2024-08-13T07:59:45-05:00 2023-09-30 990 2022-10-01 900656139 MASS GENERAL BRIGHAM INCORPORATED & AFFILIATES GROUP RETURN MASS 8572820747 399 REVOLUTION DRIVE 645 SOMERVILLE MA 021451446 NIYUM GANDHI CFO & TREASURER 8572820747 2024-08-13 1 2022 2024-08-08 14:25:15Z ANNE KLIBANSKI MD 800 BOYLSTON STREET BOSTON MA 02199 22741841955 1 1 5803 X HTTPS://WWW.MASSGENERALBRIGHAM.ORG/ X PATIENT CARE, RESEARCH, EDUCATION AND SERVICE TO THE COMMUNITY LOCALLY AND GLOBALLY. 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SR 50.00 0.00 X 279590 0 60024 DANIEL P DICKSTEIN MD FAAP FORMER K - MCLEAN 50.00 0.00 X 286251 0 45744 MICHAEL J HESSION MD FORMER K - HMA 50.00 0.00 X 244964 0 68324 MARY BETH DIFILIPPO FORMER K - SRH 50.00 0.00 X 249727 0 28660 ROSEMARY HENCHEY FORMER K - NSMC 50.00 0.00 X 233402 0 25836 JAMES R DUPONT FORMER K - IHP 50.00 0.00 X 182422 0 52658 PRISCILLA M ROSS FORMER K - VHCD 50.00 0.00 X 190080 0 37568 SARAH H WELCH FORMER K - IHP 50.00 0.00 X 0 166776 27793 ANGELA BELMONT FORMER K - CDH 50.00 0.00 X 167951 0 16704 ALAMJIT S VIRK MD FORMER K - MVH 50.00 0.00 X 177673 0 1780 LINDA FLAHERTY RN FORMER K - MCLEAN 50.00 0.00 X 142196 0 34868 PARDON R KENNEY MD FORMER K - BWFH 50.00 0.00 X 125360 0 40569 ESTEVAN GARCIA FORMER K - CDH 50.00 0.00 X 152159 0 4983 JANET LARSON MD FORMER K - NWH 50.00 0.00 X 146699 0 8374 ARTHUR L LACHANCE FORMER K - NCH 50.00 0.00 X 102962 0 5356 105154430 54897937 13296314 20368 1 1 0 AYA HEALTHCARE 5930 CORNERSTONE COURT WEST SAN DIEGO CA 92121 STAFFING SERVICES 187909872 CONSIGLI CONSTRUCTION CO INC 72 SUMNER STREET MILFORD MA 01757 CONSTRUCTION SERVICES 116482810 AMN HEALTHCARE INC PO BOX 74007636 CHICAGO IL 606747636 STAFFING SERVICES 106552644 WALSH BROTHERS 210 COMMERCIAL STREET BOSTON MA 02109 CONSTRUCTION SERVICES 42846499 MAXIM HEALTHCARE STAFFING SERVICES INC 12558 COLLECTIONS CTR DR CHICAGO IL 60693 STAFFING SERVICES 28715449 580 30850545 575904403 1183535196 5326553409 58991501 7116843553 PATIENT CARE REVENUE 621110 13082035460 13082035460 OTHER PROGRAM REVENUE 561000 2027396847 2009761698 17635149 TUITION REVENUE 624410 65004379 65004379 CAPITATION REVENUE 621110 60738340 60738340 PARTNERSHIP INCOME 621110 6473487 6387371 86116 2042297 2042297 15243690810 105997339 105997339 19895329 19895329 65623740 0 65623740 65623740 -2367614 67991354 77142555 0 77142555 77142555 77142555 2968864 30850545 8620390 -5651526 -5651526 47652 0 47652 47652 PARKING INCOME 812930 64203366 64203366 CAFETERIA INCOME 722514 36198404 36198404 CONSULTING REVENUE 621500 14247877 14247877 -5017534 -5017534 109632113 22733221565 15235199888 15353651 365824473 662651871 662651871 9245954 9245954 36786503 36786503 105154430 105154430 7848171827 7278462547 510996681 58712599 354601605 332011416 22590189 1150979372 1035496154 99589837 15893381 475894165 438837653 37056512 9662578 8687960 823460 151158 105721 91403 14318 540679 540679 2286396 2286396 1776295917 1607749196 160426930 8119791 7074662 4808882 1097225 1168555 3147817677 2927083265 216720069 4014343 56528545 49876197 6492003 160345 549377533 493488673 53335964 2552896 40161431 35464650 3295917 1400864 12842490 11811858 970420 60212 146052020 99790343 46261677 698732633 628239332 70492817 484 137388319 127875108 9513211 MISCELLANEOUS EXPENSES 3110438181 2319479662 790545591 412928 PROGRAM SUPPORT/SUBSIDY 470685669 423517212 47168457 OTHER RESEARCH EXPENSES 446754370 416335090 30419280 HSN/MEDICAID TAX 255820729 234029480 21791249 72353789 64144462 6184668 2024659 21584405066 19245964871 2241481584 96958611 1 154125078 172896838 583122380 969896488 1686069403 1896511449 3030960 2412660 94763524 98248462 108282756 109450352 14843643854 7707701777 6965223982 7135942077 11502100912 12456123636 2527556198 3135939168 23624275194 25977421130 3167905223 3095581743 4795044818 5083630470 7962950041 8179212213 X 10604731603 11540073495 5056593550 6258135422 15661325153 17798208917 23624275194 25977421130 X 1148816499 984281573 3785692 X X 0 1 X 1 1 1 X X 5 MASS GENERAL BRIGHAM INCORPORATED 043230035 7 1 0 0 BRIGHAM INC 042921338 7 1 0 0 NEWTON-WELLESLEY HOSPITAL INC 042103611 3 1 0 0 COOLEY DICKINSON HOSPITAL INC 222617175 3 1 0 0 WENTWORTH-DOUGLASS HOSPITAL INC 020260334 3 1 0 0 5 0 0 4644652037 3806711641 4950929420 4788110796 7116843554 25307247448 4644652037 3806711641 4950929420 4788110796 7116843554 25307247448 25307247448 147388005 337944923 253243043 276989936 304165037 1319730944 -851976 -1594003 -869679 2453210 2334157 1471709 26628450101 64361193689 0.95040 0.94770 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 0 0 1 540679 0 0 540679 0 LOBBYING EXPENSES THE CORPORATION MAY ON OCCASION REVIEW PROPOSED LEGISLATION FOR THE PURPOSE OF DETERMINING THE EFFECT UPON ITS TAX-EXEMPT PURPOSES. THE CORPORATION MAY ON OCCASION ALSO APPEAR BEFORE A LEGISLATIVE COMMITTEE, CONFER WITH LEGISLATORS OR OTHERWISE ATTEMPT TO INFLUENCE LEGISLATION. HOWEVER, IT WILL NOT PARTICIPATE, IN ANY WAY, IN POLITICAL CAMPAIGNS. THE CORPORATION'S INVOLVEMENT IN LEGISLATIVE ACTIVITIES CONSTITUTES AN INSUBSTANTIAL PART OF ITS ACTIVITIES. THE MAJORITY OF THE FUNDS EXPENDED FOR LOBBYING ACTIVITIES WERE FOR PAYMENTS MADE TO THE MASSACHUSETTS HEALTH & HOSPITAL ASSOCIATION, WHICH DETERMINED THAT DURING FISCAL YEAR 2023 16.01% OF ITS MEMBERSHIP DUES WERE USED FOR LOBBYING PURPOSES. X X 0 3660040943 91762664 344872608 415543023 3681133192 3977610046 150253937 -598171139 -130348099 3660040943 3149754057 110023333 825097143 107264487 3977610046 2984384888 76219426 200255828 111106085 3149754057 2701002998 395855888 118484956 230958954 2984384888 0.36380 0.31690 0.31930 0 1 1 1249200 279483812 280733012 28789309 8809107168 5143088659 3694807818 415606241 208312206 207294035 4324850162 2351469762 1973380400 984557962 4831150 979726812 7135942077 INVESTMENTS IN MGBPH 12456123636 F 12456123636 DUE FROM AFFILIATES 476935993 INV IN NET ASSETS OF AFFILIATES 2592557728 OTHER ASSETS 64708153 INTER-ENTITY NOTE RECEIVABLE 1737294 3135939168 DUE TO AFFILIATES 1055014417 MASS GENERAL BRIGHAM INCORPORATED CAP 3559420343 CURRENT PORTION OF SETTLEMENT 92829768 UNEXPENDED FUNDS ON RESEARCH GRANTS 376365942 5083630470 X PART X, LINE 2: THERE IS NO FIN 48 (ASC 740) FOOTNOTE DISCLOSURE IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF MASS GENERAL BRIGHAM INCORPORATED AND AFFILIATES. COLLECTIONS OF ART, HISTORICAL TREASURES OR OTHER SIMILAR ASSETS: THE ORGANIZATION MAINTAINS COLLECTIONS OF ART, HISTORICAL TREASURES OR OTHER SIMILAR ASSETS. THE COLLECTIONS ARE COMPRISED PRINCIPALLY OF MEDICAL ARTIFACTS AND ANTIQUITIES INCLUDING SURGICAL EQUIPMENT. THE COLLECTIONS ALSO INCLUDE WORKS OF ART INCLUDING SCULPTURES, PICTURES, PORTRAITS AND PLAQUES. THESE ITEMS WERE OBTAINED BY THE ORGANIZATION OVER MANY YEARS PRIMARILY THROUGH DONATIONS. THE VALUE OF THESE ITEMS IS NOT CONSIDERED MATERIAL TO THE FINANCIAL STATEMENTS OF THE ORGANIZATION. COLLECTIONS OF ART, HISTORICAL TREASURES OR OTHER SIMILAR ASSETS: THE ORGANIZATION'S COLLECTION EXPLORES THE EVOLUTION OF HEALTHCARE AND MEDICINE AT MASSACHUSETTS GENERAL HOSPITAL (MGH). EXHIBITS AND PROGRAMS ALLOW VISITORS TO FOLLOW MGH'S HISTORY OF RESEARCH, PATIENT CARE AND MEDICAL DISCOVERY ACROSS THREE CENTURIES AND ARE IN FURTHERANCE OF THE ORGANIZATIONS TEACHING MISSION. INTENDED USE OF ENDOWMENTS THE ENDOWMENT FUNDS OF MASS GENERAL BRIGHAM INCORPORATED AND AFFILIATES ARE USED IN FURTHERANCE OF ITS TAX-EXEMPT MISSIONS OF PATIENT CARE, RESEARCH AND EDUCATION. 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 SCHEDULE E QUESTION 3 THE INSTITUTE PUBLISHES ITS NON-DISCRIMINATORY POLICY IN ITS ONLINE CATALOG, STUDENT HANDBOOK, AND PROGRAM MANUALS ON ITS WEBSITE, WWW.MGHIHP.EDU; THE CATALOG, STUDENT HANDBOOK, AND PROGRAM MANUALS CAN BE PROVIDED IN PRINTED FORMAT UPON REQUEST. AS PART OF ITS ORIENTATION, THE INSTITUTE NOTIFIES NEWLY MATRICULATED STUDENTS REGARDING THE WEB ADDRESS OF THE ONLINE CATALOG, STUDENT HANDBOOK, AND PROGRAM MANUALS. CONTINUING STUDENTS ALSO RECEIVE AN ANNUAL NOTICE REGARDING THE LOCATION OF THESE ONLINE DOCUMENTS. INDIVIDUALS INQUIRING ABOUT THE INSTITUTE'S PROGRAMS RECEIVE PROGRAM INFORMATION THAT STATES THE INSTITUTE'S NON-DISCRIMINATORY POLICY. THE INSTITUTE'S APPLICATION FOR ADMISSION ALSO INCLUDES A STATEMENT ON THIS POLICY. ALSO, TRI-ANNUALLY, ALL CURRENTLY ACTIVE STUDENTS ARE SENT A NOTICE WHICH INCLUDES OUR DISCRIMINATION INFORMATION. SCHEDULE E LINE 6A YES. THE INSTITUTE PARTICIPATES IN TITLE IV FEDERAL STUDENT AID, SPECIFICALLY IN THE DIRECT LENDING PROGRAM. THE INSTITUE EXTENDS FINANCIAL ASSISTANCE TO STUDENTS IN THE FORM OF GRANTS, LOANS, GRADUATE ASSISTANTSHIPS AND SCHOLARSHIPS IN ACCORDANCE WITH INSTITUTIONAL AND FEDERAL POLICY. THE SELECTION FROM THE QUALIFIED STUDENT POPULATION FOR GRANT AND SCHOLARSHIP AID IS BASED ON MERIT AND/OR NEED, AS SPECIFIED BY THE CRITERIA OF EACH GRANT AND SCHOLARSHIP. STUDENTS INDEPENDENTLY APPLY FOR GRADUATE ASSISTANTSHIPS AND ARE INFORMED OF SUCH OPPORTUNITIES AS THEY ARISE. LOAN QUALIFICATIONS ARE DETERMINED IN ACCORDANCE WITH FEDERAL POLICY. FINANCIAL AID AWARDS ARE MADE ON A NON-DISCRIMINATORY BASIS. 0 CENTRAL AMERICA & THE CARRIBEAN 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 5220 CENTRAL AMERICA & THE CARRIBEAN 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 668090 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 1157286 EAST ASIA AND THE PACIFIC 0 1 PROGRAM SERVICES INTERNATIONAL GRANTS 5064876 EUROPE 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 2418311 EUROPE 0 0 PROGRAM SERVICES FOREIGN INSURANCE 714877 EUROPE 0 1 PROGRAM SERVICES INTERNATIONAL GRANTS 8834878 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 99491 MIDDLE EAST AND NORTH AFRICA 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 170392 NORTH AMERICA 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 609434 NORTH AMERICA 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 5708209 RUSSIA AND THE NEIGHBORING STATES 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 5575 RUSSIA AND THE NEIGHBORING STATES 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS SOUTH AMERICA 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 11980 SOUTH AMERICA 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 1374709 SOUTH ASIA 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 979927 SOUTH ASIA 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 2581396 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES PAT. CARE, RESEARCH & EDUCATION 263189 SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES INTERNATIONAL GRANTS 12383952 0 2 0 0 0 2 18963029 24088763 43051792 CENTRAL AMERICA & THE CARRIBEAN RESEARCH 487300 WIRE TRANSFER 0 EAST ASIA AND THE PACIFIC RESEARCH 4759587 WIRE TRANSFER 0 EUROPE RESEARCH 7765186 WIRE TRANSFER 0 MIDDLE EAST AND NORTH AFRICA RESEARCH 158517 WIRE TRANSFER 0 NORTH AMERICA RESEARCH 5346422 WIRE TRANSFER 0 SOUTH AMERICA RESEARCH 1281891 WIRE TRANSFER 0 SOUTH ASIA RESEARCH 2548111 WIRE TRANSFER 0 SUB-SAHARAN AFRICA RESEARCH 11961304 WIRE TRANSFER 0 MEDICAL RESEARCH CENTRAL AMERICA & THE CARRIBEAN 16 180790 WIRE TRANSFER MEDICAL RESEARCH EAST ASIA AND THE PACIFIC 21 305289 WIRE TRANSFER MEDICAL RESEARCH EUROPE 114 1069691 WIRE TRANSFER MEDICAL RESEARCH MIDDLE EAST AND NORTH AFRICA 3 11875 WIRE TRANSFER MEDICAL RESEARCH NORTH AMERICA 67 361787 WIRE TRANSFER MEDICAL RESEARCH RUSSIA AND NEIGHBORING STATES 0 0 WIRE TRANSFER MEDICAL RESEARCH SOUTH AMERICA 9 92818 WIRE TRANSFER MEDICAL RESEARCH SOUTH ASIA 9 33285 WIRE TRANSFER MEDICAL RESEARCH SUB-SAHARAN AFRICA 96 422650 WIRE TRANSFER 0 0 1 0 0 1 PART III ACCOUNTING METHOD: ACCOUNTING METHOD THE ORGANIZATION USES THE ACCRUAL METHOD TO REPORT FOREIGN EXPENDITURES TO BE CONSISTENT WITH THE REPORTING USED FOR THE FINANCIAL STATEMENTS. MONITORING OF FUNDS RESEARCH GRANTS PROVIDED TO FOREIGN ORGANIZATIONS IN THE FORM OF A STANDARD SUBCONTRACT AGREEMENT CONVEY THE AWARD TERMS AND CONDITIONS INCLUDING REPORTING REQUIREMENTS OF THE ORIGINATING FEDERAL, FOUNDATION OR INDUSTRY SPONSOR. AS SUCH, THE FOREIGN ORGANIZATION IS REQUIRED TO FULLY COMPLY WITH THE TERMS OF THE SUBCONTRACT AS A CONDITION OF INITIAL AND ON-GOING PARTICIPATION IN THE RESEARCH PROGRAM. NEW FOREIGN ORGANIZATIONS ARE REQUIRED TO DEMONSTRATE ADMINISTRATIVE, FINANCIAL, AND PROGRAMMATIC CAPACITY TO MANAGE SUBCONTRACT TERMS PRIOR TO EXECUTING AGREEMENTS. MASS GENERAL BRIGHAM ROUTINELY MONITORS SUBCONTRACTS ISSUED TO FOREIGN ORGANIZATIONS AND CONVENES AN ANNUAL MEETING TO REPORT RESULTS TO MASS GENERAL BRIGHAM RESEARCH MANAGEMENT AND COMPLIANCE LEADERSHIP. 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FACILITY 10 NANTUCKET COTTAGE HOSPITAL 57 PROSPECT STREET NANTUCKET MA 02554 HTTPS://NANTUCKETHOSPITAL.ORG/ 04-2103823 X X 11 MARTHA'S VINEYARD HOSPITAL INC LINTON LANE PO BOX 1477 OAK BLUFFS MA 02557 HTTPS://MVHOSPITAL.ORG/ 04-2104691 X X X 13 COOLEY DICKINSON HOSPITAL INC 30 LOCUST STREET NORTHHAMPTON MA 01060 HTTPS://WWW.COOLEYDICKINSON.ORG/ 22-2617175 X X X 14 WENTWORTH-DOUGLASS HOSPITAL 789 CENTRAL AVENUE DOVER NH 03820 HTTPS://WWW.WDHOSPITAL.ORG/WDH 02-0260334 X X X 15 MASSACHUSETTS EYE & EAR INFIRMARY 243 CHARLES STREET BOSTON MA 02114 HTTPS://WWW.MASSEYEANDEAR.ORG/ 04-2103591 X X X X THE GENERAL HOSPITAL CORPORATION 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 THE BRIGHAM AND WOMEN'S HOSPITAL INC 2 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 NORTH SHORE MEDICAL CENTER INC 3 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 NEWTON-WELLESLEY HOSPITAL 4 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 BRIGHAM AND WOMEN'S FAULKNER HOSPITAL 5 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 THE MCLEAN HOSPITAL CORPORATION 6 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 THE SPAULDING REHABILITATION HOSPITAL 7 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 22 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 REHABILITATION HOSPITAL OF THE CAPE 8 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 SPAULDING HOSPITAL-CAMBRIDGE INC 9 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 NANTUCKET COTTAGE HOSPITAL 10 0 0 1 X X X X X X X X X 20 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 20 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 MARTHA'S VINEYARD HOSPITAL 11 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 COOLEY DICKINSON HOSPITAL INC 13 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X X 1 X 0 0 WENTWORTH-DOUGLASS HOSPITAL 14 0 0 1 X X X X X X X X X 21 1 0 1 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X 1 1 X X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X X 1 X 0 X X X 1 0 0 MASSACHUSETTS EYE & EAR INFIRMARY 15 0 0 1 X X X X X X X X X 21 1 0 0 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X 1 21 1 SEE SCHEDULE H SUPPLEMENTAL INFO 0 1 X 150.000000000000 300.000000000000 X X X X 1 1 X X X 1 X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X SEE SCHEDULE H SUPPLEMENTAL INFO X X X X X 1 X 0 X 1 X 0 0 THE GENERAL HOSPITAL CORPORATION PART V, SECTION B, LINE 5: IN EACH COLLABORATIVE, PARTICIPANTS ENGAGED COMMUNITY ORGANIZATIONS, LOCAL OFFICIALS, SCHOOLS, HEALTH CARE PROVIDERS, BUSINESS, FAITH COMMUNITIES, AND COMMUNITY RESIDENTS, IN AN APPROXIMATELY YEAR-LONG PROCESS, ABOUT THE 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 MULTILINGUAL (SIX LANGUAGES) COMMUNITY SURVEYS WITH 1,895 TOTAL RESPONDENTS TO; 33 FOCUS GROUPS WITH 334 COMMUNITY RESIDENTS; AND, 91 KEY INFORMANT INTERVIEWS WITH ORGANIZATIONAL, GOVERNMENT, AND COMMUNITY LEADERS. REVIEW OF SECONDARY DATA FROM MULTIPLE CITY, 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. THE BRIGHAM AND WOMEN'S HOSPITAL, INC PART V, SECTION B, LINE 5: PRIMARY DATA2 COLLECTION FOR THE BCCC WAS LED BY THE COMMUNITY ENGAGEMENT WORK GROUP (CEWG), WHICH INCLUDED 24 MEMBERS REPRESENTING A RANGE OF ORGANIZATIONS. FROM OCTOBER 2021 TO MARCH 2022, CEWG MEMBERS AND THEIR PARTNERS CONDUCTED 29 VIRTUAL AND IN-PERSON FOCUS GROUP DISCUSSIONS WITH A TOTAL OF 309 RESIDENTS. SOME FOCUS GROUPS WERE CONDUCTED IN LANGUAGES OTHER THAN ENGLISH, INCLUDING SPANISH, CHINESE, AND VIETNAMESE. THE FOCUS GROUPS ENGAGED A BROAD RANGE OF INDIVIDUALS INCLUDING YOUNG PEOPLE, OLDER ADULTS, PERSONS WITH DISABILITIES, UNDER-RESOURCED INDIVIDUALS AND FAMILIES, LGBTQIA+ POPULATIONS, RACIALLY/ETHNICALLY DIVERSE POPULATIONS, LIMITED-ENGLISH SPEAKERS, IMMIGRANT AND ASYLEE COMMUNITIES, FAMILIES AFFECTED BY INCARCERATION AND/OR VIOLENCE, AND VETERANS. IN ADDITION TO FOCUS GROUPS, BCCC CONDUCTED 62 KEY INFORMANT INTERVIEWS. KEY INFORMANTS WERE LEADERS AND STAFF FROM MANY SECTORS INCLUDING PUBLIC HEALTH, HEALTH CARE, BEHAVIORAL HEALTH, THE FAITH COMMUNITY, IMMIGRANT SERVICES, HOUSING ORGANIZATIONS, ECONOMIC DEVELOPMENT, COMMUNITY DEVELOPMENT, RACIAL JUSTICE ORGANIZATIONS, SOCIAL SERVICE ORGANIZATIONS, EDUCATION, COMMUNITY COALITIONS, THE BUSINESS COMMUNITY, CHILDCARE CENTERS, ELECTED GOVERNMENT OFFICES, AND OTHERS. TO NOTE, THE BCCC USES THE TERM "RESIDENTS" TO REFER TO PARTICIPANTS IN FOCUS GROUPS, INTERVIEWS, AND COMMUNITY LISTENING SESSIONS. THIS REPORT HAS ADOPTED THE SAME LANGUAGE WHEN REFERENCING PRIMARY DATA FROM THE BCCC REPORT. AFTER COMPLETION, CEWG MEMBERS SUMMARIZED KEY THEMES FROM THEIR DISCUSSIONS. THESE SUMMARIES WERE ANALYZED TO IDENTIFY COMMON THEMES AND SUB-THEMES ACROSS POPULATION GROUPS AND THE UNIQUE CHALLENGES AND PERSPECTIVES IDENTIFIED BY POPULATIONS AND SECTORS, WITH AN EMPHASIS ON DIVING DEEP INTO THE ROOT CAUSES OF INEQUITIES. FREQUENCY AND INTENSITY OF TOPIC SPECIFIC DISCUSSIONS WERE KEY INDICATORS USED TO EXTRACT MAIN THEMES. NORTH SHORE MEDICAL CENTER, INC. PART V, SECTION B, LINE 5: THE 2022 CHNA WAS DEVELOPED USING THREE DATA SOURCES: 1) SECONDARY DATA (E.G., FROM THE HOSPITAL AND HEALTH SYSTEM, U.S. CENSUS BUREAU, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH) PROVIDED DEMOGRAPHIC DATA, AS WELL AS INFORMATION ABOUT THE HEALTH AND BEHAVIORAL HEALTH OF RESIDENTS, AND THE SOCIAL DETERMINANTS OF HEALTH AFFECTING THEM. 2) EIGHT FOCUS GROUPS WERE CONDUCTED ONLINE WITH 51 COMMUNITY LEADERS WITH EXPERIENCE IN/WITH COMMUNITY HEALTH CENTERS; HEALTH CARE ADVOCACY AND PUBLIC HEALTH; ELDER SERVICES; YOUTH SERVICES; MENTAL HEALTH AND SUBSTANCE USE DISORDERS; IMMIGRANT SERVICES; HOUSING; AND FOOD SECURITY. THE HOUR-LONG GROUPS WERE CONDUCTED VIA ZOOM AND UTILIZED A SEMI-STRUCTURED INTERVIEW GUIDE. THE DATA WERE ANALYZED FOR COMMON AND DIVERGENT THEMES AND ILLUSTRATIVE QUOTES. 3) A COMMUNITY SURVEY WAS ADMINISTERED BETWEEN JULY 28 THROUGH AUGUST 19 AND AVAILABLE IN MULTIPLE LANGUAGES: ENGLISH, SPANISH, PORTUGUESE (EUROPEAN AND BRAZILIAN), HAITIAN CREOLE, CHINESE (MANDARIN/CANTONESE), ARABIC, RUSSIAN, AND KHMER/CAMBODIAN. DATA FROM 686 RESPONSES WERE ANALYZED USING EXCEL AND SPSS (STATISTICAL PACKAGE FOR SOCIAL SCIENCE). NEWTON-WELLESLEY HOSPITAL PART V, SECTION B, LINE 5: THE CHNA USED A PARTICIPATORY, COLLABORATIVE APPROACH AND EXAMINED HEALTH IN ITS BROADEST CONTEXT. THIS WAS ONLY POSSIBLE DUE TO THE RELATIONSHIP-BUILDING WITH COMMUNITY PARTNERS THAT NWH HAS BEEN DEDICATED TO FOR YEARS. IN 2017, NWH STARTED THE NEWTON-WELLESLEY COLLABORATIVE FOR HEALTHY FAMILIES AND COMMUNITIES (NOW CALLED THE NWH COMMUNITY COLLABORATIVE) TO BRING SERVICES AND RESOURCES DIRECTLY TO COMMUNITIES IN NEED IN THE NWH SERVICE AREA, AND TO LIFT UP VOICES OF COMMUNITY LEADERS TO IMPROVE ACCESS TO QUALITY HEALTHCARE. FOLLOWING THE 2018 CHNA-CHIP PROCESS, THE NWH COMMUNITY COLLABORATIVE, UNDER THE COMMUNITY BENEFITS LEADERSHIP GUIDANCE, FORMED EIGHT COUNCILS OVER THE DURATION OF THE NEXT FEW YEARS AROUND THE FOCUS AREAS IDENTIFIED BY THE 2018 CHNA. EACH COUNCIL HAS APPROXIMATELY 20 MEMBERS AND INCLUDES NWH HEALTH CARE PROVIDERS, COMMUNITY PARTNERS, AND VOLUNTEER COMMUNITY MEMBERS; AND HAVE LEADERSHIP FROM A COMMUNITY CHAIR AND HOSPITAL CHAMPION. THE EIGHT COUNCILS ARE: CARDIOVASCULAR COUNCIL DOMESTIC AND SEXUAL ABUSE COUNCIL ELDER CARE COUNCIL MATERNITY SERVICES COUNCIL PALLIATIVE CARE COUNCIL THE RESILIENCE COUNCIL SUBSTANCE USE SERVICES COUNCIL WORKFORCE DEVELOPMENT COUNCIL EACH COUNCIL MEETS THREE TIMES PER YEAR TO ADDRESS COMMUNITY NEEDS AND IMPLEMENT COMMUNITY HEALTH PRIORITIES, INFORMED BY PREVIOUS 2018 AND 2021 CHIP STRATEGIES AND 2018 AND 2021 CHNA DATA. IN PARTICULAR, THE HEALTH OF WALTHAM RESIDENTS WAS A PRIORITY AREA IN THE 2018 CHIP, SO PARTNERSHIPS BETWEEN COMMUNITY-BASED ORGANIZATIONS IN WALTHAM AND NWH HAVE BEEN BUILDING SINCE THEN. A SILVER LINING OF THE COVID-19 PANDEMIC HAS BEEN A STRENGTHENING OF THESE PARTNERSHIPS, DUE TO THE URGENT NEED FOR COLLABORATION BETWEEN COMMUNITIES AND HEALTHCARE AND SERVICE PROVIDERS DURING THIS HISTORIC TIME. FOR THE 2022 CHNA-SIP, ADDITIONAL PERSPECTIVES FROM THE SERVICE AREA COMMUNITIES WERE SOUGHT TO GUIDE THE PROCESS. ELEVEN COMMUNITY LEADERS AND ADVOCATES WERE ENGAGED TO WORK ALONGSIDE THE ESTABLISHED 22 MEMBERS OF THE NWH COMMUNITY BENEFITS COMMITTEE (CBC) TO PROVIDE STRATEGIC OVERSIGHT OF THE CHNA-SIP PROCESS. TOGETHER, THE COMMUNITY BENEFITS COMMITTEE PLUS (CBC+) COMPRISES COMMUNITY STAKEHOLDERS FROM THE HOSPITAL SERVICE AREA AND NWH STAFF AND ADMINISTRATORS INVOLVED IN STRATEGIC PLANNING AND COMMUNITY BENEFITS EFFORTS. THE CBC+ GUIDED SEVERAL PARTS OF THE ASSESSMENT INCLUDING HELP DESIGNING THE CHNA METHODOLOGY, RECOMMENDING SOURCES OF SECONDARY DATA, SERVING AS TRUSTED COMMUNITY ORGANIZERS FOR RECRUITING PARTICIPANTS FOR FOCUS GROUPS AND INTERVIEWS, AND VOICING THE NEEDS AND STRENGTHS OF THEIR COMMUNITIES DURING THE PRIORITIZATION PROCESS. BRIGHAM AND WOMEN'S FAULKNER HOSPITAL PART V, SECTION B, LINE 5: FOR THE 2022 CHNA-CHIP, BWFH PARTICIPATED IN THE BOSTON CHNA-CHIP COLLABORATIVE ("THE COLLABORATIVE OR "BCCC"), A JOINT INITIATIVE BRINGING MULTIPLE STAKEHOLDERS TOGETHER TO ASSESS THE TOP PRIORITY COMMUNITY HEALTH ISSUES IN BOSTON AND IDENTIFY OPPORTUNITIES FOR SHARED IMPLEMENTATION. PARTICIPANTS INCLUDE COMMUNITY MEMBERS, COMMUNITY ORGANIZATIONS, COMMUNITY HEALTH CENTERS, THE BOSTON PUBLIC HEALTH COMMISSION, AND CONFERENCE OF BOSTON TEACHING HOSPITAL (COBTH) MEMBERS. THE COLLABORATIVE CONDUCTED 62 INTERVIEWS WITH BOSTON ORGANIZATIONS AND COMMUNITY LEADERS. THESE REPRESENTED A CROSS-SECTION OF SECTORS TO IDENTIFY AREAS OF ACTION AND PERSPECTIVES ON THE COMMUNITY. THESE INTERVIEWEES INCLUDED LEADERS AND STAFF FROM PUBLIC HEALTH, HEALTH CARE, BEHAVIORAL HEALTH, THE FAITH COMMUNITY, IMMIGRANT SERVICES, HOUSING ORGANIZATIONS, ECONOMIC DEVELOPMENT, COMMUNITY DEVELOPMENT, RACIAL JUSTICE ORGANIZATIONS, SOCIAL SERVICE ORGANIZATIONS, EDUCATION, COMMUNITY COALITIONS, THE BUSINESS COMMUNITY, CHILDCARE CENTERS, ELECTED GOVERNMENT OFFICES, AND OTHERS. ALSO FACILITATED WERE 29 FOCUS GROUPS WITH A DIVERSE CROSS-SECTION OF COMMUNITY MEMBERS AND REVIEWED SECONDARY DATA. ADDITIONALLY, COLLABORATIVE MEMBERS CONDUCTED FOUR 90-MINUTE VIRTUAL COMMUNITY LISTENING SESSIONS IN JANUARY 2022. A TOTAL OF 122 COMMUNITY MEMBERS PARTICIPATED IN THESE FOUR SESSIONS. THESE SESSIONS OCCURRED MID-WAY INTO THE CHNA PROCESS AND PROVIDED AN OPPORTUNITY TO GATHER FEEDBACK AND INSIGHTS ON PRELIMINARY DATA FINDINGS AND POTENTIAL PRIORITIES AT THIS POINT IN TIME. DURING THESE SESSIONS, COLLABORATIVE MEMBERS SHARED PRELIMINARY THEMES FROM FOCUS GROUPS, INTERVIEWS, AND THE REVIEW OF SECONDARY DATA. THE PARTICIPANTS DISCUSSED THEIR REACTIONS AND FEEDBACK TO THESE PRELIMINARY FINDINGS IN SMALL GROUPS AND IDENTIFIED AREAS THAT WERE THEIR HIGHEST PRIORITY FOR ACTION. TO COMPLEMENT THIS DATA, WITH BRIGHAM AND WOMEN'S HOSPITAL, THERE WERE NINE ADDITIONAL KEY INFORMANT INTERVIEWS, EIGHT DISCUSSION GROUPS AND WRITTEN INPUT FROM SIX KEY INFORMANTS FROM THE BWFH COMMUNITY. HOSPITAL SPECIFIC PATIENT DATA AND OTHER SECONDARY SOURCES WERE ALSO REVIEWED TO HELP PROVIDE THE MOST EXTENSIVE AND FULL ASSESSMENT OF INFORMATION. LASTLY AS PART OF OUR TARGETED COMMUNITY ENGAGEMENT, BWFH AND MASS GENERAL HOSPITAL CONDUCTED A COMMUNITY HEALTH CONVENIENCE SURVEY, WITH 494 RESPONDENTS, TO GATHER ADDITIONAL INFORMATION ABOUT TOP HEALTH CONCERNS, COVID IMPACTS AND CHALLENGES, BARRIERS TO HEALTHCARE AND MOBILE HEALTH CARE. THE FOLLOWING ARE THE PARAMETERS OF THE SURVEY: ADMINISTERED IN PERSON (ANONYMOUS PAPER SURVEY) AT BWFH EVENTS AND ON-LINE USING REDCAP TRANSLATED INTO SPANISH, PORTUGUESE, HAITIAN CREOLE, TRADITIONAL CHINESE, AND SIMPLIFIED CHINESE CONVENIENCE SAMPLING ONLINE SURVEY PROMOTED THROUGH MGH CCHI SOCIAL MEDIA ACCOUNTS (FACEBOOK AND INSTAGRAM) AND IN THE COMMUNITY BY BWFH STAFF SURVEY ADMINISTRATION FROM JANUARY 15, 2022-MARCH 25, 2022 14 QUESTIONS TOTAL, 4 OPEN-ENDED, 6 DEMOGRAPHIC QUESTIONS. THE MCLEAN HOSPITAL CORPORATION PART V, SECTION B, LINE 5: DUE TO MCLEAN'S HIGHLY SPECIALIZED MISSION AND SERVICES, AS WELL AS WHERE MCLEAN PATIENTS AT ALL LEVELS OF CARE LIVE IN MASSACHUSETTS, WE RELY ON COMMUNITY, REGIONAL AND STATE-WIDE PUBLIC HEALTH AND COMMUNITY NEEDS ASSESSMENTS AND FEEDBACK FROM THE COMMUNITY HEALTH NETWORK AREA 17 (CHNA 17) WHICH SERVES THE COMMUNITIES OF ARLINGTON, BELMONT, CAMBRIDGE, SOMERVILLE, WALTHAM AND WATERTOWN. THE SPAULDING REHABILITATION HOSPITAL PART V, SECTION B, LINE 5: IN FY22, AN INTERNAL WORKING GROUP 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 FISCAL YEAR, FY21 (OCTOBER 1, 2020 SEPTEMBER 30, 2021); 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 2030 (HP2030). THE PATIENT AND COMMUNITY DATA WERE USED IN FORMULATING THE COMMUNITY BENEFIT PRIORITIES, GOAL, OBJECTIVES, AND TARGET COMMUNITIES AND TO OUTLINE THE PROGRESS MADE IN THE 2018 CHNA. REHABILITATION HOSPITAL OF THE CAPE PART V, SECTION B, LINE 5: SPAULDING CAPE COD'S 2022 CHNA RELIED UPON DATA FROM THE FOLLOWING SOURCES: PATIENT DATA: DE-IDENTIFIED DATA OF PATIENTS WHO RECEIVED CARE AT SPAULDING CAPE COD'S INPATIENT AND OUTPATIENT SITES WHO WERE DISCHARGED BETWEEN OCTOBER 1, 2020 AND SEPTEMBER 30, 2021 (FISCAL YEAR 2021) WERE ANALYZED TO INFORM SELECTION OF THE HOSPITAL'S TARGET COMMUNITY AND VULNERABLE POPULATIONS. U.S. CENSUS DATA: THE 2020 U.S. CENSUS AND AMERICAN COMMUNITY SURVEY DATA WERE USED TO UNDERSTAND THE DEMOGRAPHICS AND NEEDS RELATED TO THE SOCIAL DETERMINANTS OF HEALTH IN THE TARGET COMMUNITIES. KEY INFORMANT INPUT: STAKEHOLDERS WHO HAVE EXPERTISE AND INVOLVEMENT WITH TARGET POPULATIONS AND RELEVANT COMMUNITY ORGANIZATIONS MET AS AN ADVISORY COUNCIL TO PROVIDE INPUT ON PRIORITY AREAS. SPAULDING HOSPITAL-CAMBRIDGE, INC. PART V, SECTION B, LINE 5: IN FY 21, 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. THIS YEAR'S ASSESSMENT WAS MORE CHALLENGING DUE TO THE CHANGES WE HAVE EXPERIENCED WITH OUR INPATIENT POPULATIONS AND THE INABILITY TO PROVIDE OUR COMMUNITY BENEFIT PROGRAMS DUE TO THE COVID PANDEMIC. THIS YEARS' ASSESSMENT UTILIZED A COLLABORATIVE AND DYNAMIC APPROACH TO REVIEW AVAILABLE SPAULDING HOSPITAL CAMBRIDGE DATA (FY 2021), A REVIEW OF PUBLICLY AVAILABLE HEALTH AND DEMOGRAPHIC DATA INCLUDING THE CITY OF CAMBRIDGE COMMUNITY HEALTH ASSESSMENT (JULY 2020) AND THE MASS GENERAL BRIGHAM SYSTEM PRIORITIES. BASED ON THE ASSESSMENT FINDINGS THE WORKING GROUP REFINED THE COMMUNITY BENEFIT AGENDA FROM 2019. 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 POPULATIONS: THOSE PERSONS WITH COMPLEX AND CHRONIC HEALTH CONDITIONS AND PERSONS LIVING WITH DISABILITY. BOTH QUANTITATIVE AND QUALITATIVE DATA WERE COLLECTED FOR THE COMMUNITY HEALTH ASSESSMENT 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 HEATH 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 THE FY 19 BEFORE THE COVID PANDEMIC PLACED MANY OF OUR COMMUNITY BENEFIT PROGRAMS ON HOLD. 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, 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: BASED UPON THE CHNA PLAN DEVELOPED BY THE CAC AT ITS MAY 31, 2022 MEETING, THE CHNA METHODOLOGY INVOLVED THE FOLLOWING DATA SOURCES AND METHODS. (1) A REVIEW OF SECONDARY DATA FROM PUBLICLY AVAILABLE STATE AND FEDERAL SOURCES (E.G., U.S. CENSUS BUREAU, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH), AS WELL AS MVH'S OWN DATA. THE SECONDARY DATA REVIEW PROVIDED INFORMATION ABOUT THE DEMOGRAPHICS OF RESIDENTS, HEALTH AND BEHAVIORAL HEALTH RISKS AND CONDITIONS, AND SOCIAL DETERMINANTS OF HEALTH AFFECTING THEM. THE MOST RECENTLY AVAILABLE DATA SOURCES WERE USED WHENEVER POSSIBLE (E.G., THE 2021 AMERICAN COMMUNITY SURVEY VERSUS THE 2020 CENSUS) TO PROVIDE ESTIMATES CLOSER TO THE CURRENT REALITY ON THE ISLAND. HOWEVER, OLDER SOURCES WERE USED WHEN MORE RECENT DATA WERE NOT AVAILABLE. FOR EXAMPLE, CENSUS DATA FOR THE INDIVIDUAL COMMUNITIES WITHIN THE TARGET AREA AND FOR SOME VARIABLES DISCUSSED IN THIS REPORT ARE ONLY AVAILABLE FOR TIME PERIODS EARLIER THAN 2021. (2) THE MARTHA'S VINEYARD COMMUNITY SURVEY WAS ADMINISTERED PRIMARILY AS AN ONLINE SURVEY IN ENGLISH AND PORTUGUESE WITH SOME SURVEYS COMPLETED IN HARD COPY. THE SURVEY WAS ADMINISTERED BETWEEN JULY 18, 2022 AND AUGUST 12, 2022 AND RECEIVED 455 RESPONSES. THE MAJORITY OF RESPONDENTS (N=432 OR 94.9%) REPORTED THAT ENGLISH IS THEIR PRIMARY LANGUAGE WHILE 23 (5.1%) INDICATED THAT PORTUGUESE IS THEIR PRIMARY LANGUAGE.2 YEAR-ROUND RESIDENTS COMPRISED (N=362) 79.5% OF SURVEY RESPONDENTS. QUANTITATIVE DATA ANALYSIS WAS CONDUCTED USING EXCEL AND SPSS AND OPEN-TEXT RESPONSES WERE REVIEWED FOR COMMON AND DIVERGENT THEMES. (3) KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH 18 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 ABOUT 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. IN ADDITION, THE CHNA DEVELOPMENT PROCESS ALSO INCLUDED DATA OBTAINED IN PARTNERSHIP WITH THE UNIVERSITY OF NEW HAMPSHIRE SURVEY CENTER. THE SURVEY CENTER CONDUCTED A WEB AND TEXT-BASED COMMUNITY HEALTH ASSESSMENT SURVEY WITH 519 PARTICIPANTS FROM WDH'S SERVICE AREA. THIS DATA WAS USED TO SUPPLEMENT VERIT'S DATA ANALYSIS. INPUT FROM 42 INDIVIDUALS, FROM 25 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: THE 2022 MASS. EYE AND EAR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) RELIED UPON THE FOLLOWING DATA SOURCES: (1) SECONDARY DATA: FOR MOST MASSACHUSETTS HOSPITALS, COMMUNITY-LEVEL DATA AVAILABLE THROUGH THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH AND BOSTON PUBLIC HEALTH COMMISSION ARE USEFUL IN UNDERSTANDING THE SPECIFIC HEALTH NEEDS OF COMMUNITIES AND THOSE IN WHICH DISPARITIES EXIST. THESE DATA ARE TYPICALLY USED TO SELECT VULNERABLE COMMUNITIES AND POPULATIONS AND TO TARGET SERVICES TO ADDRESS PARTICULAR HEALTH ISSUES AND DISPARITIES. BECAUSE NEITHER THE BOSTON PUBLIC HEALTH COMMISSION NOR THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH COLLECT AND REPORT DATA ON VISION, HEARING AND OTHER HEAD AND NECK CONDITIONS IN MASSACHUSETTS COMMUNITIES, MASS. EYE AND EAR RELIED ON THE FOLLOWING SOURCES TO INFORM ITS 2022 CHNA: PATIENT DATA: MOST GENERAL HOSPITALS SELECT PRIORITY COMMUNITIES WITHIN THEIR EXISTING SERVICE AREA AS THE FOCUS OF THEIR CHNA. AS A PROVIDER OF SPECIALTY CARE TO PATIENTS FROM AROUND THE WORLD, ACROSS THE U.S., AND ALL AREAS OF MASSACHUSETTS, MASS. EYE AND EARS' SERVICE AREA IS MORE EXPANSIVE. WITH THE EXCEPTION OF THE MISSION HILL NEIGHBORHOOD OF BOSTON, WHERE MASS. EYE AND EAR'S LONGWOOD FACILITY IS LOCATED, THE HOSPITAL RELIED UPON ANALYSIS OF 12 MONTHS OF ITS OWN (DE-IDENTIFIED) PATIENT DATA TO BETTER UNDERSTAND THE POPULATION SERVED BY THE HOSPITAL AND DEFINE ITS TARGET COMMUNITY. BETWEEN MARCH 1, 2020 AND FEBRUARY 28, 2021, 146,557 PATIENTS UTILIZED SERVICES AT MASS. EYE AND EAR'S MAIN CAMPUS AND ITS LONGWOOD FACILITY. THESE DATA PROVIDED A REPRESENTATIVE SAMPLE OF PATIENTS WHO UTILIZED SERVICES AT MASS. EYE AND EAR'S MAIN CAMPUS AND ITS LONGWOOD FACILITY. U.S. CENSUS DATA: THE 2022 CHNA UTILIZED THE MOST RECENTLY AVAILABLE U.S. CENSUS AND AMERICAN COMMUNITY SURVEY DATA TO UNDERSTAND THE DEMOGRAPHICS AND NEEDS RELATED TO THE SOCIAL DETERMINANTS OF HEALTH IN THE TARGET COMMUNITIES. ALONG WITH MASS. EYE AND EAR'S OWN PATIENT DATA, CENSUS DATA WERE USED TO IDENTIFY VULNERABLE POPULATIONS. HEALTHY PEOPLE 2030: WHILE LOCAL AND STATE PUBLIC HEALTH DATA WERE NOT AVAILABLE TO INFORM THE MASS. EYE AND EAR CHNA, THE U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION'S HEALTHY PEOPLE 2030 OBJECTIVES OFFER INSIGHT INTO THE HIGHEST PRIORITY PUBLIC HEALTH ISSUES. THE OBJECTIVES ARE EVIDENCE-BASED, USING THE MOST RECENTLY AVAILABLE PUBLIC HEALTH DATA, AND INFORMED BY SUBJECT MATTER EXPERTS FROM AROUND THE COUNTRY. THE SENSORY AND COMMUNICATIONS OBJECTIVES IDENTIFY COMMUNITY HEALTH NEEDS RELATED TO VISION, HEARING, BALANCE, TASTE, AND SMELL.1 (2) KEY INFORMANT INTERVIEWS AND SURVEYS: INTERVIEWS WERE CONDUCTED BY TELEPHONE WITH 14 INTERNAL AND EXTERNAL STAKEHOLDERS WHO HAVE EXPERTISE AND EXPERIENCE WITH SPECIFIC POPULATIONS AND/OR HEALTH ISSUES. CONDUCTED BY PHONE, THE INTERVIEWS WERE UP TO 60 MINUTES LONG AND EMPLOYED A SEMI-STRUCTURED INTERVIEW TOOL CREATED SPECIFICALLY FOR THE CHNA. QUALITATIVE DATA WERE ANALYZED TO IDENTIFY COMMON AND DIVERGENT THEMES AND ILLUSTRATIVE QUOTES THAT SERVED TO ELUCIDATE MAJOR THEMES. EIGHT OF THE KEY INFORMANTS ALSO RESPONDED TO AN ONLINE SURVEY TO DESCRIBE THE POPULATIONS WITH WHICH THEY WORK AND THE NEEDS AND BARRIERS TO CARE THEY SEE AMONG THEM. THE GENERAL HOSPITAL CORPORATION PART V, SECTION B, LINE 6A: MASS GENERAL BRIGHAM BOSTON AND NORTH SUFFOLK REGIONAL COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IN 2022, THE MASS GENERAL BRIGHAM HOSPITALS IN BOSTONMASSACHUSETTS GENERAL HOSPITAL, BRIGHAM AND WOMEN'S HOSPITAL, AND BRIGHAM AND WOMEN'S FAULKNER HOSPITALPARTICIPATED IN TWO COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) ALONG WITH OTHER HOSPITALS, HEALTH CENTERS, COMMUNITY-BASED ORGANIZATIONS, COMMUNITY RESIDENTS, AND COMMUNITY STAKEHOLDERS: BOSTON CHNA/CHIP COLLABORATIVE NORTH SUFFOLK PUBLIC HEALTH COLLABORATIVE COVERING CHELSEA, REVERE, AND WINTHROP THE COMMUNITY HEALTH NEEDS PRIORITIZED IN BOTH CHNAS ARE: HOUSING ECONOMIC MOBILITY AND INCLUSION MENTAL AND BEHAVIORAL HEALTH, INCLUDING SUBSTANCE USE DISORDER (SUD) ACCESS TO CARE AND SERVICES THE BOSTON AND NORTH SUFFOLK COLLABORATIVE CHIPS DEFINED GOALS, OBJECTIVES AND STRATEGIES TO IMPACT THESE PRIORITIZED HEALTH NEEDS. THIS MASS GENERAL BRIGHAM BOSTON AND NORTH SUFFOLK REGIONAL CHIP ADOPTS THESE GOALS, OBJECTIVES AND STRATEGIES AND FURTHER OUTLINES ADDITIONAL STRATEGIES TARGETING RACIAL AND ETHNIC HEALTH INEQUITIES THAT DISPROPORTIONATELY IMPACT COMMUNITIES OF COLOR, WITH A FOCUS ON CARDIOMETABOLIC DISEASE AND SUBSTANCE USE DISORDER (SUD) BASED ON THE EXCESS DEATHS ATTRIBUTABLE TO THESE CONDITIONS FOR BLACK RESIDENTS. ALONG WITH THE MASS GENERAL BRIGHAM SYSTEM STRATEGIES, OUR BOSTON HOSPITALS ALSO EMPLOY LOCALLY DIRECTED EFFORTS IN SUPPORT OF THE BOSTON AND NORTH SUFFOLK COLLABORATIVES. ADDITIONAL COMMUNITY HEALTH NEEDS MAY BE IDENTIFIED BY EACH HOSPITAL'S CHNA AND PRIORITIZED BY ITS COMMUNITY ADVISORY BOARD. TAKING THE STRATEGIES DEFINED BY THE COLLABORATIVES' CHIPS AND COMBINING THEM WITH THE MGB SYSTEM AND HOSPITAL STRATEGIES RESULTS IN A BROADER SPECTRUM OF EFFORTS AND INITIATIVES THAT WILL MORE SIGNIFICANTLY IMPACT COMMUNITY HEALTH OUTCOMES. WHILE THE COLLABORATIVES ARE INCLUSIVE OF BOSTON, CHELSEA, REVERE, AND WINTHROP, THE TARGET COMMUNITIES FOR OUR HOSPITALS ARE: BRIGHAM AND WOMEN'S FAULKNER (BWFH): HYDE PARK, JAMAICA PLAIN, ROSLINDALE, WEST ROXBURY BRIGHAM AND WOMEN'S HOSPITAL (BWH): DORCHESTER, JAMAICA PLAIN, MATTAPAN, MISSION HILL, ROXBURY MASSACHUSETTS GENERAL HOSPITAL (MGH): CHARLESTOWN, CHELSEA, REVERE MGB PRIORITY COMMUNITIES (MGB): BOSTON, CHELSEA, REVERE, LYNN, SALEM EACH ENTITY IS REQUIRED TO DEFINE TARGET COMMUNITIES AS PART OF THE CHNA PROCESS, AND EFFORTS MAY OVERLAP ACROSS NEIGHBORHOODS AND COMMUNITIES. THE BRIGHAM AND WOMEN'S HOSPITAL, INC PART V, SECTION B, LINE 6A: THE BOSTON CHNA-CHIP COLLABORATIVE CONDUCTED ITS SECOND CITYWIDE COLLABORATIVE ASSESSMENT THE COLLABORATIVE IS COMPRISED OF EVERY BOSTON TEACHING HOSPITAL, THE BOSTON PUBLIC HEALTH COMMISSION, COMMUNITY HEALTH CENTERS, AND COMMUNITY-BASED ORGANIZATIONS THE CONFERENCE OF BOSTON TEACHING HOSPITALS (COBTH) ACTED AS THE "BACKBONE ORGANIZATION, PROVIDING INFRASTRUCTURE SUPPORT, WITH TWO WORK GROUPS LEADING THE COMMUNITY ENGAGEMENT PROCESS AS A MEMBER OF THE BOSTON COLLABORATIVE STEERING COMMITTEE, MGH HELPED GUIDE THE ENTIRE PROCESS, INCLUDING DATA GATHERING, ANALYSIS, PRIORITIZATION, AND STRATEGY DEVELOPMENT IN NORTH SUFFOLK (CHELSEA, REVERE, AND WINTHROP), THE NORTH SUFFOLK PUBLIC HEALTH COLLABORATIVE (NSPHC) CONDUCTED ITS SECOND REGIONAL INTEGRATED COMMUNITY HEALTH NEEDS ASSESSMENT (ICHNA) THE CITY AND TOWN LEADERS FORMED THE NSPHC TO INCREASE THEIR COLLECTIVE IMPACT ON IMPROVING HEALTH LIKE BOSTON, THE COLLABORATIVE IS MADE UP OF AREA HOSPITAL SYSTEMS, HEALTH CENTERS, LOCAL HEALTH DEPARTMENTS, AND COMMUNITY-BASED ORGANIZATIONS MGH CO-LED THE NORTH SUFFOLK CHNA PROCESS, OVERSEEING DATA COLLECTION, ANALYSIS, AND REPORTING ADDITIONALLY, MGH PROVIDED TECHNICAL SUPPORT FOR THE DESIGN OF FOCUS GROUPS, KEY INFORMANT INTERVIEWS, AND SURVEY QUESTIONS. BRIGHAM AND WOMEN'S FAULKNER HOSPITAL PART V, SECTION B, LINE 6A: FOR THE 2022 CHNA-CHIP, BWFH PARTICIPATED IN THE BOSTON CHNA-CHIP COLLABORATIVE ("THE COLLABORATIVE OR "BCCC"), A JOINT INITIATIVE BRINGING MULTIPLE STAKEHOLDERS TOGETHER TO ASSESS THE TOP COMMUNITY HEALTH ISSUES IN BOSTON AND ITS UNIQUE NEIGHBORHOODS AND IDENTIFY OPPORTUNITIES FOR SHARED IMPLEMENTATION. PARTICIPANTS INCLUDE COMMUNITY MEMBERS, COMMUNITY ORGANIZATIONS, COMMUNITY HEALTH CENTERS, THE BOSTON PUBLIC HEALTH COMMISSION, AND CONFERENCE OF BOSTON TEACHING HOSPITAL (COBTH) MEMBERS. THE COLLABORATIVE CONDUCTED 62 INTERVIEWS WITH BOSTON ORGANIZATIONS AND COMMUNITY LEADERS, FACILITATED 29 FOCUS GROUPS WITH A DIVERSITY OF COMMUNITY MEMBERS, AND REVIEWED SECONDARY DATA. ADDITIONALLY, BWFH AND MASS GENERAL HOSPITAL CONDUCTED A COMMUNITY HEALTH SURVEY, WITH 494 RESPONDENTS, TO GATHER ADDITIONAL INFORMATION ABOUT COMMUNITY HEALTH CONCERNS AND COVID IMPACTS. TO COMPLEMENT THE DATA, BWFH WITH BRIGHAM AND WOMEN'S HOSPITAL, THERE WERE NINE KEY INFORMANT INTERVIEWS CONDUCTED, EIGHT DISCUSSION GROUPS AND WRITTEN INPUT FROM SIX KEY INFORMANTS SPECIFICALLY FROM THE BWFH COMMUNITY. ADDITIONALLY, WE REVIEWED HOSPITAL SPECIFIC PATIENT DATA AND OTHER SECONDARY SOURCES. THIS EXTENSIVE DATA COLLECTION PROVIDED RICH INFORMATION FOR THE ASSESSMENT. 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 BRIGHAM BOSTON AND NORTH SUFFOLK REGIONAL COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IN 2022, THE MASS GENERAL BRIGHAM HOSPITALS IN BOSTONMASSACHUSETTS GENERAL HOSPITAL, BRIGHAM AND WOMEN'S HOSPITAL, AND BRIGHAM AND WOMEN'S FAULKNER HOSPITALPARTICIPATED IN TWO COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) ALONG WITH OTHER HOSPITALS, HEALTH CENTERS, COMMUNITY-BASED ORGANIZATIONS, COMMUNITY RESIDENTS, AND COMMUNITY STAKEHOLDERS: BOSTON CHNA/CHIP COLLABORATIVE NORTH SUFFOLK PUBLIC HEALTH COLLABORATIVE COVERING CHELSEA, REVERE, AND WINTHROP THE COMMUNITY HEALTH NEEDS PRIORITIZED IN BOTH CHNAS ARE: HOUSING ECONOMIC MOBILITY AND INCLUSION MENTAL AND BEHAVIORAL HEALTH, INCLUDING SUBSTANCE USE DISORDER (SUD) ACCESS TO CARE AND SERVICES THE BOSTON AND NORTH SUFFOLK COLLABORATIVE CHIPS DEFINED GOALS, OBJECTIVES AND STRATEGIES TO IMPACT THESE PRIORITIZED HEALTH NEEDS. THIS MASS GENERAL BRIGHAM BOSTON AND NORTH SUFFOLK REGIONAL CHIP ADOPTS THESE GOALS, OBJECTIVES AND STRATEGIES AND FURTHER OUTLINES ADDITIONAL STRATEGIES TARGETING RACIAL AND ETHNIC HEALTH INEQUITIES THAT DISPROPORTIONATELY IMPACT COMMUNITIES OF COLOR, WITH A FOCUS ON CARDIOMETABOLIC DISEASE AND SUBSTANCE USE DISORDER (SUD) BASED ON THE EXCESS DEATHS ATTRIBUTABLE TO THESE CONDITIONS FOR BLACK RESIDENTS. ALONG WITH THE MASS GENERAL BRIGHAM SYSTEM STRATEGIES, OUR BOSTON HOSPITALS ALSO EMPLOY LOCALLY DIRECTED EFFORTS IN SUPPORT OF THE BOSTON AND NORTH SUFFOLK COLLABORATIVES. ADDITIONAL COMMUNITY HEALTH NEEDS MAY BE IDENTIFIED BY EACH HOSPITAL'S CHNA AND PRIORITIZED BY ITS COMMUNITY ADVISORY BOARD. TAKING THE STRATEGIES DEFINED BY THE COLLABORATIVES' CHIPS AND COMBINING THEM WITH THE MGB SYSTEM AND HOSPITAL STRATEGIES RESULTS IN A BROADER SPECTRUM OF EFFORTS AND INITIATIVES THAT WILL MORE SIGNIFICANTLY IMPACT COMMUNITY HEALTH OUTCOMES. WHILE THE COLLABORATIVES ARE INCLUSIVE OF BOSTON, CHELSEA, REVERE, AND WINTHROP, THE TARGET COMMUNITIES FOR OUR HOSPITALS ARE: BRIGHAM AND WOMEN'S FAULKNER (BWFH): HYDE PARK, JAMAICA PLAIN, ROSLINDALE, WEST ROXBURY BRIGHAM AND WOMEN'S HOSPITAL (BWH): DORCHESTER, JAMAICA PLAIN, MATTAPAN, MISSION HILL, ROXBURY MASSACHUSETTS GENERAL HOSPITAL (MGH): CHARLESTOWN, CHELSEA, REVERE MGB PRIORITY COMMUNITIES (MGB): BOSTON, CHELSEA, REVERE, LYNN, SALEM EACH ENTITY IS REQUIRED TO DEFINE TARGET COMMUNITIES AS PART OF THE CHNA PROCESS, AND EFFORTS MAY OVERLAP ACROSS NEIGHBORHOODS AND COMMUNITIES. THE BRIGHAM AND WOMEN'S HOSPITAL, INC PART V, SECTION B, LINE 6B: THE BOSTON CHNA-CHIP COLLABORATIVE CONDUCTED ITS SECOND CITYWIDE COLLABORATIVE ASSESSMENT THE COLLABORATIVE IS COMPRISED OF EVERY BOSTON TEACHING HOSPITAL, THE BOSTON PUBLIC HEALTH COMMISSION, COMMUNITY HEALTH CENTERS, AND COMMUNITY-BASED ORGANIZATIONS THE CONFERENCE OF BOSTON TEACHING HOSPITALS (COBTH) ACTED AS THE "BACKBONE ORGANIZATION, PROVIDING INFRASTRUCTURE SUPPORT, WITH TWO WORK GROUPS LEADING THE COMMUNITY ENGAGEMENT PROCESS AS A MEMBER OF THE BOSTON COLLABORATIVE STEERING COMMITTEE, MGH HELPED GUIDE THE ENTIRE PROCESS, INCLUDING DATA GATHERING, ANALYSIS, PRIORITIZATION, AND STRATEGY DEVELOPMENT IN NORTH SUFFOLK (CHELSEA, REVERE, AND WINTHROP), THE NORTH SUFFOLK PUBLIC HEALTH COLLABORATIVE (NSPHC) CONDUCTED ITS SECOND REGIONAL INTEGRATED COMMUNITY HEALTH NEEDS ASSESSMENT (ICHNA) THE CITY AND TOWN LEADERS FORMED THE NSPHC TO INCREASE THEIR COLLECTIVE IMPACT ON IMPROVING HEALTH LIKE BOSTON, THE COLLABORATIVE IS MADE UP OF AREA HOSPITAL SYSTEMS, HEALTH CENTERS, LOCAL HEALTH DEPARTMENTS, AND COMMUNITY-BASED ORGANIZATIONS MGH CO-LED THE NORTH SUFFOLK CHNA PROCESS, OVERSEEING DATA COLLECTION, ANALYSIS, AND REPORTING ADDITIONALLY, MGH PROVIDED TECHNICAL SUPPORT FOR THE DESIGN OF FOCUS GROUPS, KEY INFORMANT INTERVIEWS, AND SURVEY QUESTIONS. BRIGHAM AND WOMEN'S FAULKNER HOSPITAL PART V, SECTION B, LINE 6B: FOR THE 2022 CHNA-CHIP, BWFH PARTICIPATED IN THE BOSTON CHNA-CHIP COLLABORATIVE ("THE COLLABORATIVE OR "BCCC"), A JOINT INITIATIVE BRINGING MULTIPLE STAKEHOLDERS TOGETHER TO ASSESS THE TOP COMMUNITY HEALTH ISSUES IN BOSTON AND ITS UNIQUE NEIGHBORHOODS AND IDENTIFY OPPORTUNITIES FOR SHARED IMPLEMENTATION. PARTICIPANTS INCLUDE COMMUNITY MEMBERS, COMMUNITY ORGANIZATIONS, COMMUNITY HEALTH CENTERS, THE BOSTON PUBLIC HEALTH COMMISSION, AND CONFERENCE OF BOSTON TEACHING HOSPITAL (COBTH) MEMBERS. THE COLLABORATIVE CONDUCTED 62 INTERVIEWS WITH BOSTON ORGANIZATIONS AND COMMUNITY LEADERS, FACILITATED 29 FOCUS GROUPS WITH A DIVERSITY OF COMMUNITY MEMBERS, AND REVIEWED SECONDARY DATA. ADDITIONALLY, BWFH AND MASS GENERAL HOSPITAL CONDUCTED A COMMUNITY HEALTH SURVEY, WITH 494 RESPONDENTS, TO GATHER ADDITIONAL INFORMATION ABOUT COMMUNITY HEALTH CONCERNS AND COVID IMPACTS. TO COMPLEMENT THE DATA, BWFH WITH BRIGHAM AND WOMEN'S HOSPITAL, THERE WERE NINE KEY INFORMANT INTERVIEWS CONDUCTED, EIGHT DISCUSSION GROUPS AND WRITTEN INPUT FROM SIX KEY INFORMANTS SPECIFICALLY FROM THE BWFH COMMUNITY. ADDITIONALLY, WE REVIEWED HOSPITAL SPECIFIC PATIENT DATA AND OTHER SECONDARY SOURCES. THIS EXTENSIVE DATA COLLECTION PROVIDED RICH INFORMATION FOR THE ASSESSMENT. COOLEY DICKINSON HOSPITAL, INC. PART V, SECTION B, LINE 6B: 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. WENTWORTH-DOUGLASS HOSPITAL PART V, SECTION B, LINE 6B: THE HOSPITAL'S MOST RECENT CHNA WAS CONDUCTED WITH WENTWORTH-DOUGLASS PHYSICIAN CORP (WDPC)/WENTWORTH HEALTH PARTNERS, A RELATED 501(C) (3) ENTITY. THE GENERAL HOSPITAL CORPORATION PART V, SECTION B, LINE 11: BASED ON BOTH BOSTON AND NORTH SUFFOLK'S COMMUNITY HEALTH NEEDS ASSESSMENT DATA, HOSPITAL PATIENT DATA, AND PUBLIC HEALTH DATA REVEALING THE LEADING CAUSES OF MORTALITY, MGH HAS UPDATED ITS COMMUNITY HEALTH PRIORITIES TO REFLECT AREAS THAT WE FEEL WE AS A HOSPITAL AND SYSTEM CAN MAKE MEASURABLE IMPACT. MGH'S PRIMARY FOCUS FOR ITS CHNA/CHIP IS TO IMPLEMENT STRATEGIES THAT WILL ACHIEVE RACIAL AND ETHNIC HEALTH EQUITY. WE WILL WORK TO ACHIEVE THIS GOAL BY ENSURING ACCESS TO TRADITIONAL AND INNOVATIVE HIGH-QUALITY AND EFFECTIVE CLINICAL PREVENTIVE SERVICES, WHILE AT THE SAME TIME WORKING UPSTREAM TO PROMOTE HEALTH AND WELLNESS IN COMMUNITY SETTINGS. THIS WILL ENTAIL WORKING ON SOCIAL DETERMINANTS OF HEALTH/UPSTREAM APPROACHES TO DISEASE PREVENTION, NAMELY 1) HOUSING AND 2) ECONOMIC/FINANCIAL STABILITY & MOBILITY, WHICH INCLUDES EDUCATION AS HIGHLIGHTED IN SURVEY AND FOCUS GROUP DATA AND 3) FOOD/NUTRITION SECURITY, WHICH WAS HIGHLIGHTED OVER THE PANDEMIC. HOUSING, FOOD AND EMPLOYMENT ARE FOUNDATIONS FOR GOOD HEALTH, AND WE WILL WORK WITH OTHERS TO ADDRESS THE INEQUITIES THAT EXIST TO ACHIEVE THESE BASIC NEEDS. BECAUSE OF OUR LONG-STANDING COMMITMENT TO KEEPING OUR PATIENTS AND COMMUNITIES SAFE, WE WILL CONTINUE TO ADDRESS 4) VIOLENCE AND SAFETY, PARTICULARLY HELPING PATIENTS EXPERIENCING INTIMATE PARTNER VIOLENCE OR COMMUNITY VIOLENCE, AND WE WILL WORK TO PREVENT NEEDLESS HARM THROUGH GUN VIOLENCE THROUGH EDUCATION AND ADVOCACY. AS ALWAYS, WE WILL CONTINUE TO HELP COMMUNITIES AND PATIENTS' 5) ACCESS AND NAVIGATE TREATMENT AND OTHER SERVICES, PARTICULARLY PREVENTATIVE SERVICES AND SOCIAL SUPPORTS THAT CAN HELP INDIVIDUALS REACH THEIR POTENTIAL. AS A HOSPITAL AND SYSTEM, WE HAVE AN OBLIGATION TO ADDRESS THE DISEASES MOST PREVALENT AND DESTRUCTIVE TO INDIVIDUALS AND COMMUNITIES. WITH A RENEWED INTEREST, WE WILL FOCUS OUR EFFORTS ON 6) MENTAL HEALTH, 7) SUBSTANCE USE AND 8) CARDIOMETABOLIC DISEASE, THE LEADING CAUSES OF MORTALITY, THROUGH MORE CREATIVE, COORDINATED, AND TARGETED APPROACHES AND WORKING IN COLLABORATION WITH OTHERS, WE CAN REDUCE THE LEADING CAUSES OF MORTALITY THAT FACE OUR COMMUNITIES AND HELP COMMUNITIES AND PATIENTS THRIVE. WE WILL DO THIS BY TARGETING EFFORTS IN EARLY LIFE, WITH YOUTH AND THROUGH ADULTHOOD, SPANNING THE LIFE COURSE. THE BRIGHAM AND WOMEN'S HOSPITAL, INC PART V, SECTION B, LINE 11: THE FOLLOWING 5 COMMUNITY HEALTH PRIORITY AREAS WERE APPROVED BY THE BWH COMMUNITY ADVISORY COMMITTEE AND ADOPTED BY THE BWH BOARD COMMITTEE FOR DIVERSITY, INCLUSION, HEALTH EQUITY AND COMMUNITY HEALTH IN JULY 2022: FINANCIAL STABILITY AND MOBILITY RESIDENTS OF BWH'S PRIORITY NEIGHBORHOODS FACE BARRIERS TO FINANCIAL STABILITY AND THESE ARE DISPROPORTIONATELY EXPERIENCED BY RESIDENTS OF COLOR. MISSION HILL, ROXBURY, AND DORCHESTER THAN HAD HIGHER RATES OF POVERTY COMPARED TO BOSTON OVERALL THERE ARE AND HIGHER RATES OF ADULT RESIDENTS WITHOUT A HIGH SCHOOL DIPLOMA IN ROXBURY. INCOME LOSS REPORTED DURING THE PANDEMIC WAS NOTABLY HIGHER FOR LATINO AND BLACK RESIDENTS. INCOME LOSS REPORTED DURING THE PANDEMIC WAS NOTABLY HIGHER FOR LATINO AND BLACK RESIDENTS IN BOSTON. COMMUNITY MEMBERS SHARED THE CONSIDERABLE CHALLENGE TO MAKE ENDS MEET AMID RISING COSTS. HOUSING CONCERNS INCLUDED LACK OF STABLE AND AFFORDABLE HOUSING, RISING COSTS, HIGHER RATES OF EVICTION, DISPLACEMENT, AND OVERCROWDING. IN MOST BWH PRIORITY COMMUNITIES, RESIDENTS ARE COST-BURDENED AND THE HIGH COST OF HOUSING HAS ALSO RESULTED IN THE DISPLACEMENT OF LOCAL RESIDENTS WHO ARE COMPELLED TO RELOCATE TO REDUCE HOUSING COSTS. MENTAL AND BEHAVIORAL HEALTH MENTAL HEALTH CONCERNS AND ACCESS TO MENTAL HEALTH CARE WAS A PRIMARY ISSUE OF CONCERN. THE STRESS AND EMOTIONAL TOLL OF THE PANDEMIC WAS A PROMINENT THEME WITH SPECIFIC CONCERNS CITED FOR YOUNG PEOPLE AND OLDER ADULTS WHO WERE ISOLATED FROM FAMILY AND FRIENDS. THE LACK OF CULTURALLY-COMPETENT TREATMENT WAS NOTED AS A CRITICAL SERVICE GAP. THE DRAMATIC INCREASE IN OPIOID-RELATED OVERDOSE FOR BLACK AND HISPANIC RESIDENTS IN MASSACHUSETTS IN RECENT YEARS IS AN ISSUE OF SIGNIFICANT CONCERN. PHYSICAL HEALTH AND WELLNESS SEVERAL CONCERNS RELATED TO OVERALL PHYSICAL HEALTH AND WELLNESS AROSE, INCLUDING MOST NOTABLY, CHRONIC DISEASE, FOOD INSECURITY, AND ACCESS TO CULTURALLY APPROPRIATE HEALTH CARE. IN ADDITION, THE RACIAL AND ETHNIC DIFFERENCES IN MORTALITY AND PREMATURE MORTALITY REFLECT THE ONGOING EFFECT OF SYSTEMIC AND STRUCTURAL RACISM ON HEALTH OUTCOMES. IT IS CRITICAL TO NOTE THE SIGNIFICANT IMPACT THE COVID-19 PANDEMIC HAD ON NUMEROUS AREAS RELATED TO PHYSICAL HEALTH AND WELLNESS. VIOLENCE AND TRAUMA COMMUNITY VIOLENCE EMERGED AS AN IMPORTANT THEME WITH MANY RESPONDENTS FROM DORCHESTER, MATTAPAN AND ROXBURY REPORTING SAFETY CONCERNS IN THEIR NEIGHBORHOODS. DATA INDICATE THAT VIOLENCE DISPROPORTIONATELY IMPACTING COMMUNITIES OF COLOR AND IMPACTING PREMATURE MORTALITY. NORTH SHORE MEDICAL CENTER, INC. PART V, SECTION B, LINE 11: THE 2022 CHNA AFFIRMED THE PRIORITIES IDENTIFIED IN THE 2021 CHNA AND ADDRESSED IN THE 2021 CHIP, WHILE INTRODUCING NEW ISSUES RELATED TO EXISTING THEMES AND ONE NEW COMMUNITY HEALTH THEME. THE 2022 CHNA THEMES AND RELATED ISSUES ARE AS FOLLOWS. BEHAVIORAL HEALTH, A PRIORITY IN THE 2021 CHIP, ENCOMPASSES THE ISSUES OF MENTAL HEALTH, SUBSTANCE USE DISORDERS (SUD), GAPS IN TREATMENT, STIGMA, AND VIOLENCE (DOMESTIC VIOLENCE, CHILD ABUSE/NEGLECT, ELDER ABUSE/NEGLECT). THE 2022 CHNA IDENTIFIED THE NEED FOR HARM REDUCTION CONVERSATIONS IN THE HOSPITAL WITH ACTIVE USERS AND THOSE WITH PAIN MANAGEMENT ISSUES. HEALTH CARE ACCESS, ALSO A PRIORITY ADDRESSED IN THE 2021 CHIP, INVOLVES NEEDS RELATED TO THE ACCESSIBILITY OF SERVICES, HEALTH INSURANCE AND COST, CARE COORDINATION AND NAVIGATION, AND ORAL HEALTH SERVICES. THE 2022 CHNA IDENTIFIED OPPORTUNITIES TO EXPAND ACCESS BY ENHANCING SALEM HOSPITAL'S PARTNERSHIP WITH THE LOCAL COMMUNITY HEALTH CENTERS AND EXPANDING MOBILE HEALTH SERVICES. CULTURALLY SENSITIVE CARE WAS DEFINED IN THE 2021 CHNA AND CHIP AS THE DELIVERY OF CULTURALLY SENSITIVE CARE AND SERVICES IN MULTIPLE LANGUAGES. THESE CONTINUING NEEDS CALL FOR FURTHER INVESTMENT IN OUTREACH TO AND ENGAGEMENT OF DIVERSE COMMUNITIES AND VULNERABLE POPULATIONS. SOCIAL DETERMINANTS OF HEALTH, INCLUDING INEQUITIES RELATED TO HOUSING, FOOD/NUTRITION, TRANSPORTATION, BROADBAND AND CELL SERVICE, CHILDCARE, AND EDUCATION, WERE ADDRESSED IN THE 2021 CHIP. THESE NEEDS PERSIST AND, FOR MANY, HAVE WORSENED IN 2022. WORKFORCE: THE 2022 CHNA ADDS A NEW THEME IN UNDERSTANDING THE HEALTH-RELATED NEEDS IN THE PRIORITY COMMUNITIES. LABOR SHORTAGES ARE CAUSING EXTENSIVE WAIT LISTS AND TIMES AND SEVERELY LIMITING ACCESS TO HEALTH AND BEHAVIORAL HEALTH CARE. GIVEN THE DEMOGRAPHIC MAKE-UP OF THE COMMUNITIES, INCREASING DIVERSITY OF THE WORKFORCE TO MEET THESE NEEDS IS PARAMOUNT. IN A SEPTEMBER 13, 2022 MEETING, THE CAHAC REVIEWED THE CHNA FINDINGS AND MGB'S SYSTEM FOCUS ON CARDIOMETABOLIC DISEASE AND SUDS AND ADOPTED THE FIVE PRIORITIES AND RELATED ISSUES DESCRIBED ABOVE. AFTER REVIEWING THE CHNA RESULTS, THE CAHAC DETERMINED THAT THE 2023-2025 CHIP WILL CONTINUE TO FOCUS ON ITS EIGHT PRIORITIES COMMUNITIES AND DEVELOP STRATEGIES THAT WILL ACHIEVE RACIAL AND ETHNIC HEALTH EQUITY BY ADDRESSING THE NEEDS OF SEVERAL UNDERSERVED AND VULNERABLE POPULATIONS, INCLUDING SENIORS, YOUTH, THOSE WITH HEARING IMPAIRMENTS AND OTHER DISABILITIES, UNDOCUMENTED IMMIGRANTS, NON-ENGLISH SPEAKING INDIVIDUALS, HOMELESS POPULATIONS, THE TRANSGENDER COMMUNITY, PEOPLE RE-ENTERING THE COMMUNITY FROM JAIL/PRISON, AND PEOPLE DEALING WITH MENTAL HEALTH CONCERNS AND SUBSTANCE USE DISORDERS. NEWTON-WELLESLEY HOSPITAL PART V, SECTION B, LINE 11: AS MASS GENERAL BRIGHAM DEVELOPS AND IMPLEMENTS PROGRAMMING AND SUPPORTS THAT WILL REDUCE DISPARITIES IN HEALTH OUTCOMES FOR THE TWO SYSTEM PRIORITIES, OUR EFFORTS WILL FOCUS ON THE HIGHEST NEED COMMUNITIES ACROSS OUR HOSPITAL PRIORITY NEIGHBORHOODS. WE WILL ALSO CONTINUE TO SUPPORT LOCALLY IDENTIFIED PRIORITIES AT THE HOSPITAL LEVEL. COMMUNITY PRIORITIES FOR ACTION PRIORITIZATION ALLOWS ORGANIZATIONS TO TARGET AND ALIGN RESOURCES, LEVERAGE EFFORTS, AND FOCUS ON ACHIEVABLE STRATEGIES AND GOALS FOR ADDRESSING PRIORITY NEEDS. THROUGH A SYSTEMATIC, ENGAGED APPROACH THAT IS INFORMED BY DATA, PRIORITIES ARE IDENTIFIED THROUGH AN ITERATIVE PROCESS TO FOCUS PLANNING EFFORTS. THIS SECTION DESCRIBES THE PROCESS AND OUTCOMES OF THE NWH CHNA PRIORITIZATION PROCESS.FROM THIS DISCUSSION, THE FOLLOWING PRIORITIES WERE SELECTED: HOUSING AFFORDABILITY MENTAL HEALTH & SUBSTANCE USE ACCESS TO QUALITY CARE, WITH A FOCUS ON: CHRONIC DISEASE PREVENTION AND MANAGEMENT OF INTEGRATION OF SERVICES AND HEALTHCARE TRANSPORTATION IT WAS RECOMMENDED THAT ALL PRIORITIES BE ADDRESSED WITH THE FOLLOWING CROSS-CUTTING STRATEGIES: HEALTH AND RACIAL EQUITY WORKFORCE DEVELOPMENT SUSTAINED COMMUNITY ENGAGEMENT AND EMPOWERMENT FINALLY, ALL PRIORITIES SHOULD SPECIFICALLY CONSIDER THE SPECIAL NEEDS OF THE COMMUNITIES' MOST VULNERABLE POPULATIONS: OLDER ADULTS YOUTH IMMIGRANTS PEOPLE OF COLOR BRIGHAM AND WOMEN'S FAULKNER HOSPITAL PART V, SECTION B, LINE 11: BRIGHAM AND WOMEN'S FAULKNER HOSPITAL USED A COLLABORATIVE PLANNING PROCESS TO IDENTIFY AND REAFFIRM THE PRIORITIES IN WHICH WE WILL WORK WITH RESIDENTS AND ACROSS ALL SECTORS IN THE COMMUNITY TO ADDRESS. IDENTIFIED AND REAFFIRMED PRIORITIES FOR BRIGHAM AND WOMEN'S FAULKNER HOSPITAL AND THE COLLABORATIVE THE PRIORITIZATION PROCESS WAS CENTERED ON THE DATA FROM THIS 2022 CHNA AND THE CURRENT CHIP WHICH HAS FIVE MAIN PRIORITY AREAS (FOUR FOR THE COLLABORATIVE) AND AN OVERARCHING CENTRAL FOCUS OF ACHIEVING RACIAL AND ETHNIC HEALTH EQUITY: 1: HOUSING- FOCUS ON AFFORDABILITY, QUALITY, HOMELESSNESS, OWNERSHIP AND DISPLACEMENT 2: FINANCIAL SECURITY AND MOBILITY - FOCUS ON JOBS, EMPLOYMENT, INCOME, EDUCATION, AND WORKFORCE TRAINING 3: BEHAVIORAL HEALTH - FOCUS ON MENTAL HEALTH AND SUBSTANCE USE 4: ACCESSING SERVICES. FOCUS ON HEALTHCARE, TRANSPORTATION, LANGUAGE, HEALTHY AND NUTRITIOUS FOOD AND SOCIAL SERVICES 5: CHRONIC DISEASE AND HEALTHY LIVING - FOCUS ON CARDIOMETABOLIC DISEASE, FITNESS AND WELLNESS FOR ALL. THE MCLEAN HOSPITAL CORPORATION PART V, SECTION B, LINE 11: PRIORITIES - MCLEAN'S IMPROVEMENT PLAN WILL BE INFORMED BY THESE PRIORITIZED NEEDS IDENTIFIED IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT. FOCUSING ON PEOPLE AND FAMILIES AFFECTED BY PSYCHIATRIC ILLNESS AND SUBSTANCE USE DISORDERS ACROSS EASTERN AND CENTRAL MASSACHUSETTS, ENCOMPASSING CHNA 17 SERVICE AREAS AND MIDDLEBOROUGH, THE CHIP WILL INCLUDE: IMPROVING MENTAL HEALTH ACCESS AND CAPACITY THROUGH INNOVATIVE PROGRAMS AND BETTER COORDINATION DECREASING LENGTHS OF STAY IN HOSPITAL EMERGENCY DEPARTMENTS AND MEDICAL/SURGICAL UNITS FOR PATIENTS WITH MENTAL/BEHAVIORAL HEALTH NEEDS ADDRESSING THE NEEDS OF UNDERSERVED COMMUNITIES WITH RESIDENTS PREDOMINATELY WITH HISTORICALLY MARGINALIZED IDENTITIES SUPPORTING SCHOOLS (K-12 AND INSTITUTIONS OF HIGHER EDUCATION) AS THEY SUPPORT STUDENTS AND FAMILIES CARING FOR UNINSURED AND UNDERINSURED STRENGTHENING BEHAVIORAL HEALTH WORKFORCE TO ADDRESS ACCESS AND QUALITY EXPANDING PUBLIC EDUCATION AND ENGAGEMENT TO REDUCE STIGMA AND PROMOTE MENTAL HEALTH WELLNESS AND RESILIENCY. THE SPAULDING REHABILITATION HOSPITAL PART V, SECTION B, LINE 11: MASS GENERAL BRIGHAM (MGB) COMMUNITY HEALTH LEADS THE MGB SYSTEM-WIDE COMMITMENT TO IMPROVE THE HEALTH AND WELL-BEING OF RESIDENTS IN THE MGB PRIORITY COMMUNITIES MOST IMPACTED BY HEALTH INEQUITIES. IN ADDITION TO THE PRIORIES EACH HOSPITAL IDENTIFIES THAT ARE UNIQUE TO ITS COMMUNITIES, MGB HAS IDENTIFIED TWO SYSTEM-LEVEL PRIORITIES: CARDIOMETABOLIC DISEASE AND SUBSTANCE USE DISORDER. THESE PRIORITIES EMERGED FROM A REVIEW OF HOSPITAL-LEVEL DATA AND PREVALENT TRENDS IN POPULATION HEALTH STATISTICS THAT SHOW BLACK AND HISPANIC INDIVIDUAL ARE DISPROPORTIONATELY AFFECTED BY DISPARITIES IN HEALTH OUTCOMES AND EXCESS DEATHS RELATED TO THESE CONDITIONS. MGB EFFORTS WITHIN THESE TWO AREAS WILL AIM TO REDUCE RACIAL AND ETHNIC DISPARITIES IN OUTCOMES, WITH THE GOAL OF IMPROVING LIFE EXPECTANCY. HOSPITALS ACROSS MGB ARE CONDUCTING CHNAS AT THIS TIME TO ALIGN WITH MGB EFFORTS TO HAVE ALL HOSPITALS ON THE SAME THREE-YEAR CYCLE TO UTILIZE SYSTEM-WIDE EFFORTS TO ADDRESS HEALTH INEQUITIES.PRIORITY AREA OBJECTIVE ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH - TO INCREASE OPPORTUNITIES FOR EDUCATIONAL AND PROFESSIONAL ADVANCEMENTIMPROVING ACCESS TO CARE - TO REDUCE BARRIERS TO HEALTH CARE PROMOTING WELLNESS AND PREVENTING INJURY AND DISEASE - TO INCREASE WELLNESS AND PREVENT INJURY AND DISEASE, ESPECIALLY FOR CHILDREN, SENIORS, AND THOSE WITH DISABILITIESIMPROVING THE SOCIAL ENVIRONMENT AND OPPORTUNITIES FOR THOSE WITH DISABILITIES - TO DECREASE ISOLATION AND INCREASE SOCIAL-EMOTIONAL SUPPORT FOR PEOPLE WITH DISABILITIES OTHER PRIORITIES IDENTIFIED BY THE COMMUNITY - TO PROVIDE RESOURCES, AS APPROPRIATE AND AVAILABLE, TO SUPPORT COMMUNITY PRIORITIES THAT FALL OUTSIDE THE OTHER COMMUNITY BENEFIT PRIORITY AREAS. REHABILITATION HOSPITAL OF THE CAPE PART V, SECTION B, LINE 11: RESULTS FROM OUR ASSESSMENT INDICATE THAT SPAULDING CAPE COD IS VERY MUCH A COMMUNITY-BASED HOSPITAL, SERVING MAINLY CAPE COD (BARNSTABLE COUNTY) AND, TO A LESSER DEGREE, PLYMOUTH COUNTY. OUR INPATIENT POPULATION IS ELDERLY. THE COMBINATION OF ADVANCED AGE, AN ACUTE ADMISSION SUPERIMPOSED ON CHRONIC COMORBIDITIES, AND VARIED LEVELS OF SUPPORT AT TIME OF DISCHARGE PLACE MANY OF OUR PATIENTS AT RISK. GIVEN SPAULDING CAPE COD'S MISSION, CATCHMENT AREA, AND PATIENT CHARACTERISTICS IDENTIFIED DURING OUR COMMUNITY HEALTH NEEDS ASSESSMENT, WE WILL BE FOCUSING ON THE NEEDS OF BARNSTABLE AND PLYMOUTH COUNTY RESIDENTS, PARTICULARLY THE ELDERLY AND PERSONS LIVING WITH A DISABILITY. OUR PRIORITIES WILL INCLUDE ADDRESSING SOCIAL DETERMINANTS OF HEALTH, IMPROVING ACCESS TO CARE, PROMOTING HEALTH AND WELLNESS OF THE COMMUNITY, AND REDUCING IMPACTS OF CHRONIC DISEASE AND DISABILITY. SPAULDING HOSPITAL-CAMBRIDGE, INC. PART V, SECTION B, LINE 11: CRITERIA FOR PRIORITIZATION TO DETERMINE THE PRIORITIES FOR COMMUNITY HEALTH NEEDS, THE FOLLOWING CRITERIA WERE USED: (1) BURDEN AND URGENCY OF THE COMMUNITY HEALTH NEED, (2) EQUITY, (3) IMPACT, (4) FEASIBILITY: AND (5) POTENTIAL FOR COLLABORATION A. ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH: SPAULDING IS COMMITTED TO ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH, INCLUDING CHRONIC UNEMPLOYMENT FOR PEOPLE WITH DISABILITIES, THE UNDEREMPLOYMENT OF COMMUNITY MEMBERS WITH SOCIOECONOMIC LIMITATIONS TO FURTHER EDUCATION AND THE NEED FOR TRANSITIONAL HOUSING FOR THE HOMELESS. A. TRANSITION WELLNESS CENTER THE TRANSITIONAL WELLNESS CENTER WAS DEVELOPED IN 2020 TO SUPPORT THE HOMELESS POPULATION IN CAMBRIDGE WHO WERE BEING DISPLACED DUE TO THE COVID RESTRICTIONS IMPACTING SHELTER CAPACITY. THE CITY OF CAMBRIDGE APPROACHED SPAULDING TO RENOVATE VACANT HOSPITAL SPACE TO PROVIDE A 58-BED HOMELESS SHELTER. THE SHELTER WAS OPENED IN DECEMBER 2020 AND PROVIDES HOUSING AND TRANSITIONAL SERVICES FOR BOTH MALE AND FEMALE RESIDENTS UNDER A CONTRACT WITH THE CITY OF CAMBRIDGE AND BAY COVE. TO SUPPORT THE NEEDS OF THESE RESIDENTS THE SPAULDING EMPLOYEES CREATED THE SPAULDING CLOSET WHICH IS A DONATION CENTER FOR RESIDENTS TO OBTAIN CLOTHING AND PERSONAL CARE ITEMS. B. WORKFORCE DEVELOPMENT: DURING THE COVID PANDEMIC ALL WORKFORCE DEVELOPMENT PROGRAMS WERE CANCELLED BUT SPAULDING IS IN THE PROCESS OF REESTABLISHING OUR COMMITMENT TO SUPPORT THE EDUCATIONAL AND PROFESSIONAL GROWTH OPPORTUNITIES FOR THOSE DISADVANTAGED COMMUNITIES. JEWISH VOCATIONAL SERVICES (JVS) BOSTON JVS IS ONE OF THE LARGEST AND MOST IMPACTFUL WORKFORCE DEVELOPMENT ORGANIZATIONS IN NEW ENGLAND. SPAULDING CAMBRIDGE PARTNERS WITH JVS TO EMPOWER INDIVIDUALS FROM DIVERSE COMMUNITIES TO FIND EMPLOYMENT AND BUILD CAREERS, WHILE PARTNERING WITH EMPLOYERS TO HIRE, DEVELOP, AND RETAIN PRODUCTIVE WORKFORCES. SPAULDING HAS PARTNERED WITH JVS FOR PCA TRAINING COHORTS SINCE 2017 BUT THE PROGRAM TOOK A HIATUS DURING COVID. THE PROGRAM WAS REINSTITUTED IN JAN 2022 AND REMAINS AN ACTIVE PARTNER WITH SPAULDING. B. ACCESS TO CARE: TO REDUCE BARRIERS TO HEALTH CARE, THE SPAULDING CAMBRIDGE COMMUNITY BENEFIT PROGRAM PLANS TO SUPPORT FREE CARE PATIENTS IN NEED. ALTHOUGH IT IS DIFFICULT TO ANTICIPATE THE PAYERS AND COVERAGE ASSOCIATED WITH PATIENTS WHO MAY NEED SUCH ASSISTANCE IN THE YEAR AHEAD, SPAULDING CAMBRIDGE ASSUMES THE COST OF NON-COVERED SERVICES MAY BE COMPARABLE TO THOSE OF FY20 (~$1.056M) C. PROMOTING WELLNESS AND PREVENTING INJURY AND DISEASE TO INCREASE WELLNESS AND PREVENT INJURY AND DISEASE, SPAULDING IS COMMITTED TO CONTINUING THE CURRENT AND DEVELOPING ADDITIONAL PROGRAMS TO ADDRESS THE NEEDS OF THOSE WITH DISABILITIES AND CHRONIC ILLNESS. A. EXERCISE FOR PEOPLE WITH DISABILITIES (EXPD) EXPD IS AN EXAMPLE OF A PROGRAM THAT PROVIDES SUITABLE EXERCISE ACTIVITIES FOR HEALTH LEISURE AND SPORT FOR PEOPLE WITH DISABILITIES SUCH AS SPINAL CORD INJURY, CEREBRAL PALSY, MULTIPLE SCLEROSIS, AND PERIPHERAL NEUROPATHY. THE EXPD PROGRAM IS OVERSEEN BY EXERCISE PHYSIOLOGISTS, WHO ARE TRAINED IN KEEPING INDIVIDUALS WITH CHRONIC DISEASES AS FIT AND HEALTHY AS POSSIBLE USING AEROBIC CONDITIONING AND STRENGTH TRAINING. THE PROGRAM WAS REOPENED IN JAN 2021 AFTER THE COVID PANDEMIC. D. IMPROVING THE SOCIAL ENVIRONMENT AND OPPORTUNITIES FOR THOSE WITH DISABILITIES ADVOCACY WITH AND ON BEHALF OF PEOPLE WITH DISABILITIES IS CORE TO THE MISSION OF SPAULDING REHABILITATION NETWORK. TO DECREASE ISOLATION AND INCREASE SOCIAL-EMOTIONAL SUPPORT FOR PERSONS WITH DISABILITIES AND THOSE STRUGGLING WITH SUBSTANCE ABUSE, SPAULDING IS COMMITTED TO PROVIDING BOTH PROGRAMS AND FREE ACCESSIBLE MEETING SPACE ON CAMPUS. GROUPS THAT WE HAVE SUPPORTED INCLUDE ALCOHOLICS ANONYMOUS, LEARN TO COPE, EATING DISORDER ANONYMOUS AND THE MID CAMBRIDGE NEIGHBORHOOD ASSOCIATION. 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: MASS GENERAL BRIGHAM COMMUNITY HEALTH LEADS THE MASS GENERAL BRIGHAM SYSTEM-WIDE COMMITMENT TO IMPROVE THE HEALTH AND WELL-BEING OF RESIDENTS IN OUR PRIORITY COMMUNITIES MOST IMPACTED BY HEALTH INEQUITIES. MASS GENERAL BRIGHAM'S COMMITMENT TO THE COMMUNITY IS PART OF A $30 MILLION PLEDGE TO FUND PROGRAMS AIMED AT DISMANTLING RACISM AND OTHER FORMS OF INEQUITY THROUGH A COMPREHENSIVE RANGE OF APPROACHES INVOLVING OUR HEALTH CARE DELIVERY SYSTEM AND COMMUNITY HEALTH INITIATIVES. WHILE NOT REQUIRED TO CONDUCT A CHNA UNDER CURRENT REGULATIONS, MASS GENERAL BRIGHAM'S BELIEF IN THE CRITICAL IMPORTANCE OF SYSTEM-WIDE, POPULATION-LEVEL APPROACHES RESULTED IN OUR DECISION TO HAVE EVERY HOSPITAL CONDUCT A 2022 CHNA. HAVING ALL OUR HOSPITALS ON THE SAME THREE-YEAR CYCLE WILL PROVE INVALUABLE IN OUR EFFORTS TO ELIMINATE HEALTH INEQUITIES BY IDENTIFYING SYSTEM-WIDE PRIORITIES THAT REQUIRE SYSTEM-LEVEL EFFORTS. IN ADDITION TO THE PRIORITIES EACH HOSPITAL IDENTIFIES THAT ARE UNIQUE TO ITS COMMUNITIES, MASS GENERAL BRIGHAM IDENTIFIED TWO SYSTEM-LEVEL PRIORITIES: CARDIOMETABOLIC DISEASE AND SUBSTANCE USE DISORDER. THESE PRIORITIES EMERGED FROM A REVIEW OF HOSPITAL-LEVEL DATA AND PREVALENT TRENDS IN POPULATION HEALTH STATISTICS. OUR EFFORTS WITHIN THESE PRIORITIES WILL AIM TO REDUCE RACIAL AND ETHNIC DISPARITIES IN OUTCOMES, WITH THE GOAL OF IMPROVING LIFE EXPECTANCY. 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: 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: NINE SIGNIFICANT COMMUNITY HEALTH NEEDS WERE IDENTIFIED THROUGH THIS ASSESSMENT. THESE SIGNIFICANT HEALTH NEEDS ARE AS FOLLOWS, IN ALPHABETICAL ORDER: 1. ACCESS TO PRIMARY CARE SERVICES; 2. ACCESS TO LONG TERM SERVICES AND SUPPORTS;3 3. CHRONIC DISEASE; 4. FINANCIAL BARRIERS TO CARE; 5. MENTAL HEALTH; 6. OBESITY AND PHYSICAL INACTIVITY; 7. ORAL HEALTH; 8. SOCIAL DETERMINANTS OF HEALTH; AND 9. SUBSTANCE USE DISORDERS. THESE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY SERVED BY WDH WERE IDENTIFIED BASED ON ANALYSES OF SECONDARY DATA, PRIMARY DATA RECEIVED THROUGH INTERVIEWS WITH INTERESTED PARTIES, AND ASSESSMENTS PRODUCED BY PUBLIC HEALTH DEPARTMENTS. CATEGORIES OF COMMUNITY HEALTH NEEDS ARE TOPIC AREAS CONSISTENT WITH THE NEW HAMPSHIRE COMMUNITY BENEFITS REPORTING GUIDE, DECEMBER 20204 AND HEALTHY PEOPLE 2020 AND HEALTHY PEOPLE 2030, TEN-YEAR NATIONAL HEALTH OBJECTIVES OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. DETAILS ARE SUMMARIZED BELOW, WITH DESCRIPTIONS OF TOPICS BASED ON INFORMATION FROM HEALTHY PEOPLE 2020, HEALTHY PEOPLE 2030, THE CENTERS FOR DISEASE CONTROL AND PREVENTION.5, 6 IN ADDITION, MASS GENERAL BRIGHAM ALSO IDENTIFIED CARDIOMETABOLIC DISEASE AND SUBSTANCE USE DISORDER AS SIGNIFICANT HEALTH NEEDS. SIGNIFICANT NEEDS CAN IMPACT ALL RESIDENTS, IRRESPECTIVE OF DEMOGRAPHIC CHARACTERISTICS. WHILE EVERY COMMUNITY CAN EXPERIENCE NEED, THE FOLLOWING POPULATION GROUPS MAY BE ESPECIALLY VULNERABLE TO THE SIGNIFICANT NEEDS IDENTIFIED FOR THIS CHNA: 1. CHILDREN AND YOUTH; 2. OLDER ADULTS; 3. LGBTQIA+7 INDIVIDUALS; 4. RACIAL/ETHNIC MINORITIES; AND 5. LOW-INCOME RESIDENTS. NOTE: THE COVID-19 PANDEMIC HAD AN IMMEDIATE IMPACT ON THE WORLD SINCE ITS EMERGENCY IN LATE 2019. TESTING, VACCINATING, AND TREATMENT OPTIONS HAVE EVOLVED, YET THE PANDEMIC CONTINUE TO EXACERBATE NUMEROUS HEALTH-RELATED NEEDS WITHIN THE COMMUNITY. AS COVID-19 PREVENTION AND MANAGEMENT OPTIONS HAVE IMPROVED, THIS CHNA RECOGNIZES THE IMPACT OF COVID-19 ON SIGNIFICANT NEEDS WITHIN THE COMMUNITY. SHOULD THE PANDEMIC WORSEN, IT WOULD BE APPROPRIATE TO EVALUATE THE POTENTIAL CONSIDERATION OF COVID-19 AS A SEPARATE SIGNIFICANT COMMUNITY NEED. MASSACHUSETTS EYE & EAR INFIRMARY PART V, SECTION B, LINE 11: THE CBAC DECIDED THE 2023 CHIP SHOULD ADDRESS THE CLINICAL PRIORITIES OF VISION, HEARING, BALANCE, AND HEAD AND NECK CANCERS (PARTICULARLY SKIN CANCERS) AND ADDRESS THE PRIMARY BARRIERS TO CARE FACED BY SENIORS, CHILDREN, RACIALLY/ETHNICALLY DIVERSE COMMUNITIES, AND THOSE WITH LOW SES. THE CBAC MEMBERS BELIEVE THE CHIP SHOULD MAXIMIZE EXISTING COMMUNITY PARTNERSHIPS TO ADDRESS THE CLINICAL PRIORITIES AND OVERCOME BARRIERS THAT PRIORITY POPULATIONS FACE IN ACCESSING CARE. IN PARTICULAR, THE GROUP DISCUSSED THE NEED FOR GREATER OUTREACH TO DIVERSE COMMUNITIES TO BUILD TRUST, EXTEND SERVICES IN THE COMMUNITY, AND OFFER EDUCATION TO IMPROVE HEALTH LITERACY AND UNDERSTANDING OF THE HEALTH SYSTEM. ADDITIONALLY, THE CBAC DISCUSSED THE NEED FOR IMPROVED MECHANISMS TO ENSURE FOLLOW-UP CARE IS PROVIDED AFTER A PROBLEM IS DETECTED VIA SCREENING. CLINICAL PRIORITIES HEARING VISION BALANCE HEAD AND NECK CANCERS (PARTICULARLY SKIN CANCERS)IMPROVING ACCESS TO CARE INSURANCE/COST TRANSPORTATION DIFFICULTY ACCESSING, UNDERSTANDING, AND NAVIGATING HEALTH SYSTEM DUE TO LANGUAGE, HEALTH LITERACY, AND TRUST ISSUESMASS. EYE AND EAR'S SENIOR LEADERSHIP REVIEWED THE CBAC'S RECOMMENDATIONS AND APPROVED THE CHNA AND ITS CONCLUSIONS. PART V, SECTION B - LINES 7 AND 10: THE GENERAL HOSPITAL CORPORATIONHTTPS://WWW.MASSGENERAL.ORG/COMMUNITY-HEALTH/CCHI/ASSESSMENTSTHE BRIGHAM AND WOMEN'S HOSPITAL, INC.HTTPS://WWW.BRIGHAMANDWOMENS.ORG/ABOUT-BWH/COMMUNITY-HEALTH-EQUITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENTNORTH SHORE MEDICAL CENTER, INC.HTTPS://SALEM.MASSGENERALBRIGHAM.ORG/COMMITMENT_TO_COMMUNITYNEWTON-WELLESLEY HOSPITALHTTPS://WWW.NWH.ORG/ABOUT-US/COMMUNITY-HEALTH-ASSESSMENTBRIGHAM AND WOMEN'S/FAULKNER HOSPITALHTTPS://WWW.BRIGHAMANDWOMENSFAULKNER.ORG/ABOUT-BWFH/COMMUNITY-HEALTH-AND-WELLNESS/DEFAULTTHE MCLEAN HOSPITAL CORPORATIONHTTPS://WWW.MCLEANHOSPITAL.ORG/ABOUT/COMMUNITY-HEALTH-ASSESSMENTSPAULDING REHABILITATION HOSPITAL CORPORATIONHTTPS://SPAULDINGREHAB.ORG/ABOUT/COMMUNITY-INVOLVEMENTREHABILITATION HOSPITAL OF THE CAPE AND ISLANDS CORPORATIONHTTPS://SPAULDINGREHAB.ORG/ABOUT/COMMUNITY-INVOLVEMENTSPAULDING HOSPITAL CAMBRIDGE, INC.HTTPS://SPAULDINGREHAB.ORG/ABOUT/COMMUNITY-INVOLVEMENTNANTUCKET COTTAGE HOSPITALHTTPS://NANTUCKETHOSPITAL.ORG/ABOUT-US/ABOUT-NANTUCKET-COTTAGE-HOSPITAL/COMMUNITY-OUTREACH/MARTHA'S VINEYARD HOSPITALHTTPS://MVHOSPITAL.ORG/ABOUT-MARTHAS-VINEYARD-HOSPITAL/REPORTS/COOLEY DICKINSON HOSPITAL, INC.HTTPS://WWW.COOLEYDICKINSON.ORG/ABOUT-US/COMMITMENT-TO-COMMUNITY/BENEFITING-OUR-COMMUNITY/WENTWORTH-DOUGLASS HOSPITALHTTPS://WWW.WDHOSPITAL.ORG/WDH/ABOUT-WDH/GIVING-BACKMASSACHUSETTS EYE & EAR INFIRMARYHTTPS://MASSEYEANDEAR.ORG/ABOUT/OUTREACH PART V, LINE 16A-C: URLS FOR FINANCIAL ASSISTANCE POLICIES:HTTPS://WWW.MASSGENERALBRIGHAM.ORG/EN/PATIENT-CARE/PATIENT-VISITOR-INFORMATION/FINANCIAL-ASSISTANCE PART V, SECTION B - LINE 11: PLEASE SEE THE CHNAS AND IMPLEMENTATION STRATEGIES FOR EACH OF THE HOSPITAL FACILITIES AT THE APPLICABLE URL LISTED IN PART V, SECTION B. 113 1 - MGH HEALTH CENTER CHELSEA 100 EVERETT AVENUE 1ST FLOOR 16C CHELSEA MA 02150 OUTPATIENT CLINIC & HEALTHCARE CENTER 2 - MGH CHARLESTOWN HEALTHCARE CENTER 73 HIGH STREET CHARLESTOWN MA 02129 OUTPATIENT CLINIC & HEALTHCARE CENTER 3 - MGH CHELSEA HEALTHCARE CENTER 151 EVERETT AVENUE FLOORS 1-4 CHELSEA MA 02150 OUTPATIENT CLINIC & HEALTHCARE CENTER 4 - MGH EVERETT FAMILY CARE 19-23 NORWOOD STREET EVERETT MA 02149 OUTPATIENT CLINIC & HEALTHCARE CENTER 5 - STUDENT HEALTH CENTER AT CHELSEA HIGH S 299 EVERETT AVENUE CHELSEA MA 02150 OUTPATIENT CLINIC & HEALTHCARE CENTER 6 - EMERSON HOSPITAL MGH-RADIATION ONCOLOGY ROUTE 2 JOHN CUMMINGS BUILDING CONCORD MA 01742 OUTPATIENT CLINIC & HEALTHCARE CENTER 7 - MGH REVERE HEALTHCARE CENTER 300 OCEAN AVENUE 3RD FLOOR REVERE MA 02151 OUTPATIENT CLINIC & HEALTHCARE CENTER 8 - MGH BACK BAY HEALTHCARE CENTER 388 COMMONWEALTH AVENUE BOSTON MA 02115 OUTPATIENT CLINIC & HEALTHCARE CENTER 9 - MASS GENERAL WALTHAM 52 SECOND AVENUE 200 360 420 1110 21 WALTHAM MA 02154 OUTPATIENT CLINIC & HEALTHCARE CENTER 10 - MGH REVERE SCHOOL BASED HEALTH CENTER 101 SCHOOL STREET REVERE MA 02151 OUTPATIENT CLINIC & HEALTHCARE CENTER 11 - LABORATORY FOR MOLECULAR MEDICINE 65 LANSDOWNE STREET 3RD FLOOR CAMBRIDGE MA 02139 OUTPATIENT DIAGNOSTIC LABORATORY 12 - MGH AT BOWDOIN SQUARE ONE BOWDOIN SQUARE 7TH 11TH FLOOR BOSTON MA 02114 OUTPATIENT CLINIC 13 - MGH CARDIOVASCULAR DISEASE PREVENTION C 25 NEW CHARDON STREET SUITE 301 BOSTON MA 02114 OUTPATIENT CLINIC & HEALTHCARE CENTER 14 - YAWKEY CENTER FOR OUTPATIENT CARE 32 FRUIT STREET BOSTON MA 02114 OUTPATIENT CLINIC 15 - MGH CHARLES RIVER PLAZA 165 CAMBRIDGE STREET 3RD 5TH 7TH-9TH BOSTON MA 02114 OUTPATIENT CLINIC 16 - MGH SPORTS MEDICINE CENTER 175 CAMBRIDGE STREET 4TH FLOOR BOSTON MA 02114 OUTPATIENT CLINIC 17 - MGH SLEEP DISORDERS TESTING UNIT 5 BLOSSOM STREET 2ND FLOOR BOSTON MA 02114 OUTPATIENT CLINIC 18 - MGH OUTPATIENT CARE 275 CAMBRIDGE STREET 3RD FLOOR BOSTON MA 02114 OUTPATIENT CLINIC 19 - MGH CHARLESTOWN MONUMENT STREET COUNSEL 76 MONUMENT STREET 1ST FLOOR CHARLESTOWN MA 02129 OUTPATIENT CLINIC 20 - MASS GENERALNORTH SHORE CENTER FOR OUT 102 ENDICOTT STREET 1ST AND 2ND FLOORS DANVERS MA 02129 OUTPATIENT CLINIC & HEALTHCARE CENTER 21 - MGH BROADWAY PRIMARY CARE - REVERE 385 BROADWAY REVERE MA 02151 OUTPATIENT CLINIC & HEALTHCARE CENTER 22 - MGH RADIATION ONCOLOGY AT NWH 2014 WASHINGTON STREET SOUTH WING NEWTON MA 02462 OUTPATIENT CLINIC 23 - 50 STANIFORD STREET MGH IMAGING 50 STANIFORD STREET 10TH FLOOR BOSTON MA 02114 OUTPATIENT IMAGING 24 - MOBILE UNIT COMMUNITY CARE VAN 55 FRUIT STREET BOSTON MA 02114 OUTPATIENT CLINIC 25 - BROOKSIDE COMMUNITY HEALTH CENTER 3297 WASHINGTON STREET BOSTON MA 02130 OUTPATIENT CLINIC & HEALTHCARE CENTER 26 - SOUTHERN JAMAICA PLAIN HEALTH CENTER 640 CENTRE STREET JAMAICA PLAIN MA 02130 OUTPATIENT CLINIC & HEALTHCARE CENTER 27 - BRIGHAM AND WOMEN'S HEALTH CARE CTR 850 BOYLSTON STREET CHESTNUT HILL MA 02467 OUTPATIENT CLINIC & HEALTHCARE CENTER 28 - BWH ADVANCED MRI CENTRE 221 LONGWOOD AVENUE GROUND FLOOR BOSTON MA 02115 OUTPATIENT CLINIC 29 - BRIGHAM DERMATOLOGY ASSOCIATES 221 LONGWOOD AVENUE 1ST FLOOR BOSTON MA 02115 OUTPATIENT CLINIC 30 - ENDOCRINOLOGY AND METABOLIC SERVICES 221 LONGWOOD AVENUE 2ND FLOOR BOSTON MA 02115 OUTPATIENT CLINIC 31 - OUTPATIENT PSYCHIATRY 221 LONGWOOD AVENUE RFB MEZZANINE BOSTON MA 02115 OUTPATIENT CLINIC 32 - BWH IMMUNOLOGY LAB 221 LONGWOOD AVENUE BL-059 BOSTON MA 02115 CLINICAL LABORATORY 33 - NEWBORN MEDICINE 221 LONGWOOD AVENUE BLI L 1 3 BOSTON MA 02115 OUTPATIENT CLINIC 34 - BRIGHAM AND WOMEN'S HOSPITAL CARE CENTER 1153 CENTRE STREET 1ST FLOOR BOSTON MA 02130 OUTPATIENT CLINIC & HEALTHCARE CENTER 35 - BRIGHAM AND WOMEN'S HOSPITAL MOHS AND D 1153 CENTRE STREET SUITE 4349 BOSTON MA 02130 OUTPATIENT CLINIC 36 - BRIGHAM AND WOMEN'S MRI - WEST BRIDGEWAT 711 WEST CENTER STREET WEST BRIDGEWATER MA 02379 OUTPATIENT CLINIC 37 - BRIGHAM AND WOMEN'SMASS GENERAL HEALTH 20 PATRIOTS PLACE FLOORS 123 4 FOXBORO MA 02035 OUTPATIENT CLINIC & HEALTHCARE CENTER 38 - BRIGHAM AND WOMEN'S HOSPITAL ADVANCED P 301 SOUTH HUNTINGTON AVENUE JAMAICA PLAIN MA 02115 OUTPATIENT CLINIC 39 - KRAFT FAMILY BLOOD DONOR CTR AT DFCI 35 BINNEY STREET 1ST FLOOR BOSTON MA 02115 BLOOD DONOR CENTER 40 - NSMC OUTPATIENT SERVICES 1 HUTCHINSON DRIVE 1ST FLOOR DANVERS MA 01923 OUTPATIENT CLINIC 41 - NSMC PROFESSIONAL SERVICES HIGHLAND HALL 55 HIGHLAND AVENUE SALEM MA 01970 OUTPATIENT CLINIC 42 - RADIOLOGY SERVICES AT LYNN COMMUNITY H 269 UNION STREET LYNN MA 01901 OUTPATIENT CLINIC 43 - NSMC MAGNETIC IMAGING 4 CENTENNIAL DRIVE SUITE 104 PEABODY MA 01960 OUTPATIENT CLINIC 44 - NORTH SHORE MEDICAL CENTER ULTRASOUND AT 383 PARADISE ROAD SWAMPSCOTT MA 01907 OUTPATIENT CLINIC 45 - SALEM HOSPITAL OUTPATIENT SERVICES 480 LYNNFIELD STREETSUITES 1BCE LYNN MA 01904 OUTPATIENT CLINIC 46 - NEWTON-WELLESLEY FAMILY MEDICINE 111 NORFOLK AVENUE 1ST FLOOR WALPOLE MA 02081 OUTPATIENT CLINIC 47 - NEWTON-WELLESLEY AMBULATORY CARE CENTER 307 WEST CENTRAL STREET 1ST FLOOR NATICK MA 01760 OUTPATIENT CLINIC 48 - NEWTON-WELLESLEY OUTPATIENT SURGERY CTR 25 WASHINGTON STREET WELLESLEY MA 02481 OUTPATIENT CLINIC 49 - NEWTON-WELLESLEY AMBULATORY CARE CENTER 159 WELLS AVENUE NEWTON MA 02459 OUTPATIENT CLINIC 50 - NEWTON WELLESLEY - WALTHAM 9 HOPE AVENUE ROOM WL 1218 WALTHAM MA 02453 OUTPATIENT CLINIC 51 - MCLEAN SOUTHEAST 23 ISAAC STREET MIDDLEBOROUGH MA 02346 OUTPATIENT CLINIC 52 - MCLEAN SOUTHEAST AT OAK STREET 52 OAK STREET MIDDLEBOROUGH MA 02346 OUTPATIENT CLINIC 53 - MCLEAN AMBULATORY TREATMENT CENTER 211 NORTH MAIN ST GROUND FIRST FL PETERSHAM MA 01366 OUTPATIENT CLINIC 54 - MCLEAN HOSPITAL AND ADOLESCENT MENTAL 799 CONCORD AVENUE 1ST FLOOR CAMBRIDGE MA 02138 OUTPATIENT CLINIC 55 - 3 EAST DBT PARTIAL HOSPITAL PROGRAM 6 CLAREMONT AVENUE 1ST 2ND FLOOR ARLINGTON MA 02476 OUTPATIENT CLINIC 56 - SPAULDING OUTPATIENT CENTER - BRIGHTON 20 GUEST STREET SUITE 150 BOSTON MA 02135 OUTPATIENT CLINIC 57 - SPAULDING OUTPATIENT CENTER - FRAMINGHAM 570 WORCESTER ROAD FRAMINGHAM MA 01702 OUTPATIENT CLINIC 58 - SPAULDING OUTPATIENT CENTER - MEDFORD 101 MAIN STREET SUITE 101 MEDFORD MA 02155 OUTPATIENT CLINIC 59 - SPAULDING OUTPATIENT CENTER - WELLESLEY 65 WALNUT STREET WELLESLEY MA 02181 OUTPATIENT CLINIC 60 - SPAULDING OUTPATIENT CENTER - BRAINTREE 300 GRANITE STREET 1ST FLOOR BRAINTREE MA 02184 OUTPATIENT CLINIC 61 - SPAULDING OUTPATIENT CENTER - DOWNTOWN 294 WASHINGTON STREET SUITE 215 BOSTON MA 02114 OUTPATIENT CLINIC 62 - SPAULDING OUTPATIENT CENTER - CAMBRIDGE 1575 CAMBRIDGE STREET 1ST FLOOR CAMBRIDGE MA 02138 OUTPATIENT CLINIC 63 - SPAULDING OUTPATIENT CENTER FOR CHILDREN 1 MAGUIRE ROAD 1ST FLOOR LEXINGTON MA 02421 OUTPATIENT CLINIC 64 - SPAULDING OUTPATIENT CENTER - WESTBOR 112 TURNPIKE ROAD SUITE 301 WESTBOROUGH MA 01581 OUTPATIENT CLINIC 65 - SPAULDING OUTPATIENT CENTER - PEABODY 4 CENTENNIAL DRIVE PEABODY MA 01960 OUTPATIENT CLINIC 66 - SPAULDING OUTPATIENT CENTER - MARBLEHEAD 40 LEGGIS HILL ROAD MARBLEHEAD MA 01945 OUTPATIENT CLINIC 67 - SPAULDING OUTPATIENT CENTER - CAPE ANN 1 BLACKBURN DRIVE GLOUCESTER MA 01930 OUTPATIENT CLINIC 68 - SPAULDING OUTPATIENT CENTER - MARBLEHEAD 4 COMMUNITY ROAD MARBLEHEAD MA 01945 OUTPATIENT CLINIC 69 - SPAULDING OUTPATIENT CENTER - LYNN 583 CHESTNUT STREET 3RD FLOOR LYNN MA 01904 OUTPATIENT CLINIC 70 - SPAULDING OUTPATIENT CENTER - SALEM 35 CONGRESS STREET 2ND FLOOR SALEM MA 01970 OUTPATIENT CLINIC 71 - SPAULDING OUTPATIENT CENTER - QUINCY 79 CODDINGTON STREET 2ND FLOOR QUINCY MA 02169 OUTPATIENT CLINIC 72 - SPAULDING OUTPATIENT CENTER - EMILSON 75 MILL STREET HANOVER MA 02339 OUTPATIENT CLINIC 73 - SPAULDING MALDEN 350 MAIN STREET 1ST FLOOR MALDEN MA 02148 OUTPATIENT CLINIC 74 - SPAULDING OUTPATIENT CENTER FOR CHILDREN 22 PATRIOT PLACE BLDG K STE 120 FOXBORO MA 02035 OUTPATIENT CLINIC 75 - SPAULDING OUTPATIENT CENTER - ORLEANS 65 OLD COLONY WAY SUITE 2 ORLEANS MA 02653 OUTPATIENT CLINIC 76 - SPAULDING OUTPATIENT CENTER - HYANNIS 1513 IYANNOUGH ROAD HYANNIS MA 02601 OUTPATIENT CLINIC 77 - SPAULDING EILEEN M WARD OUTPATIENT CTR 280-D ROUTE 130 SUITE 7 FORESTDALE MA 02644 OUTPATIENT CLINIC 78 - SPAULDING OUTPATIENT CENTER - PLYMOUTH 1 SCOBEE CIRCLE PLYMOUTH MA 02360 OUTPATIENT CLINIC 79 - SPORTS MEDICINE AND PT ASSOCIATES OF NCH 6 BAYBERRY COURT GROUND LEVEL NANTUCKET MA 02554 OUTPATIENT CLINIC 80 - COOLEY DICKINSON SOUTH DEERFIELD CENTER 21 B ELM STREET 1ST FLOOR SOUTH DEERFIELD MA 01373 OUTPATIENT CLINIC 81 - COOLEY DICKINSON HOSPITAL 170 UNIVERSITY DRIVE AMHERST MA 01002 OUTPATIENT CLINIC 82 - THE COOLEY DICKINSON HOSPITAL OUTPATIENT 10 COLLEGE HIGHWAY SOUTHAMPTON MA 01073 OUTPATIENT CLINIC 83 - COOLEY DICKINSON HOSPITAL REHAB SERV 58 OLD NORTH ROAD SUITE 1 WORTHINGTON MA 01098 OUTPATIENT REHAB CLINIC 84 - COOLEY DICKINSON HOSPITAL REHAB SERV 380 RUSSELL STREET 1ST FLOOR HADLEY MA 01035 OUTPATIENT REHAB CLINIC 85 - COOLEY DICKINSON HOSPITAL P& OCC T 4 WEST STREET 2ND FLOOR WEST HATFIELD MA 01088 OUTPATIENT CLINIC 86 - COOLEY DICKINSON HOSPITAL P OCC & S 8 ATWOOD DRIVE NORTHAMPTON MA 01060 OUTPATIENT CLINIC 87 - COOLEY DICKINSON HOSPITAL OUTPATIENT DIA 22 ATWOOD DRIVE NORTHAMPTON MA 01060 DIAGNOSTIC SERVICES 88 - DOVER OUTPATIENT CENTER 10 MEMBERS WAY SUITE 200 DOVER NH 03820 SPECIALTY CARE PRACTICE, IMAGING, LAB, VASCULAR 89 - SOMERSWORTH CARDIOLOGY 3 TERRASCAPE PARKWAY SOMERSWORTH NH 03878 CARDIOLOGY SERVICES 90 - CENTER FOR PAIN MANAGEMENT CLINIC 158 ROUTE 108 SOMERSWORTH NH 03878 EVALUATION, DIAGNOSIS AND MEDICAL THERAPIES FOR ACUTE OR CHRONIC PAIN 91 - LEE OTPTIMAGING 65 CALEF HIGHWAY LEE NH 03861 OCCUPATIONAL/PHYSICAL THERAPY/IMAGING 92 - EXPRESS CARE DOVER 701 CENTRAL AVENUE DOVER NH 03820 EXPRESS CARE 93 - WDH PROFESSIONAL CENTER 10 MEMBERS WAY DOVER NH 03820 DIAGNOSTIC SERVICES 94 - EXPRESS CARE LEE 65 CALEF HIGHWAY LEE NH 03861 EXPRESS CARE, ECHO VASCULAR, IMAGING 95 - DIAGNOSTIC CARDIOLOGY 19 OLD ROLLINSFORD ROAD DOVER NH 03820 CARDIOLOGY SERVICES 96 - DURHAM REHAB & SPORTS THERAPY CENTER 16 JENKINS COURT DURHAM NH 03824 SPECIALTY CARE PRACTICE 97 - WDH EARLY LEARNING CENTER 789 CENTRAL AVENUE DOVER NH 03820 CHILDCARE SERVICES 98 - PEASE BUILDING B 73 CORPORATE DRIVE PORTSMOUTH NH 03801 REHAB SERVICES 99 - PEASE BUILDING C 121 CORPORATE DRIVE PORTSMOUTH NH 03801 ONCOLOGY SERVICES 100 - THE DOORWAY 798 CENTRAL AVENUE DOVER NH 03820 SUBSTANCE ABUSE TREATMENT 101 - RIVERWODDS AT DURHAM 14 STONE QUARRY DRIVE DURHAM NH 03824 REHAB SERVICES 102 - HOSPITAL REHAB SERVICES 23 WORKS WAY SOMERSWORTH NH 03878 REHAB SERVICES 103 - WOMEN'S LIFE IMAGING 200 NH-108 SOMERSWORTH NH 03878 WOMEN'S IMAGING SERVICES 104 - MARSH BROOK REHAB 7 MARSH BROOK DRIVE SOMERSWORTH NH 03878 REHAB SERVICES 105 - PEASE BUILDING A 67 CORPORATE DRIVE PORTSMOUTH NH 03801 IMAGING AND CARDIOLOGY SERVICES 106 - THE WORKS 21-41 WORKS WAY SOMERSWORTH NH 03878 REHAB SERVICES 107 - 15 OLD ROLLINSFORD ROAD 15 OLD ROLLINSFORD ROAD DOVER NH 03820 DIABETES, LACTATION, NUTRITION, PPE SOC 108 - NORTH SUBURBAN CENTER ONE MONTVALE AVENYE 5TH FLOOR STONEHAM MA 02180 LICENSED OUTPATIENT LOCATION 109 - MASSACHUSETTS EYE & EAR QUINCY (ANNEX) 500 CONGRESS STREET SUITE 1C QUINCY MA 02169 LICENSED OUTPATIENT LOCATION 110 - MASSACHUSETTS EYE & EAR INFIRMARY 54 BAKER AVENUE EXT 3RD FLOOR CONCORD MA 01742 LICENSED OUTPATIENT LOCATION 111 - MASSACHUSETTS EYE & EAR AT LONGWOOD 800 HUNTINGTON AVENUE BOSTON MA 02115 LICENSED OUTPATIENT LOCATION 112 - MEEI VESTIBULAR CENTER AT BRAINTREE R 250 POND STREET 1ST FLOOR BRAINTREE MA 02184 LICENSED OUTPATIENT LOCATION 113 - MASSACHUSETTS EYE & EAR INFIRMARY SNE 30 MAN MAR DRIVE SUITE 2 PLAINVILLE MA 02762 LICENSED OUTPATIENT LOCATION 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.HYLANDCLOUD.COM/231CBS/ANNUALREPORT.ASPXTHE WENTWORTH DOUGLASS COMMUNITY BENEFIT REPORT WHICH IS FILED WITH THE NEW HAMPSHIRE DEPARTMENT OF JUSTICE IS FOUND ON ITS WEBSITE AT:HTTPS://WWW.WDHOSPITAL.ORG/DOWNLOAD_FILE/VIEW/3946/7870 PART I, LINE 3C: 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 $44,180,399 FOR THE FISCAL PERIOD.PART I, LINE 7, COLUMN (F): THERE WAS $1,211,086 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. COMMUNITY CARE VANS:MASS GENERAL BRIGHAM'S MOBILE MEDICAL COMMUNITY CARE VANS BRING A BROAD MENU OF MOBILE MEDICAL SERVICES, INCLUDING SCREENINGS AND INTERVENTIONS FOR CHRONIC HEALTH ISSUES LIKE HYPERTENSION, DIABETES, AND SUBSTANCE USE DISORDERS. THE COMMUNITY CARE VANS, ORIGINALLY DEPLOYED DURING THE HEIGHT OF THE COVID-19 PANDEMIC, ARE STAFFED WITH MULTILINGUAL AND MULTICULTURAL CLINICIANS AND SUPPORT STAFF TO BETTER CONNECT WITH THE COMMUNITIES SERVED BY MASS GENERAL BRIGHAM.IN JANUARY OF 2021, MASS GENERAL BRIGHAM LAUNCHED A FLEET OF COMMUNITY CARE VANS IN OUR LOCAL COMMUNITIES HIT HARDEST BY THE COVID-19 PANDEMIC, PROVIDING COVID TESTING, VACCINES, AND RELIABLE HEALTH INFORMATION TO PATIENTS AND RESIDENTS. INFORMATION AND RESOURCES WERE PROVIDED IN A VARIETY OF LANGUAGES ALONG WITH CARE KITS CONTAINING ITEMS LIKE MASKS AND HAND SANITIZER.AS OF MAY 2023, THE COMMUNITY CARE VANS HAD ADMINISTERED MORE THAN 20,000 VACCINES TO COMMUNITY RESIDENTS. TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, PATIENTS ARE SCREENED FOR ISSUES RELATED TO HOUSING, ACCESS TO HEALTHY FOOD, AND PERSONAL SAFETY, AND CONNECTED WITH RELEVANT RESOURCES.NOW, AS COVID-19 TRANSITIONS FROM AN ACUTE PANDEMIC TO A MORE ENDEMIC STATE, THE MASS GENERAL BRIGHAM MOBILE MEDICAL COMMUNITY CARE VANS HAVE ALSO EVOLVED TO MEET PEOPLE WHERE THEY ARE AND CURRENTLY PROVIDE THE FOLLOWING SERVICES:HYPERTENSION AND DIABETES CARE: SCREENING AND INTERVENTION, INCLUDING BLOOD PRESSURE READINGS, LIPID AND A1C LEVELS TESTING AND PHYSICAL ACTIVITY ASSESSMENTS, TITRATION OF MEDICATION AND CONNECTION TO PRIMARY CARE MEDICAL HOMESSUBSTANCE USE DISORDER: SCREENING, TREATMENT PROGRAM REFERRALS AND RECOVERY COACHINGSOCIAL RISK MITIGATION: ONGOING ASSESSMENTS ON SOCIAL DETERMINANTS OF HEALTH (FOOD, HOUSING, ETC.) WITH CONNECTION TO SERVICESWORKFORCE 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.THE WORKFORCE DEVELOPMENT PROGRAM 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 SUSTAINABILITY:MASS GENERAL BRIGHAM WAS NAMED A RECIPIENT OF THE COMMONWEALTH ENVIRONMENTAL LEADERSHIP AWARD BY THE ENVIRONMENTAL LEAGUE OF MASSACHUSETTS (ELM). THE AWARD WAS PRESENTED AT ELM'S EARTH NIGHT, AN EVENT TO HONOR THE RECIPIENTS AND BUILD THE RELATIONSHIPS THAT WILL HELP MASSACHUSETTS LEAD THE NATION IN ADDRESSING THE SCALE AND URGENCY OF OUR ENVIRONMENTAL CHALLENGES. MASS GENERAL BRIGHAM WAS RECOGNIZED AS AN INDUSTRY LEADER IN SUSTAINABLE HEALTH CARE DELIVERY. "WE ARE HONORED TO HAVE BEEN RECOGNIZED FOR OUR WORK TO MINIMIZE OUR IMPACT ON THE ENVIRONMENT. MASS GENERAL BRIGHAM IS COMMITTED TO REDUCING THE HARMFUL IMPACTS OF CLIMATE CHANGE AND CREATING HEALTHIER ENVIRONMENTS FOR OUR PATIENTS, EMPLOYEES, AND COMMUNITIES," SAID NIYUM GANDHI, CHIEF FINANCIAL OFFICER AND TREASURER OF MASS GENERAL BRIGHAM.THE HEALTH SECTOR IS RESPONSIBLE FOR APPROXIMATELY 8.5% OF CARBON EMISSIONS IN THE UNITED STATES, WHICH ARE THE LEADING CAUSE OF GLOBAL CLIMATE CHANGE. AS AN INDUSTRY LEADER IN SUSTAINABLE HEALTHCARE DELIVERY, MASS GENERAL BRIGHAM HAS REDUCED GREENHOUSE GAS EMISSIONS BY ABOUT 60% SINCE 2008. CURRENTLY 80% 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). 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. IN RECOGNITION OF CLIMATE CHANGE AS A PUBLIC HEALTH ISSUE, MASS GENERAL BRIGHAM IS THE ONLY HEALTHCARE SYSTEM IN THE COUNTRY WITH FOUR MEDICAL DIRECTORS FOR SUSTAINABILITY. MASS GENERAL BRIGHAM'S EFFORTS INCLUDE INITIATIVES THAT RANGE FROM INTEGRATING CLIMATE-HEALTH AND HEALTH CARE SUSTAINABILITY INTO RESIDENT TRAINING, MINIMIZING FOOD WASTE AS PART OF THE COOL FOOD PLEDGE, AND DESIGNING CARBON NEUTRAL BUILDINGS. THE SYSTEM HAS ALSO MADE IT A PRIORITY TO ADVOCATE FOR POLICIES AND PROGRAMS AT THE LOCAL, STATE, AND FEDERAL LEVELS THAT ARE AIMED AT BUILDING A HEALTHIER, MORE SUSTAINABLE, AND MORE EQUITABLE FUTURE.DIVERSITY, EQUITY, AND INCLUSION:AT MASS GENERAL BRIGHAM, DIVERSITY, EQUITY, AND INCLUSION ARE CENTRAL TO EVERY ASPECT OF OUR ORGANIZATION. WHEN OUR WORKFORCE IS MORE EQUITABLE AND INCLUSIVE, WE CAN BE MORE INNOVATIVE, CREATIVE, AND ON THE CUTTING EDGE OF ADVANCEMENT. LEVERAGING DIVERSE PERSPECTIVES ALLOWS US TO DEVELOP BETTER OVERALL SOLUTIONS TO THE PROBLEMS WE FACE.OUR OFFICE OF DIVERSITY, EQUITY, AND INCLUSION CONTINUES TO DEVELOP WORKFORCE EQUITY BY: SUPPORTING 18 EMPLOYEE RESOURCE GROUPS ACROSS THE SYSTEM TO CREATE AN ENVIRONMENT WHERE ALL EMPLOYEES CAN THRIVE.DEVELOPING AND IMPLEMENTING EDUCATIONAL EXPERIENCES THAT INCREASE DIVERSITY, EQUITY, AND INCLUSION COMPETENCIES AND SKILLS, WHILE PROMOTING AN EQUITABLE HEALTH CARE SYSTEM.WORKING WITH OUR HOSPITAL LEADERS, RESPONSIBLE FOR CREATING AND IMPLEMENTING SYSTEM-WIDE DIVERSITY, EQUITY, AND INCLUSION STRATEGIES AND GOALS, REDEFINING POLICIES, AND IDENTIFYING CRITICAL FOCUS AREAS.OUR PRIORITIES ARE TO:INCREASE THE DIVERSITY OF OUR BOARD OF DIRECTORS OF OUR HEALTH SYSTEM AND AT OUR INSTITUTIONS/HOSPITALS.IMPROVE HIRING, PROMOTION, AND RETENTION OF DIVERSE LEADERS IN THE ORGANIZATION.DEVELOP ANTI-RACISM EDUCATIONAL COURSES AND FACILITATE DEEP CONVERSATIONS ABOUT RACE AND ETHNICITY.EVALUATE AND ENSURE EQUITY IN EMPLOYEE COMPENSATION AND BENEFITS.CREATE MULTILINGUAL COMMUNICATIONS TO MEET THE NEEDS OF OUR DIVERSE WORKFORCE. 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 $82,938 AND $73,165 FOR 2023 AND 2022, 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 BY HOSPITALS TO THE FEDERAL GOVERNMENT 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: ACUTE CARE HOSPITALS AND OTHER MGB PROVIDERS 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, NH MEDICAID WITH A MAGI FAMILY INCOME EQUAL TO OR LESS THAN 250% OF THE FPG, EMERGENCY AID TO THE ELDERLY, DISABLED, AND CHILDREN (EAEDC), AND HEALTH SAFETY NET (FULL OR PARTIAL). 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. ACUTE CARE HOSPITALS AND OTHER MGB PROVIDERS 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 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.IN ADDITION, ALL OF MASS GENERAL BRIGHAM'S MEMBER INSTITUTIONS CONDUCT CHNAS OF THEIR OWN, AT MINIMUM, EVERY 3 YEARS.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.ASPX PART VI, LINE 3: FINANCIAL COUNSELING SERVICESACUTE CARE HOSPITALS AND OTHER MGB PROVIDERS WITH FINANCIAL COUNSELING SERVICES WILL SEEK TO IDENTIFY PATIENTS WHO MAY BE UNINSURED OR INADEQUATELY INSURED TO PROVIDE COUNSELING AND ASSISTANCE. THESE MGB PROVIDERS WILL PROVIDE FINANCIAL COUNSELING TO THESE PATIENTS AND THEIR FAMILIES, THROUGH FINANCIAL COUNSELORS, 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. FINANCIAL COUNSELORS 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. IF PATIENTS HAVE ANY FURTHER QUESTIONS RELATED TO THE FINANCIAL ASSISTANCE PROGRAM, PROGRAM ELIGIBILITY, OR A BILL RECEIVED, THE PATIENT SHOULD REACH OUT TO A FINANCIAL COUNSELOR. A FINANCIAL COUNSELOR WILL RESPOND AS PROMPTLY AS POSSIBLE TO PATIENTS' INQUIRIES RELATED TO FINANCIAL ASSISTANCE OR CONNECT PATIENT WITH CORRECT DEPARTMENT TO HANDLE REQUEST.THE MASS GENERAL BRIGHAM FINANCIAL ASSISTANCE POLICY, APPLICATION FORMS, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT WWW.MASSGENERALBRIGHAM.ORG. THIS WEBPAGE MAY BE ACCESSED FROM THE MASS GENERAL BRIGHAM HOME PAGE FROM THE DROP-DOWN MENU UNDER "FOR PATIENTS." THE WEBSITE INCLUDES VARIOUS WAYS IN WHICH PATIENTS CAN APPLY FOR ASSISTANCE, INCLUDING A LIST OF HOSPITAL AND HEALTH CENTER PATIENT FINANCIAL COUNSELING LOCATIONS; A CENTRAL PHONE NUMBER; AND AN EMAIL ADDRESS. THE WEBSITE ALSO INFORMS PATIENTS THAT THE APPLICATION FORMS AND ASSISTANCE ARE FREE. INFORMATION ON THE POLICY AND HOW TO APPLY IS AVAILABLE AT ALL APPLICABLE MASS GENERAL BRIGHAM ENTITIES WITH PUBLIC COMMUNICATION ACCOMPLISHED IN SEVERAL WAYS: POSTED NOTICES (SIGNS) OF THE AVAILABILITY OF FINANCIAL ASSISTANCE PROGRAMS AND DESCRIBE WHERE TO GO FOR ASSISTANCE IN THE FOLLOWING LOCATIONS: INPATIENT, CLINIC, EMERGENCY DEPARTMENT, AND COMMUNITY HEALTH CENTER ADMISSION AND/OR REGISTRATION AREAS FINANCIAL COUNSELING WAITING AREAS CENTRAL ADMISSION/REGISTRATION AREAS THAT ARE OPEN TO PATIENTS BUSINESS OFFICE WAITING AREAS THAT ARE OPEN TO PATIENTS PLAIN LANGUAGE BROCHURES THAT ADVERTISE THE AVAILABILITY OF MASS GENERAL BRIGHAM FINANCIAL ASSISTANCE OPTIONS DISPLAYED IN PRACTICES AND EMERGENCY DEPARTMENTS 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 HOSPITALS AND HEALTH CENTERS AND ROUTINELY OFFERED TO EXISTING PATIENTS WHENEVER THEY ARE EXPECTED TO HAVE AN OUT-OF-POCKET LIABILITY. GENERAL INFORMATION REGARDING AVAILABILITY OF FINANCIAL ASSISTANCE IS INCLUDED ON ALL PATIENT STATEMENTS PATIENT FINANCIAL COUNSELING RESOURCES AVAILABLE FOR ANY PATIENT WHO REQUESTS ASSISTANCE, HAS SPECIFIC QUESTIONS, OR WANTS A PAPER APPLICATION. ALL MATERIALS, INCLUDING THE POLICY, SIGNAGE, APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE IN ENGLISH AND 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. SIGNAGE WILL ALSO INCLUDE INSTRUCTIONS ON ACCESS TO TRANSLATION SERVICES FOR PATIENTS WHO HAVE OTHER LANGUAGE NEEDS. PART VI, LINE 4: MASS GENERAL BRIGHAM INVESTS HUNDREDS OF MILLIONS OF DOLLARS YEARLY TO IMPROVE HEALTH IN THE COMMUNITIES WE SERVE. IN 2021, WE ANNOUNCED A MULTI-MILLION DOLLAR INVESTMENT IN A NEW, COMPREHENSIVE COMMUNITY AND MENTAL HEALTH STRATEGY. IN PARTNERSHIP WITH 20 COMMUNITY-BASED ORGANIZATIONS, THE INITIATIVE TARGETS PROGRAMS TO IMPROVE MENTAL HEALTHCARE CAPACITY, WORKFORCE DEVELOPMENT, CHRONIC DISEASE MANAGEMENT, AS WELL AS NUTRITION SECURITY AND EQUITY. WE HAVE COMMITTED A $67 MILLION+ INVESTMENT IN HOUSING, MENTAL HEALTH, ECONOMIC MOBILITY, AND FOOD INSECURITY THROUGH OUR MASS GENERAL BRIGHAM COMMUNITY HEALTH IMPACT FUNDS, INCLUDING THE LARGEST DETERMINATION OF NEED (DON) INVESTMENT IN MASSACHUSETTS HISTORY.WE HAVE ALSO INVESTED $25 MILLION IN THE MASSACHUSETTS COMMUNITY HEALTH & HEALTHY AGING FUNDS. THESE GRANT OPPORTUNITIES ARE DESIGNED TO REDUCE HEALTH INEQUITIES IN COMMUNITIES ACROSS MASSACHUSETTS BY ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. THE FUNDS ARE FOCUSED ON COMMUNITIES THAT HAVE NOT ROUTINELY BENEFITTED FROM DON FUNDING. 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 7,300 EMPLOYED AND 1,100 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 60,000 FULL-TIME EQUIVALENT EMPLOYEES (FTES), MASS GENERAL BRIGHAM IS ONE OF THE LARGEST PRIVATE EMPLOYERS IN THE COMMONWEALTH OF MASSACHUSETTS. MASS GENERAL BRIGHAM INCORPORATED 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,NH 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. 1 MASS GENERAL BRIGHAM INCORPORATED 800 BOYLSTON STREET BOSTON MA 02199 043230035 501(C)(3) 226493559 0 TO SUPPORT TAX EXEMPT AFFILIATE BRIGHAM INC 75 FRANCIS STREET BOSTON MA 02115 042921338 501(C)(3) 225828737 0 TO SUPPORT TAX EXEMPT AFFILIATE MASS GENERAL BRIGHAM MEDICAL GROUP INC 800 BOYLSTON STREET BOSTON MA 02199 841908707 501(C)(3) 50792227 0 TO SUPPORT TAX EXEMPT AFFILIATE THE MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET BOSTON MA 02114 041564655 501(C)(3) 26345991 0 TO SUPPORT TAX EXEMPT AFFILIATE CD PRACTICE ASSOCIATES INC PO BOX 911 NORTHAMPTON MA 01060 043194547 501(C)(3) 23078774 0 TO SUPPORT TAX EXEMPT AFFILIATE NORTH SHORE PHYSICIANS GROUP INC 81 HIGHLAND AVENUE SALEM MA 01970 043080484 501(C)(3) 19612689 0 TO SUPPORT TAX EXEMPT AFFILIATE COOLEY DICKINSON HEALTH CARE CORPORATION 30 LOCUST STREET NORTHAMPTON MA 01060 042103561 501(C)(3) 18987157 0 TO SUPPORT TAX EXEMPT AFFILIATE THE BRIGHAM AND WOMEN'S HOSPITAL INC 75 FRANCIS STREET BOSTON MA 02115 042312909 501(C)(3) 16310429 0 TO SUPPORT TAX EXEMPT AFFILIATE THE GENERAL HOSPITAL CORPORATION 55 FRUIT STREET BOSTON MA 02114 042697983 501(C)(3) 14339222 0 TO SUPPORT TAX EXEMPT AFFILIATE NEWTON-WELLESLEY MEDICAL GROUP INC 2014 WASHINGTON STREET NEWTON MA 02462 222560501 501(C)(3) 7882993 0 TO SUPPORT TAX EXEMPT AFFILIATE MASS GENERAL BRIGHAM AMSURG INC 399 REVOLUTION DRIVE SOMERVILLE MA 02145 854372153 501(C)(3) 4237834 0 TO SUPPORT TAX EXEMPT AFFILIATE WNR INC 1 LINTON LANE OAK BLUFFS MA 02557 043419920 501(C)(3) 3438199 0 TO SUPPORT TAX EXEMPT AFFILIATE THE MCLEAN HOSPITAL CORPORATION 115 MILL STREET BELMONT MA 02478 042697981 501(C)(3) 2207033 0 TO SUPPORT TAX EXEMPT AFFILIATE BRIGHAM AND WOMEN'S PHYSICIANS ORGANIZATION 75 FRANCIS STREET BOSTON MA 02115 043466314 501(C)(3) 2131471 0 TO SUPPORT TAX EXEMPT AFFILIATE MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC 800 BOYLSTON STREET BOSTON MA 02199 043236175 501(C)(3) 2013262 0 TO SUPPORT TAX EXEMPT AFFILIATE NANTUCKET COTTAGE HOSPITAL 57 PROSPECT STREET NANTUCKET MA 02554 042103823 501(C)(3) 280274 0 TO SUPPORT TAX EXEMPT AFFILIATE THE SPAULDING REHABILITATION HOSPITAL CORPORATION 300 FIRST AVENUE CHARLESTOWN MA 02129 042551124 501(C)(3) 250000 0 TO SUPPORT TAX EXEMPT AFFILIATE BRIGHAM AND WOMEN'S FAULKNER HOSPITAL INC 1153 CENTRE STREET BOSTON MA 02130 042768256 501(C)(3) 150709 0 TO SUPPORT TAX EXEMPT AFFILIATE MASSACHUSETTS EYE & EAR INFIRMARY 243 CHARLES STREET BOSTON MA 02114 042103591 501(C)(3) 75000 0 TO SUPPORT TAX EXEMPT AFFILIATE FOUNDATION OF THE MASSACHUSETTS EYE AND EAR INFIRMARY INC 243 CHARLES STREET BOSTON MA 02114 042785453 501(C)(3) 74613 0 TO SUPPORT TAX EXEMPT AFFILIATE SPAULDING HOSPITAL-CAMBRIDGE INC 1575 CAMBRIDGE STREET CAMBRIDGE MA 02138 270273715 501(C)(3) 43000 0 TO SUPPORT TAX EXEMPT AFFILIATE NEWTON-WELLESLEY HOSPITAL 2014 WASHINGTON STREET NEWTON MA 02462 042103611 501(C)(3) 12885 0 TO SUPPORT TAX EXEMPT AFFILIATE NORTH END WATERFRONT HEALTH 332 HANOVER ST BOSTON MA 02113 237089746 501(C)(3) 3793232 0 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS 40 COURT ST BOSTON MA 02108 042507409 501(C)(3) 1968528 0 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS 40 COURT ST BOSTON MA 02108 042507409 501(C)(3) 1353187 0 COMMUNITY BENEFIT PROGRAM GREENROOTS INC 90 EVERETT AVE 3RD FL SUITE 10 CHELSEA MA 021502317 812718273 501(C)(3) 1050000 0 COMMUNITY BENEFIT PROGRAM GREATER LYNN SENIOR SERVICES 8 SILSBEE ST LYNN MA 01901 042581129 501(C)(3) 863492 0 COMMUNITY BENEFIT PROGRAM EAST BOSTON NEIGHBORHOOD HEALTH CENTER 10 GROVE ST BOSTON MA 02116 237425849 501(C)(3) 843000 0 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS ASSOCIATION FOR MENTAL HEALTH (MAMH) 50 FEDERAL ST BOSTON MA 02110 042104711 501(C)(3) 523385 0 COMMUNITY BENEFIT PROGRAM WATCH CDC 24 CRESCENT ST ROOM 201 WALTHAM MA 02453 222918528 501(C)(3) 486674 0 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS ASSOCIATION FOR MENTAL HEALTH (MAMH) 50 FEDERAL ST BOSTON MA 02110 042104711 501(C)(3) 362543 0 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS 40 COURT ST BOSTON MA 02108 042507409 501(C)(3) 329458 0 COMMUNITY BENEFIT PROGRAM LYNN COMMUNITY HEALTH CENTER 269 MADISON AVE ROOM 9 LYNN MA 01901 042525066 501(C)(3) 261000 0 COMMUNITY BENEFIT PROGRAM BOYS & GIRLS CLUB OF BOSTON INC 200 HIGH ST 3RD FLOOR BOSTON MA 02110 042103922 501(C)(3) 256791 0 COMMUNITY BENEFIT PROGRAM THE BOSTON FOUNDATION 75 ARLINGTON ST 3RD FLOOR BOSTON MA 02116 042104021 501(C)(3) 255734 0 COMMUNITY BENEFIT PROGRAM NORTH SHORE COMMUNITY HEALTH INC 27 CONGRESS ST SUITE 513 SALEM MA 01970 042610447 501(C)(3) 232500 0 COMMUNITY BENEFIT PROGRAM WILLIAM JAMES COLLEGE 1 WELLS AVE NEWTON MA 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109LL BOSTON MA 02119 453741482 501(C)(3) 137501 0 COMMUNITY BENEFIT PROGRAM THE FOOD BANK OF WESTERN MASSACHUSETTS INC 97 NORTH HATFIELD RD HATFIELD MA 01038 042751023 501(C)(3) 119388 0 COMMUNITY BENEFIT PROGRAM COMMUNITY SERVINGS INC 179 AMORY ST BOSTON MA 02130 223154028 501(C)(3) 111111 0 COMMUNITY BENEFIT PROGRAM COMMUNITY SERVINGS INC 179 AMORY ST BOSTON MA 02130 223154028 501(C)(3) 111111 0 COMMUNITY BENEFIT PROGRAM COMMUNITY SERVINGS INC 179 AMORY ST BOSTON MA 02130 223154028 501(C)(3) 111111 0 COMMUNITY BENEFIT PROGRAM FAMILY AID BOSTON INC 3815 WASHINGTON ST BOSTON MA 021303745 042105756 501(C)(3) 100000 0 COMMUNITY BENEFIT PROGRAM THE NEIGHBORHOOD DEVELOPERS INC 4 GERRISH AVE 2 CHELSEA MA 02150 042660283 501(C)(3) 100000 0 COMMUNITY BENEFIT PROGRAM BRIDGEWATER STATE UNIVERSITY - SCHOOL OF SOCIAL WORK 131 SUMMER ST BRIDGEWATER MA 02325 222678005 501(C)(1) 97784 0 COMMUNITY BENEFIT PROGRAM TOWN OF FOXBOROUGH COUNCIL ON AGINGHUMAN SERVICES 75 CENTRAL ST FOXBOROUGH MA 02035 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ST BOSTON MA 02119 462848535 501(C)(3) 75000 0 COMMUNITY BENEFIT PROGRAM BROOKVIEW HOUSE INC 2 BROOKVIEW ST 1 BOSTON MA 02124 223032466 501(C)(3) 75000 0 COMMUNITY BENEFIT PROGRAM YMCA OF GREATER BOSTON - PARKWAY BRANCH 1972 CENTRE ST W BOSTON MA 02132 042103551 501(C)(3) 75000 0 COMMUNITY BENEFIT PROGRAM MAURICE J TOBIN K-8 SCHOOL 40 SMITH ST ROXBURY CROSSING MA 02120 501(C)(1) 70000 0 COMMUNITY BENEFIT PROGRAM COLLEGE BOUND DORCHESTER INC 18 SAMOSET ST BOSTON MA 02124 042383512 501(C)(3) 66054 0 COMMUNITY BENEFIT PROGRAM SOCIEDAD LATINA INC 1530 TREMONT ST BOSTON MA 02120 042678255 501(C)(3) 66054 0 COMMUNITY BENEFIT PROGRAM TSNE - MISSIONWORKS INC 89 SOUTH ST SUITE 700 BOSTON MA 02111 042261109 501(C)(3) 64285 0 COMMUNITY BENEFIT PROGRAM BOSTON COLLEGE SCHOOL OF SOCIAL WORK LATINX AND BLACK LEADERSHIP INITATIVES 140 COMMONWEALTH AVE CHESTNUT HILL MA 02467 042103545 501(C)(3) 63238 0 COMMUNITY BENEFIT PROGRAM RIZE MASSACHUSETTS FOUNDATION INC 101 HUNTINGTON AVE BOSTON MA 02199 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50000 0 COMMUNITY BENEFIT PROGRAM GREATER BOSTON CHINESE GOLDEN AGE CENTER INC 75 KNEELAND ST 204 BOSTON MA 02111 237181452 501(C)(3) 50000 0 COMMUNITY BENEFIT PROGRAM HARVARD UNIVERSITY - LEGAL SERVICES CENTER 122 BOYLSTON ST JAMAICA PLAIN MA 02130 042103580 501(C)(3) 50000 0 COMMUNITY BENEFIT PROGRAM JAMAICA PLAIN NEIGHBORHOOD DEVELOPMENT CORPORATION 31 GERMANIA ST JAMAICA PLAIN MA 02130 042652919 501(C)(3) 50000 0 COMMUNITY BENEFIT PROGRAM REACH BEYOND DOMESTIC VIOLENCE PO BOX 5409024 WALTHAM MA 02454 042735449 501(C)(3) 50000 0 COMMUNITY BENEFIT PROGRAM MASSACHUSETTS ASSOCIATION FOR MENTAL HEALTH (MAMH) 50 FEDERAL ST BOSTON MA 02110 042104711 501(C)(3) 49103 0 COMMUNITY BENEFIT PROGRAM BUNKER HILL COMMUNITY COLLEGE FOUNDATION 250 NEW RUTHERFORD AVE H150 BOSTON MA 02129 222757389 501(C)(1) 44763 0 COMMUNITY BENEFIT PROGRAM THE BOSTON FOUNDATION 75 ARLINGTON ST 3RD FLOOR BOSTON MA 02116 042104021 501(C)(3) 43129 0 COMMUNITY BENEFIT PROGRAM SOS RECOVERY COMMUNITY ORGANIZATION INC 14 SIGNAL ST ROCHESTER NH 038672729 920814462 501(C)(3) 40000 0 COMMUNITY BENEFIT PROGRAM QUINCY COLLEGE - SCHOOL OF NURSING 34 CODDINGTON ST QUINCY MA 02169 043339998 501(C)(1) 38360 0 COMMUNITY BENEFIT PROGRAM SALEM STATE UNIVERSITY - SCHOOL OF SOCIAL WORK 352 LAFAYETTE ST SALEM MA 01970 042325342 501(C)(1) 36183 0 COMMUNITY BENEFIT PROGRAM WILLIAM JAMES COLLEGE 1 WELLS AVE NEWTON MA 02459 042620216 501(C)(3) 35523 0 COMMUNITY BENEFIT PROGRAM BOYS & GIRLS CLUB OF BOSTON INC 200 HIGH ST 3RD FLOOR BOSTON MA 02110 042103922 501(C)(3) 35000 0 COMMUNITY BENEFIT PROGRAM ESAC PO BOX 301749 BOSTON MA 02130 042455301 501(C)(3) 33000 0 COMMUNITY BENEFIT PROGRAM ISLAND GROWN INITIATIVE LTD PO BOX 622 VINEYARD HAVEN MA 02568 205773892 501(C)(3) 32500 0 COMMUNITY BENEFIT PROGRAM WILLIAM JAMES COLLEGE 1 WELLS AVE NEWTON MA 02459 042620216 501(C)(3) 31478 0 COMMUNITY BENEFIT PROGRAM BUNKER HILL COMMUNITY COLLEGE FOUNDATION 250 NEW RUTHERFORD AVE H150 BOSTON MA 02129 222757389 501(C)(1) 31007 0 COMMUNITY BENEFIT PROGRAM ALTERNATIVE FOR COMMUNITY & ENVIRONMENT (ACE) 2201 WASHINGTON ST ROOM 302 BOSTON MA 02119 043228509 501(C)(3) 30000 0 COMMUNITY BENEFIT PROGRAM WELLSPRING HOUSE 302 ESSEX AVE GLOUCESTER MA 01930 042735048 501(C)(3) 28000 0 COMMUNITY BENEFIT PROGRAM QUINCY COLLEGE - SCHOOL OF NURSING 34 CODDINGTON ST QUINCY MA 02169 043339998 501(C)(1) 26572 0 COMMUNITY BENEFIT PROGRAM DIMOCK COMMUNITY HEALTH CENTER 40 DIMOCK ST ROXBURY MA 02119 043487835 501(C)(3) 25000 0 COMMUNITY BENEFIT PROGRAM DIMOCK COMMUNITY HEALTH CENTER 40 DIMOCK ST ROXBURY MA 02119 043487835 501(C)(3) 25000 0 COMMUNITY BENEFIT PROGRAM HARBOR HOMES OF MARTHA'S VINEYARD PO BOX 4795 VINEYARD HAVEN MA 02568 832996138 501(C)(3) 25000 0 COMMUNITY BENEFIT PROGRAM HOSPICE OF MARTHA'S VINEYARD PO BOX 1748 VINEYARD HAVEN MA 02568 042770996 501(C)(3) 25000 0 COMMUNITY BENEFIT PROGRAM ISLAND AUTISM GROUP INC PO BOX 2786 EDGARTOWN MA 02539 300661116 501(C)(3) 25000 0 COMMUNITY BENEFIT PROGRAM MISSION HILL MAIN STREETS 812 HUNTINGTON AVE BOSTON MA 02115 043400164 501(C)(3) 25000 0 COMMUNITY BENEFIT PROGRAM WAYPOINT NH 464 CHESTNUT ST MANCHESTER NH 031011804 020222164 501(C)(3) 25000 0 COMMUNITY BENEFIT PROGRAM LASELL UNIVERSITY 1844 COMMONWEALTH AVE NEWTON MA 02466 042103585 501(C)(3) 24448 0 COMMUNITY BENEFIT PROGRAM THE BOSTON FOUNDATION 75 ARLINGTON ST 3RD FLOOR BOSTON MA 02116 042104021 501(C)(3) 23993 0 COMMUNITY BENEFIT PROGRAM BRIDGEWATER STATE UNIVERSITY - SCHOOL OF SOCIAL WORK 131 SUMMER ST BRIDGEWATER MA 02325 222678005 501(C)(1) 23807 0 COMMUNITY BENEFIT PROGRAM ROXBURY PRESBYTERIAN CHURCH - SOCIAL IMPACT CENTER 328 WARREN ST BOSTON MA 02119 043506648 501(C)(3) 23333 0 COMMUNITY BENEFIT PROGRAM ROXBURY PRESBYTERIAN CHURCH - SOCIAL IMPACT CENTER 328 WARREN ST BOSTON MA 02119 043506648 501(C)(3) 23333 0 COMMUNITY BENEFIT PROGRAM ROXBURY PRESBYTERIAN CHURCH - SOCIAL IMPACT CENTER 328 WARREN ST BOSTON MA 02119 043506648 501(C)(3) 23333 0 COMMUNITY BENEFIT PROGRAM INTERNATIONAL OCD FOUNDATION PO BOX 961029 BOSTON MA 02196 222894564 501(C)(3) 20000 0 COMMUNITY BENEFIT PROGRAM CCHERS (FOR HEART CONSORTIUM) 320 HUNTINGTON AVE ROOM 22 BOSTON MA 02115 043286409 501(C)(3) 17969 0 COMMUNITY BENEFIT PROGRAM UNIVERSITY OF MASSACHUSETTS AMHERST - SCHOOL OF NURSING 181 PRESIDENTS DR AMHERST MA 01003 542084125 501(C)(1) 17390 0 COMMUNITY BENEFIT PROGRAM BOSTON COLLEGE SCHOOL OF SOCIAL WORK LATINX AND BLACK LEADERSHIP INITATIVES 140 COMMONWEALTH AVE CHESTNUT HILL MA 02467 042103545 501(C)(3) 15396 0 COMMUNITY BENEFIT PROGRAM RIZE MASSACHUSETTS FOUNDATION INC 101 HUNTINGTON AVE BOSTON MA 02199 830989395 501(C)(3) 15177 0 COMMUNITY BENEFIT PROGRAM ACADEMY FOR EATING DISORDERS 401 EDGEWATER PLZ SUITE 600 WAKEFIELD MA 01880 363929097 501(C)(3) 15000 0 COMMUNITY BENEFIT PROGRAM AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 15000 0 COMMUNITY BENEFIT PROGRAM COMMUNITY ACTION OF PIONEER VALLEY 393 MAIN ST GREENFIELD MA 01301 042384972 501(C)(3) 15000 0 COMMUNITY BENEFIT PROGRAM BRIDGEWATER STATE UNIVERSITY - SCHOOL OF SOCIAL WORK 131 SUMMER ST BRIDGEWATER MA 02325 222678005 501(C)(1) 13244 0 COMMUNITY BENEFIT PROGRAM UNIVERSITY OF MASSACHUSETTS AMHERST - SCHOOL OF NURSING 181 PRESIDENTS DR AMHERST MA 01003 542084125 501(C)(1) 12046 0 COMMUNITY BENEFIT PROGRAM CHARLES RIVER REGIONAL CHAMBER 117 KENDRICK ST SUITE 300 NEEDHAM MA 02494 041670500 501(C)(6) 11250 0 COMMUNITY BENEFIT PROGRAM AMERICAN CANCER SOCIETY 43 NAGOG PARK ACTON MA 01720 050271570 501(C)(3) 10000 0 COMMUNITY BENEFIT PROGRAM AMERICAN DIABETES ASSOCIATION 2451 CRYSTAL DR ROOM 900 ARLINGTON VA 22202 131623888 501(C)(3) 10000 0 COMMUNITY BENEFIT PROGRAM CENTER FOR HUMAN DEVELOPMENT INC 332 BIRNIE AVE SPRINGFIELD MA 011071104 042503926 501(C)(3) 10000 0 COMMUNITY BENEFIT PROGRAM COOPERATIVE ALLIANCE FOR SEACOAST TRANSPORTATION (COAST) 42 SUMNER DR DOVER NH 03820 020362579 501(C)(3) 10000 0 COMMUNITY BENEFIT PROGRAM HEBREW SENIOR LIFE 1200 CENTER ST BOSTON MA 02131 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INC PO BOX 202 FRANKLIN MA 020380202 043144053 501(C)(3) 7000 0 COMMUNITY BENEFIT PROGRAM NEWTON COMMUNITY PRIDE 1000 COMMONWEALTH AVE NEWTON MA 02459 222793743 501(C)(3) 7000 0 COMMUNITY BENEFIT PROGRAM SAFE PASSAGE 43 CENTER ST NORTHAMPTON MA 01060 042690131 501(C)(3) 6893 0 COMMUNITY BENEFIT PROGRAM QUINCY COLLEGE - SCHOOL OF NURSING 34 CODDINGTON ST QUINCY MA 02169 043339998 501(C)(1) 6469 0 COMMUNITY BENEFIT PROGRAM ALLPATHS FAMILY BUILDING 300 BAKER AVE SUITE 300 CONCORD MA 01742 043266589 501(C)(3) 6000 0 COMMUNITY BENEFIT PROGRAM COMMUNITY ACTION PARTNERSHIP OF STRAFFORD COUNTY 577 CENTRAL AVE SUITE 10 DOVER NH 03820 020268636 501(C)(3) 5100 0 COMMUNITY BENEFIT PROGRAM 126 20 SCHOLARSHIPS 407 8951154 0 TUITION REDUCTION - VARIOUS RECIPIENTS 294800 0 USE OF GRANTS/DONATIONS MASS GENERAL BRIGHAM INCORPORATED AND AFFILIATES MAKE DONATIONS TO VARIOUS TAX-EXEMPT ORGANIZATIONS. THESE DONATIONS CAN BE USED BY THE RECIPIENT ONLY IN FURTHERANCE OF THEIR TAX-EXEMPT MISSION. GRANTS AND OTHER ASSISTANCE DETAIL FINANCIAL AID OF $9,245,954 CONSISTS OF SCHOLARSHIPS PROVIDED BY THE INSTITUTE OF $8,951,154 FOR 407 STUDENTS AND $294,800 FOR TUITION REDUCTIONS RELATED TO VOUCHERS TO CLINICAL SITES AND REDEEMED BY STUDENTS TO OFFSET TUITION CHARGES. TOTAL FINANCIAL AID OF $9,245,954 OFFSETS TUITION AND FEES ONLY. 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O & T TITLES 401952 0 50430 0 34942 0 24400 0 30743 0 542467 0 0 0 MATTHEW FISHMAN SEE SCHEDULE O - O & T TITLES 0 407953 0 0 0 75525 0 33640 0 24363 0 541481 0 0 DANIEL E PESCH MD SEE SCHEDULE O - O & T TITLES 406875 0 44000 0 42740 0 16775 0 27033 0 537423 0 0 0 ALBERT NAMIAS MD SEE SCHEDULE O - O & T TITLES 454700 0 12450 0 19646 0 16775 0 30451 0 534022 0 0 0 DAVID L RABIN MD SEE SCHEDULE O - O & T TITLES 441176 0 3200 0 40985 0 15250 0 32726 0 533337 0 0 0 STEPHEN R JENNEY SEE SCHEDULE O - O & T TITLES 332443 0 66637 0 56479 0 41454 0 27461 0 524474 0 0 0 STEVEN E KAPFHAMMER SEE SCHEDULE O - O & T TITLES 0 370888 0 23170 0 69423 0 30500 0 27072 0 521053 0 0 TRUNG Q DO MA MBA SEE SCHEDULE O - O & T TITLES 0 346983 0 45003 0 71835 0 33550 0 23528 0 520899 0 0 CHERI A BLAUWET MD SEE SCHEDULE O - O & T TITLES 325336 0 84454 0 51422 0 27450 0 31500 0 520162 0 0 0 PATRICK L GORDAN MD SEE SCHEDULE O - O & T TITLES 387793 0 55310 0 33699 0 12200 0 29410 0 518412 0 0 0 CYNTHIA N PACIULLI BARBARITS MD SEE SCHEDULE O - 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BCP, BH, BRF, BWH, BWHR 0 342864 0 41664 0 29315 0 27450 0 44935 0 486228 0 0 ELLEN L CAILLE SEE SCHEDULE O - O & T TITLES 329403 0 46524 0 53374 0 16775 0 30416 0 476492 0 0 0 PAUL G CUSHING ESQ SEE SCHEDULE O - O & T TITLES 0 325291 0 20154 0 62666 0 33549 0 34825 0 476485 0 0 DAVID P CONNOLLY SEE SCHEDULE O - O & T TITLES 0 322566 0 20483 0 65783 0 33550 0 33436 0 475818 0 0 VICKI A JACKSON MD SEE SCHEDULE O - O & T TITLES 330328 0 22500 0 55014 0 41452 0 25424 0 474718 0 0 0 REBECCA SYMMES LEE MD SEE SCHEDULE O - O & T TITLES 401725 0 10633 0 15530 0 13725 0 30729 0 472342 0 0 0 JAMES M KIRSHENBAUM MD SEE SCHEDULE O - O & T TITLES 363923 0 16713 0 23358 0 41452 0 26437 0 471883 0 0 0 MAY CM PIAN-SMITH MD SEE SCHEDULE O - O & T TITLES 310581 0 49926 0 38385 0 41453 0 28332 0 468677 0 0 0 MICHELLE W HELMS MD SEE SCHEDULE O - O & T TITLES 425997 0 3150 0 9608 0 7086 0 21900 0 467741 0 0 0 DAVID A LAGASSE SEE SCHEDULE O - O & T TITLES 0 295436 0 19091 0 93075 0 33550 0 25777 0 466929 0 0 SARAH ARNHOLZ ESQ SEE SCHEDULE O - O & T TITLES 0 346637 0 20155 0 28183 0 33549 0 35185 0 463709 0 0 PATRICIA A D'AMORE PHD MBA SEE SCHEDULE O - O & T TITLES 386232 0 0 0 19109 0 41450 0 16202 0 462993 0 0 0 KATHRYN A HIBBERT MD SEE SCHEDULE O - O & T TITLES 222789 0 142100 0 67861 0 27449 0 936 0 461135 0 0 0 KEVIN B WHITNEY DNP RN SEE SCHEDULE O - O & T TITLES 0 320310 0 20129 0 61581 0 30500 0 24033 0 456553 0 0 HELEN C IRELAND MD SEE SCHEDULE O - O & T TITLES 381284 0 6376 0 24754 0 12200 0 31893 0 456507 0 0 0 MONA Z HINRICHSEN MD SEE SCHEDULE O - O & T TITLES 348588 0 53580 0 9459 0 12200 0 28537 0 452364 0 0 0 MICHAEL R CARTER SEE SCHEDULE O - O & T TITLES 0 320447 0 57074 0 32182 0 33550 0 8203 0 451456 0 0 IMOIGELE P AISIKU MD MBA SEE SCHEDULE O - O & T TITLES 298406 0 64083 0 31864 0 30500 0 25863 0 450716 0 0 0 THOMAS L BEATTY JR MD SEE SCHEDULE O - O & T TITLES 356009 0 20647 0 23380 0 16775 0 30908 0 447719 0 0 0 DOST ONGUR MD PHD SEE SCHEDULE O - O & T TITLES 351377 0 10000 0 24917 0 28639 0 26919 0 441852 0 0 0 JEANETTE IVES ERICKSON RN SEE SCHEDULE O - O & T TITLES 326140 0 0 0 57079 0 47304 0 9820 0 440343 0 0 0 BERNARD R JONES SEE SCHEDULE O - O & T TITLES 336680 0 29816 0 17118 0 21350 0 34743 0 439707 0 0 0 MORANA V LASIC MD MED SEE SCHEDULE O - O & T TITLES 258268 0 98012 0 17483 0 36599 0 28739 0 439101 0 0 0 WILLIAM C JOHNSTON FORMER O - HMA, SSEC 0 0 0 0 438848 0 0 0 0 0 438848 0 0 0 KERRY J RESSLER MD PHD SEE SCHEDULE O - O & T TITLES 316630 0 18712 0 50498 0 27450 0 24183 0 437473 0 0 0 JOHN B HERMAN MD SEE SCHEDULE O - O & T TITLES 264977 0 57244 0 46908 0 41454 0 26869 0 437452 0 0 0 SUSAN DEMPSEY SEE SCHEDULE O - O & T TITLES 297547 0 42654 0 32889 0 33550 0 29763 0 436403 0 0 0 EILEEN O LOWELL FORMER K - MEEI 266334 0 65207 0 46964 0 33640 0 23390 0 435535 0 0 0 DEBRA H ROGERS SEE SCHEDULE O - O & T TITLES 298094 0 51709 0 21854 0 33550 0 24981 0 430188 0 0 0 CLAIRE M SEGUIN SEE SCHEDULE O - O & T TITLES 288499 0 65400 0 30391 0 17662 0 27047 0 428999 0 0 0 SARI MIETTINEN MD MHCM FAAP SEE SCHEDULE O - O & T TITLES 326044 0 20320 0 55162 0 11686 0 12728 0 425940 0 0 0 KHOSRO FARHAD MD SEE SCHEDULE O - O & T TITLES 355159 0 23067 0 15092 0 15102 0 14610 0 423030 0 0 0 NANCY J PETTINARI MD CPE SEE SCHEDULE O - O & T TITLES 313071 0 38005 0 43838 0 16775 0 10788 0 422477 0 0 0 CHARLES E ADAMS SEE SCHEDULE O - O & T TITLES 0 301456 0 18368 0 43428 0 33550 0 24690 0 421492 0 0 JUSTIN P BYRNE MD SEE SCHEDULE O - O & T TITLES 325518 0 30133 0 20707 0 16695 0 28163 0 421216 0 0 0 ROBERT T MCCALL SEE SCHEDULE O - O & T TITLES 0 281731 0 17511 0 48687 0 33550 0 35677 0 417156 0 0 SHEILA M WOOLLEY SEE SCHEDULE O - O & T TITLES 301979 0 31450 0 53714 0 16775 0 11968 0 415886 0 0 0 ROXANNE C RUPPEL SEE SCHEDULE O - O & T TITLES 0 298706 0 17690 0 31605 0 33550 0 31652 0 413203 0 0 JONATHAN SNIDER MD SEE SCHEDULE O - O & T TITLES 173302 0 0 0 221599 0 1913 0 15808 0 412622 0 0 0 ANN L PRESTIPINO FORMER K - GHC 294696 0 0 0 59672 0 47304 0 10334 0 412006 0 0 0 ERNESTO DASILVA MD SEE SCHEDULE O - O & T TITLES 338525 0 5791 0 22031 0 15661 0 26935 0 408943 0 0 0 KEVIN J INMAN RN MSN SEE SCHEDULE O - O & T TITLES 0 326158 0 18149 0 20663 0 18300 0 25523 0 408793 0 0 HILARY J GOLDBERG MD MPH SEE SCHEDULE O - O & T TITLES 301570 0 21008 0 20987 0 36600 0 26631 0 406796 0 0 0 KEREN DIAMOND SEE SCHEDULE O - O & T TITLES 0 273390 0 17697 0 67416 0 33550 0 13399 0 405452 0 0 ANTHONY J SCIBELLI MS MBA SEE SCHEDULE O - O & T TITLES 294077 0 42599 0 42625 0 14592 0 11250 0 405143 0 0 0 LINDSAY ALLEN GAINER SEE SCHEDULE O - O & T TITLES 0 269447 0 22220 0 54344 0 24400 0 33387 0 403798 0 0 LAURIE R LAMOUREUX SEE SCHEDULE O - O & T TITLES 244156 0 38108 0 68487 0 17319 0 19556 0 387626 0 0 0 MARK J BLASS FORMER K - NSMC 251139 0 55847 0 35815 0 16043 0 28282 0 387126 0 0 0 CINDY L CANNON SEE SCHEDULE O - O & T TITLES 0 282268 0 15462 0 20518 0 33550 0 29161 0 380959 0 0 MICHAEL J RICCI FORMER K - MEEI 0 263999 0 32255 0 32643 0 26718 0 24327 0 379942 0 0 ATLAS D EVANS SEE SCHEDULE O - O & T TITLES 281225 0 0 0 19119 0 41459 0 31274 0 373077 0 0 0 MARY JO GAGNON FORMER K - NSMC 0 248126 0 16450 0 58632 0 32704 0 15986 0 371898 0 0 DIANE R PEARL SEE SCHEDULE O - O & T TITLES 300781 0 0 0 3326 0 40783 0 24679 0 369569 0 0 0 CORI LOESCHER MM BSN RN SEE SCHEDULE O - O & T TITLES 257020 0 23501 0 28064 0 31437 0 28038 0 368060 0 0 0 KENNETH R WHITE SEE SCHEDULE O - O & T TITLES 284105 0 0 0 53925 0 17896 0 10048 0 365974 0 0 0 TIMOTHY M LYNCH MBA SEE SCHEDULE O - O & T TITLES 247922 0 37548 0 22889 0 31086 0 25812 0 365257 0 0 0 KEITH R BARTLETT SEE SCHEDULE O - O & T TITLES 237499 0 36354 0 45598 0 14421 0 29728 0 363600 0 0 0 CARLOS ARELLANO SEE SCHEDULE O - O & T TITLES 0 280892 0 16646 0 40641 0 11225 0 13427 0 362831 0 0 JEFFREY C POLLOCK SEE SCHEDULE O - O & T TITLES 242364 0 49292 0 33105 0 15546 0 21443 0 361750 0 0 0 GERARD F HADLEY SEE SCHEDULE O - O & T TITLES 0 244628 0 22664 0 34698 0 30433 0 24355 0 356778 0 0 JOSHUA L ABRAMS ESQ SEE SCHEDULE O - O & T TITLES 0 224782 0 41700 0 17222 0 27971 0 35202 0 346877 0 0 ROBERT D WELCH FORMER K - SR 235877 0 14633 0 29080 0 33473 0 26551 0 339614 0 0 0 DANIEL P DICKSTEIN MD FAAP FORMER K - MCLEAN 251441 0 0 0 34810 0 20594 0 25150 0 331995 0 0 0 CHRISTINE A BLASKI MD SEE SCHEDULE O - O & T TITLES 273647 0 300 0 11455 0 13814 0 30804 0 330020 0 0 0 JAMES P COHEN MD SEE SCHEDULE O - O & T TITLES 226564 0 42315 0 34179 0 13947 0 12752 0 329757 0 0 0 DENISE PALUMBO RN DNP SEE SCHEDULE O - O & T TITLES 248263 0 23767 0 26250 0 15156 0 11081 0 324517 0 0 0 NARASAIAH GAVINI SEE SCHEDULE O - O & T TITLES 258657 0 0 0 29810 0 33039 0 1641 0 323147 0 0 0 LIZA HALPERN MEYERHARDT MD SEE SCHEDULE O - O & T TITLES 239878 0 46229 0 21683 0 13422 0 1599 0 322811 0 0 0 MELISSA P BRENNAN ESQ SEE SCHEDULE O - O & T TITLES 0 212647 0 15956 0 24412 0 22598 0 43556 0 319169 0 0 JULIE C CHATTOPADHYAY ESQ SEE SCHEDULE O - O & T TITLES 0 209219 0 14384 0 37420 0 22842 0 33540 0 317405 0 0 JOEL DEGENAARS SEE SCHEDULE O - O & T TITLES 197480 0 31135 0 45618 0 12552 0 29573 0 316358 0 0 0 JOANNE M FUCILE SEE SCHEDULE O - O & T TITLES 224515 0 20523 0 25049 0 32140 0 12655 0 314882 0 0 0 DENIS G STRATFORD SEE SCHEDULE O - O & T TITLES 256593 0 0 0 -5118 0 33708 0 29262 0 314445 0 0 0 MICHAEL J HESSION MD FORMER K - HMA 191451 0 6477 0 47036 0 40528 0 27796 0 313288 0 0 0 VANESSA D GILBRETH ESQ SEE SCHEDULE O - O & T TITLES 0 217976 0 23877 0 11737 0 16795 0 36319 0 306704 0 0 JUDI S GREENBERG ESQ SEE SCHEDULE O - O & T TITLES 0 206527 0 11581 0 22185 0 25801 0 34545 0 300639 0 0 EFFIE J CHAN ESQ SEE SCHEDULE O - O & T TITLES 0 204741 0 11456 0 23991 0 23202 0 31800 0 295190 0 0 AIMEE K GOLBITZ SEE SCHEDULE O - O & T TITLES 0 200723 0 0 0 34622 0 21557 0 38246 0 295148 0 0 JOHN FANIKOS SEE SCHEDULE O - O & T TITLES 215167 0 0 0 17159 0 26425 0 30712 0 289463 0 0 0 CLAUDIA E REED SEE SCHEDULE O - O & T TITLES 0 167596 0 19553 0 50790 0 23678 0 23063 0 284680 0 0 KEVIN F NEILL SEE SCHEDULE O - O & T TITLES 226427 0 11485 0 34057 0 9374 0 889 0 282232 0 0 0 MARK L DICK MD FACP SEE SCHEDULE O - O & T TITLES 254632 0 6545 0 5942 0 11388 0 1580 0 280087 0 0 0 MARY BETH DIFILIPPO FORMER K - SRH 4115 0 0 0 245612 0 4248 0 24412 0 278387 0 0 0 ROBERT P LEVINE MMS PA-C SEE SCHEDULE O - O & T TITLES 212442 0 13534 0 13217 0 8122 0 26772 0 274087 0 0 0 ROSEMARY B GOTTLIEB ESQ SEE SCHEDULE O - O & T TITLES 0 205765 0 11085 0 9341 0 13394 0 33434 0 273019 0 0 ERASMO A MITRANO SEE SCHEDULE O - O & T TITLES 204282 0 0 0 8388 0 33620 0 20512 0 266802 0 0 0 MIRANDA S BALKIN MD SEE SCHEDULE O - O & T TITLES 213013 0 8450 0 7795 0 9064 0 26616 0 264938 0 0 0 EDWARD J OLIVIER FORMER O - MVH, WNR 159544 0 0 0 64393 0 11584 0 25089 0 260610 0 0 0 ROSEMARY HENCHEY FORMER K - NSMC 195356 0 1500 0 36546 0 12861 0 12975 0 259238 0 0 0 REAMER LOREN BUSHARDT SEE SCHEDULE O - O & T TITLES 166666 0 75000 0 -3301 0 0 0 13168 0 251533 0 0 0 RONALD FREEMAN SEE SCHEDULE O - O & T TITLES 179543 0 10205 0 12067 0 21682 0 26055 0 249552 0 0 0 DUANE BRADLEY WELLING MD FORMER O - MEEA 30000 0 170173 0 19945 0 6050 0 21268 0 247436 0 0 0 GARY W GARBERG SEE SCHEDULE O - O & T TITLES 0 157835 0 10289 0 25480 0 20534 0 23290 0 237428 0 0 ALEX F JOHNSON SEE SCHEDULE O - O & T TITLES 186259 0 0 0 10268 0 23573 0 16301 0 236401 0 0 0 JOHN J NOVELLO SEE SCHEDULE O - O & T TITLES 171516 0 46984 0 6593 0 10302 0 551 0 235946 0 0 0 JAMES R DUPONT FORMER K - IHP 168927 0 0 0 13495 0 21006 0 31652 0 235080 0 0 0 NANCY S PITTMAN SEE SCHEDULE O - O & T TITLES 162342 0 40004 0 22229 0 4671 0 4243 0 233489 0 0 0 EMILY L MELTON ESQ SEE SCHEDULE O - O & T TITLES 0 172526 0 20671 0 -2764 0 6900 0 34020 0 231353 0 0 MARJORIE L NICHOLAS SEE SCHEDULE O - O & T TITLES 179878 0 0 0 24541 0 25276 0 1005 0 230700 0 0 0 CARA T BRICKLEY SEE SCHEDULE O - O & T TITLES 166074 0 10080 0 20543 0 20683 0 13233 0 230613 0 0 0 PRISCILLA M ROSS FORMER K - VHCD 164881 0 5000 0 20199 0 11500 0 26068 0 227648 0 0 0 AARON S FISHMAN SEE SCHEDULE O - O & T TITLES 0 144820 0 25057 0 10512 0 9976 0 30299 0 220664 0 0 ANDREA GEIGER RE ESQ SEE SCHEDULE O - O & T TITLES 0 156085 0 9164 0 24283 0 20322 0 8917 0 218771 0 0 DAVID O SMALL SEE SCHEDULE O - O & T TITLES 172310 0 240 0 34754 0 4899 0 3710 0 215913 0 0 0 COLEEN M REID MD SEE SCHEDULE O - O & T TITLES 188400 0 10000 0 1556 0 10462 0 2169 0 212587 0 0 0 DAINA JUHANSOO PT DPT SEE SCHEDULE O - O & T TITLES 155511 0 9046 0 20514 0 9799 0 9928 0 204798 0 0 0 AMY E LEE MBA MBHA MJ SEE SCHEDULE O - O & T TITLES 94039 0 100000 0 4862 0 0 0 1500 0 200401 0 0 0 JESSICA Z DACUS DO SEE SCHEDULE O - O & T TITLES 168607 0 9487 0 7120 0 8987 0 4434 0 198635 0 0 0 KEITH W BEERS SEE SCHEDULE O - O & T TITLES 134805 0 8596 0 14139 0 11043 0 28935 0 197518 0 0 0 ALISON M SOLLEE MD SEE SCHEDULE O - O & T TITLES 141669 0 10966 0 22542 0 9090 0 11786 0 196053 0 0 0 SARAH H WELCH FORMER K - IHP 0 164871 0 0 0 1905 0 14837 0 12956 0 194569 0 0 ALLYSON L PRESTON MD SEE SCHEDULE O - O & T TITLES 150372 0 450 0 -558 0 8354 0 29857 0 188475 0 0 0 LAURA L STEPHENS ESQ FORMER O - MGBSP 0 129063 0 0 0 21347 0 15561 0 19245 0 185216 0 0 ANGELA BELMONT FORMER K - CDH 111202 0 11705 0 45044 0 5998 0 10706 0 184655 0 0 0 ALAMJIT S VIRK MD FORMER K - MVH 174443 0 0 0 3230 0 1780 0 0 0 179453 0 0 0 LINDA FLAHERTY RN FORMER K - MCLEAN 105751 0 0 0 36445 0 22096 0 12772 0 177064 0 0 0 PARDON R KENNEY MD FORMER K - BWFH 98149 0 6231 0 20980 0 14149 0 26420 0 165929 0 0 0 MIRIAM L NEUMAN MD SEE SCHEDULE O - O & T TITLES 101801 0 23800 0 18723 0 12508 0 6967 0 163799 0 0 0 ARUL MAHADEVAN MD SEE SCHEDULE O - O & T TITLES 126222 0 0 0 16151 0 0 0 16413 0 158786 0 0 0 ESTEVAN GARCIA FORMER K - CDH 57862 0 22935 0 71362 0 0 0 4983 0 157142 0 0 0 JANET LARSON MD FORMER K - NWH 0 0 0 0 146699 0 0 0 8374 0 155073 0 0 0 ABBEY P FRIEDLER ESQ SEE SCHEDULE O - O & T TITLES 0 128076 0 4500 0 -9534 0 0 0 30390 0 153432 0 0 CASEY L FOWLER MS RN SEE SCHEDULE O - O & T TITLES 116241 0 300 0 11144 0 7265 0 16636 0 151586 0 0 0 BRIAN JOHNSON MD SEE SCHEDULE O - O & T TITLES 101036 0 2000 0 5001 0 7511 0 35396 0 150944 0 0 0 HUGH DAVID CURTIN MD FORMER O - MEEA 120000 0 0 0 -5190 0 13200 0 21779 0 149789 0 0 0 YOUSEF GHANEM FORMER O - MGBMG 0 104108 0 0 0 11353 0 7929 0 14320 0 137710 0 0 ARTHUR L LACHANCE FORMER K - NCH 19101 0 0 0 83861 0 2601 0 2755 0 108318 0 0 0 PART I, LINE 1A FIRST CLASS TRAVEL WAS PROVIDED TO CERTAIN EMPLOYEES LISTED ON FORM 990, PART VII. THE BENEFIT WAS PROVIDED PURSUANT TO A WRITTEN POLICY AND WAS APPROVED IN ADVANCE. THE TRAVEL WAS TREATED AS NON-TAXABLE BUSINESS EXPENSE. PAYMENT OR REIMBURSEMENT OF EXPENSES TRAVEL FOR COMPANIONS WAS PROVIDED TO CERTAIN OFFICERS LISTED ON FORM 990, PART VII AS THE COMPANIONS ATTENDANCE WAS REQUIRED TO FULFILL A BONA FIDE BUSINESS PURPOSE. THESE PAYMENTS WERE PROVIDED PURSUANT TO A WRITTEN POLICY AND WERE TREATED AS NON-TAXABLE BUSINESS EXPENSES. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES WERE PROVIDED TO CERTAIN OFFICERS AND OTHER EMPLOYEES LISTED ON FORM 990, PART VII. THESE BENEFITS WERE PROVIDED PURSUANT TO A WRITTEN POLICY. THE HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES WERE TREATED AS TAXABLE INCOME. IF THE HEALTH OR SOCIAL CLUB WAS USED FOR ANY PERSONAL PURPOSE. PART I, LINE 3 ESTABLISHING CEO COMPENSATION THE CHIEF EXECUTIVE OFFICER'S COMPENSATION WAS ESTABLISHED USING THE FOLLOWING: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE CHIEF EXECUTIVE OFFICER'S COMPENSATION THE FOLLOWING CHIEF EXECUTIVE OFFICER'S COMPENSATION WAS DETERMINED BY THE MASS GENERAL BRIGHAM INCORPORATED COMPENSATION COMMITTEE. MASS GENERAL BRIGHAM INCORPORATED IS AN AFFILIATED TAX-EXEMPT ORGANIZATION. GILES W. BOLAND, MD DAVID F. BROWN, MD, FACEP MARCELA G. DEL CARMEN, MD JOHN R. FERNANDEZ ROBERT S.D. HIGGINS, MD, MSHA SCOTT L. RAUCH, MD DAVID J. ROBERTS, MD LYNN A. STOFER PART I, LINES 4A-B RECEIPT OF SEVERANCE PAYMENTS MARY BETH DIFILIPPO - $209,815 WILLIAM C. JOHNSTON - $439,178 JANET LARSON, MD - $149,177 PETER K. MARKELL - $1,913,100 KEVIN F. NEILL - $9,057 GARY A. SHAW, FACHE - $547,200 PETER L. SLAVIN, MD, MBA - $1,825,000 JONATHAN SNIDER, MD - $206,281 NONQUALIFIED RETIREMENT PLAN PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THESE AMOUNTS ARE ALREADY INCLUDED IN THE COMPENSATION DISCLOSED ON SCHEDULE J, PART II LAURIE R. LAMOUREUX - $28,866 GREGG S. MEYER, MD, MSC - $926,551 SARI MIETTINEN, MD, MHCM, FAAP - $18,214 ANTHONY J. SCIBELLI, MS, MBA - $16,134 RON M. WALLS, MD - $289,455 PART I, LINE 7 CERTAIN EMPLOYEES RECEIVED INCENTIVE COMPENSATION BASED ON ACHIEVEMENT OF ORGANIZATIONAL AND INDIVIDUAL GOALS. THE COMPENSATION COMMITTEE OF MASS GENERAL BRIGHAM OR THE COMPENSATION COMMITTEES OF MASS GENERAL BRIGHAM SUBORDINATE ENTITIES HAVE THE FINAL AUTHORITY FOR SUCH PAYMENTS. TRUSTEE COMPENSATION TRUSTEES RECEIVE NO COMPENSATION OR CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS FOR SERVICE ON THE BOARD OR ITS COMMITTEES. BOARD MEMBERS WHO ARE ALSO EMPLOYED BY THE CORPORATION OR A MASS GENERAL BRIGHAM AFFILIATE RECEIVE COMPENSATION ONLY FOR THEIR SERVICES AS EMPLOYEES. C SEGUIN KEY EE RECRUITMENT X 200000 160000 0 1 1 D S SMINK KEY EE HOUSING X 400000 303933 0 1 1 463933 C OLIVIER OLIVIER, OFF (FAM) 10860 SALARY 0 J LOESCHER LOESCHER, KE (FAM) 99581 SALARY 0 J MILLER MILLER, OFF (FAM) 1077200 SALARY 0 J NAMIAS NAMIAS, TRU (FAM) 598598 SALARY 0 M GARDINER CUNNANE, OFF (FAM) 400000 SALARY 0 M ROBERTS ROBERTS, OFF (FAM) 1186 SALARY 0 NPP DEVELOPMENT KRAFT, TRU (FAM) 8300000 LEASE 0 P ACUNA ACUNA, TRU (FAM) 72146 SALARY 0 P PIL CASPER, TRU (FAM) 571603 SALARY 0 S MCDERMOTT MCDERMOTT, OFF (FAM) 41900 SALARY 0 SUFFOLK CONSTRUCTION FISH, TRU 16911362 CONSTRUCTION SERVICES 0 T SCHRADER SANTAMARIA, TRU (FAM) 65280 SALARY 0 X 23 35084 FMV X 800 FMV X 118057 FMV X 762 58210941 FMV X 19 2463 FMV X MISCELLANEOUS 29 317333 FMV X GIFT CERTIFICATES/CARDS 124 93987 FMV X FOOD & BEVERAGES 47 64822 FMV X TRAVEL/AIRFARE/TRANSPORTATION 7 51116 FMV X SPORTING EVENT/THEATER/MUSEUM TICKETS 41 34155 FMV X MEDICAL EQUIPMENT 6 24542 FMV X HOTEL PACKAGES 22 12932 FMV X ADVERTISING 6 7430 FMV X JEWELRY 2 7043 FMV X PORTRAIT/PHOTOGRAPHS 6 5725 FMV X ROUNDS OF GOLF 9 4706 FMV X CRYPTOCURRENCY 2 366 FMV 0 0 1 0 CASH, PLEDGES, INVESTMENTS 2023-09-30 17313634 222617175 501(C)(3) 0 0 0 0 1 1 1 1 0 PART I, LINE 1 MERGER:THE FOLLOWING ORGANIZATION MERGED INTO THEIR 501(C)(3) TAX EXEMPT RELATED ORGANIZATION:COOLEY DICKINSON HEALTH CARE CORPORATION (04-2103561) MERGED INTO COOLEY DICKINSON HOSPITAL, INC. (22-2617175) EFFECTIVE SEPTEMBER 30, 2023. FORM 990, PART III - PROGRAM SERVICE (ATTACHMENT 1) PATIENT CARE: MASS GENERAL BRIGHAM OPERATES ACADEMIC MEDICAL CENTERS, COMMUNITY ACUTE CARE HOSPITALS, FACILITIES THAT PROVIDE BOTH INPATIENT AND OUTPATIENT MENTAL HEALTH SERVICES, URGENT CARE CENTERS, REHABILITATION MEDICINE AND LONG-TERM CARE SERVICES, PHYSICIAN ORGANIZATIONS, A HOME HEALTH AGENCY, NURSING HOMES AND A GRADUATE LEVEL PROGRAM FOR HEALTH PROFESSIONS. IN ADDITION, MASS GENERAL BRIGHAM IS A NONUNIVERSITY-BASED NON-PROFIT PRIVATE MEDICAL RESEARCH ENTERPRISE AND IS A PRINCIPAL TEACHING AFFILIATE OF THE MEDICAL AND DENTAL SCHOOLS OF HARVARD UNIVERSITY. FOR MANY YEARS, MASS GENERAL BRIGHAM HAS INVESTED IN THE DEVELOPMENT AND IMPLEMENTATION OF MULTIPLE SYSTEM-WIDE INITIATIVES THAT HAVE IMPROVED PATIENT CARE QUALITY AND OUTCOMES AND HAVE MANAGED THE GROWTH IN THE COST OF PATIENT CARE. NEVERTHELESS, THE UPWARD PRESSURE ON HEALTHCARE COSTS HAS CONTINUED BOTH NATIONALLY AND LOCALLY, AND GOVERNMENT AND COMMERCIAL PAYERS HAVE RESPONDED IN A NUMBER OF WAYS, INCLUDING EFFORTS TO CONTROL PROVIDER RATE INCREASES, THE EXPANDED USE OF ALTERNATIVE PAYMENT MODELS, SUCH AS ACCOUNTABLE CARE ORGANIZATIONS (ACOS), TIGHTER REFERRAL MANAGEMENT AND PRICE TRANSPARENCY INITIATIVES. TO ADDRESS THE FINANCIAL AND OPERATIONAL CHALLENGES THAT WILL RESULT FROM THESE MARKET CONDITIONS, MASS GENERAL BRIGHAM HAS REAFFIRMED A SYSTEM-WIDE STRATEGY THAT IS GROUNDED IN THE EXCELLENCE OF ITS ACADEMIC MEDICAL CENTERS, FOCUSED ON IMPROVED PATIENT OUTCOMES, PATIENT EXPERIENCE AND GLOBAL HEALTH IMPACT, SUPPORTED BY ITS HISTORICAL AND PLANNED INVESTMENTS IN DIGITAL HEALTH AND DATA ANALYTICS, POPULATION HEALTH, AMBULATORY CARE AND INSURANCE RISK MANAGEMENT AND SYMBOLIZED BY ITS RECENTLY ADOPTED SINGLE, INTEGRATED SYSTEM BRAND "MASS GENERAL BRIGHAM." THIS STRATEGY HAS THE FOLLOWING FIVE SYNERGISTIC PRIORITIES: 1. ENHANCE REGIONAL AND NATIONAL RECOGNITION OF BWH AND THE GENERAL AS THE "GO TO" DESTINATIONS FOR KEY CLINICAL SERVICES BY DEVELOPING CROSS-ACADEMIC, MULTIDISCIPLINARY, NEXT-GENERATION CENTERS OF EXCELLENCE. 2. DEVELOP NEW OPPORTUNITIES FOR NATIONAL AND INTERNATIONAL BUSINESS DEVELOPMENT THROUGH EXPANDED SYSTEM-WIDE EFFORTS TO ATTRACT PATIENTS TO BWH AND THE GENERAL AND TO PROVIDE REMOTE DIAGNOSTICS, REMOTE CARE DELIVERY AND ADVISORY SERVICES. 3. SUBSTANTIALLY INCREASE INNOVATIONS IN DIAGNOSTICS, THERAPEUTICS, DEVICES AND DATA ANALYTICS THAT ARE BROUGHT TO MARKET BY EXPANDING COMMERCIALIZATION INVESTMENTS AND INFRASTRUCTURE. 4. LEAD IN BUILDING AND IMPLEMENTING A NEW VALUE-BASED CARE OPERATING MODEL FOR PRIMARY, SECONDARY AND BEHAVIORAL HEALTH CARE THAT DELIVERS VALUE FOR PRICE, IMPROVES PATIENT ACCESS AND OUTCOMES AND GROWS CLINICAL VOLUME AND ATTRIBUTED LIVES BY OPTIMIZING THE USE OF MASS GENERAL BRIGHAM COMMUNITY ASSETS AND LEVERAGING ITS EXPERTISE IN POPULATION HEALTH MANAGEMENT AND ABILITY TO DESIGN INSURANCE PRODUCTS; AND 5. EXPAND THE IMPACT OF MASS GENERAL BRIGHAM ON LEADING COMMUNITY HEALTH ISSUES BY TAKING A MULTI-PRONGED APPROACH TO ADVANCE HEALTH EQUITY AND ADDRESS SOCIAL DETERMINANTS OF HEALTH IN TARGETED COMMUNITIES. THE MASS GENERAL BRIGHAM ACUTE CARE SECTOR INCLUDES TWO OF THE MOST WELL RESPECTED ACADEMIC MEDICAL CENTERS IN THE UNITED STATES, BWH AND THE GENERAL, AS WELL AS MEEI, AND SEVEN ACUTE CARE COMMUNITY HOSPITALS: CDH, BWFH, MVH, NCH, NWH, NSMC AND WDH. TOGETHER THESE (WITHOUT WDH WHICH IS LOCATED IN NH) FORM THE LARGEST ACUTE CARE DELIVERY SYSTEM IN EASTERN MASSACHUSETTS. BWH AND THE GENERAL ARE RENOWNED FOR THEIR EXCELLENCE IN PATIENT CARE, INNOVATIVE AND FAR-REACHING RESEARCH EFFORTS AND EDUCATIONAL PROGRAMS. BWH AND THE GENERAL SERVE BOTH AS COMMUNITY HOSPITALS FOR PORTIONS OF METROPOLITAN BOSTON AND AS PROVIDERS OF TERTIARY AND QUATERNARY SERVICES, PRIMARILY TO EASTERN MASSACHUSETTS AND ADJACENT PORTIONS OF CONTIGUOUS STATES, BUT ALSO TO THE REMAINDER OF MASSACHUSETTS, NEW ENGLAND, OTHER PARTS OF THE UNITED STATES AND OTHER NATIONS. SINCE A SIGNIFICANT PART OF THE PRIMARY SERVICE AREAS OF BWH AND THE GENERAL DO NOT OVERLAP, BOTH BWH AND THE GENERAL CONTINUE TO PROVIDE MANY OF THE SAME TERTIARY AND SECONDARY SERVICES. AMONG THE TERTIARY SERVICES THAT MASS GENERAL BRIGHAM OFFERS THROUGH BWH AND THE GENERAL ARE ALL FORMS OF ORGAN TRANSPLANTS, INCLUDING HEART, LUNG, HEART-LUNG, LIVER, KIDNEY, BONE MARROW, SMALL BOWEL AND PANCREAS TRANSPLANTS. THE BURN AND LEVEL I TRAUMA UNITS (FOR TREATMENT OF THE MOST SERIOUS CASES) AT BWH AND THE GENERAL REPRESENT TWO OF ONLY THREE SUCH UNITS IN MASSACHUSETTS AND ARE AMONG THE LARGEST IN NEW ENGLAND. BWH AND THE GENERAL ARE LEADING ACADEMIC MEDICAL CENTERS. MASS GENERAL BRIGHAM OFFERS HEALTH CARE FOR NEARLY EVERY MEDICAL NEED. PATIENTS CHOOSE TO COME TO MASS GENERAL BRIGHAM HOSPITALS FROM THE BOSTON AREA, BUT ALSO FROM ACROSS THE COUNTRY AND THROUGHOUT THE WORLD BECAUSE OF GROUNDBREAKING ACHIEVEMENTS, MEDICAL CARE AND THE HIGH DEGREE OF SPECIALIZATION PROVIDED. DURING THE FISCAL YEAR (FY) 2023, ENDING SEPTEMBER 30, 2023, MASS GENERAL BRIGHAM RECORDED 158,608 ADMISSIONS AND 1,151,543 PATIENT DAYS. AMBULATORY CARE: EACH OF MASS GENERAL BRIGHAM'S NINE ACUTE CARE HOSPITALS PROVIDES EMERGENCY, AMBULATORY AND OUTPATIENT CARE ACROSS MAJOR SPECIALTIES. COMBINED, THEY COMPRISE THE LARGEST OUTPATIENT NETWORK IN EASTERN MASSACHUSETTS. IN FY 2023, MASS GENERAL BRIGHAM ACUTE CARE HOSPITAL BASED AND NON-HOSPITAL BASED AMBULATORY CARE PROGRAMS RESULTED IN APPROXIMATELY 2,265,000 ROUTINE VISITS, APPROXIMATELY 457,000 EMERGENCY SERVICES VISITS AND APPROXIMATELY 450,000 HOME HEALTH VISITS. ACUTE CARE HOSPITAL SECTOR BWH BWH IS THE RESULT OF A 1975 MERGER OF THE PETER BENT BRIGHAM HOSPITAL, THE ROBERT BRECK BRIGHAM HOSPITAL AND THE BOSTON HOSPITAL FOR WOMEN, WHOSE INPATIENT FACILITIES WERE PHYSICALLY CONSOLIDATED IN 1980. IN THE 2023-24 U.S. NEWS & WORLD REPORT, BWH IS ON THE BEST HOSPITALS HONOR ROLL, #2 IN MASSACHUSETTS AND #2 IN THE BOSTON METRO AREA AND WAS NATIONALLY RANKED IN TWELVE ADULT SPECIALTIES AND RATED 'HIGH PERFORMING' IN EIGHTEEN PROCEDURES AND CONDITIONS INCLUDING CANCER; CARDIOLOGY, HEART & VASCULAR SURGERY; DIABETES AND ENDOCRINOLOGY; EAR, NOSE & THROAT; GASTROENTEROLOGY & GI SURGERY, GERIATRICS; NEPHROLOGY, NEUROLOGY AND NEUROSURGERY; OBSTETRICS & GYNECOLOGY; ORTHOPEDICS; PSYCHIATRY; PULMONOLOGY & LUNG SURGERY; RHEUMATOLOGY AND UROLOGY. BWH PROVIDES OUTPATIENT SERVICES, INCLUDING PRIMARY CARE, SPECIALTY CARE, DIAGNOSTICS, IMAGING AND AMBULATORY PROCEDURES AT NUMEROUS AMBULATORY PRACTICES IN VARIOUS LOCATIONS. FOUR PRACTICE SITES ON THE BWH DISTRIBUTED MAIN CAMPUS AND THE BRIGHAM AND WOMEN'S AMBULATORY CARE CENTER IN CHESTNUT HILL HOUSE THE MAJORITY OF THESE PRACTICES, AND THE REMAINDER ARE IN SATELLITES LOCATED SOUTHWEST AND SOUTH OF BOSTON, INCLUDING THE BRIGHAM AND WOMEN'S/MASS GENERAL HEALTH CARE CENTER LOCATED AT PATRIOT PLACE IN FOXBOROUGH, MASSACHUSETTS. IN ADDITION, BWH OPERATES NEIGHBORHOOD HEALTH CENTERS IN THE JAMAICA PLAIN SECTION OF BOSTON NEAR ITS HOSPITAL FACILITIES AND SERVES AS A REFERRAL FACILITY FOR BOTH HEALTH CENTERS. THESE COMMUNITY HEALTH CENTERS PROVIDE COMPREHENSIVE SERVICES SIMILAR TO THOSE OFFERED BY SATELLITE PRACTICES AND INCLUDE PRIMARY CARE, DENTISTRY, PEDIATRICS, PODIATRY, OBSTETRICS, GYNECOLOGY, MENTAL HEALTH, NUTRITION, OUTPATIENT SUBSTANCE ABUSE COUNSELING AND SOCIAL SERVICES. BWH IS LICENSED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (DPH) TO OPERATE 856 BEDS AS OF SEPTEMBER 30, 2023. PURSUANT TO A JOINT VENTURE IN ADULT ONCOLOGY BETWEEN BWH AND DANA FARBER CANCER INSTITUTE, INC. (DFCI), THIRTY BEDS THAT ARE ON DFCI'S LICENSE ARE LOCATED ON BWH'S MAIN CAMPUS AND ARE SUPPORTED BY BWH PURSUANT TO SERVICE CONTRACTS WITH DFCI. THE GENERAL ORIGINALLY A DIVISION OF MGH, WHICH WAS FOUNDED BY SPECIAL ACT OF THE MASSACHUSETTS LEGISLATURE IN 1811, THE GENERAL WAS SEPARATELY INCORPORATED AS A SUBSIDIARY OF MGH IN 1980. THE GENERAL HOSPITAL ADMITTED ITS FIRST PATIENT IN 1821. IT IS THE THIRD OLDEST GENERAL, NON-MILITARY HOSPITAL IN THE UNITED STATES AND THE OLDEST IN NEW ENGLAND. IN THE 2023-24 U.S. NEWS & WORLD REPORT, THE GENERAL IS ON THE BEST HOSPITALS HONOR ROLL, #1 IN MASSACHUSETTS AND #1 IN THE BOSTON METRO AREA BASED ON QUALITY OF CARE, PATIENT SAFETY AND REPUTATION IN THIRTEEN ADULT AND FOUR PEDIATRIC SPECIALTIES, INCLUDING CANCER; CARDIOLOGY, HEART & VASCULAR SURGERY; GASTROENTEROLOGY & GI SURGERY, GERIATRICS, NEPHROLOGY; NEUROLOGY & NEUROSURGERY; OBSTETRICS & GYNECOLOGY; OPHTHALMOLOGY; ORTHOPEDICS; PULMONOLOGY & LUNG SURGERY; RHEUMATOLOGY AND UROLOGY. ADDITIONALLY, THE GENERAL RANKED #2 FOR PSYCHIATRY AND #7 FOR DIABETES & ENDOCRINOLOGY, AND #7 FOR EAR, NOSE & THROAT. THE GENERAL HOSPITAL IS RECOGNIZED AS A "MAGNET" HOSPITAL BY THE AMERICAN NURSES CREDENTIALING CENTER. MAGNET DESIGNATION REPRESENTS THE HIGHEST HONOR AVAILABLE FOR NURSING EXCELLENCE AND IS ACHIEVED BY FEWER THAN 7% OF HOSPITALS IN THE UNITED STATES. THE GENERAL HOSPITAL IS LICENSED BY THE DPH TO OPERATE 1,045 BEDS AS OF SEPTEMBER 30, 2023. FORM 990, PART III - PROGRAM SERVICE (ATTACHMENT 1) MEEI MEEI SPECIALIZES IN DISEASES AND CONDITIONS OF THE EYES, EARS, NOSE, THROAT, HEAD AND NECK. WORLD-RENOWNED FOR CARE, RESEARCH AND TEACHING IN THESE AREAS OF EXPERTISE, MEEI PHYSICIANS AND SCIENTISTS ARE ALSO DRIVEN BY A MISSION TO FIND CURES FOR BLINDNESS AND DEAFNESS. MEEI HAS OPERATED CONTINUOUSLY SINCE ITS FOUNDING IN BOSTON IN 1824 AND LEADS THE HARVARD MEDICAL SCHOOL DEPARTMENTS OF OPHTHALMOLOGY AND OTOLARYNGOLOGY. MEEI OFFERS HIGH-QUALITY AND AFFORDABLE INPATIENT (41 LICENSED BEDS) AND OUTPATIENT CARE AT ITS MAIN CAMPUS IN BOSTON (ADJACENT TO THE GENERAL) AND AT 20 OUTPATIENT SITES IN EASTERN MASSACHUSETTS AND RHODE ISLAND. IN THE 2023-24 U.S. NEWS & WORLD REPORT, MEEI WAS RANKED #4 HOSPITAL IN OPHTHALMOLOGY AND #7 IN OTOLARYNGOLOGY. MEEI JOINED MASS GENERAL BRIGHAM IN 2018. COMMUNITY HOSPITAL SECTOR MASS GENERAL BRIGHAM CURRENTLY OPERATES SEVEN ACUTE CARE COMMUNITY HOSPITALS. IN CONNECTION WITH THE CLOSURE OF UNION HOSPITAL IN LYNN, MASSACHUSETTS, IN 2019, NSMC COMPLETED RENOVATIONS AND PROGRAMMATIC CHANGES AT ITS SALEM, MASSACHUSETTS CAMPUS WHICH ENABLED THE CONSOLIDATION OF UNION HOSPITAL'S INPATIENT SERVICES INTO THE SALEM HOSPITAL SITE. GENERALLY, EACH OF THE MAINLAND COMMUNITY HOSPITALS (CDH, BWFH, NSMC, NWH AND WDH) OFFER A BROAD RANGE OF INPATIENT AND OUTPATIENT SERVICES INCLUDING BUT NOT LIMITED TO SOME OR ALL OF THE FOLLOWING, DEPENDING ON THE PARTICULAR HOSPITAL: MEDICAL/SURGICAL, ORTHOPEDIC, PEDIATRIC, GERIATRIC, GYNECOLOGICAL, OBSTETRICS, EMERGENCY, INTENSIVE CARE, PSYCHIATRIC AND REHABILITATIVE PROGRAMS. THE ISLAND HOSPITALS (MVH AND NCH) HAVE A SOMEWHAT MORE LIMITED RANGE OF INPATIENT AND OUTPATIENT SERVICES, BUT EACH OF THEM HAS LONG-STANDING COLLABORATIONS WITH THE GENERAL IN A VARIETY OF SPECIALTIES AND USES TELEMEDICINE LINKS TO THE GENERAL. MOST OF THE COMMUNITY HOSPITALS OFFER RESIDENCY PROGRAMS IN SELECTED MEDICAL SERVICES AND SPECIALTIES AND SERVE AS TRAINING SITES FOR STUDENTS IN MEDICINE, NURSING AND OTHER FIELDS THROUGH AFFILIATIONS WITH HARVARD UNIVERSITY'S MEDICAL AND DENTAL SCHOOLS AND THE TUFTS UNIVERSITY SCHOOL OF MEDICINE. MASS GENERAL BRIGHAM COMMUNITY HOSPITALS ALSO OFFER EXTENSIVE AMBULATORY CARE SERVICES. FOR EXAMPLE, BWFH OFFERS AN OUTPATIENT CENTER IN BREAST HEALTH CARE, AND OUTPATIENT SERVICES AT NWH INCLUDE A CANCER CENTER, SPINE CENTER, WOMEN'S IMAGING CENTER, CARDIOVASCULAR HEALTH CENTER, JOINT RECONSTRUCTION CENTER, DIABETES CENTER AND AN AMBULATORY SURGERY CENTER. NSMC OFFERS IMAGING SERVICES, CARDIOLOGY TESTING AND SURGICAL SUITES DESIGNED EXCLUSIVELY FOR OUTPATIENT SURGERY AND DIAGNOSTIC ENDOSCOPIC PROCEDURES. PHYSICIAN SECTOR MASS GENERAL BRIGHAM HAS AN EXTENSIVE NETWORK OF APPROXIMATELY 7,200 EMPLOYED AND AFFILIATED PHYSICIANS THAT CONSISTS OF APPROXIMATELY 1,150 COMMUNITY AND ACADEMIC PCPS, APPROXIMATELY 1,600 COMMUNITY SPECIALISTS AND APPROXIMATELY 4,450 ACADEMIC SPECIALISTS. INCLUDED WITHIN THESE PHYSICIAN TOTALS ARE APPROXIMATELY 1,300 PHYSICIANS WHO ARE NOT EMPLOYED BY MASS GENERAL BRIGHAM AND THEREFORE THE FINANCIAL RESULTS OF THEIR PRACTICES ARE NOT INCLUDED IN THE FINANCIAL RESULTS OF THE PHYSICIAN ORGANIZATIONS. THE TWO ACADEMIC PHYSICIAN ORGANIZATIONS, BWPO AND MGPO, EMPLOY SUBSTANTIALLY ALL OF THE STAFF PHYSICIANS WHO PROVIDE HEALTHCARE SERVICES TO PATIENTS AT BWH AND THE GENERAL, RESPECTIVELY. THE BWPO AND MGPO PHYSICIANS ALSO SUPERVISE OTHER PROFESSIONAL AND TECHNICAL PERSONNEL AND TEACH MEDICAL STUDENTS AND RESIDENTS AT BWH AND THE GENERAL, RESPECTIVELY. MEEA EMPLOYS SUBSTANTIALLY ALL OF THE STAFF PHYSICIANS WHO PROVIDE SERVICES AT MEEI'S MAIN CAMPUS AND OUTPATIENT SITES. ITS PHYSICIANS ALSO SUPERVISE MEDICAL STUDENTS AND RESIDENTS. THE COMMUNITY-BASED PHYSICIAN ORGANIZATIONS OF MASS GENERAL BRIGHAM (CDPA, NWMG, NSPG, MGBCP AND WDPC) PROVIDE AMBULATORY PROFESSIONAL SERVICES AND A BROAD VARIETY OF ANCILLARY SERVICES, SUCH AS CLINICAL LABORATORY, IMAGING AND OTHER DIAGNOSTIC AND PROCEDURAL SERVICES, AT A MULTITUDE OF SITES IN EASTERN MASSACHUSETTS OR, IN THE CASE OF CDPA AND WDPC, IN THE NORTHAMPTON, MASSACHUSETTS AND DOVER, NEW HAMPSHIRE AREAS, RESPECTIVELY. THE PHYSICIANS EMPLOYED BY CDPA, NWMG, NSPG AND WDPC ALSO PROVIDE MEDICAL, SURGICAL AND OTHER HEALTH CARE SERVICES TO THE PATIENTS OF THE MASS GENERAL BRIGHAM COMMUNITY HOSPITALS WITH WHICH THEY ARE ASSOCIATED. REHABILITATION CARE SECTOR SR OVERSEES THE MANAGEMENT, DELIVERY, AND INTEGRATION OF NON-ACUTE SERVICES IN THE MASS GENERAL BRIGHAM SYSTEM. SPAULDING REHABILITATION NETWORK. AS SHOWN IN THE TABLE BELOW, THE SPAULDING REHABILITATION NETWORK INCLUDES TWO INPATIENT REHABILITATION FACILITIES (IRFS), ONE LONG-TERM ACUTE CARE (LTAC) FACILITY AND ONE SKILLED NURSING FACILITY (SNF) THAT ACCOMMODATES BOTH SHORT-TERM AND LONGER-TERM PATIENT NEEDS, AS WELL AS 25 OUTPATIENT SITES THROUGHOUT EASTERN MASSACHUSETTS OPERATED BY THE SPAULDING IRFS. SPAULDING BOSTON IS ONE OF THE LARGEST SPECIALTY IRFS IN THE UNITED STATES AND SERVES AS A REFERRAL HOSPITAL FOR ACUTE CARE HOSPITALS IN THE REGION. IN THE 2023-24 U.S. NEWS & WORLD REPORT, SPAULDING BOSTON RANKED #2 IN THE NATION FOR REHABILITATION. SPAULDING REHABILITATION NETWORK NAME AND LOCATION FACILITY TYPE LICENSED BEDS SPAULDING BOSTON IRF 132 SPAULDING CAMBRIDGE LTAC 180 SPAULDING CAPE COD (EAST SANDWICH) IRF 60 SPAULDING BRIGHTON SNF 123 TOTAL 495 HOME HEALTH. HOME HEALTH CARE IS AN ESSENTIAL PART OF THE CONTINUUM OF CARE. IT SUPPORTS THE TRANSITION OF PATIENTS BACK INTO THE COMMUNITY, PROMOTES THEIR INDEPENDENCE, REDUCES THE NEED FOR HOSPITALIZATION AND INSTITUTIONALIZATION AND IS A COST-EFFECTIVE ALTERNATIVE TO INPATIENT CARE. PHH SERVES A GEOGRAPHIC AREA FROM NEWBURYPORT TO THE NORTH OF BOSTON, TO MARLBOROUGH IN THE WEST AND PLYMOUTH IN THE SOUTH. WITH REGIONAL BRANCH OFFICES IN BEVERLY, WALTHAM AND BRAINTREE, PHH EMPLOYS APPROXIMATELY 860 STAFF MEMBERS AND IS ONE OF THE LARGEST HOME HEALTH CARE PROVIDERS IN EASTERN MASSACHUSETTS. MGBHC IS ACCREDITED BY THE JOINT COMMISSION. FORM 990, PART III - PROGRAM SERVICE (ATTACHMENT 1) PSYCHIATRIC CARE SECTOR IN ADDITION TO THE 181 LICENSED PSYCHIATRIC BEDS LOCATED WITHIN ITS ACUTE CARE HOSPITALS, MASS GENERAL BRIGHAM OPERATES MCLEAN, A FREESTANDING TERTIARY PSYCHIATRIC REFERRAL AND RESEARCH HOSPITAL LICENSED FOR 392 BEDS LOCATED IN BELMONT, MASSACHUSETTS. MCLEAN PROVIDES A CONTINUUM OF INPATIENT, ACUTE AND LONG-TERM RESIDENTIAL, PARTIAL HOSPITALIZATION AND TREATMENT-SPECIFIC OUTPATIENT SERVICES TO CHILDREN, ADOLESCENTS, ADULTS AND GERIATRIC PATIENTS. IT ALSO HAS TWO SPECIALIZED SCHOOLS FOR CHILDREN AND ADOLESCENTS THAT OFFER A RANGE OF THERAPEUTIC SERVICES. IT IS THE LARGEST PSYCHIATRIC TEACHING AFFILIATE OF HARVARD MEDICAL SCHOOL. IN THE 2023-24 U.S. NEWS & WORLD REPORT, MCLEAN RANKED #1 IN THE NATION FOR PSYCHIATRY. MCLEAN BENEFITS FROM A WIDE ARRAY OF CLINICAL AND HOSPITAL REFERRAL SOURCES AND ATTRACTS PATIENTS REQUIRING COMPLEX TREATMENT BOTH FROM THE GREATER EASTERN MASSACHUSETTS REGION AND, TO A DEGREE, NATIONALLY AND INTERNATIONALLY. FOR EACH OF THE LAST 26 YEARS, MCLEAN HAS RECEIVED MORE NATIONAL INSTITUTES OF HEALTH (NIH) RESEARCH FUNDING THAN ANY PRIVATE PSYCHIATRIC HOSPITAL IN THE COUNTRY. MCLEAN'S RESEARCH FOCUS IS ON BASIC BENCHTOP, PRECLINICAL, TRANSLATIONAL AND CLINICAL NEUROSCIENCE. ALL OF MCLEAN'S ACTIVE STAFF OF 220 PHYSICIANS AND PSYCHOLOGISTS HOLD HARVARD MEDICAL SCHOOL APPOINTMENTS. MCLEAN, IN CONJUNCTION WITH THE GENERAL, OPERATES TRAINING PROGRAMS FOR RESIDENTS AND OTHERS IN ALL FIELDS OF PSYCHIATRY AND FOR STUDENTS AND FELLOWS IN PSYCHOLOGY, SUBSTANCE ABUSE TREATMENT AND NEUROLOGY. MCLEAN OFFERS A NUMBER OF CLINICAL PROGRAMS, BOTH ON AND OFF CAMPUS. THESE INCLUDE, BUT ARE NOT LIMITED TO, SATELLITE PROGRAMS AT NINE SITES IN THE GREATER EASTERN MASSACHUSETTS REGION AND ONE IN MAINE THAT OFFER ONE OR MORE OF INPATIENT, RESIDENTIAL, PARTIAL HOSPITAL, SUBSTANCE ABUSE TREATMENT AND INTENSIVE EVALUATION AND DIAGNOSTIC SERVICES FOR PATIENTS OF ALL AGES. MASS GENERAL BRIGHAM PROVIDES EMERGENCY AND OTHER CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE COST OF PROVIDING THAT CARE IS REFLECTED IN THE STATEMENTS OF OPERATIONS. SERVICES PROVIDED TO CHARITY CARE PATIENTS, FOR WHICH ACUTE CARE HOSPITALS RECEIVE REIMBURSEMENT THROUGH THE STATEWIDE HEALTH SAFETY NET TRUST FUND (HSN), AND TO PATIENTS COVERED UNDER THE MEDICARE AND MEDICAID PROGRAMS GENERATE COSTS FOR WHICH MASS GENERAL BRIGHAM IS NOT FULLY REIMBURSED. FOR CHARITY CARE, MEDICAID AND MEDICARE, THE TOTAL ESTIMATED COST OF SERVICES PROVIDED BY MASS GENERAL BRIGHAM EXCEEDED THE NET REIMBURSEMENT RECEIVED UNDER THESE PROGRAMS BY $2,396,962,000 IN FY 2023. THE ESTIMATED COST OF SERVICES PROVIDED IS EITHER OBTAINED DIRECTLY FROM A COSTING SYSTEM OR IS BASED ON AN ENTITY SPECIFIC RATIO OF COST TO GROSS CHARGES. IN THE LATTER CASE, COST IS DERIVED BY APPLYING THIS RATIO TO GROSS CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY CARE, MEDICAID, AND MEDICARE PATIENTS. FORM 990, PART III - PROGRAM SERVICE (ATTACHMENT 2) RESEARCH: THE CONDUCT OF BIOMEDICAL RESEARCH CONSTITUTES ONE OF THE CORE MISSIONS AND ACTIVITIES OF MASS GENERAL BRIGHAM. IT INCLUDES FUNDAMENTAL BENCH RESEARCH IN ALL OF THE LIFE SCIENCES DISCIPLINES, PATIENT-CENTERED RESEARCH WITHIN THE INPATIENT AND OUTPATIENT SERVICES OF MASS GENERAL BRIGHAM HOSPITALS, CLINICAL TRIALS OF NEW DRUGS AND DEVICES, AS WELL AS HEALTH SERVICES AND EPIDEMIOLOGICAL RESEARCH. MASS GENERAL BRIGHAM HAS THE LARGEST NON-UNIVERSITY-BASED, NON-PROFIT PRIVATE MEDICAL RESEARCH ENTERPRISE IN THE UNITED STATES. HOWEVER, EACH MASS GENERAL BRIGHAM ORGANIZATION WITH MAJOR RESEARCH OPERATIONS THE GENERAL, BWH, SPAULDING BOSTON, MEEI AND MCLEAN ACT AS SEPARATE RESEARCH GRANT RECIPIENTS. THE IMPORTANCE OF RESEARCH AND INNOVATION CANNOT BE OVERSTATED. THE FOUNDING HOSPITALS OF MASS GENERAL BRIGHAM HAVE A LONG TRADITION OF MEDICAL BREAKTHROUGHS, FROM THE FIRST USE OF ETHER FOR SURGERY AT MASSACHUSETTS GENERAL HOSPITAL TO THE FIRST SUCCESSFUL ORGAN TRANSPLANT AT BRIGHAM AND WOMEN'S HOSPITAL. VIRTUALLY EVERY TREATMENT, TEST, DRUG, OR MEDICAL DEVICE IN USE TODAY IS THE RESULT OF SUCCESSFUL RESEARCH FROM THE PAST. THE MASS GENERAL BRIGHAM RESEARCH ENTERPRISE COVERS THE SPECTRUM FROM BASIC SCIENCE TO TRANSLATIONAL AND CLINICAL INVESTIGATION. THIS RESEARCH IS PRIMARILY FUNDED BY THE NATIONAL INSTITUTES OF HEALTH (NIH); BRIGHAM AND WOMEN'S HOSPITAL AND MASSACHUSETTS GENERAL HOSPITAL CONTINUE TO TOP THE LIST OF INDEPENDENT HOSPITALS RECIPIENTS OF NIH FUNDING N THE COUNTRY. MCLEAN HOSPITAL RANKS AS A TOP RECIPIENT AMONG PRIVATE PSYCHIATRIC HOSPITALS. SCIENTISTS FROM A SPECTRUM OF DISCIPLINES ALSO COLLABORATE WITH DISEASE FOUNDATIONS AND INDUSTRY TO ADVANCE OUR KNOWLEDGE AND HELP TRANSLATE OUR DISCOVERIES INTO PATIENT CARE AS SOON AS POSSIBLE. MASS GENERAL BRIGHAM SUPPORTS VARIOUS RESEARCH PROGRAMS TO FACILITATE THE TRANSLATION OF MEDICAL ADVANCES TO ITS PATIENTS. PARTNERS PERSONALIZED MEDICINE (PPM) WAS ESTABLISHED IN 2001 TO REALIZE THE PROMISE OF GENETICS AND GENOMICS IN RESEARCH AND IN MEDICAL PRACTICE. ONE OF THE GOALS OF PPM IS TO HELP ENSURE THAT THE KNOWLEDGE GAINED FROM GENETICS AND GENOMICS BECOMES AN INTEGRAL PART OF DIAGNOSIS, PROGNOSIS AND TREATMENT OF DISEASE (INCLUDING THE DETERMINATION OF THE APPROPRIATE DRUGS) FOR INDIVIDUAL PATIENTS SERVED BY THE MASS GENERAL BRIGHAM ORGANIZATIONS. UNDER THE OVERSIGHT OF PPM, MASS GENERAL BRIGHAM ESTABLISHED A BIOBANK A REPOSITORY OF CONSENTED PATIENT SAMPLES LINKED TO THE ELECTRONIC MEDICAL RECORD AND SUPPLEMENTED WITH HEALTH INFORMATION/FAMILY HISTORY FROM SURVEYS. AS OF SEPTEMBER 30, 2023, OVER 80,000 CONSENTED PATIENTS ARE ENROLLED AND SAMPLES OF MORE THAN 15,000 PATIENTS HAVE BEEN GENOTYPED. BIOBANK DATA AND SAMPLES ARE USED IN RESEARCH TO BETTER UNDERSTAND, PREVENT, AND TREAT MANY DIFFERENT DISEASES. SINCE INCEPTION, THE BIOBANK HAS SUPPORTED OVER $300 MILLION IN FUNDED RESEARCH STUDIES. FOR EXAMPLE, THE BIOBANK ENABLED MASS GENERAL BRIGHAM TO BE AWARDED TWO GRANTS TOTALING $13.6 MILLION AS PART OF THE NIH ELECTRONIC MEDICAL RECORDS AND GENOMICS NETWORK (EMERGE). THE PRIMARY GOAL OF THE EMERGE NETWORK IS TO DEVELOP, DISSEMINATE AND APPLY APPROACHES TO RESEARCH THAT COMBINE DNA BIOREPOSITORIES WITH THE ELECTRONIC MEDICAL RECORD SYSTEM FOR LARGE-SCALE, HIGH-THROUGHPUT GENETIC RESEARCH. MASS GENERAL BRIGHAM IS ABLE TO LEVERAGE ITS INVESTMENT IN ECARE (AN INTEGRATED, ELECTRONIC HEALTH AND ADMINISTRATIVE INFORMATION SYSTEM) AND THE BIOBANK TO IDENTIFY RARE AND COMMON GENE VARIANTS AND EXAMINE HOW THOSE VARIANTS RELATE TO DISEASE RISKS AND TREATMENT EFFECTS. ON A NATIONAL SCALE, MASS GENERAL BRIGHAM WAS INVOLVED IN FORMULATING THE PRECISION MEDICINE INITIATIVE A NATIONAL RESEARCH EFFORT ESTABLISHED IN 2015 TO REVOLUTIONIZE HEALTH CARE AND THE TREATMENT OF DISEASE. THE INITIATIVE AIMS TO GIVE MEDICAL PROFESSIONALS THE RESOURCES THEY NEED TO TARGET SPECIFIC TREATMENTS FOR ILLNESSES AND FURTHER DEVELOP SCIENTIFIC AND MEDICAL RESEARCH, TAKING INTO ACCOUNT INDIVIDUAL DIFFERENCES IN PEOPLE'S GENES, ENVIRONMENTS AND LIFESTYLES. MASS GENERAL BRIGHAM ALONG WITH BOSTON MEDICAL CENTER HAVE FORMED THE NEW ENGLAND PRECISION MEDICINE CONSORTIUM, A REGIONAL RECRUITMENT SITE FOR THE ALL OF US (AOU) BIOMEDICAL RESEARCH PROGRAM THAT IS THE CORNERSTONE OF THE LARGER PRECISION MEDICINE INITIATIVE. THE AOU PROGRAM IS FUNDED AT $1.5 BILLION WITH ANNUAL APPROPRIATIONS OVER 10 YEARS WHICH BEGAN IN 2016, WITH THE GOAL OF RECRUITING ONE MILLION OR MORE VOLUNTEERS TO A NATIONAL BIOBANK. MASS GENERAL BRIGHAM ANTICIPATES RECEIVING APPROXIMATELY $55 MILLION OF THE AOU PROGRAM FUNDING. WITH ADVANCES IN BIG DATA ANALYTICS AND MACHINE LEARNING, HEALTH CARE DATA HAS BECOME THE CORNERSTONE OF MANY NEW DISCOVERIES IN THE DIAGNOSIS AND TREATMENT OF DISEASE. MASS GENERAL BRIGHAM HAS A ROBUST PATIENT DATA ASSET, CREATING TOOLS THAT ALLOW FOR THE COMPLIANT USE OF AND ACCESS TO THIS DATA UNDER THE PURVIEW OF THE RESEARCH INFORMATION SCIENCE AND COMPUTING (RISC) DEPARTMENT. LEVERAGING DATA SCIENTISTS, MACHINE LEARNING/ARTIFICIAL INTELLIGENCE, AND CLINICAL EXPERTISE, RISC DEVELOPS NEW CLINICAL APPLICATIONS FOR CLINICAL CARE AND WITH THE POTENTIAL FOR COMMERCIALIZATION. THE PARTNERS BIG DATA COMMONS IS THE FOUNDATION; LAUNCHED IN 2013 TO INTEGRATE DISPARATE ISLANDS OF PATIENT DATA ONTO A COMMON PLATFORM, IT ALLOWS RESEARCHERS TO ANALYZE DATA FROM MULTIPLE SOURCES SUCH AS RADIOLOGY, THE BIOBANK, PAYOR CLAIMS DATA, AND OTHER CLINICAL OR RESEARCH DATA SOURCES TO BETTER UNDERSTAND PATIENT OUTCOMES AND TREATMENT RESPONSES. TO FURTHER ADVANCE THE USE OF ARTIFICIAL INTELLIGENCE TO BENEFIT HEALTHCARE DELIVERY AND PATIENT OUTCOMES, IN 2017 MASS GENERAL BRIGHAM LAUNCHED THE CENTER FOR CLINICAL DATA SCIENCE (CCDS). CCDS UNIQUELY COMBINES A WEALTH OF HEALTHCARE DATA WITH WORLD-CLASS COMPUTATIONAL RESOURCES, CLINICAL EXPERTISE, AND TECHNICAL KNOW-HOW TO DELIVER REAL-WORLD SOLUTIONS TO PATIENTS AND PHYSICIANS. THE IMPLEMENTATION OF ECARE IS ACCELERATING THE TRANSLATION OF NEW DISCOVERIES AND INVENTIONS TO PATIENT CARE. THIS INCLUDES ENABLING THE INTEGRATION OF TARGETED RESEARCH OPPORTUNITIES AT THE POINT-OF-CARE USING TOOLS BUILT BY MASS GENERAL BRIGHAM, INTEGRATING INNOVATIVE HEALTHCARE APPS WITH THE CLINICAL WORKFLOW TO GUIDE CLINICAL DECISION MAKING, AND ALLOWING PATIENTS TO DIRECTLY ENGAGE WITH RESEARCHERS. RALLY (RALLY.MASSGENERALBRIGHAM.ORG) IS A COMPREHENSIVE, LEADING-EDGE PATIENT RESEARCH RECRUITMENT SOLUTION THAT CONNECTS POTENTIAL VOLUNTEERS WITH RESEARCH OPPORTUNITIES ON THEIR OWN TERMS. RALLY COMPRISES A PUBLICLY SEARCHABLE RESEARCH MARKETPLACE THAT INTERSECTS THE PLAIN-LANGUAGE PRESENTATION OF RESEARCH OPPORTUNITIES WITH AN EVOLVING SET OF CUSTOMER RELATIONSHIP MANAGEMENT (CRM) TOOLS THAT SUPPORT, TRACK, AND OPTIMIZE CONTACT BETWEEN RESEARCH TEAMS AND POTENTIAL RESEARCH VOLUNTEERS. ALL OF THESE EFFORTS ARE KEY COMPONENTS OF A NEW FIVE-YEAR ENTERPRISE DATA & DIGITAL HEALTH (EDDH) INITIATIVE LAUNCHED IN 2019 AIMED AT IMPROVING THE PATIENT EXPERIENCE, BOOSTING DIGITAL INNOVATION AND TRANSFORMING CLINICAL CARE ACROSS THE SYSTEM. THE EDDH INITIATIVE WILL INTEGRATE THE FOUNDATIONAL INVESTMENTS OF MASS GENERAL BRIGHAM IN TECHNOLOGY WITH A NEW DATA AND ANALYTICS ECOSYSTEM TO BRING RICHER INSIGHTS TO PATIENTS AND PHYSICIANS IN REAL-TIME. THROUGH THIS PROGRAM, MASS GENERAL BRIGHAM WILL CREATE A PATHWAY FOR CLINICIANS AND RESEARCHERS TO USE DIGITAL SOLUTIONS TO EXPAND AND SCALE THEIR WORK, INCREASING ACCESS TO CARE FOR PATIENTS IN BOSTON AND BEYOND. MASS GENERAL BRIGHAM CONTINUES TO COLLABORATE WITH HARVARD UNIVERSITY, WHICH ESTABLISHED THE HARVARD CATALYST, AN NIH FUNDED ENTERPRISE DEDICATED TO IMPROVING HUMAN HEALTH THAT INCLUDES OTHER HARVARD MEDICAL SCHOOL AFFILIATED EDUCATIONAL AND HEALTHCARE CENTERS IN THE BOSTON AREA. HARVARD CATALYST WAS INITIALLY FUNDED BY THE NIH IN 2008 WITH A RENEWAL IN 2013. IN 2018, HARVARD CATALYST WAS AWARDED A NEW FIVE-YEAR CLINICAL AND TRANSLATIONAL SCIENCE AWARD WITH ADDITIONAL FUNDING OVER FIVE YEARS FROM HARVARD MEDICAL SCHOOL, HARVARD T.H. CHAN SCHOOL OF PUBLIC HEALTH, BETH ISRAEL DEACONESS MEDICAL CENTER, BOSTON CHILDREN'S HOSPITAL, BWH, DFCI, AND THE GENERAL. FORM 990, PART III - PROGRAM SERVICE (ATTACHMENT 3) TEACHING: THE MASS GENERAL BRIGHAM HOSPITALS HAVE A LONG TRADITION OF EDUCATING PHYSICIANS, OTHER HEALTHCARE PROFESSIONALS AND BIOMEDICAL SCIENTISTS. GRADUATE MEDICAL EDUCATION. APPROXIMATELY 2,500 RESIDENTS AND FELLOWS IN 300 PROGRAMS IN NEARLY ALL SPECIALTIES AND SUBSPECIALTIES OF MEDICINE ARE APPOINTED TO THE MASS GENERAL BRIGHAM HOSPITALS EACH YEAR. MOST OF THESE ARE BASED AT BWH AND/OR THE GENERAL, BUT MEEI, NWH, NSMC AND SPAULDING BOSTON ALSO SPONSOR GRADUATE MEDICAL EDUCATION PROGRAMS. A NUMBER OF TRAINING PROGRAMS ARE INTEGRATED ACROSS TWO OR MORE MASS GENERAL BRIGHAM HOSPITALS, AND SEVERAL INVOLVE AFFILIATIONS WITH OTHER HARVARD MEDICAL SCHOOL OR TUFTS UNIVERSITY SCHOOL OF MEDICINE (TUSM) TEACHING HOSPITALS. GRADUATE MEDICAL EDUCATION AT MASS GENERAL BRIGHAM UTILIZES BOTH INPATIENT AND AMBULATORY SETTINGS; THE MASS GENERAL BRIGHAM AFFILIATED COMMUNITY HEALTH CENTERS PLAY AN IMPORTANT ROLE IN TRAINING HEALTHCARE PROFESSIONALS AT MASS GENERAL BRIGHAM. BWFH, NWH AND NSMC ARE TEACHING AFFILIATES OF TUSM AND ALSO SERVE AS TRAINING SITES FOR RESIDENCY PROGRAMS FROM BWH AND THE GENERAL. NWH IS ALSO A TRAINING SITE FOR A TUFTS MEDICAL CENTER INTERNAL MEDICINE RESIDENCY PROGRAM AND MANY MEMBERS OF NWH'S MEDICAL STAFF AND THE CHIEFS OF ITS CLINICAL DEPARTMENTS HOLD TUSM FACULTY APPOINTMENTS. HEALTH PROFESSIONS EDUCATION. THE MGH INSTITUTE OF HEALTH PROFESSIONS (THE MGH INSTITUTE) IS AUTHORIZED TO OFFER DOCTORAL, MASTER'S AND SECOND BACHELOR'S DEGREES AND CERTIFICATE PROGRAMS IN COMMUNICATION SCIENCES AND DISORDERS, GENETIC COUNSELING, NURSING, PHYSICIAN ASSISTANT STUDIES, HEALTH PROFESSIONS EDUCATION, PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND REHABILITATION SCIENCES. THE MGH INSTITUTE IS ACCREDITED BY THE NEW ENGLAND COMMISSION OF HIGHER EDUCATION AND BY DISCIPLINE-SPECIFIC ACCREDITING ORGANIZATIONS. FOR EXPERIENTIAL PLACEMENTS, THE INSTITUTE PARTNERS WITH MORE THAN 600 CLINICAL AFFILIATES, INCLUDING COMMUNITY HOSPITALS, COMMUNITY HEALTH CENTERS, HEALTH AND RESEARCH-RELATED INDUSTRIES, HOME HEALTH CARE AGENCIES, MAJOR ACADEMIC MEDICAL CENTERS, PRIVATE PRACTICES, REHABILITATION HOSPITALS, AND SCHOOL-BASED CLINICS. IT CURRENTLY HAS OVER 120 FULL- AND PART-TIME FACULTY MEMBERS AND ENROLLS MORE THAN 1,600 FULL- AND PART-TIME STUDENTS ONSITE AND ONLINE. MEDICAL AND DENTAL STUDENT EDUCATION. BWH AND THE GENERAL ARE MAJOR TEACHING AFFILIATES OF HARVARD MEDICAL SCHOOL AND THE HARVARD SCHOOL OF DENTAL MEDICINE. MOST OF THE ACTIVE CLINICAL AND RESEARCH STAFF OF BWH AND THE GENERAL HOLD HARVARD MEDICAL SCHOOL APPOINTMENTS AND ACTIVELY PARTICIPATE IN BOTH THE CLINICAL AND PRE-CLINICAL TRAINING OF MEDICAL STUDENTS. MCLEAN AND SPAULDING BOSTON ARE PRINCIPAL CLINICAL TEACHING SITES FOR HARVARD MEDICAL SCHOOL STUDENTS IN PSYCHIATRY AND PHYSIATRY, RESPECTIVELY. OTHER EDUCATION AND TRAINING. IN ADDITION, THE GENERAL AND MCLEAN SPONSOR PROGRAMS IN PSYCHOLOGY; BWH AND THE GENERAL PROVIDE TRAINING IN GENERAL DENTISTRY; AND BWH AND THE GENERAL EACH OFFER INTERNSHIPS IN DIETETICS AND HOSPITAL ADMINISTRATION FELLOWSHIPS. COMPLEMENTING THE DIVERSITY OF CLINICAL TRAINING, THERE ARE APPROXIMATELY 1,900 RESEARCH FELLOWS AT BWH AND THE GENERAL, WITH SOME ADDITIONAL FELLOWS AT THE OTHER INSTITUTIONS. THESE PH.D. OR M.D./PH.D. SCIENTISTS PARTICIPATE IN MENTORED RESEARCH EXPERIENCES. MANY ALSO TAKE PART IN ONE OF THE DIDACTIC PROGRAMS AIMED AT BASIC, TRANSLATIONAL, OR CLINICAL AND OUTCOMES RESEARCH THAT ARE OFFERED WITHIN THE MASS GENERAL BRIGHAM SYSTEM. FORM 990, PART VI, SECTION A, LINE 1A THE FOLLOWING ENTITIES HAVE A DIFFERENCE IN VOTING RIGHTS: - BRIGHAM AND WOMEN'S PHYSICIANS ORGANIZATION, INC. - NANTUCKET COTTAGE HOSPITAL THE FOLLOWING ENTITIES ALSO HAVE AN EXECUTIVE COMMITTEE: - BRIGHAM, INC. - THE BRIGHAM AND WOMEN'S HOSPITAL, INC. - BRIGHAM AND WOMEN'S PHYSICIANS ORGANIZATION, INC. - BRIGHAM & WOMEN'S FAULKNER HOSPITAL, INC. - THE SPAULDING REHABILITATION HOSPITAL CORPORATION - MASS GENERAL BRIGHAM HOME CARE, INC. - SPAULDING NURSING AND THERAPY CENTER BRIGHTON, INC. - SPAULDING HOSPITAL-CAMBRIDGE, INC. - SPAULDING REHABILITATION, INC. - REHABILITATION HOSPITAL OF THE CAPE AND ISLANDS CORPORATION - SHAUGHNESSY-KAPLAN REHABILITATION HOSPITAL, INC. - NANTUCKET COTTAGE HOSPITAL - MARTHA'S VINEYARD HOSPITAL, INC. IN GENERAL, THE EXECUTIVE COMMITTEES HAVE ALL OF THE RESPONSIBILITIES AND AUTHORITY OF THE TRUSTEES BETWEEN MEETINGS OF THE TRUSTEES EXCEPT FOR THE POWERS SPECIFIED IN SECTION 55 OF MASSACHUSETTS GENERAL LAWS, CHAPTER 156B. FORM 990, PART VI, SECTION A, LINE 2 BRENDA E. HAYNES & ADAM M. KOPPEL - FAMILY RELATIONSHIP CHARLES E. ADAMS & PAMELA L. LAWRENCE - BUSINESS RELATIONSHIP JAMES BRANNEN & MICHAEL BOLDUC - BUSINESS RELATIONSHIP LISA E. CARBONE & GARGI B. COOPER - BUSINESS RELATIONSHIP NIYUM GANDHI & GREGG S. MEYER - BUSINESS RELATIONSHIP PAMELA D. A. REEVE & DAVID ABELMAN - BUSINESS RELATIONSHIP ROBIN A. WALKER & WILLIAM MAURICE COWAN - BUSINESS RELATIONSHIP YUMIN CHOI & ADAM M. KOPPEL - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 MASS GENERAL BRIGHAM INCORPORATED, A MASSACHUSETTS NONPROFIT CORPORATION, IS EITHER DIRECTLY OR INDIRECTLY THE SOLE MEMBER OF ALL THE SUBORDINATES INCLUDED IN THE MASS GENERAL BRIGHAM INCORPORATED GROUP RETURN EXCEPT FOR THE FOLLOWING SUBORDINATES (WHICH DO NOT HAVE MEMBERS): BRIGHAM MEDICAL RESEARCH & EDUCATION FOUNDATION FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF EACH ORGANIZATION HAS AUTHORITIES AS SPECIFICALLY ENUMERATED IN EACH ORGANIZATION'S CORPORATE BY-LAWS. THESE AUTHORITIES VARY WIDELY BETWEEN EACH ORGANIZATION. A FEW EXAMPLES OF THE TYPE OF AUTHORITIES GRANTED BY MANY, BUT NOT NECESSARILY ALL, CORPORATE BY-LAWS INCLUDE: - APPOINT A FIRM OF PUBLIC ACCOUNTANTS ANNUALLY TO CONDUCT AN INDEPENDENT AUDIT OF THE CORPORATION'S FINANCIAL AFFAIRS DURING THE FISCAL YEAR LAST ENDED; - REVIEW AND APPROVE ALL PROPOSED CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ALL PROPOSED TRANSACTIONS BY THE CORPORATION WHICH INVOLVE AN EXPENDITURE IN EXCESS OF $2,000,000, WHEN SUCH EXPENDITURE HAS NOT BEEN INCLUDED IN A BUDGET PREVIOUSLY APPROVED BY THE MEMBER; - REVIEW AND APPROVE EACH TRANSACTION PROPOSED BY THE CORPORATION WHICH WOULD INVOLVE THE CORPORATION INCURRING DEBT THROUGH LENDER FINANCING; - THE MEMBER MAY ADOPT, AMEND OR REPEAL ANY BYLAW, INCLUDING ANY BYLAWS ADOPTED BY THE TRUSTEES. - THE MEMBER MAY ELECT THE OFFICERS AND TRUSTEES OF THE CORPORATION. - THE MEMBER OR THE TRUSTEES, EACH BY MAJORITY VOTE OF THEIR NUMBER THEN IN OFFICE, MAY SUSPEND OR REMOVE FOR CAUSE ANY TRUSTEE. - THE MEMBER SHALL ENACT, AND FROM TIME TO TIME MAY AMEND A CODE OF CONDUCT AND A POLICY ON CONFLICTS OF INTEREST. PURSUANT TO THE LAWS OF MASSACHUSETTS, THE AUTHORITY FOR THE FOLLOWING ACTIONS IS RESERVED TO THE MEMBER OF THE ORGANIZATION: A. AMEND OR RESTATE THE ARTICLES OF ORGANIZATION B. CONSOLIDATION OR MERGER C. SALE, LEASE, EXCHANGE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATIONS PROPERTY OR ASSETS. FORM 990, PART VI, SECTION A, LINE 7B EXPLANATION IS INCLUDED IN LINE 7A FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED AND REVIEWED BY THE MASS GENERAL BRIGHAM INCORPORATED TAX DEPARTMENT. CERTAIN KEY SECTIONS WERE ALSO REVIEWED BY THE MASS GENERAL BRIGHAM CFO AND TREASURER, AND BY THE MASS GENERAL BRIGHAM GENERAL COUNSEL. THE CFO AND TREASURER REVIEWED AND SIGNED THE FORM 990. THE PROCESS FOR PREPARING AND REVIEWING FORM 990 WAS DISCUSSED AT THE MAY 2, 2024 MEETING OF THE AUDIT AND COMPLIANCE COMMITTEE OF THE MASS GENERAL BRIGHAM BOARD OF DIRECTORS. THE COMPENSATION DISCLOSURES WERE PROVIDED TO THE MASS GENERAL BRIGHAM COMPENSATION COMMITTEE WHICH MET ON MAY 7, 2024. THE FINAL FILING VERSION OF THE FORM 990 WAS PROVIDED TO CERTAIN VOTING BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C FOR PURPOSES OF ITS ANNUAL TAX FILING, MASS GENERAL BRIGHAM HAS AN ANNUAL QUESTIONNAIRE PROCESS FOR OBTAINING INFORMATION ON INTERESTS THAT MAY GIVE RISE TO CONFLICTS FROM ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES. IN ADDITION, IN CONNECTION WITH MASS GENERAL BRIGHAM'S CONFLICT OF INTEREST POLICY, THE MASS GENERAL BRIGHAM OFFICE FOR INTERACTIONS WITH INDUSTRY AND THE OFFICE OF THE GENERAL COUNSEL WORK TOGETHER TO PERIODICALLY DISTRIBUTE, COLLECT AND REVIEW DISCLOSURE STATEMENTS FROM THESE INDIVIDUALS. THE INFORMATION ON EACH SUCH DISCLOSURE IS REVIEWED BY EACH INDIVIDUAL'S SUPERVISOR (WHO IN THE CASE OF DIRECTORS AND TRUSTEES IS DEEMED TO CONSIST OF THE CHAIRMAN OF THE BOARD AND THE ENTITY'S PRESIDENT/CEO, WHO REVIEW THE DISCLOSURES WITH THE ASSISTANCE OF THE GENERAL COUNSEL OR ATTORNEY REPRESENTATIVES OF HER OFFICE). IN ADDITION, UNDER THE MASS GENERAL BRIGHAM'S CONFLICT OF INTEREST POLICY, ANY TIME AN OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE IS AWARE OF A TRANSACTION IN WHICH HIS/HER INTEREST MAY CREATE A CONFLICT, HE/SHE IS REQUIRED TO PROVIDE FULL DISCLOSURE OF THE INTEREST, AND MAY NOT BE INVOLVED IN THE INSTITUTIONAL DECISION-MAKING ABOUT THE TRANSACTION. IN ADDITION, WITH RESPECT TO SUCH TRANSACTIONS, IN APPROPRIATE CIRCUMSTANCES, (I) THE CORPORATION MUST CONSIDER AT LEAST TWO ALTERNATIVE DISINTERESTED COMPETITIVE PROPOSALS; OR MUST DETERMINE THAT TWO SUCH COMPETITIVE PROPOSALS DO NOT EXIST OR THAT IT WOULD BE IMPRACTICAL TO ELICIT OR CONSIDER SUCH COMPETITIVE PROPOSALS; AND (II) THE CORPORATION MUST DETERMINE THAT, NOTWITHSTANDING THE APPARENT CONFLICT, THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND IS IN THE BEST INTERESTS OF THE CORPORATION. A WRITTEN RECORD MUST BE MADE OF THESE DETERMINATIONS. FURTHERMORE, TRANSACTIONS THAT PRESENT PARTICULARLY SIGNIFICANT CONFLICTS ARE REVIEWED BY AN INDEPENDENT COMMITTEE OF THE MASS GENERAL BRIGHAM BOARD FOR APPROPRIATE ACTION, WHICH REVIEW IS ALSO DOCUMENTED. AS INSTITUTIONS ARE ADDED TO THE MASS GENERAL BRIGHAM INCORPORATED AND AFFILIATES GROUP RETURN THERE IS A TRANSITION PERIOD. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION HAS A BOARD LEVEL COMPENSATION COMMITTEE THAT REVIEWS AND APPROVES THE COMPENSATION FOR CERTAIN OFFICERS AND KEY EMPLOYEES. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD WHO ARE NOT EMPLOYED BY THE ORGANIZATION, AND NO MEMBER MAY PARTICIPATE IN THE REVIEW AND APPROVAL OF COMPENSATION IF THE MEMBER HAS A CONFLICT OF INTEREST WITH RESPECT TO THAT COMPENSATION ARRANGEMENT. THE COMMITTEE RELIES ON DATA, PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT, WHICH INCLUDES COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS, IN FUNCTIONALLY COMPARABLE POSITIONS, AT SIMILARLY SITUATED ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED IN THE MINUTES OF THE MEETING. THIS REVIEW PROCESS OCCURS ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS ARE FILED WITH THE MASSACHUSETTS SECRETARY OF STATE AND THE FINANCIAL STATEMENTS ARE FILED WITH THE MASSACHUSETTS ATTORNEY GENERAL, ALL OF WHICH ARE OPEN TO PUBLIC INSPECTION. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS AVAILABLE ON THE ORGANIZATION'S WEBSITE. FORM 990, PART VII : TITLE KEY: TRUSTEE - T OFFICER - O KEY EMPLOYEE - K FORM 990, PART VII: O & T TITLES JOSHUA L. ABRAMS, ESQ: O - MCL CHARLES E. ADAMS: O - NSMC, NSPG AALOK V. AGARWALA, MD, MBA: T - MEEA (OFF 02/01/23) IMOIGELE P. AISIKU, MD, MBA: T - BWPO (OFF 07/07/23) PAUL J. ANDERSON, MD, PHD: K - BWH SHELLY A. ANDERSON, MPM: T - HMA (ON 10/01/22, OFF 08/04/23) CARLOS ARELLANO: K - MGBMG SARAH ARNHOLZ, ESQ: O - MGPO WILLIAM G. AUSTEN, JR, MD: HIGHEST COMPENSATED EMPLOYEE MIRANDA S. BALKIN, MD: T - CDPA MAUREEN BANKS: O - RHCI (OFF 01/31/23), SHC (OFF 01/31/23), SKRH (OFF 01/31/23), SNTCB (OFF 01/31/23) KEITH R. BARTLETT: K - WDH TRACY T. BATCHELOR, MD: T - BWPO MEREDITH BEATON-STARR, MS, OTR/L: T - IHP THOMAS L. BEATTY, JR, MD: T - NWH (OFF 06/30/23) KEITH W. BEERS: K - SNTCB CHRISTINE A. BLASKI, MD: T - NSPG CHERI A. BLAUWET, MD: K - SRH SALLY MASON BOEMER: O - GHC, IHP (ON 03/02/23), MGH, MGPO GILES W. BOLAND, MD: O & T - BCP, BWPO; T - BH, BWFH, BWH, MGBCP, MGPO GARRETT J. BOMBA, MD: T - MGBCP MELISSA P. BRENNAN, ESQ: O - RHCI, SHC, SKRH, SNTCB, SR, SRH CARA T. BRICKLEY: K - SRH JAMES A. BRINK, MD: T - BWPO O'NEIL BRITTON, MD: T - MGBHC (ON 10/27/22), MVH (OFF 07/28/23), WNR (OFF 07/28/23) DAVID F. M. BROWN, MD, FACEP: O & T - GHC, MGH, MGPO DEBRA A. BURKE, RN, DNP, MBA, NEA-BC: T - MVH, WNR REAMER LOREN BUSHARDT: K - IHP JUSTIN P. BYRNE, MD: T - NSMC ELLEN L. CAILLE: T - WDPC (OFF 08/07/23) CINDY L. CANNON: O - IHP (OFF 03/02/23) BOB S. CARTER, MD: HIGHEST COMPENSATED EMPLOYEE MICHAEL R. CARTER: O - MGBSP KAREN A. CASPER, MD: K - MVH PAUL R. CASS, DO: T - WDPC EFFIE J. CHAN, ESQ: O - BWPO, HMA, SSEC JULIE C. CHATTOPADHYAY, ESQ: O - NWH, NWMG E. ANTONIO CHIOCCA, MD, PHD: T - BWPO CHRISTOPHER M. COBURN: O & T - PMI JAMES P. COHEN, MD: T - MGBCP YOLONDA L. COLSON, MD, PHD: T - GHC, MGH DAVID P. CONNOLLY: O - MGBCP ZARA R. COOPER, MD: T - BH, BWFH, BWH FINOLA H. COX, PAC: T - WDPC MARY ELIZABETH CUNNANE, MD: O & T - MEEA (O - OFF 09/23/23) WILLIAM T. CURRY, MD: T - FMEEI, MEEI, SERI PAUL G. CUSHING, ESQ: O - NSMC, NSPG JESSICA Z. DACUS, DO: T - CDPA PATRICIA A. D'AMORE, PHD, MBA: K - SERI WILLIAM S. DANFORD, MD: T - WDHF ERNESTO DASILVA, MD: T - NSPG JOEL DEGENAARS: O & T - WDHF, T - WDPC MARCELA G. DEL CARMEN, MD: O & T - MGPO; T - BWPO, GHC, MGBCP, MGH, WDH (OFF 10/31/22) SUSAN DEMPSEY: K - BWFH KEREN DIAMOND: K - MGBHC MARK L. DICK, MD, FACP: T - WDPC TRUNG Q. DO, MA, MBA: T - PMI GERARD M. DOHERTY, MD: T - BH, BWFH, BWH, BWPO TERENCE P. DOORLY, MD: T - NSPG BRANDON E. EARP, MD: HIGHEST COMPENSATED EMPLOYEE KHAMA D. ENNIS, MD, MPH, FACEP: T - CDH, CDHC (OFF 09/30/23), VHCD JEANETTE IVES ERICKSON, RN, DNP, NEA-BC, FAAN: O & T - NCH (O - OFF 10/17/22), NPO (O & T - OFF 10/17/22); T - IHP ATLAS D. EVANS: O - IHP (OFF 07/05/23) JONATHAN M. FALLON, DO: T - CDPA JOHN J.W. FANGMAN, MD: T - MGBCP, WDH (ON 03/10/23), WDPC (ON 08/07/23) JOHN FANIKOS: T - MGBSP KHOSRO FARHAD, MD: T - WDPC MARTHA PYLE FARRELL: K - MEEI JOHN R. FERNANDEZ: O & T - FMEEI (O & T OFF 12/31/22), MEEI (O & T OFF 12/31/22), MGBAS (O & T OFF 12/31/22), MGBMG (O & T OFF 12/31/22), SERI (O & T OFF 12/31/22); T - MEEA (OFF 12/31/22), MGBUC (OFF 12/31/22) CRISTINA R. FERRONE, MD: T - MGPO (OFF 12/31/22) AARON S. FISHMAN: O & T - NPO (O & T OFF 03/24/23); O - NCH (OFF 03/24/23) MATTHEW FISHMAN: T - MGBHPHC TIMOTHY E. FOSTER, MD, MBA, MS: T - NWH CASEY L. FOWLER, MS, RN, ACNP-BC: T - CDPA RONALD FREEMAN: K - SRH ABBEY P. FRIEDLER, ESQ: O - MGBSP (ON 10/25/22) JOANNE M. FUCILE: K - SHC LINDSAY ALLEN GAINER: K - MGBMG NIYUM GANDHI: O & T - BCP, BRF, BWHR, MGBAS, MGBCD, MGBMG, MGBUC (O - ON 04/18/23); O - BH, BWFH, BWH, GHC, MGBHPHC, MGBSP, MGH, RHCI, SHC, SKRH, SNTCB, SR, SRH JOSEPH M. GARASIC, MD: T - NCH (OFF 07/21/23) GARY W. GARBERG: K - MGBHC NARASAIAH GAVINI: K - IHP ROYA GHAZINOURI, PT, DPT, MS: T - IHP VANESSA D. GILBRETH, ESQ: O - BCP (ON 09/20/23), BRF (ON 09/20/23) , BWHR (ON 09/20/23), MICHAEL S. GILMORE, PHD: K - MEEI KEVIN T. GIORDANO, MBA, FACHE: O & T - BWFH (O - ON 09/15/23, T - ON 09/16/23) RICHARD S. GITOMER, MD, MBA: T - BWPO (ON 07/07/23) AIMEE K. GOLBITZ: T - MGBHC (ON 04/13/23) JOSEPH GOLD, MD: K - MCL HILARY J. GOLDBERG, MD, MPH: T - BWPO PATRICK L. GORDAN, MD: K - NSMC ROSEMARY B. GOTTLIEB, ESQ: O - PMI PETER A. GRAPE, MD: O & T - HMA, SSEC; T - BWPO (OFF 07/07/23) JUDI S. GREENBERG, ESQ: O - IHP DAPHNE A. HAAS-KOGAN, MD: T - BH, BWFH, BWH, BWPO (ON 07/07/23) GERARD F. HADLEY: O - BWFH (OFF 03/16/23) MITCHEL B. HARRIS, MD: T - MGPO JAMES L. HEFFERNAN: T - WDH (OFF 08/07/23) MICHELLE W. HELMS, MD: T - CDH, CDHC (OFF 09/30/23), VHCD JOHN B. HERMAN, MD: T - IHP KATHRYN A. HIBBERT, MD: T - MGPO (ON 10/21/22) ROBERT S.D. HIGGINS, MD, MSHA: O & T - BH, BRF, BWH, BWHR; T - BWPO JOHN R. HIGHAM, ESQ: O - GHC, MGBAS, MGBCD, MGBHPHC, MGBMG, MGBUC, MGH MONA Z. HINRICHSEN, MD: T - NSPG EPHRAIM PAUL HOCHBERG, MD: T - CDH, CDHC (OFF 09/30/23), VHCD JEFFREY B. HUGHES, MPH, FACHE: O & T - WDH (O & T OFF 07/23/23), WDHF (O & T OFF 07/23/23), WDPC (O & T OFF 07/23/23) KEVIN J. INMAN, RN, MSN: K - NSMC HELEN C. IRELAND, MD: T - NSPG VICKI A. JACKSON, MD: T - MGBHC ALAN ANTHONY JAMES: T - CDH, CDHC (OFF 09/30/23), MGBHPHC, MVH, VHCD, WDH, WNR STEPHEN R. JENNEY: O - BWPO (OFF 03/17/23), HMA (ON 10/01/22, OFF 03/31/23), SSEC (ON 10/01/22, OFF 03/31/23) ALEX F. JOHNSON: K - IHP BRIAN JOHNSON, MD: T - CDH (ON 01/23/2023, OFF 07/14/2023), VHCD (ON 01/23/2023, OFF 07/14/2023) SEUN JOHNSON-AKEJU, MD: T - MGPO BERNARD R. JONES: T - SSEC (ON 02/01/23) DAINA JUHANSOO, PT, DPT: K - RHCI JAMES D. KANG, MD: T - BWPO (OFF 07/07/23) STEVEN E. KAPFHAMMER: O & T - NSPG (O & T OFF 03/01/23) THOMAS E. KINGSTON, MD: T - NSPG (ON 01/01/23) JAMES M. KIRSHENBAUM, MD: T - BWPO (ON 07/07/23) MARGARET M. KOEHM, MD: T - NCH LUKAS R. KOLM, MD: T - WDH (ON 01/01/23) PAUL M. KONOWITZ, MD, FACS: K - MEEA THOMAS S. KUPPER, MD: T - BWPO (ON 07/07/23) DYLAN C. KWAIT, MD: K - BWFH DAVID A. LAGASSE: O - MCL LAURIE R. LAMOUREUX: O - CDH, CDHC (OFF 09/30/23), CDPA, VHCD MORANA V. LASIC, MD, MED: T - BWPO AMY E. LEE, MBA, MBHA, MJ, FACMPE: O & T - NCH (O & T ON 10/17/22), NPO (O & T ON 10/17/22) REBECCA SYMMES LEE, MD: T - NSPG INGA T. LENNES, MD, MPH, MBA: T - CDH, CDHC (OFF 09/30/23), VHCD ROBERT P. LEVINE, MMS, PA-C: T - CDPA KEITH D. LILLEMOE, MD: T - GHC, MGH DERRICK T. LIN, MD, FACS: K - MEEA CORI LOESCHER, MM, BSN, RN, NEA-BC: K - BWFH JOSEPH LOSCALZO, MD, PHD: T - BCP DAVID N. LOUIS, MD: T - BWPO (ON 07/07/23), MGPO DONNA M. LUKEN: O - MGBHC CHRISTINA LUNDQUIST: K - BWH TIMOTHY M. LYNCH, MBA: T - SSEC (ON 10/01/22, OFF 01/31/23) ARUL MAHADEVAN, MD: T - WDH, WDHF ROBERT T. MCCALL: K - SR DAVID O. MCCREADY, MBA, MHA: O & T - BWFH (O & T OFF 09/15/23) VINCENT T. MCDERMOTT: O & T - NPO (O & T ON 03/24/23), NWMG; O - MGBHC, MVH (ON 07/28/23), NCH (ON 03/24/23), NWH, WDH (ON 08/07/23), WNR (ON 07/28/23) MAURY E. MCGOUGH, MD: T - MGBCP, NSMC, NSPG YANA V. MELNIKOVA, MD: T - WDPC EMILY L. MELTON, ESQ: O - FMEEI, MEEI, SERI GREGG S. MEYER, MD, MSC: O & T - MGBCD, MGBHC; T - MGBAS, MGBMG, MGBUC LIZA HALPERN MEYERHARDT, MD: T - NWH SARI MIETTINEN, MD, MHCM, FAAP: T - CDPA JOAN W. MILLER, MD: O & T - MEEA (O - OFF 09/23/23, ON 09/27/23); T - FMEEI, MEEI, SERI PAULA MILONE-NUZZO, PHD, RN, FAAN, FHHC: O & T - IHP; T - CDH, CDHC (OFF 09/30/23), VHCD ERASMO A. MITRANO: T - MGBSP (ON 05/23/23) BENJAMIN K. MIZELL, MD: T - MEEA (ON 02/01/23) ELLEN A. MOLONEY: O & T - NWH (O & T ON 03/01/23), NWMG (O & T ON 03/01/23) DANIEL M. MORASH: O - BCP, BH, BRF, BWH, BWHR, BWPO (ON 03/17/23), HMA (ON 06/26/23), SSEC (ON 06/26/23) CHARLES A. MORRIS, MD, MPH: T - MGBHC ALBERT NAMIAS, MD: T - NSPG (OFF 12/31/22) KEVIN F. NEILL: O - CDPA MIRIAM L. NEUMAN, MD: T - NSPG MARJORIE L. NICHOLAS: K - IHP BRITAIN W. NICHOLSON, MD: K - GHC ERROL R. NORWITZ, MD, PHD, MBA: O & T - NWH (O & T OFF 03/01/23); T - NWMG (OFF 03/01/23) NAWAL M. NOUR, MD, MPH: T - BH, BWFH, BWH, BWPO (OFF 07/07/23) JOHN J. NOVELLO, MD: T - WDH FORM 990, PART VII: O & T TITLES TODD M. O'BRIEN, MD: K - NSMC DOST ONGUR, MD, PHD: K - MCL HEATHER M. O'SULLIVAN, MS, AGNP: O & T - MGBHC CYNTHIA N. PACIULLI BARBARITS, MD: T - WDH DENISE PALUMBO, RN, DNP: T - WDPC (ON 08/07/23) SAREH PARANGI, MD: T - NWH (ON 04/12/23) TIMOTHY V. PARSONS, MD: T - CDH, CDHC (OFF 09/30/23), CDPA, VHCD AMAN B. PATEL, MD: HIGHEST COMPENSATED EMPLOYEE GREGORY J. PAULY: T - IHP (ON 09/01/23), NCH (OFF 07/21/23) LAURA S. PEABODY, ESQ: T - MCL DIANE R. PEARL: K - NCH MADELYN M. PEARSON, DNP, RN, NEA-BC: T - IHP JONATHAN R. PERRYMAN, MD: T - NSPG (ON 01/01/23) DANIEL E. PESCH, MD: T - MVH, WNR NANCY J. PETTINARI, MD, CPE: T - MGBCP GEORGE PHILIPPIDES, MD: K - NWH MAY C.M. PIAN-SMITH, MD: T - MGPO NANCY S. PITTMAN: O & T - NPO; O - NCH DAVID S. PLADZIEWICZ, MD: T - MGBCP JEFFREY C. POLLOCK: K - WDH ANAND M. PRABHAKAR, MD: K - NWH ALLYSON L. PRESTON, MD: T - NSPG DAVID L. RABIN, MD: T - NSPG ALI S. RAJA, MD, MBA, MPH, FACHE: T - RHCI, SHC, SKRH, SNTCB, SR, SRH SCOTT L. RAUCH, MD: O & T - MCL ANDREA GEIGER RE, ESQ: O - MGBCP SARATHCHANDRA I. REDDY, MD: T - SSEC CLAUDIA E. REED: O - RHCI, SHC, SKRH, SNTCB, SR, SRH COLEEN M. REID, MD: T - NSMC MITCHELL S. REIN, MD: T - NSPG KERRY J. RESSLER, MD, PHD: K - MCL PHILLIP L. RICE, JR, MD: T - NSMC (OFF 07/01/23), NSPG DAVID J. ROBERTS, MD: O & T - MGBAS (ON 04/07/23), MGBMG (ON 04/04/23), NSMC (O & T OFF 03/01/23); T - MGBUC (ON 04/05/23) JULIAN N. ROBINSON, MD: O & T - NWMG (O & T OFF 06/30/23) DEBRA H. ROGERS: K - MEEI MARC S. RUBIN, MD: K - NSMC ROXANNE C. RUPPEL: O & T - NSMC (O & T ON 03/01/23); T - NSPG DAVID P. RYAN, MD: K - GHC JOAN A. SAPIR: T - RHCI (OFF 06/30/23), SHC (OFF 06/30/23), SKRH (OFF 06/30/23), SNTCB (OFF 06/30/23), SR (OFF 06/30/23), SRH (OFF 06/30/23) DENISE M. SCHEPICI: O & T - MVH, WNR SCOTT L. SCHISSEL, MD, PHD: K - BWFH KEVIN S. SCHLICKE: O & T - MGBHC, PMI ANTHONY J. SCIBELLI, MS, MBA: K - CDH CLAIRE M. SEGUIN: K - MVH THOMAS DEAN SEQUIST, MD: T - FMEEI, MEEI, SERI ANDREW J. SHIN, JD, MPH, MBA: T - CDH, CDHC (OFF 09/30/23), VHCD DAVID SILBERSWEIG, MD: T - RHCI, SHC, SKRH, SNTCB, SR, SRH LUCIA F. SILVA: O - MGBHPHC RACHEL C. SISODIA, MD: T - MGBHC (ON 04/13/23) DAVID O. SMALL: K - NCH DOUGLAS STEWART SMINK, MD, MPH: K - BWFH JONATHAN SNIDER, MD: T - NWH (ON 07/01/23) ALISON M. SOLLEE, MD: T - WDHF MICHELLE C. SPECHT, MD: T - MGPO (ON 01/27/23) LYNN A. STOFER: O & T - MGBCP; T - CDH, CDHC (OFF 09/30/23), VHCD DENIS G. STRATFORD: K - IHP KHALID SYED, MD: T - NSPG (OFF 12/31/22) TRACY A. SYKES, ESQ: O - BCP (OFF 09/20/23), BRF (OFF 09/20/23), BWHR (OFF 09/20/23) SIMON G. TALBOT, MD: T - BWPO STEVEN J. TRINGALE: O & T - MGBHPHC MICHAEL J. VANROOYEN, MD, MPH: T - BWPO (OFF 07/07/23) MARK A. VARVARES, MD, FACS: O & T - MEEA (O - ON 09/27/23); T - FMEEI, MEEI, SERI RON M. WALLS, MD: T - MGBCD ANDREW L. WARSHAW, MD: T - WDH GREGORY R. WARYASZ, MD: HIGHEST COMPENSATED EMPLOYEE LYNNETTE M. WATKINS, MD, MBA: O & T - CDH, CDHC (OFF 09/30/23), VHCD; T - CDPA, MGBCP KENNETH R. WHITE: K - IHP KEVIN B. WHITNEY: K - MGBHC CAROLANN WILLIAMS: O & T - FMEEI (T - ON 01/01/23), MEEI (T - ON 01/01/23), SERI (T - ON 01/01/23); T - MEEA (ON 02/01/23) SHEILA M. WOOLLEY: K - WDH ROSS D. ZAFONTE, DO: O & T - RHCI (O ON 02/01/23), SHC (O ON 02/01/23), SKRH (O ON 02/01/23), SNTCB (O ON 02/01/23), SR, SRH DAVID ABELMAN: T - MGBCP CLARITZA N. ABREU: T - MGBHPHC GERALDINE ACUA SUNSHINE: T - GHC (ON 03/31/23), MGH (ON 03/31/23) CAROLINA ALARCO: T - MGPO SETH D. ALEXANDER: T - NWH JOAN LORING ALFOND: T - FMEEI, MEEI, SERI STEVEN M. ALTSCHULER, MD: T - BWPO STEVEN L. ANTONAKES: T - NSMC ROBERT G. ATCHINSON: T - FMEEI, MEEI, SERI MINNIE V. BAYLOR-HENRY: T - FMEEI, MEEI, SERI FRASER BENNETT BEEDE: T - CDH, CDHC (OFF 09/30/23), CDPA, VHCD SHELLY C. BERNSTEIN, MD, PHD: T - MGBCP (ON 09/12/23) MARGARET E. BOASBERG: T - MGPO (ON 01/27/23) MICHAEL BOLDUC, ESQ: O & T - WDH (O OFF 08/07/23), WDPC JEANINE M. BORTHWICK: T - NCH KATRINE S. BOSLEY: T - FMEEI, MEEI, SERI JAMES R. BRANNEN: T - WDH, WDPC NATHAN BRYANT, EDD: T - NSMC BRUCE M. BULLEN: T - MVH, WNR THOMAS P. CAINE: O & T - CDH, CDHC (OFF 09/30/23), VHCD JAMES A. CANFIELD, BA: T - IHP LISA E. CARBONE: T - NSMC, NSPG RICHARD CARD: T - WDHF (OFF 04/15/23) MICHAEL CARELLA: T - WDHF MICEAL CHAMBERLAIN: T - BH (ON 09/12/23), BWFH (ON 09/20/23) , BWH (ON 09/20/23) YUMIN CHOI: T - NWH DAVID R. CLANCEY: T - NSMC (OFF 07/01/23) LISA CLAREY-LAWLER: T - NCH PHILLIP L. CLAY, PHD: T - RHCI, SHC, SKRH, SNTCB, SR, SRH CHRISTOPHER T. COLLINS: T - NWH RICHARD CONLEY: T - WDHF JOHN P. CONNAUGHTON: T - BH, BWFH, BWH GARGI B. COOPER, FNP: T - NSMC LUCY S. CORCHADO: T - NSMC (ON 02/15/23) WILLIAM MAURICE COWAN: T - GHC (OFF 07/18/23), MGH MEGAN M. CRAIGEN: T - BH, BWFH, BWH SUSAN C. CRAMPTON: T - MVH, WNR CYNTHIA K. CURME: T - NWH KAREN D. CURRAN, MBA, CHFC, CFP: O & T - CDH, CDHC (OFF 09/30/23), VHCD MICHAEL A. CURRY, ESQ: T - MGBHPHC (ON 07/18/23) PETER A. D'ARRIGO, JR, BS: T - IHP CHARLES DE GUNZBURG: T - FMEEI, MEEI, SERI LINDA DE RENZO, ESQ: T - NWH, NWMG JANE L. DELGADO, PHD, MS: T - MCL ELIAS T. DEMAKES: T - NSMC (ON 02/01/23) DAVID C. DESWERT: T - CDH (ON 09/19/23), CDHC (ON 09/19/23, OFF 09/30/23), VHCD (ON 09/19/23), CYNTHIA M. DEYSHER: T - FMEEI, MEEI, SERI NOVA O. DIOP: T - IHP (ON 09/01/23) DUTROCHET J. DJOKO: T - NSMC KATHLEEN A. DOWCETT: T - NWH JEFFREY M. DRAZEN, MD: T - NCH JACKIE EASTWOOD: T - WDHF (OFF 09/07/23) PAUL B. EDGERLEY: T - GHC, MGH DEBORAH C. ENOS: T - BH, BWFH, BWH ARIELLE R. FARIA: T - MVH, WNR JULIETTE E. FAY: T - MVH, WNR MICHAEL S. FERRARA, PHD: O & T - WDH (O ON 08/07/23) JOANNE J. FINCK: T - CDH, CDHC (OFF 09/30/23), VHCD ANNE M. FINUCANE: T - BH, BWFH, BWH DAVID B. FISCHER: T - RHCI, SHC, SKRH, SNTCB, SR, SRH JOHN F. FISH: T - BH, BRF, BWFH, BWH, BWHR JUDITH A. FONG, BA, RN: T - RHCI, SHC, SKRH, SNTCB, SR, SRH BRUCE FREEDMAN: T - NWH YVONNE GARCIA ACHAB: T - RHCI, SHC, SKRH, SNTCB, SR, SRH LAUREN A. GEDDES, MD: T - MGBCP (OFF 09/12/23) CHARLES K. GIFFORD: T - NCH THOMAS P. GLYNN, III, PHD: T - IHP BENJAMIN A. GOMEZ: T - NWH IRMA V. GONZLEZ: T - CDH, CDHC (OFF 09/30/23), VHCD SALLY M. GRIGGS: T - CDH, CDHC (OFF 09/30/23), VHCD REBECCA L. HAAG: O & T - MVH, WNR CONSTANCE N. HADLEY, PHD: T - MCL KAREN R. HALE: T - BH, BWFH, BWH JOSEPH HARRINGTON, MD: T - MGBCP BRENDA E. HAYNES, MD: T - NWH BRENT L. HENRY, ESQ: T - MVH, WNR EVE J. HIGGINBOTHAM, SM, MD, ML: T - FMEEI, MEEI, SERI EUGENE D. HILL, III: T - FMEEI, MEEI, SERI LINDA A. HILL, PHD: T - BH, BWFH, BWH RICHARD E. HOLBROOK: T - MCL, MGBHPHC ALBERT A. HOLMAN, III: O & T - BH, BWFH, BWH NANCY LYLE HOWLAND: T - FMEEI, MEEI, SERI ROBERT S. HUCKMAN, PHD: T - BH, BWFH, BWH, BWPO JAMES W. HUNT, JR: T - MGBHPHC (OFF 07/18/23) DAVID W. IVES: T - NSMC MICHAEL R. JAFF, DO, FACP, FACC: T - MVH, WNR ANNE JAMIESON: O & T - WDH; T - WDHF MELISSA WEINER JANFAZA: T - BH (OFF 09/12/23), BWFH (OFF 09/20/23), BWH (OFF 09/20/23) ROBERT E. JOHNSON, PHD: T - IHP DANIEL G. JONES: T - RHCI, SHC, SKRH, SNTCB, SR, SRH ELIZABETH JOYCE, BS: T - IHP DIANE E. KANEB: T - FMEEI (OFF 07/30/23), MEEI (OFF 07/30/23), SERI (OFF 07/30/23) KAREN T. KAPLAN: T - BH, BWFH, BWH STEVEN M. KAYE: T - BH, BWFH, BWH MOLLY A. KEEGAN: T - CDH (ON 09/19/23), CDHC (ON 09/19/23, OFF 09/30/23), VHCD (ON 09/19/23), PAUL G. KELLIHER: O & T - CDPA; T - CDH, CDHC (OFF 09/30/23), VHCD CHRISTOPHER J. KELLY: T - NWH GERARD J. KENEALLY: T - NCH RESHMA KEWALRAMANI, MD: T - GHC, MGH LESLEE L. KILEY: T - MGBHPHC ROBERT CHRISTOPHER KNAPP: T - FMEEI (OFF 03/23/23), MEEI (OFF 03/23/23), SERI (OFF 03/23/23) JOHN H. KNOWLES, JR, MBA, MPH: T - IHP ADAM M. KOPPEL, MD, PHD: T - NWH JONATHAN A. KRAFT: T - GHC, MGH, MGPO JOSHUA M. KRAFT: T - BH, BWFH, BWH STEPHEN KULIK: T - CDH, CDHC (OFF 09/30/23), VHCD MICHELLE E. KURTZ, CPA: T - WDH ELIZA B. LAKE: T - CDH, CDHC (OFF 09/30/23), VHCD TERRI LALLY, MD: T - WDH (OFF 12/31/22) RENE M. LANDERS, JD: T - GHC, MGH NANCY A. LAPOINTE: T - CDH, CDHC (OFF 09/30/23), VHCD GLORIA CORDES LARSON, ESQ: T - MCL THOMAS H. LAUER: T - FMEEI, MEEI, SERI PAMELA L. LAWRENCE: T - NSPG THOMAS F. LEVASSEUR: T - WDHF DONNA LEVIN: T - MGBCP BEN S. LEVITAN: T - RHCI, SHC, SKRH, SNTCB, SR, SRH JAY LEVY: T - WDHF RONALD J. LEVY: T - NCH DAVID H. LONG: T - GHC, MGH STACEY LUCCHINO: T - MCL (OFF 07/18/23) FORM 990, PART VII: O & T TITLES HUSSEINI K. MANJI, MD, FRCPC: T - MCL JULIE A. MARRIOTT: T - NWH CARL J. MARTIGNETTI: T - GHC, MGH JOSEFINA MARTINEZ STAMATOS: T - BH, BWFH, BWH TERENCE A. MCGINNIS: T - NSPG ANTONIA G. MCGUIRE, RN, MPH: T - MGBHPHC JEROME T. MCMANUS: T - NSMC PATRICK R. MCSWEENEY, MD: T - MGBCP (ON 09/12/23) RAUL MEDINA: T - MGBHPHC ROSHEN MENON: T - NWH (ON 07/01/23) C. ANN MERRIFIELD: T - RHCI (OFF 06/30/23), SHC (OFF 06/30/23), SKRH (OFF 06/30/23), SNTCB (OFF 06/30/23), SR (OFF 06/30/23), SRH (OFF 06/30/23) CARLA S. MEYERS, ESQ: O & T - WDHF (O & T OFF 09/07/23) MARLA S. MICHEL: T - CDH (OFF 09/19/23), CDHC (OFF 09/30/23), VHCD CATHY E. MINEHAN: T - MCL JAMES F. MOONEY, III: T - GHC, MGH LAURA BARKER MORSE: T - MGPO VALERIE MOSLEY: T - MCL CRAIG H. MUHLHAUSER: T - NCH TIMOTHY R. MULLEN: T - NCH GEOFFREY NESS: O & T - WDHF (O ON 09/07/23) PETER NESSEN: O & T - MVH, WNR JACQUELINE N. NKUEBE, MBA, MPP: T - BWPO (ON 07/07/23) NITIN NOHRIA: T - GHC, MGH JOHN N. NUNNELLY: T - CDPA MARK E. NUNNELLY: T - BH, BWFH, BWH MICHAEL F. O'CONNELL, ESQ: T - BWPO (OFF 07/07/23) KATHRYN P. O'NEIL: T - MCL (ON 07/18/23) PATRICIA B. PALACIOS, JD: T - IHP ANTHONY F. PAREDES, FNP-BC: T - IHP DIANE B. PATRICK, ESQ: T - GHC, MGH RICHARD A. PENN: T - RHCI, SHC, SKRH, SNTCB, SR, SRH ELISABETH SCHADAE PERCELAY: T - NCH LIZETTE M. PREZ-DEISBOECK: T - GHC, MGH ADELENE Q. PERKINS: T - GHC, MGH ANGELLEEN PETERS-LEWIS, PHD, RN, FAAN: T - IHP (OFF 03/02/23) JULIEN L. PHAM, MD, MPH: T - IHP MELISSA D. PHILBRICK: T - NCH TEVIA K. POLLARD: T - RHCI (ON 07/01/23), SHC (ON 07/01/23), SKRH (ON 07/01/23), SNTCB (ON 07/01/23), SR (ON 07/01/23), SRH (ON 07/01/23) JENNIFER L. GUCKEL PORTER: T - MCL (OFF 07/18/23) COLLEEN RICHARDS POWELL: T - MGPO RODNEY C. PRATT: T - FMEEI, MEEI, SERI MARY G. PUMA: T - NSMC KYLE STEPHEN RAY RABBITT, CPA: T - IHP PHILLIP TERRY RAGON: T - GHC, MGH CHANDRA RAMANATHAN, PHD: T - MCL DEBORAH DUBE REED: T - WDH PAMELA D. A. REEVE: T - MGBCP, MGPO NANCY R. REEVES: T - CDH, CDHC (OFF 09/30/23), VHCD ALVIN L. REYNOLDS, JR: T - MGBCP DARIN C. ROARK, BSN, MBA, FACHE: O & T - WDH (O & T ON 07/24/23), WDHF (O & T ON 07/24/23), WDPC (O & T ON 07/24/23) CARMICHAEL S. ROBERTS, PHD: T - MGPO INGO F. ROEMER: T - WDH, WDPC WILLIAM J. ROMAN: T - MVH, WNR ZACHARY ROSENBURG: T - MVH (ON 03/31/23), WNR (ON 03/31/23) VINCENT D. ROUGEAU: T - NWH JOSEPH F. RYAN, ESQ: T - RHCI, SHC, SKRH, SNTCB, SR, SRH MELANIE R. SABELHAUS: T - NCH LINDA J. SALLOP: T - RHCI, SHC, SKRH, SNTCB, SR, SRH JOHN P. SALMON: T - WDH, WDHF, WDPC ROBERTO J. SANTAMARIA: T - NCH (ON 07/21/23) ERIC D. SCHLAGER: T - BH (OFF 09/12/23), BWFH (OFF 09/20/23), BWH (OFF 09/20/23) SCOTT A. SCHOEN: T - RHCI (OFF 06/30/23), SHC (OFF 06/30/23), SKRH (OFF 06/30/23), SNTCB (OFF 06/30/23), SR (OFF 06/30/23), SRH (OFF 06/30/23) MARK SCHWARTZ: T - GHC, MGH S. CHRISTOPHER SCOTT: T - MVH, WNR SHIRLEY SINGLETON: T - NSMC (OFF 07/01/23) EILEEN H. SIVOLELLA: T - FMEEI, MEEI, SERI CANDACE LAPIDUS SLOANE, MD: T - NWH PAULA NESS SPEERS: T - RHCI, SHC, SKRH, SNTCB, SR, SRH CHARLES P. STAELIN, PHD: T - CDPA MICHAEL STEINBERG: T - WDHF (OFF 09/07/23) DANIEL J. SULLIVAN: T - IHP (ON 09/01/23) CYNTHIA A. SUOPIS, PHD: T - CDH, CDHC (OFF 09/30/23), VHCD JAMES D. TAICLET: T - BH, BWFH, BWH ALEXANDER L. THORNDIKE: T - BH, BWFH, BWH THOMAS TORR, ESQ: T - WDHF JONATHAN M. UHRIG: O & T - FMEEI, MEEI, SERI CAROL A. VALLONE: T - MCL DAVID VERNO, CPA: T - WDHF JOAN M. VITELLO-CICCIU, RN, PHD: T - NWH, NWMG DAVID O. VOLPI, MD: T - NCH JOSEF H. VON RICKENBACH: T - MCL ROBIN A. WALKER, JD: T - GHC, MGH MARTIN J. WALSH: T - BH (ON 09/12/23), BWFH (ON 09/20/23) , BWH (ON 09/20/23) CATHERINE S. WARD, MT (ASCP): T - NCH BENAREE P. WILEY: T - RHCI, SHC, SKRH, SNTCB, SR, SRH PRATT N. WILEY: T - BH, BWFH, BWH ANNE M. WILKINS: T - MGBHPHC MICHELLE A. WILLIAMS, SCD: T - MCL MARION E. WINFREY, EDD, RN: T - NSMC, NSPG AMY M. WINSLOW: T - BWPO (OFF 04/12/23) ELIZABETH B. WRIGHT: T - NCH KRISHNA C. YESHWANT, MD, MBA: T - BH (OFF 09/12/23), BWFH (OFF 09/20/23), BWH (OFF 09/20/23) GWILL YORK: T - BH, BWFH, BWH, RHCI, SHC, SKRH, SNTCB, SR, SRH NICHOLAS S. ZEPPOS: T - MCL FORM 990, PART XI, LINE 9: CHANGE IN FUNDED STATUS OF DEFINED BENEFIT PLAN 12,709,579. OTHER -8,923,887. FORM 990, PART XII, LINE 2C NO CHANGES FROM PRIOR YEAR. 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