MOUNT AUBURN HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT AUBURN HOSPITAL (EIN 04-2103606)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-14
- IRS object ID
- 201412269349301046
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-14T09:33:36-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TWO JERICHO PLAZA | AddressLine1 |
| City | JERICHO | City |
| State | NY | State |
| ZIP Code | 11753 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042103606 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT AUBURN HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MOUN | NameControl |
| Phone | 6174995021 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 MOUNT AUBURN STREET | AddressLine1 |
| City | CAMBRIDGE | City |
| State | MA | State |
| ZIP Code | 02138 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WILLIAM SULLIVAN | Name |
| Title | CFO | Title |
| Phone | 6174995021 | Phone |
| Date Signed | 2014-08-08 | DateSigned |
| Authorize Third Party | 0 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHRISTINE KAWECKI | Name |
| PTIN | P00743140 | PTIN |
| Phone | 5169187000 | Phone |
| Date Prepared | 2014-08-06 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JEANETTE CLOUGH | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 MOUNT AUBURN STREET | AddressLine1 |
| City | CAMBRIDGE | City |
| State | MA | State |
| ZIP Code | 02138 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 314011101 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MOUNTAUBURNHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1871 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 27 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 22 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2497 | TotalNbrEmployees |
| Total Nbr Volunteers | 311 | TotalNbrVolunteers |
| Total Gross UBI | 3579060 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -89556 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2990470 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3152864 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 304399715 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 293462121 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3700419 | InvestmentIncomePriorYear |
| Investment Income Current Year | 7177419 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 8589656 | OtherRevenuePriorYear |
| Other Revenue Current Year | 8905955 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 319680260 | TotalRevenuePriorYear |
| Total Revenue Current Year | 312698359 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 669034 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 941500 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 167329694 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 171076194 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 1193234 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 127249985 | OtherExpensePriorYear |
| Other Expenses Current Year | 120109873 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 295248713 | TotalExpensesPriorYear |
| Total Expenses Current Year | 292127567 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 24431547 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 20570792 | RevenuesLessExpensesCY |
| Total Assets BOY | 393146629 | TotalAssetsBOY |
| Total Assets EOY | 412893267 | TotalAssetsEOY |
| Total Liabilities BOY | 163566610 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 166413699 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 229580019 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 246479568 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 94819282 | Expense |
| Grants | 941500 | Grants |
| Revenue | 104835494 | Revenue |
| Description | SEE SCHEDULE O. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 22145843 | Expense |
| Revenue | 30901336 | Revenue |
| Description | SEE SCHEDULE O. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 23070582 | Expense |
| Revenue | 24605945 | Revenue |
| Description | SEE SCHEDULE O. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 113626385 | Expense |
| Revenue | 133119346 | Revenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 113626385 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 133119346 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 253662092 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 1 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 1 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 206 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2497 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 27 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 22 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | NH | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | RI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM SULLIVAN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6174995021 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 MOUNT AUBURN STREET | AddressLine1 |
| City | CAMBRIDGE | City |
| State | MA | State |
| ZIP Code | 02138 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (42 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| BARRON KENNETH S | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| CALANO DANIEL V | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| CANEPA JOHN J | ||||||||||
| TRUSTEE, VICE CHAIRMAN | 2.00 | X | 0 | 0 | 0 | |||||
| CLOUGH JEANETTE G | ||||||||||
| TRUSTEE, PRESIDENT & CEO | 50.00 | X | 875202 | 154447 | 885179 | 10.00 | X | |||
| GORDON LISA | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| HATEM MD CHARLES J | ||||||||||
| TRUSTEE, PROG DIR MED RESIDENCY | 60.00 | X | 326540 | 500 | 49307 | |||||
| HOGAN IV WILLIAM M | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| KANEB CHRISTOPHER | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| KETTYLE MD WILLIAM | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| KIM KIJA | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| LUCCHINO DAVID L | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | 1.00 | ||||
| MAMBRINO MD LAWRENCE | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| MASSARO GEORGE | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| PALANDJIAN LEON | ||||||||||
| TRUSTEE, TREASURER | 2.00 | X | 0 | 0 | 0 | |||||
| RAFFERTY JAMES J | ||||||||||
| TRUSTEE, CLERK | 2.00 | X | 0 | 0 | 0 | |||||
| REARDON GERALD | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| ROLLER JOSEPH | ||||||||||
| TRUSTEE, VICE CHAIRMAN | 2.00 | X | 0 | 0 | 0 | |||||
| SAAL MD A KIM | ||||||||||
| TTEE, CARDIOLOGY CHIEF | 10.00 | X | 68125 | 0 | 0 | 1.00 | ||||
| SHACHOY CHRISTOPHER | ||||||||||
| TRUSTEE, PRESIDENT BOARD OF OVERSEERS | 2.00 | X | 0 | 0 | 0 | |||||
| SHAPIRO MD DEBORAH | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| SHORTSLEEVE MD MICHAEL | ||||||||||
| TRUSTEE, CHAIR DPT OF RADIOLOGY | 5.00 | X | 23296 | 0 | 0 | |||||
| SIMONS THOMAS | ||||||||||
| TRUSTEE & CHAIRMAN | 5.00 | X | 0 | 0 | 0 | 1.00 | ||||
| SMERLAS DONNA | ||||||||||
| TRUSTEE & PRES, AUXILL | 2.00 | X | 0 | 0 | 0 | |||||
| STEVENSON HOWARD H | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | 2.00 | ||||
| SWANN ERIC | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| WAGNER III HERBERT | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| WILSON WILLIAM | ||||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||||
| DIIESO NICHOLAS | ||||||||||
| COO, MAH | 60.00 | 465792 | 0 | 389154 | X | |||||
| SULLIVAN WILLIAM | ||||||||||
| VP FINANCE & CFO | 50.00 | 237944 | 41990 | 107028 | 10.00 | X | ||||
| HUANG MD EDWIN | ||||||||||
| CHAIR, DEPT OF OB/GYN | 36.00 | 231620 | 154412 | 56184 | 24.00 | X | ||||
| ABOOKIRE MD SUSAN | ||||||||||
| MD, CHAIR QUALITY & SAFETY | 60.00 | 348812 | 0 | 99224 | X | |||||
| BAKER DEBORAH | ||||||||||
| VP, PATIENT CARE SERVICES | 60.00 | 282237 | 0 | 84574 | X | |||||
| BRIDGEMAN JOHN | ||||||||||
| VP, CLINICAL SERVICES | 60.00 | 234916 | 0 | 70817 | X | |||||
| BURKE KATHRYN | ||||||||||
| VP, CONTRACTING/BUSINESS DEV | 60.00 | 327414 | 0 | 103031 | X | |||||
| O'CONNELL MICHAEL L | ||||||||||
| VP, PLANNING & MARKETING | 60.00 | 274401 | 0 | 92250 | X | |||||
| CUTLER MD ANDREW | ||||||||||
| MD, INTERNAL MEDICINE | 3.00 | 20359 | 386801 | 42024 | 57.00 | X | ||||
| MOYER MD PATRICIA | ||||||||||
| MD, INTERNAL MEDICINE | 17.00 | 85907 | 220904 | 159252 | 43.00 | X | ||||
| ROSENBLATT MD PETER | ||||||||||
| DIR, UROGYN & RECON SURG | 6.00 | 54900 | 494099 | 42627 | 54.00 | X | ||||
| SETNIK MD GARY S | ||||||||||
| CHAIR, EMERG MED | 36.00 | 232446 | 154965 | 70088 | 24.00 | X | ||||
| SCHIFFMAN ROBERT | ||||||||||
| CHIEF, PULMON MED | 6.00 | 40590 | 365313 | 32212 | 54.00 | X | ||||
| ZINNER MD STEPHEN | ||||||||||
| FORMER TRUSTEE | 50.00 | 372957 | 65816 | 28502 | 10.00 | X | ||||
| NAUTA MD RUSSELL J | ||||||||||
| FORMER TRUSTEE | 48.00 | 284566 | 71142 | 123457 | 12.00 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4788024 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2110389 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2434910 | TotalOtherCompensation |
| Number Individuals GT100 K | 333 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WALSH BROTHERS INC | |||||
| 210 COMMERCIAL ST | BOSTON | MA | 02109 | CONTRACTOR | 6399460 |
| CARE GROUP INC | |||||
| 109 BROOKLINE AVENUE | BOSTON | MA | 02215 | MGMT SERVICES | 2343871 |
| QUEST DIAGNOSTICS NICHOLS INSTITIUTE | |||||
| 12436 CLCTNS CNTRE DRIVE | CHICAGO | IL | 606932436 | LAB TESTING | 1816502 |
| ANGELICA TEXTILE SERVICES | |||||
| PO BOX 823283 | PHILADELPHIA | PA | 191823283 | LAUNDRY SERVICE | 1302794 |
| ANESTHESIA ASSOCIATES OF MASSACHUSETTS P | |||||
| 690 CANTON STREET - SUITE 325 | WESTWOOD | MA | 02090 | MD SERVICES | 1243612 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 57 | NumberOfContractorsGT100K |
| Fundraising Events | 422562 | FundraisingEvents |
| Government Grants | 450539 | GovernmentGrants |
| All Other Contributions | 2279763 | AllOtherContributions |
| Noncash Contributions | 25440 | NoncashContributions |
| Total Contributions | 3152864 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| INPATIENT MEDICAL / SU | 900099 | 104835494 | 104835494 |
| OUTPATIENT RADIOLOGY | 900099 | 30901336 | 30901336 |
| INPATIENT OBSTECTRICS | 900099 | 24605945 | 24605945 |
| OUTPATIENT SURGERY | 621990 | 21916949 | 21916949 |
| EMERGENCY DEPARTMENT | 621990 | 17959409 | 17959409 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 93242988 | TotalRevenueColumn |
| Related Or Exempt Function Income | 93242988 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 293462121 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 104171 | TotalRevenueColumn |
| Unrelated Business Revenue | 88773 | UnrelatedBusinessRevenue |
| Exclusion | $15,398 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1683022 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 895227 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 787795 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 787795 | TotalRevenueColumn |
| Exclusion | $787,795 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7138986 | Securities |
| Other | 53192 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 118930 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7020056 | Securities |
| Other | 53192 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7073248 | TotalRevenueColumn |
| Unrelated Business Revenue | 53192 | UnrelatedBusinessRevenue |
| Exclusion | $7,020,056 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 298585 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 422562 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 298585 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|
| NON PATIENT LAB REVENU | 541380 | 3345107 | 3345107 | |
| PARKING REVENUE | 812930 | 2303316 | $2,303,316 | |
| CAFE, COFFEE SHOP & VE | 722210 | 1676384 | $1,676,384 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 793353 | TotalRevenueColumn |
| Unrelated Business Revenue | 91988 | UnrelatedBusinessRevenue |
| Exclusion | $701,365 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 8118160 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 312698359 | TotalRevenueColumn |
| Related Or Exempt Function Income | 293462121 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 3579060 | UnrelatedBusinessRevenue |
| Exclusion | $12,504,314 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 937500 | Total |
| Program Services | 937500 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4000 | Total |
| Program Services | 4000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3715011 | Total |
| Program Services | 1781463 | ProgramServices |
| Management And General | 1691287 | ManagementAndGeneral |
| Fundraising | 242261 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 136595672 | Total |
| Program Services | 122868146 | ProgramServices |
| Management And General | 13419060 | ManagementAndGeneral |
| Fundraising | 308466 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6432769 | Total |
| Program Services | 5725164 | ProgramServices |
| Management And General | 643277 | ManagementAndGeneral |
| Fundraising | 64328 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14672263 | Total |
| Program Services | 13058314 | ProgramServices |
| Management And General | 1467226 | ManagementAndGeneral |
| Fundraising | 146723 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9660479 | Total |
| Program Services | 8597826 | ProgramServices |
| Management And General | 966048 | ManagementAndGeneral |
| Fundraising | 96605 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 284593 | Total |
| Management And General | 284593 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10417 | Total |
| Management And General | 10417 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66307 | Total |
| Management And General | 66307 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14750816 | Total |
| Program Services | 12171484 | ProgramServices |
| Management And General | 2470439 | ManagementAndGeneral |
| Fundraising | 108893 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 838591 | Total |
| Program Services | 59594 | ProgramServices |
| Management And General | 778997 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42991189 | Total |
| Program Services | 41578081 | ProgramServices |
| Management And General | 1348703 | ManagementAndGeneral |
| Fundraising | 64405 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7955978 | Total |
| Program Services | 6225991 | ProgramServices |
| Management And General | 1713146 | ManagementAndGeneral |
| Fundraising | 16841 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6636321 | Total |
| Program Services | 5101285 | ProgramServices |
| Management And General | 1488651 | ManagementAndGeneral |
| Fundraising | 46385 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 366474 | Total |
| Program Services | 328976 | ProgramServices |
| Management And General | 36617 | ManagementAndGeneral |
| Fundraising | 881 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1782806 | Total |
| Program Services | 1714200 | ProgramServices |
| Fundraising | 68606 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5871938 | Total |
| Program Services | 4345234 | ProgramServices |
| Management And General | 1526704 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15412358 | Total |
| Program Services | 11759648 | ProgramServices |
| Management And General | 3652710 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2476435 | Total |
| Program Services | 2313970 | ProgramServices |
| Management And General | 162465 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MISCELLANEOUS | 12247129 | 8355183 | 3863221 | 28725 |
| PATIENT SERVICES | 3575953 | 3562830 | 13123 | 0 |
| DUES, LICENSES & FEES | 2579697 | 910328 | 1669254 | 115 |
| UNCOMPENSATED CARE | 2262864 | 2262864 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7 | Total |
| Program Services | 11 | ProgramServices |
| Management And General | -4 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 292127567 | Total |
| Program Services | 253662092 | ProgramServices |
| Management And General | 37272241 | ManagementAndGeneral |
| Fundraising | 1193234 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32410029 | BOY |
| EOY | 4679307 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2675408 | BOY |
| EOY | 31942723 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 422863 | BOY |
| EOY | 273861 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32250744 | BOY |
| EOY | 35359340 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3313524 | BOY |
| EOY | 3625560 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3364580 | BOY |
| EOY | 3162704 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 414404970 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 254127075 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 161637426 | BOY |
| EOY | 160277895 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 135211287 | BOY |
| EOY | 153684913 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21860768 | BOY |
| EOY | 19886964 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 393146629 | BOY |
| EOY | 412893267 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31402059 | BOY |
| EOY | 37342708 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111018421 | BOY |
| EOY | 108474940 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21146130 | BOY |
| EOY | 20596051 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 163566610 | BOY |
| EOY | 166413699 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 219858942 | BOY |
| EOY | 236210334 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5318557 | BOY |
| EOY | 5767455 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4402520 | BOY |
| EOY | 4501779 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 229580019 | BOY |
| EOY | 246479568 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 393146629 | BOY |
| EOY | 412893267 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 20570792 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 12050699 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -15721942 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $66,307 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 66307 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | FROM TIME TO TIME, CERTAIN EXECUTIVES OF MOUNT AUBURN HOSPITAL (MAH) ENGAGE IN LOBBYING EFFORTS RELATED TO THE HOSPITAL'S ACTIVITIES. AS SUCH, A PORTION OF THEIR SALARIES HAS BEEN LISTED AS A LOBBYING EXPENSE. ADDITIONALLY, MAH PAYS DUES TO CERTAIN MEMBERSHIP ORGANIZATIONS, A PIECE OF WHICH MAY BE USED BY SUCH ORGANIZATIONS FOR LOBBYING ACTIVITIES ON BEHALF OF THIS INSTITUTION AND OTHER SIMILARLY SITUATED ORGANIZATIONS AND HAS BEEN QUANTIFIED HERE. FINALLY, BETH ISRAEL DEACONESS MEDICAL CENTER, A SISTER CORPORATION TO MAH, MAY HAVE ENGAGED IN SOME LOBBYING EFFORTS ON BEHALF OF THIS ENTITY AND OTHER AFFILIATED NETWORK ENTITIES. FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2013 MAH IS REPORTING INDIRECT LOBBYING EXPENSES THROUGH MEMBERSHIP ORGANIZATIONS AND DIRECT LOBBYING EXPENSES OF $43,120 AND $23,187 RESPECTIVELY. TOTAL COMBINED LOBBYING EXPENDITURES OF MAH WERE MINIMAL AND NOT SUBSTANTIAL BASED ON REVENUES. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9721077 | BeginningOfYearBalance |
| Contributions | 3229776 | Contributions |
| Investment Earnings Or Losses | 934739 | InvestmentEarningsOrLosses |
| Other Expenditures | 3616352 | OtherExpenditures |
| End Of Year Balance | 10269240 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9455611 | BeginningOfYearBalance |
| Contributions | 3255067 | Contributions |
| Investment Earnings Or Losses | 716757 | InvestmentEarningsOrLosses |
| Other Expenditures | 3706358 | OtherExpenditures |
| End Of Year Balance | 9721077 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9646753 | BeginningOfYearBalance |
| Contributions | 3969080 | Contributions |
| Investment Earnings Or Losses | -88866 | InvestmentEarningsOrLosses |
| Other Expenditures | 4071356 | OtherExpenditures |
| End Of Year Balance | 9455611 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10168224 | BeginningOfYearBalance |
| Contributions | 3298045 | Contributions |
| Investment Earnings Or Losses | 454217 | InvestmentEarningsOrLosses |
| Other Expenditures | 4273733 | OtherExpenditures |
| End Of Year Balance | 9646753 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 11461701 | BeginningOfYearBalance |
| Contributions | 2711304 | Contributions |
| Investment Earnings Or Losses | 349071 | InvestmentEarningsOrLosses |
| Other Expenditures | 4353852 | OtherExpenditures |
| End Of Year Balance | 10168224 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.44000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.56000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 169000 | OtherCostOrOtherBasis |
| Book Value | 169000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 205695988 | OtherCostOrOtherBasis |
| Depreciation | 81567201 | Depreciation |
| Book Value | 124128787 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4563845 | OtherCostOrOtherBasis |
| Depreciation | 2577577 | Depreciation |
| Book Value | 1986268 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 197092195 | OtherCostOrOtherBasis |
| Depreciation | 169982297 | Depreciation |
| Book Value | 27109898 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6883942 | OtherCostOrOtherBasis |
| Book Value | 6883942 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 160277895 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INVEST HELD THRU CGCIP EIN 04-3278109 | Description |
| Book Value | 153684913 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 153684913 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED POST RETIREMENT BENEFITS | $701,224 |
| DUE TO AFFILIATES | $351,457 |
| OTHER LIABILITIES | $8,773,239 |
| PROFESSIONAL LIABILITY CLAIMS RESERVE | $10,770,131 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 20596051 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 379058000 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 68875000 | OtherRevenues |
| Revenue Not Rptd F990 | 68875000 | RevenueNotRptdF990 |
| Revenue Subtotal | 310183000 | RevenueSubtotal |
| Other Revenues Not Included | 2515359 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 2515359 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 312698359 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 360367000 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 68239433 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 68239433 | ExpensesNotRptdF990 |
| Expenses Subtotal | 292127567 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 292127567 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | ENDOWMENT/SPECIAL FUND MONIES ARE HELD TO SUPPORT THE OPERATING AND CAPITAL NEEDS OF VARIOUS PATIENT CARE PROGRAM SERVICES. IN ADDITION, THE INCOME FROM THE PERMANENT ENDOWMENT IS USED TO FUND FREE CARE. ANNUALLY, THE BOARD ALSO APPROPRIATES 5% OF THE ACCUMULATED APPRECIATION ON THE PERMANENT ENDOWMENT TO FUND FREE CARE. FOR THE PERIOD ENDED SEPTEMBER 30, 2013, THESE SOURCES INCREASED FREE CARE PROVIDED TO PATIENTS BY $259,000. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE CORPORATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN FIFTY PERCENT LIKELY OF BEING REALIZED UPON SETTLEMENT. CHANGES IN RECOGNITION IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE CORPORATION DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN 2013. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CONSOLIDATED REVENUES, NET OF ELIMINATIONS 55,375,000. NET ASSETS RELEASED FROM RESTRICTIONS 2,758,000. UNREALIZED CHANGE IN VALUE OF LPS 10,742,000. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | EXPENSES ASSOCIATED WITH REAL ESTATE RENTAL -895,227. EXPENSES ASSOCIATED WITH SPECIAL EVENTS -298,585. RESTRICTED CONTRIBUTIONS AND OTHER INCOME 3,230,000. RESTRICTED INCOME/GAINS 337,000. PARTNERSHIP INCOME /ROUNDING 142,171. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES ASSOCIATED WITH REAL ESTATE RENTAL 895,227. EXPENSES ASSOCIATED WITH SPECIAL EVENTS 298,585. ROUNDING -379. CONSOLIDATED AFFILIATE NET OF ELIMINATIONS 67,046,000. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 1 | GrantRecordsMaintained |
Accts Actvs Out US Table AcctsActvsOutUSTable (6 entries)
| RegionRegion | Number Of OfficesNumberOfOffices | Number Of EmployeesNumberOfEmployees | Type Of Activities ConductedTypeOfActivitiesConducted | Specific Services ProvidedSpecificServicesProvided | Total ExpendituresTotalExpenditures |
|---|---|---|---|---|---|
| CENTRAL AMERICA & THE CARIBBEAN | 0 | 0 | PROGRAM SERVICES | JOINTLY OWNED FOREIGN INSURANCE | 632294 |
| CENTRAL AMERICA & THE CARIBBEAN | 0 | 0 | INVESTMENTS | 23158426 | |
| EAST ASIA AND THE PACIFIC | 0 | 0 | INVESTMENTS | 324102 | |
| EUROPE (INCLUDING ICELAND & GREENLAND) | 0 | 0 | INVESTMENTS | 617505 | |
| NORTH AMERICA | 0 | 0 | INVESTMENTS | 397145 | |
| SOUTH AMERICA | 0 | 0 | INVESTMENTS | 205570 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 25335042 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 25335042 | TotalAmountSpent |
| Transfer To Foreign Corp | 1 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 0 | OwnForeignCorp |
| Passive Foreign Invest Co | 1 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.: | Identifier |
| Explanation | SCHEDULE F, PART I, LINE 2: NO GRANT FUNDS GIVEN OUTSIDE THE UNITED STATES. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA | NameOfEvent1 |
| Gross Receipts Event1 | 422795 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 220554 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 202241 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 202241 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF CLASSIC | NameOfEvent2 |
| Gross Receipts Event2 | 106320 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 55618 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 50702 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 50702 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 3 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 192032 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 146390 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 45642 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 45642 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 721147 | GrossReceiptsTotal |
| Charitable Contributions Total | 422562 | CharitableContributionsTotal |
| Gross Revenue Total Events | 298585 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 298585 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 298585 | DirectExpenseSummaryEvents |
| Net Income Summary | 0 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3411837 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 978235 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2433602 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00830 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9698385 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7711217 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1987168 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00680 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2262864 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2262864 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00770 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 15373086 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8689452 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6683634 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02280 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 871992 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 871992 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00300 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10244542 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3901513 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6343029 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02170 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24338 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 24338 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11143872 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3901513 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7242359 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02480 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 26516958 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12590965 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13925993 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04760 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 11590 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 11590 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 11590 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 11590 | NetCommunityBuildingExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $4,785,770 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 85620496 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 82748248 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 2872248 | MedicareSurplusOrShortfall |
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT AUBURN HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 MOUNT AUBURN STREET | AddressLine1 |
| City | CAMBRIDGE | City |
| State | MA | State |
| ZIP Code | 02138 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT AUBURN HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (21 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 7: ELIGIBILITY FOR FREE CARE TO LOW INCOME INDIVIDUALS IS DETERMINED USING FEDERAL POVERTY GUIDELINES OF 200% FOR FULL FREE CARE AND 201%-400% FOR PARTIAL FREE CARE.ELIGIBILITY FOR DISCOUNTED CARE IS DETERMINED BY REVIEWING THE INDIVIDUAL'S EMPLOYMENT STATUS, FAMILY SIZE AND MONTHLY EXPENSES, INCLUDING MEDICAL HARDSHIP REVIEW. | ||
| PART I, LINE 7G: FINANCIAL ASSISTANCE AND MEANS TESTED GOVERNMENT PROGRAMS:AS REPORTED IN THE MAH CONSOLIDATED FINANCIAL STATEMENT AND IN THIS FORM 990 SCHEDULE H, PART I LINES 7A AND 7C. MAH'S NET COST OF FINANCIAL ASSISTANCE, INCLUDING CARE FOR EMERGENT SERVICES PROVIDED TO NON-PAYING PATIENTS AND INCLUDING PAYMENTS TO AND RECEIPTS FROM THE HEALTH SAFETY NET TRUST, AS WELL AS THE NET COST OF MEANS TESTED PROGRAMS WAS $4,696,466 IN FISCAL YEAR ENDED SEPTEMBER 30, 2013 AND HAS BEEN REPORTED ON THIS SCHEDULE H LINES 7A AND 7C. FINANCIAL ASSISTANCE AT COST WAS CALCULATED USING AN INTERNAL COST TO CHARGE RATIO CALCULATION. SEE ADDITIONAL INFORMATION BELOW IN THIS SCHEDULE H NARRATIVE. OTHER UNCOMPENSATED CHARITY CARE - MEDICAID AND MEDICAREIN ADDITION TO THE CHARITY CARE REPORTED ABOVE, MOUNT AUBURN HOSPITAL ALSO PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN OTHER PROGRAMS DESIGNED TO SUPPORT LOW INCOME FAMILIES, INCLUDING PARTICULARLY THE MEDICAID PROGRAM, WHICH IS JOINTLY FUNDED BY FEDERAL AND STATE GOVERNMENTS. THE MASSACHUSETTS HEALTH REFORM LAW PROVIDED AN INITIATIVE FOR EXPANSION OF MEDICAID COVERAGE TO GREATER POPULATIONS AND FOR ENROLLMENT OF UNINSURED PATIENTS IN OTHER INSURANCE PROGRAMS. PAYMENTS FROM MEDICAID AND OTHER PROGRAMS WHICH INSURE LOW INCOME POPULATIONS DO NOT COVER THE COST OF SERVICES PROVIDED. DURING THE FISCAL PERIOD COVERED BY THIS FILING, MOUNT AUBURN HOSPITAL RECEIVED $7,711,217 IN MEDICAID REVENUE WHICH WAS LESS THAN THE COST OF CARE PROVIDED BY MOUNT AUBURN HOSPITAL FOR SUCH SERVICES BY $1,987,168 AS REPORTED ON THIS SCHEDULE H, PART I LINE 1B.MEDICARE IS THE FEDERALLY SPONSORED HEALTH INSURANCE PROGRAM FOR ELDERLY OR DISABLED PATIENTS AND MOUNT AUBURN HOSPITAL PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM. DURING THE FISCAL PERIOD COVERED BY THIS FILING, MOUNT AUBURN HOSPITAL RECEIVED $85,620,496 IN MEDICARE REVENUE. | ||
| PART I, L7 COL(F): OTHER FINANCIAL ASSISTANCE - BAD DEBTS:AS REPORTED IN THE MOUNT AUBURN HOSPITAL AND SUBSIDIARY AUDITED FINANCIAL STATEMENT FOR THE PERIOD COVERED BY THIS FILING, IN ADDITION TO CHARITY CARE AND SHORTFALLS IN PROVIDING SERVICES TO PATIENTS INSURED UNDER STATE AND FEDERAL PROGRAMS, MAH ALSO INCURS LOSSES RELATED TO SELF-PAY PATIENTS WHO FAIL TO MAKE PAYMENTS FOR SERVICES OR INSURED PATIENTS WHO FAIL TO PAY COINSURANCE OR DEDUCTIBLES FOR WHICH THEY ARE RESPONSIBLE UNDER INSURANCE CONTRACTS. BAD DEBT EXPENSE IS INCLUDED IN UNCOMPENSATED CARE EXPENSE IN THE CONSOLIDATED FINANCIAL STATEMENTS, AND INCLUDES THE PROVISION FOR ACCOUNTS ANTICIPATED TO BE UNCOLLECTIBLE. CHARGES FOR THOSE SERVICES WERE $4,785,770 DURING THE FISCAL PERIOD COVERED BY THIS FILING AS REPORTED IN THE FINANCIAL STATEMENTS AND IN THIS FORM 990 SCHEDULE H, PART III AS REQUIRED. | ||
| PART II: COMMUNITY HEALTH INITIATIVES IN CHNA 17 WITH THE GUIDANCE OF MAHRCHC, THE CHNA CARRIED OUT A BROAD COMMUNITY HEALTH ASSESSMENT TO IDENTIFY SHARED HEALTH PRIORITIES. THE CHNA IS FOUNDED ON THE CONCEPT THAT GOOD HEALTH REQUIRES THE BROAD AND ENGAGED PARTICIPATION OF ALL MEMBERS OF A COMMUNITY. THROUGHOUT THE ASSESSMENT PROCESS, THE CHNA MADE AN EFFORT TO THINK ABOUT HEALTH NOT ONLY AS THE PHYSICAL HEALTH OF THE PEOPLE WHO LIVE IN ITS MEMBER COMMUNITIES, BUT ALSO AS THE SPIRITUAL, SOCIAL, PHYSICAL AND EMOTIONAL WELL-BEING OF COMMUNITY MEMBERS AND OF THE COMMUNITY AS A WHOLE. IMPLICIT IN THIS APPROACH IS AN UNDERSTANDING THAT HEALTH IS NOT DETERMINED BY HEALTHCARE, BUT BY THE SOCIAL SUPPORTS, ENVIRONMENTAL OPPORTUNITIES, POLICIES AND NORMS OF THE COMMUNITY AND BY THE UNDERLYING ECONOMIC FACTORS AND WELL-BEING OF WHERE PEOPLE LIVE. THE PROCESS OF CARRYING OUT THE COMMUNITY HEALTH ASSESSMENT AND PRIORITIZING HEALTH AREAS FOR THE CHNA'S FUTURE WORK WAS CHALLENGING. A FEW OF THE MORE INTERESTING CHALLENGES RELATED TO PLANNING A BROAD YET TIMELY PROCESS AND ENGAGING COMMUNITY MEMBERS IN A MEANINGFUL WAY IN A PROCESS THAT CAN SOMETIMES BE TECHNICAL AND CUMBERSOME. IT WAS DIFFICULT TO STRIKE A BALANCE BETWEEN THE GROUP'S INTEREST IN EXPLORING A WIDE VARIETY OF SOCIAL DETERMINANTS OF HEALTH AND THE TIME CONSTRAINTS THAT MADE COLLECTING AND ANALYZING ALL OF THAT DATA IMPOSSIBLE. THIS WAS ADDRESSED IN PART BY REFINING AND REDUCING THE LIST OF INDICATORS, AND IDENTIFYING THE CRITERIA THAT THE GROUP WOULD USE TO PRIORITIZE ISSUES EARLIER IN THE PROCESS THAN INITIALLY EXPECTED. THIS ALLOWED THE GROUP TO COLLECT ONLY THE INFORMATION ABOUT EACH INDICATOR THAT WOULD ACTUALLY BE USED TO MAKE A DECISION AND NOT SPEND TIME ON INTERESTING BUT LESS USEFUL DATA. ALTHOUGH THE CHNA ENTERED THE ASSESSMENT PROCESS WITH THE INTENTION OF INCLUDING THE VOICE OF UNAFFILIATED COMMUNITY MEMBERS AND HAD SOME FUNDING AVAILABLE TO STIPEND ASSESSMENT TEAM MEMBERS WHO WOULD OTHERWISE NOT BE PAID TO PARTICIPATE, THE VAST MAJORITY OF THE ASSESSMENT TEAM MEMBERS WERE THERE REPRESENTING AN ORGANIZATION OR AN INSTITUTION. WHILE THE ASSESSMENT TEAM WAS DIVERSE AND LARGE, IT DID NOT NECESSARILY REPRESENT THE COMPLETE DEMOGRAPHICS OR DIVERSITY OF OPINIONS OF THE FULL CHNA 17 POPULATION. IN SOME WAYS THE TEAM'S EFFORTS AT SURVEYING AND INTERVIEWING A BROAD BASE OF RESIDENTS IN EACH COMMUNITY WAS A RESPONSE TO THE LACK OF THIS VOICE AT THE PLANNING TABLE. IT WAS CHALLENGING TO ENGAGE PEOPLE FROM ALL SECTORS OF ALL MEMBER COMMUNITIES. DESPITE PLANS TO SCREEN THE FILM UNNATURAL CAUSES (WWW.UNNATURALCAUSES.ORG ) AT DIFFERENT VENUES THROUGHOUT THE CHNA TOWNS, THE ASSESSMENT GROUP WAS ONLY ABLE TO SCREEN THE FILM FOUR TIMES. THE GROUP WAS ALSO NOT ABLE TO COLLECT INFORMATION FROM SOME SECTORS OF SOME COMMUNITIES. FOR EXAMPLE, IN AT LEAST ONE TOWN SCHOOLS AND ELECTED OFFICIALS WERE NOT CONTACTED, BUT OTHER SECTORS IN THE SAME COMMUNITY WERE INCLUDED. AT TIMES THIS REFLECTED A LACK OF RESPONSE WHEN THEY REACHED OUT TO BUSY PEOPLE, BUT IN OTHER CASES IT WAS BECAUSE THE TEAM DIDN'T HAVE THE TIME AND THE RESOURCES TO DISSEMINATE INFORMATION ABOUT THE ASSESSMENT AS WIDELY AND DEEPLY AS THEY WOULD HAVE LIKED. DESPITE THE CHALLENGES, THE TEAM TRIED TO BE REPRESENTATIVE OF ALL COMMUNITIES AND TO INCLUDE AS MANY VARIED VOICES AS POSSIBLE. THE SIZE OF ASSESSMENT TEAM GREW AS THE ASSESSMENT PROGRESSED. ASSESSMENT IS OFTEN THOUGHT OF AS A GRUELING OR BORING PROCESS, BUT THIS ASSESSMENT INVOLVED STAKEHOLDERS IN GENUINE WAY AND ALLOWED THE FUTURE USERS OF THE ASSESSMENT RESULTS TO GUIDE AND SHAPE THE PROCESS. IN MANY WAYS THIS WAS WONDERFUL AND IN OTHERS IT WAS CHALLENGING. ONE OF THE CHALLENGES WAS THAT PEOPLE ENTERED THE PROCESS AND JOINED THE TEAM WITH VARYING LEVELS OF EXPERIENCE AND EXPERTISE IN ASSESSMENT AND DATA ANALYSIS. THIS FORCED THE MEMBERS, FACILITATORS AND EVEN THE CONSULTANT EVALUATORS TO MAKE LANGUAGE AND PROCESSES AS ACCESSIBLE, PRACTICAL AND SIMPLE AS POSSIBLE. THIS, IN TURN, MADE THE RESULTS MORE COMPREHENSIBLE AND ALLOWED ALL MEMBERS OF THE PROCESS TO BE HEARD AND TO OWN THE DECISIONS THAT FOLLOWED FROM THE ASSESSMENT. IN TERMS OF DATA COLLECTION, THE INSTITUTE FOR COMMUNITY HEALTH RELIED HEAVILY ON MASSCHIP AND YOUTH BEHAVIOR RISK SURVEY DATA. MASSCHIP IS WONDERFULLY CONSISTENT DATA, BUT SOMETIMES IT'S OLD AND MANY TYPES OF DATA ARE NOT INCLUDED. THERE WAS ALSO INCONSISTENCY IN TERMS OF WHAT DATA EACH COMMUNITY COLLECTS AND MAKES AVAILABLE TO THE PUBLIC. SOME OF THE TOPICS THAT CHNA 17 WAS INTERESTED IN EXPLORING CAN BE DIFFICULT TO TALK ABOUT. THESE INCLUDE DOMESTIC VIOLENCE, HOMELESSNESS AND OTHERS. IT'S POSSIBLE THAT THE LACK OF DATA AND PEOPLE'S DISCOMFORT IN DISCUSSING THE ISSUES MADE THEM LESS VISIBLE IN THE CHNA 17'S ASSESSMENT THAN THEY SHOULD HAVE BEEN. IT WAS SUGGESTED THAT THE CHNA 17 SET UP FUNDING FOR THESE AND OTHER STIGMATIZED TOPICS. THE PROCESS DESIGN EVOLVED AS THE PROJECT PROGRESSED, TAKING INTO CONSIDERATION NEW FINDINGS, THE INTERESTS OF NEW MEMBERS AND IDEAS ABOUT HOW TO BETTER ENGAGE THE COMMUNITY IN THE ASSESSMENT PROCESS. THE PROCESS AS WHOLE EVOLVED AND SO DID THE ASSESSMENT TEAM'S ASSESSMENT SKILLS. AS A RESULT OF THE ASSESSMENT PROCESS CHNA 17 HAS A SHARED AND ARTICULATED DIRECTION, CHNA 17 MEMBERS ARE MORE AWARE OF THEIR COMMUNITIES' SIMILARITIES AND DIFFERENCES, THE STEERING COMMITTEE OF THE CHNA 17 HAS GROWN TO INCLUDE REPRESENTATIVES FROM COMMUNITIES THAT HAD TRADITIONALLY BEEN LESS INVOLVED IN CHNA 17, AND THE WHOLE CHNA 17 IS ACTIVELY ENGAGED IN THE PROCESS OF DECIDING HOW THE FUNDS THAT WILL BE COMING TO CHNA 17 SHOULD BE SPENT. PRIORITIZATION WITH CHNA 17 MEMBERS THE STEPS TAKEN TO PRIORITIZE THE HEALTH NEEDS FROM THE ASSESSMENT IN ORDER TO CHOOSE AREAS OF INTERVENTION FOLLOW. FIRST, THE ASSESSMENT GROUP RATED EACH OF THE 15 HEALTH ISSUES THAT ROSE TO THE TOP OF THE LIST OF CONCERNS (EITHER THROUGH THE PRELIMINARY DATA, COMMUNITY VOICED CONCERNS OR BOTH) ACCORDING TO HOW WELL THEY MET THE CRITERIA THAT THEY HAD CHOSEN FOR PRIORITY ISSUES. FOR EACH TOPIC THEY LOOKED AT THE DATA AND TALKED AS A GROUP TO DECIDE HOW TO RATE THE TOPIC ON A SCALE OF 1-5 FOR EACH OF THE CRITERIA. THE CRITERIA WERE WHETHER: - COMMUNITY MEMBERS SEE IT AS A PROBLEM, - IT AFFECTS ALL 6 CHNA 17 MEMBER COMMUNITIES, - WHETHER THE CHNA CAN MAKE MEASURABLE AND SUSTAINABLE CHANGE ON THIS IN 5 YEARS, - WHETHER THERE ARE RESOURCES RELATED TO THIS THAT THE CHNA CAN BUILD ON AND - WHETHER IT AFFECTS VULNERABLE POPULATIONS. SECOND, THE GROUP SCORED EACH OF THE HEALTH TOPIC AREAS BASED ON THE DATA COLLECTED AND ON THE ASSESSMENT TEAM MEMBERS' KNOWLEDGE OF LOCAL RESOURCES, POTENTIAL FOR CHANGE AND HEALTH DISPARITIES.THE ISSUES THAT RANKED HIGHEST WERE: 1. YOUTH SUBSTANCE ABUSE 2. YOUTH ACCESS TO SERVICES 3. YOUTH MENTAL HEALTH 4. ADULT MENTAL HEALTH 5. OBESITY AND ACTIVE LIVING 6. CRIME AND SAFETY THIRD, THESE SIX ISSUES WITH THE TOP SCORES WERE PRESENTED TO THE CHNA 17 STEERING COMMITTEE. STEERING COMMITTEE MEMBERS INCLUDE MEMBERS OF THE CAMBRIDGE DEPARTMENT OF PUBLIC HEALTH, COMMUNITY BASED ORGANIZATIONS IN CAMBRIDGE, WATERTOWN AND WALTHAM; AND MAH'S DIRECTOR OF COMMUNITY HEALTH. (DURING THE ASSESSMENT PROCESS THE STEERING COMMITTEE CONTINUED TO ACTIVELY RECRUIT MEMBERS FROM ALL THE CHNA TOWNS AND THE DIFFERENT SECTORS.) FORTH, THE STEERING COMMITTEE MADE A RECOMMENDATION THAT YOUTH ISSUES (MENTAL HEALTH, SUBSTANCE ABUSE AND ACCESS TO SERVICES) BE COMBINED. THEY DEVELOPED A FORMULA BASED ON THE SCORES TO DIVIDE THE YEARLY FUNDS THAT CHNA 17 HAS ALLOCATED FOR INTERVENTIONS BETWEEN THE ISSUES.FIFTH, THE CHNA 17 GENERAL MEMBERSHIP WAS ASKED TO SELECT ONE OF THE FOUR TOP PRIORITY AREAS AND JOIN A TEMPORARY TASK FORCE FOCUSED ON THAT ONE PRIORITY. EACH TASK FORCE WAS GIVEN THE TASK OF WORKING THROUGH A VISIONING AND PLANNING PROCESS THAT WOULD BE INCORPORATED INTO THE DEVELOPMENT OF A LOGIC MODEL FOR EACH PRIORITY AREA AND WOULD GUIDE CHNA 17 WHEN THINKING ABOUT HOW SPECIFICALLY FUNDING IN EACH CATEGORY WOULD BE ALLOCATED AND WHAT THE DESIRED HEALTH OUTCOMES FOR EACH AREA WOULD BE. SIXTH, IN ADDITION TO PLANNING INTERVENTIONS FOR THE FOUR TOP PRIORITY AREAS, THE CHNA DECIDED TO CONTINUE TO PROVIDE MINI-GRANTS WITH A BROADER FOCUS AS A WAY TO FUND WORK THAT IS IMPORTANT BUT MAY NOT HAVE BEEN IDENTIFIED AS A PRIORITY IN THE ASSESSMENT PROCESS. | ||
| PART III, LINE 4: THE PERCENTAGES CALCULATED IN PART I, LINE 7, COLUMN F WERE BASED ON EACH ITEM OF FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT AS A PERCENTAGE OF TOTAL EXPENSES REPORTED IN PART IX OF THIS FORM 990.AS REQUIRED BY THIS FORM 990, SCHEDULE H, PART III, LINE 4, BELOW ARE THE BAD DEBT AND ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTES FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS. AS PREVIOUSLY NOTED IN THIS FORM 990, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE MOUNT AUBURN HOSPITAL AND SUBSIDIARY (THE CORPORATION) CONSISTS OF MOUNT AUBURN HOSPITAL (THE HOSPITAL) AND MOUNT AUBURN PROFESSIONAL SERVICES, INC. (PROFESSIONAL SERVICES). THE HOSPITAL'S FORM 990 IS PREPARED FOR THE HOSPITAL ONLY AND AS SUCH, THE METRICS INCLUDED IN THESE FOOTNOTES WILL NOT TIE TO THE FACE OF THE MEDICAL CENTER'S FORM 990, SCHEDULE H.FINANCIAL STATEMENT FOOTNOTES:BAD DEBTSTHE HOSPITAL PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES, TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. ESSENTIALLY, THE POLICY DEFINES CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE EXCEPT TO THE EXTENT REIMBURSED BY THE STATEWIDE HEALTH SAFETY NET (HSN).THE HOSPITAL GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY AGREEMENTS. ADDITIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR BAD DEBTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR BAD DEBT IS BASED UPON MANAGEMENT S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS.PATIENT ACCOUNTS RECEIVABLE AND RELATED ALLOWANCE FOR DOUBTFUL ACCOUNTSPATIENT ACCOUNTS RECEIVABLE ARE REFLECTED NET OF AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST COLLECTION HISTORY, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN GOVERNMENTAL AND EMPLOYEE HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS FOR EACH OF ITS MAJOR CATEGORIES OF REVENUE BY PAYOR TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR CATEGORIES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THROUGHOUT THE YEAR, THE HOSPITAL, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, WILL WRITE OFF THE DIFFERENCE BETWEEN THE STANDARD RATES (OR DISCOUNTED RATES IF APPLICABLE) AND THE AMOUNTS ACTUALLY COLLECTED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN ADDITION TO THE REVIEW OF THE CATEGORIES OF REVENUE, MANAGEMENT MONITORS THE WRITE OFFS AGAINST ESTABLISHED ALLOWANCES TO DETERMINE THE APPROPRIATENESS OF THE UNDERLYING ASSUMPTIONS USED IN ESTIMATING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS AS A PERCENTAGE OF TOTAL SELF-PAY ACCOUNTS RECEIVABLE INCREASED FROM 41% AS OF SEPTEMBER 30, 2012 TO 43% AS OF SEPTEMBER 30, 2013. A SIGNIFICANT CONTRIBUTING FACTOR FOR THE INCREASE IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS AN INCREASE IN UNINSURED AND UNDERINSURED PATIENTS SERVED IN 2013 FROM THE PREVIOUS YEAR.COMMUNITY BENEFITS AND UNCOMPENSATED CARETHE COST OF UNREIMBURSED CHARITY AND OTHER UNCOMPENSATED CARE CONSISTED OF THE FOLLOWING FOR THE YEARS ENDED SEPTEMBER 30 2013 AND 2012:UNREIMBURSED CHARITY CARE $3,270 $4,370UNCOMPENSATED CARE $8,148 $7,779 $11,418 $12,149(A) UNREIMBURSED CHARITY CARETHE AMOUNT OF CHARITY CARE AT ESTABLISHED CHARGES AND THE ESTIMATED COST OF UNREIMBURSED CHARITY CARE PROVIDED ARE COMPRISED OF THE FOLLOWING COMPONENTS FOR THE YEARS ENDED SEPTEMBER 30 2013 AND 2012:CHARITY CARE - AT ESTABLISHED CHARGES $8,437 $9,900ESTIMATED COST OF CHARITY CARE $4,248 $5,006LESS REIMBURSEMENT FROM THE HSN ($978) ($636) $3,270 $4,370(B) UNCOMPENSATED CARETHE HOSPITAL ALSO PROVIDES FOR THE DELIVERY OF CHARITY CARE TO THE INDIGENT STATEWIDE THROUGH PAYMENTS TO THE HSN, WHICH IS OPERATED BY THE COMMONWEALTH OF MASSACHUSETTS. IN ADDITION, THE CORPORATION PROVIDES SERVICES, WHICH WERE NOT PAID BY PATIENTS AND, THEREFORE, ARE RECORDED AS PROVISION FOR BAD DEBTS. THE GROSS OBLIGATION TO THE HSN FOR THE DELIVERY OF CHARITY CARE TO THE INDIGENT STATEWIDE IS REPORTED AS AMOUNTING TO $2,263 AND $2,347 FOR THE YEARS ENDED SEPTEMBER 30, 2013 AND 2012 RESPECTIVELY, WHICH IS REFLECTED AS UNCOMPENSATED CARE EXPENSE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS. | ||
| PART III, LINE 8: IN ADDITION TO THE CHARITY CARE REPORTED ABOVE, THE HOSPITAL ALSO PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN OTHER PROGRAMS DESIGNED TO SUPPORT LOW INCOME FAMILIES, INCLUDING PARTICULARLY THE MEDICAID PROGRAM, WHICH IS JOINTLY FUNDED BY FEDERAL AND STATE GOVERNMENTS. THE MASSACHUSETTS HEALTH REFORM LAW PROVIDED AN INITIATIVE FOR EXPANSION OF MEDICAID COVERAGE TO GREATER POPULATIONS AND FOR ENROLLMENT OF UNINSURED PATIENTS IN OTHER INSURANCE PROGRAMS. PAYMENTS FROM MEDICAID AND OTHER PROGRAMS WHICH INSURE LOW INCOME POPULATIONS DO NOT COVER THE COST OF SERVICES PROVIDED. UNREIMBURSED MEDICAID COSTS REPORTED HERE WERE CALCULATED BY APPLYING THE COST TO CHARGE RATIO TO GROSS CHARGES AND SUBTRACTING THE MEDICAID NET REIMBURSEMENT.DURING THE FISCAL PERIOD COVERED BY THIS FILING MAH REPORTED $7,711,217 IN MEDICAID REVENUE WHICH WAS LESS THAN THE COST OF CARE PROVIDED BY THE HOSPITAL FOR SUCH SERVICES BY $1,987,168, AS REPORTED ON THIS SCHEDULE H, PART I, LINE 7B.MEDICARE IS THE FEDERALLY SPONSORED HEALTH INSURANCE PROGRAM FOR ELDERLY OR DISABLED PATIENTS AND MAH PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM. DURING THE FISCAL PERIOD COVERED BY THIS FILING, APPROXIMATELY 29% OF MAH'S PATIENT REVENUE DERIVED FROM MEDICARE PATIENTS. THIS TRANSLATED TO $85,620,496. | ||
| PART III, LINE 9B: MOUNT AUBURN HOSPITAL - CREDIT AND COLLECTION POLICY GUIDING PRINCIPLESTHE HOSPITAL ASSISTS PATIENTS IN OBTAINING FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND OTHER SOURCES WHENEVER APPROPRIATE. TO REMAIN VIABLE AS IT FULFILLS ITS MISSION, MOUNT AUBURN HOSPITAL MUST MEET ITS FIDUCIARY RESPONSIBILITY TO APPROPRIATELY BILL AND COLLECT FOR MEDICAL SERVICES PROVIDED TO PATIENTS. THE MOUNT AUBURN HOSPITAL'S CREDIT AND COLLECTION POLICY, WHICH APPLIES TO THE HOSPITAL AND ANY OTHER ENTITY WHICH IS PART OF THE HOSPITAL'S LICENSE OR TAX IDENTIFICATION NUMBER, IS DESIGNED TO COMPLY WITH BOTH THE MASSACHUSETTS HEALTH SAFETY NET REGULATIONS ON CREDIT AND COLLECTION POLICIES, THE CENTERS FOR MEDICARE AND MEDICAID SERVICES MEDICARE BAD DEBT REQUIREMENTS, THE MEDICARE PROVIDER REIMBURSEMENT MANUAL AND THE FEDERAL HEALTHCARE REFORM LAW'S "FINANCIAL ASSISTANCE POLICY" FOR WHICH THE IRS HAD PROVIDED PRELIMINARY GUIDANCE AT THE TIME THE HOSPITAL FINALIZED THIS POLICY. THE HOSPITAL CONTINUES TO MONITOR GUIDANCE FROM THE IRS AS IT IS ISSUED. MOUNT AUBURN HOSPITAL DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, CITIZENSHIP, ALIENAGE, RELIGION, CREED, SEX, SEXUAL ORIENTATION, DISABILITY, OR AGE IN ITS POLICIES OR IN ITS APPLICATION OF POLICIES CONCERNING THE ACQUISITION AND VERIFICATION OF FINANCIAL INFORMATION, PRE-ADMISSION OR PRE-TREATMENT DEPOSITS, PAYMENT PLANS, DEFERRED OR REJECTED ADMISSIONS, LOW INCOME PATIENT STATUS AS DETERMINED BY THE MASSACHUSETTS OFFICE OF MEDICAID, DETERMINATION THAT A PATIENT IS LOW-INCOME, OR IN ITS BILLING AND COLLECTION PRACTICES. | ||
| PART V, SECTION B, LINE 19D: MOUNT AUBURN HOSPITAL - EMERGENCY CARE ACCESSAS NOTED IN THIS SCHEDULE H, PART V, SECTION A AND SECTION B QUESTION 19, MOUNT AUBURN HOSPITAL IS THE FRONTLINE CAREGIVER PROVIDING MEDICALLY NECESSARY CARE FOR ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OFFERS THIS CARE FOR ALL PATIENTS THAT COME TO OUR FACILITY 24 HOURS A DAY, SEVEN DAYS A WEEK, AND 365 DAYS A YEAR. | MOUNT AUBURN HOSPITAL | |
| AS NOTED THROUGHOUT THIS FILING, MOUNT AUBURN PROFESSIONAL SERVICES IS A SUPPORT ORGANIZATION OF MOUNT AUBURN HOSPITAL. THE DETAIL BELOW IS THE NARRATIVE EXPLANATORY DETAIL FROM THE HOSPITAL'S FORM 990 SCHEDULE H AND IS DESIGNED TO HELP THE READER UNDERSTAND IN GREATER DETAIL HOW MOUNT AUBURN HOSPITAL (MAH OR HOSPITAL) CARES FOR ITS COMMUNITY BY PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS, AS WELL AS COMMUNITY BUILDING ACTIVITIES. AS SUCH, IT ALSO PROVIDES ADDITIONAL DETAIL ON THE THE ACTIVITIES IN WHICH MAPS IS ENGAGED, IN SUPPORT OF THE HOSPITAL'S MISSIONS. | FORM 990 SCHEDULE H PART VI SUPPLEMENTAL INFORMATION | |
| THE PURPOSE OF THIS FORM 990 SCHEDULE H NARRATIVE DISCLOSURE IS TO HELP THE READER UNDERSTAND IN GREATER DETAIL HOW MOUNT AUBURN HOSPITAL (MAH OR HOSPITAL) CARES FOR ITS COMMUNITY BY PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS, AS WELL AS COMMUNITY BUILDING ACTIVITIES. AS DEMONSTRATED IN THIS SCHEDULE H, 4.76% OF MAH'S TOTAL EXPENSES ARE INCURRED IN PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST.MOUNT AUBURN HOSPITAL IS AN ACUTE CARE MEDICAL/SURGICAL HOSPITAL AND A FRONTLINE CAREGIVER PROVIDING MEDICALLY NECESSARY CARE FOR ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OFFERS THIS CARE FOR ALL PATIENTS 24 HOURS A DAY, SEVEN DAYS A WEEK, AND 365 DAYS A YEAR. MAH IS ALSO A HARVARD MEDICAL SCHOOL AFFILIATED TEACHING HOSPITAL WITH GRADUATE MEDICAL EDUCATION PROGRAMS IN THE AREAS OF PRIMARY CARE AND RADIOLOGY. MAH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS SUBMITTED TO THE MASSACHUSETTS ATTORNEY GENERAL EACH YEAR. THAT FILING IS AVAILABLE FOR PUBLIC INSPECTION AT THE ATTORNEY GENERAL'S OFFICE AND ON THEIR WEBSITE AND AT MAH UPON REQUEST. DETAIL FROM THE MAH ATTORNEY GENERAL'S REPORT IS INCORPORATED WITHIN THE NARRATIVE DETAIL TO THIS SCHEDULE H. THERE ARE SOME DIFFERENCES BETWEEN THE MASSACHUSETTS ATTORNEY GENERAL DEFINITION OF FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS AND THE INTERNAL REVENUE SERVICE (IRS) DEFINITION OF FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS. AS SUCH, THERE ARE VARIANCES BETWEEN THIS SCHEDULE H DISCLOSURE AND THE REPORT MAH HAS FILED WITH THE ATTORNEY GENERAL'S OFFICE. | FORM 990 SCHEDULE H PART VI SUPPLEMENTAL INFORMATION | |
| PART VI, LINE 2: MOUNT AUBURN HOSPITAL - CREDIT AND COLLECTION POLICY - NOTICE OF AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER COVERAGE OPTIONSFINANCIAL ASSISTANCE IS INTENDED TO ASSIST LOW-INCOME PATIENTS WHO DO NOT OTHERWISE HAVE THE ABILITY TO PAY FOR THEIR HEALTH CARE SERVICES. SUCH ASSISTANCE TAKES INTO ACCOUNT EACH INDIVIDUALS ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. FOR PATIENTS THAT ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH THEM TO ASSIST WITH APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER ALL OR SOME OF THEIR UNPAID HOSPITAL BILLS.MOUNT AUBURN HOSPITAL PROVIDES THIS ASSISTANCE FOR BOTH RESIDENTS AND NON-RESIDENTS OF MASSACHUSETTS; HOWEVER, THERE MAY NOT BE COVERAGE FOR A MASSACHUSETTS HOSPITALS SERVICES THROUGH AN OUT-OF STATE PROGRAM. IN ORDER FOR THE HOSPITAL TO ASSIST UNINSURED AND UNDERINSURED PATIENTS FIND THE MOST APPROPRIATE COVERAGE OPTIONS, AS WELL AS TO DETERMINE IF THE PATIENT IS FINANCIALLY ELIGIBLE FOR ANY PAYMENT DISCOUNTS, PATIENTS MUST ACTIVELY WORK WITH THE HOSPITAL TO VERIFY THEIR FINANCIAL AND OTHER INFORMATION THAT COULD BE USED IN DETERMINING ELIGIBILITY. THE HOSPITAL PROVIDES PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE THROUGH THE COMMONWEALTH OF MASSACHUSETTS OR THROUGH THE HOSPITAL'S OWN FINANCIAL ASSISTANCE PROGRAM, WHICH MAY COVER ALL OR SOME OF THEIR UNPAID HOSPITAL BILL. FOR THOSE PATIENTS THAT REQUEST SUCH ASSISTANCE, THE HOSPITAL ASSISTS PATIENTS BY SCREENING THEM FOR ELIGIBILITY IN AN AVAILABLE PUBLIC PROGRAM AND ASSISTING THEM IN APPLYING FOR THE PROGRAM. THESE PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO: MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START AND HEALTH SAFETY NET. WHEN APPLICABLE, THE HOSPITAL MAY ALSO ASSIST PATIENTS IN APPLYING FOR COVERAGE OF SERVICES AS A MEDICAL HARDSHIP BASED ON THE PATIENT'S DOCUMENTED FAMILY INCOME, CURRENT AND PRIOR INSURANCE COVERAGE AND ALLOWABLE MEDICAL EXPENSES.IN ADDITION, IN ORDER TO HELP UNINSURED AND UNDERINSURED PATIENTS FIND AVAILABLE AND APPROPRIATE FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL PROVIDE ALL PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE INITIAL BILL THAT IS SENT TO PATIENTS WHO HAVE A FINANCIAL LIABILITY AS WELL AS IN GENERAL NOTICES THAT ARE POSTED THROUGHOUT THE HOSPITAL.THE HOSPITAL WILL TRY TO IDENTIFY AVAILABLE COVERAGE OPTIONS FOR PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED WITH THEIR CURRENT INSURANCE PROGRAM WHEN THE PATIENT IS SCHEDULING SERVICES, WHILE THE PATIENT IS IN THE HOSPITAL, UPON DISCHARGE, AND/OR FOR A REASONABLE TIME FOLLOWING DISCHARGE FROM THE HOSPITAL. THE HOSPITAL WILL DIRECT ALL PATIENTS SEEKING INFORMATION ON AVAILABLE COVERAGE OPTIONS OR FINANCIAL ASSISTANCE TO THE HOSPITALS PATIENT FINANCIAL COUNSELING OFFICE TO DETERMINE IF THEY ARE ELIGIBLE AND THEN TO SCREEN PATIENTS FOR ELIGIBILITY IN AN APPROPRIATE COVERAGE OPTION. THE HOSPITAL WILL THEN ASSIST THE PATIENT IN APPLYING FOR APPROPRIATE COVERAGE OPTIONS THAT ARE AVAILABLE TO THEM OR NOTIFY THEM OF THE AVAILABILITY OF FINANCIAL ASSISTANCE THROUGH THE HOSPITALS OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM.FOR CASES WHERE THE HOSPITAL IS USING THE VIRTUAL GATEWAY APPLICATION, THE HOSPITAL WILL ASSIST THE PATIENT IN COMPLETING THE APPLICATION FOR MASSHEALTH, COMMONWEALTH CARE, CHILDRENS MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, OR OTHER FORMS OF FINANCIAL ASSISTANCE PROGRAMS AS THEY BECOME PART OF THE VIRTUAL GATEWAY PROGRAM, WHICH IS AN INTERNET PORTAL DESIGNED BY THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES IN ORDER TO PROVIDE THE GENERAL PUBLIC, MEDICAL PROVIDERS, AND COMMUNITY-BASED ORGANIZATIONS WITH AN ONLINE APPLICATION FOR THE PROGRAMS OFFERED BY THE COMMONWEALTH. MOUNT AUBURN HOSPITAL - CREDIT AND COLLECTION POLICY ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS:AS NOTED IN THIS, SCHEDULE H, PART III, SECTION C, QUESTION 9B, MOUNT AUBURN HOSPITAL PROVIDES PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE THROUGH THE COMMONWEALTH OF MASSACHUSETTS OR THROUGH THE HOSPITALS OWN FINANCIAL ASSISTANCE PROGRAM WHICH MAY COVER ALL OR SOME OF THEIR UNPAID HOSPITAL BILL. FOR PATIENTS THAT REQUEST SUCH ASSISTANCE, THE HOSPITAL ASSISTS THEM BY SCREENING FOR ELIGIBILITY IN AN AVAILABLE PUBLIC PROGRAM AND ASSISTING THEM IN APPLYING FOR THE PROGRAM. THESE PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO: MASSHEALTH, COMMONWEALTH CARE, CHILDRENS MEDICAL SECURITY PLAN, HEALTHY START AND HEALTH SAFETY NET. WHEN APPLICABLE THE HOSPITAL MAY ALSO ASSIST PATIENTS IN APPLYING FOR COVERAGE OF SERVICES AS A MEDICAL HARDSHIP BASED ON THE PATIENTS DOCUMENTED FAMILY INCOME, CURRENT AND PRIOR INSURANCE COVERAGE AND ALLOWABLE MEDICAL EXPENSES. IT IS THE PATIENTS OBLIGATION TO PROVIDE THE HOSPITAL WITH ACCURATE AND TIMELY INFORMATION REGARDING THEIR FULL NAME, ADDRESS, TELEPHONE NUMBER, DATE OF BIRTH, SOCIAL SECURITY NUMBER (IF AVAILABLE), CURRENT HEALTH INSURANCE COVERAGE OPTIONS, INCLUDING OTHER INSURANCE OR COVERAGE OPTIONS (SUCH AS MOTOR VEHICLE POLICY OR WORKERS COMPENSATION POLICY) THAT CAN COVER THE COST OF THE CARE RECEIVED AND ANY OTHER APPLICABLE FINANCIAL RESOURCES, AND CITIZENSHIP AND RESIDENCY INFORMATION ALL TO DETERMINE IF THE PATIENT IS ELIGIBLE TO APPLY FOR CERTAIN HEALTH INSURANCE PROGRAMS. IF THERE IS NO SPECIFIC COVERAGE FOR THE SERVICES PROVIDED, THE HOSPITAL WILL USE THE INFORMATION TO DETERMINE IF THE SERVICES MAY BE COVERED BY AN APPLICABLE PROGRAM THAT WILL COVER CERTAIN SERVICES DEEMED BAD DEBT. IN ADDITION, THE HOSPITAL WILL USE THIS INFORMATION TO DISCUSS ELIGIBILITY FOR CERTAIN HEALTH INSURANCE PROGRAMS. THE SCREENING AND APPLICATION PROCESS FOR A PUBLIC HEALTH INSURANCE PROGRAM IS DONE THROUGH THE VIRTUAL GATEWAY, WHICH IS AN INTERNET PORTAL DESIGNED BY THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES IN ORDER TO PROVIDE THE GENERAL PUBLIC, MEDICAL PROVIDERS, AND COMMUNITY-BASED ORGANIZATIONS WITH AN ONLINE APPLICATION FOR THE PROGRAMS OFFERED BY THE STATE OR THROUGH A STANDARD PAPER APPLICATION THAT IS COMPLETED BY THE PATIENT AND ALSO SUBMITTED DIRECTLY TO THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES FOR PROCESSING AS THIS OFFICE SOLELY MANAGES THE APPLICATION PROCESS LISTED ABOVE, WHICH IS AVAILABLE FOR CHILDREN, ADULTS, SENIORS, VETERANS, HOMELESS, AND DISABLED INDIVIDUALS. THE HOSPITAL SPECIFICALLY ASSISTS THE PATIENT IN COMPLETING THE APPLICATION AND SECURING THE NECESSARY DOCUMENTATION REQUIRED BY THE APPLICABLE FINANCIAL ASSISTANCE PROGRAM. NECESSARY DOCUMENTATION INCLUDES PROOF OF: (1) ANNUAL HOUSEHOLD INCOME (PAYROLL STUBS, RECORD OF SOCIAL SECURITY PAYMENTS, AND A LETTER FROM THE EMPLOYER, TAX RETURNS, OR BANK STATEMENTS), (2) CITIZENSHIP AND IDENTITY, AND (3) IMMIGRATION STATUS FOR NON-CITIZENS (IF APPLICABLE), AND (4) ASSETS OF THOSE INDIVIDUALS WHO ARE ALSO ENROLLED IN THE MEDICARE PROGRAM. THE HOSPITAL WILL THEN SUBMIT THIS DOCUMENTATION TO THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES AND ASSIST THE PATIENT IN SECURING ANY ADDITIONAL DOCUMENTATION IF SUCH IS REQUESTED BY THE COMMONWEALTH AFTER COMPLETING THE APPLICATION. THE COMMONWEALTH PLACES A THREE DAY TIME LIMITATION ON SUBMITTING ALL NECESSARY DOCUMENTATION FOLLOWING THE SUBMISSION OF THE APPLICATION FOR A PROGRAM. FOLLOWING THIS THREE DAY PERIOD, THE PATIENT MUST WORK WITH THE MASSHEALTH ENROLLMENT CENTERS TO SECURE THE ADDITIONAL DOCUMENTATION NEEDED FOR ENROLLMENT IN THE APPLICABLE FINANCIAL ASSISTANCE PROGRAM.IN SPECIAL CIRCUMSTANCES, THE HOSPITAL MAY APPLY FOR THE PATIENT USING A SPECIFIC FORM DESIGNED BY THE MASSACHUSETTS DIVISION OF HEALTH CARE FINANCE AND POLICY. SPECIAL CIRCUMSTANCES INCLUDE INDIVIDUALS SEEKING FINANCIAL ASSISTANCE COVERAGE DUE TO BEING INCARCERATED, VICTIMS OF SPOUSAL ABUSE, OR APPLYING DUE TO A MEDICAL HARDSHIP.ALL VIRTUAL GATEWAY APPLICATIONS ARE REVIEWED AND PROCESSED BY THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES, WHICH USES THE FEDERAL POVERTY GUIDELINES, ASSET INFORMATION AS WELL AS NECESSARY DOCUMENTATION LISTED ABOVE AS THE BASIS FOR DETERMINING ELIGIBILITY FOR STATE SPONSORED PUBLIC ASSISTANCE PROGRAMS. | ||
| PART VI, LINE 3: MOUNT AUBURN HOSPITAL - CREDIT AND COLLECTION POLICY: STANDARD COLLECTION PRACTICESAS PREVIOUSLY NOTED IN THE NARRATIVE TO THIS FORM 990 SCHEDULE H, MOUNT AUBURN HOSPITAL ASSISTS PATIENTS IN OBTAINING FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND OTHER SOURCES WHENEVER APPROPRIATE. ADDITIONALLY, TO REMAIN VIABLE AS IT FULFILLS ITS MISSION, THE HOSPITAL MUST MEET ITS FIDUCIARY RESPONSIBILITY TO APPROPRIATELY BILL AND COLLECT FOR MEDICAL SERVICES PROVIDED TO PATIENTS. AS SUCH, THE HOSPITAL HAS A FIDUCIARY DUTY TO SEEK REIMBURSEMENT FOR SERVICES IT HAS PROVIDED FROM INDIVIDUALS WHO ARE ABLE TO PAY, FROM THIRD PARTY INSURERS WHO COVER THE COST OF CARE, AND FROM OTHER PROGRAMS OF ASSISTANCE FOR WHICH THE PATIENT IS ELIGIBLE. TO DETERMINE WHETHER A PATIENT IS ABLE TO PAY FOR THE SERVICES PROVIDED AS WELL AS TO ASSIST THE PATIENT IN FINDING ALTERNATIVE COVERAGE OPTIONS IF THEY ARE UNINSURED OR UNDERINSURED, THE HOSPITAL HAS ESTABLISHED CRITERIA RELATED TO BILLING AND COLLECTING FROM PATIENTS. THE HOSPITAL MAKES THE SAME REASONABLE EFFORT AND FOLLOWS THE SAME REASONABLE PROCESS FOR COLLECTING ON BILLS OWED BY AN UNINSURED PATIENT AS IT DOES FOR ALL OTHER PATIENTS. THE HOSPITAL WILL FIRST SHOW THAT IT HAS A CURRENT UNPAID BALANCE THAT IS RELATED TO SERVICES PROVIDED TO THE PATIENT AND NOT COVERED BY A PRIVATE INSURER OR A FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL ALSO HAS ESTABLISHED CRITERIA RELATED TO BILLING AND COLLECTING FROM PATIENTS. MOUNT AUBURN HOSPITAL - CREDIT AND COLLECTION POLICY: OUTSIDE COLLECTION AGENCIES:THE HOSPITAL CONTRACTS WITH AN OUTSIDE COLLECTION AGENCY TO ASSIST IN THE COLLECTION OF CERTAIN ACCOUNTS, INCLUDING PATIENT RESPONSIBLE AMOUNTS NOT RESOLVED AFTER ISSUANCE OF HOSPITAL BILLS OR FINAL NOTICES. HOWEVER, AS DETERMINED THROUGH THE HOSPITAL'S CREDIT AND COLLECTION POLICY, THE HOSPITAL MAY ASSIGN SUCH DEBT AS BAD DEBT OR CHARITY CARE (OTHERWISE DEEMED AS UNCOLLECTIBLE) PRIOR TO 120 DAYS IF IT IS ABLE TO DETERMINE THAT THE PATIENT WAS UNABLE TO PAY FOLLOWING THE HOSPITALS' OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM.MOUNT AUBURN HOSPITAL HAS A SPECIFIC AUTHORIZATION OR CONTRACT WITH ITS OUTSIDE COLLECTION AGENCY AND REQUIRES SUCH AGENCY TO ABIDE BY THE HOSPITAL'S CREDIT AND COLLECTION POLICIES FOR DEBTS THAT THE AGENCY IS PURSUING. IN ADDITION, THE HOSPITAL REQUIRES THAT ANY OUTSIDE COLLECTION AGENCY THAT IT USES MUST BE LICENSED BY THE COMMONWEALTH OF MASSACHUSETTS AND BE IN COMPLIANCE WITH THE MASSACHUSETTS ATTORNEY GENERAL'S DEBT COLLECTION REGULATIONS. FINALLY, ANY OUTSIDE COLLECTION AGENCY HIRED BY THE HOSPITAL WILL PROVIDE THE PATIENT WITH AN OPPORTUNITY TO FILE A GRIEVANCE AND WILL FORWARD TO THE HOSPITAL THE RESULTS OF ANY SUCH PATIENT GRIEVANCE.MOUNT AUBURN HOSPITAL - CREDIT AND COLLECTION POLICY: EXEMPTION FROM HOSPITAL COLLECTION PRACTICESMOUNT AUBURN HOSPITAL EXEMPTS PATIENTS ENROLLED IN A PUBLIC HEALTH INSURANCE PROGRAM, INCLUDING BUT NOT LIMITED TO, MASSHEALTH, EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN, HEALTHY START, CHILDREN'S MEDICAL SECURITY PLAN AND LOW INCOME PATIENTS AS DETERMINED BY THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES, SUBJECT TO SOME EXCEPTIONS, FROM ANY COLLECTION OR BILLING PROCEDURES BEYOND THE INITIAL BILL PURSUANT TO STATE REGULATIONS.CREDIT AND COLLECTION POLICY - DISCOUNT FOR UNINSURED PATIENTSIN ADDITION TO THE FINANCIAL ASSISTANCE INFORMATION PROVIDED ABOVE, THE MEDICAL CENTER GIVES A SELF-PAY DISCOUNT TO PATIENTS WHO ARE UNINSURED.BILLING AND COLLECTIONS BEFORE REASONABLE EFFORTSNEITHER THE HOSPITAL NOR ANY AUTHORIZED THIRD PARTY TOOK ANY OF THE ACTIONS LISTED IN FORM 990, SCHEDULE H, PART V, SECTION B, QUESTION 17 OR 18.FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - COMMUNITY HEALTH IMPROVEMENT SERVICES AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPSCOMMUNITY BENEFITS MISSION STATEMENTMOUNT AUBURN HOSPITAL IS COMMITTED TO IMPROVING THE HEALTH STATUS OF COMMUNITY MEMBERS BY COLLABORATING WITH COMMUNITY PARTNERS TO REDUCE BARRIERS TO HEALTH AND EDUCATE ABOUT PREVENTION, EARLY DETECTION AND SELF-CARE.DURING THE FISCAL YEAR COVERED BY THIS FILING, MAH HAD NET EXPENDITURES OF $871,992 AND $3,000 REPORTED ON THIS SCHEDULE H, PART I LINES 7E AND 7I AND RELATED TO THESE ACTIVITIES. COMMUNITY HEALTH IMPROVEMENT SERVICESMOUNT AUBURN HOSPITAL IS ACTIVELY ENGAGED IN COMMUNITY HEALTH IMPROVEMENT ACTIVITIES WHICH PROMOTE THE HEALTH OF OUR COMMUNITY. BELOW ARE SOME EXAMPLES OF THESE ACTIVITIES. ADDITIONAL INFORMATION IN INCLUDED LATER IN THIS SCHEDULE H NARRATIVE.KEY COMMUNITY BENEFIT ACCOMPLISHMENTS DURING THE REPORTING PERIODMOUNT AUBURN HOSPITAL HAS DEVELOPED THE LISTEN AND LEARN COMMUNITY HEALTH MODEL OF COMMUNITY ENGAGED COLLABORATIONS THAT AIM TO ADDRESS HEALTH DISPARITIES OF THE HOSPITAL'S MOST VULNERABLE COMMUNITY MEMBERS, BY BRIDGING THE GAP BETWEEN COMMUNITY MEMBERS AND CLINICIANS. IN EACH LISTEN AND LEARN PROGRAM, COMMUNITY MEMBERS AFFECTED BY A HEALTH DISPARITY SHARE THEIR BELIEFS AND PERCEPTIONS AND PARTICIPATE IN A PLANNING PROCESS. IN FY13 THERE WERE 3 LISTEN AND LEARN PROGRAMS: - TYPE 2 DIABETES: THIS PROGRAM AIMS TO BETTER UNDERSTAND BARRIERS TO TYPE 2 DIABETES PREVENTION AMONG UNDERSERVED COMMUNITY MEMBERS.- STROKE: THIS PROGRAM AIMS TO BETTER UNDERSTAND BARRIERS TO EMERGENT CARE FOR ELDERS AT RISK FOR STROKE. - BREAST HEALTH: TO IDENTIFY AND UNDERSTAND CULTURAL BARRIERS TO BREAST CANCER SCREENING, CREATE AND SUPPORT A LEARNING COMMUNITY COMPRISED OF IMMIGRANT WOMEN AND ONCOLOGY NURSES, COMMUNITY HEALTH CARE WORKERS, AND SOCIAL WORKERS TO LEARN TOGETHER ABOUT BELIEFS AND BARRIERS TO BREAST CANCER SCREENING AMONG IMMIGRANTS.MAH ADDRESSED ELDER HEALTH WITHIN THE FOLLOWING PROGRAMS: 1) MEDICAL HOUSE CALLS, 2) COMMUNITY BASED BLOOD PRESSURE SCREENINGS, 3) MATTER OF BALANCE FALL PREVENTION, 4) LISTEN AND LEARN STROKE WITH UNDERSERVED ELDERS AT THE CAMBRIDGE SALVATION ARMY 5) MY LIFE MY HEALTH CHRONIC DISEASE SELF MANAGEMENT PROGRAM AND 6) INFORMAL CAREGIVER NEEDS ASSESSMENT.MOUNT AUBURN HOSPITAL CONTINUED TO SUPPORT JOSEPH M. SMITH COMMUNITY HEALTH CENTER TO SERVE ITS CLIENTS BY PROVIDING FINANCIAL COUNSELORS, MIDWIFERY AND MEN'S UROLOGY PROGRAMS. SUBSTANCE ABUSE WAS ADDRESSED THROUGH THE WORK OF THE COMMUNITY HEALTH NETWORK AREA 17, THE REGIONAL CENTER FOR HEALTHY COMMUNITIES, AND PROJECTS WITH THE OPEN (OVERDOSE PREVENTION AND EDUCATION NETWORK). IN COLLABORATION WITH THE ARLINGTON PUBLIC SCHOOLS MAH UTILIZED PHOTOVOICE TO BUILD THE STUDENTS CAPACITY TO IMPACT LOCAL POLICY.ADDITIONAL PROGRAMS WHICH ADDRESSED THE NEEDS OF VULNERABLE POPULATIONS INCLUDED: 1) EDUCATIONAL SESSIONS TO BUILD THE CAPACITY OF HOMELESS COMMUNITY MEMBERS TO DEVELOP SELF CARE SKILLS, 2) FOOD PANTRY DRIVES, 3) SYSTEMS TO ENROLL COMMUNITY MEMBERS IN SUPPLEMENTAL NUTRITION PROGRAM ASSISTANCE (SNAP) AND 4) SYSTEMS TO PROVIDE TRANSPORTATION TO MEDICAL SERVICES.BY WORKING CLOSELY WITH MEMBERS OF COMMUNITY HEALTH NETWORK AREA 17, MAH HAS PROVIDED FUNDING FOR GRANT PROGRAMS AIMED AT IMPROVING COMMUNITY HEALTH AND WELLBEING. THERE ARE TWO MULTI-YEAR GRANT PROGRAMS. THE FIRST, FOR THREE YEARS, ADDRESSES YOUTH ACCESS TO SERVICES. THE SECOND, FOR TWO YEARS, ADDRESSES FOOD AND ACTIVITY. EACH PROGRAM REQUIRES GRANTEES TO PARTICIPATE IN COMMUNITIES OF LEARNING WHERE SUCCESSES AND CHALLENGES ARE SHARED. MENTAL HEALTH IS ADDRESS THROUGH SCHOLARSHIP FOR MENTAL HEALTH FIRST AID TRAININGS. FOCUS GROUPS HAVE BEEN DESIGNED TO GATHER MORE INFORMATION ON POSSIBLE ACTIVITIES TO ADDRESS CRIME AND SAFETY IN THESE COMMUNITIES.COMMUNITY MEMBERS RECEIVED SUPPORT THROUGH OUR MANY SUPPORT GROUPS AND RELATED PROGRAMMING.COMMUNITY HEALTH NEEDS ASSESSMENT - INTERNAL REVENUE CODE SECTION 501(R)INTERNAL REVENUE CODE SECTION 501(R), ENACTED AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, REQUIRES EACH HOSPITAL TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND TO FORMALLY ADOPT AN IMPLEMENTATION STRATEGY PURSUANT TO FEDERAL GUIDELINES, IN ORDER MAINTAIN ITS TAX EXEMPT STATUS AS A HOSPITAL UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. DURING THE PERIOD COVERED BY THIS FILING, MOUNT AUBURN HOSPITAL WORKED CLOSELY WITH COMMUNITY MEMBERS AND MEMBERS OF LOCAL PUBLIC HEALTH DEPARTMENTS TO COMPLETE A CHNA AND THE BOARD OF TRUSTEES FORMALLY ADOPTED AN IMPLEMENTATION STRATEGY BASED ON THE CHNA. | ||
| PART VI, LINE 4: CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT THE CURRENT COMMUNITY HEALTH PLAN HAS BEEN DEVELOPED IN RESPONSE TO BOTH THE MASSACHUSETTS ATTORNEY GENERAL'S AND FEDERAL GUIDELINES. A FORMAL COMMUNITY NEEDS ASSESSMENT WAS LAST CONDUCTED FROM MAY 2009-SEPTEMBER 2009 (APPENDIX 1) AND WAS SHARED BROADLY WITH COMMUNITY ORGANIZATIONS AND INDIVIDUAL MEMBERS. THIS CURRENT ASSESSMENT INCORPORATES A REVIEW OF: - POPULATION DATA - HEALTH INDICATORS - CURRENT COMMUNITY BENEFIT PROGRAMMING AT MOUNT AUBURN HOSPITAL - HEALTH SERVICES IN THE AREA - INPUT FROM COMMUNITY MEMBERS AND PUBLIC HEALTH DEPARTMENTSPERTINENT ASSESSMENT MATERIAL WAS REVIEWED WITH COMMUNITY MEMBERS INCLUDING THOSE AFFILIATED WITH PUBLIC HEALTH DEPARTMENTS, COMMUNITY BASED ORGANIZATIONS AND WITH COMMUNITY HEALTH NETWORK AREAS (CHNA) WITH A FOCUS ON THE STEERING COMMITTEES OF CHNAS 7, 15, 17, 18, AND 20 AS WELL AS THE THOSE MEMBERS WHO ARE PART OF THE CHNA17 WHICH SERVES ARLINGTON, BELMONT, CAMBRIDGE, SOMERVILLE, WALTHAM AND WATERTOWN. PRIORITIES FOR THE COMMUNITY BENEFIT PLAN WERE DEVELOPED BY REVIEWING THE CURRENT PROGRAMS AND RESOURCES, INFORMATION OBTAINED FROM THE COMMUNITY NEEDS ASSESSMENT, INPUT FROM CHNA STEERING COMMITTEES AND CHNA17 MEMBERSHIP AND CONSIDERING THE ATTORNEY GENERAL'S RECOMMENDED STATE WIDE PRIORITIES. RECOGNIZING THAT COMMUNITY BENEFIT PLANNING IS ONGOING AND WILL CHANGE WITH CONTINUED COMMUNITY INPUT THE MOUNT AUBURN HOSPITAL COMMUNITY BENEFIT PLAN WILL EVOLVE. SENIOR MANAGEMENT AND THE BOARD OF TRUSTEES ARE COMMITTED TO ASSESSING INFORMATION AND UPDATES AS NEEDED. COMMUNITIES SERVED BY MOUNT AUBURN HOSPITALMOUNT AUBURN HOSPITAL COMMUNITY BENEFITS ARE AIMED AT SERVING COMMUNITY MEMBERS WHO LIVE ARLINGTON, BELMONT, CAMBRIDGE, WALTHAM, WATERTOWN AND SOMERVILLE, COMMUNITY MEMBERS SERVED BY JOSEPH M. COMMUNITY HEALTH CENTER AND COMMUNITY HEALTH NETWORK AREAS (CHNA) 7,15, 17, 18 AND 20. THIS DECISION WAS MADE BY REVIEWING MAH PRIMARY DISCHARGE DATA, THE NEEDS OF THE COMMUNITY HEALTH NETWORK AREAS AND THE NEEDS OF THE CLOSEST FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER-JOSEPH M. SMITH COMMUNITY HEALTH CENTER (JMSCHC). TOWNS THAT REPRESENTED MORE THAN 5% OF MOUNT AUBURN HOSPITAL DISCHARGES ARE INCLUDED AN DEPICTED BELOW.COMMUNITY BENEFITS PROCESSCOMMUNITY BENEFITS LEADERSHIP/TEAMTHE DIRECTOR OF COMMUNITY HEALTH IS RESPONSIBLE FOR THE DEVELOPMENT AND IMPLEMENTATION OF MAH'S COMMUNITY BENEFITS PROGRAM. AS SUPERVISOR TO THE METROWEST REGIONAL CENTER FOR HEALTHY COMMUNITIES (RCHC) STAFF, THE DIRECTOR HAS CONTINUOUS DIALOGUES WITH THOSE WHO WORK CLOSELY WITH LOCAL COMMUNITY HEALTH NETWORK AREAS. THE DIRECTOR REPORTS TO THE VICE PRESIDENT OF MARKETING AND STRATEGIC PLANNING, WHO ENSURES THAT COMMUNITY BENEFIT PRIORITIES ARE MONITORED BY SENIOR MANAGEMENT. THE HOSPITAL CEO IS ACTIVELY INVOLVED IN INITIATING ACTIVITIES AND RELATIONSHIPS WITH COMMUNITY PARTNERS.ONLY THE COSTS THAT RELATE DIRECTLY TO THE COMMUNITY BENEFIT PORTION OF PROGRAMS ARE COUNTED AS EXPENDITURES. COMMUNITY BENEFITS TEAM MEETINGSANNUALLY THE BOARD OF TRUSTEES APPROVES THE COMMUNITY BENEFIT'S MISSION STATEMENT AND PLAN. THE VICE PRESIDENT OF MARKETING AND STRATEGIC PLANNING AND THE DIRECTOR OF COMMUNITY HEALTH MEET REGULARLY TO DISCUSS COMMUNITY BENEFIT PROGRAMMING. AMENDMENTS TO THE PLAN DURING THE YEAR ARE APPROVED BY THE VICE PRESIDENT OF MARKETING AND STRATEGIC PLANNING. A HOSPITAL-WIDE DIVERSITY COMMITTEE, AIMED AT KEEPING THE ORGANIZATION FOCUSED ON THE NEEDS OF PATIENTS AND EMPLOYEES FROM DIFFERENT CULTURAL AND LINGUISTIC BACKGROUNDS, IS CHAIRED BY THE DIRECTOR OF COMMUNITY HEALTH AND INCLUDES REPRESENTATIVES FROM MANY HOSPITAL DISCIPLINES.THE COMMUNITY BENEFITS PLAN WAS PRESENTED TO THE PATIENT AND FAMILY ADVISORY COUNCIL. COPIES OF THE COMMUNITY BENEFITS PLAN WERE SENT TO EVERYONE INVOLVED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. COMMUNITY HEALTH STAFF MEMBERS MEET MONTHLY TO REVIEW COMMUNITY PROGRAMS. COMMUNITY MEMBERS ARE INVITED TO AN OPEN COMMUNITY BENEFITS MEETING. THE METROWEST REGIONAL CENTER FOR HEALTHY COMMUNITIES, A MOUNT AUBURN HOSPITAL PROGRAM, HAS A COMMUNITY ADVISORY BOARD THAT PROVIDES SUGGESTIONS AND FEEDBACK.MAH COMMUNITY HEALTH DEPARTMENT STAFF MET WITH COMMUNITY MEMBERS INCLUDING THOSE WHO WORK IN PUBLIC HEALTH. TO REACH COMMUNITY MEMBERS IN MAH'S TARGET AREA MAH CONCENTRATED ITS EFFORTS WITH MEMBERS FROM THE LOCAL COMMUNITY HEALTH NETWORK AREAS. A COMMUNITY HEALTH NETWORK IS A LOCAL COALITION OF PUBLIC, NON-PROFIT, AND PRIVATE SECTOR ORGANIZATIONS WORKING TOGETHER TO BUILD HEALTHIER COMMUNITIES IN MASSACHUSETTS THROUGH COMMUNITY-BASED PREVENTION PLANNING AND HEALTH PROMOTION. THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH ESTABLISHED THE COMMUNITY HEALTH NETWORK AREA (CHNA) EFFORT IN 1992. TODAY THIS INITIATIVE INVOLVES ALL 351 TOWNS AND CITIES THROUGH 27 COMMUNITY HEALTH NETWORKS. (WWW.MASS.GOV) MOUNT AUBURN HOSPITAL'S REGIONAL CENTER FOR HEALTHY COMMUNITIES STAFF WORKED DIRECTLY WITH COMMUNITY HEALTH NETWORK AREAS TO HELP COMMUNITIES REALIZE THEIR VISION FOR A HEALTHIER PLACE TO LIVE. THE CENTER DID THIS BY 1) SUPPORTING AND ENCOURAGING CHNAS TO DESIGN AND IMPLEMENT INCLUSIVE COMMUNITY HEALTH PLANNING AND ASSESSMENT PROCESSES; AND 2) PROVIDING TOOLS AND TEMPLATES, TRAINING, FACILITATION, AND OPPORTUNITIES FOR SHARING AND COLLABORATION AMONG THE CHNAS. THE RCHC LEAD REGIONAL HEALTH PLANNING THROUGH ITS WORK WITH COMMUNITY HEALTH NETWORK AREAS 7, 15, 17, 18, AND 20. MAH COMMUNITY BENEFITS STAFF WORKED CLOSELY WITH THE LEADERS OF CHNA 17 TO REVIEW THE ASSESSMENT, AND PRIORITIZE THE AREAS FOR IMPLEMENTATION OF COMMUNITY HEALTH INITIATIVES WITHIN THE CHNA. MAH THEN REVIEWED THE CURRENT COMMUNITY BENEFIT PLAN WITH 1) COMMUNITY BASED ORGANIZATION PARTNERS, 2) MAH STAFF AND 3) THE MAH PATIENT AND FAMILY ADVISORY BOARD. THE RESULTS OF ALL OF THESE THOUGHTFUL PLANNING PROCESSES WERE REVIEWED WITH SENIOR MANAGEMENT AND THE BOARD OF TRUSTEES ON JULY 24TH, 2012. THE BOARD OF TRUSTEES APPROVED AN ANNUAL PROGRAM BUDGET OF OVER ONE MILLIONS DOLLARS. COMMUNITY PARTNERSMAH SUPPORTS CHNA 17'S MISSION TO HELP BUILD HEALTHIER PEOPLE AND BETTER CONNECTED COMMUNITIES ACROSS THE CHNA. MAH CURRENTLY PROVIDES 100% OF CHNA 17'S FUNDING. IN ADDITION TO THE DEDICATED COMMUNITY HEALTH INITIATIVES (DETAILED BELOW) THE CHNA HOSTS GENERAL MEETINGS, TRAININGS, AND PATHWAYS FOR CHNA MEMBERS TO COMMUNICATE WHICH INCLUDE EMAILS, NEWSLETTERS, A WEBSITE AND DEDICATED TIME AT GENERAL MEETINGS. THE CHNA CONSISTS OF OVER 60 MEMBERS. THE FOLLOWING AGENCIES ARE REPRESENTED - AIDS ACTION COMMITTEE - ARLINGTON DIVERSION - ARLINGTON YOUTH COALITION - BOSTON AREA GLEANERS - CAMBRIDGE AND SOMERVILLE EARLY INTERVENTION - CAMBRIDGE COMMUNITY CENTER - CAMBRIDGE ECONOMIC OPPORTUNITY COUNCIL - CAMBRIDGE HEALTH ALLIANCE - CAMBRIDGE PREVENTION COALITION - CAMBRIDGE PUBLIC HEALTH DEPARTMENT - CASPAR - CHILD CARE RESOURCE CENTER - COMMUNITY DAY CENTER OF WALTHAM - EAST END HOUSE - FOOD FOR FREE - GREATER WALTHAM ARC - HEALTHY WALTHAM - INSTITUTE FOR COMMUNITY HEALTH - MARGARET FULLER HOUSE - MASSACHUSETTS ALLIANCE OF PORTUGUESE SPEAKERS - MINUTE MAN SENIOR SERVICES SHINE - PAINE SENIOR SERVICES - PARENTS HELPING PARENTS - REACH - SOMERVILLE CARES ABOUT PREVENTION - SOMERVILLE COMMUNITY HEALTH AGENDA - SOMERVILLE EARLY INTERVENTION - SOMERVILLE HOMELESS COALITION - SOMERVILLE POLICE DEPARTMENT - SPRINGWELL - ST. ELIZABETH'S MEDICAL CENTER - THOM CHARLES RIVER EARLY INTERVENTION - TITLE IX RUNNING CLUB - TRANSITION HOUSE - WATERTOWN COMMUNITY FOUNDATION - WATERTOWN HEALTH DEPARTMENT - WATERTOWN YOUTH COALITION - WIC - YOUTH ON FIREMAJOR HEALTH NEEDS AND HOW PRIORITIES WERE DETERMINED TO DETERMINE PRIORITIES FOR COMMUNITY BENEFIT PROGRAMMING MAH GROUPED ASSESSMENT INFORMATION INTO THREE AREAS: - SUPPORT FOR LOCAL COMMUNITY HEALTH NETWORK AREAS - COMMUNITY HEALTH INITIATIVES IN COMMUNITY HEALTH NETWORK AREA 17 - DIRECT AND INDIRECT PROGRAMMING SUPPORTS FOR LOCAL COMMUNITY HEALTH NETWORK AREAS MAHRCHC STAFF WORKED WITH THE STEERING COMMITTEES OF THE CHNAS TO CHOOSE ACTIVITIES THAT: - HAVE BEEN RIGOROUSLY EVALUATED AND ARE SHOWN TO BE EFFECTIVE. - ARE DEVELOPED TO REDUCE 'RISK' FACTORS AND ENHANCE 'PROTECTIVE' FACTORS FOR COMMUNITY MEMBERS. - BUILD UPON THE STRENGTHS AND RESOURCES OF DIVERSE COMMUNITY MEMBERS. EACH CHNA THEN WORKED INTERNALLY TO IDENTIFY CHOOSE THE SUPPORT THEY WOULD RECEIVE FROM THE MAH REGIONAL CENTER STAFF. | ||
| PART VI, LINE 5: COMMUNITY BENEFIT GOALS AND ACTIVITIES THROUGHOUT THIS PROCESS, MAH AND ENGAGED COMMUNITY MEMBERS ALL RECOGNIZED THAT THE CAUSES OF COMMUNITY HEALTH NEEDS ARE BOTH COMPLEX AND CHALLENGING TO ARTICULATE. EQUALLY CHALLENGING IS THE TASK OF ADDRESSING THESE NEEDS IN MEANINGFUL AND IMPACTFUL WAYS. TO MEET THIS CHALLENGE MAH HAS DEVELOPED AN ARRAY OF COMMUNITY BENEFIT PROGRAMS THAT ARE AIMED AT ADDRESSING THE HEALTH NEEDS IDENTIFIED IN THE COMMUNITY NEEDS ASSESSMENT. THE INFORMATION BELOW DESCRIBES WHAT COMMUNITY HEALTH NEEDS MAH WILL ADDRESS AND WHAT MAH WILL DO TO ADDRESS THOSE NEEDS. SOME OF THESE PROGRAMS WILL BE ADDRESSED BY MAH DIRECTLY AND SOME WILL BE ADDRESSED BY MAH IN COLLABORATION WITH PARTNERS. TO FINALIZE THE COMMUNITY BENEFIT PLAN, MAH ARTICULATED PROGRAMS AND GOALS TO ADDRESS THE IDENTIFIED NEEDS. OVER THE NEXT 3 YEARS THESE PROGRAMS WILL POSITIVELY IMPACT THE HEALTH OF MAH TARGET COMMUNITIES AS WELL AS INDIVIDUAL COMMUNITY MEMBERS. AT THE COMMUNITY LEVEL WE WILL INCREASE THE HEALTH AND WELLBEING OF COMMUNITY MEMBERS BY: IMPLEMENTING EVIDENCED BASED PROGRAMS PROMOTE HEALTH POLICIES THAT SUPPORT THE HEALTHY CHOICE BEING THE EASY CHOICE SUPPORT THE STEERING COMMITTEES OF COMMUNITY HEALTH NETWORK AREAS 7, 15, 17, 18 AND 20 TO OPERATIONALIZE THEIR MISSION AND GOALS AT THE INDIVIDUAL LEVEL WE WILL INCREASE THE HEALTH AND WELLBEING OF COMMUNITY MEMBERS BY: FACILITATING CONNECTIONS TO HEALTH CARE, INSURANCE INCREASING HOPE, EMPOWERMENT AND/OR CONFIDENCE. INCREASING UNDERSTANDING OF PREVENTION AND EARLY DETECTION OF ILLNESS. INCREASING POSITIVE HEALTH BEHAVIORS. DECREASING NEGATIVE HEALTH BEHAVIORS. THROUGHOUT THIS PROCESS OF IDENTIFYING NEEDS AND DESIGNING PROJECTS AIMED AT MEETING THOSE NEEDS, MAH RECOGNIZED THAT COMMUNITY BENEFIT PLANNING IS ONGOING. THEREFORE WE WILL: MEET EMERGENT AND SPORADIC INDIVIDUAL AND ORGANIZATIONAL NEEDS THAT ARE IDENTIFIED BY COMMUNITY MEMBERS AND CLINICIANS WHEN THEY ARE CONSISTENT WITH OUR COMMUNITY BENEFIT PLAN. EACH PROGRAM IS LISTED BELOW WITH APPLICABLE PARTNER ORGANIZATIONS AND GOALS (UNLESS OTHERWISE STATED THE GOALS ARE EVALUATED ANNUALLY). THE IMPACT OF THESE PROGRAMS OVER TIME WILL LEAD TO A DECREASE MORBIDITY, HOSPITALIZATION AND MORTALITY FROM ILLNESS OVER THE NEXT 10 YEARS. COMMUNITY LEVEL PROGRAMSCHNA 17 COMMUNITY GOALS:ANNUALLY, CHNA 17 COMMUNITIES WILL DEMONSTRATE:INCREASED AWARENESS OF LARGER HEALTH TRENDSINCREASED KNOWLEDGE OF PROGRAMS, SERVICES AND INITIATIVESINCREASED SHARING OF RESOURCESINCREASED CAPACITY TO EFFECTIVELY ADMINISTER AND EVALUATE PROGRAMS ANDSERVICESINCREASED KNOWLEDGE USE AND DOCUMENTATION OF BEST PRACTICESWITHIN THEIR FUNDING CYCLE, GRANTEES FUNDED BY THE CHNA WILL DEVELOP, IMPLEMENT AND REPORT ON PROGRAMS THAT:ARE EVIDENCED-BASEDINCLUDE THE TARGET POPULATIONADDRESS THE NEEDS OF VULNERABLE POPULATIONSINCLUDE INTERCOMMUNITY AND INTERAGENCY COLLABORATIONSADDRESS THE HEALTH INDICATORS NOTED IN THE ASSESSMENTBUILD ON EXISTING COMMUNITY RESOURCESINCORPORATE CHNA 17 MEMBER INPUTINFLUENCE MUNICIPAL POLICYANNUALLY, CHNA 17 COMMUNITIES WILL SHARE:IDEAS AND PLANS FOR EVALUATION, POLICY AND PROGRAMMING.CHALLENGES AND SUCCESSES IN DEVELOPING AND IMPLEMENTING QUALITY PROGRAMS AND IMPLEMENTING POLICY CHANGES.AFTER THREE YEARS THE CHNA 17 COMMUNITIES WILL DEMONSTRATE:INCREASED NUMBER OF COLLABORATIONS AND PARTNERSHIPSINCREASED EFFICIENCY AND EFFECTIVE UTILIZATION OF RESOURCESINDIVIDUAL CHNA MEMBERS INCORPORATE INCREASED KNOWLEDGE AND UNDERSTANDING INTO THEIR ORGANIZATIONS PROGRAMS AND SERVICESINCREASED KNOWLEDGE AND CAPACITY AMONG CHNA MEMBERS AND GRANTEES ABOUT THE OPERATIONAL MANAGEMENT OF COMMUNITY BASED ORGANIZATIONS.DOCUMENTED BEST PRACTICE USED IN CHNA 17 COMMUNITIESCROSS COMMUNITY COLLABORATIONS HAVE BEEN IMPLEMENTED AND EXPANDEDUNFUNDED COMMUNITY ATTENDANCE AT COMMUNITIES OF LEARNINGAFTER FIVE YEARS ALL THE CHNA 17 COMMUNITIES WILL HAVE:ENGAGED IN ONE OR MORE HEALTH INITIATIVESIMPLEMENTED PROGRAMS, TRAININGS AND POLICY INITIATIVESWORKED ON ISSUES THAT ADDRESS VULNERABLE POPULATIONSAN INCREASINGLY REGIONAL APPROACH TO ADDRESSING HEALTH INDICATORSDEMONSTRATED INCREASED EFFECTIVENESS OF AVAILABLE ESERVICES AND PROGRAMSDEMONSTRATE AN INCREASE IN THE NUMBER OF BEST PRACTICES REPLICATED THE CHNA 17 COMMUNITIESYOUTH SERVICES IN CHNA 17 THREE YEAR GRANT PROGRAM AIMED AT INCREASING THE EFFECTIVENESS OF YOUTH SERVICES AND PROGRAMS ACROSS VIOLENCE, BULLYING, SUBSTANCE ABUSE AND MENTAL HEALTH ISSUES TO REDUCE HARMFUL BEHAVIORS IN CHNA 17.PARTNERS: CHNA 17 COMMUNITY MEMBERSGOALS:BY 2016 COMMUNITY MEMBERS WILL HAVE INCREASED ACCESS TO HIGH QUALITY, EFFECTIVE YOUTH PROGRAMMING AND SERVICE ORGANIZATIONS WILL HAVE RECEIVED BETTER SUPPORT IN REDUCING HARMFUL BEHAVIOR.BY JANUARY 2013 ALL GRANTEES WILL DEMONSTRATE:IMPLEMENTATION OF EVIDENCE-BASED YOUTH PROGRAMMING.INVOLVEMENT OF YOUTH IN PROGRAM PLANNING AND IMPLEMENTATION.YOUTH LEADERS PLAYING AN PIVOTAL ROLE IN PROGRAMMING AND PEER EDUCATION AS IN THE INDIVIDUAL PROGRAMS.BY JANUARY 2014 ALL GRANTEES DEMONSTRATE:INCREASE IN AVAILABILITY OF PROGRAMS AND SERVICES FOR YOUTH IN CHNA 17 COMMUNITIESINCREASE IN THE NUMBER OF YOUTH RECEIVING EDUCATION ON ISSUES SUCH AS VIOLENCE, SUBSTANCE ABUSE, BULLYING AND MENTAL HEALTH.BY NOVEMBER 2014 ALL GRANTEES WILL DEMONSTRATE:INCREASE IN THE NUMBER OF YOUTH SERVED.INCREASED EFFECTIVENESS OF YOUTH SERVICES AND PROGRAMS ACROSS VIOLENCE, BULLYING, SUBSTANCE ABUSE AND MENTAL HEALTH TO REDUCE HARMFUL BEHAVIORS IN CHNA 17 COMMUNITIES.FOOD AND ACTIVITY POLICY TWO YEAR GRANT CYCLE TO SUPPORT THE CREATION OR ENHANCEMENT OF FOOD AND ACTIVITY POLICY COUNCILS IN CHNA 17.PARTNERS: CHNA 17 COMMUNITY MEMBERSGOALS:BY JANUARY 2013 THREE FOOD AND ACTIVITY COUNCILS WILL HAVE RESEARCHED, ASSESSED AND IDENTIFIED RESOURCES AND AREAS OF NEED IN THEIR COMMUNITIES; AND WILL HAVE SHARED THIS INFORMATION WITH THEIR COMMUNITY. BY JANUARY 2014 THREE FOOD AND ACTIVITY COUNCILS WILL HAVE DEVELOPED POLICY RECOMMENDATIONS.BY JANUARY 2014 THREE FOOD AND ACTIVITY COUNCILS WILL HAVE BUILT SUPPORT AND DEVELOPED PARTNERSHIPS AMONG DECISION MAKERS AND COMMUNITY MEMBERS TO MOVE RECOMMENDATIONS FORWARD. BY 2016 LOCAL FOOD AND ACTIVITY POLICY COUNCILS WILL HAVE IMPLEMENTED RECOMMENDATIONS WITH MUNICIPALITIES AND SCHOOL SYSTEMS THAT RESULT IN GREATER ACCESS TO HEALTHY FOODS AND MORE OPPORTUNITIES FOR ACTIVE LIVING. MENTAL HEALTH FIRST AID TRAININGS SCHOLARSHIPS FOR COMMUNITY MENTAL HEALTH FIRST AID TRAININGS FOR COMMUNITY MEMBERS AND FIRST RESPONDERSPARTNERS: CHNA 17 COMMUNITY MEMBERSGOALS:BY JANUARY 2014 COMMUNITY MEMBERS WILL DEMONSTRATE AN INCREASED AWARENESS OF MENTAL HEALTH FIRST AID.BY JANUARY 2014 AN INCREASE IN THE: - NUMBER OF FIRST RESPONDERS WHO HAVE BEEN TRAINED IN MENTAL HEALTHFIRST AID - NUMBER OF COMMUNITY AGENCIES THAT HAVE STAFF THAT ARE TRAINED IN MENTAL HEALTH FIRST AID.BY JANUARY 2014 THERE WILL BE AT LEAST ONE NEW TRAINER CERTIFIED TO TEACH MENTAL HEALTH FIRST AID.BY JANUARY 2014 INCREASED NUMBER OF COMMUNITY MEMBERS AND FIRST RESPONDERS WHO SELF-REPORT THAT THEY HAVE: - INCREASED KNOWLEDGE ABOUT MENTAL HEALTH AND MENTAL ILLNESS - INCREASED CONFIDENCE IN THEIR ABILITY TO RESPOND APPROPRIATELYTO A MENTAL HEALTH CRISIS. - INCREASED CONFIDENCE IN THEIR ABILITY TO IDENTIFY RESOURCES FOR MENTAL HEALTH NEEDS.BY JANUARY 2014 INCREASED NUMBER OF MENTAL HEALTH FIRST AID TRAININGS TO COMMUNITY MEMBERS IN THE CHNA 17 AREA.BY JANUARY 2016 CORE COMMUNITY AGENCIES WILL SELF REPORT THAT THEY HAVEA GREATER UNDERSTANDING OF MENTAL HEALTH ISSUES AND ARE BETTER ABLE TORESPOND TO THE MENTAL HEALTH NEEDS OF THEIR COMMUNITY MEMBERS, UTILIZINGKNOWLEDGE FROM MENTAL HEALTH FIRST AID TRAINING.CRIME AND SAFETY TOWN ASSESSMENTS:COLLECT DATA TO EXPAND UPON THE COMMUNITY HEALTHASSESSMENT THAT CHNA 17 COMPLETED LAST YEAR IN ORDER TO BETTER UNDERSTAND ISSUES AND CONCERNS IN THE AREA RELATING TO CRIME AND SAFETY.PARTNERS: CHNA 17 COMMUNITY MEMBERSGOALS:BY JANUARY 2013 DEVELOP PLAN TO ENGAGE COMMUNITY LEADERS, CIVIC ORGANIZATIONS, LAW ENFORCEMENT OFFICIALS, SCHOOL PERSONNEL AND OTHERS OTHER STAKEHOLDERS TO BETTER UNDERSTAND ISSUES AND CONCERNS ABOUT CRIME AND SAFETY. BY JANUARY 2014 CONDUCT AT LEAST 4 FOCUS GROUPS AND DISSEMINATE DATA COLLECTED. | ||
| PART VI, LINE 6: REGIONAL CENTER FOR HEALTHY COMMUNITIES:AT MOUNT AUBURN HOSPITAL PROVIDES TECHNICAL ASSISTANCE, FACILITATION AND CAPACITY BUILDING TO LOCAL COMMUNITY HEALTH NETWORK AREAS.PARTNERS: COMMUNITY MEMBERS IN CHNAS 7,15,17,18 AND 20GOALS:ANNUALLY FOR CHNAS 7,15,17,18 AND 20 THE REGIONAL CENTER FOR HEALTH COMMUNITIES WILL PROVIDE TECHNICAL ASSISTANCE AND EVALUATION SUPPORT TO ACH CHNA IN ACCORDANCE WITH THE INDIVIDUAL MEMORANDUMS OF UNDERSTANDINGCONVENE AND FACILITATE AT LEAST 4 INTER-CHNA MEETINGSCONDUCT STATEWIDE WORK TO IDENTIFY INDICATORS FOR SUCCESS AND COMMON GOALS (EVALUATION FRAMEWORK) COORDINATE ALL MEETINGS FOR CHNA'S 7 AND 20TOBACCO FREE PEER LEADER DEVELOPMENT-A SOCIAL NORMS APPROACHMAH WORKS CLOSELY WITH THE ARLINGTON ENRICHMENT COLLABORATIVE (AEC), THE ARLINGTON YOUTH HEALTH AND SAFETY COALITION (AYHSC), AND ARLINGTON PUBLIC SCHOOLS TO BRING TOBACCO AWARENESS AS WELL AS EDUCATIONAL TOOLS AND MATERIALS.PARTNERS: ARLINGTON ENRICHMENT COLLABORATIVE, ARLINGTON YOUTH HEALTH AND SAFETY COALITION, ARLINGTON PUBLIC SCHOOLS.GOALS:BY JANUARY 2013 DEVELOP TOBACCO PEER LEADERSHIP PROGRAMMING MODULE FOR MIDDLE SCHOOL STUDENTS TO INCREASE POSITIVE HEALTH BEHAVIORS AND DECREASE NEGATIVE BEHAVIORS.BY JANUARY 2014 EXPAND PROGRAM TO HIGH SCHOOL TO PROMOTE HEALTH POLICIES THAT SUPPORT THE HEALTHY CHOICE IS THE EASY CHOICE.LETS MOVE-HEALTHY WALTHAM MAH SUPPORT THE HEALTHY WALTHAM COALITIONAND THE LETS MOVE CAMPAIGN IN WALTHAMPARTNERS: HEALTHY WALTHAM GOALS:MAH COMMUNITY HEALTH STAFF TO SERVE ON HEALTHY WALTHAM BOARDMAH TO SUPPORT LET'S MOVE CAMPAIGN WITH DESIGN, TRANSLATION AND PRINTING OF MATERIALS TO SUPPORT THE HEALTHY CHOICE BEING THE EASY CHOICE | ||
| MA | REPORTS FILED WITH STATES | PART VI, LINE 7 |
| DRUG FREE COMMUNITIES APPLICATION WALTHAM MAH PROVIDES ASSISTANCE AND SUPPORT TO THE WALTHAM PARTNERSHIP FOR YOUTH IN THEIR APPLICATION FOR A DRUG FREE COMMUNITIES GRANT.PARTNERS: WALTHAM PARTNERSHIP FOR YOUTH, WAYSIDE YOUTH SERVICESGOAL: SUPPORT WALTHAM IN APPLYING FOR EVIDENCED BASED DRUG FREE COMMUNITIES GRANT WHICH WILL PROMOTE THE HEALTHY CHOICE BEING THE EASY CHOICE. WATERTOWN TASK FORCE MAH SOCIAL WORKERS PARTICIPATE IN TOWN WIDE TASK FORCE AIMED AT ADDRESSING SOCIAL SERVICES ISSUES INCLUDING HOARDING. PARTNERS: WATERTOWN DEPARTMENT OF PUBLIC HEALTH GOAL: FACILITATE HEALTH POLICIES THAT SUPPORT THE HEALTHY CHOICE BEING THE EASY CHOICE FOR WATERTOWN COMMUNITY MEMBERS IN NEED OF SOCIAL SERVICES. WATERTOWN FLU CLINICS AT THE REQUEST OF THE WATERTOWN DPH, MAH NURSES WILL STAFF FLU CLINICSPARTNERS: WATERTOWN DEPARTMENT OF PUBLIC HEALTHGOAL: FACILITATE THE CONNECTION TO INFLUENZA PREVENTION BY PROVIDE NURSES TO 9 FLU CLINICS. INDIVIDUAL LEVEL PROGRAMSBRIDGE TO HEALTHCARE BRIDGE IS TARGETED TO UNINSURED/UNDERINSURED AND LIMITED ENGLISH PROFICIENCY RESIDENTS. MATERIALS AND PRESENTATIONS ARE TRANSLATED INTO OTHER LANGUAGES. HEALTH EDUCATION TOPICS ARE COORDINATED WITH ESOL PROGRAM DIRECTORS.PARTNERS: SOMERVILLE COMMUNITY ADULT EDUCATION EXPERIENCE; POWER PROGRAM, PROJECT LITERACY, WALTHAM FAMILY SCHOOL, WALTHAM ALLIANCE TO CREATE HOUSING, CAMBRIDGE LEARNING CENTER.GOALS: - IMMIGRANT COMMUNITY MEMBERS INCREASE UNDERSTANDING OF PREVENTION AND EARLY DETECTION OF ILLNESS. - IMMIGRANT COMMUNITY MEMBERS STATE INTENT TO INCREASE POSITIVE HEALTH BEHAVIORS.LISTEN AND LEARN: TYPE 2 DIABETES, BREAST HEALTH, STROKE EDUCATION TO IDENTIFY AND UNDERSTAND CULTURAL BARRIERS TO PRACTICING PREVENTION AND EARLY DETECTION GUIDELINES, CREATE AND SUPPORT A LEARNING COMMUNITY COMPRISED OF IMMIGRANT COMMUNITY MEMBERS, MAH CLINICIANS TO LEARN TOGETHER ABOUT BELIEFS AND BARRIERS TO PREVENTION, AND SCREENING AMONG IMMIGRANTS.PARTNERS: SOMERVILLE COMMUNITY ADULT EDUCATION EXPERIENCE; POWER PROGRAM, PROJECT LITERACY, WALTHAM FAMILY SCHOOL, WALTHAM ALLIANCE TO CREATE HOUSING, CAMBRIDGE LEARNING CENTER.GOALS: - IMMIGRANT COMMUNITY MEMBERS INCREASE UNDERSTANDING OF PREVENTION AND EARLY DETECTION OF ILLNESS. - IMMIGRANT COMMUNITY MEMBERS STATE INTENT TO INCREASE POSITIVE HEALTH BEHAVIORS. PROMOTING THE HEALTH OF THE HOMELESS BRINGS BASIC HEALTH EDUCATION TO THE HOMELESS. THESE ENCOUNTERS FOSTER RELATIONSHIPS WITH HEALTH CARE PROVIDERS AND IMPROVE HEALTH SEEKING BEHAVIORS.PARTNERS: HEADING HOME, CASPAR, SALVATION ARMY CAMBRIDGE, ON THE RISE, YWCAGOALS: - HOMELESS COMMUNITY MEMBERS INCREASE UNDERSTANDING OF PREVENTION AND EARLY DETECTION OF ILLNESS. - HOMELESS COMMUNITY MEMBERS STATE INTENT TO INCREASE POSITIVE HEALTH BEHAVIORS. | ||
| MY LIFE MY HEALTH TO IMPROVE THE HEALTH OF COMMUNITY MEMBERS WITH CHRONIC DISEASES, MOUNT AUBURN HOSPITAL OFFERS MY LIFE MY HEALTH AN EVIDENCED BASED PROGRAM DEVELOPED AT STANFORD UNIVERSITY.PARTNERS: SOMERVILLE CAMBRIDGE ELDER SERVICESGOALS:IMPROVE HOPE, EMPOWERMENT AND/OR CONFIDENCE IN COMMUNITY MEMBERS WITH CHRONIC DISEASEIMPROVE HOME, EMPOWERMENT AND/OR CONFIDENCE IN COMMUNITY MEMBERS WHO CARE FOR SOMEONE WITH CHRONIC DISEASECOMMUNITY MEMBERS INCREASE POSITIVE HEALTH BEHAVIORSTRAIN MAH STAFF TO RUN STANFORD CHRONIC DISEASE SELF MANAGEMENT PROGRAM MATTER OF BALANCE TO IMPROVE THE HEALTH OF SENIORS, MOUNT AUBURN HOSPITAL OFFERS THE MATTER OF BALANCE EVIDENCED BASED PROGRAM TO SENIOR COMMUNITY MEMBERS AT RISK FOR FALLS.PARTNERS: SOMERVILLE CAMBRIDGE ELDER SERVICESGOALS:IMPROVE HOPE, EMPOWERMENT AND/OR CONFIDENCE IN COMMUNITY MEMBERS AT RISK FOR FALLING.COMMUNITY MEMBERS INCREASE POSITIVE HEALTH BEHAVIORS AIMED AT DECREASING FALLS.TRAIN MAH STAFF TO RUN MATTER OF BALANCE PROGRAMSMOKING CESSATION THIS DIRECT PROGRAM PROVIDES SMOKING CESSATION EDUCATION TO THOSE IN NEED OF QUITTING.GOALS:DECREASE THE NUMBER OF COMMUNITY MEMBERS WHO SMOKE.PROVIDE REFERRAL TO OTHER SMOKING CESSATION PROGRAMS AND QUIT WORKS TO COMMUNITY MEMBERSESTABLISH MAH AS A TOBACCO FREE ORGANIZATION BY SEPTEMBER 30, 2013BEREAVEMENT SUPPORT GROUP THIS DIRECT PROGRAM SUPPORT GROUP IS OPEN TO ANY ADULT COMMUNITY MEMBER WHO HAS EXPERIENCED THE DEATH OF SOMEONE SIGNIFICANT IN THEIR LIFE.GOALS:IMPROVE HOPE, EMPOWERMENT AND/OR CONFIDENCE IN COMMUNITY MEMBERS EXPERIENCING GRIEF.PROVIDE BEREAVEMENT SUPPORT GROUPS FOR COMMUNITY MEMBERS.SUPPORT FOR COMMUNITY MEMBERS WITH CANCER THIS DIRECT PROGRAM WORKS WITH CANCER PATIENTS TO CREATE A SENSE OF SUPPORT, CONFIDENCE, COURAGE, AND COMMUNITY AMONG CANCER PATIENTS.PARTNERS: AMERICAN CANCER SOCIETYGOALS:IMPROVE HOPE, EMPOWERMENT AND/OR CONFIDENCE IN COMMUNITY MEMBERS EXPERIENCING CANCERHOST LOOK GOOD FEEL BETTER SESSIONS FOR COMMUNITY MEMBERSHOST BREAST CANCER SUPPORT GROUPS FOR COMMUNITY MEMBERS DIAGNOSED WITH BREAST CANCERPRENATAL SUPPORT GROUP THIS DIRECT PROGRAM PROVIDES SUPPORT FOR EXPECTANT PARENTS.GOAL: IMPROVE HOPE, EMPOWERMENT AND/OR CONFIDENCE IN EXPECTANT PARENTS.IN-KIND SPACE FOR LOCAL ALCOHOL RECOVERY PROGRAMS PROVIDE HANDICAPPED ACCESSIBLE SPACE FOR AA AND SMART RECOVERY PROGRAMS TO MEET.PARTNERS: LOCAL AA AND SMART RECOVER PROGRAMSGOALS:DECREASE THE NUMBER OF COMMUNITY MEMBERS WHO ABUSE SUBSTANCES.PROVIDE HANDICAPPED ACCESSIBLE SPACE FOR MEETINGSOVERDOSE PREVENTION WORK WITH OPEN (OVERDOSE PREVENTION AND EDUCATION NETWORK) TO SUPPORT THEIR MISSION.PARTNERS: OPEN COALITIONGOALS:MAH STAFF TO ATTEND OPEN MEETINGSMAH TO PROVIDE START UP FUNDS FOR LEARN TO COPE SUPPORT GROUPS FOR FAMILIES AND FRIENDS OF COMMUNITY MEMBERS STRUGGLING WITH ADDICTIONCAMBRIDGE INFORMAL CAREGIVERS OF ELDERS NEED ASSESSMENT IN PARTNERSHIP WITH LOCAL PROVIDERS OF ELDER SERVICES IN CAMBRIDGE, MAH WILL LEAD THE DEVELOPMENT AND IMPLEMENTATION OF A PILOT NEEDS ASSESSMENT OF INFORMAL CAREGIVER OF ELDERS.PARTNERS: CAMBRIDGE HEALTH ALLIANCE, CAMBRIDGE COUNCIL ON AGING, WINDSOR HOUSE,PAINE SENIOR SERVICES, SOMERVILLE CAMBRIDGE ELDER SERVICESGOALS:BY JANUARY 2013DOCUMENT THE NEEDS AND BARRIERS EXPRESSED BY CAMBRIDGE CAREGIVERS.DOCUMENT THE NEEDS AND BARRIERS EXPRESSED BY CLINICIANS WHO CARE FOR CAMBRIDGE CAREGIVERS.SHARE THE FINDINGS WITH THOSE INVOLVED AND WITH THOSE AFFECTED BY THE RECOMMENDATIONSELDER CARDIOVASCULAR HEALTH MAH NURSES REACH OUT TO ELDERS IN THE COMMUNITY AND PROVIDE BLOOD PRESSURE SCREENING AND STROKE EDUCATION.PARTNERS: WALTHAM COUNCIL ON AGING, BELMONT COUNCIL ON AGING, WATERTOWN COUNCIL ON AGINGGOALS:INCREASE POSITIVE HEALTH BEHAVIORS TO REDUCE STROKE AND ACCESS CARE EMERGENTLY FOR ANY SIGNS AND SYMPTOMS OF STROKE.PROVIDE BLOOD PRESSURE CLINICS TO UNDERSERVED ELDERS TO INCREASE UNDERSTANDING OF PREVENTION AND EARLY DETECTION OF STROKE, AND CARDIOVASCULAR DISEASE.COMMUNITY EDUCATION FORUMS IN THIS DIRECT PROGRAM MAH CLINICIANS PROVIDE FREE EDUCATIONAL FORUMS TO COMMUNITY MEMBERS.GOAL: COMMUNITY MEMBERS WILL ARTICULATE INCREASED UNDERSTANDING OF PREVENTION AND EARLY DETECTION OF ILLNESSADDRESSING HUNGER IN AN EFFORT TO ADDRESS HUNGER THIS PROGRAM CONDUCTS FOOD DRIVES AND PROVIDES OPPORTUNITIES FOR SNAP ENROLLMENT TO IMPROVE NUTRITIONAL STATUS IN VULNERABLE POPULATIONS.PARTNERS: SALVATION ARMY, SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAMGOALS:TO FACILITATE CONNECTION TO SERVICES, MAH FINANCIAL COUNSELORS TO ENROLL COMMUNITY MEMBERS IN SNAP.CONDUCT 2 FOOD DRIVES ANNUALLY.MEDICAL HOUSE CALLS TO HOMEBOUND SENIORS IN RESPONSE TO A WORKING GROUP CONSISTING OF HOMECARE PROVIDERS, HOME BOUND ELDERS AND THEIR FAMILIES, AND GERIATRICIANS; THIS PROGRAM ADDRESSES BARRIERS TO HEALTH CARE BY TAKING GERIATRICIANS OUT OF THE OFFICE TO CARE FOR VULNERABLE ELDERS IN THEIR OWN HOMES.GOAL: FACILITATE CONNECTION TO HEALTH CARE BY PROVIDING AT LEAST 500 MEDICAL VISITS TO HOMEBOUND SENIORS.LACK OF TRANSPORTATION THIS DIRECT PROGRAM EXPLORES WAYS TO ADDRESS TRANSPORTATION WHEN IT IS A BARRIER TO MEDICAL CAREPARTNERS: SOMERVILLE CAMBRIDGE MEDFORD COMMUNITY TRANSPORTATIONGOAL: FACILITATE CONNECTION TO HEALTH CARE BY PROVIDING TRANSPORTATION WHEN IT IS A BARRIER TO MEDICAL CAREMIDWIFERY PROGRAM AT JOSEPH M. SMITH COMMUNITY HEALTH CENTER THIS PROGRAM IMPROVES BIRTH OUTCOMES FOR IMMIGRANT WOMEN BY IMPROVING ACCESS TO PERINATAL CARE.PARTNERS JOSEPH M. SMITH COMMUNITY HEALTH CENTERGOALS:FACILITATE CONNECTION TO HEALTH CARE BY IMPROVING ACCESS TO PERI-NATAL CARE.INCREASE HOPE, EMPOWERMENT AND/OR CONFIDENCE BY PROVIDING DOULAS TO AT LEAST 50 LATINAS DURING CHILDBIRTH.PROVIDE SUPPORT STAFF TO MIDWIFERY PROGRAM ONSITE AT JOSEPH M. SMITH COMMUNITY HEALTH CENTER.FINANCIAL COUNSELORS AT JOSEPH M. SMITH COMMUNITY HEALTH CENTER PROVIDES FINANCIAL COUNSELORS TO AUGMENT HEALTH CARE CENTER STAFF.PARTNERS: JOSEPH M. SMITH COMMUNITY HEALTH CENTERGOALS: FACILITATE CONNECTION TO HEALTH INSURANCE BY PROVIDING 2 FTES OF FINANCIAL COUNSELORS AT JMSCHC.THE BARRON CENTER FOR MEN'S HEALTH PROVIDES UROLOGICAL HEALTH SERVICES TO MEN WHO OTHERWISE WOULD NOT HAVE ACCESS TO THESE SERVICES.PARTNERS JOSEPH M SMITH COMMUNITY HEALTH CENTERGOALS: FACILITATE CONNECTION TO UROLOGICAL CARE FOR AT LEAST 50 UNDERSERVED MEN FROMJOSEPH M. SMITH COMMUNITY HEALTH CENTER BY PROVIDING AT LEAST 10 UROLOGY CLINICS.SAFE BEDS WOMEN WHO ARE VICTIMS OF DOMESTIC VIOLENCE ARE PROVIDED SHELTER AT MAH WHILE AWAITING MORE PERMANENT SERVICES.PARTNERS: CAMBRIDGE POLICE DEPARTMENTGOAL: FACILITATE CONNECTION TO SAFE CARE FOR WOMEN AND THEIR DEPENDENTS WHO ARE VICTIMS OF DOMESTIC VIOLENCE.ROOMING IN WHEN ELDERS ARE UNABLE TO STAY AT HOME BECAUSE THEIR CAREGIVER HAS BEEN ADMITTED TO THE HOSPITAL, THIS DIRECT MAH PROGRAM PROVIDES SHORT TERM ACCOMMODATIONS.GOAL: FACILITATE CONNECTION TO CARE FOR ELDERS WHO ARE AT RISK BECAUSE THEIR CAREGIVER IS ADMITTED TO THE HOSPITAL.EMERGENCY RESPONSE SYSTEMS THIS PROGRAM PROVIDES EMERGENCY RESPONSE SERVICES TO UNDERSERVED ELDERS AND DISABLED ADULTS.PARTNERS: SOMERVILLE CAMBRIDGE ELDER SERVICES, SPRINGWELLGOAL: FACILITATE CONNECTION TO EMERGENCY SERVICES FOR UNDERSERVED ELDERS AND DISABLE ADULTS BY PROVIDING SERVICES BELOW COSTS. | ||
| MOUNT AUBURN HOSPITAL - COMMUNITY INFORMATIONTOWNS SERVED BY MOUNT AUBURN HOSPITAL'S COMMUNITY BENEFITS ARE DETERMINED BY PROXIMITY TO THE HOSPITAL AND AN EVALUATION OF DISCHARGE DATA. THE FOLLOWING MASSACHUSETTS CITIES AND TOWNS ARE THE FOCUS OF THE COMMUNITY BENEFITS ASSESSMENT AND PROGRAMS:- ARLINGTON - BOSTON'S ALLSTON AREA- BELMONT - CAMBRIDGE - LEXINGTON - MEDFORD - SOMERVILLE - WALTHAM - WATERTOWN MOUNT AUBURN HOSPITAL'S COMMUNITY BENEFIT SERVICE AREA ENCOMPASSES EIGHT TOWNS WITH A POPULATION OF APPROXIMATELY 500,000 AND A SECTION OF BOSTON. THE AVERAGE INCOME ACROSS THE 8 TOWNS IS $62,600. SEVERAL OF THESE COMMUNITIES HAVE A SIGNIFICANT PERCENTAGE OF MEDICAID PATIENTS AND A LARGE NUMBER OF RECENT IMMIGRANTS. SEVEN OF THE NINE COMMUNITIES HAVE A POPULATION OLDER THAN THE STATEWIDE AVERAGE. THE HIGHEST IS 24 PERCENT COMPARED TO A STATEWIDE AVERAGE OF 14 PERCENT. MOUNT AUBURN HOSPITAL - COMMUNITY BUILDING ACTIVITIESMOUNT AUBURN HOSPITAL IS ACTIVELY ENGAGED IN COMMUNITY SUPPORT AND COALITION BUILDING ACTIVITIES THAT PROMOTE COMMUNITY HEALTH INCLUDING WORKFORCE DEVELOPMENT PROGRAMS AS REPORTED IN THIS FORM 990 SCHEDULE H.CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS - HEALTH PROFESSIONS EDUCATIONMAH'S DEVOTION TO TEACHING, RESPECT FOR STUDENTS/TRAINEES, AND WILLINGNESS TO EMBRACE TECHNOLOGICAL AND CLINICAL PRACTICE INNOVATION MAKE MAH A TOP CHOICE AMONG MEDICAL STUDENTS AND HEALTH CARE PROFESSIONALS. THE HOSPITAL TRAINS MEDICAL STUDENTS, INTERNS, RESIDENTS AND FELLOWS. MAH HAS FOUR APPROVED RESIDENCY PROGRAMS WITH APPROXIMATELY 42 INTERNAL MEDICINE RESIDENTS, APPROXIMATELY 12 RADIOLOGY RESIDENTS, AND NEWLY INITIATED PODIATRY AND PHARMACY PRACTICE RESIDENCY PROGRAM WITH 6 AND 2 RESIDENTS ENROLLED RESPECTIVELY DURING 2013. STAFF PHYSICIANS AT MAH WHO HOLD FACULTY APPOINTMENTS AT HARVARD MEDICAL SCHOOL INSTRUCT THE DOCTORS OF TOMORROW THROUGH SUPERVISION OF THEIR DAILY PATIENT CARE AND A RANGE OF INTERACTIVE LEARNING EXPERIENCES.AS PART OF THE HOSPITAL'S COMMITMENT TO MEDICAL STUDENT EDUCATION AND AFFILIATION WITH HARVARD MEDICAL SCHOOL, MAH IS A CORE SITE FOR THE HARVARD MEDICAL SCHOOL SUB-INTERNSHIP IN MEDICINE. THE HOSPITAL ALSO PARTICIPATES IN THE INTRODUCTORY COURSES IN CLINICAL MEDICINE FOR FIRST AND SECOND-YEAR HARVARD MEDICAL STUDENTS AND THE BIOMEDICAL DOCTORAL STUDENTS FROM THE MASSACHUSETTS INSTITUTE OF TECHNOLOGY'S HEALTH SCIENCES AND TECHNOLOGY PROGRAM. ADDITIONALLY, MEDICAL STUDENTS FROM MANY OTHER MEDICAL SCHOOLS CHOOSE TO DO SUB-INTERNSHIPS AND SUBSPECIALTY ELECTIVES DURING THEIR FOURTH YEAR.IN ADDITION TO THE INTERNAL MEDICINE TRAINING PROGRAM, MOUNT AUBURN HOSPITAL IS A SITE FOR OTHER POST-GRADUATE MEDICAL EDUCATION DISCIPLINES. THE HOSPITAL'S RESIDENTS BENEFIT FROM THE MAH RESIDENCY PROGRAM IN DIAGNOSTIC RADIOLOGY, ITS PARTICIPATION AS A CORE SITE FOR THE BETH ISRAEL DEACONESS MEDICAL CENTER SURGICAL TRAINING PROGRAM, AND IN THE HARVARD-AFFILIATED EMERGENCY MEDICINE RESIDENCY. MAH ALSO WELCOMES ROTATING INTERNS FROM THE HARVARD / LONGWOOD PSYCHIATRY RESIDENCY, GERIATRIC FELLOWS FROM THE BETH ISRAEL DEACONESS / HARVARD MEDICAL SCHOOL DIVISION ON AGING FELLOWSHIP PROGRAM, AND PEDIATRIC / NEONATOLOGY RESIDENTS FROM MASSACHUSETTS GENERAL HOSPITAL / CAMBRIDGE HOSPITAL PROGRAM IN NEONATOLOGY.THE TRACKS OF TRAINING IN INTERNAL MEDICINEMOUNT AUBURN HOSPITAL OFFERS A THREE-YEAR CATEGORICAL MEDICINE TRACK AND A ONE-YEAR PRELIMINARY MEDICINE TRACK.THE CATEGORICAL TRACKMAH'S THREE-YEAR CATEGORICAL INTERNAL MEDICINE TRACK PREPARES RESIDENT TRAINEES FOR BOARD CERTIFICATION BY THE AMERICAN BOARD OF INTERNAL MEDICINE AND CAREERS THAT COVER THE FULL SPECTRUM OF OPPORTUNITIES IN BOTH GENERAL INTERNAL MEDICINE AND MEDICINE SUB-SPECIALTIES. RESIDENT TRAINEES ARE ABLE TO TAILOR THEIR FLOW OF THE 36 MONTHS OF TRAINING TO OBTAIN THE STRONG BACKGROUND AND EXCELLENT CLINICAL SKILLS TO PURSUE SUBSEQUENT CAREERS IN PRIMARY CARE PRACTICE, HOSPITALIST MEDICINE, AND PLACEMENT IN COMPETITIVE SUB-SPECIALTY FELLOWSHIP TRAINING PROGRAMS.ONE WAY MAH SUPPORTS TRAINEES IN THEIR INTENDED CAREER GOALS IS THROUGH THE USE OF DEFINED PATHWAYS. THESE PATHWAYS, IN SUB-SPECIALTY FELLOWSHIP, PRIMARY CARE, HOSPITALIST MEDICINE, AND MEDICAL EDUCATION, OUTLINE FOR THE TRAINEE THE MILESTONES THAT SHOULD BE MET THROUGHOUT THE COURSE OF TRAINING.THE PRELIMINARY TRACKTHE PRELIMINARY MEDICINE INTERNSHIP TRACK OFFERS ONE YEAR OF TRAINING IN MEDICINE FOR PHYSICIANS WHO WILL CONTINUE THEIR TRAINING IN SPECIALTIES OTHER THAN INTERNAL MEDICINE, SUCH AS RADIOLOGY, OPHTHALMOLOGY, ANESTHESIOLOGY, RADIATION ONCOLOGY, NEUROLOGY, DERMATOLOGY, PHYSICAL MEDICINE & REHABILITATION, AND OTHERS. THIS TRACK'S MAJOR STRENGTH, AS WELL AS ITS MAJOR ATTRACTION, IS THAT THE YEAR IS VIRTUALLY IDENTICAL IN STRUCTURE AND CONTENT TO THE FIRST YEAR FOR PHYSICIANS WHO TRAIN AT MOUNT AUBURN HOSPITAL FOR THREE YEARS IN THE CATEGORICAL INTERNAL MEDICINE TRACK. THE ONLY DIFFERENCE BEING THE QUANTITY OF AMBULATORY MEDICINE EXPERIENCE, BECAUSE PRELIMINARY INTERNS ARE NOT ASSIGNED A CONTINUITY CLINIC DURING THEIR YEAR.RADIOLOGY RESIDENCY PROGRAMRESIDENTS ARE TYPICALLY ASSIGNED IN ONE MONTH BLOCKS TO ONE OF THE DIFFERENT MODALITIES. EARLY IN TRAINING, RESIDENTS ARE EXPECTED TO READ EXTENSIVELY, MASTER ANATOMY, PARTICIPATE IN THE PROTOCOLLING AND INTERPRETATION OF PATIENT EXAMINATIONS, AND TO PARTICIPATE IN DISCUSSIONS CONCERNING DIAGNOSTIC PROBLEMS. RESIDENTS ADVANCE TO INCREASED LEVELS OF RESPONSIBILITY, AND SOUND JUDGMENT AS A RADIOLOGIST IS ESTABLISHED DURING OVERNIGHT CALL.- ROTATIONS AVAILABLE:CT AND MR WHICH INCLUDES NEURO, HEAD AND NECK, ,CARDIOTHORACIC, GI, GU AND MUSCULOSKELETAL RADIOLOGY - SPECIAL PROCEDURES (INTERVENTIONAL RADIOLOGY) WHICH INCLUDES VASCULAR RADIOLOGY AND INTERVENTION, THORACIC PROCEDURES, ABDOMINAL PROCEDURES, UTERINE FIBROID EMBOLIZATION PROGRAM, VERTEBROPLASTY - FLUOROSCOPY WHICH INCLUDES GI, GU AND MUSCULOSKELETAL PROCEDURES - ULTRASOUND, INCLUDING OBSTETRIC ULTRASOUND - NUCLEAR MEDICINE, INCLUDING CARDIAC - BREAST IMAGING, INCLUDING MAMMOGRAPHY, MR, AND PROCEDURES - EMERGENCY RADIOLOGY (2ND YEAR, 3 MONTHS PERFORMED AT MASSACHUSETTS GENERAL HOSPITAL) - PEDIATRIC RADIOLOGY (2ND YEAR, 3 MONTHS PERFORMED AT BOSTON CHILDREN'S HOSPITAL) - ARMED FORCES INSTITUTE OF PATHOLOGY (3RD YEAR, 4 WEEK COURSE, WASHINGTON, D.C.) - ROTATIONS IN CARDIAC RADIOLOGY AND CAROTID ULTRASOUND ARE ALSO INCLUDED IN CONJUNCTION WITH THE DEPARTMENTS OF CARDIOLOGY AND VASCULAR SURGERY. - ONE MONTH OF RESEARCH OR OTHER SCHOLARLY ACTIVITY DURING THE THIRD YEAR - THREE MONTHS OF THE 4TH YEAR IS SET ASIDE FOR AN ELECTIVE, ALLOWING THE RESIDENT TO DEVELOP IN-DEPTH KNOWLEDGE IN A SPECIFIC AREA OF INTEREST. THREE RESIDENTS ARE CHOSEN EACH YEAR FOR A FOUR-YEAR PROGRAM AND APPOINTED AS CLINICAL FELLOWS AT HARVARD MEDICAL SCHOOL. THE RATIO OF STAFF RADIOLOGISTS TO RESIDENTS RESULTS IN CLOSE CONTACT BETWEEN THE STAFF AND RESIDENTS THROUGHOUT THE TRAINING PROGRAM. AFTER THE RESIDENT HAS OBTAINED THE NECESSARY FIRM FOUNDATIONS IN THE FUNDAMENTALS OF RADIOLOGY, HE OR SHE IS ENCOURAGED TO TAKE INCREASING RESPONSIBILITY IN BOTH ROUTINE AND SPECIALIZED EXAMINATIONS AND PROCEDURES. THE MAJORITY OF OUR RESIDENTS PURSUE SUBSPECIALTY FELLOWSHIP TRAINING. HOWEVER, THE GOAL OF THE RADIOLOGY RESIDENCY PROGRAM IS TO TRAIN RESIDENTS TO BE FULLY QUALIFIED IN DIAGNOSTIC RADIOLOGY AND SPECIAL PROCEDURES BY THE TIME THEY HAVE COMPLETED THE FOUR-YEAR PROGRAM. GRADUATES HAVE PURSUED CAREERS IN ACADEMIA AND PRIVATE PRACTICE.DURING THE FISCAL YEAR COVERED BY THIS FILING, MAH HAD NET EXPENDITURES OF $6,343,029 REPORTED ON THIS SCHEDULE H RELATED TO MAH'S TEACHING FUNCTION. | FORM 990 SCHEDULE H PART VI SUPPLEMENTAL INFORMATION | |
| MOUNT AUBURN HOSPITAL PARTICIPATES IN THE EASTERN COOPERATIVE ONCOLOGY GROUP (ECOG), WHICH IS A LARGE NETWORK OF RESEARCHERS, PHYSICIANS, AND HEALTH CARE PROFESSIONALS AT PUBLIC AND PRIVATE INSTITUTIONS ACROSS THE COUNTRY INVOLVED IN ONCOLOGY CLINICAL RESEARCH, AND FUNDED PRIMARILY BY THE NATIONAL CANCER INSTITUTE (NCI). PARTICIPATING ENTITIES WORK TOWARD THE COMMON GOAL OF CONTROLLING, EFFECTIVELY TREATING, AND ULTIMATELY CURING CANCER. RESEARCH RESULTS ARE PROVIDED TO THE WORLD-WIDE MEDICAL COMMUNITY THROUGH SCIENTIFIC PUBLICATIONS AND PROFESSIONAL MEETINGS. DURING THE FISCAL YEAR COVERED BY THIS FILING, THE HOSPITAL PROVIDED ONCOLOGY NURSING SUPPORT DIRECTED TOWARD THIS RESEARCH. IN ADDITION, DURING THE PERIOD COVERED BY THIS FILING, THE HOSPITAL ENGAGED IN DISPARITIES RESEARCH, FOCUSED ON ASSESSING THE NEEDS OF CAREGIVERS OF ELDERS IN CAMBRIDGE. RESEARCH RESULTS WERE SHARED BROADLY WITH THE COMMUNITY. DURING THE FISCAL YEAR COVERED BY THIS FILING, MAH HAD NET EXPENDITURES OF $24,338 REPORTED ON THIS SCHEDULE H RELATED TO RESEARCH. MOUNT AUBURN HOSPITAL- ADDITIONAL INFORMATION REGARDING PROMOTING THE HEALTH OF THE COMMUNITYMOUNT AUBURN HOSPITAL IS GOVERNED BY A MAXIMUM OF 28 MEMBERS OF THE BOARD OF TRUSTEES, MANY OF WHOM LIVE AND WORK IN THE COMMUNITY AND SERVE TO SUPPORT THE MISSION AND VALUES OF THE HOSPITAL. MAH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN OUR COMMUNITY AND ENDEAVORS TO PROVIDE THEM WITH THE SAFEST AND MOST TECHNOLOGICALLY ADVANCED ENVIRONMENT POSSIBLE THROUGH THE EFFECTIVE USE OF SURPLUS FUNDS. SOME OF MAH'S SURPLUS FUNDS HAVE BEEN USED TO FUND CONTINUING RENOVATION OF EXISTING FACILITIES, INCLUDING INPATIENT UNITS AND OTHER CLINICAL AREAS. MAH STRIVES TO FULLY SERVE THE COMMUNITY THROUGH PARTICIPATION IN GOVERNMENT SPONSORED HEALTHCARE PROGRAMS SUCH AS MEDICARE, MEDICAID, CHAMPUS AND TRICARE. AS PREVIOUSLY NOTED MAH ALSO SERVES AS A TEACHING HOSPITAL AFFILIATED WITH THE HARVARD MEDICAL SCHOOL AND MAINTAINS TWO RESIDENCY PROGRAMS SPECIALIZING IN PRIMARY CARE AND RADIOLOGY. COMMUNITY MEMBERS ALSO USE MAH AS A CONDUIT FOR VOLUNTEERING AS EVIDENCED BY MORE THAN 280 VOLUNTEERS WHO ASSIST WITH PATIENT SERVICES, ADMINISTRATION AND THE GIFT SHOP.MOUNT AUBURN HOSPITAL - AFFILIATED HEALTH CARE SYSTEMAS NOTED IN VARIOUS NARRATIVE DISCLOSURES WHICH SUPPORT THIS FORM 990 AND RELATED SCHEDULES, CAREGROUP, INC. (CAREGROUP) IS A MASSACHUSETTS NON-PROFIT CORPORATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. CAREGROUP'S PURPOSE IS TO OVERSEE THE FINANCIAL WELL-BEING OF THE AFFILIATED ENTITIES WHICH MAKE UP THE CAREGROUP SYSTEM.CAREGROUP SERVES AS THE SOLE MEMBER AND A SUPPORT ORGANIZATION OF MOUNT AUBURN HOSPITAL (MAH) AND NEW ENGLAND BAPTIST HOSPITAL (NEBH) WHICH IN TURN EACH SERVE AS THE SOLE MEMBER OF MOUNT AUBURN PROFESSIONAL SERVICES (MAPS) AND NEW ENGLAND BAPTIST MEDICAL ASSOCIATES (NEBMA) AND RESPECTIVELY. CAREGROUP SERVES AS THE SOLE MEMBER AND A SUPPORT ORGANIZATION OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER). BIDMC IS THE SOLE MEMBER OF BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, INC. (BIDN), MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION, D/B/A AFFILIATED PHYSICIANS GROUP (APG) AND BETH ISRAEL DEACONESS HOSPITAL - MILTON, INC. (BID-MILTON). IN ADDITION, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP) IS THE DEDICATED PHYSICIAN PRACTICE OF THE MEDICAL CENTER AND AN ENTITY INTEGRALLY RELATED TO HELPING THE MEDICAL CENTER ACCOMPLISH ITS CHARITABLE PURPOSES. EACH OF THE ENTITIES LISTED IN THIS PARAGRAPH MAY, IN TURN, SERVE AS MEMBER OF ADDITIONAL ENTITIES WITHIN THE CAREGROUP NETWORK OF AFFILIATES. COMBINED THESE ENTITIES FORM A REGIONAL HEALTHCARE DELIVERY SYSTEM COMPRISED OF TEACHING AND COMMUNITY HOSPITALS, PHYSICIAN GROUPS, AND OTHER CAREGIVERS. THESE ENTITIES ARE COMMITTED TO PROVIDING PERSONALIZED, PATIENT CENTERED CARE WITHIN THE COMMUNITIES THEY SERVE, ENSURING ACCESS TO A WIDE RANGE OF SPECIALTY SERVICES AND A BROAD SPECTRUM OF COMPREHENSIVE HEALTH SERVICES RANGING FROM WELLNESS PROGRAMS TO HOME CARE AS WELL AS TO FURTHERING EXCELLENCE IN MEDICAL EDUCATION AND RESEARCH. COMMUNITY HEALTH NEEDS NOT ADDRESSED IN THE IMPLEMENTATION PLANSCHEDULE H, PART V, SECTION B, QUESTION 7AFTER CAREFULLY REVIEWING THE ASSESSMENT MAH HAS CHOSEN TO FOCUS ON AREAS THAT WERE PRIORITIZE IN CONJUNCTION WITH COMMUNITY MEMBERS USING THE AFOREMENTIONED METHODS AND CAN BE ACHIEVED WITH OUR RESOURCES. PARTICULAR EMPHASIS HAS BEEN PUT ON NEEDS IDENTIFIED THROUGH COMMUNITY HEALTH NETWORK AREA 17. MAH IS ALSO AWARE OF THE STRENGTHS OF THE OTHER HOSPITAL IN CAMBRIDGE HEALTH ALLIANCE AND THE SERVICES IT OFFERS COMMUNITY MEMBERS AS WELL AS THE STRENGTHS OF THE MANY LOCAL COMMUNITY BASED ORGANIZATIONS. AT A CHNA 17 GENERAL MEETING SOME COMMUNITY MEMBERS VOICED THEIR CONCERN OVER THE HEALTH TOPICS NOT CHOSEN FOR INTERVENTION. THEY AREAS NOT CHOSEN WERE: - SENIOR ACCESS TO SERVICES - CHRONIC HEALTH CONDITIONS - IMMIGRANT ACCESS TO SERVICES - HOMELESSNESS AFFORDABLE HOUSING - DOMESTIC VIOLENCE - SUBSTANCE ABUSE ADULTS - POVERTY/ HUNGER ACCESS TO FOOD - SEXUAL HEALTH - GENERAL POPULATION ACCESS TO SERVICES MAH WORKED WITH THE CHNA 17 STEERING COMMITTEE TO DESIGNATE FUNDS TO SUPPORT ANNUAL MINI-GRANTS AIMED AT PROVIDING RESOURCES FOR THOSE TOPICS NOT CHOSEN AS PRIORITY HEALTH INITIATIVES. SOME OF THE HEALTH NEEDS NOT PRIORITIZED BY CHNA 17 HAVE BEEN ADDRESSED IN THE BROADER MAH PLAN. A REVIEW OF ALL THE HEALTH INDICATIONS AND THE PROGRAMS AIMED AT ADDRESSING THE INDICATORS IS BELOW.SEXUAL HEALTH IS NOT DIRECTLY ADDRESSED IN MAH'S COMMUNITY BENEFIT PLAN. THERE ARE A NUMBER OF ORGANIZATIONS IN THE AREA THAT DO ADDRESS SEXUAL HEALTH. IN ADDITION, EACH YEAR CHNA 17 MINIGRANTS ARE AVAILABLE FOR ANY HEALTH AREA FORMALLY ADDRESSED IN THE COMMUNITY BENEFIT PLAN. | FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - RESEARCH | |
| MOUNT AUBURN HOSPITAL HAS NO ROLE IN THE DETERMINATION OF PROGRAM ELIGIBILITY MADE BY THE COMMONWEALTH, BUT AT THE PATIENTS REQUEST MAY TAKE A DIRECT ROLE IN APPEALING OR SEEKING INFORMATION RELATED TO THE COVERAGE DECISIONS. IT IS STILL THE PATIENTS RESPONSIBILITY TO INFORM THE HOSPITAL OF ALL COVERAGE DECISIONS MADE BY THE COMMONWEALTH TO ENSURE ACCURATE AND TIMELY ADJUDICATION OF ALL HOSPITAL BILLS. IN ADDITION, THE HOSPITALS POLICY PROVIDES FOR INDIVIDUALS WHO ARE UNABLE TO AFFORD THEIR CARE BECAUSE OF MEDICAL HARDSHIP AND PROVIDES FOR FEES BASED ON A SLIDING SCALE RELATIVE TO PERCENTAGES OF THE FEDERAL POVERTY GUIDELINES (SCHEDULE H, PART V, SECTION B, QUESTION 20D). IN ADDITION, ALL HOSPITAL PATIENTS WHO PRESENT WITHOUT PRIVATE INSURANCE ARE SCREENED FOR PRIOR HSN ELIGIBILITY AND/OR FINANCIAL ASSISTANCE BEFORE ANY BILLS ARE SENT TO THE PATIENT AND ONCE THE HOSPITAL BECOMES AWARE OF A PATIENTS HSN OR FINANCIAL ELIGIBILITY STATUS, ALL INVOICES ARE ADJUSTED ACCORDINGLY (SCHEDULE H, PART V, SECTION B, QUESTIONS 21 AND 22). | PART VI, LINE 2 CONTINUATION |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MACIPA | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1380 SOLDIERS FIELD ROAD | AddressLine1 |
| City | BRIGHTON | City |
| State | MA | State |
| ZIP Code | 02135 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 042898888 | EINOfRecipient |
| Amount Of Cash Grant | 937500 | AmountOfCashGrant |
| Purpose Of Grant | FUNDING FOR ELECTRONIC MEDICAL RECORDS FOR COMMUNITY PHYSICIANS | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 0 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 1 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: GRANT FUND USAGE IS MONITORED BY REQUIRING THE SUBMISSION OF REPORTS BY GRANT RECIPIENTS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLOUGH JEANETTE G | ||||||||||||||
| TRUSTEE, PRESIDENT & CEO | 442649 | 78114 | 358805 | 63319 | 73748 | 13014 | 734825 | 129675 | 17577 | 3102 | 1627604 | 287224 | 0 | 0 |
| HATEM MD CHARLES J | ||||||||||||||
| TRUSTEE, PROG DIR MED RESIDENCY | 316649 | 500 | 0 | 0 | 9891 | 0 | 20000 | 0 | 29307 | 0 | 375847 | 500 | 0 | 0 |
| DIIESO NICHOLAS | ||||||||||||||
| COO, MAH | 337100 | 0 | 88754 | 0 | 39938 | 0 | 365227 | 0 | 23927 | 0 | 854946 | 0 | 0 | 0 |
| SULLIVAN WILLIAM | ||||||||||||||
| VP FINANCE & CFO | 236755 | 41780 | 0 | 0 | 1189 | 210 | 71316 | 12585 | 19658 | 3469 | 328918 | 58044 | 0 | 0 |
| HUANG MD EDWIN | ||||||||||||||
| CHAIR, DEPT OF OB/GYN | 230620 | 153746 | 0 | 0 | 1000 | 666 | 19200 | 12800 | 14510 | 9674 | 265330 | 176886 | 0 | 0 |
| ABOOKIRE MD SUSAN | ||||||||||||||
| MD, CHAIR QUALITY & SAFETY | 259028 | 0 | 55424 | 0 | 34360 | 0 | 76097 | 0 | 23127 | 0 | 448036 | 0 | 0 | 0 |
| BAKER DEBORAH | ||||||||||||||
| VP, PATIENT CARE SERVICES | 237613 | 0 | 43187 | 0 | 1437 | 0 | 61447 | 0 | 23127 | 0 | 366811 | 0 | 0 | 0 |
| BRIDGEMAN JOHN | ||||||||||||||
| VP, CLINICAL SERVICES | 189873 | 0 | 42717 | 0 | 2326 | 0 | 46590 | 0 | 24227 | 0 | 305733 | 0 | 0 | 0 |
| BURKE KATHRYN | ||||||||||||||
| VP, CONTRACTING/BUSINESS DEV | 264306 | 0 | 60580 | 0 | 2528 | 0 | 80350 | 0 | 22681 | 0 | 430445 | 0 | 0 | 0 |
| O'CONNELL MICHAEL L | ||||||||||||||
| VP, PLANNING & MARKETING | 185736 | 0 | 46632 | 0 | 42033 | 0 | 67563 | 0 | 24687 | 0 | 366651 | 0 | 0 | 0 |
| CUTLER MD ANDREW | ||||||||||||||
| MD, INTERNAL MEDICINE | 10271 | 195139 | 10041 | 190778 | 47 | 884 | 875 | 16625 | 1226 | 23298 | 22460 | 426724 | 0 | 0 |
| MOYER MD PATRICIA | ||||||||||||||
| MD, INTERNAL MEDICINE | 56594 | 145527 | 28762 | 73959 | 551 | 1418 | 37706 | 96958 | 6885 | 17703 | 130498 | 335565 | 0 | 0 |
| ROSENBLATT MD PETER | ||||||||||||||
| DIR, UROGYN & RECON SURG | 49158 | 442418 | 5538 | 49845 | 204 | 1836 | 1750 | 15750 | 2513 | 22614 | 59163 | 532463 | 0 | 0 |
| SETNIK MD GARY S | ||||||||||||||
| CHAIR, EMERG MED | 186473 | 124316 | 41625 | 27750 | 4348 | 2899 | 29100 | 19400 | 12953 | 8635 | 274499 | 183000 | 0 | 0 |
| SCHIFFMAN ROBERT | ||||||||||||||
| CHIEF, PULMON MED | 28656 | 257906 | 11249 | 101242 | 685 | 6165 | 2250 | 20250 | 971 | 8741 | 43811 | 394304 | 0 | 0 |
| ZINNER MD STEPHEN | ||||||||||||||
| FORMER TRUSTEE | 364930 | 64399 | 0 | 0 | 8027 | 1417 | 14875 | 2625 | 9352 | 1650 | 397184 | 70091 | 0 | 0 |
| NAUTA MD RUSSELL J | ||||||||||||||
| FORMER TRUSTEE | 281922 | 70481 | 0 | 0 | 2644 | 661 | 75320 | 18830 | 23446 | 5861 | 383332 | 95833 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 4B | AS PREVIOUSLY NOTED, CAREGROUP, INC. (CAREGROUP) IS THE SOLE MEMBER OF MOUNT AUBURN HOSPITAL. DURING THE PERIOD COVERED BY THIS FILING, THE CEO OF MAH/MAPS WAS PAID BY CAREGROUP WHICH IS A PARTICIPATING EMPLOYER IN THE CAREGROUP ANNUITY RETIREMENT PLAN (ARP). UNDER THE DEFINITIONS TO THIS FORM 990, THE ARP IS CONSIDERED A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PARTICIPANTS RECEIVE BOTH CURRENTLY TAXABLE AND DEFERRED BENEFITS FROM THIS PLAN AND ADDITIONAL INFORMATION IS INCLUDED WITH THE EXPLANATORY NOTES TO SCHEDULE J BELOW. | |
| PART I, LINE 7 | THE PRESIDENT, VICE PRESIDENTS, DEPARTMENT CHAIRS AND OTHER SENIOR MANAGEMENT ARE ELIGIBLE TO RECEIVE ANNUAL INCENTIVE COMPENSATION PAYMENTS BASED ON COMPARISON OF ACTUAL ACCOMPLISHMENTS WITH PRE-DETERMINED GOALS. | |
| PART III | SCHEDULE J ADDITIONAL EXPLANATORY FOOTNOTES: REPORTABLE COMPENSATION LISTED IN FORM 990 PART VII INCLUDES BASE COMPENSATION, INCENTIVE COMPENSATION AND OTHER REPORTABLE COMPENSATION AS REPORTED IN FORM 990 SCHEDULE J. OTHER COMPENSATION LISTED IN FORM 990 PART VII INCLUDES DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS AS REPORTED IN FORM 990 SCHEDULE J. OTHER REPORTABLE COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED IN THIS RETURN BUT QUANTIFIED IN OTHER REPORTABLE COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: AMOUNTS DEFERRED BY THE EMPLOYEE (PLUS EARNINGS) UNDER FULLY VESTED 457(B) PLAN; INCREASE/DECREASE IN VALUE OF NONQUALIFIED FULLY VESTED 457(B) PLAN; TAXABLE EMPLOYER-SUBSIDIZED PARKING; TAXABLE MOVING EXPENSES; TAXABLE LIFE, DISABILITY, OR LONG-TERM CARE INSURANCE; AND OTHER TAXABLE RETIREMENT BENEFITS. DEFERRED COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED BUT QUANTIFIED IN DEFERRED COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: EMPLOYER CONTRIBUTIONS TO 401K RETIREMENT PLAN, EMPLOYER CONTRIBUTIONS TO 403B RETIREMENT PLAN, EMPLOYER CONTRIBUTION TO PENSION PLAN. NON-TAXABLE BENEFITS: AMOUNTS NOT OTHERWISE SEPARATELY NOTED BUT QUANTIFIED IN NON-TAXABLE BENEFITS INCLUDE AMOUNTS FROM ONE OR MORE OF THE NON-TAXABLE BENEFITS: EMPLOYEE CONTRIBUTIONS TO HEALTH INSURANCE, EMPLOYER CONTRIBUTIONS TO HEALTH INSURANCE, EMPLOYEE CONTRIBUTIONS TO FLEXIBLE SPENDING ACCOUNTS FOR DEPENDENT CARE AND/OR MEDICAL REIMBURSEMENT, GROUP TERM LIFE INSURANCE, DISABILITY INSURANCE. ALL DIRECTORS/TRUSTEES SERVE WITHOUT COMPENSATION OR BENEFITS. COMPENSATION PAID TO OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES WAS EARNED FOR WORK PERFORMED IN A CAPACITY OTHER THAN THAT OF DIRECTOR/TRUSTEE, AS DENOTED BY THE LISTED TITLES. MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES MAY BE REFERRED TO IN THESE EXPLANATORY NOTES TO FORM 990 PART VII AND FORM 990 SCHEDULE J AS MAH AND MAPS RESPECTIVELY. | SUPPLEMENTAL INFORMATION |
| PART III | BARRON, KENNETH S. TRUSTEE - MOUNT AUBURN HOSPITAL MR. BARRON DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. CALANO, DANIEL V. TRUSTEE - MOUNT AUBURN HOSPITAL MR. CALANO DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. CANEPA, JOHN J. TRUSTEE AND BOARD VICE-CHAIR - MOUNT AUBURN HOSPITAL MR. CANEPA DEVOTES, ON AVERAGE, 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION. CLOUGH, JEANETTE G. TRUSTEE, PRESIDENT AND CHIEF EXECUTIVE OFFICER - MOUNT AUBURN HOSPITAL TRUSTEE, PRESIDENT AND CHIEF EXECUTIVE OFFICER - MOUNT AUBURN PROFESSIONAL SERVICES MS. CLOUGH DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. IN HER POSITIONS AS PRESIDENT AND CHIEF EXECUTIVE OFFICER FOR MOUNT AUBURN HOSPITAL (MAH) AND MOUNT AUBURN PROFESSIONAL SERVICES (MAPS), MS. CLOUGH RECEIVES PAYMENTS DIRECTLY FROM MAH AS WELL AS FROM CAREGROUP, THE SOLE MEMBER OF MAH, AN ENTITY EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, AND A SUPPORT ORGANIZATION OF MAH. ADDITIONALLY, MS. COUGH PERFORMS SERVICES FOR BOTH MAH AND MAPS BUT NOT DIRECTLY FOR CAREGROUP. AS SUCH AND AS REQUIRED BY THIS FORM 990, MS. CLOUGH'S COMPENSATION IS REPORTED HERE AS IF PAID BY MAH AND MAPS. THE COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 442,649 INCENTIVE COMPENSATION: 358,805 OTHER REPORTABLE COMPENSATION: 73,748 DEFERRED COMPENSATION: 734,825 NON-TAXABLE BENEFITS: 17,577 PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 78,114 INCENTIVE COMPENSATION: 63,319 OTHER REPORTABLE COMPENSATION: 13,014 DEFERRED COMPENSATION: 129,675 NON-TAXABLE BENEFITS: 3,102 INCENTIVE COMPENSATION REPORTED FOR THE 2012 CALENDAR YEAR INCLUDES 1) PAYMENTS IN 2012 PURSUANT TO A LONG TERM INCENTIVE PLAN RELATED TO MOUNT AUBURN HOSPITALS FISCAL YEAR ENDED SEPTEMBER 30, 2011 IN THE AMOUNT OF $219,562 AND 2) A PAYMENT PURSUANT TO AN ANNUAL INCENTIVE PLAN RELATED TO THE FISCAL YEAR ENDED SEPTEMBER 30, 2011 IN THE AMOUNT OF $201,544. AS REQUIRED BY THIS FORM 990, THESE INCENTIVE COMPENSATION PAYMENTS WERE REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2012 CALENDAR YEAR INCLUDES AN ACTUARIAL CHANGE IN THE PROJECTED BENEFIT OBLIGATION OF MS. CLOUGHS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) OF $402,000. THE SERP DOES NOT VEST UNTIL MS. CLOUGH REACHES AGE 62. DEFERRED COMPENSATION REPORTED FOR THE 2012 CALENDAR YEAR ALSO INCLUDES TWO INCENTIVE PAYMENTS RELATED TO THE SERVICES MS. CLOUGH PERFORMED DURING MOUNT AUBURNS FISCAL YEAR ENDED SEPTEMBER 30, 2012 BUT WHICH WERE NOT PAID TO MS. CLOUGH UNTIL AFTER DECEMBER 31, 2012 -- ONE IN THE AMOUNT OF $225,000 RELATED TO AN ANNUAL INCENTIVE PLAN, AND ANOTHER FOR $225,000 RELATED TO A LONG TERM INCENTIVE PLAN. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MS. CLOUGH INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $59,375. ADDITIONALLY, OTHER REPORTABLE COMPENSATION IN THE AMOUNT OF $18,018 WAS REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990, AS REQUIRED. GORDON, LISA TRUSTEE - MOUNT AUBURN HOSPITAL MS. GORDON DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. HATEM, M.D., CHARLES J. TRUSTEE - MOUNT AUBURN HOSPITAL DIRECTOR OF MEDICAL EDUCATION MOUNT AUBURN HOSPITAL HAROLD AMOS ACADEMY PROFESSOR OF MEDICINE HARVARD MEDICAL SCHOOL DR. HATEM DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 316,649 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 9,891 DEFERRED COMPENSATION: 20,000 NON-TAXABLE BENEFITS: 29,307 PAYMENTS REPORTED BY BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION BASE COMPENSATION: 500 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 HOGAN, IV, WILLIAM M. TRUSTEE - MOUNT AUBURN HOSPITAL MR. HOGAN DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. KANEB, CHRISTOPHER TRUSTEE - MOUNT AUBURN HOSPITAL MR. KANEB DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. KETTYLE, M.D., WILLIAM TRUSTEE - MOUNT AUBURN HOSPITAL MEMBER, AFFILIATED FACULTY - HARVARD-MIT DIVISION OF HEALTH SCIENCES AND TECHNOLOGY DR. KETTYLE DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. KIM, KIJA TRUSTEE - MOUNT AUBURN HOSPITAL MS. KIM DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. LUCCHINO, DAVID L. TRUSTEE - MOUNT AUBURN HOSPITAL TRUSTEE - MOUNT AUBURN PROFESSIONAL SERVICES MR. LUCCHINO DEVOTES, ON AVERAGE, A COMBINED 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. MAMBRINO, M.D. LAWRENCE J. TRUSTEE - MOUNT AUBURN HOSPITAL CLINICAL INSTRUCTOR, OTOLOGY AND LARYNGOLOGY HARVARD MEDICAL SCHOOL DR. MAMBRINO DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. MASSARO, GEORGE. TRUSTEE - MOUNT AUBURN HOSPITAL MR. MASSARO DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. PALANDJIAN, LEON TRUSTEE AND TREASURER - MOUNT AUBURN HOSPITAL MR. PALANDJIAN DEVOTES, ON AVERAGE, 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION. RAFFERTY, JAMES J. TRUSTEE AND CLERK - MOUNT AUBURN HOSPITAL MR. RAFFERTY DEVOTES, ON AVERAGE, 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION. REARDON, GERALD TRUSTEE MOUNT AUBURN HOSPITAL MR. REARDON DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. ROLLER, JOSEPH TRUSTEE AND VICE CHAIR - MOUNT AUBURN HOSPITAL MR. ROLLER DEVOTES, ON AVERAGE, 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION. SAAL, M.D., A. KIM TRUSTEE - MOUNT AUBURN HOSPITAL CHIEF, DIVISION OF CARDIOLOGY - MOUNT AUBURN HOSPITAL DIRECTOR - CAREGROUP, INC. INSTRUCTOR IN MEDICINE - HARVARD MEDICAL SCHOOL DR. SAAL'S TERM ON THE MAH BOARD BEGAN JANUARY 2013. DR. SAAL DEVOTES, ON AVERAGE, A COMBINED 11 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 68,125 AS REQUIRED BY THIS FORM 990, COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2012 CALENDAR YEAR INCLUDES $68,125 PAID TO DR. SAAL BY MOUNT AUBURN CARDIOLOGY ASSOCIATES AND RELATED TO DR. SAAL'S POSITION AS CHIEF OF THE DIVISION OF CARDIOLOGY AT MOUNT AUBURN HOSPITAL. SHACHOY, CHRISTOPHER TRUSTEE (EX-OFFICIO) - MOUNT AUBURN HOSPITAL MR. SHACHOY DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. SHAPIRO, M.D., DEBRA S. TRUSTEE - MOUNT AUBURN HOSPITAL CLINICAL INSTRUCTOR IN MEDICINE - HARVARD MEDICAL SCHOOL DR. SHAPIRO DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. SHORTSLEEVE, M.D., MICHAEL TRUSTEE - MOUNT AUBURN HOSPITAL CHAIR, DEPARTMENT OF RADIOLOGY - MOUNT AUBURN HOSPITAL ASSISTANT CLINICAL PROFESSOR OF RADIOLOGY HARVARD MEDICAL SCHOOL DR. SHORTSLEEVE DEVOTES, ON AVERAGE, 5 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 23,296 AS REQUIRED BY THIS FORM 990, COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2012 CALENDAR YEAR INCLUDES $23,296 PAID TO DR. SHORTSLEEVE BY SCHATZKI ASSOCIATES AND RELATED TO DR. SHORTSLEEVE'S POSITION AS CHAIR OF THE DEPARTMENT OF RADIOLOGY AT MOUNT AUBURN HOSPITAL. SIMONS, THOMAS TRUSTEE AND BOARD CHAIR - MOUNT AUBURN HOSPITAL DIRECTOR (EX-OFFICIO) - CAREGROUP, INC. MR. SIMONS DEVOTES, ON AVERAGE, A COMBINED 6 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. | SUPPLEMENTAL INFORMATION |
| PART III | SMERLAS, DONNA TRUSTEE (EX-OFFICIO) - MOUNT AUBURN HOSPITAL MS. SMERLAS DEVOTES, ON AVERAGE, 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION. STEVENSON, HOWARD H. TRUSTEE - MOUNT AUBURN HOSPITAL TRUSTEE - MOUNT AUBURN PROFESSIONAL SERVICES DIRECTOR (EX-OFFICIO) - CAREGROUP, INC. MR. STEVENSON DEVOTES, ON AVERAGE, A COMBINED 3 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. SWANN, ERIC TRUSTEE - MOUNT AUBURN HOSPITAL MR. SWANN DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. WAGNER, III, HERBERT S. TRUSTEE - MOUNT AUBURN HOSPITAL MR. WAGNER DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. WILSON, WILLIAM TRUSTEE - MOUNT AUBURN HOSPITAL MR. WILSON DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. DILESO, NICHOLAS CHIEF OPERATING OFFICER - MOUNT AUBURN HOSPITAL MR. DILESO DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 337,100 INCENTIVE COMPENSATION: 88,754 OTHER REPORTABLE COMPENSATION: 39,938 DEFERRED COMPENSATION: 365,227 NON-TAXABLE BENEFITS: 23,927 AS REQUIRED BY THIS FORM 990, BONUS AND INCENTIVE COMPENSATION FOR THE 2012 CALENDAR YEAR IN THE AMOUNT OF $88,754 WAS ALSO PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2012 CALENDAR YEAR INCLUDES AN ACTUARIAL CHANGE IN THE PROJECTED BENEFIT OBLIGATION OF MR. DILESO'S SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) OF $254,700. THE SERP DOES NOT VEST UNTIL MR. DILESO REACHES AGE 60. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2012 CALENDAR YEAR INCLUDES A BONUS IN AMOUNT OF $90,527 RELATED TO MR. DILESO'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2012, BUT NOT PAID TO MR. DILESO UNTIL AFTER DECEMBER 31, 2012. SULLIVAN, WILLIAM VICE PRESIDENT AND CHIEF FINANCIAL OFFICER - MOUNT AUBURN HOSPITAL VICE PRESIDENT FINANCE AND TREASURER - MOUNT AUBURN PROFESSIONAL SERVICES MR. SULLIVAN DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. MR. SULLIVAN PERFORMS SERVICES FOR BOTH MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES. AS REQUIRED BY THIS FORM 990, ALTHOUGH MR. SULLIVAN IS PAID DIRECTLY BY MOUNT AUBURN HOSPITAL, THE PORTION OF MR. SULLIVAN'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 236,755 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 1,189 DEFERRED COMPENSATION: 71,316 NON-TAXABLE BENEFITS: 19,658 PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 41,780 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 210 DEFERRED COMPENSATION: 12,585 NON-TAXABLE BENEFITS: 3,469 DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2012 CALENDAR YEAR INCLUDES A BONUS IN AMOUNT OF $71,401 RELATED TO MR. SULLIVAN'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2012, BUT NOT PAID TO MR. SULLIVAN UNTIL AFTER DECEMBER 31, 2012. ABOOKIRE, M.D., SUSAN CHAIR OF QUALITY AND SAFETY - MOUNT AUBURN HOSPITAL ASSISTANT PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. ABOOKIRE DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 259,028 INCENTIVE COMPENSATION: 55,424 OTHER REPORTABLE COMPENSATION: 34,360 DEFERRED COMPENSATION: 76,097 NON-TAXABLE BENEFITS: 23,127 AS REQUIRED BY THIS FORM 990, BONUS AND INCENTIVE COMPENSATION FOR THE 2012 CALENDAR YEAR IN THE AMOUNT OF $55,424 WAS ALSO PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2012 CALENDAR YEAR INCLUDES A BONUS IN AMOUNT OF $63,597 RELATED TO DR. ABOOKIRE'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2012, BUT NOT PAID TO DR. ABOOKIRE UNTIL AFTER DECEMBER 31, 2012. BAKER, DEBORAH VICE PRESIDENT PATIENT CARE SERVICES - MOUNT AUBURN HOSPITAL MS. BAKER DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 237,613 INCENTIVE COMPENSATION: 43,187 OTHER REPORTABLE COMPENSATION: 1,437 DEFERRED COMPENSATION: 61,447 NON-TAXABLE BENEFITS: 23,127 AS REQUIRED BY THIS FORM 990, BONUS AND INCENTIVE COMPENSATION FOR THE 2012 CALENDAR YEAR IN THE AMOUNT OF $43,187 WAS ALSO PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2012 CALENDAR YEAR INCLUDES A BONUS IN AMOUNT OF $48,947 RELATED TO MS. BAKER'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2012, BUT NOT PAID TO MS. BAKER UNTIL AFTER DECEMBER 31, 2012. BRIDGEMAN, JOHN VICE PRESIDENT CLINICAL SERVICES - MOUNT AUBURN HOSPITAL MR. BRIDGEMAN DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 189,873 INCENTIVE COMPENSATION: 42,717 OTHER REPORTABLE COMPENSATION: 2,326 DEFERRED COMPENSATION: 46,590 NON-TAXABLE BENEFITS: 24,227 AS REQUIRED BY THIS FORM 990, BONUS AND INCENTIVE COMPENSATION FOR THE 2012 CALENDAR YEAR IN THE AMOUNT OF $42,717 WAS ALSO PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2012 CALENDAR YEAR INCLUDES A BONUS IN AMOUNT OF $29,709 RELATED TO MR. BRIDGEMAN'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2012, BUT NOT PAID TO MR. BRIDGEMAN UNTIL AFTER DECEMBER 31, 2012. BURKE, KATHRYN VICE PRESIDENT CONTRACTING AND BUSINESS DEVELOPMENT - MOUNT AUBURN HOSPITAL MS. BURKE DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 264,306 INCENTIVE COMPENSATION: 60,580 OTHER REPORTABLE COMPENSATION: 2,528 DEFERRED COMPENSATION: 80,350 NON-TAXABLE BENEFITS: 22,681 AS REQUIRED BY THIS FORM 990, BONUS AND INCENTIVE COMPENSATION FOR THE 2012 CALENDAR YEAR IN THE AMOUNT OF $60,580 WAS ALSO PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2012 CALENDAR YEAR INCLUDES A BONUS IN AMOUNT OF $67,850 RELATED TO MS. BURKE'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2011, BUT NOT PAID TO MS. BURKE UNTIL AFTER DECEMBER 31, 2012. | SUPPLEMENTAL INFORMATION |
| PART III | HUANG, M.D., EDWIN CHAIR, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY - MOUNT AUBURN HOSPITAL CHAIR, DEPARTMENT OF OBSTETRICS AND GYNECOLOGY - MOUNT AUBURN PROFESSIONAL SERVICES ASSISTANT CLINICAL PROFESSOR OF OBSTETRICS, GYNECOLOGY AND REPRODUCTIVE BIOLOGY - HARVARD MEDICAL SCHOOL DR. HUANG DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. HUANG PERFORMS SERVICES FOR BOTH MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. HUANG IS PAID DIRECTLY BY MOUNT AUBURN HOSPITAL, THE PORTION OF DR. HUANG'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 230,620 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 1,000 DEFERRED COMPENSATION: 19,200 NON-TAXABLE BENEFITS: 14,510 PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 153,746 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 666 DEFERRED COMPENSATION: 12,800 NON-TAXABLE BENEFITS: 9,674 DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES FOR THE 2012 CALENDAR YEAR INCLUDES AN INCENTIVE PAYMENT OF $32,000 RELATED TO DR. HUANG'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2012, BUT NOT PAID TO DR. HUANG UNTIL AFTER DECEMBER 31, 2012. O'CONNELL, MICHAEL L. VICE PRESIDENT PLANNING AND MARKETING - MOUNT AUBURN HOSPITAL MR. O'CONNELL DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 185,736 INCENTIVE COMPENSATION: 46,632 OTHER REPORTABLE COMPENSATION: 42,033 DEFERRED COMPENSATION: 67,563 NON-TAXABLE BENEFITS: 24,687 AS REQUIRED BY THIS FORM 990, BONUS AND INCENTIVE COMPENSATION FOR THE 2012 CALENDAR YEAR IN THE AMOUNT OF $46,632 WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2012 CALENDAR YEAR INCLUDES A BONUS IN AMOUNT OF $47,563 RELATED TO MR. O'CONNELL'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2012, BUT NOT PAID TO MR. O'CONNELL UNTIL AFTER DECEMBER 31, 2012. CUTLER, M.D., ANDREW PRIMARY CARE PHYSICIAN - MOUNT AUBURN PROFESSIONAL SERVICES DR. CUTLER DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. CUTLER PERFORMS SERVICES FOR MOUNT AUBURN HOSPITAL IN CLINICAL RESIDENT INSTRUCTION AS WELL AS HIS SERVICES FOR MOUNT AUBURN PROFESSIONAL SERVICES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. CUTLER IS PAID DIRECTLY BY MOUNT AUBURN PROFESSIONAL SERVICES, THE PORTION OF DR. CUTLER'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 10,270 INCENTIVE COMPENSATION: 10,041 OTHER REPORTABLE COMPENSATION: 47 DEFERRED COMPENSATION: 875 NON-TAXABLE BENEFITS: 1,226 PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 195,140 INCENTIVE COMPENSATION: 190,778 OTHER REPORTABLE COMPENSATION: 883 DEFERRED COMPENSATION: 16,625 NON-TAXABLE BENEFITS: 23,298 AS REQUIRED BY THIS FORM 990, BONUS AND INCENTIVE COMPENSATION FOR THE 2012 CALENDAR YEAR IN THE AMOUNT OF $104,504 WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. MOYER, M.D., PATRICIA PRIMARY CARE PHYSICIAN - MOUNT AUBURN PROFESSIONAL SERVICES ASSISTANT PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. MOYER DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. MOYER PERFORMS SERVICES FOR BOTH MOUNT AUBURN HOSPITAL IN CLINICAL RESIDENT INSTRUCTION AS WELL AS HER SERVICES FOR MOUNT AUBURN PROFESSIONAL SERVICES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. MOYER IS PAID DIRECTLY BY MOUNT AUBURN PROFESSIONAL SERVICES, THE PORTION OF DR. MOYER'S COMPENSATION ATTRIBUTABLE TO SERVICES PROVIDED TO EACH ENTITY HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 56,594 INCENTIVE COMPENSATION: 28,762 OTHER REPORTABLE COMPENSATION: 551 DEFERRED COMPENSATION: 37,706 NON-TAXABLE BENEFITS: 6,885 PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 145,527 INCENTIVE COMPENSATION: 73,959 OTHER REPORTABLE COMPENSATION: 1,418 DEFERRED COMPENSATION: 96,958 NON-TAXABLE BENEFITS: 17,703 AS REQUIRED BY THIS FORM 990, BONUS AND INCENTIVE COMPENSATION FOR THE 2012 CALENDAR YEAR IN THE AMOUNT OF $102,721 WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES FOR THE 2012 CALENDAR YEAR INCLUDES AN INCENTIVE PAYMENT OF $114,664 RELATED TO DR. MOYER'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2012, BUT NOT PAID TO DR. MOYER UNTIL AFTER DECEMBER 31, 2012. ROSENBLATT, M.D., PETER UROGYNECOLOGIC AND RECONSTRUCTIVE SURGEON MOUNT AUBURN PROFESSIONAL SERVICES ASSISTANT PROFESSOR OF OBSTETRICS, GYNECOLOGY AND REPRODUCTIVE BIOLOGY -HARVARD MEDICAL SCHOOL DR. ROSENBLATT DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. ROSENBLATT PERFORMS SERVICES FOR BOTH MOUNT AUBURN HOSPITAL IN CLINICAL RESIDENT INSTRUCTION AS WELL AS HIS SERVICES FOR AND MOUNT AUBURN PROFESSIONAL SERVICES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. ROSENBLATT IS PAID DIRECTLY BY MOUNT AUBURN PROFESSIONAL SERVICES, THE PORTION OF DR. ROSENBLATT'S COMPENSATION ATTRIBUTABLE TO SERVICES PROVIDED TO EACH ENTITY HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 49,158 INCENTIVE COMPENSATION: 5,538 OTHER REPORTABLE COMPENSATION: 204 DEFERRED COMPENSATION: 1,750 NON-TAXABLE BENEFITS: 2,513 PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 442,418 INCENTIVE COMPENSATION: 49,845 OTHER REPORTABLE COMPENSATION: 1,836 DEFERRED COMPENSATION: 15,750 NON-TAXABLE BENEFITS: 22,614 | SUPPLEMENTAL INFORMATION |
| PART III | SCHIFFMAN, M.D., ROBERT CHIEF, DIVISION OF PULMONARY MEDICINE - MOUNT AUBURN HOSPITAL PULMONOLOGIST - MOUNT AUBURN PROFESSIONAL SERVICES CLINICAL INSTRUCTOR IN MEDICINE - HARVARD MEDICAL SCHOOL DR. SCHIFFMAN DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. SCHIFFMAN PERFORMS SERVICES FOR BOTH MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. SCHIFFMAN IS PAID DIRECTLY BY MOUNT AUBURN PROFESSIONAL SERVICES, THE PORTION OF DR. SCHIFFMAN'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 28,656 INCENTIVE COMPENSATION: 11,249 OTHER REPORTABLE COMPENSATION: 685 DEFERRED COMPENSATION: 2,250 NON-TAXABLE BENEFITS: 971 PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 257,906 INCENTIVE COMPENSATION: 101,242 OTHER REPORTABLE COMPENSATION: 6,165 DEFERRED COMPENSATION: 20,250 NON-TAXABLE BENEFITS: 8,741 AS REQUIRED BY THIS FORM 990, BONUS AND INCENTIVE COMPENSATION FOR THE 2012 CALENDAR YEAR IN THE AMOUNT OF $34,397 WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. SETNIK, M.D., GARY S. CHAIR, DEPARTMENT OF EMERGENCY MEDICINE - MOUNT AUBURN HOSPITAL CHAIR, DEPARTMENT OF EMERGENCY MEDICINE - MOUNT AUBURN PROFESSIONAL SERVICES ASSISTANT PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. SETNIK DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. SETNIK PERFORMS SERVICES FOR BOTH MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. SETNIK IS PAID DIRECTLY BY MOUNT AUBURN PROFESSIONAL SERVICES, THE PORTION OF DR. SETNIK'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 186,473 INCENTIVE COMPENSATION: 41,625 OTHER REPORTABLE COMPENSATION: 4,348 DEFERRED COMPENSATION: 29,100 NON-TAXABLE BENEFITS: 12,953 PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 124,316 INCENTIVE COMPENSATION: 27,750 OTHER REPORTABLE COMPENSATION: 2,899 DEFERRED COMPENSATION: 19,400 NON-TAXABLE BENEFITS: 8,635 DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES FOR THE 2012 CALENDAR YEAR INCLUDES AN INCENTIVE PAYMENT OF $13,500 RELATED TO DR. SETNIK'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2012, BUT NOT PAID TO DR. SETNIK UNTIL AFTER DECEMBER 31, 2012. AS REQUIRED BY THIS FORM 990, BONUS AND INCENTIVE COMPENSATION FOR THE 2012 CALENDAR YEAR IN THE AMOUNT OF $16,875 WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. NAUTA, M.D., RUSSELL J. FORMER TRUSTEE - MOUNT AUBURN HOSPITAL CHAIR, DEPARTMENT OF SURGERY - MOUNT AUBURN HOSPITAL PROFESSOR OF SURGERY - HARVARD MEDICAL SCHOOL DR. NAUTA'S TERM ON THE MOUNT AUBURN HOSPITAL BOARD ENDED DECEMBER 31, 2010, AND HE CONTINUES TO SERVE AS THE CHAIR OF THE DEPARTMENT OF SURGERY. DR. NAUTA DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. NAUTA PERFORMS SERVICES FOR BOTH MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. NAUTA IS PAID DIRECTLY BY MOUNT AUBURN HOSPITAL, THE PORTION OF DR. NAUTA'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 281,922 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 2,644 DEFERRED COMPENSATION: 75,320 NON-TAXABLE BENEFITS: 23,446 PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 70,481 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 661 DEFERRED COMPENSATION: 18,830 NON-TAXABLE BENEFITS: 5,861 DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES FOR THE 2012 CALENDAR YEAR INCLUDES AN INCENTIVE PAYMENT OF $76,650 RELATED TO DR. NAUTA'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2012, BUT NOT PAID TO DR. NAUTA UNTIL AFTER DECEMBER 31, 2012. ZINNER, M.D., STEPHEN FORMER TRUSTEE - MOUNT AUBURN HOSPITAL CHAIR DEPARTMENT OF MEDICINE - MOUNT AUBURN HOSPITAL CHAIR DEPARTMENT OF MEDICINE - MOUNT AUBURN PROFESSIONAL SERVICES CHARLES S. DAVIDSON PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL DR. ZINNER DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. ZINNER PERFORMS SERVICES FOR BOTH MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. ZINNER IS PAID DIRECTLY BY MOUNT AUBURN HOSPITAL, THE PORTION OF DR. ZINNER'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 364,930 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 8,027 DEFERRED COMPENSATION: 14,875 NON-TAXABLE BENEFITS: 9,352 PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 64,399 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 1,417 DEFERRED COMPENSATION: 2,625 NON-TAXABLE BENEFITS: 1,650 | SUPPLEMENTAL INFORMATION |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| MA DEVELOPMENT FINANCE AGENCY | ||||||||
| A | 043431814 | NONEAVAIL | 2012-07-11 | 49910000 | REFUND ISSUES DATED 2/11/1998 | 0 | 0 | 0 |
| MA DEVELOPMENT FINANCE AGENCY | ||||||||
| B | 043431814 | NONEAVAIL | 2011-09-15 | 120280000 | REFUND ISSUES DATED 2/11/1998 | 0 | 0 | 0 |
| MA HLTH & ED FAC AUTH | ||||||||
| C | 042456011 | 57586C3S2 | 2008-06-09 | 377527010 | REFUND ISSUES DATED 1/19/1989, 9/23/1992, 8/12/2004 | 0 | 0 | 0 |
| MA HLTH & ED FAC AUTH | ||||||||
| D | 042456011 | 57586CDK8 | 2004-08-12 | 187125000 | REFUND ISSUES DATED 9/23/1992, 11/9/1994 | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Other Spent ProceedsOtherSpentProceeds | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount RetiredAmountRetired | Amount In Reserve FundAmountInReserveFund | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Credit EnhancementCreditEnhancement |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 49910000 | 368094 | 49541906 | 1 | 0 | 1 | 1 | |||||
| B | 120280000 | 290672 | 119989328 | 1 | 0 | 1 | 1 | 19395000 | ||||
| C | 378911689 | 3929290 | 213068927 | 1 | 0 | 0 | 1 | 74930000 | 27356617 | 134556855 | 2011 | |
| D | 187125000 | 1796643 | 177336630 | 1 | 0 | 1 | 1 | 154175000 | 7991727 |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | C | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 1 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 1 | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | 1 | EngageBondCounselContracts |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Prcntge Prvt Business Use By Others | 0.00600 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00100 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00700 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 1 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated |
|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | |||||||||||
| A | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| (no name) | |||||||||||
| B | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| (no name) | |||||||||||
| C | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | ||
| CITI BANK | |||||||||||
| D | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 1 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
| D | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI (9 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| SCHEDULE K - EXPLANATORY STATEMENT | CAREGROUP, INC., (CAREGROUP) IS A MASSACHUSETTS NON-PROFIT CORPORATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED THAT SERVES AS A SUPPORT ORGANIZATION OF BETH ISRAEL DEACONESS MEDICAL CENTER, BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, BETH ISRAEL DEACONESS HOSPITAL - MILTON, MOUNT AUBURN HOSPITAL, NEW ENGLAND BAPTIST HOSPITAL AND THESE ENTITIES PHYSICIAN GROUPS AND AFFILIATED ENTITIES OTHER CAREGIVERS. CAREGROUP'S PURPOSE IS TO OVERSEE THE FINANCIAL WELL - BEING OF THE AFFILIATED ENTITIES WHICH MAKE UP THE CAREGROUP SYSTEM. CAREGROUP AND SOME OF ITS AFFILIATES JOINTLY BORROW DEBT AS AN OBLIGATED GROUP. THE OBLIGATED GROUP MEMBERS ARE: CAREGROUP, BETH ISRAEL DEACONESS MEDICAL CENTER (MEDICAL CENTER), MOUNT AUBURN HOSPITAL (MAH), NEW ENGLAND BAPTIST HOSPITAL (NEBH), BETH ISRAEL DEACONESS - NEEDHAM (BID-NEEDHAM), MOUNT AUBURN PROFESSIONAL SERVICES (MAPS) AND MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A AFFILIATED PHYSICIANS GROUP (APG). THE INFORMATION REPORTED ON SCHEDULE K FOR BETH ISRAEL DEACONESS MEDICAL CENTER (MEDICAL CENTER) REFLECTS THE COMBINED CAREGROUP OBLIGATED GROUP DEBT ISSUED AFTER DECEMBER 31, 2002 WITH AN OUTSTANDING PRINCIPAL BALANCE IN EXCESS OF $100,000. |
| SCHEDULE K PART 1F - DESCRIPTION OF TAX-EXEMPT DEBT PURPOSE | PURPOSES OF CAREGROUP SERIES E BONDS: - TO FINANCE OR REFINANCE VARIOUS RENOVATION AND CONSTRUCTION PROJECTS AND CAPITAL EQUIPMENT ACQUISITIONS FOR THE MEDICAL CENTER - TO FINANCE OR REFINANCE CONSTRUCTION, RENOVATION, FURNISHING AND VARIOUS OTHER CAPITAL ACQUISITIONS FOR MAH'S NEW AND EXPANDED FACILITIES WITH APPROXIMATELY 250,000 SQUARE FEET OF NEW AND RENOVATED SPACE TO INCLUDE: A NEW SIX-STORY ACUTE CARE FACILITY TO SUPPORT ADDITIONAL CRITICAL CARE AND MEDICAL /SURGICAL BEDS, EXPANDED OPERATING ROOMS AND INTERVENTIONAL RADIOLOGY ROOMS AND A NEW PARKING GARAGE - TO FINANCE OR REFINANCE CONSTRUCTION, RENOVATION, FURNISHING AND VARIOUS OTHER CAPITAL ACQUISITIONS FOR NEBH'S MASTER FACILITY PLAN, INCLUDING A NEW ATRIUM OF APPROXIMATELY 2,740 SQUARE FEET, A PRE-OPERATIVE AND POST ANESTHESIA UNIT OF APPROXIMATELY 14, 310 SQUARE FEET, CONSTRUCTION OF A CENTRAL STERILE SUPPLY AREA OF APPROXIMATELY 8,290 SQUARE FEET AND CONSTRUCTION OF NEW OPERATING ROOMS OF APPROXIMATELY 18,615 SQUARE FEET; - TO FINANCE OR REFINANCE CONSTRUCTION, RENOVATION, FURNISHING AND VARIOUS OTHER CAPITAL ACQUISITIONS FOR BID-NEEDHAM'S NEW AND EXPANDED FACILITIES INCLUDING AN APPROXIMATELY 59,000 SQUARE FOOT PROJECT ON TWO FLOORS TO RENOVATE AND EXPAND SERVICES IN THE EMERGENCY DEPARTMENT, INPATIENT UNITS, RADIOLOGY DEPARTMENT AND ASSOCIATED SUPPORT SERVICES; - TO REFINANCE $201,975,000 OF DEBT PREVIOUSLY ISSUED BY MEMBERS OF THE OBLIGATED GROUP, INCLUDING $138,075,000 OF THE CAREGROUP SERIES C BONDS DESCRIBED BELOW. PURPOSES OF CAREGROUP SERIES D BONDS: -REFUNDING OF THE OUTSTANDING PRINCIPAL BALANCE OF THE MAH SERIES B BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED JULY 13, 2004 PURPOSES OF CAREGROUP SERIES C BONDS: - REFUNDING OF THE OUTSTANDING PRINCIPAL BALANCE OF THE BETH ISRAEL HOSPITAL ASSOCIATION SERIES G BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED JULY 13, 2004 PURPOSES OF CAREGROUP SERIES F BONDS: - REFUNDING OF A PORTION OF THE OUTSTANDING PRINCIPAL BALANCE OF THE CAREGROUP SERIES A BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED SEPTEMBER 1, 2011 PURPOSES OF CAREGROUP SERIES G BONDS: - REFUNDING THE REMAINING PORTION OF THE OUTSTANDING PRINCIPAL BALANCE OF THE CAREGROUP SERIES A BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED JULY 1,2012 |
| SCHEDULE K PART II LINE 3 - TOTAL ISSUE PROCEEDS | THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND THE ISSUE PRICE IS THE INVESTMENT EARNINGS OF $1,384,679. |
| SCHEDULE K PART II, LINE 11, COLUMNS A, B & D: | THE OTHER SPENT PROCEEDS RELATE TO THE REFUNDING PROCEEDS OF THESE ISSUES. |
| SCHEDULE K PART II, LINE 11, COLUMN C | $8,993,760 OF THE PROCEEDS LISTED WERE USED FOR TERMINATION OF THE HEDGE AGREEMENT, WITH THE REMAINDER USED FOR REFUNDING PURPOSES OF THE ISSUE. |
| SCHEDULE K PART II LINE 13 - YEAR OF SUBSTANTIAL COMPLETION OF PROJECT(S) | THE PROJECTS FINANCED AND/OR REFINANCED WITH TAX-EXEMPT BOND FINANCED WERE COMPLETED, ON VARIOUS DATES. COLUMNS A, B AND D: ALL MEMBERS OF THE CAREGROUP OBLIGATED GROUP UNDERSTAND THIS QUESTION RELATES TO THE NON-REFUNDING PROCEEDS OF THE ISSUES. SINCE THE ISSUES LISTED IN THESE COLUMNS WERE USED ENTIRELY FOR REFUNDING PROCEEDS, THESE LINES HAVE BEEN LEFT BLANK. |
| SCHEDULE K PART III QUESTIONS 2 AND 3 | FACILITIES FINANCED WITH TAX-EXEMPT BONDS ARE PRIMARILY OCCUPIED BY CAREGROUP AND ITS AFFILIATED TAX-EXEMPT ENTITIES, INCLUDING BUT NOT LIMITED TO THE MEDICAL CENTER, BID-NEEDHAM, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, NEBH, NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, MAH, MAPS AND APG. SOME FINANCED SPACE MAY CONTAIN LEASE ARRANGEMENTS, AND THE AFFILIATES WHICH OWN THE DEBT FINANCED SPACE MAY OPT TO ENGAGE A MANAGEMENT SERVICES COMPANY (I.E. CLEANING, PATIENT TRANSPORT, AND FOOD SERVICES) OR ENGAGE IN RESEARCH PURSUANT TO RESEARCH AGREEMENTS WITHIN TAX EXEMPT DEBT FINANCED SPACE. ANY SUCH AGREEMENTS IN PLACE AS OF SEPTEMBER 30, 2013 WERE REVIEWED TO ENSURE PROPER ACCOUNTING OF ANY PRIVATE USE GENERATED FROM SUCH ACTIVITIES. IN ADDITION, SUCH AGREEMENTS ARE GENERALLY REVIEWED BY INSIDE COUNSEL PRIOR TO FINALIZING. |
| SCHEDULE K PART IV, LINE 2C, REBATE CALCULATIONS, COLUMN C: | A REBATE CALCULATION WAS COMPLETED AS OF SEPTEMBER 30, 2012 WITH NO REBATE DUE. |
| SCHEDULE K PART IV, LINE 2C, REBATE CALCULATIONS, COLUMN D: | A REBATE CALCULATION WAS COMPLETED AS OF SEPTEMBER 30, 2013 WITH NO REBATE DUE. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|
| MICHAEL SHORTSLEEVE | ||
| TRUSTEE | 302139 | 0 |
| DR SUSAN ABOOKIRE | ||
| FAMILY MEMBER | 261410 | 0 |
| JAMES RAFFERTY | ||
| FAMILY MEMBER | 101347 | 0 |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | Identifier |
| Explanation | MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES MAY BE REFERRED TO IN THESE EXPLANATORY NOTES TO FORM 990 SCHEDULE L PART IV AS MAH AND MAPS RESPECTIVELY.MICHAEL SHORTSLEEVE, M.D., A MEMBER OF THE MAH BOARD OF TRUSTEES AND CHAIR OF THE MAH DEPARTMENT OF RADIOLOGY, IS THE PRESIDENT OF SCHATZKI ASSOCIATES. SCHATZKI ASSOCIATES PROVIDED RADIOLOGY AND TEACHING SERVICES TO MAH. CHARGES FOR THOSE SERVICES DURING THE FISCAL YEAR WERE $302,139. THE FEES PAID TO SCHATZKI ASSOCIATES REFLECTED FAIR MARKET VALUE RATES. CHRISTOPHER PECKINS, MD, HUSBAND OF DR. SUSAN ABOOKIRE, CHAIR OF QUALITY AND SAFETY FOR MOUNT AUBURN HOSPITAL, IS EMPLOYED AS A PRIMARY CARE PHYSICIAN BY MAPS, A SUPPORTING ORGANIZATION OF MAH AND AN ORGANIZATION FOR WHICH MAH SERVES AS SOLE MEMBER. HIS SALARY AND OTHER INCOME INCLUDE:BASE COMPENSATION: $220,002INCENTIVE COMPENSATION: $27,757OTHER REPORTABLE COMPENSATION: $1,063DEFERRED COMPENSATION: $12,388NON-TAXABLE BENEFITS: $200KATHERINE RAFFERTY, COMMUNITY RELATIONS DIRECTOR AT MOUNT AUBURN HOSPITAL, IS THE SISTER OF JAMES RAFFERTY WHO IS A MOUNT AUBURN HOSPITAL TRUSTEE. HER SALARY AND OTHER INCOME INCLUDE:BASE COMPENSATION: $87,954INCENTIVE COMPENSATION: $420OTHER REPORTABLE COMPENSATION: $72DEFERRED COMPENSATION: $4,511NON-TAXABLE BENEFITS: $8,390JANICE SAAL, M.D., PHD, CO-MEDICAL DIRECTOR OF HOFFMAN BREAST CANCER AT MOUNT AUBURN HOSPITAL, IS THE SPOUSE OF A. KIM SAAL, WHO IS A TRUSTEE AND CHIEF OF THE DIVISION OF CARDIOLOGY AT MOUNT AUBURN HOSPITAL. HER SALARY AND OTHER INCOME INCLUDE:BASE COMPENSATION: $9,807INCENTIVE COMPENSATION: $0OTHER REPORTABLE COMPENSATION: $0DEFERRED COMPENSATION: $0NON-TAXABLE BENEFITS: $0ALL DIRECTORS/TRUSTEES SERVE WITHOUT COMPENSATION OR BENEFITS. COMPENSATION PAID TO OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES WAS EARNED FOR WORK PERFORMED IN A CAPACITY OTHER THAN THAT OF DIRECTOR/TRUSTEE. MOUNT AUBURN HOSPITAL (MAH) MAINTAINS AN ACCOUNTABLE BUSINESS EXPENSE REIMBURSEMENT PLAN. FROM TIME TO TIME, MAH MAY REIMBURSE ITS OFFICERS, DIRECTORS/TRUSTEES AND/OR KEY EMPLOYEES FOR EXPENSES THEY INCURRED AND WHICH ARE PROPERLY ORDINARY AND NECESSARY BUSINESS EXPENSES OF THE REPORTING ENTITY. THE POLICIES AND PROCEDURES REQUIRED BY THE ACCOUNTABLE BUSINESS PLAN MUST BE FOLLOWED IN ORDER TO RECEIVE REIMBURSEMENT FOR SUCH EXPENSES AND IT IS POSSIBLE THAT ONE OR MORE INDIVIDUALS RECEIVED NON-TAXABLE REIMBURSEMENTS WHICH TOTALED $10,000 OR MORE DURING THE FISCAL PERIOD COVERED BY THIS FILING.ALL OF THE ABOVE TRANSACTIONS WERE NEGOTIATED AT ARMS-LENGTH AND IN ACCORDANCE WITH THE MAH CONFLICT OF INTEREST POLICY AND REFLECT FAIR MARKET PAYMENTS AND RATES. | Explanation |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 4 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 25440 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | COST OR SELLING PRICE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | METHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS: | Identifier |
| Return Reference | PART I, COLUMN (B): | ReturnReference |
| Explanation | THERE WERE 4 CONTRIBUTORS WITH A TOTAL OF 4 CONTRIBUTIONS | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (18 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION: | PART I, LINE 1 & PART III, LINE 1 | MOUNT AUBURN HOSPITAL'S (MAH OR HOSPITAL) PRIMARY PURPOSE IS TO IMPROVE THE HEALTH OF THE RESIDENTS OF CAMBRIDGE, MA AND THE SURROUNDING COMMUNITIES. THE HOSPITAL'S SERVICES ARE DELIVERED IN A PERSONABLE, CONVENIENT AND COMPASSIONATE MANNER, WITH RESPECT FOR THE DIGNITY OF OUR PATIENTS AND THEIR FAMILIES. |
| INPATIENT MEDICAL / SURGICAL SERVICES | FORM 990, PART III LINE 4A | SURGEONS IN MOUNT AUBURN HOSPITAL'S GENERAL SURGERY DIVISION USE THE LATEST TECHNOLOGIES COMBINED WITH ADVANCED SURGICAL EXPERTISE TO PERFORM SURGERIES THAT ARE AS MINIMALLY INVASIVE AND PAINLESS AS POSSIBLE. OUR SURGEONS PERFORM BOTH ELECTIVE AND EMERGENT SURGERIES. ELECTIVE SURGERY INVOLVES A COMBINATION OF DIAGNOSTIC AND INTERVENTIONAL PROCEDURES RESULTING IN PERTINENT FOLLOW-UP WITH THE PATIENT'S REFERRING PHYSICIAN. IT IS PLANNED FOR AND SCHEDULED IN ADVANCE. EMERGENT SURGERY IS MOST OFTEN THE RESULT OF A MEDICAL EMERGENCY, SUCH AS AN APPENDICITIS ATTACK, AND IS MOST OFTEN REFERRED FROM THE EMERGENCY DEPARTMENT PHYSICIAN. IN EITHER SITUATION, MOUNT AUBURN'S SURGEONS ARE AVAILABLE TWENTY-FOUR HOURS A DAY, SEVEN DAYS A WEEK, TO ENSURE THAT PATIENTS RECEIVE THE MOST ADVANCED TREATMENT POSSIBLE. MAH SURGEONS FOCUS ON A DUAL MISSION OF CLINICAL CARE AND PATIENT EDUCATION. BECAUSE THE HOSPITAL IS A TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL, IT IS ABLE TO OFFER MORE SURGICAL SERVICES THAN MOST HOSPITALS OF SIMILAR SIZE, INCLUDING NEUROSURGERY AND CARDIOVASCULAR SURGICAL PROCEDURES, AS WELL AS CONTINUAL SURGICAL RESPONSES IN ALL DISCIPLINES. HOWEVER, MAH IS SMALL ENOUGH TO OFFER PERSONALIZED CARE THROUGHOUT A PATIENT'S SURGERY, INCLUDING PREPARATION AND RECOVERY. THE HOSPITAL IS ENRICHED BY THE ENTHUSIASM OF OUR MEDICAL RESIDENTS. ALONG WITH PRIMARY CARE (INTERNAL MEDICINE) AND GENERAL SURGERY, MOUNT AUBURN HOSPITAL STAFFS PHYSICIANS WHO SPECIALIZE IN A WIDE VARIETY OF MEDICAL AND SURGICAL DISCIPLINES INCLUDING, ALLERGY, ANESTHESIOLOGY, CARDIOLOGY, CARDIOVASCULAR AND THORACIC SURGERY, DERMATOLOGY, EAR NOSE AND THROAT, EMERGENCY MEDICINE, ENDOCRINOLOGY AND METABOLISM, FAMILY MEDICINE, GASTROENTEROLOGY, GERIATRIC MEDICINE, HAND SURGERY, HEMATOLOGY/ONCOLOGY, INFECTIOUS DISEASES, NEPHROLOGY, NEUROLOGY, NEUROSURGERY, OCCUPATIONAL HEALTH, OPHTHALMOLOGY, ORAL SURGERY, ORTHOPEDIC SURGERY, PATHOLOGY, PLASTIC SURGERY, PODIATRY, PULMONARY MEDICINE, RHEUMATOLOGY, UROLOGY AND VASCULAR SURGERY. DURING FISCAL 2013, MOUNT AUBURN HOSPITAL HAD 171 LICENSED MEDICAL/SURGICAL BEDS, AND PROVIDED INPATIENT MEDICAL SERVICES TO 6,070 PATIENTS, AND INPATIENT SURGICAL SERVICES TO 1,899 PATIENTS. |
| OUTPATIENT RADIOLOGIC SERVICES | FORM 990, PART III LINE 4B | THE MOUNT AUBURN HOSPITAL RADIOLOGY DEPARTMENT PROVIDES COMPASSIONATE, PROFESSIONAL CARE THROUGH A HIGHLY-SKILLED TEAM OF BOARD-CERTIFIED RADIOLOGISTS, TECHNOLOGISTS AND NURSES. MAH RADIOLOGISTS COLLABORATE WITH THE PATIENT'S PERSONAL PHYSICIAN AND OTHER EXPERIENCED HEALTHCARE PROFESSIONALS, WORKING TOWARD THE SINGULAR GOAL OF PATIENT SATISFACTION BY ENSURING DETAILED, ACCURATE DIAGNOSES AND OPTIMAL TREATMENT PLANS. MAH ENSURES THE PATIENT'S PRIVACY AT ALL STAGES OF TREATMENT, INCLUDING TRANSMISSION AND DISTRIBUTION OF FILMS AND REPORTS. THE RADIOLOGY DEPARTMENT UTILIZES THE LATEST IMAGING TECHNOLOGY, INCLUDING ULTRASOUND, DIGITAL RADIOGRAPHY, DIGITAL IMAGING, MULTI DETECTOR CT SCAN, ADVANCED MRI, COMPUTER ASSISTED DIAGNOSIS (CAD), BREAST IMAGING AND A PICTURE ARCHIVING AND COMMUNICATION SYSTEM (PACS). THE COMBINATION OF THESE ADVANCED TECHNOLOGIES AND SKILLED DEPARTMENT MEMBERS ENSURES THAT THE PATIENT WILL REMAIN AS COMFORTABLE AS POSSIBLE DURING THEIR RADIOLOGIC PROCEDURE. IN ADDITION TO OFFERING STATE-OF-THE-ART IMAGING FACILITIES, MAH STAFF STRIVES TO PROVIDE THE PATIENT WITH IMMEDIATE APPOINTMENTS AND TO KEEP THEIR WAIT BETWEEN APPOINTMENTS TO A MINIMUM. AT MOUNT AUBURN HOSPITAL'S DEPARTMENT OF RADIOLOGY, UTILIZATION OF STATE-OF-THE-ART IMAGING TECHNOLOGY, COMBINED WITH THE SERVICES OF THE HIGHLY-SKILLED, COMPASSIONATE TEAM OF PROFESSIONALS ENSURES THAT THE PATIENT WILL BENEFIT FROM OUR SUPERIOR LEVEL OF CARE. DURING FISCAL 2013, MOUNT AUBURN HOSPITAL PROVIDED OUTPATIENT RADIOLOGY SERVICES TO 71,074 PATIENTS. |
| INPATIENT OBSTETRICS / NEWBORN SERVICES | FORM 990, PART III LINE 4C | AT MOUNT AUBURN HOSPITAL, ALL PATIENTS CAN BE ASSURED THAT AN EXCEPTIONAL LEVEL OF CARE AND SUPPORT IS AVAILABLE FOR EXPECTANT AND NEW MOTHERS AND NEWBORNS THROUGHOUT PREGNANCY AND DELIVERY. WOMEN CAN CHOOSE FROM A VARIETY OF HIGHLY TALENTED PROVIDERS, INCLUDING OBSTETRICIANS, NURSE-MIDWIVES AND NURSE PRACTITIONERS, ALL OF WHOM COLLABORATE WITH EACH OTHER AS NEEDED. THESE PROVIDERS OFFER PERSONAL AND INDIVIDUALIZED CARE, PROVIDING SUPPORT THROUGH LABOR AND ENCOURAGING FAMILY PARTICIPATION. THE HOSPITAL'S GOAL IS A SAFE AND HEALTHY PREGNANCY AND DELIVERY FOR EACH MOTHER AND BABY. MOUNT AUBURN HOSPITAL OFFERS GUIDANCE, OPTIONS AND A SEASONED TEAM OF PROVIDERS WHO ARE COMMITTED TO DELIVERING INDIVIDUALIZED CARE. WOMEN WHO SEEK A MORE NATURAL APPROACH TO CHILDBIRTH ARE ENCOURAGED AND SUPPORTED. WOMEN WHOSE PREGNANCIES ARE CONSIDERED TO BE HIGH RISK, SUCH AS THOSE HAVING TWINS OR MEDICAL PROBLEMS COMPLICATING THE PREGNANCY, WILL FIND THE SPECIALIZED EXPERTISE AND TECHNOLOGY THAT THEY NEED. THAT INCLUDES THE HOSPITAL'S LEVEL II NURSERY FOR NEWBORNS WHO REQUIRE EXTRA MEDICAL ATTENTION AND MONITORING DURING THE FIRST DAYS OF LIFE. LABOR, DELIVERY AND POSTPARTUM CARE ARE ALL CENTERED AT THE BIRTHPLACE, MOUNT AUBURN'S OBSTETRICAL UNIT. AFTER DELIVERY, MOST NEW MOTHERS NEED SUPPORT FROM NURSING STAFF AND LACTATION CONSULTANTS ON INFANT CARE AND BREASTFEEDING. MOUNT AUBURN'S BIRTHPLACE IS WHERE NEW MOTHERS AND BABIES RECEIVE ALL THE ATTENTION THEY NEED. AT MOUNT AUBURN, WOMEN CAN CHOOSE FROM A VARIETY OF HIGHLY-QUALIFIED PROVIDERS, INCLUDING OBSTETRICIANS, NURSE-MIDWIVES AND NURSE PRACTITIONERS, ALL OF WHOM COLLABORATE WITH EACH OTHER AS NEEDED IN CARING FOR THEIR PATIENTS. FOR EXAMPLE, IF A WOMAN DEVELOPS COMPLICATIONS DURING PREGNANCY, SHE CAN CONTINUE TO RECEIVE PRENATAL CARE FROM HER NURSE-MIDWIFE, IN ADDITION TO SEEING MATERNAL-FETAL MEDICINE SPECIALISTS ON A REGULAR BASIS. OUR MAIN PROVIDERS INCLUDE: - OBSTETRICIANS - DOCTORS WHO SPECIALIZE IN PREGNANCY AND CHILDBIRTH; THEY HAVE THE TRAINING TO PROVIDE THE FULL SCOPE OF OBSTETRICAL PRACTICE, INCLUDING PERFORMING CESAREAN SECTIONS - NURSE-MIDWIVES - NURSES WHO SPECIALIZE IN NORMAL PREGNANCY AND CHILDBIRTH AND COLLABORATE WITH OBSTETRICIANS IN CASES WHERE COMPLICATIONS ARISE; NURSE-MIDWIVES SUPPORT WOMEN THROUGHOUT LABOR AND ENCOURAGE FAMILY INVOLVEMENT - NURSE PRACTITIONERS - NURSES WITH SPECIALIZED EXPERIENCE IN OBSTETRICS WHO PRACTICE IN COLLABORATION WITH OBSTETRICIANS AND NURSE-MIDWIVES IN PROVIDING PRENATAL CARE - MATERNAL-FETAL MEDICINE SPECIALISTS - OBSTETRICIANS WHO HAVE SPECIAL TRAINING IN THE COMPLICATIONS OF PREGNANCY AND CHILDBIRTH MOUNT AUBURN HOSPITAL HAS A TALENTED NURSING STAFF IN PRENATAL/ANTENATAL TESTING, LABOR AND DELIVERY, ON THE POSTPARTUM UNIT AND IN THE NURSERY. ANESTHESIOLOGISTS ARE AVAILABLE 24 HOURS A DAY TO PROVIDE PAIN RELIEF DURING LABOR. IN ADDITION, NEONATOLOGISTS, WHO SPECIALIZE IN CARING FOR NEWBORNS, AND PEDIATRICIANS ARE ON SITE AROUND THE CLOCK TO CARE FOR NEWBORNS. MOUNT AUBURN ALSO OFFERS ADDITIONAL SERVICES TO WOMEN WHO ARE PLANNING TO HAVE THEIR BABIES AT OUR HOSPITAL: - FERTILITY SERVICES, INCLUDING OPTIONS, TESTING AND TREATMENT: MANY COUPLES NEED THE EXPERTISE OF A FERTILITY SPECIALIST. MOUNT AUBURN HOSPITAL HAS FERTILITY SPECIALISTS ON STAFF THAT COUNSEL COUPLES ON THE MOST CURRENT AVAILABLE OPTIONS AND DIRECT THE NECESSARY TESTING AND TREATMENT AIMED AT A HEALTHY PREGNANCY AND BIRTH. THIS INCLUDES ACCESS TO IN VITRO FERTILIZATION AND OTHER PROCEDURES. - HIGH-RISK PREGNANCY SPECIALISTS: A FULL RANGE OF SERVICES IS AVAILABLE FOR WOMEN WHO ARE EXPERIENCING HIGH-RISK PREGNANCIES. IN THOSE INSTANCES, A MATERNAL-FETAL MEDICINE SPECIALIST, A PHYSICIAN WHO SPECIALIZES IN THE COMPLICATIONS OF PREGNANCY AND CHILDBIRTH, BECOMES PART OF THE TEAM AND SEES THE WOMAN ON A REGULAR BASIS. - NURSERIES, CARING FOR YOUR BABY: MOST NEWBORNS SPEND MOST OF THE DAY WITH THEIR MOTHERS. WHEN NEWBORNS NEED SPECIAL CARE, THEY STAY IN THE HOSPITAL'S LEVEL II NURSERY, WHICH IS STAFFED BY NEONATOLOGISTS AND NEONATAL NURSES. BY STAYING AT MOUNT AUBURN, WHERE A PEDIATRICIAN IS ON SITE 24 HOURS A DAY, BABIES REMAIN CLOSE TO THEIR FAMILY MEMBERS WHILE A PEDIATRICIAN IS AROUND THE CORNER IF NEEDED. IN ALL PREGNANCIES, A SAFE AND HEALTHY DELIVERY FOR MOTHER AND BABY IS THE PRIORITY. THE ADDITIONAL GOAL IS TO MAKE PRENATAL CARE AND CHILDBIRTH A SMOOTH, WELL-COORDINATED EXPERIENCE. THE BAIN BIRTHING CENTER THE BAIN BIRTHING CENTER AT MOUNT AUBURN HOSPITAL PROVIDES A COMFORTABLE, HOME-LIKE SETTING FOR CHILDBIRTH, BUT WITH ALL THE ADVANCED TECHNOLOGY THAT MIGHT BE NEEDED. MOUNT AUBURN IS PROUD TO OFFER TOP-NOTCH PRENATAL AND ANTENATAL FACILITIES IN AN INTIMATE SETTING. BIRTH AT MOUNT AUBURN IS AN INCLUSIVE EXPERIENCE. THE BAIN BIRTHING CENTER FEATURES A WARM, PERSONAL AND NURTURING ATMOSPHERE, PAYING SPECIAL ATTENTION TO THE COMFORT OF THE MOTHER BY OFFERING SPECIAL FEATURES LIKE JACUZZI TUBS, RESTAURANT-STYLE MEALS, PARTNER CHAIRS THAT RECLINE INTO BEDS FOR FATHERS OR OTHER SUPPORT PERSONS, AND ROOMS FEATURING VIEWS OF THE CHARLES RIVER AND BOSTON SKYLINE. IN CASES WHERE A CAESARIAN SECTION NEEDS TO BE PERFORMED, SURGICAL SUITES ARE LOCATED ADJACENT TO THE LABOR AND DELIVERY AREA. A STATE-OF-THE-ART MONITORING SYSTEM ALLOWS WOMEN TO SAFELY WALK AROUND THE UNIT WHILE THEY ARE IN LABOR. AT THE MOUNT AUBURN HOSPITAL BAIN BIRTHING CENTER, A PATIENT'S CHOICE IS PARAMOUNT. PAIN RELIEF DURING LABOR IS AN ISSUE THAT EACH WOMAN SHOULD EXPLORE WITH HER PROVIDER. MANY WOMEN CHOOSE TO HAVE AN EPIDURAL, BUT PROVIDERS AT MOUNT AUBURN, ESPECIALLY NURSE-MIDWIVES, ALSO SUPPORT ALTERNATIVE METHODS SUCH AS PRESSURE-POINT MASSAGE, AND HYPNO-BIRTHING (SELF-HYPNOSIS DURING THE BIRTH PROCESS). WOMEN WHO SEEK AN ALTERNATIVE APPROACH TO CHILDBIRTH ITSELF, SUCH AS A WATER BIRTH, WILL ALSO FIND NURSE-MIDWIVES TO HELP THEM WITH SUCH OPTIONS. IN CASES WHERE A CAESARIAN SECTION NEEDS TO BE PERFORMED, SURGICAL SUITES ARE LOCATED ADJACENT TO THE LABOR AND DELIVERY AREA. MOUNT AUBURN HOSPITAL STRIVES TO PROVIDE SUPPORT AND INFORMATION; PRIVACY AND CHOICE. THE POSTPARTUM NURSING STAFF PROVIDE NEW MOTHERS WITH ONE-ON-ONE CARE AND EDUCATION. THE BAIN BIRTHING CENTER OFFERS A VARIETY OF SERVICES FOR PREGNANT AND NEW MOTHERS, INCLUDING CHILDBIRTH EDUCATION CLASSES, BIRTHPLACE TOURS AND BREAST PUMP RENTALS. SERVICES FOR NON-ENGLISH SPEAKING PATIENTS INCLUDE STAFF INTERPRETERS, SPANISH-SPEAKING NURSE-MIDWIVES AND INTERPRETER SERVICES FOR VARIOUS LANGUAGES AND ACCESS TO 24-HOUR TELEPHONE INTERPRETER SERVICES FOR MORE THAN 100 LANGUAGES. ONCE FAMILIES LEAVE THE BAIN BIRTHING CENTER, THEY HEAD HOME KNOWING THAT THE NURSING STAFF IS AVAILABLE AFTER DISCHARGE TO ANSWER ANY QUESTIONS THAT MAY ARISE ABOUT THE HEALTH OF MOTHER AND BABY 24 HOURS A DAY. LEVEL II NURSERY IF A NEWBORN NEEDS SPECIAL CARE, REST ASSURED THAT MOUNT AUBURN'S LEVEL II NURSERY IS EQUIPPED TO ADDRESS YOUR INFANT'S CRITICAL HEALTH ISSUES, INCLUDING PREMATURITY, MEDICAL AND FEEDING DIFFICULTIES. THIS SEVEN-BED NURSERY IS STAFFED BY A HIGHLY SKILLED TEAM OF NEONATOLOGISTS AND NEONATAL NURSES WHO ARE CERTIFIED TO RESUSCITATE AND ALSO TO STABILIZE AND PREPARE CRITICALLY ILL INFANTS FOR TRANSFER TO A BOSTON-AREA LEVEL III NURSERY IN THE EVENT OF AN EMERGENCY. MAH'S NURSERY HAS A SPECIALIST PEDIATRICIAN ON CALL 24 HOURS A DAY, AS WELL AS AROUND THE CLOCK NEONATAL BACKUP COVERAGE. ANESTHESIA IS AVAILABLE 24 HOURS A DAY, AS WELL. IN ADDITION TO THE EXPERT OBSTETRIC TEAM, MOUNT AUBURN'S LEVEL II NURSERY FEATURES STATE-OF-THE-ART MONITORING EQUIPMENT FOR NEONATES. IF A NEWBORN IS SERIOUSLY ILL, HIS/HER PARENTS CAN BE ASSURED THAT HE OR SHE WILL RECEIVE THE BEST CARE POSSIBLE IN MOUNT AUBURN'S LEVEL II NURSERY. DURING FISCAL 2013, MOUNT AUBURN HOSPITAL HAD 28 LICENSED OB/GYN BEDS PROVIDING SERVICES TO 2,523 PATIENTS AND 35 BASSINETS PROVIDING INPATIENT SERVICES TO 2,566 NEWBORNS. |
| PROGRAM SERVICE ACCOMPLISHMENTS - OTHER | FORM 990, PART III LINE 4D | MOUNT AUBURN HOSPITAL'S NUMEROUS CLINICAL STRENGTHS ARE THE RESULT OF A COMMITMENT TO EXCELLENCE BY THE HOSPITAL AND ITS STAFF, WHICH INCLUDES RECOGNIZED AND RESPECTED PROFESSIONALS, AS WELL AS TALENTED STUDENTS AND TRAINEES WHO COME TO MOUNT AUBURN HOSPITAL FOR THE OUTSTANDING EDUCATIONAL OPPORTUNITIES IT PROVIDES. THIS COMMITMENT BY OUR STAFF IS MATCHED BY THE CUTTING-EDGE CLINICAL TECHNOLOGY USED THROUGHOUT THE HOSPITAL. AT MOUNT AUBURN, OUR PATIENTS RECEIVE CARE THAT IS FIRST-RATE, AS WELL AS COMPASSIONATE. MOUNT AUBURN HOSPITAL'S CLINICAL SERVICE BEYOND THOSE LISTED ABOVE INCLUDE: CANCER CARE, DIABETES EDUCATION, EMPLOYEE ASSISTANCE PROGRAM, OUTPATIENT SURGERY, NUTRITION SERVICES, OCCUPATIONAL HEALTH, PEDIATRICS, PHARMACY, PREVENTION AND RECOVERY, PSYCHIATRY, QUALITY AND SAFETY, REHABILITATION, HOME CARE, LABORATORY, TRAVEL MEDICINE, UROGYNECOLOGY AND WALK-IN CLINIC. DURING FISCAL 2013, MOUNT AUBURN HOSPITAL HAD 16 LICENSED INPATIENT PSYCHIATRY BEDS, AND PROVIDED INPATIENT PSYCHIATRY SERVICES TO 269 PATIENTS. THE HOSPITAL HAS A 24 HOUR EMERGENCY DEPARTMENT THAT SERVICED 35,761 VISITS. IN ADDITION, THE HOSPITAL PROVIDED A VARIETY OF OUTPATIENT SERVICES TO MORE THAN 176,000 PATIENTS IN VARIOUS SPECIALTIES LISTED ABOVE, AND CONDUCTED MORE THAN 78,000 VISITS TO PATIENT'S HOMES THROUGH OUR HOME CARE DEPARTMENT. FOR ADDITIONAL INFORMATION ON MAH'S ACCOMPLISHMENTS AND HOW IT HELPS SUPPORT CAMBRIDGE AND THE SURROUNDING COMMUNITIES, PLEASE SEE THE DETAIL RELATED TO MOUNT AUBURN HOSPITAL COMMUNITY BENEFITS ACTIVITIES INCLUDED IN THE SUPPLEMENTAL NARRATIVE TO SCHEDULE H. |
| FORM 990, PART IV QUESTION 12A | AS DESCRIBED IN THIS FILING, MOUNT AUBURN HOSPITAL (MAH) IS A PUBLIC CHARITY AND A REGIONAL TEACHING HOSPITAL, EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. THE FINANCIAL RECORDS OF MAH ARE AUDITED EACH YEAR AS PART OF THE MAH CONSOLIDATED AUDITED FINANCIAL STATEMENT PROCESS AND FOR THE FISCAL PERIOD COVERED BY THIS FILING, THE BOSTON, MA OFFICE OF KPMG ISSUED AND UNQUALIFIED OPINION ON THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF MAH AND AFFILIATE. | |
| FORM 990, PART IV QUESTION 24A | AS DESCRIBED IN THIS FORM 990, CAREGROUP, INC., IS AN ENTITY EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, IS A SUPPORT ORGANIZATION OF AND SOLE MEMBER OF MOUNT AUBURN HOSPITAL (MAH). MAH IS A MEMBER OF THE CAREGROUP OBLIGATED GROUP AND ITS TAX EXEMPT BOND FINANCING IS ISSUED THROUGH CAREGROUP. THE SCHEDULE K AS INCLUDED IN THIS FORM 990 INCLUDES ALL OF THE CAREGROUP OBLIGATED GROUP OUTSTANDING DEBT FOR BONDS ISSUED AFTER DECEMBER 31, 2002 ONLY A PORTION OF WHICH IS ALLOCABLE TO AND REPORTED ON THE BALANCE SHEET OF MAH. | |
| FORM 990, PART IV QUESTION 24B | PROCEEDS IN THE PROJECT FUND WERE UNEXPECTEDLY HELD BEYOND THE THREE-YEAR TEMPORARY PERIOD, BUT WERE YIELD RESTRICTED IN COMPLIANCE WITH FEDERAL TAX REQUIREMENTS. | |
| FORM 990, PART VI, SECTION A, LINE 2 | THE FOLLOWING MOUNT AUBURN HOSPITAL OFFICERS, DIRECTOR/TRUSTEES, AND KEY EMPLOYEES HAVE BUSINESS OR FAMILY RELATIONSHIPS: JEANETTE CLOUGH, LEON PALANDJIAN, AND JOSEPH ROLLER BUSINESS RELATIONSHIPS AS NOTED IN VARIOUS NARRATIVE DISCLOSURES WHICH SUPPORT THIS FORM 990 AND RELATED SCHEDULES, CAREGROUP, INC. (CAREGROUP) IS A MASSACHUSETTS NON-PROFIT CORPORATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. CAREGROUP'S PURPOSE IS TO OVERSEE THE FINANCIAL WELL-BEING OF THE AFFILIATED ENTITIES WHICH MAKE UP THE CAREGROUP SYSTEM. CAREGROUP SERVES AS THE SOLE MEMBER AND A SUPPORT ORGANIZATION OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER). BIDMC IS THE SOLE MEMBER OF BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM, INC. (BIDN), MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION, D/B/A AFFILIATED PHYSICIANS GROUP (APG) AND BETH ISRAEL DEACONESS HOSPITAL-MILTON, INC. (BID-MILTON). IN ADDITION, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP) IS THE DEDICATED PHYSICIAN PRACTICE OF THE MEDICAL CENTER AND AN ENTITY INTEGRALLY RELATED TO HELPING THE MEDICAL CENTER ACCOMPLISH ITS CHARITABLE PURPOSES. CAREGROUP ALSO SERVES AS THE SOLE MEMBER AND A SUPPORT ORGANIZATION OF NEW ENGLAND BAPTIST HOSPITAL (NEBH) AND MOUNT AUBURN HOSPITAL (MAH), WHICH IN TURN SERVE AS THE SOLE MEMBER OF NEW ENGLAND BAPTIST MEDICAL ASSOCIATES (NEBMA) AND MOUNT AUBURN PROFESSIONAL SERVICES (MAPS), RESPECTIVELY. EACH OF THE ENTITIES LISTED IN THIS PARAGRAPH MAY, IN TURN, SERVE AS MEMBER OF ADDITIONAL ENTITIES WITHIN THE CAREGROUP NETWORK OF AFFILIATES. TWO OR MORE OF THE PERSONS LISTED IN THIS FORM 990 PART VII HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF SITTING ON ONE OR BOARDS OF DIRECTORS/TRUSTEES OR BY SERVING IN EMPLOYMENT RELATIONSHIP ONE OR MORE ENTITIES WITHIN THE CAREGROUP NETWORK OF AFFILIATED ORGANIZATIONS. ADDITIONAL DETAIL IS PROVIDED IN THE EXPLANATORY NOTES TO THIS FORM 990 SCHEDULE J. | |
| FORM 990, PART VI, SECTION A, LINE 6 | CAREGROUP, INC., IS AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) OF 1986, AS AMENDED AND A SUPPORT ORGANIZATION OF MOUNT AUBURN HOSPITAL (MAH). ACTING THROUGH ITS BOARD OF DIRECTORS, CAREGROUP IS THE SOLE MEMBER OF MAH. | |
| FORM 990, PART VI, SECTION A, LINE 7A | PURSUANT TO THE MAH BYLAWS, CAREGROUP AS SOLE MEMBER, APPROVES BUT DOES NOT ELECT THE HOSPITAL'S GROUP 2 TRUSTEES, WHICH COMPOSE UP TO 20 OF A MAXIMUM OF 28 TRUSTEES. | |
| FORM 990, PART VI, SECTION A, LINE 7B | ACCORDING TO THE HOSPITAL'S BYLAWS, AS SOLE MEMBER, CAREGROUP HAS THE FOLLOWING RIGHTS: - TO APPROVE THE ELECTION OF THE HOSPITAL'S PRESIDENT; - TO APPROVE THE REMOVAL OF THE PRESIDENT; - TO ESTABLISH AND APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS; - TO APPROVE THE HOSPITAL'S STRATEGIC AND FINANCIAL PLANS; - TO APPROVE UNBUDGETED CAPITAL EXPENDITURES IN THE AGGREGATE IN EXCESS OF 3% OF THE ANNUAL CAPITAL BUDGET OR $1,000,000 WHICHEVER IS LESS; - TO SELECT THE INDEPENDENT AUDITOR TO EXAMINE THE FINANCIAL ACCOUNTS OF THE HOSPITAL; - TO APPROVE THE BORROWING OR INCURRENCE OF DEBT IN ANY AMOUNT, OTHER THAN (I) FOR THE PURPOSE OF SECURING WORKING CAPITAL FROM A LENDER APPROVED BY THE MEMBER AND PURSUANT TO EXISTING LOAN DOCUMENTATION CONTAINING THE TERMS AND PROVISIONS RELATING TO SUCH BORROWING APPROVED BY THE MEMBER AT THE TIME OF THE BORROWING AND, (II) DEBT INCURRED IN THE ORDINARY COURSE OF BUSINESS WHICH IS IN THE MEMBER APPROVED ANNUAL BUDGET; - TO APPROVE ANY VOLUNTARY DISSOLUTION, MERGER OR CONSOLIDATION OF THE HOSPITAL, THE SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE HOSPITAL'S ASSETS, THE CREATION, ACQUISITION OR DISPOSAL OF ANY SUBSIDIARY OR AFFILIATED CORPORATION, OR THE ENTERING INTO ANY JOINT VENTURE OR OTHER PARTNERSHIP ARRANGEMENTS BY THE HOSPITAL; - THE POWER AND AUTHORITY TO INITIATE AND TAKE ANY OF THE FOLLOWING ACTIONS: ANY VOLUNTARY DISSOLUTION, MERGER OR CONSOLIDATION OF THE MEDICAL CENTER, THE SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE MEDICAL CENTER'S ASSETS, THE CREATION, ACQUISITION OR DISPOSAL OF ANY SUBSIDIARY OR AFFILIATED CORPORATION, OR THE ENTERING INTO ANY JOINT VENTURE OR OTHER PARTNERSHIP ARRANGEMENTS BY THE MEDICAL CENTER; - THE EXCLUSIVE POWER AND AUTHORITY TO INITIATE ANY BANKRUPTCY OR INSOLVENCY ACTION ON BEHALF OF THE HOSPITAL OR MOUNT AUBURN PROFESSIONAL SERVICES; AND, - OTHER POWERS AND RIGHTS AS VESTED BY LAW. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER OF MOUNT AUBURN HOSPITAL (MAH), THE TAX DIRECTOR OF CAREGROUP, WHICH IS THE MEMBER OF MAH AND DELOITTE TAX, LLP. THE COMPLETE FORM 990 IS PRESENTED TO THE AUDIT COMMITTEE OF MAH FOR REVIEW AND DISCUSSION. A COPY OF THE COMPLETE RETURN IS THEN PROVIDED TO EACH MEMBER OF THE BOARD OF TRUSTEES OF THE FILING ENTITY PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. | |
| FORM 990, PART VI, SECTION B, LINE 12C | MOUNT AUBURN HOSPITAL (MAH) HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY APPLICABLE TO BOTH MAH AND ITS AFFILIATE, MOUNT AUBURN PROFESSIONAL SERVICES (MAPS). PURSUANT TO THAT POLICY, ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES OF BOTH ENTITIES ARE ASKED TO COMPLETE AN ANNUAL CONFLICT DISCLOSURE STATEMENT WHICH IS DESIGNED TO REQUIRE DISCLOSURE OF ANY BUSINESS RELATIONSHIPS MAINTAINED BY OFFICERS, TRUSTEES OR KEY EMPLOYEES AND THEIR FAMILY MEMBERS WHICH MAY RESULT IN A CONFLICT OF INTEREST. IN ADDITION, ANY INDIVIDUAL WHO COMMENCES A TERM AS AN OFFICER, DIRECTOR, TRUSTEE OR KEY EMPLOYEE IS REQUIRED TO COMPLETE THE ANNUAL CONFLICT DISCLOSURE AT THE TIME SUCH POSITION COMMENCES. ALL ANNUAL DISCLOSURES ARE REVIEWED BY THE MAH OFFICE OF GENERAL COUNSEL FOR DETERMINATION OF ANY POTENTIAL OR ACTUAL CONFLICT AND ANY ACTIVITY THAT REQUIRES ACTION UNDER THE CONFLICT OF INTEREST POLICY IS SUBJECT TO ONGOING REVIEW AND ACTION THROUGH THE GENERAL COUNSEL'S OFFICE. PURSUANT TO THE CONFLICT OF INTEREST POLICY, CERTAIN ACTIVITIES WHICH COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED WHILE OTHER TYPES OF RELATIONSHIPS ARE PERMITTED, SUBJECT TO COMPLIANCE WITH A PLAN TO REQUIRE DISCLOSURE AND RECUSAL, INCLUDING APPROPRIATE DOCUMENTATION IN THE MINUTES. CAREGROUP, INC. IS THE SOLE MEMBER OF MAH. IN ADDITION TO THE CONFLICT OF INTEREST PROCESS OUTLINED ABOVE, THE MAH OFFICE OF THE GENERAL COUNSEL AND THE CAREGROUP TAX DEPARTMENT JOINTLY ISSUE A TAX QUESTIONNAIRE TO ALL CURRENT AND FORMER MEMBERS OF THE BOARD OF TRUSTEES AS WELL AS CURRENT AND FORMER OFFICERS AND KEY EMPLOYEES. THE TAX QUESTIONNAIRE IS DESIGNED TO GATHER THE INFORMATION NECESSARY FOR MAH TO COMPLETELY AND ACCURATELY PROCESS AND COMPLETE FORM 990 SCHEDULE L, TRANSACTIONS WITH INTERESTED PERSONS AND FORM 990, PART VI, QUESTION 2, FAMILY AND BUSINESS RELATIONSHIPS BETWEEN OFFICERS, DIRECTORS/TRUSTEES AND KEY EMPLOYEES. | |
| FORM 990, PART VI, SECTION B, LINE 15 | MOUNT AUBURN HOSPITAL (MAH) HAS A COMPENSATION COMMITTEE (THE "COMMITTEE") THAT IS COMPRISED OF SIX MEMBERS OF THE BOARD OF TRUSTEES INCLUDING THE CURRENT CHAIRMAN OF THE BOARD OF TRUSTEES AND THE MAH CEO, WHO SERVES ON THE COMMITTEE AS AN "EX OFFICIO" MEMBER WITHOUT VOTING RIGHTS. ALL OTHER MEMBERS OF THE COMMITTEE ARE INDEPENDENT. THE COMMITTEE OPERATES TO FULFILL THE FOLLOWING RESPONSIBILITIES: - TO REVIEW AND APPROVE THE TOTAL COMPENSATION OF EACH MEMBER OF THE HOSPITAL'S SENIOR MANAGEMENT TEAM SO AS TO ENSURE THAT SUCH COMPENSATION REMAINS COMPETITIVE IN THE MARKETPLACE, REPRESENTS GOOD VALUE TO THE HOSPITAL FOR THE QUALITY AND QUANTITY OF SERVICES PROVIDED AND CONSTITUTES REASONABLE TOTAL COMPENSATION TO THE EMPLOYEE IN LIGHT OF THE EMPLOYEE'S POSITION, RESPONSIBILITIES, QUALIFICATIONS AND PERFORMANCE IN ACCORDANCE WITH INTERNAL AND EXTERNAL REASONABLE COMPENSATION STANDARDS APPLICABLE TO THIS TAX EXEMPT HOSPITAL; - TO RECOMMEND TO THE BOARD OF TRUSTEES THE TERMS AND CONDITIONS OF ANY EMPLOYMENT AGREEMENTS BETWEEN THE HOSPITAL AND ITS PRESIDENT/CHIEF EXECUTIVE OFFICER INCLUDING BASE SALARIES, INCENTIVE COMPENSATION, SUPPLEMENTAL EMPLOYEE RETIREMENT PLANS, BENEFITS AND OTHER LAWFUL METHODS OF REASONABLE COMPENSATION; - TO RECOMMEND TO THE BOARD OF TRUSTEES FOR THE BOARD'S APPROVAL THE TERMS AND CONDITIONS OF ANY SUPPLEMENTAL EMPLOYEE RETIREMENT PLANS FOR HOSPITAL EXECUTIVES; - TO REVIEW AND APPROVE THOSE PORTIONS OF THE FEDERAL FORM 990 AND THE MASSACHUSETTS FORM PC, OR THEIR EQUIVALENTS, PERTAINING TO THE COMPENSATION OF HOSPITAL EMPLOYEES PRIOR TO THE HOSPITAL'S FILING OF SUCH FORMS WITH THE REGULATORY AUTHORITIES; - AS DETERMINED TO BE ADVISABLE BY THE COMMITTEE FROM TIME TO TIME, TO ENGAGE OUTSIDE COMPENSATION CONSULTANTS AND LEGAL AND OTHER ADVISORS TO PROVIDE TO THE COMMITTEE APPROPRIATE AND RELIABLE COMPARABLE COMPENSATION DATA FOR SIMILARLY SITUATED EMPLOYEES OF NATIONAL, REGIONAL AND LOCAL PEER INSTITUTIONS AND OTHER EXPERT ADVICE TO ASSIST THE COMMITTEE IN FULFILLING ITS RESPONSIBILITIES; - TO WORK WITH THE HOSPITAL'S MANAGEMENT AND AUDITORS TO RESOLVE, OR TO RECOMMEND TO THE BOARD OF TRUSTEES RESOLUTION OF, ANY ISSUES OF CONCERN PERTAINING TO THE COMPENSATION OF HOSPITAL EMPLOYEES THAT MAY ARISE DURING THE COURSE OF THE HOSPITAL'S INDEPENDENT AUDIT OR MAY BE PRESENTED IN THE INDEPENDENT AUDITOR'S MANAGEMENT LETTER TO THE HOSPITAL; - TO REVIEW AND APPROVE EMPLOYEE BENEFITS PROGRAMS INCLUDING WELFARE, FRINGE AND RETIREMENT PLANS AND PROGRAMS, AND ANY MATERIAL AMENDMENTS THERETO; - TO ADOPT SUCH POLICIES AND PROCEDURES AS THE COMMITTEE MAY DETERMINE FROM TIME TO TIME TO BE NECESSARY OR USEFUL TO ENSURE THAT THE HOSPITAL PAYS REASONABLE AND COMPETITIVE COMPENSATION TO ITS MANAGEMENT TEAM WHILE PRESERVING THE TAX EXEMPT STATUS OF THE HOSPITAL; AND - TO REVIEW AND REASSESS THE COMMITTEE'S CHARTER FROM TIME TO TIME AND TO RECOMMEND ANY PROPOSED CHANGES TO THE HOSPITAL'S BOARD OF TRUSTEES FOR ITS CONSIDERATION AND APPROVAL. THE COMMITTEE MEETS SEVERAL TIMES DURING THE YEAR TO REVIEW AND APPROVE INDIVIDUAL PERFORMANCE GOALS FOR MANAGEMENT AND THE CEO, TO REVIEW PERFORMANCE AGAINST SUCH GOALS, TO APPROVE INCENTIVE COMPENSATION PAYMENTS TO MANAGEMENT, TO RECOMMEND COMPENSATION PAYMENTS TO THE CEO FOR APPROVAL BY THE TRUSTEES AND TO APPROVE SALARY ADJUSTMENTS FOR THE NEXT YEAR. FURTHER, THE COMMITTEE WILL ADDRESS AS REQUIRED ANY CHANGES IN INDIVIDUAL OR GROUP COMPENSATION ARRANGEMENTS AT SUCH MEETINGS. THE COMMITTEE UNDERSTANDS THAT ONE OF ITS CORE RESPONSIBILITIES IS TO ENSURE THAT THE TOTAL COMPENSATION PROVIDED TO THESE INDIVIDUALS IS FAIR AND REASONABLE USING CURRENT AND CREDIBLE MARKET PRACTICE INFORMATION AND THAT ALL ARRANGEMENTS COMPLY WITH APPLICABLE LEGAL AND REGULATORY GUIDELINES. THE COMPENSATION COMMITTEE HAS HISTORICALLY RELIED UPON GUIDANCE OUTLINED IN WRITTEN COMPENSATION SURVEYS/STUDIES PRODUCED UNDER AN ARRANGEMENT WITH AN INDEPENDENT COMPENSATION CONSULTING FIRM THAT REGULARLY ASSESSES EXECUTIVE COMPENSATION AND BENEFITS OF ORGANIZATIONS SIMILAR TO MAH. THE COMMITTEE HAS HISTORICALLY HAD A FULL STUDY CONDUCTED BY SUCH FIRM EVERY OTHER YEAR WITH AN UPDATED STUDY IN THE OTHER YEARS. THIS SURVEY HAS FORMED THE BASIS FOR THE COMMITTEE FULFILLING ITS RESPONSIBILITY IN THIS REGARD. FOR THE PERIODS COVERED IN THIS FORM 990, THE COMMITTEE MET SEVERAL TIMES TO REVIEW THE COMPENSATION OF EACH OF THE INDIVIDUALS DESCRIBED ABOVE. TOOLS UTILIZED FOR THIS REVIEW INCLUDED THE COMPENSATION STUDY PREPARED BY THE INDEPENDENT COMPENSATION CONSULTING FIRM CONTRACTED BY THE COMMITTEE. FURTHER, PERFORMANCE OF EACH INDIVIDUAL WAS MEASURED AGAINST PREVIOUS APPROVED GOALS AND OBJECTIVES IN DETERMINING INCENTIVE COMPENSATION PAYMENTS. AFTER DISCUSSION AND ANALYSIS AT SEVERAL MEETINGS, THE COMPENSATION COMMITTEE VOTED TO APPROVE THE COMPENSATION ARRANGEMENTS OF ALL INDIVIDUALS DESCRIBED ABOVE EXCEPT FOR THE CEO. UPON EXCUSING THE CEO FROM ITS MEETING, THE COMPENSATION COMMITTEE DISCUSSED THE COMPENSATION OF THE CEO AND THE PERFORMANCE OF THE CEO AGAINST PREVIOUSLY APPROVED GOALS AND OBJECTIVES. WITH THE INPUT OF THE COMPENSATION STUDY, THE COMMITTEE VOTED TO RECOMMEND FOR APPROVAL BY THE BOARD OF TRUSTEES THE COMPENSATION ARRANGEMENT OF THE CEO. AT A FUTURE BOARD OF TRUSTEES MEETING, THE COMMITTEE CHAIRMAN MADE A FULL REPORT TO THE INDEPENDENT TRUSTEES OF THE COMMITTEES ANALYSIS OF CEO COMPENSATION AND AFTER DISCUSSION RECOMMENDED THAT THE TRUSTEES APPROVE THE CEO COMPENSATION. THE TRUSTEES VOTED AND APPROVED THE COMPENSATION. ALL DELIBERATIONS WERE CONTEMPORANEOUSLY DOCUMENTED IN MINUTES. THE COMPENSATION OF THE MAH CEO WAS THEN ALSO APPROVED BY THE CAREGROUP COMPENSATION COMMITTEE. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST AT THE FOLLOWING LOCATION: MOUNT AUBURN HOSPITAL OFFICES 330 MOUNT AUBURN ST CAMBRIDGE, MA 02138 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 9: | TRANSFER FROM AFFILIATE -15,623,938. FAS 158 43,961. INVESTMENT INCOME & GAINS-CIP -141,965. |
| FORM 990, PART XII QUESTION 2B AND 2C | AS PREVIOUSLY REPORTED IN THIS FILING, MOUNT AUBURN HOSPITAL (MAH) IS A PUBLIC CHARITY AND A REGIONAL TEACHING HOSPITAL, EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. THE FINANCIAL RECORDS OF MAH ARE AUDITED EACH YEAR AS PART OF THE MAH CONSOLIDATED AUDITED FINANCIAL STATEMENT PROCESS AND FOR THE FISCAL PERIOD COVERED BY THIS FILING. THE AUDIT WAS PREPARED AND SIGNED BY THE BOSTON, MA OFFICE OF KPMG. THIS PROCESS IS MONITORED AND REVIEWED INTERNALLY BY THE MAH AUDIT COMMITTEE. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (30 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ASSOC PHYS HARVARD MED FAC PHY AT BIDMC | |||||||||||
| 375 LONGWOOD AVE | BOSTON | MA | 02215 | 320058309 | TO PROVIDE EMERGENCY MEDICAL SERVICES | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI ANAESTHESIA FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042997215 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI COMMUNITY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042776678 | INACTIVE CORPORATION | MA | 501(C)(3) | LINE 7 | 0 | N/A | |
| BI DEACONESS DEPARTMENT OF MEDICINE FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043079630 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 208253452 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS DEPARTMENT OF NEUROLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043030397 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS DEPARTMENT OF ORTHOPAEDIC SURGERY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 204974585 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS DEPARTMENT OF SURGERY FOUNDATION INC | |||||||||||
| 110 FRANCIS STREET | BOSTON | MA | 02215 | 020671240 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI DEACONESS HOSPITAL - NEEDHAM INC | |||||||||||
| 148 CHESTNUT ST | NEEDHAM | MA | 02492 | 043229679 | HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS. | MA | 501(C)(3) | LINE 3 | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
| BETH ISRAEL DEACONESS MEDICAL CENTER | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042103881 | THE OPERAION OF A WORLD CLASS ACADEMIC MEDICAL CENTER IN BOSTON, MA | MA | 501(C)(3) | LINE 3 | CAREGROUP INC | 0 | |
| BIDMC AND CHILDREN'S HOSPITAL MEDICAL CARE CORP | |||||||||||
| 300 LONGWOOD AVE | BOSTON | MA | 02215 | 043200113 | OUTPATIENT AMBULATORY CARE CENTER IN LEXINGTON, MA | MA | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| BIDMC OBSTETRICS AND GYNECOLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042794855 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BI DERMATOLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043117601 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BIH PATHOLOGY FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 222548374 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| BIH RADIOLOGIC FOUNDATION INC | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 042571853 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| LONGWOOD MEDICAL INTL FOUNDATION | |||||||||||
| 185 PILGRIM ROAD BOST | BOSTON | MA | 02215 | 043208878 | INACTIVE CORPORATION | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| CAREGROUP INC | |||||||||||
| 109 BROOKLINE AVE | BOSTON | MA | 02215 | 222629185 | OVERSEE FINCIAL HEALTH OF AFFILIATES | MA | 501(C)(3) | LINE 11D, III-O | 0 | N/A | |
| CARL J SHAPIRO INSTITUTE | |||||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043326928 | DEVELOP INNOVATIVE PROG AND MODELS FOR TEACHING AND RESEARCH | MA | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| CONTINUING EDU PROGRAM DBA BID DEPT OF PSYCH FDN | |||||||||||
| C/O HARVARD MED SCH 401 PARK DR | BOSTON | MA | 02215 | 043242952 | SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS | MA | 501(C)(3) | LINE 11A, I | HMFP AT BIDMC | 0 | |
| MED CARE OF BOSTON MGMT CORP DBA AFFILIATED PHYS GROUP | |||||||||||
| 400 HUNNEWELL ST | NEEDHAM | MA | 02494 | 042810972 | OUTPATIENT, PRIMARY CARE AND SPECIALTY SERVICES | MA | 501(C)(3) | LINE 9 | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
| MOUNT AUBURN PROFESSIONAL SERVICES INC | |||||||||||
| 330 MOUNT AUBURN ST | CAMBRIDGE | MA | 02138 | 043026897 | OFFERING MEDICAL CARE IN GENERAL AND SPECIALIZED PRACTICES | MA | 501(C)(3) | LINE 11A, I | MOUNT AUBURN HOSPITAL | 0 | |
| NEW ENGLAND BAPTIST HOSPITAL | |||||||||||
| 125 PARKER HILL AVE | BOSTON | MA | 02120 | 042103612 | ORTHOPEDIC SPECIALTY HOSPITAL | MA | 501(C)(3) | LINE 3 | CAREGROUP INC | 0 | |
| NEW ENGLAND BAPTIST MEDICAL ASSOCIATES INC | |||||||||||
| 125 PARKER HILL AVE | BOSTON | MA | 02120 | 043235796 | OUTPATIENT MEDICAL SERVICES TO THE VARIOUS COMMUNITIES SERVICED BY NEBH | MA | 501(C)(3) | LINE 3 | NEW ENGLAND BAPTIST HOSPITAL INC | 0 | |
| RIVERBROOK CORPORATION | |||||||||||
| 109 BROOKLINE AVE | BOSTON | MA | 02215 | 042828955 | TO HOLD TITLE TO PROPERTY FOR CAREGROUP, INC. | MA | 501(C)(2) | CAREGROUP INC | 0 | ||
| HARVARD MEDICAL COLLABORATIVE INC | |||||||||||
| 25 SHATTUCK ST | BOSTON | MA | 02115 | 043476764 | COORDINATE AND PROVIDE STATEGIC PLANNING OPP FOR HMS | MA | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC INC | |||||||||||
| 375 LONGWOOD AVE | BOSTON | MA | 02215 | 222768204 | GENERAL AND SPECIALIZED MEDICAL SERVICES TO THE PATIENTS OF BIDMC AND OTHERS | MA | 501(C)(3) | LINE 9 | 0 | N/A | |
| BETH ISRAEL DEACONESS HOSPITAL - MILTON INC | |||||||||||
| 199 REEDSDALE RD | MILTON | MA | 02186 | 042103604 | HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS. | MA | 501(C)(3) | LINE 3 | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
| MILTON HOSPITAL DEVELOPMENT FUND INC | |||||||||||
| 199 REEDSDALE RD | MILTON | MA | 02186 | 222567057 | FUNDRAISING/DEVELOPMENT | MA | 501(C)(3) | LINE 7 | MILTON HOSPITAL FOUNDATION INC | 0 | |
| COMMUNITY PHYSICIAN ASSOCIATES INC | |||||||||||
| 199 REEDSDALE RD | MILTON | MA | 02186 | 043243146 | OUTPATIENT AND PRIMARY CARE SERVICES | MA | 501(C)(3) | LINE 3 | MILTON HOSPITAL FOUNDATION INC | 0 | |
| MILTON HOSPITAL FOUNDATION INC | |||||||||||
| 199 REEDSDALE RD | MILTON | MA | 02186 | 222566792 | PROMOTE HEALTHCARE | MA | 501(C)(3) | LINE 11A, I | BETH ISRAEL DEACONESS MEDICAL CENTER INC | 0 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Code VCodeVAmount | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANCED VASCULAR CARE LLC | ||||||||||||||
| 375 LONGWOOD AVE | BOSTON | MA | 02215 | 261647880 | TO PROVIDE MEDICAL SUPPORT SERVICES | MA | HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC | RELATED | 0 | 0 | ||||
| BETH ISRAEL DEACONESS PHYS ORG LLC DBA BIDCO | ||||||||||||||
| 400 BLUE HILL DRIVE SUITE 2B | WESTWOOD | MA | 02090 | 043426253 | COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMC | MA | NONE | RELATED | 0 | 0 | ||||
| BIDCO PHYSICIAN LLC | ||||||||||||||
| 400 BLUE HILL DRIVE SUITE 2B | WESTWOOD | MA | 02090 | 043426253 | COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMC | MA | HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC | RELATED | 0 | 0 | ||||
| CAREGROUP CLINICAL RESEARCH LLC | ||||||||||||||
| 109 BROOKLINE AVENUE | BOSTON | MA | 02215 | 300228711 | TO PARTICIPATE IN A CLINICAL RESEARCH PARTNERSHIP | MA | NONE | RELATED | 0 | 0 | ||||
| CAREGROUP INVESTMENT PARTNERSHIP LLP | ||||||||||||||
| 109 BROOKLINE AVENUE | BOSTON | MA | 02215 | 043278109 | INVESTMENT PARTNERSHIP | MA | NONE | EXCLUDED | 0 | 0 | 11919012 | 127614877 | $139,254 | 0.13960 |
| CHARLTON MRI SERVICES LLC | ||||||||||||||
| 330 BROOKLINE AVENUE | BOSTON | MA | 02215 | 264662778 | PROVISION OF PATIENT CARE SERVICES | MA | BIH RADIOLOGIC FOUNDATION INC | RELATED | 0 | 0 | ||||
| PHYSICIAN PROFESSIONAL SERVICES LLP | ||||||||||||||
| 10 CABOT ROAD | MEDFORD | MA | 02215 | 043275078 | TO PROVIDE MEDICAL BILLING SERVICES | MA | SEE SUPPLEMENTAL EXPLANATIONS | RELATED | 0 | 0 | ||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| HORIZON VENTURES INC | |||||||||
| 199 REEDSDALE ROAD | MILTON | MA | 02186 | 042853249 | PHYSICIAN BILLING | MA | MILTON HOSPITAL FOUNDATION | C | 0 |
| MILTON PHYSICIAN-HOSPITAL ORGANIZATION INC | |||||||||
| 199 REEDSDALE ROAD | MILTON | MA | 02186 | 043213042 | PHYSICIAN/HOSPITAL ORGANIZATION | MA | NONE | C | 0 |
| ANESTHESIA FINANCIAL SOLUTIONS INC | |||||||||
| 330 BROOKLINE AVE | BOSTON | MA | 02215 | 043571311 | INACTIVE CORPORATION | MA | BI ANAESTHESIA FOUNDATION INC | C | 0 |
| NEW ENGLAND BAPTIST HEALTH SERVICES | |||||||||
| 125 PARKER HILL AVE | BOSTON | MA | 02120 | 043200386 | PHYSICIAN/HOSPITAL ORGANIZATION | MA | NONE | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 1 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
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