2024-08-15T13:51:00-05:00 2023-09-30 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2022-10-01 270440772 TUFTS MEDICAL CENTER GROUP RETURN TUFT 6176365000 800 WASHINGTON STREET BOX 468 BOSTON MA 021111533 ANDREW DEVOE CHIEF FINANCIAL OFFICER 6176365000 2024-08-14 1 0 CRAIG KLEIN P00734640 6177610600 2024-08-14 2022 2024-08-08 14:25:15Z ANDREW DEVOE 800 WASHINGTON STREET BOX 468 BOSTON MA 021111533 1310671273 1 0 5466 X HTTPS://WWW.TUFTSMEDICINE.ORG/ X WE STRIVE TO HEAL, TO COMFORT, TO TEACH, TO LEARN, AND TO SEEK THE KNOWLEDGE TO PROMOTE HEALTH AND TO PREVENT DISEASE. OUR PATIENTS AND THEIR FAMILIES ARE AT THE CENTER OF EVERYTHING WE DO. SEE PART III. 19 9 7908 34 -286335 0 76198105 123298744 1053426488 1138548904 28235994 37276728 1828403 1517272 1159688990 1300641648 0 0 0 0 561476073 579326781 3000 3000 3896886 708132952 743826647 1269612025 1323156428 -109923035 -22514780 939808476 1132376673 881842503 920950444 57965973 211426229 X SEE SCHEDULE O 0 1 1239310978 1137607565 TUFTS MEDICAL CENTER, INC. LOCATED IN BOSTON, MA OPERATES A 415 BED ACUTE-CARE GENERAL HOSPITAL ESTABLISHED TO PROVIDE HEALTHCARE SERVICES PRIMARILY IN THE GREATER BOSTON AREA, WHICH ALSO ATTRACTS PATIENTS FROM ELSEWHERE IN NEW ENGLAND AND BEYOND.NEW ENGLAND LONG-TERM CARE, INC. OPERATES AN 80 BED NURSING HOME SPECIALIZING IN THE CARE OF CHILDREN WHO ARE SEVERELY MENTALLY HANDICAPPED AND/OR MULTIPLY PHYSICALLY HANDICAPPED. 42334172 488839 TUFTS MEDICAL CENTER, INC. ADMINISTERS PROGRAMS FOR APPROXIMATELY 456 INDIVIDUALS: 281 RESIDENTS, 61 INTERNS AND 111 FELLOWS IN 43 SPECIALTIES AND SUB-SPECIALTIES WHO ROTATE TO APPROXIMATELY 58 HOSPITALS AND OTHER ORGANIZATIONS LOCATED PRIMARILY IN THE GREATER BOSTON AREA. 19052089 452500 TUFTS MEDICAL CENTER, INC. ENGAGES IN RESEARCH ACTIVITIES FUNDED BY GRANTS AND CONTRACTS FOR U.S. GOVERNMENT AGENCIES AND OTHER PRIVATE SOURCES. 1300697239 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 0 0 1 7908 1 1 1 1 CJ 0 0 0 1 1 0 0 0 0 1 0 X 19 9 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 0 MA X KATHLEEN DAVIS 6176365000 800 WASHINGTON STREET BOSTON MA 02111 HELEN BOUCHER MD TRUSTEE 1.00 39.00 X 0 0 0 MARGARET BROWN ESQ TRUSTEE 1.00 0.00 X 0 0 0 NIREN CHAUDHARY TRUSTEE (UNTIL 6/23) 1.00 0.00 X 0 0 0 GERALD COHEN TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL DANDORPH TRUSTEE/PRESIDENT/CEO 1.00 39.00 X X 0 1289948 291127 KAREN FREUND MD TRUSTEE 1.00 39.00 X 0 649618 54156 STANLEY GOLDSTEIN TRUSTEE 1.00 0.00 X 0 0 0 JASON HALL TRUSTEE 1.00 39.00 X 0 465025 343 MARVIN A KONSTAM MD TRUSTEE 1.00 39.00 X 0 690732 54216 BRIAN KAVOOGIAN CHAIR 1.00 0.00 X X 0 0 0 GENIA LONG TRUSTEE (UNTIL 9/23) 1.00 0.00 X 0 0 0 PAUL NASSER TRUSTEE 1.00 0.00 X 0 0 0 EMMA REEVE TRUSTEE 1.00 0.00 X 0 0 0 REGINA ROCKEFELLER TRUSTEE 1.00 1.00 X 0 0 0 MARK ROSEN TRUSTEE/VICE CHAIR 1.00 0.00 X 0 0 0 JEFF SHAMES TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL TARNOFF MD CEO/TRUSTEE 1.00 39.00 X X 1169150 0 194343 ERIKA WERNER TRUSTEE 1.00 39.00 X 0 695453 19860 ASSAD SIDDIQI SVP/TREASURER 1.00 39.00 X X 411644 0 59208 JACK MCDONALD ASSOCIATE EXECUTIVE DIRECT 39.00 1.00 X X 177685 0 11605 PAUL SUMMERGRAD MD TRUSTEE (UNTIL 1/23) 1.00 39.00 X 0 510785 53634 RACHEL WASSERSTROM TRUSTEE 1.00 0.00 X 0 0 0 ZACHARY REDMOND ESQ SECRETARY 39.00 1.00 X 384525 0 74854 LAUREN RIPLEY ESQ ASSISTANT SECRETARY 1.00 39.00 X 0 189765 12603 THERESE HUDSON-JINKS SENIOR VP & CNO 40.00 0.00 X 487520 0 64613 DIANA RICHARDSON SENIOR VP & COO 40.00 0.00 X 707603 0 100437 ERIK GARPESTAD CMO/SVP MEDICAL STAFF 40.00 0.00 X 498838 0 10698 SARAH MCKAY VP OF PATIENT CARE 40.00 0.00 X 431652 0 68877 MARCY CASS VP RISK MANAGEMENT 40.00 0.00 X 406848 0 12977 KARA GREER SVP CHIEF TALENT OFFICER 40.00 0.00 X 405368 0 60014 ROSS THOMPSON VP CLINICAL OPERATIONS 40.00 0.00 X 398855 0 41854 MICHAEL APKON FORMER TRUSTEE/PRESIDENT/CEO 0.00 0.00 X 251139 0 0 DEEB N SALEM MD FORMER TRUSTEE 0.00 40.00 X 0 608383 25846 MICHAEL WAGNER FORMER TRUSTEE/PRESIDENT 0.00 50.00 X 0 974085 36228 KRISTINE M HANSCOM FORMER CFO 0.00 0.00 X 429675 0 76071 F CLARISSA YANG MD FORMER TRUSTEE 0.00 40.00 X 0 715185 32687 JEFFREY WEINSTEIN FORMER TRUSTEE 0.00 50.00 X 0 637099 27788 NIOBIS DEL CARMEN QUEIRO FORMER KEY EMPLOYEE 0.00 40.00 X 0 415434 83989 WILLIAM SHICKOLOVICH FORMER KEY EMPLOYEE 0.00 50.00 X 0 124308 0 6160502 7965820 1468028 1307 1 1 1 WYNDEN STARK LLC 1038 PRINCETON DRIVE SUITE B MARINA DEL REY CA 90292 NURSING SERVICES 19873563 PRATT ANESTHESIOLOGY ASSOCIATION INC 800 WASHINGTON STREET BOSTON MA 02111 PHYSICIAN SERVICES 16378751 PRATT MEDICAL GROUP 800 WASHINGTON STREET BOSTON MA 02111 PHYSICIAN SERVICES 13731538 MEDICAL SOLUTIONS 1010 N 102ND STREET 300 OMAHA NE 68114 NURSING SERVICES 13527845 MATRIX GLOBAL SERVICES 641 LEXINGTON AVENUE 14TH FLOOR NEW YORK NY 10022 PROFESSIONAL SERVICES 10397951 64 110932400 12366344 81369 123298744 NET PATIENT SERV. 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RECEIVABLES & ASSETS 37546181 ESTIMATED THIRD PARTY RECEIVABLES 7373052 RIGHT OF USE ASSETS 48281490 180201785 PENSION OBLIGATIONS 11646654 DUE TO AFFILIATES 177697149 PROFESSIONAL LIABILITY COSTS 10482119 ESTIMATED THIRD PARTY PAYABLES 17409370 TAXABLE BONDS 161775832 WORKERS COMPENSATION 5855187 CAPITAL LEASE PAYABLE 2682840 LEASE LIABILITY 57372292 LINE OF CREDIT 81500000 526421443 PART V, LINE 4: THE ORGANIZATION'S ENDOWMENT CONSISTS OF APPROXIMATELY 50 FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. FOR THE PURPOSES OF DISCLOSURE, ENDOWMENT FUNDS INCLUDE DONOR-RESTRICTED ENDOWMENT FUNDS. THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO THE PROGRAMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS. CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES SELF-INSURANCE 22203743 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 80000 0 0 0 0 0 0 22283743 0 22283743 1 0 1 1 1 0 PART III ACCOUNTING METHOD: 1 1 X 1 X 1 X 1 1 0 1 1 3022239 0 3022239 0.00230 282399087 165238640 117160447 0.08850 285421326 165238640 120182686 0.09080 2637025 2637025 0.00200 45 627949 41231662 18463535 22768127 0.01720 489977392 410677848 79299544 0.05990 67283625 43574112 23709513 0.01790 275819 3819567 3819567 0.00290 45 903768 604949271 472715495 132233776 0.09990 45 903768 890370597 637954135 252416462 0.19070 363837 363837 0.00030 136 180149 180149 0.00010 136 543986 543986 0.00040 1 9109046 92546681 164603525 -72056844 X 1 1 1 1 TUFTS MEDICAL CENTER INC 800 WASHINGTON STREET BOSTON MA 02111 X X X X X X TUFTS MEDICAL CENTER INC 1 1 0 1 X X X X X X X X X 21 1 0 0 1 X HTTPS://WWW.TUFTSMEDICINE.ORG/SITES/DEFAULT/FILES/2023-10/TUFTS-CHNA-REPORT X 1 21 1 HTTPS://WWW.TUFTSMEDICINE.ORG/SITES/DEFAULT/FILES/2023-10/TUFTS-CHNA-REPORT 0 1 X 150.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X WWW.TUFTSMEDICALCENTER.ORG/FINANCIALASSISTANCE X WWW.TUFTSMEDICALCENTER.ORG/FINANCIALASSISTANCE X WWW.TUFTSMEDICALCENTER.ORG/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 TUFTS MEDICAL CENTER, INC. PART V, SECTION B, LINE 5: TUFTS MEDICAL CENTER (TUFTS MC) HAS UPDATED ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO GUIDE ITS COMMUNITY PROGRAMMING FOR THE NEXT THREE YEARS FROM 2023 TO 2025. THE CHNA WAS CONDUCTED FROM OCTOBER 2021 TO JUNE 2022, AND INVOLVED 8 KEY STAKEHOLDERS AND 14 FOCUS GROUPS WITH 128 COMMUNITY RESIDENTS TO UNDERSTAND COMMUNITY NEEDS, STRENGTHS, PRIORITY HEALTH ISSUES, AND RECOMMENDATIONS. IN ADDITION, 927 RESIDENTS COMPLETED SURVEYS TO SHED LIGHT ON THE HEALTH NEEDS OF THE COMMUNITY. TUFTS MC ALSO SOUGHT INPUT AND UPDATED COMMUNITY MEMBERS THROUGHOUT THE CHNA PROCESS, PRESENTING FINDINGS AND SEEKING ADDITIONAL INPUT FROM 13 COMMUNITY GROUPS BEFORE FINALIZING OUR CHNA PRIORITIES. THE FOCUS GROUPS WERE CONDUCTED WITH RESIDENTS AND COMMUNITY STAKEHOLDERS FROM YOUTH TO SENIORS, VETERANS, LEADERS FROM NON-PROFIT ORGANIZATIONS IN SOUTH BOSTON, AFRICAN-AMERICAN AND HISPANIC TEENS IN HIGH SCHOOL AND COLLEGE, WOMEN OF DIFFERENT RACE/ETHNICITY TRAINED AS MEDICAL TRANSLATORS, SPANISH-SPEAKING WOMEN 60+, PARENTS OF SCHOOL-AGED KIDS, ADULTS AND PARENTS LIVING IN CHINATOWN, VIETNAMESE-SPEAKING ADULTS AND PARENTS, AND CHINESE IMMIGRANTS.TUFTS MC ALSO PARTICIPATED IN A CITYWIDE CHNA PROCESS, CALLED THE BOSTON CHNA COLLABORATIVE, CONSISTING OF BOSTON HOSPITALS AND VARIOUS COMMUNITY STAKEHOLDERS. THE COLLABORATIVE CONDUCTED 12 FOCUS GROUPS AND 39 KEY INFORMANT INTERVIEWS WITH 12 SUB-POPULATIONS WITHIN BOSTON, INCLUDING FEMALE LOW-WAGE WORKERS, RESIDENTS WITH HOUSING INSECURITY, IMMIGRANT PARENTS OF CHILDREN, PARENTS WHO LIVE IN PUBLIC HOUSING IN DORCHESTER, AND CHINESE RESIDENTS LIVING IN CHINATOWN. TUFTS MC SUPPLEMENTED THIS PROCESS WITH ITS OWN FOCUS GROUPS AND KEY INFORMANT INTERVIEWS, ESPECIALLY TO COVER GAPS IN THE COLLABORATIVE PROCESS - OVERSAMPLING CHINATOWN, THE SOUTH END, AND SOUTH BOSTON RESIDENTS.PRIMARY AND SECONDARY DATA GATHERED THROUGH THE CHNA PROCESS WERE PRESENTED TO TUFTS MC'S COMMUNITY BENEFITS ADVISORY COMMITTEES, COMPRISED OF RESIDENTS AND REPRESENTATIVES WHO LIVE, WORK, OR ARE SUBJECT MATTER EXPERTS IN OUR PARTNER COMMUNITIES. COMMITTEE MEMBERS PROVIDED ADDITIONAL FEEDBACK AS TUFTS MC STAFF HONED IN ON COMMUNITY HEALTH PRIORITIES TO FOCUS OUR GRANT-BASED COMMUNITY BENEFITS EFFORTS FOR THE NEXT THREE YEARS. THESE WERE REVIEWED AND APPROVED BY TUFTS MC'S COMMUNITY BENEFITS COMMITTEE OF THE BOARD OF TRUSTEES, COMPRISED OF DIVERSE MEMBERS WITH WIDE-RANGING EXPERTISE INCLUDING LAW, HISTORY, SOCIAL SERVICE PROGRAMS, MEDICINE, AND PUBLIC AND COMMUNITY HEALTH. TUFTS MC'S CBACS ALSO PROVIDE INPUT AND FEEDBACK THROUGHOUT THE YEAR, RECEIVE AND REVIEW GRANTEE PROGRESS REPORTS, AND PARTICIPATE IN COMMUNITY BENEFITS GRANTEE PROGRESS MEETINGS. TUFTS MEDICAL CENTER, INC. PART V, SECTION B, LINE 11: TUFTS MC HAS COMPLETED ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), WHICH ELEVATED THREE MAJOR SOCIAL AND HEALTH NEEDS IN THE COMMUNITY: BEHAVIORAL HEALTH, FINANCIAL SECURITY AND MOBILITY, AND ACCESS TO CARE AND SERVICES. IN RESPONSE, TUFTS MC RELEASED A REQUEST FOR PROPOSALS TO ADDRESS THESE NEEDS AND HAS PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS TO IMPLEMENT PROGRAMMING TO IMPROVE COMMUNITY HEALTH AND WELLBEING. TWENTY GRANTEES WERE FUNDED ACROSS THE NEIGHBORHOODS OF CHINATOWN, DORCHESTER, THE SOUTH END, AND SOUTH BOSTON IN ORDER TO ADDRESS THE SUBSTANTIVE NEEDS IDENTIFIED IN THE CHNA.PROMOTING ACCESS TO CARE AND SERVICES WHILE REDUCING BARRIERS TO CARE EMERGED AS A MAJOR THEME FROM THE 2022 CHNA. THEMES IN THIS CATEGORY INCLUDED PROMOTING HEALTH EQUITY, BREAKING DOWN BARRIERS THAT PREVENT RESIDENTS FROM ACCESSING CARE, AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH THAT INFLUENCE THE HEALTH OF COMMUNITY MEMBERS.TO ADDRESS ACCESS TO CARE AND SERVICES, THE TUFTS MC INTERPRETER SERVICES DEPARTMENT PROVIDED MEDICAL INTERPRETATION TO 218,335 PATIENTS IN OVER 14 LANGUAGES IN FY23, REDUCING LINGUISTIC AND CULTURAL BARRIERS TO CARE. AN ADDITIONAL 14,828 PATIENTS WERE ABLE TO ACCESS CARE AND SERVICES FOR VULNERABLE POPULATIONS, INCLUDING PREVENTATIVE SCREENINGS, CANCER PATIENT NAVIGATION SUPPORT, PATIENT EDUCATION, SOCIAL SERVICES AND FOOD ACCESS THROUGH TUFTS MC INITIATIVES TO CONNECT PATIENTS TO CARE.THROUGH A PARTNERSHIP WITH THE ASIAN AMERICAN CIVIC ASSOCIATION (AACA), TUFTS MC SUPPORTED THEIR MULTI-SERVICE CENTER (MSC). THE MSC ADDRESSES THE NEEDS OF THE ASIAN IMMIGRANT POPULATION AND THE COMMUNITY AT LARGE FOR VARIOUS SOCIAL SERVICES. IN FY23, AACA PROVIDED SERVICES TO A TOTAL OF 1,661 PARTICIPANTS. AMONG THEM, 415 RECEIVED SNAP ASSISTANCE, 237 RECEIVED HOUSING ASSISTANCE, 97 RECEIVED UTILITIES ASSISTANCE, AND 452 RECEIVED OTHER SOCIAL SERVICE ASSISTANCE. THE PROGRAM HAS BEEN ABLE TO HELP MANY FAMILIES AND INDIVIDUALS IN NEED, PROVIDING CRITICAL SUPPORT DURING THEIR MOST DIRE TIMES. ADDITIONAL PARTNERSHIPS BETWEEN TUFTS MC AND COMMUNITY ORGANIZATIONS PROVIDED FOOD, FAMILY SUPPORT, DIAPERS, AND OTHER ESSENTIAL ITEMS TO 846 FAMILIES IN BOSTON, ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND PROMOTING HEALTH EQUITY.THE 2022 CHNA ALSO IDENTIFIED BEHAVIORAL HEALTH, TRAUMA, AND SUBSTANCE USE AS SIGNIFICANT CONCERNS IN ALL PRIORITY NEIGHBORHOODS. AS A RESPONSE TO THIS NEED, TUFTS MC FUNDED SEVEN COMMUNITY-BASED ORGANIZATIONS TO ADDRESS BEHAVIORAL AND MENTAL HEALTH NEEDS. THROUGH THESE GRANTEES' WORK IN FY23, 1,395 BOSTON RESIDENTS RECEIVED BEHAVIORAL HEALTH SERVICES IN THE COMMUNITIES THEY LIVE IN. OF THESE INDIVIDUALS, 16 CHINESE EXPECTANT PARENTS RECEIVED COUNSELING AND PSYCHOSOCIAL SUPPORT, 114 SOUTH END AND SOUTH BOSTON RESIDENTS RECEIVED SUBSTANCE USE SUPPORT AND TREATMENT THROUGH COMMUNITY PARTNERSHIPS, 368 ASIAN SENIORS RECEIVED CASE MANAGEMENT AND ACCESS TO SUPPORT GROUPS, 665 DORCHESTER FAMILIES RECEIVED SERVICES TO ADDRESS THE EFFECTS OF TOXIC STRESS, 157 UNHOUSED WOMEN AND CHILDREN RECEIVED CASE MANAGEMENT, AND 77 INDIVIDUALS WITH SUBSTANCE USE DISORDER IN THE "MASS & CASS" AREA WERE DIVERTED FROM THE JUSTICE SYSTEM TO RECOVERY-ORIENTED TREATMENT. SUCCESS STORIES FROM THESE INITIATIVES INCLUDE COMMUNITY MEMBERS BEING PLACED INTO SAFE HOUSING AS WELL AS SHOWING SIGNIFICANT DECREASES IN DEPRESSION AND ANXIETY.TUFTS MEDICAL CENTER PARTNERSHIPS ALSO ADDRESSED BEHAVIORAL HEALTH NEEDS WITHIN AND BEYOND THE WALLS OF THE MEDICAL CENTER. TMC CONTINUED ITS PARTNERSHIP WITH SOUTH BOSTON COMMUNITY HEALTH CENTER TO PROVIDE OFFICE BASED ADDICTION TREATMENT (OBAT) TO 192 PRIMARY CARE PATIENTS WITH SUBSTANCE USE DISORDER. THE TUFTS MC TRAUMA CENTER CONDUCTED TWO COMMUNITY TRAININGS, REACHING 100 SENIORS, ON THE TOPICS OF MINDFULNESS AND HEALTHY AGING. THROUGH A PARTNERSHIP WITH BOSTON CHINATOWN NEIGHBORHOOD CENTER, THE TUFTS CLINICAL TRANSLATIONAL SCIENCE INSTITUTE CONDUCTED COMMUNITY-BASED PARTICIPATORY RESEARCH TO EXAMINE THE ACCEPTABILITY OF MENTAL HEALTH FIRST AID TRAININGS FOR ASIAN POPULATIONS, IDENTIFYING OPPORTUNITIES FOR THE TRAINING TO BE MORE CULTURALLY RESPONSIVE.SMOKING WAS IDENTIFIED AS A CONCERN IN CHINATOWN DURING THE 2019 CHNA. THROUGH ITS ASIAN HEALTH INITIATIVE (AHI), TUFTS MC CONTINUED TO ADDRESS THE REDUCTION AND PREVENTION OF TOBACCO AND NICOTINE USE, WHICH CONTRIBUTES TO THE LEADING CAUSES OF DEATH AMONG BOSTON'S CHINATOWN AND ASIAN COMMUNITY: HEART DISEASE AND LUNG CANCER. IN THE FINAL SIX MONTHS OF FUNDING ON THIS PRIORITY AREA, FIVE COMMUNITY-BASED ORGANIZATIONS REACHED 667 COMMUNITY MEMBERS IN FY23 THROUGH CULTURALLY COMPETENT EDUCATION MATERIALS, ONE-ON-ONE SMOKING CESSATION COUNSELING, AND RESIDENTIAL SMOKING CESSATION CLINICS.TUFTS MC RECOGNIZES THE IMPORTANCE OF FINANCIAL SECURITY AND MOBILITY TO OVERALL WELL-BEING. TO ADDRESS THIS, THE ORGANIZATION HAS SUPPORTED FINANCIAL LITERACY PROGRAMS COVERING BUDGETING, SAVING, AND INVESTING. IN FY23, 2,999 LOW-INCOME RESIDENTS, PRIMARILY BLACK AND LATINX WOMEN, BENEFITED FROM FINANCIAL LITERACY PROGRAMS OFFERED BY GRANTEES. PARTICIPANTS IN THESE PROGRAMS DEMONSTRATED SIGNIFICANT INCREASES IN THEIR EARNINGS AND SAVINGS AS WELL AS INCREASED KNOWLEDGE OF THE FINANCIAL SYSTEM.TUFTS MC SUPPORTED TRAINING AND WORKFORCE DEVELOPMENT TO SUPPORT THE UPWARD MOBILITY OF COMMUNITY MEMBERS. 550 BILINGUAL WOMEN WERE TRAINED TO WORK IN THE MEDICAL INTERPRETER FIELD THROUGH FOUND IN TRANSLATION'S LANGUAGE ACCESS FELLOWSHIP PROGRAM. ONE-THIRD OF THEM WERE PLACED IN EMPLOYMENT IMMEDIATELY POST-GRADUATION. ADDITIONALLY, 61 BLACK AND OTHER MARGINALIZED YOUTH COMPLETED BIKE MECHANIC TRAINING, AND 33 WENT ON TO COMPLETE A PAID YOUTH APPRENTICESHIP. FINALLY, TUFTS' COMMUNITY BENEFITS AND COMMUNITY HEALTH INITIATIVES PARTNERED WITH COMMUNITY-BASED ORGANIZATIONS IN FY23 TO HOST CAREER PLANNING WORKSHOPS AND EMPLOYER SHOWCASES REACHING 97 RESIDENTS. AT TUFTS MC, EMPOWERING YOUTH AND PROVIDING THEM WITH OPPORTUNITIES TO LEARN AND GROW IS A PRIORITY. 16,700 PEDIATRIC PATIENTS AND FAMILIES RECEIVED MULTILINGUAL EDUCATIONAL MATERIALS ON BIKE SAFETY, INJURY PREVENTION, AND THE IMPORTANCE OF READING TO YOUR CHILD. AT THE JOSIAH QUINCY ELEMENTARY SCHOOL (JQES), TUFTS MC PROVIDED INTERACTIVE NUTRITION LESSONS THAT HAVE IMPROVED STUDENTS' KNOWLEDGE OF HEALTHY EATING HABITS AND HYGIENE. THE PROGRAM WAS LED BY DIETETIC INTERNS FROM THE STERN NUTRITION CENTER AND REACHED 96 STUDENTS.BEYOND THE WALLS OF TUFTS MC, THROUGH GRANTEE PARTNERSHIPS, 380 LOW-INCOME YOUTH BENEFITED FROM EMPOWERMENT AND POSITIVE YOUTH DEVELOPMENT ACTIVITIES DURING THE FISCAL YEAR, WHILE 265 YOUTH AND FAMILIES ACCESSED MULTILINGUAL EARLY CHILDHOOD SERVICES AND THERAPEUTIC SUPPORT.OUR DEPARTMENTAL EFFORTS AND GRANT FUNDED PROJECTS HAVE ADDRESSED THE 2022 CHNA PRIORITIES THROUGH ROBUST PARTNERSHIPS THAT INFLUENCE HEALTH OUTCOMES AT THE INDIVIDUAL, NEIGHBORHOOD, AND COMMUNITY LEVEL. 1 1 - NEW ENGLAND LONG-TERM CARE INC 78 BOSTON ROAD BILLERICA MA 01862 LONG-TERM ACUTE-CARE FACILITY PART I, LINE 7: COSTS ARE ALLOCATED TO PATIENT ENCOUNTERS BASED ON COST ACCOUNTING SYSTEM, WHICH TAKES INTO CONSIDERATION ALL INPATIENT AND OUTPATIENT ACTIVITY FOR ALL AREAS OF THE HOSPITAL INCLUDING ALL PAYER SOURCES. THE COSTS UTILIZED ARE BASED ON ACTUAL COSTS FROM THIS SYSTEM, ALLOCATED TO INDIVIDUAL PATIENT ENCOUNTERS. PART II, COMMUNITY BUILDING ACTIVITIES: PART II, LINE 2: ECONOMIC DEVELOPMENTTUFTS MC PROMOTES THE COMMUNITY'S ECONOMIC, SOCIAL EMOTIONAL AND SPIRITUAL WELLNESS AND COMMUNITY BUILDING THROUGH ITS FREE PARKING PROGRAM. BY REMOVING THE FINANCIAL BURDEN OF PARKING FEES, THE PROGRAM AIMS TO INCREASE FOOT TRAFFIC TO LOCAL BUSINESSES AND FOSTER ECONOMIC DEVELOPMENT. THIS, IN TURN, CREATES A MORE VIBRANT LOCAL ECONOMY, WHICH BENEFITS THE HEALTH OF THE COMMUNITY AS A WHOLE. ADDITIONALLY, THE PROGRAM ENCOURAGES SOCIAL INTERACTIONS, WHICH CAN CONTRIBUTE TO IMPROVED MENTAL HEALTH AND WELLBEING, AND FOSTER A GREATER SENSE OF COMMUNITY SPIRIT. THIS EFFORT IS A VITAL COMPONENT OF OUR HOSPITAL'S EFFORTS TO PROMOTE ECONOMIC DEVELOPMENT AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE. PART II, LINE 8: WORKFORCE DEVELOPMENTTUFTS MC IS COMMITTED TO PROMOTING THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH VARIOUS COMMUNITY-BUILDING ACTIVITIES. IN FY23, WE PROVIDED VALUABLE WORKFORCE DEVELOPMENT SKILLS TO 550 COMMUNITY MEMBERS THROUGH TRAINING PROGRAMS. THROUGH TARGETED OUTREACH TO COMMUNITY PARTNERS, WE ALSO SECURED EMPLOYMENT FOR 8 COMMUNITY MEMBERS AT TUFTS MEDICAL CENTER, STRENGTHENING CONNECTIONS BETWEEN THE COMMUNITY AND MEDICAL CENTER WHILE PROVIDING SECURE EMPLOYMENT IN THE HEALTHCARE FIELD. WE PROVIDED JOB SKILLS TRAINING IN AREAS OF NEED, SUCH AS MEDICAL INTERPRETER TRAINING AND MECHANICAL SKILLS TRAINING TO DISADVANTAGED YOUTH. HIGHER PAY AND BETTER BENEFITS ARE DIRECTLY CORRELATED WITH IMPROVED HEALTH OUTCOMES, AND OUR INITIATIVE AIMED TO PROVIDE JOB SUPPORT AND JOB SKILLS TO POPULATIONS MOST IN NEED OR AT-RISK, ESPECIALLY DURING THE COVID-19 PANDEMIC.TUFTS MC ALSO HAS A LONG-ESTABLISHED PARTNERSHIP WITH THE ASIAN AMERICAN CIVIC ASSOCIATION. OVER THE DECADES, THE STRUCTURE OF THE CLASS HAS CHANGED, BUT IN FY 23, 14 EMPLOYEES PARTICIPATED IN THE PROGRAM, WHICH IS OPEN TO ALL TUFTS MC EMPLOYEES AT NO COST TO THEM. THE ESOL PROGRAM OFFERS BEGINNER AND ADVANCED CLASSES, WITH FLEXIBLE MINIMUM PARTICIPANT REQUIREMENTS DUE TO COVID-19. THE CLASSES ARE OFFERED BOTH DURING WORK HOURS AND ON EMPLOYEES' OWN TIME AND REQUIRE COMMITMENT AND MANAGER SUPPORT. THE PROGRAMS HELP IMPROVE EMPLOYEE/MANAGER RELATIONS, PATIENT EXPERIENCE, AND A CAREER PIPELINE FOR ALL TUFTS MC EMPLOYEES, WHILE ALSO ADDRESSING LITERACY BARRIERS THAT COULD LEAD TO SAFETY CONCERNS AND EXCLUSION. ADDITIONALLY, TUFTS MC'S SUMMER INTERNSHIP PROGRAM FOR BOSTON HIGH SCHOOL STUDENTS OFFERS OPPORTUNITIES FOR STUDENTS TO EXPLORE CAREER OPPORTUNITIES IN A HEALTHCARE SETTING AND OFTEN PROVIDES THEM WITH THEIR FIRST PAID EMPLOYMENT EXPERIENCE. WE OFFERED A FULLY ON-SITE SEVEN-WEEK EXPERIENCE TO 26 YOUTH, 15 WITH BILINGUAL CAPACITY, WHO INTERNED IN 20 DIFFERENT TUFTS MC DEPARTMENTS. INTERNS ADDITIONALLY PARTICIPATED IN WEEKLY WORKSHOPS ON TOPICS SUCH AS PUBLIC HEALTH, COLLEGE READINESS, AND DIVERSITY, EQUITY, AND INCLUSION. THE SUMMER INTERNSHIP PROGRAM PROVIDES VALUABLE SKILLS AND EXPERIENCE TO THE STUDENTS, AND INCREASES YOUTHS LIKELIHOOD OF SECURING BETTER-PAYING JOBS IN THE FUTURE, PROMOTING THEIR OVERALL HEALTH AND WELLBEING. OVERALL, OUR COMMUNITY-BUILDING INITIATIVES AIM TO EQUIP COMMUNITY MEMBERS WITH THE NECESSARY SKILLS AND SUPPORT TO ACHIEVE FINANCIAL STABILITY, WHICH IN TURN PROMOTES BETTER HEALTH OUTCOMES AND FOSTERS A HEALTHIER COMMUNITY. PART III, LINE 2: THE HOSPITAL RECORDS BAD DEBTS BASED ON CHARGES. THE BAD DEBT COSTS PROVIDED HEREIN ARE BASED ON THESE CHARGES MULTIPLIED BY THE HOSPITAL'S COST-TO-CHARGE RATIO OF 48.00%. PART III, LINE 4: THE FOLLOWING IS FROM THE TUFTS MEDICINE, INC. AND CONSOLIDATED AFFILIATES (THE SYSTEM) AUDITED FINANCIAL STATEMENTS, OF WHICH TUFTS MEDICAL CENTER, INC. IS INCLUDED, RELATING TO CHARITY CARE AND BAD DEBT EXPENSE:2023 CHARITY CARE AND COMMUNITY BENEFIT FOOTNOTECHARITY CARE - THE SYSTEM'S COMMITMENT TO COMMUNITY SERVICE IS EVIDENCED BY SERVICES PROVIDED TO THE POOR AND BENEFITS PROVIDED TO THE PATIENTS THAT IT SERVES. THE SYSTEM PROVIDES HEALTH CARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. THESE PATIENTS MAY RECEIVE FULL ASSISTANCE OR MAY BE SUBJECT TO PARTIAL LIABILITY BASED ON INCOME AND FAMILY SIZE. BECAUSE THE SYSTEM DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE.THE SYSTEM PROVIDED CHARITY CARE, BASED ON CHARGES FORGONE AND THE ESTIMATED COST OF THE CHARITY CARE PROVIDED, OF $6,928K AND $3,237K, FOR THE YEAR ENDED SEPTEMBER 30, 2023, RESPECTIVELY, AND $26,475K AND $12,518K, FOR THE YEAR ENDED SEPTEMBER 30, 2022, RESPECTIVELY. THE ESTIMATED COST OF CHARITY CARE IS BASED ON THE RELATIONSHIP OF PATIENT CARE SERVICE CHARGES TO THE RELATED COSTS APPLIED TO CHARITY CARE CHARGES RECOGNIZED DURING THE YEARS ENDED SEPTEMBER 30, 2023 AND 2022.THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING 2023.HEALTH SAFETY NET FUND (HSN) - THE COMMONWEALTH OF MASSACHUSETTS (THE "COMMONWEALTH") OPERATES THE HSN, WHICH WAS CREATED BY THE COMMONWEALTH'S HEALTH CARE REFORM ACT TO REPLACE THE STATE'S UNCOMPENSATED CARE POOL. THE HSN ALLOCATES THE COST OF UNCOMPENSATED CARE AMONG THE HOSPITALS IN THE COMMONWEALTH. HOSPITALS HAVE BEEN ASSESSED A UNIFORM ALLOWANCE BASED ON ESTIMATES OF THE STATEWIDE COST OF UNCOMPENSATED CARE AND REIMBURSED FOR A PORTION OF THE COST OF UNCOMPENSATED CARE, SUBJECT TO CERTAIN LIMITATIONS. REIMBURSABLE UNCOMPENSATED CARE INCLUDES NET CHARITY CARE AND CERTAIN UNCOLLECTIBLE ACCOUNTS RELATED TO EMERGENCY SERVICES. HOSPITALS' RECOVERIES FROM THE HSN ARE BASED ON A CLAIMS-BASED PAYMENT METHOD THAT USES MEDICARE PRINCIPLES. REIMBURSEMENT FROM THE HSN FOR UNCOMPENSATED CARE IS RECORDED IN NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENT OF OPERATIONS. THE COMMONWEALTH HAS DETERMINED FINAL SETTLEMENTS WITH RESPECT TO THE HSN FOR ALL YEARS PRIOR TO 2014.COMMUNITY BENEFIT - IN FURTHERING ITS CHARITABLE PURPOSE, THE SYSTEM PROVIDES A WIDE VARIETY OF HEALTH CARE SERVICES TO THE COMMUNITY IN ORDER TO PROVIDE ACCESS TO APPROPRIATE CARE FOR POPULATIONS IN NEED. THE SYSTEM HAS DEVELOPED A FORMAL COMMUNITY BENEFIT PLAN THAT RESPONDS TO THE COMPREHENSIVE ASSESSMENT OF HEALTH CARE NEEDS IN THE COMMUNITY. THE COMMUNITY BENEFIT PLAN SUPPORTS SERVICES THAT TARGET NOT ONLY THE GENERAL POPULATION IN THE SYSTEM'S SERVICE AREA, BUT ALSO PARTICULAR POPULATIONS WITH SPECIAL HEALTH CARE NEEDS, INCLUDING THE POOR, ELDERLY, CHILDREN, AND MINORITY POPULATIONS. SUPPORTED SERVICES INCLUDE VARIOUS CLINICS, HEALTH SCREENING PROGRAMS, HEALTH EDUCATION PROGRAMS AND SUPPORT GROUPS OPERATED IN THE SYSTEM'S SERVICE AREA. THE SYSTEM WORKS ACTIVELY WITH OTHER AREA SERVICE PROVIDERS TO FACILITATE THE DEVELOPMENT OF AN EFFECTIVE COMMUNITY HEALTH NETWORK. THE SYSTEM ALSO PARTICIPATES IN ACTIVITIES DESIGNED TO FOSTER AND ENHANCE THE ECONOMIC AND CIVIC ENVIRONMENT AND TO IMPROVE THE HEALTH EQUITY OF ITS SERVICE AREA. PART III, LINE 8: COSTS ARE ALLOCATED TO PATIENT ENCOUNTERS BASED ON COST ACCOUNTING SYSTEM, WHICH TAKES INTO CONSIDERATION ALL INPATIENT AND OUTPATIENT ACTIVITY FOR ALL AREAS OF THE HOSPITAL INCLUDING ALL PAYER SOURCES. THE COSTS UTILIZED ARE BASED ON ACTUAL COSTS FROM THIS SYSTEM, ALLOCATED TO INDIVIDUAL PATIENT ENCOUNTERS. PART III, LINE 9B: TUFTS MEDICAL CENTER'S FINANCIAL COORDINATION OFFICE IDENTIFIES AND ASSISTS THOSE PATIENTS THAT HAVE NO INSURANCE OR WHO ARE UNDERINSURED. WE WILL PROCESS ON-LINE APPLICATIONS FOR STATE PROGRAMS IN ACCORDANCE WITH THE ESTABLISHED MASS HEALTH GUIDELINES. THE GUIDELINES ARE BASED ON 200% OF THE FEDERAL POVERTY GUIDELINES.FINANCIAL ASSISTANCE IS ALSO EXTENDED TO OUT-OF-STATE/COUNTRY PATIENTS WITH NO INSURANCE IN ACCORDANCE WITH THE TUFTS MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. A NOTICE OF FINANCIAL ASSISTANCE IS LOCATED ON THE PATIENT BILL AND THE HOSPITAL WEB-SITE. IT IS ALSO POSTED IN VARIOUS STRATEGIC LOCATIONS THROUGHOUT THE HOSPITAL.THE FINANCIAL COORDINATION OFFICE IS OPEN MONDAY THRU FRIDAY FROM 8:00 A.M. TO 4:40 P.M. THE MAIN NUMBER FOR THE FINANCIAL COORDINATION OFFICE IS 617-636-6013. PART VI, LINE 2: TUFTS MC USES VARIOUS METHODS TO ASSESS THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES. AN IMPORTANT METHOD IS TO CONDUCT A CHNA, DONE SO EVERY THREE YEARS. THE MOST RECENT CHNA WAS CONDUCTED IN THE SPRING OF 2022, WHERE 927 COMMUNITY RESIDENTS PARTICIPATED IN A SURVEY TO UNDERSTAND THE COMMUNITY'S NEEDS, STRENGTHS, PRIORITY HEALTH ISSUES, AND RECOMMENDATIONS. THE CHNA PROCESS ALSO INCLUDED 14 FOCUS GROUPS WITH 128 COMMUNITY RESIDENTS AND INPUT FROM UPDATED COMMUNITY MEMBERS.TUFTS MC WORKS COLLABORATIVELY WITH COMMUNITY PARTNERS, INCLUDING NON-PROFIT ORGANIZATIONS, TO IDENTIFY AREAS OF NEED AND ADDRESS THEM EFFECTIVELY. IN ADDITION TO CONDUCTING A CHNA, TUFTS MC PARTICIPATES IN OTHER MEETINGS SUCH AS GRANTEE/CBAC MEETINGS AND OTHER COMMUNITY MEETINGS SUCH AS THE CHINATOWN COALITION, CHINATOWN NEIGHBORHOOD COUNCIL, AND THE SOUTH BOSTON ASSOCIATION OF NONPROFITS, AMONG OTHERS. THESE MEETINGS PROVIDE VALUABLE FEEDBACK AND INSIGHT INTO COMMUNITY NEEDS.FURTHERMORE, TUFTS MC REVIEWS DATA ON POPULATION HEALTH, EPIDEMIOLOGY, AND COMMUNITY HEALTH INDICATORS TO MONITOR TRENDS AND IDENTIFY EMERGING HEALTH CONCERNS DURING THE CHINA PROCESS. THE ORGANIZATION USES THIS DATA TO ENSURE THAT IT IS ADDRESSING THE MOST PRESSING HEALTH NEEDS OF THE COMMUNITY IN A COMPREHENSIVE AND EFFECTIVE MANNER. ADDITIONALLY, WHEN URGENT ISSUES ARISE, SUCH AS THE COVID-19 PANDEMIC, THE MEDICAL CENTER HAS COLLECTED DATA IN BETWEEN THE TRIENNIAL CHNA TO ASSESS AND ACT UPON IMMEDIATE NEEDS THAT ARISE IN THE COMMUNITY.ONCE PRIORITY HEALTH NEEDS ARE IDENTIFIED, DATA ARE SUMMARIZED, REVIEWED, AND APPROVED BY TUFTS MC'S SENIOR LEADERSHIP AND ITS COMMUNITY BENEFITS GOVERNING BODY, TUFTS MC'S COMMUNITY BENEFITS COMMITTEE. THIS COLLABORATIVE APPROACH ENSURES THAT TUFTS MC IS ADDRESSING THE MOST PRESSING HEALTH NEEDS OF THE COMMUNITY IN A COMPREHENSIVE AND EFFECTIVE MANNER. PART VI, LINE 3: PATIENTS ARE INFORMED ABOUT FINANCIAL ASSISTANCE AND FINANCIAL COORDINATION RESOURCES OFFERED BY THE HOSPITAL THROUGH SEVERAL DIFFERENT MEDIUMS AND AT SEVERAL DIFFERENT POINTS IN THEIR EXPERIENCE WITH THE HOSPITAL. PATIENTS ARE PROVIDED AN OPPORTUNITY TO HAVE AN IN PERSON DISCUSSION WITH A FINANCIAL COORDINATOR ABOUT INSURANCE COVERAGE AND FINANCIAL HARDSHIP DURING THE INITIAL REGISTRATION PROCESS. IF A PATIENT EXPRESSES THE NEED FOR INSURANCE OR FINANCIAL ASSISTANCE A FINANCIAL COORDINATOR WILL WORK WITH THEM TO APPLY FOR ANY AVAILABLE AND APPROPRIATE SERVICES. SHOULD A PATIENT QUALIFY FOR MEDICARE OR MEDICAID ASSISTANCE OF ANY FORM, E.G. COMMONWEALTH CARE, THE COUNSELOR OR FINANCIAL COORDINATOR WILL ALSO ASSIST THE PATIENT IN APPLYING FOR ANY OTHER SOCIAL SERVICES THEY MAY FIND HELPFUL, SUCH AS FOOD AND NUTRITION SERVICES. PATIENTS ARE NOTIFIED OF THEIR RIGHTS AND AVAILABLE FINANCIAL RESOURCES THROUGH A VARIETY OF OTHER MEASURES AS WELL, INCLUDING INFORMATION ON SEVERAL DIFFERENT PAGES AND LANDING POINTS ON THE TUFTS MEDICAL CENTER'S WEBSITE, IN WRITTEN INFORMATION PROVIDED AT DISCHARGE, ON ANY BILLING STATEMENTS THEY RECEIVE AND IN POSTINGS THROUGHOUT THE HOSPITAL IN ALL WAITING AREAS AND CLINICS. PART VI, LINE 4: LOCATED IN THE HEART OF THE CHINATOWN COMMUNITY, TUFTS MC IS COMMITTED TO RESPONDING TO THE SPECIFIC NEEDS OF THE COMMUNITY, MANY OF WHOM ARE NEW IMMIGRANTS IN NEED OF CULTURALLY AND LINGUISTICALLY APPROPRIATE SERVICES TO HELP THEM NAVIGATE HEALTH CARE FOR THEMSELVES AND THEIR FAMILIES. TUFTS MC'S STRONG COMMITMENT TO THE ADJACENT NEIGHBORHOODS OF DORCHESTER, SOUTH BOSTON AND THE SOUTH END REFLECTS THE HISTORY OF THE FOUNDING OF THE BOSTON DISPENSARY TO PROVIDE QUALITY HEALTHCARE TO BOSTON'S WORKING AND LOW-INCOME FAMILIES.TUFTS MC HAS BEEN IN ITS CURRENT LOCATION SINCE ITS INCEPTION AS THE BOSTON DISPENSARY IN 1796. THE NEIGHBORHOOD, ORIGINALLY KNOWN AS THE SOUTH COVE, IS NOW RECOGNIZED AS BOSTON'S CHINATOWN NEIGHBORHOOD DUE TO THE GROWTH OF THE CHINESE AMERICAN COMMUNITY, WHO FIRST MOVED INTO THE NEIGHBORHOOD IN THE 1870S AND GREW IN NUMBERS AFTER THE LIFTING OF IMMIGRATION RESTRICTIONS ALLOWED FOR FAMILY REUNIFICATION IN THE 1960S AND HAS CONTINUED WITH ONGOING IMMIGRATION. TUFTS MC HAS BEEN AN INTEGRAL MEMBER OF THE COMMUNITY FOR GENERATIONS.SERVICE POPULATIONS:TUFTS MC'S PATIENT POPULATION IS DIVERSE AND REFLECTS THE DEMOGRAPHICS OF THE BOSTON AND GREATER BOSTON COMMUNITY FOR WHICH IT SERVES AS AN ACADEMIC AND TERTIARY/QUATERNARY HOSPITAL. APPROXIMATELY 58% OF THE PATIENT POPULATION IS WHITE, 11% BLACK/AFRICAN AMERICAN, 17% ASIAN AND 8% LATINX. 26% OF THE PATIENT POPULATION QUALIFY FOR MEDICAID, AND 26% OF PATIENTS ARE COVERED BY MEDICARE. APPROXIMATELY 218,000 PATIENTS REQUEST INTERPRETER SERVICES EACH YEAR AND RECEIVE ASSISTANCE IN CHINESE, VIETNAMESE, SPANISH, HAITIAN CREOLE, RUSSIAN, PORTUGUESE AND MANY OTHER LANGUAGES. PRIMARY SERVICE AREA COMMUNITIES: PLEASE NOTE THAT THE BOSTON PUBLIC HEALTH COMMISSION'S 2023 HEALTH OF BOSTON REPORT HAS NOT BEEN FULLY RELEASED, SO SOME DATA IS FROM 2017.BOSTON'S CHINATOWN IS THE SMALLEST OF THE CITY'S NEIGHBORHOODS. IT IS LOCATED IN DOWNTOWN BOSTON NEAR MAJOR TRANSPORTATION NODES AND THE CITY'S DOWNTOWN RETAIL, THEATER, HISTORIC AND FINANCIAL DISTRICTS. ITS 76 ACRES INCLUDE A ROBUST RESIDENTIAL, CULTURAL, ECONOMIC, AND SERVICE HUB FOR BOSTON'S CHINESE AND ASIAN COMMUNITY. THE 2017 AMERICAN COMMUNITY SURVEY (ACS) ESTIMATED THAT OVER 7,400 PEOPLE LIVED IN THE NEIGHBORHOOD, ONE OF THE MOST DENSELY POPULATED IN THE CITY OF BOSTON. THERE IS A DEARTH OF OPEN SPACE IN CHINATOWN, THOUGH THE BOSTON COMMON, PUBLIC GARDEN AND OTHER OPEN AND GREEN SPACE ARE IN CLOSE PROXIMITY.HISTORICALLY, BOSTON CHINATOWN HAS PLAYED AN IMPORTANT ROLE IN ECONOMIC, SOCIAL AND CULTURAL SUPPORT FOR ARRIVING IMMIGRANTS IN WHICH THEY CONTINUE TO LIVE, WORK, SHOP, FIND SERVICES, AND MAINTAIN SOCIAL CONNECTIONS. ACCORDING TO AMERICAN COMMUNITY SURVEY 2020 DATA, COMPARED TO OTHER COMMUNITIES IN TUFTS MC'S SERVICE AREA AND BOSTON AS A WHOLE, CHINATOWN HAS HIGHER PERCENTAGES OF RESIDENTS THAT IDENTIFY AS ASIAN OR PACIFIC ISLANDER (60%), ARE FOREIGN BORN (49%) AND SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME (59%). CHINATOWN ALSO HAS A LARGER PERCENTAGE OF OLDER ADULTS 65+ (18%) THAN TUFTS MC'S OTHER PRIORITY COMMUNITIES AS A WHOLE. ALTHOUGH THE MAJORITY OF CHINATOWN RESIDENTS HAVE BACHELOR'S DEGREES OR HIGHER (59%), ABOUT ONE IN FIVE DID NOT GRADUATE FROM HIGH SCHOOL. THE HEALTH PROFILE OF CHINATOWN, BASED ON TUFTS MC 2022 COMMUNITY SURVEY RESPONSES AND FOCUS GROUP INTERVIEWS, REVEALS SEVERAL KEY HEALTH CONCERNS AND CHALLENGES FACING THE COMMUNITY. THE TOP THREE HEALTH CONCERNS IDENTIFIED BY RESIDENTS WERE COVID-19, MENTAL HEALTH/DEPRESSION, AND ACCESS TO SPECIALTY CARE. ENVIRONMENTAL HEALTH, HOUSING STABILITY, AND EDUCATION WERE THE TOP SOCIAL ISSUES OF CONCERN, WHILE DISCRIMINATION BASED ON RACE, IMMIGRATION STATUS, AND CLASS/INCOME WERE THE TOP SAFETY ISSUES IDENTIFIED. FINANCIAL SECURITY WAS ALSO A KEY CONCERN, WITH GENTRIFICATION, HIGH HOUSING COSTS, AND ANTI-ASIAN DISCRIMINATION IN HOUSING PRACTICES MENTIONED AS BARRIERS TO ECONOMIC WELL-BEING.SEVERAL PREVALENT HEALTH CONDITIONS WERE MENTIONED, INCLUDING ASTHMA, CANCER, DIABETES, OSTEOPOROSIS/ARTHRITIS, DEMENTIA, HIGH BLOOD PRESSURE, AND CHOLESTEROL. POLLUTION AND HIGH RATES OF SMOKING (BOTH TOBACCO AND MARIJUANA) WERE IDENTIFIED AS EXACERBATING THESE HEALTH CONCERNS. LANGUAGE BARRIERS AND HIGH OUT-OF-POCKET COSTS WERE CITED AS BARRIERS TO ACCESSING HEALTHCARE, WITH BETTER ACCESS TO HEALTHCARE IDENTIFIED AS A TOP PRIORITY FOR 36% OF SURVEY RESPONDENTS. YOUNG PEOPLE ALSO EXPRESSED CONCERNS AROUND DEPRESSION, ANXIETY, AND SLEEP ISSUES, WHILE THE COVID-19 PANDEMIC WORSENED MENTAL HEALTH CONCERNS AND LED TO STRESS, ANXIETY, AND DEPRESSION FOR RESIDENTS OF ALL AGES.DORCHESTER IS THE LARGEST NEIGHBORHOOD IN BOSTON AND REFLECTS THE CITY'S ECONOMIC, LINGUISTIC, RACIAL, ETHNIC, AND CULTURAL DIVERSITY WITH A POPULATION OF OVER 140,000 RESIDENTS, APPROXIMATELY 20% OF BOSTON'S TOTAL POPULATION. AMERICAN COMMUNITY SURVEY DATA FOR 2020 INDICATE THAT 24.5% OF RESIDENTS WERE 19 YEARS OR YOUNGER AND 12% WERE SENIORS AGED 65 AND OLDER. 35-64 YEAR-OLDS MAKE UP THE LARGEST PERCENTAGE (36%) OF DORCHESTER RESIDENTS. DORCHESTER IS A RACIALLY DIVERSE NEIGHBORHOOD OVERALL, WITH BLACK/AFRICAN AMERICANS MAKING UP THE LARGEST PERCENTAGE OF THE POPULATION. 22.4 PERCENT OF THE POPULATION WAS WHITE, 35% BLACK/AFRICAN AMERICAN, 10.9% ASIAN, 20.7% LATINX, AND 11.0% OTHER. ABOUT ONE-THIRD OF RESIDENTS IN DORCHESTER ARE FOREIGN BORN AND 41% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, BOTH SLIGHTLY HIGHER THAN THE CITY OF BOSTON AS A WHOLE. DORCHESTER HAS ABOUT EQUAL PERCENTAGES OF HIGH SCHOOL GRADUATES (29%) AND THOSE WITH BACHELOR'S DEGREES OR HIGHER (30%). BPHC'S 2017 HEALTH OF BOSTON REPORT INDICATED THAT DORCHESTER CONTINUED TO HAVE A HIGH INCIDENCE OF VIOLENCE-RELATED INJURIES AND HIGH RATES OF HOMICIDE COMPARED TO THE CITY AS A WHOLE. THE 2023 BPHC REPORT FOUND THAT DORCHESTER EXPERIENCED PREMATURE MORTALITY RATES TWICE AS HIGH AS THAT OF MORE AFFLUENT NEIGHBORHOODS LIKE BACK BAY AND BEACON HILL. ADDITIONALLY, THE RATE OF ASTHMA-RELATED HOSPITALIZATION AMONG CHILDREN AGES 5-17 IN DORCHESTER WAS AMONG THE HIGHEST IN THE CITY, AND THE NEIGHBORHOOD'S RESIDENTS EXPERIENCE A HIGH PREVALENCE OF CHRONIC DISEASES LIKE OBESITY AMONG ADULTS. COMPARED TO THE CITY AVERAGE, DORCHESTER HAD HIGH RATES OF INFANTS BORN WITH LOW BIRTHWEIGHT AS WELL AS HIGH RATES OF INFANT MORTALITY COMPARED TO THE CITY AVERAGE.THE HEALTH PROFILE OF DORCHESTER, BASED ON TUFTS MC 2022 COMMUNITY SURVEY RESPONSES, INDICATES THAT THE TOP HEALTH CONCERNS ARE MENTAL HEALTH/DEPRESSION, COVID-19, AND ACCESS TO SPECIALTY CARE. THE TOP SOCIAL ISSUES ARE HOUSING STABILITY, DOMESTIC/INTERPERSONAL VIOLENCE, AND EDUCATION, WHILE THE TOP SAFETY ISSUES ARE DRUG TRAFFICKING, DISCRIMINATION BASED ON RACE, AND DISCRIMINATION BASED ON CLASS/INCOME. PARTICIPANTS FELT THAT THE PANDEMIC EXACERBATED EXISTING SOCIAL NEEDS AND GAPS AS WELL AS HEALTH CONCERNS. MENTAL HEALTH WAS THE TOP COMMUNITY HEALTH CONCERN, WITH YOUTH AND ADULT PARTICIPANTS FEELING THAT THERE ARE NOT ENOUGH CLINICIANS TO FILL THE NEED FOR MENTAL HEALTH SERVICES. OTHER HEALTH CONCERNS INCLUDE OBESITY, DIABETES, HEART DISEASE, LATE DIAGNOSED CANCER, AND BLACK MATERNAL HEALTH. FINANCIAL INSECURITY IS THE PRIMARY SOCIAL CONCERN, WHICH IMPACTS OTHER SOCIAL DETERMINANTS OF HEALTH SUCH AS HOUSING AND FOOD INSECURITY. HOUSING AFFORDABILITY AND GENTRIFICATION HAVE BECOME A GROWING CONCERN, AND ACCESS TO JOBS AND JOB TRAINING HAS RISEN AS A PRIORITY NEED. MOREOVER, THE COMMUNITY FACES SAFETY CONCERNS AS WELL. DORCHESTER RESIDENTS REPORTED FEELING UNSAFE IN THEIR NEIGHBORHOOD AT A RATE 10 PERCENTAGE POINTS ABOVE THE 14% CITY AVERAGE IN SOUTH DORCHESTER (24%), AND 20 POINTS ABOVE THE AVERAGE IN NORTH DORCHESTER (34%) ACCORDING TO THE BOSTON BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM. THESE SAFETY CONCERNS CAN EXACERBATE THE ALREADY PRESENT HEALTH ISSUES AND CREATE ADDITIONAL STRESS AND ANXIETY FOR RESIDENTS. SOUTH BOSTON IS A NEIGHBORHOOD OF APPROXIMATELY 37,000 RESIDENTS THAT CONTINUES TO UNDERGO CHANGES. HISTORICALLY CONSIDERED A WORKING-CLASS COMMUNITY WITH A SIGNIFICANT NUMBER OF PUBLIC HOUSING DEVELOPMENTS, LONG-TIME RESIDENTS ARE NOW EXPERIENCING INCREASING RENTS AND/OR DISPLACEMENT, ALONG WITH AN INFLUX OF NEWER RESIDENTS, RESULTING FROM A SHARP INCREASE IN NEW CONSTRUCTION AND HOUSING DEVELOPMENT IN THE AREA.DATA FROM THE CENSUS BUREAU SHOW A 26% INCREASE IN THE POPULATION BETWEEN 2000 AND 2017. DURING THIS PERIOD, THE NUMBER OF CHILDREN UNDER AGE 18 AND SENIORS OVER AGE 65 (AND THE PROPORTION OF THE POPULATION THEY MADE UP) DROPPED; THUS, THE RISE IN POPULATION IS ATTRIBUTED LARGELY TO WORKING-AGE ADULTS. PART VI, LINE 5: IN ADDITION TO PROVIDING FINANCIAL RESOURCES TO COMMUNITY-BASED HEALTH AND SERVICE ORGANIZATIONS THAT ADDRESS HEALTH ISSUES SPECIFIC TO THEIR CONSTITUENTS, TUFTS MC ADVANCES ITS COMMITMENT TO THE HEALTH OF ITS PATIENT AND PRIORITY COMMUNITIES THROUGH A NUMBER OF HOSPITAL-LED EFFORTS. THESE INCLUDE CLINICS ESTABLISHED TO MEET THE NEEDS OF NON-NATIVE ENGLISH SPEAKERS; SCHOOL-BASED CURRICULA THAT HELP STUDENTS LEARN ABOUT SMOKING, ASTHMA, DENTAL HEALTH, NUTRITION, SEXUAL HEALTH, SUBSTANCE USE, AND STRESS MANAGEMENT; SCREENINGS AND WORKSHOPS FOR POPULATIONS WITH CRITICAL HEALTH DISPARITIES; ASSISTING ELIGIBLE PATIENTS WITH SECURING FINANCIAL AND SOCIAL BENEFITS SUCH AS PUBLIC HEALTH INSURANCE; AND A COLLABORATION WITH THE BOSTON CHNA-CHIP COLLABORATIVE TO DEEPEN AND EXPAND THE IMPACT OF MEMBER INSTITUTIONS' COMMUNITY BENEFITS ACTIVITIES. TUFTS MC ALSO PARTICIPATES IN COMMUNITY COALITIONS THAT WORK TO PRESERVE COMMUNITY ASSETS AND ADVANCE THE PHYSICAL, ECONOMIC, SOCIAL, AND CULTURAL HEALTH OF THE COMMUNITY. EXAMPLES OF THIS INCLUDE TUFTS MC'S ROLE IN PUBLIC SAFETY INITIATIVES, PROVIDING PARKING FOR FAITH-BASED INSTITUTIONS' CONGREGATION MEMBERS AND WEEKEND PARKING FOR LOCAL SMALL BUSINESS OWNERS' CUSTOMERS, AND VARIOUS WORKFORCE DEVELOPMENT ACTIVITIES TO HELP PREPARE AND/OR RECRUIT COMMUNITY MEMBERS FOR TUFTS MC EMPLOYMENT AND BEYOND. PART VI, LINE 6: COMMUNITY HOSPITAL PARTNERSHIPSTUFTS MEDICAL CENTER HAS A RICH HISTORY OF PROVIDING MEDICAL CARE TO THE BOSTON COMMUNITY SINCE ITS FOUNDING. IN 2009 TUFTS MEDICAL CENTER LAUNCHED ITS DISTRIBUTED ACADEMIC MEDICAL CENTER MODEL, WHICH PARTNERS WITH COMMUNITY HOSPITALS TO KEEP MORE CARE LOCALLY IN THE COMMUNITY. TUFTS MEDICAL CENTER IS PROUD TO PARTNER WITH EXCELLENT COMMUNITY HOSPITALS TO DELIVER THE HIGHEST QUALITY CARE IN THE MOST CONVENIENT MANNER FOR PATIENTS. WE STRONGLY BELIEVE THAT WHEN ACADEMIC MEDICAL CENTERS AND COMMUNITY HOSPITALS WORK SIDE-BY-SIDE, THE PATIENT AND THE HEALTH CARE SYSTEM BENEFIT. THROUGH OUR DISTRIBUTED ACADEMIC MEDICAL CENTER MODEL, WE BRING TUFTS MEDICAL CENTER PHYSICIANS TO THE COMMUNITY - SAVING PATIENTS THE DRIVE INTO DOWNTOWN BOSTON AND TAKING ADVANTAGE OF THE EXCELLENT HOSPITALS IN THE CITIES AND TOWNS SURROUNDING BOSTON. WE ALSO CONSULT CLOSELY WITH OUR TALENTED PHYSICIAN COLLEAGUES WHO ARE PROVIDING OUTSTANDING SERVICES IN THE COMMUNITY ALREADY. AND WHEN EXCEPTIONALLY COMPLEX CARE IS NEEDED, THESE PARTNERSHIPS MEAN THE TRANSFER TO BOSTON IS WELL COORDINATED BETWEEN PHYSICIANS AND COMFORTABLE FOR THE PATIENT AND FAMILY MEMBERS.THROUGH PARTNERSHIPS WITH OTHER AREA HOSPITALS AND MEDICAL CENTERS, DOCTORS FROM TUFTS MC STAFF VARIOUS COMMUNITY MEDICAL FACILITIES. THIS ALLOWS MORE PATIENTS TO RECEIVE TOP-QUALITY CARE IN A LOCATION CLOSE TO HOME. TUFTS MC SPECIALISTS SEE PATIENTS AND PERFORM SOME TREATMENTS AND PROCEDURES LOCALLY. WHEN HIGH-LEVEL ADVANCED CARE IS NEEDED, TUFTS MC DOCTORS WORK WITH THE COMMUNITY PHYSICIANS TO ENSURE A SMOOTH PATIENT TRANSITION TO TUFTS MEDICAL CENTER IN BOSTON.TUFTS MEDICAL CENTER MAKES AN EXCELLENT CLINICAL PARTNERS FOR TWO MAIN REASONS. FIRST, WE WORK WITH OUR PARTNER HOSPITALS TO KEEP MOST MEDICAL CARE LOCAL. THIS IS THE MOST CONVENIENT OPTION FOR PATIENTS AND THE MOST COST-EFFECTIVE OPTION FOR BOTH PATIENTS AND PROVIDERS. SECOND, TUFTS MEDICAL CENTER PROVIDES HIGH-QUALITY CARE AT REASONABLE COSTS. IN FACT, A REPORT BY THE MASSACHUSETTS ATTORNEY GENERAL'S OFFICE SAID THAT WE ARE THE MOST AFFORDABLE ADVANCED CARE OPTION IN BOSTON.PATIENTS MAY EXPERIENCE OUR AFFILIATION WITH COMMUNITY HOSPITALS IN ANY NUMBER OF WAYS, SUCH AS:- A PEDIATRIC HOSPITALIST CARING FOR A SICK CHILD ON THE PEDIATRIC UNIT OF A COMMUNITY HOSPITAL- A CARDIOLOGIST PERFORMING CARDIAC CATHETERIZATIONS IN THE COMMUNITY- OUR EXPERT WEIGHT AND WELLNESS CENTER TEAM PROVIDING SUPPORT AND SURGERIES IN THE COMMUNITY - OUR TRAUMA TEAM PREPARING FOR AN URGENT TRANSFER FROM A COMMUNITY HOSPITAL- OUR NEUROLOGY TEAM PROVIDING A CONSULT ON A STROKE PATIENT IN A COMMUNITY EMERGENCY DEPARTMENT- CARDIOLOGY EXPERTS FROM THROUGHOUT THE REGION MEETING TO DISCUSS BEST PRACTICE FOR TREATING HEART FAILURE PATIENTS- COORDINATED CARE PROTOCOLS BETWEEN INSTITUTIONS AND CARE SETTINGSADULT AFFILIATE HOSPITALSMETROWEST MEDICAL CENTER (FRAMINGHAM, MA)PEDIATRIC AFFILIATE HOSPITALSLAWRENCE GENERAL HOSPITAL (LAWRENCE, MA)LOWELL GENERAL HOSPITAL (LOWELL, MA)METROWEST MEDICAL CENTER (FRAMINGHAM, MA)SIGNATURE HEALTHCARE BROCKTON HOSPITAL (BROCKTON, MA) PART VI, LINE 7, REPORTS FILED WITH STATES MA PART VI, LINE 4, COMMUNITY INFORMATION (CONTINUED) ACCORDING TO 2020 AMERICAN CENSUS DATA, COMPARED TO TUFTS MC'S OTHER PRIORITY NEIGHBORHOODS AS A WHOLE, SOUTH BOSTON HAS A MUCH LARGER PERCENTAGE OF WHITE NON-HISPANIC RESIDENTS (77%), AND MUCH SMALLER PERCENTAGES OF FOREIGN-BORN RESIDENTS (13%) AND RESIDENTS WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME (18%). SOUTH BOSTON HAS A BIGGER YOUNG ADULT POPULATION THAN TUFTS MC'S OTHER PRIORITY COMMUNITIES OR BOSTON AS A WHOLE, WITH 20-34-YEAR OLDS MAKING UP 44% OF THE POPULATION. IT ALSO HAS A SMALLER POPULATION OR CHILDREN AND TEENS, WITH ONLY 13% UNDER 20 YEARS. NEARLY THREE QUARTERS (71%) OF SOUTH BOSTON RESIDENTS HAVE BACHELOR'S DEGREES OR HIGHER. THE TUFTS MC 2022 COMMUNITY SURVEY FOUND THAT COVID-19, MENTAL HEALTH/DEPRESSION, AND SUBSTANCE USE WERE THE TOP HEALTH CONCERNS FOR SOUTH BOSTON RESIDENTS, WITH SUBSTANCE USE BEING UNIQUE TO THIS NEIGHBORHOOD. THE TOP SOCIAL ISSUES WERE CRIME, EDUCATION, AND EMPLOYMENT, AND THE TOP SAFETY CONCERNS WERE DRUG TRAFFICKING, DISCRIMINATION BASED ON CLASS/INCOME, AND VANDALISM. THE COVID-19 PANDEMIC LED TO A SIGNIFICANT INCREASE IN BEHAVIORAL HEALTH ISSUES, PARTICULARLY IN MENTAL HEALTH CRISES, SUBSTANCE USE, AND ADDICTION. OTHER HEALTH ISSUES WORSENED BY THE PANDEMIC INCLUDED OBESITY, DIABETES, AND CANCER, AND HEALTHCARE ACCESS WAS ALSO IDENTIFIED AS AN ISSUE. FINANCIAL SECURITY WAS A PRIORITY, WITH GENTRIFICATION AFFECTING HOUSING AND JOBS, AND ECONOMIC WELL-BEING WAS IDENTIFIED AS THE TOP SOCIAL ISSUE. ACCORDING TO THE BOSTON BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM SURVEY, SOUTH BOSTON RESIDENTS REPORTED FEELING PERSISTENT ANXIETY AND SADNESS AT RATES SIMILAR TO THE CITYWIDE AVERAGE, AND WERE SLIGHTLY MORE FINANCIALLY SECURE THAN BOSTON RESIDENTS ON AVERAGE. TRANSPORTATION DIFFICULTIES WERE SLIGHTLY HIGHER, BUT SOUTH BOSTON HAD THE SECOND-HIGHEST INSURANCE RATE OF ALL NEIGHBORHOODS IN BOSTON. THE SOUTH END IS IMMEDIATELY SOUTH OF TUFTS MC, ADJACENT TO CHINATOWN. IT IS A NEIGHBORHOOD KNOWN FOR ITS LARGE VICTORIAN ROW HOUSES DISTRICT BUILT BY MIDDLE CLASS RESIDENTS OF ENGLISH ANCESTRY IN THE 1850S. THE NEIGHBORHOOD'S DEMOGRAPHICS BEGAN TO CHANGE IN THE 1880S WHEN THE ORIGINAL RESIDENTS BEGAN TO BE REPLACED BY MIDDLE CLASS AFRICAN AMERICANS, IRISH, JEWISH, GREEK, PUERTO RICAN, AND CHINESE IMMIGRANTS. IN THE 1960S, THE SOUTH END WAS CONSIDERED ONE OF THE POOREST NEIGHBORHOODS IN THE CITY OF BOSTON. ITS RENAISSANCE BEGAN IN THE MID-1970S WHEN INDIVIDUALS BEGAN TO BUY AND RESTORE VICTORIAN ROW HOUSES, AND NON-PROFITS PURCHASED AND REHABILITATED HOUSES AS AFFORDABLE RENTALS FOR FAMILIES. THERE WAS ALSO NEW CONSTRUCTION FOCUSED ON MEETING THE NEEDS OF VERY LOW-INCOME FAMILIES AND SENIORS.CURRENTLY, THE SOUTH END AND SOUTH BOSTON ARE EXAMPLES OF BOSTON'S ROBUST ECONOMY AND BUILDING BOOM, AND NEW RESIDENTIAL DEVELOPMENTS ARE BEING CONSTRUCTED ON PARCELS WHICH WERE ONCE DESIGNATED FOR LIGHT INDUSTRIAL USE.THE LINE BETWEEN THE SOUTH END AND CHINATOWN IS NOT FIXED, AND THERE IS A SIZABLE POPULATION OF CHINESE FAMILIES LIVING IN WHAT IS TRADITIONALLY CONSIDERED THE SOUTH END. ACCORDING TO THE 2017 ACS, THE SOUTH END HAD A POPULATION OF APPROXIMATELY 27,000 RESIDENTS. ACCORDING TO BPDA 2020 US CENSUS DATA, THE MAJOR RACIAL/ETHNIC GROUPS WERE: WHITE NON-HISPANIC (56.6%), ASIAN (15.9%), LATINX (12.9%), BLACK/AFRICAN AMERICAN (10.1%), AND OTHER (4.5%). ABOUT A QUARTER ARE FOREIGN-BORN (27%) AND 40% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, WHICH IS SIMILAR TO BOSTON AS A WHOLE. LIKE SOUTH BOSTON, THE SOUTH END HAS SMALLER PERCENTAGES OF YOUTH AND TEENS THAN THE CITY OF BOSTON AS A WHOLE, WITH 15% OF RESIDENTS UNDER 20 YEARS OLD. SLIGHTLY OVER HALF OF SOUTH END RESIDENTS (56%) HAVE BACHELOR'S DEGREES OR HIGHER. OVERALL, THE EDUCATIONAL ATTAINMENT OF SOUTH END ROUGHLY MIRRORS THE CITY OF BOSTON AS A WHOLE. THE TUFTS MC 2022 COMMUNITY SURVEY AND SECONDARY DATA INDICATE THAT RESIDENTS OF THE SOUTH END IN BOSTON WERE PRIMARILY CONCERNED ABOUT COVID-19, ACCESS TO SPECIALTY CARE, MENTAL HEALTH/DEPRESSION, HOUSING STABILITY, DISASTER READINESS AND EMERGENCY PREPARATION, EDUCATION, DISCRIMINATION BASED ON RACE AND SEX/GENDER, AND SMOKING. FINANCIAL INSECURITY AND JOB TRAINING/RESOURCES ARE SEEN AS SIGNIFICANT CONTRIBUTORS TO THESE CONCERNS. GENTRIFICATION AND RISING HOUSING COSTS HAVE LED TO A CHANGING CULTURAL MIX, PUSHING OUT IMMIGRANT AND LOW-INCOME FAMILIES, AND CAUSING STRESS FOR LONG-TERM CHINESE RESIDENTS WHO FEEL LIKE THEY DON'T BELONG IN THEIR COMMUNITY. THE SOUTH END ALSO CONTAINS AN AREA KNOWN AS "METHADONE MILE," WHERE HOMELESS ENCAMPMENTS AND OPEN-AIR SALE AND USE OF SUBSTANCES ARE PREVALENT. RISING PRICES FROM GENTRIFICATION HAVE CAUSED WEALTHIER FAMILIES TO LEAVE THE NEIGHBORHOOD, WHILE LOW-INCOME FAMILIES ARE PUSHED OUT.QUINCY HAS A SIGNIFICANT ASIAN POPULATION WITH STRONG SOCIAL AND CULTURAL TIES TO BOSTON'S CHINATOWN, COMPRISING ABOUT 6% OF TUFTS MC'S PATIENT POPULATION. IN 2017, QUINCY HAD A POPULATION OF 93,824 AND GREW 6.6% SINCE 2000. BETWEEN 2000 AND 2017, THE CITY SAW A GROWTH IN THE NUMBER OF BLACK AND LATINX RESIDENTS, AND MOST NOTABLY ASIAN RESIDENTS. QUINCY SITS JUST SOUTHEAST OF BOSTON AND IS HOME TO LARGE POPULATION OF CHINESE IMMIGRANTS, WITH 30.8% OF THE POPULATION IDENTIFYING AS ASIAN (2020 U.S. CENSUS). DATA FROM THE 2019 AMERICAN COMMUNITY SURVEY INDICATE THAT SLIGHTLY LESS THAN TWO-THIRDS OF QUINCY RESIDENTS ARE WHITE NON-HISPANIC (58%) AND NEARLY ONE-THIRD ARE ASIAN (30%). ONE-THIRD (33%) OF QUINCY RESIDENTS ARE FOREIGN-BORN AND 38% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME. THE LARGEST AGE GROUP OF QUINCY RESIDENTS IS 35-65-YEAR-OLDS (40%). THERE ARE FEWER YOUNG ADULTS AGES 20-34 (27%) THAN IN THE CITY OF BOSTON AS A WHOLE (35%). AS A WHOLE, EDUCATIONAL ATTAINMENT OF QUINCY RESIDENTS LOOKS SIMILAR TO BOSTON, ALTHOUGH QUINCY HAS FEWER RESIDENTS WITH BACHELOR'S DEGREES OR HIGHER (45% VS 51%). IN TUFTS MC'S 2022 COMMUNITY SURVEY, COVID-19, ACCESS TO SPECIALTY CARE, AND MENTAL HEALTH/DEPRESSION WERE THE TOP HEALTH CONCERNS OF COMMUNITY RESIDENTS. THE TOP SOCIAL ISSUES WERE HOUSING STABILITY, EDUCATION, AND DOMESTIC/INTERPERSONAL VIOLENCE, WHILE THE TOP SAFETY CONCERNS WERE DISCRIMINATION BASED ON CLASS/INCOME, SEX/GENDER, AND IMMIGRATION STATUS. THE RISING POPULATION OF LIMITED ENGLISH SPEAKERS AND IMMIGRANTS IN QUINCY HAS WORSENED THESE CHALLENGES, WITH CHRONIC DISEASE AND CANCER REMAINING ONGOING HEALTH CONCERNS. FINANCIAL AND FOOD INSECURITY HAVE GROWN SIGNIFICANTLY DURING THE PANDEMIC, ALONG WITH MENTAL HEALTH ISSUES AND DOMESTIC VIOLENCE. THE LACK OF PROVIDERS WHO CAN SPEAK THE LANGUAGE AND UNDERSTAND THE CULTURE OF THEIR PATIENTS HAS ALSO BEEN IDENTIFIED AS A CHALLENGE. QUINCY HAS HIGHER MORTALITY RATES FOR CANCER, SUBSTANCE USE, AND OPIOID USE COMPARED TO THE STATE OF MASSACHUSETTS, WITH HIGHER RATES OF COPD-RELATED HOSPITALIZATIONS, POISONING-RELATED ED VISITS, AND MORTALITY ACCORDING TO DATA PROVIDED BY THE MASSACHUSETTS DEPARTMENT OF HEALTH.CARE TO BOSTON RESIDENTS AND SURROUNDING COMMUNITIES:TUFTS MC BELIEVES THAT CARING FOR OUR COMMUNITY HAPPENS BOTH WITHIN AND OUTSIDE THE WALLS OF THE INSTITUTION. DATA HAVE SHOWN THAT MANY BARRIERS EXIST WHICH HINDER PATIENT ACCESS TO HIGH QUALITY HEALTH CARE, INCLUDING THE LINGUISTIC AND CULTURAL COMPETENCY OF HEALTH CARE PROVIDERS. TO REMOVE THE BARRIERS AND INCREASE ACCESS TO HOSPITAL SERVICES, TUFTS MC CONTINUES A LONG-STANDING COMMITMENT TO HEALTH EQUITY WHICH INVOLVES INCREASING CULTURAL COMPETENCY AMONG OUR MEDICAL PROVIDERS AND TO REMOVE LANGUAGE BARRIERS WHEREVER POSSIBLE. THE WORKING DEFINITION OF CULTURAL COMPETENCY THAT HELPS TO SHAPE AND DRIVE POLICIES AND CARE DELIVERY AT TUFTS MC IS AS FOLLOWS:THE ABILITY TO UNDERSTAND AND RESPECT THE DIFFERENCES AMONG PEOPLE AND USE OUR UNDERSTANDING TO INFLUENCE OUR INTERACTIONS WITH ONE ANOTHER; THIS INVOLVES DEVELOPING OUR CAPABILITY OF DELIVERING PATIENT-CENTERED SERVICES CONSISTENT WITH THE NEEDS AND EXPECTATIONS OF VARIOUS CULTURES. X X X X X 1 1 0 0 0 0 0 0 0 MICHAEL DANDORPH TRUSTEE/PRESIDENT/CEO 0 1273773 0 0 0 16175 0 261150 0 29977 0 1581075 0 0 MICHAEL TARNOFF MD CEO/TRUSTEE 1002619 0 154500 0 12031 0 167561 0 26782 0 1363493 0 0 0 MICHAEL WAGNER FORMER TRUSTEE/PRESIDENT 0 820604 0 0 0 153481 0 9150 0 27078 0 1010313 0 0 DIANA RICHARDSON SENIOR VP & COO 603245 0 100963 0 3395 0 86850 0 13587 0 808040 0 0 0 F CLARISSA YANG MD FORMER TRUSTEE 0 566860 0 115945 0 32380 0 30500 0 2187 0 747872 0 0 MARVIN A KONSTAM MD TRUSTEE 0 624482 0 47755 0 18495 0 30500 0 23716 0 744948 0 0 ERIKA WERNER TRUSTEE 0 603869 0 77388 0 14196 0 0 0 19860 0 715313 0 0 KAREN FREUND MD TRUSTEE 0 538371 0 98872 0 12375 0 30500 0 23656 0 703774 0 0 JEFFREY WEINSTEIN FORMER TRUSTEE 0 453993 0 61913 0 121193 0 9150 0 18638 0 664887 0 0 DEEB N SALEM MD FORMER TRUSTEE 0 523944 0 0 0 84439 0 5048 0 20798 0 634229 0 0 PAUL SUMMERGRAD MD TRUSTEE (UNTIL 1/23) 0 425970 0 39544 0 45271 0 30500 0 23134 0 564419 0 0 THERESE HUDSON-JINKS SENIOR VP & CNO 401377 0 51338 0 34805 0 64380 0 233 0 552133 0 31977 0 ERIK GARPESTAD CMO/SVP MEDICAL STAFF 438619 0 57090 0 3129 0 0 0 10698 0 509536 0 0 0 KRISTINE M HANSCOM FORMER CFO 139292 0 0 0 290383 0 71912 0 4159 0 505746 0 204265 0 SARAH MCKAY VP OF PATIENT CARE 317017 0 92500 0 22135 0 42443 0 26434 0 500529 0 21638 0 NIOBIS DEL CARMEN QUEIRO FORMER KEY EMPLOYEE 0 366347 0 37820 0 11267 0 63130 0 20859 0 499423 0 0 ASSAD SIDDIQI SVP/TREASURER 371294 0 40000 0 350 0 48466 0 10742 0 470852 0 0 0 KARA GREER SVP CHIEF TALENT OFFICER 367192 0 37600 0 576 0 57256 0 2758 0 465382 0 0 0 JASON HALL TRUSTEE 0 404583 0 55938 0 4504 0 0 0 343 0 465368 0 0 ZACHARY REDMOND ESQ SECRETARY 305704 0 29520 0 49301 0 45989 0 28865 0 459379 0 39423 0 ROSS THOMPSON VP CLINICAL OPERATIONS 307811 0 46350 0 44694 0 41681 0 173 0 440709 0 44001 0 MARCY CASS VP RISK MANAGEMENT 227091 0 45600 0 134157 0 7511 0 5466 0 419825 0 0 0 MICHAEL APKON FORMER TRUSTEE/PRESIDENT/CEO 0 0 0 0 251139 0 0 0 0 0 251139 0 0 0 LAUREN RIPLEY ESQ ASSISTANT SECRETARY 0 173871 0 15759 0 135 0 5568 0 7035 0 202368 0 0 JACK MCDONALD ASSOCIATE EXECUTIVE DIRECT 177685 0 0 0 0 0 0 0 11605 0 189290 0 0 0 WILLIAM SHICKOLOVICH FORMER KEY EMPLOYEE 0 0 0 0 0 124308 0 0 0 0 0 124308 0 0 HELEN BOUCHER MD TRUSTEE 0 0 0 0 0 0 0 0 0 0 0 0 PART I, LINES 4A-B LINE 4A: JEFFREY WEINSTEIN RECEIVED $32,385 IN SEVERANCE PAY DURING CALENDAR YEAR 2022. WILLIAM SHICKOLOVICH RECEIVED $124,308 IN SEVERANCE PAY DURING CALENDAR YEAR 2022. MICHAEL APKON RECEIVED $251,139 IN SEVERANCE PAY DURING CALENDAR YEAR 2022. KRISTINE HANSCOM RECEIVED $65,775 IN SEVERANCE PAY DURING CALENDAR YEAR 2022. MARCY CASS RECEIVED $70,154 IN SEVERANCE PAY DURING CALENDAR YEAR 2022. PART 1, LINE 4B: SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: DIANA RICHARDSON: $77,700 KRISTINE HANSCOM: $67,684 KARA GREER: $48,114 THERESE HUDSON-JINKS: $55,230 SARAH MCKAY: $33,430 ZACHARY REDMOND: $36,977 MICHAEL DANDORPH: $252,000 NIOBIS QUEIRO: $50,865 MICHAEL TARNOFF: $158,411 ROSS THOMPSON: $32,213 ASSAD SIDDIQI: $41,519 990, PART VII, SECTION A. LINE 5 HELEN BOUCHER, M.D. RECEIVED COMPENSATION FROM TUFTS UNIVERSITY, AN UNRELATED ORGANIZATION, FOR SERVICES RENDERED TO TUFTS MEDICINE, INC. A MASSACHUSETTS DEVELOPMENT FINANCE AUTHORITY 043431814 57584YPN3 2019-02-20 230260000 SEE SUPPLEMENTAL INFORMATION 0 0 1 B MASSACHUSETTS DEVELOPMENT FINANCE AUTHORITY 043431814 000000000 2020-07-16 53992966 SEE SUPPLEMENTAL INFORMATION 0 0 1 A 21571702 247886139 67436296 159332179 21117664 1 0 1 1 B 3235201 59998457 1673153 58325304 2022 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 PART I, LINE A, COLUMN F DESCRIPTION OF BOND PURPOSE: A. THE ISSUANCE OF BONDS AND THE LOAN OF THE PROCEEDS THEREOF IS TO (1) REFINANCE CERTAIN OUTSTANDING INDEBTEDNESS OF OR ISSUED FOR THE BENEFIT OF THE INSTITUTION, AS FUTHER IDENTIFIED BELOW, (2) FINANCE CONSTRUCTION, RENOVATION AND IMPROVEMENTS AT AND ACQUISTIONS AND EQUIPMENT FOR THE ACUTE CARE HOSPITAL AND RELATED FACILITIES OWNED AND/OR OPERATED BY TUFTS MEDICAL CENTER, (3) FUND A DEBT SERVICE RESERVE FUND, AND (4) PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS. FURTHER IDENTIFICATION OF BOND PURPOSE - REFINANCINGS: SERIES A BONDS WERE ISSUED FOR THE TUFTS MEDICINE, INC., WHICH INCLUDES TUFTS MEDICAL CENTER, INC., THE LOWELL GENERAL HOSPITAL, AND MELROSEWAKEFIELD HEALTHCARE. SERIES C BONDS WERE ISSUED FOR THE TUFTS MEDICINE, INC., WHICH INCLUDES TUFTS MEDICAL CENTER, INC., THE LOWELL GENERAL HOSPITAL, AND MELROSEWAKEFIELD HEALTHCARE. PART II, LINE 7 THE AMOUNTS REPORTED AS TOTAL PROCEEDS EXCEED THE RESPECTIVE ISSUE PRICE DUE TO BOND PREMIUM. X 6 81369 FMV 0 0 1 0 PART I, COLUMN (B): THE NUMBER REPORTED IN COLUMN (B) OF SCHEDULE M REPRESENTS THE NUMBER OF CONTRIBUTIONS OF EACH ITEM. FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: WE STRIVE TO HEAL, TO COMFORT, TO TEACH, TO LEARN, AND TO SEEK THE KNOWLEDGE TO PROMOTE HEALTH AND PREVENT DISEASE. OUR PATIENTS AND THEIR FAMILIES ARE AT THE CENTER OF EVERYTHING WE DO. WE DEDICATE OURSELVES TO FURTHERING OUR RICH TRADITION OF HEALTH CARE INNOVATION, LEADERSHIP, CHARITY AND THE HIGHEST STANDARD OF CARE TO ALL IN OUR COMMUNITY. TO PROVIDE LONG-TERM CARE FOR CHILDREN WHO ARE SEVERELY MENTALLY HANDICAPPED AND/OR MULTIPLY PHYSICALLY HANDICAPPED. RENTAL SERVICE PROGRAMS TO PROMOTE THE INTEREST OF TUFTS MEDICAL CENTER, INC. AND ITS AFFILIATED ORGANIZATIONS BY ACQUIRING, MANAGING, MAINTAINING, DEVELOPING, LEASING AND DISPOSING OF REAL ESTATE PROPERTIES. FORM 990, PART III, LINE 3 THE ORGANIZATION SOLD THE OUTREACH PORTION OF ITS OUTPATIENT LAB BUSINESS IN SEPTEMBER 2023. FORM 990, PART VI, SECTION B, LINE 11B THE CFO AND CONTROLLER REVIEW THE FORM 990 WITH TAX ADVISORS FROM A NATIONAL ACCOUNTING FIRM. A COPY OF THE FORM 990 AS IT WILL BE ULTIMATELY FILED IS POSTED TO AN INTERNAL WEBSITE. PRIOR TO FILING, THE ORGANIZATION EMAILS ALL OF ITS GOVERNING BODY MEMBERS A LINK TO A PASSWORD PROTECTED WEBSITE, ADVISING THEM THAT THE FORM 990 IS AVAILABLE FOR REVIEW ON THAT SITE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ENFORCES COMPLIANCE BY PROCEDURES INCLUDING ANNUAL DISCLOSURE AND REVIEW OF SUCH DISCLOSURE BY MANAGEMENT. CONFLICTS ARE RESOLVED BY THE APPROPRIATE HEAD OF THE DEPARTMENT AND REVIEWED BY LEGAL. THE JOINT COMPLIANCE COMMITTEE WILL DISCUSS ANY APPEAL. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMPENSATION COMMITTEE OF THE TUFTS MEDICINE, INC. BOARD MEETS ANNUALLY TO REVIEW EXECUTIVE COMPENSATION. SULLIVAN AND COTTER, AN INDEPENDENT CONSULTANT TO THE BOARD, PROVIDED A COMPETITIVENESS ASSESSMENT BASED ON COMPARATOR INFORMATION INCLUDING NATIONAL, NORTHEAST AND BOSTON AREA DATA. TOTAL COMPENSATION FOR THE EXECUTIVE GROUP, INCLUDING THE PRESIDENT/CEO , COO AND VICE PRESIDENTS, WAS DETERMINED TO BE CONSERVATIVE AND WELL WITHIN MARKET AVERAGES, THE PROCESS HAS NOT CHANGED SINCE THEN. THE LAST MEETING WAS HELD JUNE 8, 2022. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST EITHER BY MAIL OR IN PERSON AT THE OFFICE, DEPENDING ON THE FORM OF THE REQUEST. FORM 990, PART VI, SECTION B., LINE 16A: TUFTS MEDICAL CENTER, INC. OWNS A 65% INTEREST IN SHIELDS-TUFTS MEDICAL CENTER IMAGING MANAGEMENT, LLC. FORM 990, PART VI, SECTION B., LINE 16B: THE ORGANIZATION ROUTINELY CONSULTS WITH INTERNAL AND OUTSIDE COUNSEL PRIOR TO ENTERING INTO JOINT VENTURE ARRANGEMENTS. THE ORGANIZATION IS CURRENTLY CONSIDERING IMPLEMENTATION OF WRITTEN POLICIES AND PROCEDURES TO EVALUATE PARTICIPATION OF JOINT VENTURE ARRANGEMENTS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS 127,157,000. PENSION-RELATED ADJUSTMENTS 14,261,000. OTHER COMPONENTS OF NET PERIODIC PENSION COSTS -2,243,000. NET ASSETS RELEASED FROM RESTRICTION 6,612,000. OTHER ADJUSTMENTS 3,164,036. MELROSEWAKEFIELD HEALTHCARE INC 170 GOVERNORS AVE MEDFORD MA 02155 042767880 HOSPITAL MA 501(C)(3) LINE 3 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 HALLMARK HEALTH MEDICAL ASSOCIATES INC 170 GOVERNORS AVE MEDFORD MA 02155 043140938 MD OFFICES MA 501(C)(3) LINE 10 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 LM LONG TERM CARE SERVICES INC 170 GOVERNORS AVE MEDFORD MA 02155 042938772 LONG-TERM CARE MA 501(C)(3) LINE 12B, II MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 SAVIN LONG TERM CARE CORPORATION 170 GOVERNORS AVE MEDFORD MA 02155 043012616 LONG-TERM CARE MA 501(C)(3) LINE 10 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 HALLMARK HEALTH PROPERTIES 170 GOVERNORS AVE MEDFORD MA 02155 222580542 PROPERTY MA 501(C)(3) LINE 12B, II MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 170 GOVERNORS AVE MEDFORD MA 02155 042103587 PARENT MA 501(C)(3) LINE 12A, I TUFTS MEDICINE INC 1 THE LOWELL GENERAL HOSPITAL 295 VARNUM AVENUE LOWELL MA 01854 042103590 HEALTH CARE MA 501(C)(3) LINE 3 CIRCLE HEALTH INC 1 CIRCLE HEALTH PHYSICIANS INC 295 VARNUM AVENUE LOWELL MA 01854 273902914 MEDICAL SERVICES MA 501(C)(3) LINE 10 CIRCLE HEALTH INC 1 LGH PHYSICIAN ASSOCIATES INC 295 VARNUM AVENUE LOWELL MA 01854 043190747 MEDICAL SERVICES MA 501(C)(3) PF CIRCLE HEALTH PHYSICIANS INC 1 CIRCLE HEALTH INC 295 VARNUM AVENUE LOWELL MA 01854 222579798 PARENT/SUPPORTING ORGANIZATION MA 501(C)(3) LINE 12B, II TUFTS MEDICINE INC 1 TUFTS MEDICINE INC 1600 DISTRICT AVE SUITE 125 BURLINGTON MA 01803 452250732 PARENT/SUPPORTING ORGANIZATION MA 501(C)(3) LINE 12A, I N/A 0 TUFTS MEDICINE INTEGRATED NETWORK INC 800 DISTRICT AVENUE BURLINGTON MA 01803 871600172 HEALTH CARE MA 501(C)(3) LINE 10 TUFTS MEDICINE INC 1 CNS NURSING HOME CARE INC 360 MERRIMACK STREET BUILDING 9 LAWRENCE MA 01843 371836433 HOME CARE SERVICES MA 501(C)(3) LINE 10 CIRCLE HOME INC 1 TUFTS MEDICAL CENTER PARENT INC 800 WASHINGTON STREET BOSTON MA 02111 042810022 FUNDRAISING, ADMIN. 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