTH EDUCATION OR ESTABLISH A HIRED POSITION). ESTABLISH A FULL-SERVICE MOBILE CRISIS UNIT. INCREASE THE AVAILABILITY TO ACCESS NEEDED BEHAVIORAL HEALTH SERVICES.
MARTHA'S VINEYARD HOSPITAL PART V, SECTION B, LINE 11: THE CHNA DATA SERVE TO WEAVE A COMPLICATED STORY ABOUT THE HEALTH AND BEHAVIORAL HEALTH OF MARTHA'S VINEYARD RESIDENTS AND THE UNDERLYING SOCIAL DETERMINANTS OF HEALTH. THERE ARE NUMEROUS IMPORTANT ISSUES THAT IMPACT SUB-POPULATIONS ON THE ISLAND, EACH OF WHICH DESERVES ATTENTION TO ENSURE THE HEALTH AND WELL-BEING OF THOSE GROUPS. HOWEVER, FOUR MAJOR THEMES EMERGED FROM THE RESEARCH BASED ON THE PRIORITIES OF RESIDENTS, AS IDENTIFIED BY KEY INFORMANTS, AND SUPPORTED BY THE SECONDARY DATA. THESE THEMES ARE: (1) INSUFFICIENT INVENTORY OF AND ACCESS TO QUALITY AFFORDABLE YEAR-ROUND HOUSING HAS A SIGNIFICANT IMPACT ON THE HEALTH AND BEHAVIORAL HEALTH OF MANY ISLAND RESIDENTS AND THEIR ABILITY TO REMAIN ON THE ISLAND. IT ALSO COMPLICATES THE ABILITY OF ORGANIZATIONS ON THE ISLAND TO HIRE AND RETAIN MUCH-NEEDED CLINICIANS AND STAFF TO PROVIDE HEALTH AND BEHAVIORAL HEALTH SERVICES. (2) THERE ARE A NUMBER OF SERVICES ISLAND RESIDENTS CANNOT SECURE ON THE ISLAND BUT GAINING ACCESS TO CARE ON THE MAINLAND IS COSTLY AND CHALLENGING, PARTICULARLY IN THE SUMMER MONTHS OR WHEN AMBULANCE TRANSPORT IS NEEDED FROM THE HOSPITAL TO AN OFF-ISLAND FACILITY. IT IS ALSO ESSENTIAL TO ENSURE COORDINATION OF CARE AMONG PROVIDERS, PARTICULARLY THOSE ON- AND OFF-ISLAND. BECAUSE PROVIDERS AND RESIDENTS DO NOT HAVE A FULL UNDERSTANDING OF THE RANGE OF SERVICES AVAILABLE ON THE ISLAND, SOME MAY BE TRAVELING OFF-ISLAND TO ACCESS CARE UNNECESSARILY. (3) MENTAL HEALTH AND SUBSTANCE USE DISORDERS ARE GROWING CONCERNS AND THERE ARE TOO FEW BEHAVIORAL HEALTH CLINICIANS AND SERVICES AVAILABLE ON THE ISLAND, ESPECIALLY FOR PORTUGUESE-SPEAKING RESIDENTS AND WHO ARE TRAINED TO WORK WITH CHILDREN AND YOUTH. SEVERAL POPULATIONS APPEAR TO BE AT RISK FOR BEHAVIORAL HEALTH PROBLEMS, INCLUDING YOUNG ADULTS; THOSE WHO ARE HOMELESS; ISOLATED SENIORS AND PEOPLE WITH DISABILITIES; AND CHILDREN AND YOUTH WHO'VE EXPERIENCE FAMILY AND HOUSING INSTABILITY AND OTHER ADVERSE LIFE EVENTS. (4) THE DEMOGRAPHICS OF THE ISLAND ARE SHIFTING AS MANY YOUNGER ADULTS LEAVE TO PURSUE OPPORTUNITIES ON THE MAINLAND THAT ARE NOT AVAILABLE TO THEM ON THE VINEYARD AND AS MORE SENIORS RETIRE TO THE ISLAND. ALTHOUGH EFFORTS ARE UNDERWAY TO IMPROVE SERVICES FOR THIS POPULATION, THERE ARE LEVELS OF CARE NEEDED THAT ARE NOT AVAILABLE OR PLENTIFUL ENOUGH TO MEET THE NEEDS OF THE ISLAND'S GROWING ELDER POPULATION, INCLUDING HOME-BASED AND MENTAL HEALTH AND DEMENTIA CARE. THE CBAC REVIEWED THE CHNA REPORT AND, AT ITS JULY 16, 2019 MEETING, DISCUSSED THE ASSESSMENT FINDINGS. IN ADDITION TO ACCEPTING THE MAJOR THEMES AS PRIORITIES FOR STRATEGIC IMPLEMENTATION PLANNING PHASE, THE GROUP ALSO IDENTIFIED OTHER ISSUES IT CONSIDERS IMPORTANT AND WORTHY OF MORE DISCUSSION. THESE ISSUES ARE: ENSURING THE NEEDS OF THE BRAZILIAN COMMUNITY, TRIBAL COMMUNITY, AND SEASONAL RESIDENTS ARE EXPLORED AND BETTER UNDERSTOOD; UNDERSTANDING BETTER THE ROLE OF POVERTY AND FOOD INSECURITY IN THE LIVES OF ISLANDERS; PREVENTING AND ENSURING EARLY TREATMENT OF LYME DISEASE AND OTHER TICK-BORNE ILLNESSES; IMPROVING ACCESS TO DENTAL SERVICES; AND CULTIVATING COMMUNITY LEADERS FROM AMONG YOUNGER RESIDENTS/SUCCESSION PLANNING. THE REPORT WAS SHARED AND A SUMMARY OF THE THEMES AND PRIORITIES PRESENTED TO THE MVH BOARD OF DIRECTORS ON JULY 26 TO ENSURE THE BOARD'S ONGOING ENGAGEMENT IN THE HOSPITAL'S COMMUNITY BENEFIT WORK.
COOLEY DICKINSON HOSPITAL, INC. PART V, SECTION B, LINE 11: SOCIAL AND ECONOMIC DETERMINANTS THAT IMPACT HEALTHSOCIAL ENVIRONMENT ALZHEIMER'S DISEASE AND DEMENTIA FOCUS: SOCIAL ISOLATION AND LONELINESS POPULATION: OLDER ADULTS GOAL: INCREASE OPPORTUNITIES FOR SOCIAL CONNECTIONS THROUGH COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS ACCESS TO HEALTHY FOOD, TRANSPORTATION, AND PLACES TO BE ACTIVE FOCUS: ACCESS TO HEALTHY FOOD POPULATION: LOWER INCOME IN AMHERST, EASTHAMPTON, NORTHAMPTON, AND OTHER COMMUNITIES GOAL: INCREASE OPPORTUNITIES TO ACCESS AFFORDABLE, FRESH, HEALTHY FOOD THROUGH COLLABORATION WITH COMMUNITY-BASED ORGANIZATIONS AND PROJECTS BARRIERS TO ACCESSING QUALITY HEALTH CARE TRANSPORTATION FOCUS: TRANSPORTATION TO MEDICAL APPOINTMENTS, FOOD ACCESS, AND SOCIAL EVENTS POPULATION: RURAL OLDER ADULTS GOAL: HELP SUPPORT THE HILLTOWN EASY RIDE THROUGH THE PROVISION OF FUNDING TO A COMMUNITY-BASED ORGANIZATION LACK OF CARE COORDINATION FOCUS: AGE-FRIENDLY HEALTH CARE INITIATIVE POPULATION: OLDER ADULTS GOAL: TRAIN PROVIDERS IN THE SERIOUS ILLNESS CONVERSATION MODEL FOCUS: HEALTH CARE FOR VETERANS POPULATION: VETERANS AND MILITARY FAMILIES GOAL: OPTIMIZE USE OF ELECTRONIC MEDICAL RECORD FOR SCREENING AND REFERRALS GOAL: TRAINING FOR PROVIDERS TO BETTER UNDERSTAND UNIQUE NEEDS OF VETERANS NEED FOR INCREASED CULTURALLY SENSITIVE CARE HEALTH LITERACY AND LANGUAGE BARRIERS FOCUS: LANGUAGE ACCESS THROUGH MEDICAL INTERPRETER SERVICES POPULATION: PATIENTS WITH LIMITED ENGLISH PROFICIENCY RECEIVING SERVICES AT A FEDERALLY QUALIFIED HEALTH CENTER GOAL: HELP MITIGATE BARRIERS TO ACCESS TO HEALTH CARE SERVICES FOR HEALTH CENTER PATIENTS 2019-2022 COOLEY DICKINSON COMMUNITY HEALTH IMPLEMENTATION PLAN FOCUS: TRAINING AND COMMUNITY CAPACITY BUILDING SUCH THAT NON-PROFIT HEALTH AND SOCIAL SERVICE BOARDS AND LEADERS REFLECT THE POPULATION. POPULATION: PEOPLE OF THE GLOBAL MAJORITY AND NON-PROFIT HEALTH AND SOCIAL SERVICE ORGANIZATIONS GOAL: INCREASE THE NUMBER OF PEOPLE OF THE GLOBAL MAJORITY SERVING ON NON-PROFIT BOARDS AS WELL AS THE CULTURAL COMPETENCY OF NON-PROFIT BOARDS FOCUS: SYSTEM DEVELOPMENT TO ENSURE ACCESS TO CULTURALLY APPROPRIATE SERVICES FOR LGBTQ RESIDENTS POPULATION: LGBTQ ADULTS AND YOUTH GOAL: INCREASE ORGANIZATIONAL EFFECTIVENESS PROVIDING HEALTH CARE TO LGBTQ RESIDENTS FOCUS: INFORMATION & REFERRAL POPULATION: SPANISH SPEAKING RESIDENTS GOAL: ENSURE ACCESS TO SERVICES THROUGH COLLABORATION WITH A COMMUNITY-BASED ORGANIZATION TO PROVIDE HEALTH AND SOCIAL SERVICE INFORMATION AND REFERRAL THAT IS BILINGUAL SPANISH.
WENTWORTH-DOUGLASS HOSPITAL PART V, SECTION B, LINE 11: THIS IMPLEMENTATION STRATEGY DESCRIBES HOW WENTWORTH-DOUGLASS HOSPITAL PLANS TO ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA. THE HOSPITAL REVIEWED THE CHNA FINDINGS AND APPLIED THE FOLLOWING CRITERIA TO DETERMINE THE MOST APPROPRIATE NEEDS FOR WENTWORTH-DOUGLASS HOSPITAL TO ADDRESS: THE EXTENT TO WHICH THE HOSPITAL HAS RESOURCES AND COMPETENCIES TO ADDRESS THE NEED; THE IMPACT THAT THE HOSPITAL COULD HAVE ON THE NEED; THE FREQUENCY WITH WHICH STAKEHOLDERS IDENTIFIED THE NEED AS A SIGNIFICANT PRIORITY; AND THE EXTENT OF COMMUNITY SUPPORT FOR THE HOSPITAL TO ADDRESS THE ISSUE AND POTENTIAL FOR PARTNERSHIPS TO ADDRESS THE ISSUE. BY APPLYING THESE CRITERIA, THE HOSPITAL DETERMINED THAT IT WILL ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED BY Y (FOR YES) IN THE TABLE THAT FOLLOWS. ISSUES IDENTIFIED BY N (FOR NO) REPRESENT ISSUES THAT THE HOSPITAL DOES NOT PLAN TO DIRECTLY ADDRESS DURING THE 2020-2022 TIME PERIOD. HOWEVER, INTERVENTIONS MAY INDIRECTLY IMPACT MULTIPLE SIGNIFICANT HEALTH NEEDS. ACCESS TO HEALTH SERVICES Y; HEART DISEASE AND STROKE Y; MENTAL HEALTH Y; NUTRITION, PHYSICAL ACTIVITY, AND OBESITY Y; OLDER ADULTS Y; ORAL HEALTH Y; SOCIAL DETERMINANTS (BASIC NEEDS & TRANSPORTATION) Y; SUBSTANCE ABUSE Y; TOBACCO USE Y
MASSACHUSETTS EYE & EAR INFIRMARY PART V, SECTION B, LINE 11: THE FIVE GOALS OF THE COMMUNITY BENEFIT IMPLEMENTATION PLAN ARE AS FOLLOWS: 1. IMPROVE VISION AMONG MEMBERS OF MASS. EYE AND EAR'S PRIORITY COMMUNITIES AND POPULATIONS BY ENSURING ACCESS TO THE INFORMATION, SUPPORT, SCREENING AND CLINICAL SERVICES THEY NEED TO PREVENT AND ADDRESS VISION PROBLEMS. 2. IMPROVE HEARING AMONG MEMBERS OF MASS. EYE AND EAR'S PRIORITY COMMUNITIES AND POPULATIONS BY ENSURING ACCESS TO THE INFORMATION, SUPPORT, SCREENING AND CLINICAL SERVICES THEY NEED TO PREVENT AND ADDRESS HEARING PROBLEMS. 3. INCREASE EDUCATION, SCREENING, SUPPORT, AND SERVICES FOR OTHER CLINICAL CONDITIONS (BEYOND VISION AND HEARING) RELATED TO THE HEAD AND NECK. 4. IMPROVE ACCESS TO CARE FOR MEMBERS OF MASS. EYE AND EAR'S PRIORITY COMMUNITIES AND POPULATIONS WHO MAY NOT BE ABLE TO GET THE SERVICES THEY NEED FOR VISION, HEARING, OR HEAD/NECK CONDITIONS DUE TO LINGUISTIC, TRANSPORTATION, OR FINANCIAL BARRIERS OR LACK OF INFORMATION. 5. INCREASE JOB READINESS OF MEMBERS OF SOCIALLY/ECONOMICALLY VULNERABLE GROUPS IN THE TARGET COMMUNITIES.
PART V, SECTION B - LINES 7 AND 10: THE GENERAL HOSPITAL CORPORATIONHTTPS://WWW.MASSGENERAL.ORG/ASSETS/MGH/PDF/COMMUNITY-HEALTH/2019-CHNA-CHIP.PDFTHE BRIGHAM AND WOMEN'S HOSPITAL, INC.HTTPS://WWW.BRIGHAMANDWOMENS.ORG/ASSETS/BWH/ABOUT-BWH/PDFS/CHNA-CHIP-2019_3.6.20.PDFNORTH SHORE MEDICAL CENTER, INC.HTTPS://SALEM.MASSGENERALBRIGHAM.ORG/COMMITMENT_TO_COMMUNITYNEWTON-WELLESLEY HOSPITALHTTPS://WWW.NWH.ORG/MEDIA/FILE/NWH%202021%20CHNA%20REPORT%20FINAL.PDFBRIGHAM AND WOMEN'S/FAULKNER HOSPITALHTTPS://WWW.BRIGHAMANDWOMENSFAULKNER.ORG/ASSETS/FAULKNER/ABOUT-BWFH/COMMUNITY-HEALTH/DOCUMENTS/BWFH-CHNA-REPORT-2019.PDFTHE MCLEAN HOSPITAL CORPORATIONHTTPS://WWW.MCLEANHOSPITAL.ORG/SITES/DEFAULT/FILES/SHARED/MCL-CHNA-AND-ANNUAL-IMPLEMENTATION-STRATEGY-UPDATE-2019-FINAL-9.19.2019.PDFSPAULDING REHABILITATION HOSPITAL CORPORATIONHTTP://SPAULDINGREHAB.ORG/ABOUT/COMMUNITY-INVOLVEMENTREHABILITATION HOSPITAL OF THE CAPE AND ISLANDS CORPORATIONHTTP://SPAULDINGREHAB.ORG/ABOUT/COMMUNITY-INVOLVEMENTSPAULDING HOSPITAL CAMBRIDGE, INC.HTTP://SPAULDINGREHAB.ORG/ABOUT/COMMUNITY-INVOLVEMENTNANTUCKET COTTAGE HOSPITALHTTPS://NANTUCKETHOSPITAL.ORG/WP-CONTENT/UPLOADS/2021/11/FY2021-NANTUCKET-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF?X16346&X65037MARTHA'S VINEYARD HOSPITALHTTPS://WWW.MVHOSPITAL.COM/MEDIA/IMAGES/MVH-FY19-CHNA-FINAL-REPORT-7.17.19.DOCX.PDFCOOLEY DICKINSON HOSPITAL, INC.HTTPS://WWW.COOLEYDICKINSON.ORG/WP-CONTENT/UPLOADS/2019/09/2019-CDHC-CHNA-9.18.19-SEPT-COVER.PDFWENTWORTH-DOUGLASS HOSPITALHTTPS://WWW.WDHOSPITAL.ORG/FILES/7615/6890/5432/2019_WDH_CHNA_-_FINAL.PDFMASSACHUSETTS EYE & EAR INFIRMARYHTTPS://WWW.MASSEYEANDEAR.ORG/ASSETS/MEE/PDFS/ABOUT/FY19-MASSEYEANDEAR-COMMUNITY-BENEFIT-REPORT-AND-PLAN-FINAL-032919.PDF
PART V, LINE 16A-C: URLS FOR FINANCIAL ASSISTANCE POLICIES:HTTPS://WWW.MASSGENERALBRIGHAM.ORG/PATIENT-INFORMATION/FINANCIAL-ASSISTANCE
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?111
Name and address Type of Facility (describe)
1 1 - MGH HEALTH CENTER CHELSEA
100 EVERETT AVENUE 1ST FLOOR 16C
CHELSEA,MA02150 		OUTPATIENT CLINIC & HEALTHCARE CENTER
2 2 - MGH CHARLESTOWN HEALTHCARE CENTER
73 HIGH STREET
CHARLESTOWN,MA02129 		OUTPATIENT CLINIC & HEALTHCARE CENTER
3 3 - MGH CHELSEA HEALTHCARE CENTER
151 EVERETT AVENUE FLOORS 1-4
CHELSEA,MA02150 		OUTPATIENT CLINIC & HEALTHCARE CENTER
4 4 - MGH EVERETT FAMILY CARE
19-23 NORWOOD STREET
EVERETT,MA02149 		OUTPATIENT CLINIC & HEALTHCARE CENTER
5 5 - STUDENT HEALTH CENTER AT CHELSEA HIGH S
299 EVERETT AVENUE
CHELSEA,MA02150 		OUTPATIENT CLINIC & HEALTHCARE CENTER
6 6 - EMERSON HOSPITAL MGH-RADIATION ONCOLOGY
ROUTE 2 JOHN CUMMINGS BUILDING
CONCORD,MA01742 		OUTPATIENT CLINIC & HEALTHCARE CENTER
7 7 - MGH REVERE HEALTHCARE CENTER
300 OCEAN AVENUE 3RD FLOOR
REVERE,MA02151 		OUTPATIENT CLINIC & HEALTHCARE CENTER
8 8 - MGH BACK BAY HEALTHCARE CENTER
388 COMMONWEALTH AVENUE
BOSTON,MA02115 		OUTPATIENT CLINIC & HEALTHCARE CENTER
9 9 - MASS GENERAL WALTHAM
52 SECOND AVENUE 200 360 420 1110
21
WALTHAM,MA02154 		OUTPATIENT CLINIC & HEALTHCARE CENTER
10 10 - MGH REVERE SCHOOL BASED HEALTH CENTER
101 SCHOOL STREET
REVERE,MA02151 		OUTPATIENT CLINIC & HEALTHCARE CENTER
11 11 - LABORATORY FOR MOLECULAR MEDICINE
65 LANSDOWNE STREET 3RD FLOOR
CAMBRIDGE,MA02139 		OUTPATIENT DIAGNOSTIC LABORATORY
12 12 - MGH AT BOWDOIN SQUARE
ONE BOWDOIN SQUARE 7TH 11TH FLOOR
BOSTON,MA02114 		OUTPATIENT CLINIC
13 13 - MGH CARDIOVASCULAR DISEASE PREVENTION C
25 NEW CHARDON STREET SUITE 301
BOSTON,MA02114 		OUTPATIENT CLINIC & HEALTHCARE CENTER
14 14 - YAWKEY CENTER FOR OUTPATIENT CARE
32 FRUIT STREET
BOSTON,MA02114 		OUTPATIENT CLINIC
15 15 - MGH CHARLES RIVER PLAZA
165 CAMBRIDGE STREET 3RD 5TH
7TH-9TH
BOSTON,MA02114 		OUTPATIENT CLINIC
16 16 - MGH SPORTS MEDICINE CENTER
175 CAMBRIDGE STREET 4TH FLOOR
BOSTON,MA02114 		OUTPATIENT CLINIC
17 17 - MGH SLEEP DISORDERS TESTING UNIT
5 BLOSSOM STREET 2ND FLOOR
BOSTON,MA02114 		OUTPATIENT CLINIC
18 18 - MGH OUTPATIENT CARE
275 CAMBRIDGE STREET 3RD FLOOR
BOSTON,MA02114 		OUTPATIENT CLINIC
19 19 - MGH CHARLESTOWN MONUMENT STREET COUNSEL
76 MONUMENT STREET 1ST FLOOR
CHARLESTOWN,MA02129 		OUTPATIENT CLINIC
20 20 - MASS GENERALNORTH SHORE CENTER FOR OUT
102 ENDICOTT STREET 1ST AND 2ND
FLOORS
DANVERS,MA02129 		OUTPATIENT CLINIC & HEALTHCARE CENTER
21 21 - MGH BROADWAY PRIMARY CARE - REVERE
385 BROADWAY
REVERE,MA02151 		OUTPATIENT CLINIC & HEALTHCARE CENTER
22 22 - MGH RADIATION ONCOLOGY AT NWH
2014 WASHINGTON STREET SOUTH WING
NEWTON,MA02462 		OUTPATIENT CLINIC
23 23 - 50 STANIFORD STREET MGH IMAGING
50 STANIFORD STREET 10TH FLOOR
BOSTON,MA02114 		OUTPATIENT IMAGING
24 24 - BROOKSIDE COMMUNITY HEALTH CENTER
3297 WASHINGTON STREET
BOSTON,MA02130 		OUTPATIENT CLINIC & HEALTHCARE CENTER
25 25 - SOUTHERN JAMAICA PLAIN HEALTH CENTER
640 CENTRE STREET
JAMAICA PLAIN,MA02130 		OUTPATIENT CLINIC & HEALTHCARE CENTER
26 26 - BRIGHAM AND WOMEN'S HEALTH CARE CTR
850 BOYLSTON STREET
CHESTNUT HILL,MA02467 		OUTPATIENT CLINIC & HEALTHCARE CENTER
27 27 - BWH ADVANCED MRI CENTRE
221 LONGWOOD AVENUE GROUND FLOOR
BOSTON,MA02115 		OUTPATIENT CLINIC
28 28 - BRIGHAM DERMATOLOGY ASSOCIATES
221 LONGWOOD AVENUE 1ST FLOOR
BOSTON,MA02115 		OUTPATIENT CLINIC
29 29 - ENDOCRINOLOGY AND METABOLIC SERVICES
221 LONGWOOD AVENUE 2ND FLOOR
BOSTON,MA02115 		OUTPATIENT CLINIC
30 30 - OUTPATIENT PSYCHIATRY
221 LONGWOOD AVENUE RFB MEZZANINE
BOSTON,MA02115 		OUTPATIENT CLINIC
31 31 - BWH IMMUNOLOGY LAB
221 LONGWOOD AVENUE BL-059
BOSTON,MA02115 		CLINICAL LABORATORY
32 32 - NEWBORN MEDICINE
221 LONGWOOD AVENUE BLI L 1 3
BOSTON,MA02115 		OUTPATIENT CLINIC
33 33 - BRIGHAM AND WOMEN'S HOSPITAL CARE CENTER
1153 CENTRE STREET 1ST FLOOR
BOSTON,MA02130 		OUTPATIENT CLINIC & HEALTHCARE CENTER
34 34 - BRIGHAM AND WOMEN'S HOSPITAL MOHS AND D
1153 CENTRE STREET SUITE 4349
BOSTON,MA02130 		OUTPATIENT CLINIC
35 35 - BRIGHAM AND WOMEN'S MRI - WEST BRIDGEWAT
711 WEST CENTER STREET
WEST BRIDGEWATER,MA02379 		OUTPATIENT CLINIC
36 36 - BRIGHAM AND WOMEN'SMASS GENERAL HEALTH
20 PATRIOTS PLACE FLOORS 123 4
FOXBORO,MA02035 		OUTPATIENT CLINIC & HEALTHCARE CENTER
37 37 - BRIGHAM AND WOMEN'S HOSPITAL ADVANCED P
301 SOUTH HUNTINGTON AVENUE
JAMAICA PLAIN,MA02115 		OUTPATIENT CLINIC
38 38 - KRAFT FAMILY BLOOD DONOR CTR AT DFCI
35 BINNEY STREET 1ST FLOOR
BOSTON,MA02115 		BLOOD DONOR CENTER
39 39 - NSMC OUTPATIENT SERVICES
1 HUTCHINSON DRIVE 1ST FLOOR
DANVERS,MA01923 		OUTPATIENT CLINIC
40 40 - NSMC PROFESSIONAL SERVICES
HIGHLAND HALL 55 HIGHLAND AVENUE
SALEM,MA01970 		OUTPATIENT CLINIC
41 41 - RADIOLOGY SERVICES AT LYNN COMMUNITY H
269 UNION STREET
LYNN,MA01901 		OUTPATIENT CLINIC
42 42 - NSMC MAGNETIC IMAGING
4 CENTENNIAL DRIVE SUITE 104
PEABODY,MA01960 		OUTPATIENT CLINIC
43 43 - NORTH SHORE MEDICAL CENTER ULTRASOUND AT
383 PARADISE ROAD
SWAMPSCOTT,MA01907 		OUTPATIENT CLINIC
44 44 - SALEM HOSPITAL OUTPATIENT SERVICES
480 LYNNFIELD STREETSUITES 1BCE
LYNN,MA01904 		OUTPATIENT CLINIC
45 45 - NEWTON-WELLESLEY FAMILY MEDICINE
111 NORFOLK AVENUE 1ST FLOOR
WALPOLE,MA02081 		OUTPATIENT CLINIC
46 46 - NEWTON-WELLESLEY URGENT CARE - WALTHAM
DEVINCENT BUILDING 9 HOPE AVENUE
WALTHAM,MA02453 		OUTPATIENT CLINIC
47 47 - NEWTON-WELLESLEY AMBULATORY CARE CENTER
307 WEST CENTRAL STREET 1ST FLOOR
NATICK,MA01760 		OUTPATIENT CLINIC
48 48 - NEWTON-WELLESLEY SLEEP CENTER AT NEWTON
2345 COMMONWEALTH AVENUE BUILDING C
NEWTON,MA02446 		OUTPATIENT CLINIC
49 49 - NEWTON-WELLESLEY OUTPATIENT SURGERY CTR
25 WASHINGTON STREET
WELLESLEY,MA02481 		OUTPATIENT CLINIC
50 50 - NEWTON-WELLESLEY AMBULATORY CARE CENTER
159 WELLS AVENUE
NEWTON,MA02459 		OUTPATIENT CLINIC
51 51 - MCLEAN SOUTHEAST
23 ISAAC STREET
MIDDLEBOROUGH,MA02346 		OUTPATIENT CLINIC
52 52 - MCLEAN SOUTHEAST AT OAK STREET
52 OAK STREET
MIDDLEBOROUGH,MA02346 		OUTPATIENT CLINIC
53 53 - MCLEAN AMBULATORY TREATMENT CENTER
211 NORTH MAIN ST GROUND FIRST FL
PETERSHAM,MA01366 		OUTPATIENT CLINIC
54 54 - MCLEAN HOSPITAL AND ADOLESCENT MENTAL
799 CONCORD AVENUE 1ST FLOOR
CAMBRIDGE,MA02138 		OUTPATIENT CLINIC
55 55 - 3 EAST DBT PARTIAL HOSPITAL PROGRAM
6 CLAREMONT AVENUE 1ST 2ND FLOOR
ARLINGTON,MA02476 		OUTPATIENT CLINIC
56 56 - SPAULDING OUTPATIENT CENTER - BRIGHTON
20 GUEST STREET SUITE 150
BOSTON,MA02135 		OUTPATIENT CLINIC
57 57 - SPAULDING OUTPATIENT CENTER - FRAMINGHAM
570 WORCESTER ROAD
FRAMINGHAM,MA01702 		OUTPATIENT CLINIC
58 58 - SPAULDING OUTPATIENT CENTER - MEDFORD
101 MAIN STREET SUITE 101
MEDFORD,MA02155 		OUTPATIENT CLINIC
59 59 - SPAULDING OUTPATIENT CENTER - WELLESLEY
65 WALNUT STREET
WELLESLEY,MA02181 		OUTPATIENT CLINIC
60 60 - SPAULDING OUTPATIENT CENTER - BRAINTREE
300 GRANITE STREET 1ST FLOOR
BRAINTREE,MA02184 		OUTPATIENT CLINIC
61 61 - SPAULDING OUTPATIENT CENTER - DOWNTOWN
294 WASHINGTON STREET SUITE 215
BOSTON,MA02114 		OUTPATIENT CLINIC
62 62 - SPAULDING OUTPATIENT CENTER - CAMBRIDGE
1575 CAMBRIDGE STREET 1ST FLOOR
CAMBRIDGE,MA02138 		OUTPATIENT CLINIC
63 63 - SPAULDING OUTPATIENT CENTER FOR CHILDREN
1 MAGUIRE ROAD 1ST FLOOR
LEXINGTON,MA02421 		OUTPATIENT CLINIC
64 64 - SPAULDING OUTPATIENT CENTER - WESTBOR
112 TURNPIKE ROAD SUITE 301
WESTBOROUGH,MA01581 		OUTPATIENT CLINIC
65 65 - SPAULDING OUTPATIENT CENTER - PEABODY
4 CENTENNIAL DRIVE
PEABODY,MA01960 		OUTPATIENT CLINIC
66 66 - SPAULDING OUTPATIENT CENTER - MARBLEHEAD
40 LEGGIS HILL ROAD
MARBLEHEAD,MA01945 		OUTPATIENT CLINIC
67 67 - SPAULDING OUTPATIENT CENTER - CAPE ANN
1 BLACKBURN DRIVE
GLOUCESTER,MA01930 		OUTPATIENT CLINIC
68 68 - SPAULDING OUTPATIENT CENTER - MARBLEHEAD
4 COMMUNITY ROAD
MARBLEHEAD,MA01945 		OUTPATIENT CLINIC
69 69 - SPAULDING OUTPATIENT CENTER - LYNN
583 CHESTNUT STREET 3RD FLOOR
LYNN,MA01904 		OUTPATIENT CLINIC
70 70 - SPAULDING OUTPATIENT CENTER - SALEM
35 CONGRESS STREET 2ND FLOOR
SALEM,MA01970 		OUTPATIENT CLINIC
71 71 - SPAULDING OUTPATIENT CENTER - QUINCY
79 CODDINGTON STREET 2ND FLOOR
QUINCY,MA02169 		OUTPATIENT CLINIC
72 72 - SPAULDING OUTPATIENT CENTER - EMILSON
75 MILL STREET
HANOVER,MA02339 		OUTPATIENT CLINIC
73 73 - SPAULDING MALDEN
350 MAIN STREET 1ST FLOOR
MALDEN,MA02148 		OUTPATIENT CLINIC
74 74 - SPAULDING OUTPATIENT CENTER FOR CHILDREN
22 PATRIOT PLACE BLDG K STE 120
FOXBORO,MA02035 		OUTPATIENT CLINIC
75 75 - SPAULDING OUTPATIENT CENTER - ORLEANS
65 OLD COLONY WAY SUITE 2
ORLEANS,MA02653 		OUTPATIENT CLINIC
76 76 - SPAULDING OUTPATIENT CENTER - HYANNIS
1513 IYANNOUGH ROAD
HYANNIS,MA02601 		OUTPATIENT CLINIC
77 77 - SPAULDING EILEEN M WARD OUTPATIENT CTR
280-D ROUTE 130 SUITE 7
FORESTDALE,MA02644 		OUTPATIENT CLINIC
78 78 - SPAULDING OUTPATIENT CENTER - PLYMOUTH
1 SCOBEE CIRCLE
PLYMOUTH,MA02360 		OUTPATIENT CLINIC
79 79 - SPORTS MEDICINE AND PT ASSOCIATES OF NCH
6 BAYBERRY COURT GROUND LEVEL
NANTUCKET,MA02554 		OUTPATIENT CLINIC
80 80 - COOLEY DICKINSON SOUTH DEERFIELD CENTER
21 B ELM STREET 1ST FLOOR
SOUTH DEERFIELD,MA01373 		OUTPATIENT CLINIC
81 81 - COOLEY DICKINSON HOSPITAL
170 UNIVERSITY DRIVE
AMHERST,MA01002 		OUTPATIENT CLINIC
82 82 - THE COOLEY DICKINSON HOSPITAL OUTPATIENT
10 COLLEGE HIGHWAY
SOUTHAMPTON,MA01073 		OUTPATIENT CLINIC
83 83 - COOLEY DICKINSON HOSPITAL REHAB SERV
58 OLD NORTH ROAD SUITE 1
WORTHINGTON,MA01098 		OUTPATIENT REHAB CLINIC
84 84 - COOLEY DICKINSON HOSPITAL REHAB SERV
380 RUSSELL STREET 1ST FLOOR
HADLEY,MA01035 		OUTPATIENT REHAB CLINIC
85 85 - COOLEY DICKINSON HOSPITAL P& OCC T
4 WEST STREET 2ND FLOOR
WEST HATFIELD,MA01088 		OUTPATIENT CLINIC
86 86 - COOLEY DICKINSON HOSPITAL P OCC & S
8 ATWOOD DRIVE
NORTHAMPTON,MA01060 		OUTPATIENT CLINIC
87 87 - COOLEY DICKINSON HOSPITAL OUTPATIENT DIA
22 ATWOOD DRIVE
NORTHAMPTON,MA01060 		DIAGNOSTIC SERVICES
88 88 - SEACOAST CANCER CENTER
10 MEMBERS WAY SUITE 200
DOVER,NH03820 		SPECIALTY CARE PRACTICE
89 89 - LEE OTPTIMAGING
65 CALEF HIGHWAY
LEE,NH03861 		OCCUPATIONAL/PHYSICAL THERAPY/IMAGING
90 90 - EXPRESS CARE DOVER
781 CENTRAL AVENUE
DOVER,NH03820 		EXPRESS CARE
91 91 - WDH PROFESSIONAL CENTER
10 MEMBERS WAY
DOVER,NH03820 		DIAGNOSTIC SERVICES
92 92 - EXPRESS CARE LEE
65 CALEF HIGHWAY
LEE,NH03861 		EXPRESS CARE
93 93 - DIAGNOSTIC CARDIOLOGY
19 OLD ROLLINSFORD ROAD
DOVER,NH03820 		CARDIOLOGY SERVICES
94 94 - DURHAM REHAB & SPORTS THERAPY CENTER
16 JENKINS COURT
DURHAM,NH03824 		SPECIALTY CARE PRACTICE
95 95 - WDH EARLY LEARNING CENTER
789 CENTRAL AVENUE
DOVER,NH03820 		CHILDCARE SERVICES
96 96 - PEASE BUILDING B
73 CORPORATE DRIVE
PORTSMOUTH,NH03801 		REHAB SERVICES
97 97 - PEASE BUILDING C
121 CORPORATE DRIVE
PORTSMOUTH,NH03801 		ONCOLOGY SERVICES
98 98 - THE DOORWAY
798 CENTRAL AVENUE
DOVER,NH03820 		SUBSTANCE ABUSE TREATMENT
99 99 - THE DOORWAY - HAMPTON
1 LAYFAYETTE ROAD
HAMPTON,NH03842 		SUBSTANCE ABUSE TREATMENT
100 100 - RIVERWODDS AT DURHAM
14 STONE QUARRY DRIVE
DURHAM,NH03824 		REHAB SERVICES
101 101 - HOSPITAL REHAB SERVICES
23 WORKS WAY
SOMERSWORTH,NH03878 		REHAB SERVICES
102 102 - WOMEN'S LIFE IMAGING
200 NH-108
SOMERSWORTH,NH03878 		WOMEN'S IMAGING SERVICES
103 103 - MARSH BROOK REHAB
7 MARSH BROOK DRIVE
SOMERSWORTH,NH03878 		REHAB SERVICES
104 104 - PEASE BUILDING A
67 CORPORATE DRIVE
PORTSMOUTH,NH03801 		IMAGING AND CARDIOLOGY SERVICES
105 105 - THE WORKS
21-41 WORKS WAY
SOMERSWORTH,NH03878 		REHAB SERVICES
106 106 - NORTH SUBURBAN CENTER
ONE MONTVALE AVENYE 5TH FLOOR
STONEHAM,MA02180 		LICENSED OUTPATIENT LOCATION
107 107 - MASSACHUSETTS EYE & EAR QUINCY (ANNEX)
500 CONGRESS STREET SUITE 1C
QUINCY,MA02169 		LICENSED OUTPATIENT LOCATION
108 108 - MASSACHUSETTS EYE & EAR INFIRMARY
54 BAKER AVENUE EXT 3RD FLOOR
CONCORD,MA01742 		LICENSED OUTPATIENT LOCATION
109 109 - MASSACHUSETTS EYE & EAR AT LONGWOOD
800 HUNTINGTON AVENUE
BOSTON,MA02115 		LICENSED OUTPATIENT LOCATION
110 110 - MEEI VESTIBULAR CENTER AT BRAINTREE R
250 POND STREET 1ST FLOOR
BRAINTREE,MA02184 		LICENSED OUTPATIENT LOCATION
111 111 - MASSACHUSETTS EYE & EAR INFIRMARY SNE
30 MAN MAR DRIVE SUITE 2
PLAINVILLE,MA02762 		LICENSED OUTPATIENT LOCATION
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 6A: MASS GENERAL BRIGHAM HOSPITALS (EXCEPT WENTWORTH-DOUGLASS HOSPITAL) FILE THEIR ANNUAL COMMUNITY BENEFIT REPORT WITH THE ATTORNEY GENERAL OF MASSACHUSETTS.HTTPS://MASSAGO.ONBASEONLINE.COM/MASSAGO/1801CBS/ANNUALREPORT.ASPX
PART I - SUPPLEMENTAL INFORMATION PART I, LINE 3C: AFFILIATED ENTITIES ARE TAX-EXEMPT ENTITIES, WHOSE UNDERLYING MISSION IS TO PROVIDE SERVICES TO ALL IN NEED OF MEDICAL CARE. PATIENTS REQUIRING URGENT OR EMERGENT SERVICES SHALL NOT BE DENIED THOSE SERVICES BASED ON THEIR INABILITY TO PAY. MASS GENERAL BRIGHAM POST-ACUTE CARE AND BEHAVIORAL HEALTH HOSPITALS WILL WORK WITH PATIENTS WHO HAVE A DEMONSTRATED FINANCIAL NEED TO PROVIDE FINANCIAL ASSISTANCE TO THOSE PATIENTS SEEKING CARE IN THOSE SETTINGS
PART I, LINE 7: PART I, LINE 7G: THE SUBSIDIZED HEALTH SERVICES DO INCLUDE COSTS ASSOCIATED WITH PHYSICIAN CLINICS. THESE AMOUNTS TOTALED $19,374,750 FOR THE FISCAL PERIOD.PART I, LINE 7, COLUMN (F): THERE WAS $762,918 OF BAD DEBT EXPENSE SUBTRACTED FROM TOTAL EXPENSES FOR PURPOSES OF CALCULATING THE PERCENTAGE COLUMN.PART I, LINE 7: THE AMOUNTS REPORTED ON THE CHARITY CARE AND OTHER COMMUNITY BENEFITS TABLE ARE CALCULATED USING THE BEST AVAILABLE DATA USING A COST ACCOUNTING SYSTEM OR A COST TO CHARGE RATIO. IN MOST CASES, A COST ACCOUNTING SYSTEM WAS USED AND THE SYSTEM ADDRESSES ALL PATIENT SEGMENTS AND DIRECTLY ASSIGNS COSTS TO INDIVIDUAL SERVICES.
PART II, COMMUNITY BUILDING ACTIVITIES: MASS GENERAL BRIGHAM' HOSPITALS ARE WORKING TO DEVELOP A PROCESS TO QUANTIFY THE EXPENDITURES ASSOCIATED WITH THE VARIOUS COMMUNITY BUILDING ACTIVITIES TO BE REPORTED IN PART II. BELOW IS A DESCRIPTION OF SOME OF THESE ACTIVITIES THAT TOOK PLACE DURING THE REPORTING PERIOD. MASS GENERAL BRIGHAM EXPANDS MOBILE VACCINATION EFFORTS INITIATIVE TO INCREASE ACCESS FOR VULNERABLE COMMUNITIES:MASS GENERAL BRIGHAM HAS LAUNCHED A MOBILE VACCINATION INITIATIVE TO BRING VACCINES TO COMMUNITIES DEEPLY IMPACTED BY COVID-19. MASS GENERAL BRIGHAM WILL USE ITS COMMUNITY HEALTH VANSWHICH ARE ALSO USED FOR COVID-19 TESTING AND COMMUNITY OUTREACHTO REACH COMMUNITIES WITH LOWER VACCINATION RATES. THESE MOBILE POP-UPS WILL HELP MITIGATE BARRIERS TO GETTING VACCINATED LIKE LIMITED ACCESS TO MEDICAL PROVIDERS OR VACCINE CLINICS, SECURING TRANSPORTATION, MOBILITY ISSUES, AND WORK AND FAMILY CARE SCHEDULES. "AS VACCINE RATES START TO SLOW, WE'RE SEEING POCKETS OF PEOPLE WHO HAVE EITHER HAD A HARD TIME ACCESSING THE VACCINE, OR ARE STILL NOT CONFIDENT THAT THEY WANT TO BE VACCINATED," SAYS TOM SEQUIST, MD, MPH SEQUIST IS THE CHIEF PATIENT EXPERIENCE AND EQUITY OFFICER AT MASS GENERAL BRIGHAM. "IT'S MORE CRITICAL THAN EVER TO NOT LOSE MOMENTUM IN GETTING VULNERABLE POPULATIONS VACCINATED. WE HAVE TO MEET PEOPLE WHERE THEY AREWHETHER THAT'S INCREASING ACCESS TO THE VACCINE OR UNDERSTANDING WHY SOMEONE MAY HAVE QUESTIONS OR CONCERNS IN A COMPASSIONATE AND CULTURALLY COMPETENT WAY." TO HELP COMBAT VACCINE HESITATION, THE MOBILE VACCINE CLINICS WILL BE LEVERAGING OUR COMMUNITY MESSENGERS. THESE VOLUNTEER CLINICIANS HAVE BEEN ENGAGING LOCAL COMMUNITY MEMBERS TO HELP ANSWER PEOPLE'S QUESTIONS AND BOOST CONFIDENCE IN THE COVID-19 VACCINES. THE MASS GENERAL BRIGHAM COMMUNITY MESSENGERS ARE MULTI-LINGUAL AND MULTI-CULTURAL, WITH MANY HAVING SHARED LIFE EXPERIENCE WITH THE PEOPLE IN THE COMMUNITIES WE SERVE. THE HOPE IS THAT COMMUNITY MEMBERS WITH QUESTIONS OR CONCERNS ABOUT THE VACCINE WILL HAVE ACCESS TO ON-SITE EXPERTS. AND IF THEY CHOOSE TO GET VACCINATED, THEY WON'T HAVE TO WAIT TO SCHEDULE AN APPOINTMENT. "BRINGING VACCINES DIRECTLY INTO COMMUNITIES THROUGH THIS DATA DRIVEN, COMMUNITY FACING MOBILE INITIATIVE ENABLES US TO INCREASE ACCESS BY BRINGING VACCINES TO WHERE PEOPLE ARE, IN THEIR COMMUNITIES, IN THEIR HOMES- THIS IS ESPECIALLY IMPORTANT FOR THOSE THAT ARE AT THE HIGHEST RISK FOR ADVERSE OUTCOMES," SAYS PRIYA SARIN GUPTA, MD, MPH, MEDICAL DIRECTOR FOR THE MASS GENERAL BRIGHAM AND KRAFT CENTER COMMUNITY CARE VAN INITIATIVES. "THE COVID VACCINES ARE A SIMPLE, SAFE AND EFFECTIVE WAY OF PROTECTING EVERYONE FROM THIS HARMFUL DISEASE, AND ONE THING WE HAVE CERTAINLY LEARNED FROM THIS PUBLIC HEALTH PANDEMIC, IS THAT WE ARE ALL CONNECTED."THE THREE VACCINATION VANS WILL BE STATIONED IN COMMUNITIES HARDEST HIT BY COVID SUCH AS CHELSEA, REVERE, EVERETT, CHARLESTOWN, LYNN, ROXBURY, MATTAPAN, DORCHESTER, AND OTHER COMMUNITIES AS NEEDED. THE SCHEDULE, WHICH INCLUDES OTHER MOBILE RESOURCES SUCH AS TESTING, WILL BE UPDATED WEEKLY AND IS AVAILABLE IN ENGLISH AND SPANISH. NO PRE-SCHEDULED APPOINTMENTS ARE NEEDED AND WALK-INS ARE WELCOMED. THE HOPE IS THAT THESE POP-UP VACCINATION CLINICS WILL HELP REACH PEOPLE WHO HAVE HAD A HARD TIME ACCESSING THE VACCINEULTIMATELY PROTECTING SOME OF OUR MOST VULNERABLE PATIENTS AND THEIR FAMILIES IN OUR LOCAL COMMUNITIES. "WE LEARNED EARLY IN THE PANDEMIC THAT EXISTING BARRIERS TO HEALTH CARE WERE EXACERBATED BY COVID-19. WE ALSO REALIZED HOW CRITICAL IT WAS TO COLLABORATE WITH TRUSTED PARTNERS IN THE COMMUNITY," SAYS CHRISTIN PRICE, MD, OPERATIONS LEAD FOR COMMUNITY COVID TESTING AND VACCINATIONS AT BROOKSIDE COMMUNITY HEALTH CENTER, A MASS GENERAL BRIGHAM HEALTH CARE CENTER FOR PATIENTS IN JAMAICA PLAIN AND THE SURROUNDING BOSTON COMMUNITIES. DR. PRICE WAS ALSO INTEGRAL IN THE MASS GENERAL BRIGHAM COLLABORATION WITH UPHAM'S CORNER HEALTH CENTER TO STAND UP A COVID-19 POP-UP CENTER AT THE STRAND THEATREWHERE PATIENTS CAN ACCESS VACCINATIONS, SCREENINGS FOR SOCIAL NEEDS, AND OTHER RESOURCES. "WE ARE NOW SET TO TAKE THESE EFFORTS MOBILE AND ATTEMPT TO ELIMINATE ANY BARRIERS TO VACCINE ACCESS IN RESPONSE TO LOCAL RESIDENTS AND COMMUNITY ORGANIZATIONS' REQUESTS."WORKFORCE DEVELOPMENT:MASS GENERAL BRIGHAM WORKFORCE DEVELOPMENT (WFD), A DIVISION OF HUMAN RESOURCES AND COMMUNITY HEALTH, IS COMMITTED TO ENSURING A HIGHLY QUALIFIED AND DIVERSE PIPELINE OF HEALTH CARE PROFESSIONALS, WHILE PROVIDING ECONOMIC OPPORTUNITY WITHIN THE COMMUNITIES WE SERVE. WFD ASSISTS STAFF, MANAGEMENT AND LEADERSHIP WITH PROGRAM DEVELOPMENT, PLANNING AND FUNDING PROCUREMENT. WFD STRIVES TO CREATE CAREER PIPELINES AND PATHWAYS FOR YOUTH, COMMUNITY RESIDENTS AND CURRENT EMPLOYEES WITH THE DUAL GOAL OF PROVIDING CAREER AND ECONOMIC OPPORTUNITY WHILE RESPONDING TO MASS GENERAL BRIGHAM'S NEED FOR A HIGHLY QUALIFIED, DIVERSE WORKFORCE. WORKFORCE DEVELOPMENT ALSO PROVIDES CAREER/SKILLS GROWTH OPPORTUNITIES FOR EMPLOYEES THROUGH ACADEMIC AND CAREER COACHING/NAVIGATION AND SUPPORTIVE, ACCESSIBLE AND AFFORDABLE COLLEGE PROGRAMS OFFERED IN PARTNERSHIP WITH MULTIPLE INSTITUTIONS OF HIGHER LEARNING. IN ORDER TO ENSURE EQUITABLE ACCESS FOR ALL OF OUR COLLEAGUES, THE WFD TEAM HAS PILOTED AND SUSTAINED MULTIPLE, INNOVATIVE, FLEXIBLE STRATEGIES AND PARTNERSHIPS THAT OFFER EMPLOYEES THE OPTION TO ACCESS EDUCATIONAL OPPORTUNITIES ONLINE, ON THEIR OWN TIME, AND AT THEIR OWN PACE.ENVIRONMENTAL IMPROVEMENTS:THE HEALTH SECTOR IS RESPONSIBLE FOR APPROXIMATELY 8.5% OF U.S. CARBON EMISSIONS, WHICH ARE THE LEADING CAUSE OF GLOBAL CLIMATE CHANGE. AS AN INDUSTRY LEADER IN SUSTAINABLE HEALTHCARE DELIVERY, MASS GENERAL BRIGHAM IS COMMITTED TO TAKING ACTIONS THAT MINIMIZE ITS IMPACT ON THE ENVIRONMENT. EIGHTY PERCENT OF MASS GENERAL BRIGHAM'S ELECTRICITY COMES FROM RENEWABLE SOURCES, AND THE SYSTEM STRIVES TO ACHIEVE CARBON NEUTRALITY BY 2025.EARLIER THIS YEAR, MASS GENERAL BRIGHAM LAUNCHED THE CLIMATE AND SUSTAINABILITY LEADERSHIP COUNCIL (CSLC). THE CSLC IS CHAIRED BY NIYUM GANDHI, CHIEF FINANCIAL OFFICER OF MASS GENERAL BRIGHAM, AND INCLUDES 13 MEMBERS FROM ACROSS THE SYSTEM. ITS PURPOSE IS TO DEVELOP SYSTEMWIDE GOALS FOR EMISSION-REDUCTION TARGETS, INFORM SYSTEMWIDE SUSTAINABILITY PRACTICES AND INITIATIVES AND IDENTIFY OPPORTUNITIES FOR SYNERGY WITH OTHER MASS GENERAL BRIGHAM PRIORITIES. THE CSLC WILL MONITOR PROGRESS TOWARD THESE GOALS AND PROVIDE UPDATES AND RECOMMENDATIONS TO LEADERSHIP SYSTEMWIDE. THE GROUP HAS EMBARKED UPON AN AMBITIOUS EFFORT TO QUANTIFY ALL DIRECT AND INDIRECT CONTRIBUTIONS OF CLIMATE-HARMING EMISSIONS, WITH AN EYE TOWARD ESTABLISHING A TIMELINE AND PROCESS FOR REDUCINGAND ULTIMATELY ELIMINATINGOUR CONTRIBUTION TO CLIMATE CHANGE.AS A GLOBAL LEADER IN MEDICAL EDUCATION, MASS GENERAL BRIGHAM IS FORMALLY INTEGRATING CLIMATE-HEALTH AND HEALTH CARE SUSTAINABILITY INTO RESIDENT TRAINING, HOSTING A MONTHLY SEMINAR SERIES ON INTERSECTIONS BETWEEN ENVIRONMENT, HEALTH AND HEALTH CARE DELIVERY, CONDUCTING REGULAR CONFERENCES FOR CLINICAL DEPARTMENTS AND SUPPORTING HARVARD MEDICAL SCHOOL'S EFFORT TO EXPAND ITS CURRICULUM ON CLIMATE CHANGE AND HEALTH. ORGANIZATIONS THROUGHOUT THE SYSTEM ARE ALSO TAKING STEPS TO SUPPORT MASS GENERAL BRIGHAM'S GOAL OF REDUCING OUR OVERALL CARBON FOOTPRINT. FOR INSTANCE, BY REDUCING USE OF CERTAIN ANESTHETIC GASES THAT ARE SIGNIFICANT CONTRIBUTORS TO CLIMATE CHANGE, MINIMIZING THE PRODUCTION OF RED BAG WASTE, INCREASING MEDICAL DEVICE REPROCESSING, RECYCLING BLUE WRAP IN OUR OPERATING ROOMS AND OFFERING PLANT FORWARD MENU OPTIONS WHILE MINIMIZING FOOD WASTE AS PART OF THE COOL FOOD PLEDGE. MASS GENERAL BRIGHAM IS A FOUNDING PARTNER OF THE CLIMATE RESOURCES FOR HEALTH EDUCATION PROGRAM, A COLLABORATIVE DEVELOPING AND DISSEMINATING FREELY AVAILABLE RESOURCES FOR MEDICAL SCHOOLS AND RESIDENT TRAINING PROGRAMS. THE OTHER FOUNDING PARTNERS ARE THE GLOBAL CONSORTIUM ON CLIMATE AND HEALTH EDUCATION AT COLUMBIA UNIVERSITY AND THE UNIVERSITY OF SAN FRANCISCO SCHOOL OF MEDICINE.
PART III, LINE 2: THE PATIENT LIABILITY IS REDUCED BY ALL PAYMENTS AND INSURANCE CONTRACTUAL ADJUSTMENTS. PREVIOUSLY APPLIED PATIENT DISCOUNTS ARE REVERSED PRIOR TO PLACEMENT IN BAD DEBT IF THE PATIENT DOES NOT PAY AFTER THE PRESCRIBED COLLECTION PROCESS OR IF THE PATIENT RENEGES ON A PREVIOUSLY AGREED PAYMENT SCHEDULE.
PART III, LINE 4: TEXT OF BAD DEBT FOOTNOTE FROM AFS: (IN THOUSANDS OF DOLLARS)IN ADDITION TO CHARITY CARE AND INADEQUATE FUNDING FROM THE MEDICAID AND MEDICARE PROGRAMS, THERE ARE SIGNIFICANT LOSSES RELATED TO SELF-PAY PATIENTS WHO FAIL TO MAKE PAYMENT FOR SERVICES RENDERED OR INSURED PATIENTS WHO FAIL TO REMIT CO-PAYMENTS AND DEDUCTIBLES AS REQUIRED UNDER THE APPLICABLE HEALTH INSURANCE ARRANGEMENT. THE ESTIMATED COST OF PROVIDING THESE SERVICES WAS APPROXIMATELY $66,215 AND $65,171 FOR 2021 AND 2020, RESPECTIVELY.
PART III, LINE 8: ALL COSTS REPORTED ON THE MEDICARE COST REPORT HAVE BEEN DETERMINED IN ACCORDANCE WITH MEDICARE COST-FINDING PRINCIPLES. COSTS ALLOCABLE TO MEDICARE PATIENTS ARE LIMITED TO CERTAIN SERVICES AND DERIVED IN A NUMBER OF WAYS, INCLUDING AVERAGE COST PER DAY TIMES MEDICARE DAYS AND RATIO OF COST TO CHARGES APPLIED TO CHARGES FOR ANCILLARY SERVICES PROVIDED TO MEDICARE BENEFICIARIES. THE DETERMINATION OF ALLOWABLE COSTS VIA THE MEDICARE COST REPORT EXCLUDES THE COST AND REVENUE ASSOCIATED WITH CERTAIN SERVICES, LIMITS THE COSTS RECOGNIZED FOR OTHER SERVICES AND EXCLUDES CERTAIN COSTS OF DOING BUSINESS. IN ADDITION, THE MEDICARE COST REPORT METHODOLOGY DOES NOT ALLOCATE COSTS TO MEDICARE BENEFICIARIES AS PRECISELY AS COST ACCOUNTING SYSTEMS, WHICH, FOR EXAMPLE, ACCOUNT FOR THE MORE INTENSIVE NURSING CARE MEDICARE BENEFICIARIES OFTEN REQUIRE.LOSSES ON THE PROVISION OF CARE TO MEDICARE PATIENTS SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THEY REPRESENT A DIRECT SUBSIDY TO THE FEDERAL GOVERNMENT BY HOSPITALS TO COVER THE COST OF CARE IN EXCESS OF MEDICARE REIMBURSEMENT. PROVIDING CARE FOR THE ELDERLY AND DISABLED AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD BECAUSE ACCESS TO CARE IS ONE OF THE MOST IMPORTANT WAYS WE CAN SERVE OUR COMMUNITIES. THIS SUBSIDY HELPS TO MAKE THAT ACCESS POSSIBLE.
PART III, LINE 9B: PATIENTS PROTECTED FROM COLLECTION ACTION. THE HOSPITAL WILL TAKE REASONABLE STEPS TO ENSURE THAT NO COLLECTION ACTIONS, INCLUDING TELEPHONE CALLS, STATEMENTS OR LETTERS, ARE INITIATED FOR THOSE PATIENT BALANCES THAT MAY BE EXEMPT FROM COLLECTION ACTION BY REGULATION, INCLUDING PATIENTS DETERMINED TO BE A LOW INCOME PATIENT BY THE OFFICE OF MEDICAID (EXCEPT FOR DENTAL-ONLY LOW INCOME PATIENTS), OR ENROLLED IN MASSHEALTH, CHILDREN'S MEDICAL SECURITY PLAN (CMSP) WITH A MAGI FAMILY INCOME EQUAL TO OR LESS THAN 300% OF THE FPG, EMERGENCY AID TO THE ELDERLY, DISABLED, AND CHILDREN (EAEDC), AND HEALTH SAFETY NET (FULL OR PARTIAL) EXCEPTING DEDUCTIBLES AND COPAYMENTS DETERMINED BY THOSE PROGRAMS TO BE A PATIENT RESPONSIBILITY, AND COPAYMENTS FROM ANY THIRD-PARTY PAYER EXCEPT MEDICARE.. IF IT IS DETERMINED THAT A PATIENT WAS ENROLLED IN ONE OF THOSE CATEGORIES, THEN ALL COLLECTION ACTIONS (EXCEPT APPLICABLE CO-PAYMENTS AND HSN DEDUCTIBLES) WITH THE PATIENT WILL BE CLOSED FOR SERVICES THAT OCCURRED DURING THE PATIENT'S PERIOD OF ELIGIBILITY. COLLECTION ACTIONS WILL ALSO CEASE FOR AS LONG AS THE PATIENT IS DETERMINED TO BE LOW INCOME IF THE BALANCE IS FROM A PERIOD WHEN THE PATIENT WAS NOT ENROLLED IN A QUALIFYING PROGRAM. THE HOSPITAL MAY CONTINUE TO SEND LETTERS REQUESTING INFORMATION OR ACTION BY THE PATIENT TO RESOLVE COVERAGE AND/OR ELIGIBILITY ISSUES WITH A PRIMARY PAYER, WORKERS COMPENSATION PROGRAM OR TO OBTAIN ANY THIRD PARTY LIABILITY OR MVA CARRIER INFORMATION.
PART VI, LINE 2: MASS GENERAL BRIGHAM HAS A SYSTEM-WIDE STRATEGY TO IMPROVE PATIENT OUTCOMES AND EXPERIENCE, WHICH IS SUPPORTED BY OUR HISTORICAL AND ONGOING COMMITMENT TO DIGITAL HEALTH AND DATA ANALYTICS, POPULATION HEALTH, AND OUTPATIENT CARE. WE SEEK WAYS TO DELIVER CARE IN SUBURBAN SETTINGS THROUGH DEVELOPING COMMUNITY-BASED CARE CENTERS THAT OFFER PRIMARY AND BEHAVIORAL HEALTH CARE, AS WELL AS SPECIALTY AND SURGICAL SERVICES.TO FULLY UNDERSTAND THE RANGE OF NEEDS OF PATIENTS, MASS GENERAL BRIGHAM CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA). THESE STUDIES ARE AIMED AT IDENTIFYING THE MOST PRESSING SOCIAL, ECONOMIC, AND HEALTH ISSUES IN THE SERVICE AREA BY AIMING TO:SYSTEMATICALLY IDENTIFY THE HEALTH-RELATED NEEDS, STRENGTHS, AND RESOURCES OF THE SERVICE AREA TO INFORM FUTURE PLANNINGUNDERSTAND THE CURRENT HEALTH STATUS OF RESIDENTS WITHIN THE SERVICE AREA, AS WELL AS SUB-POPULATIONS WITHIN THEIR SOCIAL CONTEXTENGAGE THE COMMUNITY TO HELP DETERMINE COMMUNITY NEEDS AND SOCIAL DETERMINANT OF HEALTH NEEDS.IN ADDITION, ALL OF MASS GENERAL BRIGHAM'S MEMBER INSTITUTIONS CONDUCT CHNAS OF THEIR OWN, AT MINIMUM, EVERY 3 YEARS.MASS GENERAL BRIGHAM IN 2019 HELPED ESTABLISH THE FIRST CITY-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS COLLABORATIVE AIMED TO IDENTIFY THE MOST PRESSING ISSUES THAT AFFECT THE HEALTH OF BOSTON RESIDENTS, WITH A FOCUS ON THE ECONOMIC, SOCIAL, AND ENVIRONMENTAL FACTORS THAT IMPACT HEALTH. WHILE BOSTON HAS MANY STRENGTHS WHEN IT COMES TO IMPROVING THE HEALTH OF ITS COMMUNITIES, THE ASSESSMENT FOUND AREAS FOR IMPROVEMENT. WE HELPED IDENTIFY THREE PRIORITY AREAS FOR ACTION, DEVELOPING A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP): ACCESS TO ESSENTIAL HEALTH CARE AND SOCIAL SERVICES AFFORDABLE HOUSING ECONOMIC MOBILITY THE CHIP-CHNA COLLABORATIVE FOUND: THE TOP COMMUNITY HEALTH CONCERNS OF RESPONDENTS WERE HOUSING QUALITY/AFFORDABILITY (51%) AND ALCOHOL/DRUG ABUSE (49%)OPIOID OVERDOSE DEATHS HAVE INCREASED SIGNIFICANTLY OVER FIVE YEARS AND ARE HIGHEST AMONG LATINO RESIDENTS (50.5 DEATHS/100,000 RESIDENTS)CANCER AND HEART DISEASE ARE THE LEADING CAUSES OF DEATH, RESPECTIVELY, ACROSS EVERY RACE/ETHNICITYNEARLY HALF OF RESPONDENTS SEE EDUCATION AS A KEY COMPONENT OF A HEALTHY COMMUNITYBACKED BY THIS DATA ABOUT OUR COMMUNITIES, MASS GENERAL BRIGHAM IS BETTER EQUIPPED TO ADDRESS THE NEEDS OF OUR DIVERSE PATIENT POPULATIONS. SEE CHNAS FOR EACH HOSPITAL FACILITY AS REPORTED ON SCHEDULE H, PART V AS WELL AS THE COMMUNITY BENEFIT REPORTS FOUND AT THE MASSACHUSETTS ATTORNEY GENERAL: HTTPS://MASSAGO.HYLANDCLOUD.COM/203CBS/ANNUALREPORT.ASPXWENTWORTH-DOUGLASS FILES ITS COMMUNITY BENEFIT REPORT WITH THE NH DEPARTMENT OF JUSTICE FOUND AT: HTTPS://WWW.DOJ.NH.GOV/CHARITABLE-TRUSTS/DOCUMENTS/2020-WENTWORTH-DOUGLASS.PDF
PART VI, LINE 3: FINANCIAL COUNSELING SERVICESTHE HOSPITAL WILL SEEK TO IDENTIFY PATIENTS WHO MAY BE UNINSURED OR INADEQUATELY INSURED IN ORDER TO PROVIDE COUNSELING AND ASSISTANCE. THE HOSPITAL WILL PROVIDE FINANCIAL COUNSELING TO THESE PATIENTS AND THEIR FAMILIES, INCLUDING SCREENING FOR ELIGIBILITY FOR OTHER SOURCES OF COVERAGE, SUCH AS STATE PROGRAMS AND OTHER GOVERNMENT PROGRAMS (INCLUDING TO THE EXTENT POSSIBLE, MEDICAID PROGRAMS IN STATES OTHER THAN MASSACHUSETTS OR NEW HAMPSHIRE), AND PROVIDING INFORMATION REGARDING ALL ACCEPTABLE METHODS OF PAYMENT OF THE HOSPITAL BILL. THE HOSPITAL WILL ENCOURAGE PATIENTS WHO ARE POTENTIALLY ELIGIBLE FOR COVERAGE FROM STATE PROGRAMS OR OTHER GOVERNMENT PROGRAMS TO APPLY FOR COVERAGE AND SHALL ASSIST THE PATIENT IN APPLYING FOR BENEFITS. MA RESIDENTS MAY ALSO APPLY FOR AND BE APPROVED FOR COVERAGE BY THE HSN FOR CO-INSURANCE OR DEDUCTIBLES NOT COVERED BY THEIR PRIMARY INSURANCE PLAN. THE HOSPITAL WILL POST A NOTICE (SIGNS) OF THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS AND DESCRIBE WHERE TO GO TO FOR ASSISTANCE IN THE FOLLOWING LOCATIONS: 1. INPATIENT, CLINIC, EMERGENCY DEPARTMENT, AND COMMUNITY HEALTH CENTER ADMISSION AND/OR REGISTRATION AREAS; 2. FINANCIAL COUNSELING WAITING AREAS 3. CENTRAL ADMISSION/REGISTRATION AREAS THAT ARE OPEN TO PATIENTS 4. BUSINESS OFFICE WAITING AREAS THAT ARE OPEN TO PATIENTS. SIGNS WILL BE TRANSLATED INTO OTHER LANGUAGES TO THE EXTENT THAT THE LANGUAGE IS THE PRIMARY LANGUAGE OF MORE THAN 10% OF RESIDENTS IN THE HOSPITAL'S SERVICE. SIGNS WILL GENERALLY BE POSTED IN ENGLISH AND SPANISH. POSTED SIGNS WILL BE CLEARLY VISIBLE AND LEGIBLE TO PATIENTS VISITING THESE AREAS. SIGNAGE WILL ALSO INCLUDE INSTRUCTIONS ON ACCESS TO TRANSLATION SERVICES FOR PATIENTS WHO HAVE OTHER LANGUAGE NEEDS. STANDARD NOTICES WILL BE PROVIDED TO ALL PATIENTS AT THE TIME OF THEIR INITIAL REGISTRATION WITH MASS GENERAL BRIGHAM. THESE NOTICES WILL ALSO BE MADE WIDELY AVAILABLE THROUGHOUT ALL MASS GENERAL BRIGHAM HOSPITAL CREDIT & COLLECTION POLICY JANUARY 1, 2020 13 HOSPITALS AND HEALTH CENTERS AND ROUTINELY OFFERED TO EXISTING PATIENTS WHENEVER THEY ARE EXPECTED TO HAVE AN OUT-OF-POCKET LIABILITY. COMPLETE COPIES OF THIS POLICY AND THE MGB UNINSURED PATIENT DISCOUNT AND FINANCIAL ASSISTANCE POLICY WILL ALSO BE MADE AVAILABLE TO PATIENTS AS REQUIRED. BOTH POLICIES WILL ALSO BE POSTED ON THE INTERNET AT WWW.PARTNERS.ORG/PATIENTBILLING WITH LINKS TO THE HOMEPAGES OF ALL HOSPITAL ENTITIES IN READILY IDENTIFIABLE LOCATIONS.
PART VI, LINE 4: MASS GENERAL BRIGHAM IS COMMITTED TO WORKING WITH COMMUNITY RESIDENTS AND ORGANIZATIONS TO MAKE MEASURABLE, SUSTAINABLE IMPROVEMENTS IN THE HEALTH STATUS OF UNDERSERVED POPULATIONS. AS A SYSTEM, MASS GENERAL BRIGHAM MAKES A SIGNIFICANT COMMITMENT TO COMMUNITY HEALTH. THROUGH INITIATIVES THAT INCLUDE ACCESS TO HEALTH CARE, PREVENTION, AND WORKFORCE DEVELOPMENT, MASS GENERAL BRIGHAM AND ITS HOSPITALS ARE MAKING A DIFFERENCE IN THE COMMUNITIES IN WHICH WE LIVE AND WORK. MASS GENERAL BRIGHAM HAS A DEEP COMMITMENT TO COMMUNITY HEALTH CENTERS. SINCE ITS FOUNDING IN 1994, MASS GENERAL BRIGHAM AND ITS HOSPITALS HAVE PROVIDED MORE THAN $83M TO ENSURE THAT HEALTH CENTERS HAVE THE SPACE AND TECHNOLOGY THEY NEED TO PROVIDE PATIENTS WITH EXCELLENT CARE.
PART VI, LINE 5: THE HOSPITALS INCLUDED IN THE MASS GENERAL BRIGHAM SYSTEM HAVE GOVERNING BODIES THAT ARE COMPRISED OF COMMUNITY LEADERS WHO ARE GUIDED BY THE MISSION TO DELIVER EXCELLENCE IN PATIENT CARE, ADVANCE THAT CARE THROUGH INNOVATIVE RESEARCH AND EDUCATION AND IMPROVE THE HEALTH AND WELL-BEING OF THE DIVERSE COMMUNITIES SERVED.SURPLUS FUNDS ARE USED TO FURTHER THE ORGANIZATION'S TAX-EXEMPT MISSIONS OF PATIENT CARE, EDUCATION AND RESEARCH.
PART VI, LINE 6: MASS GENERAL BRIGHAM IS ONE OF THE LARGEST CHARITABLE DIVERSIFIED HEALTH CARE SERVICES ORGANIZATIONS IN THE UNITED STATES, ESTABLISHED IN 1994 BY AN AFFILIATION BETWEEN THE BRIGHAM MEDICAL CENTER, INC., NOW KNOWN AS BRIGHAM, INC., AND THE MASSACHUSETTS GENERAL HOSPITAL IN ORDER TO CREATE AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. MASS GENERAL BRIGHAM CURRENTLY OPERATES TWO TERTIARY AND SEVEN COMMUNITY ACUTE CARE HOSPITALS, HOSPITALS SPECIALIZING IN INPATIENT AND OUTPATIENT SERVICES IN BEHAVIORAL HEALTH, REHABILITATION MEDICINE AND OPHTHALMOLOGY AND OTOLARYNGOLOGY, A HOME HEALTH AGENCY, A NURSING HOME AND A PHYSICIAN NETWORK WITH APPROXIMATELY 7,200 EMPLOYED AND AFFILIATED PRIMARY CARE AND SPECIALTY CARE PHYSICIANS. MASS GENERAL BRIGHAM ALSO OPERATES A NON-PROFIT MANAGED CARE ORGANIZATION AND A FOR-PROFIT INSURANCE COMPANY THAT PROVIDE HEALTH INSURANCE PRODUCTS AND ADMINISTRATIVE SERVICES TO THE MASSACHUSETTS MEDICAID PROGRAM (MASSHEALTH), CONNECTORCARE (A STATE SUBSIDIZED PROGRAM FOR ADULTS WHO MEET INCOME AND IMMIGRATION GUIDELINES) AND COMMERCIAL POPULATIONS. MASS GENERAL BRIGHAM MAINTAINS THE LARGEST NON-UNIVERSITY-BASED, NON-PROFIT, PRIVATE MEDICAL RESEARCH ENTERPRISE IN THE UNITED STATES; ITS HOSPITALS ARE PRINCIPAL TEACHING AFFILIATES OF THE MEDICAL AND DENTAL SCHOOLS OF HARVARD UNIVERSITY; AND IT OPERATES A GRADUATE LEVEL PROGRAM FOR HEALTH SCIENCES.WITH APPROXIMATELY 53,300 FULL-TIME EQUIVALENT EMPLOYEES (FTES), MASS GENERAL BRIGHAM IS ONE OF THE LARGEST PRIVATE EMPLOYERS IN THE COMMONWEALTH OF MASSACHUSETTS. MASS GENERAL BRIGHAM INCORPORATED (F/K/A PARTNERS HEALTHCARE SYSTEM, INC.) AS THE PARENT CORPORATION OF THE MASS GENERAL BRIGHAM SYSTEM, PROVIDES A NUMBER OF SERVICES FOR ITS AFFILIATES, INCLUDING CLINICAL AFFAIRS, COMMUNITY BENEFITS, FINANCE, HUMAN RESOURCES, INFORMATION SYSTEMS, INTERNAL AUDIT, INVESTMENTS, LEGAL, MARKETING, MATERIALS MANAGEMENT, REAL ESTATE, RESEARCH ADMINISTRATION, STRATEGIC PLANNING AND TREASURY. THE FINANCE COMMITTEE OF THE INSTITUTION'S BOARD OF DIRECTORS OVERSEES CENTRALIZED OPERATING AND CAPITAL BUDGET, DEBT MANAGEMENT AND BUSINESS PLANNING PROCESSES FOR THE INSTITUTION AND ALL OF ITS AFFILIATES. CASH AND INVESTMENTS ARE MANAGED CENTRALLY UNDER POLICIES DEVELOPED BY THE INVESTMENT COMMITTEE OF THE INSTITUTION'S BOARD OF DIRECTORS AND REVIEWED BY THE FINANCE COMMITTEE. THE INSTITUTION ALSO COORDINATES THE RESEARCH AND MEDICAL EDUCATION PROGRAMS OF ITS AFFILIATES.
PART VI, LINE 7, REPORTS FILED WITH STATES MA
PART VI, LINE 7: STATE OF FILING COMMUNITY BENEFIT REPORT: EACH OF THE HOSPITALS THAT COMPRISE THE MASS GENERAL BRIGHAM SYSTEM HAS A COMMUNITY BENEFIT PLANNING AND SERVICE DELIVERY STRUCTURE. EACH OF THESE ENTITIES (EXCEPT THE THREE REHABILITATION FACILITIES LISTED IN PART V, SECTION A) HAS FILED SEPARATE COMMUNITY BENEFIT REPORTS WITH ATTORNEY GENERAL OF THE COMMONWEALTH OF MASSACHUSETTS AND THE NEW HAMPSHIRE DEPARTMENT OF JUSTICE IN THE CASE OF WENTWORTH-DOUGLASS HOSPITAL.
Schedule H (Form 990) 2020
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