MOUNT AUBURN HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MOUNT AUBURN HOSPITAL (EIN 04-2103606)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-14
IRS object ID
201242279349302424
Schema version
2010v3.4
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-14T12:53:33-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1TWO JERICHO PLAZAAddressLine1
CityJERICHOCity
StateNYState
ZIP Code11753ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042103606EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOUNT AUBURN HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMOUNNameControl
Phone6174995021Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1330 MOUNT AUBURN STREETAddressLine1
CityCAMBRIDGECity
StateMAState
ZIP Code02138ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWILLIAM SULLIVANName
TitleCFOTitle
Phone6174995021Phone
Date Signed2012-08-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5169187000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM SULLIVANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1330 MOUNT AUBURN STAddressLine1
CityCAMBRIDGECity
StateMAState
ZIP Code02138ZIPCode
FieldValueIRS element (for citing)
Gross Receipts319684597GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MOUNTAUBURNHOSPITAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1871YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body26NbrVotingMembersGoverningBody
Nbr Independent Voting Members22NbrIndependentVotingMembers
Total Nbr Employees2591TotalNbrEmployees
Total Nbr Volunteers285TotalNbrVolunteers
Total Gross UBI3592883TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3934496ContributionsGrantsPriorYear
Contributions Grants Current Year5282673ContributionsGrantsCurrentYear
Program Service Revenue Prior Year291066717ProgramServiceRevenuePriorYear
Program Service Revenue CY298224358ProgramServiceRevenueCY
Investment Income Prior Year3710365InvestmentIncomePriorYear
Investment Income Current Year3968178InvestmentIncomeCurrentYear
Other Revenue Prior Year8475339OtherRevenuePriorYear
Other Revenue Current Year8713018OtherRevenueCurrentYear
Total Revenue Prior Year307186917TotalRevenuePriorYear
Total Revenue Current Year316188227TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1004500GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY244586GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year161057880SalariesEtcPriorYear
Salaries Etc Current Year163974318SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1240002TotalFundrsngExpCurrentYear
Other Expense Prior Year122289198OtherExpensePriorYear
Other Expenses Current Year123921848OtherExpensesCurrentYear
Total Expenses Prior Year284351578TotalExpensesPriorYear
Total Expenses Current Year288140752TotalExpensesCurrentYear
Revenues Less Expenses Prior Year22835339RevenuesLessExpensesPriorYear
Revenues Less Expenses CY28047475RevenuesLessExpensesCY
Total Assets BOY352860070TotalAssetsBOY
Total Assets EOY360780006TotalAssetsEOY
Total Liabilities BOY159892507TotalLiabilitiesBOY
Total Liabilities EOY154477103TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY192967563NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY206302903NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense102554062Expense
Grants4500Grants
Revenue109261189Revenue
DescriptionSEE SCHEDULE ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense20971911Expense
Revenue27533465Revenue
DescriptionSEE SCHEDULE ODescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense16611661Expense
Revenue21702396Revenue
DescriptionSEE SCHEDULE ODescription

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense111937522Expense
Grants244586Grants
Revenue139727308Revenue
FieldValueIRS element (for citing)
Total Of Other Program Service Exp111937522TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt244586TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev139727308TotalOfOtherProgramServiceRev
Total Program Service Expense252075156TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds1InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096201NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2591NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members26NbrVotingGoverningBodyMembers
Number Independent Voting Members22NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMEStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMOStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledRIStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledVTStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledDCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1WILLIAM SULLIVANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6174995021TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1330 MOUNT AUBURN STREETAddressLine1
CityCAMBRIDGECity
StateMAState
ZIP Code02138ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (42 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CALANO DANIEL V
TRUSTEE5.00X000
CANEPA JOHN J
TRUSTEE & VICE-CHAIR5.00X000
CHICOS FREDERICK H
TRUSTEE5.00X000
CHRISTODOULO GEORGE E
TRUSTEE5.00X000
CHUBB STEPHEN D
TRUSTEE & BD CHAIR5.00X000
CLOUGH JEANETTE G
TRUSTEE, PRES & CEO60.00X852105138715841976
GORDON LISA
TRUSTEE5.00X000
HATEM MD CHARLES J
TRUSTEE & MED ED DIR60.00X311499045357
KANEB CHRISTOPHER
TRUSTEE5.00X000
KETTYLE MD WILLIAM
TRUSTEE5.00X000
KIM KIJA
TRUSTEE5.00X000
LUCCHINO DAVID L
TRUSTEE5.00X000
MAMBRINO MD LAWRENCE
TRUSTEE5.00X000
MASSARO GEORGE
TRUSTEE5.00X000
NAUTA MD RUSSELL J
TRUSTEE & SURG CHAIR60.00X459951114989100433
NELSEN LITA L
TRUSTEE5.00X000
PALANDJIAN LEON
TRUSTEE & TREASURER5.00X000X
RAFFERTY JAMES J
TRUSTEE & CLERK5.00X000X
REARDON GERALD
TRUSTEE5.00X000
ROLLER JOSEPH
TRUSTEE & VICE-CHAIR5.00X000
SAAL MD A KIM
TRUSTEE & CARDIO CHIEF60.00X2801300
SHACHOY CHRISTOPHER
TRUSTEE5.00X000
SHORTSLEEVE MD MICHAEL
TRUSTEE & RAD CHAIR60.00X2333200
SIMONS TOM
TRUSTEE & BOARD CHAIR5.00X000
SMERLAS DONNA
TRUSTEE5.00X000
STEVENSON HOWARD H
TRUSTEE5.00X000
SWANN ERIC
TRUSTEE5.00X000
WAGNER HERBERT
TRUSTEE5.00X000
ZINNER MD STEPHEN
TRUSTEE & MED CHAIR60.00X3450655617426835
DILESO NICHOLAS
COO60.004022640474549X
SEMENZA PETER
VP FIN & CFO60.001526498248500123133X
SULLIVAN WILLIAM
VP FIN & CFO60.00000X
ABOOKIRE MD SUSAN
QUAL & SAFETY CHAIR60.003418880100217X
BAKER DEBORAH
VP PATIENT CARE SVCS60.00270407069816X
BRIDGEMAN JOHN
VP CLINICAL SVCS60.00222447074106X
BURKE KATHRYN
VP CONTRACT & BUS DEV60.00288674093244X
O'CONNELL MICHAEL L
VP PLAN & MKTG60.00275432091780X
KAWADA MD CHARLES Y
OB/GYN CHAIR60.0026293417528997800X
JOSEPH ESQ LESLIE
VP & GEN COUNSEL60.002878220101441X
LUKASIK CHARLES
MAPS COO & CLERK60.0014213270048100749X
SHUGERT JOHN
VP DEVELOPMENT60.00266124077243X
SANCHEZ MD LUCIENNE
NEWBORN SVC DIR60.00288570026835X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6467238TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1003715TotalReportableCompFrmRltdOrgs
Total Other Compensation2445514TotalOtherCompensation
Number Individuals GT100 K282NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WALSH BROTHERS INC
210 COMMERCIAL STREETBOSTONMA02109CONTRACTOR9982610
CAREGROUP INC
109 BROOKLINE AVENUEBOSTONMA02215MANAGEMENT SERVICES2158848
QUEST DIAGNOSTICS NICHOLS INSTITUTE
12436 COLLECTIONS CENTER DRIVECHICAGOIL606932436LAB TESTING1764199
ANGELICA TEXTILE SERVICES
PO BOX 823283PHILADELPHIAPA191823283LAUNDRY SERVICES1378133
ANESTHESIA ASSOCIATES OF MASSACHUSETTS
690 CANTON STREET - SUITE 325WESTWOODMA02090MD SERVICES1128609
FieldValueIRS element (for citing)
Number Of Contractors GT100 K56NumberOfContractorsGT100K
Fundraising Events167570FundraisingEvents
Government Grants478203GovernmentGrants
All Other Contributions4636900AllOtherContributions
Noncash Contributions85974NoncashContributions
Total Contributions5282673TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INPATIENT MED/SURGICAL900099109261189109261189
OUTPATIENT RADIOLOGY9000992753346527533465
INPATIENT OBSTECTRICS9000992170239621702396
OUTPATIENT SURGERY6219901870563318705633
EMERGENCY DEPARTMENT6219901600364616003646

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column105018029TotalRevenueColumn
Related Or Exempt Function Income105018029RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue298224358TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column-14147TotalRevenueColumn
Unrelated Business Revenue35795UnrelatedBusinessRevenue
Exclusion-$49,942ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column109520TotalRevenueColumn
Exclusion$109,520ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1636756Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real911398Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real725358Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column725358TotalRevenueColumn
Exclusion$725,358ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities6132744Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2259939Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3872805Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3872805TotalRevenueColumn
Unrelated Business Revenue7744UnrelatedBusinessRevenue
Exclusion$3,865,061ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events320303GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events167570CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses321117FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-814TotalRevenueColumn
Exclusion-$814ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming4730GrossIncomeGaming
Gaming Direct Expenses3916GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column814TotalRevenueColumn
Exclusion$814ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
NON PATIENT LAB REVENU54138034673573467357
PARKING REVENUE8129302240849$2,240,849
CAF, COFFEE SHOP & VEN7222101661865$1,661,865

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column617589TotalRevenueColumn
Unrelated Business Revenue81987UnrelatedBusinessRevenue
Exclusion$535,602ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue7987660TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column316188227TotalRevenueColumn
Related Or Exempt Function Income298224358RelatedOrExemptFunctionIncome
Unrelated Business Revenue3592883UnrelatedBusinessRevenue
Exclusion$9,088,313ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total240086Total
Program Services240086ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total4500Total
Program Services4500ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3790645Total
Program Services1784531ProgramServices
Management And General2006114ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total130860140Total
Program Services117451876ProgramServices
Management And General12768108ManagementAndGeneral
Fundraising640156Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6041011Total
Program Services5376500ProgramServices
Management And General604101ManagementAndGeneral
Fundraising60410Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15200531Total
Program Services13528473ProgramServices
Management And General1520053ManagementAndGeneral
Fundraising152005Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8081991Total
Program Services7192972ProgramServices
Management And General808199ManagementAndGeneral
Fundraising80820Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total415000Total
Management And General415000ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33500Total
Management And General33500ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total13854433Total
Program Services11785780ProgramServices
Management And General1998656ManagementAndGeneral
Fundraising69997Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1213877Total
Program Services40716ProgramServices
Management And General1173161ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total45656538Total
Program Services44482360ProgramServices
Management And General1115844ManagementAndGeneral
Fundraising58334Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6691505Total
Program Services5541671ProgramServices
Management And General1138570ManagementAndGeneral
Fundraising11264Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6999712Total
Program Services5280172ProgramServices
Management And General1645821ManagementAndGeneral
Fundraising73719Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total353356Total
Program Services324321ProgramServices
Management And General28027ManagementAndGeneral
Fundraising1008Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1541796Total
Program Services1468608ProgramServices
Fundraising73188Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total6068795Total
Program Services4490908ProgramServices
Management And General1577887ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15415268Total
Program Services11891322ProgramServices
Management And General3523946ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3935450Total
Program Services3803593ProgramServices
Management And General131857ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MISCELLANEOUS98579426081189375765219101
UNCOMPENSATED CARE6091120609112000
PATIENT SERVICES4297484429079066940
DUES, LICENSES & FEES14960729236685724040
0000

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total288140752Total
Program Services252075156ProgramServices
Management And General34825594ManagementAndGeneral
Fundraising1240002Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10410762BOY
EOY17777171EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13042898BOY
EOY2711911EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY604399BOY
EOY506621EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY30265997BOY
EOY33244931EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3362925BOY
EOY3224310EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3799984BOY
EOY3275444EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis385849831LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec223401538LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY157704408BOY
EOY162448293EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY123243982BOY
EOY122009589EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10424715BOY
EOY15581736EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY352860070BOY
EOY360780006EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY34089452BOY
EOY30095703EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY115884124BOY
EOY113498524EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9918931BOY
EOY10882876EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY159892507BOY
EOY154477103EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY183320810BOY
EOY196847292EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5494233BOY
EOY5053091EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4152520BOY
EOY4402520EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY192967563BOY
EOY206302903EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY352860070BOY
EOY360780006EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses28047475ReconcilationRevenueExpenses
Reconcilation Other Changes-14712135ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$69,477OtherActivitiesAmount
Total Lobbying Expenditures IIB69477TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationFROM 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, 2011 MAH IS REPORTING INDIRECT LOBBYING EXPENSES THROUGH MEMBERSHIP ORGANIZATIONS AND DIRECT LOBBYING EXPENSES OF $47,623 AND $21,855 RESPECTIVELY. TOTAL COMBINED LOBBYING EXPENDITURES OF MAH WERE MINIMAL AND NOT SUBSTANTIAL BASED ON REVENUES.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance9646753BeginningOfYearBalance
Contributions3969080Contributions
Investment Earnings Or Losses-88866InvestmentEarningsOrLosses
Other Expenditures4071356OtherExpenditures
End Of Year Balance9455611EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance10168224BeginningOfYearBalance
Contributions3298045Contributions
Investment Earnings Or Losses454217InvestmentEarningsOrLosses
Other Expenditures4273733OtherExpenditures
End Of Year Balance9646753EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance11461701BeginningOfYearBalance
Contributions2711304Contributions
Investment Earnings Or Losses349071InvestmentEarningsOrLosses
Other Expenditures4353852OtherExpenditures
End Of Year Balance10168224EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.47000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.53000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis169000OtherCostOrOtherBasis
Book Value169000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis194328236OtherCostOrOtherBasis
Depreciation66754417Depreciation
Book Value127573819BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3180258OtherCostOrOtherBasis
Depreciation1816110Depreciation
Book Value1364148BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis186377304OtherCostOrOtherBasis
Depreciation154831011Depreciation
Book Value31546293BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1795033OtherCostOrOtherBasis
Book Value1795033BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings162448293TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVEST HELD THRU CGCIP EIN 04-3278109Description
Book Value122009589BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities122009589TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ACCRUED POST RETIREMENT BENEFITS$875,719
DUE TO AFFILIATES$327,234
OTHER LIABILITIES$6,618,249
PROFESSIONAL LIABILITY CLAIMS RESERVE$3,061,674
FieldValueIRS element (for citing)
Total Of Amounts10882876TotalOfAmounts
Total Revenue316188227TotalRevenue
Total Expenses288140752TotalExpenses
Excess Or Deficit For Year28047475ExcessOrDeficitForYear
Net Unrealized GL On Investments-2926616NetUnrealizedGLOnInvestments
Other-$11,785,519OtherAmount
Total Adjustments-14712135TotalAdjustments
Excess Or Deficit Per FS13335340ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt364038000TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-3929000NetUnrealizedGainsInvestments
Other Revenues51824802OtherRevenues
Revenue Not Rptd F99047895802RevenueNotRptdF990
Revenue Subtotal316142198RevenueSubtotal
Other Revenues Not Included46029OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt46029RevenueNotRptdOnFinStmt
Total Revenue Per Form990316188227TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt349184000TotExpensesEtcAuditedFinclStmt
Other Expenses Included61043248OtherExpensesIncluded
Expenses Not Rptd F99061043248ExpensesNotRptdF990
Expenses Subtotal288140752ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990288140752TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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, 2011, THESE SOURCES INCREASED FREE CARE PROVIDED TO PATIENTS BY $250,000.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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 2011.
PART XI, LINE 8 - OTHER ADJUSTMENTS:TRANSFER OF UNRESTRICTED CASH TO MAPS (AFFILIATE) -9,980,928. CHANGE IN FUNDED STATUS OF EMPLOYEE BENEFIT PLANS -126,874. CHANGE IN VALUE OF LIMITED PARTNERSHIPS -1,003,322. PLEDGES RECEIVED BEYOND CASH PAYMENTS -628,361. UBIT FROM CIP -43,539. OTHER ACCOUNTING ADJUSTMENTS -2,490. ROUNDING -5.
PART XII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES ASSOCIATED WITH REAL ESTATE RENTAL 911,398. EXPENSES ASSOCIATED WITH SPECIAL EVENTS 325,033. CONSOLIDATED AFFILIATE NET OF ELIMINATIONS 51,216,732. PLEDGE ACTIVITY -628,361.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CAREGROUP INVESTMENT PARTNERSHIP INCOME 43,539. OTHER ADJUSTMENTS 2,490.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES ASSOCIATED WITH REAL ESTATE RENTAL 911,398. EXPENSES ASSOCIATED WITH SPECIAL EVENTS 325,033. CHANGE IN FUNDED STATUS OF BENEFIT PLANS 127,000. CONSOLIDATED AFFILIATE NET OF ELIMINATIONS 59,679,817. ROUNDING

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained1GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (3 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpendituresSpecific Services ProvidedSpecificServicesProvided
CENTRAL AMERICA AND THE CARIBBEAN00INVESTMENTS43479005
EUROPE00INVESTMENTS90712
CENTRAL AMERICA AND THE CARIBBEAN00PROGRAM SERVICE645539JOINTLY OWNED FOREIGN INSURANCE
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent44215256SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent44215256TotalAmountSpent
Transfer To Foreign Corp1TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co1PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1348950GrossReceiptsEvent1
Charitable Contributions Event1132371CharitableContributionsEvent1
Gross Revenue Event1216579GrossRevenueEvent1
Other Direct Expenses Event1216579OtherDirectExpensesEvent1
Name Of Event2GOLF CLASSICNameOfEvent2
Gross Receipts Event267175GrossReceiptsEvent2
Charitable Contributions Event217171CharitableContributionsEvent2
Gross Revenue Event250004GrossRevenueEvent2
Other Direct Expenses Event250818OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events71748GrossReceiptsOtherEvents
Charitable Contrib Other Events18028CharitableContribOtherEvents
Gross Revenue Other Events53720GrossRevenueOtherEvents
Other Direct Expenses Other Events53720OtherDirectExpensesOtherEvents
Gross Receipts Total487873GrossReceiptsTotal
Charitable Contributions Total167570CharitableContributionsTotal
Gross Revenue Total Events320303GrossRevenueTotalEvents
Other Direct Expenses Total Events321117OtherDirectExpensesTotalEvents
Direct Expense Summary Events321117DirectExpenseSummaryEvents
Net Income Summary-814NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care0AmountsBudgetedForCharityCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense4564117TotalCommunityBenefitExpense
Direct Offsetting Revenue1209881DirectOffsettingRevenue
Net Community Benefit Expense3354236NetCommunityBenefitExpense
Percent Of Total Expense0.01170PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense10322076TotalCommunityBenefitExpense
Direct Offsetting Revenue7605884DirectOffsettingRevenue
Net Community Benefit Expense2716192NetCommunityBenefitExpense
Percent Of Total Expense0.00950PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense1953457TotalCommunityBenefitExpense
Direct Offsetting Revenue199422DirectOffsettingRevenue
Net Community Benefit Expense1754035NetCommunityBenefitExpense
Percent Of Total Expense0.00610PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense16839650TotalCommunityBenefitExpense
Direct Offsetting Revenue9015187DirectOffsettingRevenue
Net Community Benefit Expense7824463NetCommunityBenefitExpense
Percent Of Total Expense0.02740PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1232832TotalCommunityBenefitExpense
Net Community Benefit Expense1232832NetCommunityBenefitExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense8945648TotalCommunityBenefitExpense
Direct Offsetting Revenue3617904DirectOffsettingRevenue
Net Community Benefit Expense5327744NetCommunityBenefitExpense
Percent Of Total Expense0.01860PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense185074TotalCommunityBenefitExpense
Net Community Benefit Expense185074NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense46598TotalCommunityBenefitExpense
Net Community Benefit Expense46598NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense132610TotalCommunityBenefitExpense
Net Community Benefit Expense132610NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10542762TotalCommunityBenefitExpense
Direct Offsetting Revenue3617904DirectOffsettingRevenue
Net Community Benefit Expense6924858NetCommunityBenefitExpense
Percent Of Total Expense0.02420PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense27382412TotalCommunityBenefitExpense
Direct Offsetting Revenue12633091DirectOffsettingRevenue
Net Community Benefit Expense14749321NetCommunityBenefitExpense
Percent Of Total Expense0.05160PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense42167TotalCommunityBuildingExpense
Net Community Building Expense42167NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense42167TotalCommunityBuildingExpense
Net Community Building Expense42167NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$1,912,014BadDebtExpenseAmount
Amount Reimbursed By Medicare81503047AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare80940710CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall562337MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 NABusinessNameLine1
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOUNT AUBURN HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1330 MOUNT AUBURN STREETAddressLine1
CityCAMBRIDGECity
StateMAState
ZIP Code02138ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanationIdentifierIdentifierReturn 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.CHARITY CARE AND MEANS TESTED GOVERNMENT PROGRAMSAS REPORTED IN THE MAH CONSOLIDATED FINANCIAL STATEMENT AND IN THIS FORM 990 SCHEDULE H, MAH'S NET COST OF CHARITY CARE, INCLUDING CARE FOR EMERGENT SERVICES PROVIDED TO NON- PAYING PATIENTS AND INCLUDING PAYMENTS TO AND RECEIPTS FROM THE HEALTH SAFETY NET TRUST, WAS A COMBINED $5,349,000 IN FISCAL YEAR ENDED SEPTEMBER 30, 2011 AND $5,108,271 AND HAS BEEN REPORTED ON THIS SCHEDULE H LINES 7A AND 7C. CHARITY CARE AT COST WAS CALCULATED USING AN INTERNAL COST TO CHARGE RATIO CALCULATION.
PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES - MOUNT AUBURN HOME CARE MOUNT AUBURN HOSPITAL'S CAREGROUP HOMECARE PROGRAM STRIVES TO IMPROVE THE HEALTH OF OUR PATIENTS, AND TO FOSTER INDEPENDENCE IN OUR PATIENTS AND THEIR FAMILIES. SERVICES ARE PROVIDED IN A PROFESSIONAL AND COMPASSIONATE MANNER, WITH UTMOST RESPECT FOR THE DIGNITY OF OUR PATIENTS AND THEIR CAREGIVERS. ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO) CAREGROUP HOMECARE ADDRESSES SPECIFIC PHYSICIAN REQUESTS BY OFFERING:- A BROAD ARRAY OF SERVICES ACROSS THE SYSTEM - SPECIALIZED HOME-CARE EXPERTISE - EASY ACCESS WITH ONE PHONE CALL - COST-EFFECTIVE TREATMENT - HIGH-QUALITY, PATIENT-CENTERED CARE CAREGROUP HOME CARE PROVIDES THE FULL CONTINUUM OF CARE AND SERVICES WHICH PHYSICIANS AND PATIENTS HAVE COME TO APPRECIATE AND EXPECT, INCLUDING:- IMMUNIZATIONS AND OTHER PREVENTIVE CARE - SKILLED NURSING CARE - MEDICAL SOCIAL SERVICES - PHYSICAL, OCCUPATIONAL AND SPEECH-LANGUAGE THERAPY - NUTRITION SERVICES - CERTIFIED HOME HEALTH AIDE SERVICES - MATERNAL CHILD HEALTH - PATIENT AND FAMILY EDUCATION - BEHAVIORAL HEALTH CAREGROUP HOMECARE ALSO PROVIDES SEVERAL SPECIALTY PROGRAMS. OUR SYMPTOM MANAGEMENT PROGRAM FOCUSES ON PAIN, SYMPTOM MANAGEMENT AND CONTINUITY OF CARE, WORKING VERY CLOSELY WITH HOSPICE PROGRAMS. OUR BEHAVIORAL HEALTH PROGRAM IS COMPRISED OF MENTAL HEALTH NURSES AND SOCIAL WORKERS. THESE HIGHLY-SKILLED AND COMPASSIONATE CLINICIANS FOCUS ON THE DIVERSITY OF OUR PATIENTS' NEEDS. FINALLY, OUR WOUND CARE PROGRAM, LED BY A WOUND CARE NURSE SPECIALIST, PROVIDES ADVANCED, MULTI-DIMENSIONAL WOUND CARE TREATMENT FOR OUR PATIENTS.THE TELEHEALTH PROGRAM PROVIDES 7 DAYS A WEEK REMOTE MONITORING OF VITAL SIGNS AND KEY CLINICAL DATA.CAREGROUP HOMECARE SERVICES 42 COMMUNITIES INCLUDING BOSTON AND SURROUNDING COMMUNITIES. DURING THE FISCAL YEAR COVERED BY THIS FILING, MAH HAD NET EXPENDITURES OF $185,074 REPORTED ON THIS SCHEDULE H RELATED TO MAH'S SUBSIDIZED HEALTH CARE SERVICES.
PART I, L7 COL(F): OTHER UNCOMPENSATED CHARITY CARE - BAD DEBTSIN 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 $4,138,000 DURING THE FISCAL PERIOD COVERED BY THIS FILING AND ARE INCLUDED IN THE UNCOMPENSATED CARE EXPENSE ON FORM 990 PART IX, FUNCTIONAL EXPENSES. THE ESTIMATED COST OF PROVIDING SUCH SERVICES WAS APPROXIMATELY $1,912,014 IN 2011. AS REQUIRED BY THE INSTRUCTIONS TO THIS FORM 990 SCHEDULE H, THIS AMOUNT HAS NOT BEEN INCLUDED IN THE CALCULATION OF CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS IN SCHEDULE H PART I LINE 7. RATHER IT HAS BEEN SEPARATELY REPORTED IN SCHEDULE H PART III AS REQUIRED.
PART II: MOUNT AUBURN HOSPITAL - COMMUNITY BUILDING ACTIVITIESMOUNT AUBURN HOSPITAL IS ACTIVELY ENGAGED IN COALITION BUILDING ACTIVITIES THAT PROMOTE THE HEALTH OF OUR COMMUNITY INCLUDING WORKFORCE DEVELOPMENT PROGRAMS AS REPORTED IN THIS FORM 990 SCHEDULE H.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. WE TRAIN MEDICAL STUDENTS, INTERNS, RESIDENTS AND FELLOWS. MAH HAS TWO APPROVED RESIDENCY PROGRAMS WITH APPROXIMATELY 42 INTERNAL MEDICINE RESIDENTS AND APPROXIMATELY 12 RADIOLOGY RESIDENTS.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 OUR COMMITMENT TO MEDICAL STUDENT EDUCATION AND OUR AFFILIATION WITH HARVARD MEDICAL SCHOOL, WE ARE A CORE SITE FOR THE HARVARD MEDICAL SCHOOL SUB-INTERNSHIP IN MEDICINE. ALSO, WE PARTICIPATE 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 SUBINTERNSHIPS 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. OUR RESIDENTS BENEFIT FROM OUR INSTITUTION'S 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. WE ALSO WELCOME 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 TRACKOUR THREE-YEAR CATEGORICAL INTERNAL MEDICINE TRACK PREPARES OUR 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 WE SUPPORT OUR TRAINEES IN THEIR INTENDED CAREER GOALS IS THROUGH OUR 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 $5,176,187 REPORTED ON THIS SCHEDULE H RELATED TO MAH'S TEACHING FUNCTION. CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS - RESEARCHTHE INCREASE IN INTERNATIONAL TRAVEL FROM THE UNITED STATES, ESPECIALLY BY HIGH RISK TRAVELERS, AND CONCERN ABOUT NEW AND RE-EMERGING INFECTIOUS DISEASES AND THEIR SPREAD BY GLOBAL MIGRATION, MAKES IT IMPERATIVE THAT BETTER METHODS ARE SOUGHT TO REDUCE TRAVEL-RELATED ILLNESS. TO THAT END, MOUNT AUBURN HOSPITAL IS STUDYING LARGE GROUPS OF TRAVELERS, ESPECIALLY THOSE WHO ARE AT HIGH RISK. THE DATA FROM THESE STUDIES WILL BE USED TO DEVELOP STRATEGIES AND INTERVENTIONS TO REDUCE TRAVEL RELATED ILLNESS, ESPECIALLY FOR HIGH RISK TRAVELERS, AND TO USE THE OPPORTUNITY OF THE TRAVEL CLINIC VISIT TO ENHANCE OVERALL HEALTH. DURING THE FISCAL YEAR COVERED BY THIS FILING, MAH HAD NET EXPENDITURES OF $46,598 REPORTED ON THIS SCHEDULE H RELATED TO MAH'S RESEARCH FUNCTION. MOUNT AUBURN HOSPITAL - EMERGENCY CARE ACCESSMOUNT 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.
PART III, LINE 4: MOUNT AUBURN HOSPITAL IS PART OF THE MOUNT AUBURN HOSPITAL AND SUBSIDIARY CONSOLIDATED AUDIT. THE FOOTNOTE THAT REFERENCES BAD DEBT EXPENSE IN THE 2011 CONSOLIDATED AUDIT IS AS FOLLOWS:(1)COMMUNITY BENEFITS AND UNCOMPENSATED CARETHE COST OF UNREIMBURSED CHARITY AND OTHER UNCOMPENSATED CARE CONSISTED OF THE FOLLOWING FOR THE YEARS ENDED SEPTEMBER 30, 2011 AND 2010:UNREIMBURSED CHARITY CARE 3,940 AND 3,191UNCOMPENSATED CARE 6,922 AND 6,357TOTAL 10,862 AND 9,548 (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, 2011 AND 2010:CHARITY CARE - AT ESTABLISHED CHARGES 10,670 AND 10,595ESTIMATED COST OF CHARITY CARE 5,349 AND 5,292LESS REIMBURSEMENT FROM THE HSN (1,409) AND (2,101)UNREIMBURSED CHARITY CARE - AT COST 3,940 AND 3,191 (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 AND BAD DEBTS ARE REPORTED AS UNCOMPENSATED CARE EXPENSE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AS FOLLOWS, FOR THE YEARS ENDED SEPTEMBER 30, 2011 AND 2010:GROSS OBLIGATION TO THE HSN FOR THE DELIVERY OF CHARITY CARE TO THE INDIGENT STATEWIDE 1,953 AND 2,300PROVISION FOR BAD DEBTS 4,969 AND 4,057UNCOMPENSATED CARE EXPENSE 6,922 AND 6,357
PART III, LINE 8: OTHER UNCOMPENSATED CHARITY CARE - MEDICAID AND MEDICAREIN 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 $7,605,884 IN MEDICAID REVENUE WHICH WAS LESS THAN THE COST OF CARE PROVIDED BY THE HOSPITAL FOR SUCH SERVICES BY $2,716,192, AS REPORTED ON THIS SCHEDULE H. 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, 27.3% OF MAH'S PATIENT REVENUE DERIVED FROM MEDICARE PATIENTS. THIS TRANSLATED TO $81,503,047.
PART III, LINE 9B: MOUNT AUBURN HOSPITAL - CREDIT AND COLLECTION POLICY GUIDING PRINCIPLES:THE 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.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: ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMSMOUNT AUBURN 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 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, 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. IT IS THE PATIENT'S 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 WORKER'S 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 COMMONWEALTH OFFICE OF MEDICAID 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 COMMONWEALTH OF MASSACHUSETTS, OFFICE OF MEDICAID, 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. MOUNT AUBURN HOSPITAL HAS NO ROLE IN THE DETERMINATION OF PROGRAM ELIGIBILITY MADE BY THE COMMONWEALTH, BUT AT THE PATIENT'S REQUEST MAY TAKE A DIRECT ROLE IN APPEALING OR SEEKING INFORMATION RELATED TO THE COVERAGE DECISIONS. IT IS STILL THE PATIENT'S RESPONSIBILITY TO INFORM THE HOSPITAL OF ALL COVERAGE DECISIONS MADE BY THE COMMONWEALTH TO ENSURE ACCURATE AND TIMELY ADJUDICATION OF ALL HOSPITAL BILLS.MOUNT AUBURN HOSPITAL - CREDIT AND COLLECTION POLICY: OUTSIDE COLLECTION AGENCIESTHE 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 OFFICE OF MEDICAID, SUBJECT TO SOME EXCEPTIONS, FROM ANY COLLECTION OR BILLING PROCEDURES BEYOND THE INITIAL BILL PURSUANT TO STATE REGULATIONS.
PART VI, LINE 2: COMMUNITY 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 $1,365,442 REPORTED ON THIS SCHEDULE H 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.LISTEN AND LEARNOVER THE PAST FEW YEARS MOUNT AUBURN HOSPITAL HAS DEVELOPED THE LISTEN AND LEARN COMMUNITY HEALTH MODEL OF COMMUNITY ENGAGED COLLABORATIONS THAT AIM TO ADDRESS HEALTH DISPARITIES 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. DURING THE PERIOD COVERED BY THIS FILING, THERE WERE TWO LISTEN AND LEARN PROGRAMS. THE FIRST WAS DESIGNED TO ADDRESS THE INCREASED RATE OF TYPE 2 DIABETES AMONG LATINOS. TO THAT END A HEALTH LEADERSHIP TEAM WITH STUDENTS FROM THREE WALTHAM ENGLISH FOR SPEAKERS OF OTHER LANGUAGES (ESOL) PROGRAMS AND HEALTH CARE PROVIDER GROUPS AT MOUNT AUBURN HOSPITAL AND JOSEPH M. SMITH COMMUNITY HEALTH CENTER, ONE OF OUR COMMUNITY HEALTH CENTERS, WERE CREATED. BUILT ON THE DATA COLLECTED IN THE PRIOR FISCAL PERIOD, EACH OF THESE GROUPS FURTHER EXPLORED THE CAUSES OF HEALTH DISPARITIES AND CULTURAL COMPETENCY CONTENT. A JOINT MEETING BETWEEN THE HEALTH LEADERS AND THE CLINICIANS FOCUSED ON BETTER UNDERSTANDING CULTURAL BELIEFS AND HOW THEY IMPACT HEALTH DECISIONS. SIMILAR PROGRAMS IN SOMERVILLE AND CAMBRIDGE ADDRESSED IMMIGRANT WOMEN'S BARRIERS TO BREAST CANCER SCREENING AND INVOLVED ONCOLOGY NURSES AS WELL AS MAMMOGRAPHY THERAPISTS. IMMIGRANT HEALTH WAS ALSO ADDRESSED MORE BROADLY IN THE BRIDGE TO HEALTHCARE PROGRAM WHICH PROVIDES HEALTH EDUCATION AT LOCAL ESOL PROVIDERS IN CAMBRIDGE, SOMERVILLE WALTHAM, AND WATERTOWN.OTHER COMMUNITY PROGRAMSIN ADDITION TO MOUNT AUBURN HOSPITAL'S CONTINUING TO PROVIDE SUPPORT TO ITS COMMUNITY HEALTH CENTER PARTNER, JOSEPH M. SMITH COMMUNITY HEALTH CENTER, THE HOSPITAL WAS INVOLVED WITH, AND PROVIDED, SEVERAL OTHER COMMUNITY BENEFIT PROGRAMS THROUGHOUT THE PERIOD COVERED BY THIS FILING. MAH ADDRESSED ELDER HEALTH ISSUES WITHIN THE FOLLOWING PROGRAMS: 1) A BROWN BAG MEDICATION REVIEW PROGRAM PILOT, 2) COMMUNITY BASED BLOOD PRESSURE SCREENINGS AND 3) THE MATTER OF BALANCE FALL PREVENTION PROGRAM FOR COMMUNITY MEMBERS AT RISK FOR FALLING. PROGRAMS WHICH ADDRESSED THE NEEDS OF OTHER 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); 4) A SAFE BEDS PROGRAM WHICH PROVIDES VICTIMS OF DOMESTIC VIOLENCE WHO CANNOT ACCESS A SHELTER A SAFE PLACE AT THE HOSPITAL; AND, 5) SYSTEMS TO PROVIDE TRANSPORTATION TO MEDICAL SERVICES. MORE BROADLY, MAH WORKED TO RAISE AWARENESS ABOUT HEALTH DISPARITIES IN WALTHAM USING LIBRARY VIEWING OF UNNATURAL CAUSE AND A WALK IN MY SHOES (COMMUNITY CATALYST TRADEMARK) EVENT AS A TOOL. YOUTH WERE SERVED THROUGH THE WALTHAM WELLNESS, PROGRAM WHICH ADDRESSES OBESITY PREVENTION USING SCHOOL AND COMMUNITY GARDENS AND TARGET WORK WITH SCHOOL CAFETERIA STAFF TO ADDRESS ISSUES OF NUTRITION AND BETTER FOOD CHOICES. YOUTH IN ARLINGTON WERE ENGAGED IN A TOBACCO FREE PEER LEADERSHIP CAMPAIGN AIMED AT PROMOTING THE NORM THAT MOST MIDDLE SCHOOL CHILDREN DO NOT USE TOBACCO. COMMUNITY MEMBERS HAVE RECEIVED INCREASED SUPPORT THROUGH OUR SUPPORT GROUPS AND RELATED PROGRAMMING WHICH INCLUDES FREE SMOKING CESSATION CLASSES. COMMUNITY HEALTH NETWORK AREA 17MOUNT AUBURN HOSPITAL WORKED CLOSELY WITH LOCAL COMMUNITY HEALTH NETWORK AREA (CHNA) MEMBERS AND OTHER LOCAL HEALTHY COALITIONS. WITH CHNA 17 MAH HELPED COMPLETE A NEEDS ASSESSMENT, PRIORITIZE INTERVENTIONS AND DEVELOP GUIDING PRINCIPLES BY SERVING ON THE STEERING COMMITTEE AND PARTICIPATING FULLY IN THE GENERAL MEMBERSHIP. MAH IS ALSO A MEMBER OF HEALTHY WALTHAM STEERING COMMITTEE. THE REGIONAL CENTER FOR HEALTHY COMMUNITIESTHE MISSION OF THE REGIONAL CENTER FOR HEALTHY COMMUNITIES (RCHC), A PROGRAM OF MOUNT AUBURN HOSPITAL, IS TO HELP COMMUNITIES REALIZE THEIR VISION FOR A HEALTHIER PLACE TO LIVE. THE CENTER DOES THIS BY 1) SUPPORTING AND ENCOURAGING COALITIONS TO DESIGN AND IMPLEMENT INCLUSIVE COMMUNITY HEALTH PLANNING AND ASSESSMENT PROCESSES; AND 2) PROVIDING TOOLS AND TEMPLATES, TRAINING, FACILITATION, LIBRARY RESOURCES AND OPPORTUNITIES FOR SHARING AND COLLABORATION ACROSS THE METROWEST REGION. THE EFFORT WORKS TO REDUCE ALCOHOL, TOBACCO, AND OTHER DRUG USE IN THE GENERAL POPULATION BY STRENGTHENING COALITIONS, AND BY MOBILIZING YOUTH AND YOUNG ADULTS FOR LEADERSHIP AND CIVIC ACTION IN THIS ARENA. IN ADDITION, THE CENTER SUPPORTS COMMUNITIES IN BROADER HEALTH ASSESSMENT AND WELLNESS EFFORTS. THE RCHC ALSO DEVELOPS LEADERSHIP FOR REGIONAL HEALTH PLANNING THROUGH ITS WORK WITH COMMUNITY HEALTH NETWORK AREAS 15, 17, 18, AND THE COMMUNITY HEALTH COALITION OF METROWEST). THE CENTER HAS AN EXTENSIVE HEALTH AND SOCIAL RESOURCE LIBRARY AVAILABLE FOR LOAN, FREE OF CHARGE FOR THOSE LIVING AND/OR WORKING IN THE METROWEST REGION. ADDITIONALLY, THE REGIONAL CENTER'S STAFF PROVIDES TECHNICAL ASSISTANCE, TRAINING, AND SUPPORT TO LOCAL COALITIONS. BASED ON THE RESULTS OF TRAINING NEEDS ASSESSMENT CONDUCTED THROUGHOUT THE REGION, THE RCHC HAS HELD WORKSHOPS ON A BROAD RANGE OF TOPICS, INCLUDING GRANT WRITING, COMMUNITY ASSESSMENT MODELS, HOARDING AND YOUTH DEVELOPMENT. THE RCHC FOSTERS STRATEGIES THAT:- HAVE BEEN RIGOROUSLY EVALUATED AND ARE SHOWN TO BE EFFECTIVE. THIS IS OFTEN REFERRED TO AS "EVIDENCE-BASED PREVENTION". - ARE DEVELOPED TO REDUCE 'RISK' FACTORS AND ENHANCE 'PROTECTIVE' FACTORS FOR YOUNG PEOPLE. RISK FACTORS ARE INDIVIDUAL CHARACTERISTICS OR SOCIAL ENVIRONMENTS THAT ARE ASSOCIATED WITH AN INCREASED LIKELIHOOD OF SUBSTANCE USE. CONVERSELY, PROTECTIVE FACTORS SUCH AS SUCCESS IN SCHOOL AND STRONG FAMILY BONDS ASSIST IN PREVENTING YOUNG PEOPLE FROM SUBSTANCE USE. THIS IS A CRITICAL FRAMEWORK FOR ENABLING COMMUNITIES TO PURSUE STRATEGIES THAT CAN ASSIST YOUNG PEOPLE, EVEN IN HIGH-RISK ENVIRONMENTS. - BUILD UPON THE STRENGTHS AND RESOURCES OF DIVERSE COMMUNITY MEMBERS. THE SUBSTANCE ABUSE PREVENTION WORK UNDERTAKEN BY THE RCHC SUPPORTS COMMUNITIES IN BUILDING AND SUSTAINING COALITIONS COMPRISED OF POLICE, SCHOOL PERSONNEL, YOUNG PEOPLE, PARENTS, LOCAL SERVICE PROVIDERS AND OTHER KEY COMMUNITY STAKEHOLDERS. THE MISSION OF THESE COALITIONS IS TO PREVENT SUBSTANCE ABUSE AMONG YOUTH AND YOUNG ADULTS USING THE EVIDENCE-BASED MODEL "COMMUNITIES MOBILIZING FOR CHANGE ON ALCOHOL" (CMCA). IN THIS MODEL, REDUCTIONS IN UNDERAGE DRINKING ARE ACHIEVED THROUGH POLICIES AND PRACTICES THAT REDUCE ACCESS TO ALCOHOL AND ADDRESS SOCIAL NORMS REGARDING UNDERAGE DRINKING. A RIGOROUS EVALUATION OF THIS MODEL UNDERTAKEN BY THE UNIVERSITY OF MINNESOTA HAS REVEALED SIGNIFICANT REDUCTION IN UNDERAGE ACCESS TO ALCOHOL, CHANGES IN ALCOHOL BEHAVIORS OF YOUNG PEOPLE, AND A REDUCTION IN SELLING TO UNDERAGE DRINKERS. IN ADDITION TO CAMBRIDGE, QUINCY, SOMERVILLE AND WATERTOWN, THE RCHC ALSO SUPPORTS OTHER COMMUNITIES IN THE REGION IN THESE EFFORTS AND WORKS WITH COALITIONS AS THEY IMPLEMENT STRATEGIES AND BUILD PARTNERSHIPS TO REDUCE OVERDOSES.
PART VI, LINE 3: MOUNT AUBURN HOSPITAL - CREDIT AND COLLECTION POLICY - NOTICE OF AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER COVERAGE OPTIONS:FINANCIAL 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 INDIVIDUAL'S 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 HOSPITAL'S 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, 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 HOSPITAL'S 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 HOSPITAL'S 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, CHILDREN'S 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.
PART VI, LINE 4: MOUNT AUBURN HOSPITAL HAS MANY COMMUNITY PARTNERS AS LISTED BELOW:- ALCOHOLICS ANONYMOUS- AMERICAN CANCER SOCIETY- ARLINGTON DEPARTMENT OF PUBLIC HEALTH- ARLINGTON ENRICHMENT COLLABORATIVE- ARLINGTON PUBLIC SCHOOLS- ARLINGTON YOUTH HEALTH AND SAFETY COALITION- BELMONT COUNCIL ON AGING - CAMBRIDGE AND SOMERVILLE PROGRAM FOR ALCOHOL AND DRUG REHABILITATION- CASPAR- CAMBRIDGE COUNCIL ON AGING- CAMBRIDGE LEARNING CENTER- CAMBRIDGE PREVENTION COALITION- CHNA 15- CHNA 16- CHNA 17- CHNA 18- COMMUNITY CATALYST- HEADING HOME- HEALTHY WALTHAM- INSTITUTE OF COMMUNITY HEALTH - JOSEPH M. SMITH COMMUNITY HEALTH CENTER- MASS ALLIANCE OF PORTUGUESE SPEAKERS- MEDFORD COUNCIL ON AGING- MEDFORD HEALTH MATTERS- ON THE RISE- OVERDOSE PREVENTION AND EDUCATION NETWORK- POWER PROGRAM- PROJECT BREAD- PROJECT LITERACY- SALVATION ARMY CAMBRIDGE- SMART RECOVERY- SOMERVILLE CAMBRIDGE MEDFORD TRANSPORTATION - SOMERVILLE CARES ABOUT PREVENTION- SOMERVILLE CENTER FOR ADULT LEARNING EXPERIENCES- SOMERVILLE DEPARTMENT OF PUBLIC HEALTH- SOMERVILLE/CAMBRIDGE ELDERCARE SERVICES- SPRINGWELL- U MASS MEMORIAL TOBACCO FREE INITIATIVE- VNA CARE NETWORK AND ALLIANCE - WALTHAM ALLIANCE TO CREATE HOUSING- WALTHAM COUNCIL ON AGING- WALTHAM FAMILY SCHOOL- WALTHAM FIELDS COMMUNITY FARM- WALTHAM INTERAGENCY COUNCIL- WALTHAM PARTNERSHIP FOR YOUTH- WALTHAM PUBLIC SCHOOLS- WALTHAM SCHOOL NURSES- WATERTOWN COUNCIL ON AGING- WATERTOWN DEPARTMENT OF PUBLIC HEALTH- WATERTOWN YOUTH COALITION- YWCA CAMBRIDGETARGET POPULATIONS NAME OF TARGET POPULATION - BASIS FOR SELECTION 1. HOMELESS - REQUEST FROM LOCAL HOMELESS SHELTERS 2. LATINOS IN WALTHAM - LITERATURE REVIEW, HIGH RATE OF DIABETES AMONG LATINOS, WALTHAM DEMOGRAPHIC DATA 3. UNDERSERVED MEMBERS SERVED BY COMMUNITY HEALTH NETWORK AREAS - COMMUNITY NEEDS ASSESSMENT, DON FUNDING 4. WALTHAM YOUTH AND FAMILIE - COMMUNITY ASSESSMENT IN WALTHAM 5. ARLINGTON YOUTH - REQUEST FROM ARLINGTON PUBLIC SCHOOLS 6. COMMUNITY MEMBERS WHO SUFFER FROM HUNGER - COMMUNITY ASSESSMENT, REQUEST FROM COMMUNITY 7. COMMUNITY MEMBERS SERVED BY JOSEPH M. SMITH COMMUNITY HEALTH CENTER - REQUESTS FROM JOSEPH M. SMITH COMMUNITY HEALTH CENTER 8. ELDERS - COMMUNITY NEEDS ASSESSMENT, REQUESTS FROM COUNCILS ON AGING, HOMECARE PROVIDERS, HOMEBOUND ELDERS AND THEIR FAMILIES 9. IMMIGRANTS - ESOL PROVIDERS, COMMUNITY NEEDS ASSESSMENT 10. COMMUNITY MEMBERS AT RISK FOR DOMESTIC VIOLENCE WITHOUT SAFE DISPOSITION - CAMBRIDGE POLICE DEPARTMENT AND MAH CLINICIANS 11. COMMUNITY MEMBERS AT RISK FOR SUBSTANCE ABUSE - YOUTH RISK BEHAVIOR SURVEY, EMERGENCY ROOM AND TREATMENT PROGRAM DATA, DATA FROM LOCAL POLICE AND UNIVERSITIES. 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 8 TOWNS WITH A POPULATION OF APPROXIMATELY 500,000. 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.
PART VI, LINE 6: MOUNT AUBURN HOSPITAL IS GOVERNED BY A BOARD OF TRUSTEES MADE UP OF 28 VOLUNTEERS, 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 OUR SURPLUS FUNDS HAVE BEEN USED TO FUND THE CONTINUING RENOVATION OF OUR 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.
PART VI, LINE 7: MOUNT AUBURN HOSPITAL - AFFILIATED HEALTH CARE SYSTEMMAH IS A MEMBER OF CAREGROUP HEALTH SYSTEM, A REGIONAL HEALTHCARE DELIVERY SYSTEM COMPRISED OF TEACHING AND COMMUNITY HOSPITALS, PHYSICIAN GROUPS, AND OTHER CAREGIVERS. IT IS COMMITTED TO PERSONALIZED, PATIENT CENTERED CARE, AND EXCELLENCE IN MEDICAL EDUCATION AND RESEARCH. CAREGROUP SERVES THE HEALTH NEEDS OF PATIENTS AND COMMUNITIES EXTENDING FROM NORTH AND SOUTH OF BOSTON TO THE WESTERN SUBURBS BEYOND THE ROUTE 495 BELT, AND IS COMPRISED OF: FOUR HOSPITALS (BETH ISRAEL DEACONESS MEDICAL CENTER, INC, BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM, INC., MOUNT AUBURN HOSPITAL AND NEW ENGLAND BAPTIST HOSPITAL); A COMMITTED MEDICAL STAFF OFFERING COMMUNITY BASED PRIMARY CARE AND A WIDE RANGE OF SPECIALTY SERVICES, AND; A BROAD SPECTRUM OF COMPREHENSIVE HEALTH SERVICES RANGING FROM WELLNESS PROGRAMS TO HOME CARE.
MAREPORTS FILED WITH STATESPART VI, LINE 7
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 CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS, AS WELL AS COMMUNITY BUILDING ACTIVITIES. AS DEMONSTRATED IN THIS SCHEDULE H, 5.16% OF MAH'S TOTAL EXPENSES ARE INCURRED IN PROVIDING CHARITY CARE 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 THAT COME TO OUR FACILITY 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. A COPY IS ATTACHED ANNUALLY TO THE MAH FORM 990 FILING AND IS INCORPORATED WITH THIS SCHEDULE H. THERE ARE SOME DIFFERENCES BETWEEN THE MASSACHUSETTS ATTORNEY GENERAL DEFINITION OF CHARITY CARE AND COMMUNITY BENEFITS AND THE INTERNAL REVENUE SERVICE (IRS) DEFINITION OF COMMUNITY CARE 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

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ON THE RISE
341 BROADWAYCAMBRIDGEMA021390432906895000ANNUAL DINNER SUPPORT FOR HOMELESS SHELTER.
FINANCIAL COUNSELORS AT JMSCHC
564 MAIN STREETWALTHAMMA0245223722159766319PROVIDES FINANCIAL COUNSELORS TO AUGMENT HEALTH CARE CENTER STAFF AT JOSEPH M. SMITH COMMUNITY HEALTH CENTER - A FEDERALLY QUALIFIED HEALTH CARE CENTER. THEY ENROLL UNDERSERVED COMMUNITY MEMBERS IN INSURANCE PROGRAMS. FINANCIAL COUNSLERS - 2FTE (+ 22% BENEFITS) BASED ENTIRELY AT JOSEPH M. SMITH COMMUNITY HEALTH CENTER. (THIS IS NOT FOR ENROLLMENT IN MEDICAL COVERAGE WHICH BENEFITS MAH. THIS IS SUPPORT FOR THE COMMUNITY HEALTH CENTER.)
INSTITUTE OF COMMUNITY HEALTH
163 GORE STREET GROUND FLOORCAMBRIDGEMA02141043543853110000THE INSTITUTE FOR COMMUNITY HEALTH (ICH) IS A UNIQUE COLLABORATION AMONG THREE MASSACHUSETTS HEALTH CARE SYSTEMS TO IMPROVE THE HEALTH OF CAMBRIDGE, SOMERVILLE, AND SURROUNDING TOWNS. THE INSTITUTE WAS FOUNDED IN 2000 BYCAMBRIDGE HEALTH ALLIANCE, MT AUBURN HOSPITAL, AND MASSACHUSETTS GENERAL HOSPITAL OF PARTNERS HEALTHCARE. THE GOALS OF ICH ARE TO ADVANCE COMMUNITY HEALTH RESEARCH; PROMOTE COMMUNITY HEALTH EDUCATION AND TRAINING; DEVELOPCOMMUNITY ACTION PROGRAMS AND POLICY; AND FORGE LINKAGES AMONG HEALTH CARE SYSTEMS, COMMUNITY PARTNERS, AND ACADEMIC INSTITUTIONS WITH SHARED COMMUNITY HEALTH OBJECTIVES.
JOSEPH M SMITH COMMUNITY
564 MAIN STREETWALTHAMMA0245223722159720000TO SUPPORT JMSCHC FOR DEVELOPMENT OF A PHARMACY TO MEET THE NEEDS OF THEIR UNDERSERVED CLIENTS.

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: GRANT FUND USAGE IS MONITORED BY REQUIRING THE SUBMISSION OF REPORTS BY GRANT RECIPIENTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses0WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CLOUGH JEANETTE G
42872469792349962569717341911952705771114893183282984157620425659200
HATEM MD CHARLES J
3045590500064400196000257570356856000
NAUTA MD RUSSELL J
4280461070122975074382155539643301608216017400454029813507500
ZINNER MD STEPHEN
337013548630080521311147492401832913563681435993100
DILESO NICHOLAS
28089807462504674104534180211310876813000
SEMENZA PETER
2809674573967389109701178142191791992931616466011075163239226573900
ABOOKIRE MD SUSAN
2483060663100272720798860203310442105000
BAKER DEBORAH
227837041308012620494850203310340223000
BRIDGEMAN JOHN
183196037140021110537750203310296553000
BURKE KATHRYN
229126057944016040713530218910381918000
O'CONNELL MICHAEL L
1778850459520515950701490216310367212000
KAWADA MD CHARLES Y
20760413840330375202502495516636464843098912196813132161421440900
JOSEPH ESQ LESLIE
228195058490011370768100246310389263000
LUKASIK CHARLES
115572195842576489358015293871735471167221641925136575900
SHUGERT JOHN
1807940447830405470569120203310343367000
SANCHEZ MD LUCIENNE
28775203900428017150096850315405000

Form990 Schedule J Part III Form990ScheduleJPartIII (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 1BPETER SEMENZA, CHIEF FINANCIAL OFFICER, AND JOHN SHUGERT, VICE PRESIDENT OF DEVELOPMENT, EACH RECEIVED AN ANNUAL PAYMENT PURSUANT TO THEIR EMPLOYMENT AGREEMENTS AND DESIGNED TO ENSURE THAT THEIR ANNUAL LEVEL OF RETIREMENT FUNDING AT MOUNT AUBURN HOSPITAL (MAH) MATCHED THEIR PRE-MAH LEVEL OF ANNUAL RETIREMENT FUNDING. THE PAYMENTS ARE TAXABLE INCOME TO THEM AND AS SUCH, MAH GROSSES-UP THESE PAYMENTS. THE AMOUNTS ARE QUANTIFIED IN OTHER COMPENSATION ON FORM 990 PART VII AND IN OTHER REPORTABLE COMPENSATION ON FORM 990 SCHEDULE J. THE AMOUNTS RECEIVED BY MR. SEMENZA AND MR. SHUGERT, INCLUDING GROSS-UP RELATED TO THESE PAYMENTS WERE $21,260 AND $10,147 RESPECTIVELY. ALTHOUGH THESE PAYMENTS WERE NOT MADE PURSUANT TO A WRITTEN POLICY REGARDING GROSS-UPS, THESE PAYMENTS ARE PART OF MR. SEMENZA'S AND MR. SHUGERT'S OVERALL COMPENSATION PACKAGES AND AS SUCH, THEY ARE REVIEWED BY THE COMPENSATION COMMITTEE AS PREVIOUSLY DESCRIBED IN THIS FORM 990.
PART I, LINE 4BAS PREVIOUSLY NOTED, CAREGROUP, INC. IS THE SOLE MEMBER OF MOUNT AUBURN HOSPITAL. 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. ADDITIONAL DETAILS RELATED TO SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS ARE INCLUDED IN THE COMPENSATION EXPLANATORY NOTES TO SCHEDULE J BELOW.
PART I, LINE 7THE 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 IIIADDITIONAL 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; EARNED TIME CASHED; 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 IIICHUBB, STEPHEN D. TRUSTEE & BOARD CHAIR- MOUNT AUBURN HOSPITAL DIRECTOR (EX-OFFICIO)- CAREGROUP MR. CHUBB'S TERM ON THE MOUNT AUBURN HOSPITAL BOARD ENDED DECEMBER 31, 2010. CLOUGH, JEANETTE G. PRESIDENT & CEO- MOUNT AUBURN HOSPITAL PRESIDENT & CEO- MOUNT AUBURN PROFESSIONAL SERVICES IN HER POSITIONS AS PRESIDENT & CEO FOR MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES, 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 MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES 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: 428,724 INCENTIVE COMPENSATION: 349,962 OTHER REPORTABLE COMPENSATION: 73,419 DEFERRED COMPENSATION: 705,771 NON-TAXABLE BENEFITS: 18,328 PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 69,792 INCENTIVE COMPENSATION: 56,971 OTHER REPORTABLE COMPENSATION: 11,952 DEFERRED COMPENSATION: 114,893 NON-TAXABLE BENEFITS: 2,984 INCENTIVE COMPENSATION REPORTED FOR THE 2010 CALENDAR YEAR INCLUDES 1) PAYMENTS IN 2010 PURSUANT TO A LONG TERM INCENTIVE PLAN RELATED TO MOUNT AUBURN HOSPITAL'S FISCAL YEAR ENDED SEPTEMBER 30, 2009 IN THE AMOUNT OF $214,207 AND 2) A PAYMENT PURSUANT TO AN ANNUAL INCENTIVE PLAN RELATED TO THE FISCAL YEAR ENDED SEPTEMBER 30, 2009 IN THE AMOUNT OF $191,358. 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 2010 CALENDAR YEAR INCLUDES AN ACTUARIAL CHANGE IN THE PROJECTED BENEFIT OBLIGATION OF MS. CLOUGH'S SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) OF $380,000. THE SERP DOES NOT VEST UNTIL MS. CLOUGH REACHES AGE 62. DEFERRED COMPENSATION REPORTED FOR THE 2010 CALENDAR YEAR INCLUDES TWO INCENTIVE PAYMENTS RELATED TO THE SERVICES MS. CLOUGH PERFORMED DURING MOUNT AUBURN'S FISCAL YEAR ENDED SEPTEMBER 30, 2010 BUT WHICH WERE NOT PAID TO MS. CLOUGH UNTIL AFTER DECEMBER 31, 2010 -- ONE IN THE AMOUNT OF $214,207 RELATED TO AN ANNUAL INCENTIVE PLAN, AND ANOTHER FOR $214,207 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 $58,188. ADDITIONALLY, OTHER REPORTABLE COMPENSATION IN THE AMOUNT OF $17,867 WAS REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990, AS REQUIRED. KETTYLE, M.D., WILLIAM TRUSTEE - MOUNT AUBURN HOSPITAL DR. KETTYLE'S TERM ON THE MOUNT AUBURN HOSPITAL BOARD BEGAN JANUARY 1, 2011. MAMBRINO, M.D. LAWRENCE TRUSTEE- MOUNT AUBURN HOSPITAL DR. MAMBRINO'S TERM ON THE MOUNT AUBURN HOSPITAL BOARD BEGAN JANUARY 1, 2011. NAUTA, M.D., RUSSELL J. TRUSTEE & CHAIR, DEPT. OF SURGERY- MOUNT AUBURN HOSPITAL PROFESSOR OF SURGERY- HARVARD MEDICAL SCHOOL 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: 428,046 INCENTIVE COMPENSATION: 29,750 OTHER REPORTABLE COMPENSATION: 2,155 DEFERRED COMPENSATION: 64,330 NON-TAXABLE BENEFITS: 16,017 PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 107,012 INCENTIVE COMPENSATION: 7,438 OTHER REPORTABLE COMPENSATION: 539 DEFERRED COMPENSATION: 16,082 NON-TAXABLE BENEFITS: 4,004 AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2010 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. NAUTA'S POSITION AS CHAIR OF THE MOUNT AUBURN HOSPITAL DEPARTMENT OF SURGERY AND PROFESSOR OF SURGERY, HARVARD MEDICAL SCHOOL: $150,514 BASE AND OTHER REPORTABLE COMPENSATION AND $19,821 NON-TAXABLE BENEFITS AS REQUIRED BY THIS FORM 990, BONUS & INCENTIVE COMPENSATION FOR THE 2010 CALENDAR YEAR IN THE AMOUNT OF $37,188 WAS ALSO PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION FOR THE 2009 CALENDAR YEAR INCLUDES A BONUS IN AMOUNT OF $63,262 RELATED TO DR. NAUTA'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2010, BUT NOT PAID TO DR. NAUTA UNTIL AFTER DECEMBER 31, 2010. SAAL, M.D., A. KIM TRUSTEE & CHIEF, DIVISION OF CARDIOLOGY - MOUNT AUBURN HOSPITAL DIRECTOR - CAREGROUP PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 28,013 AS REQUIRED BY THIS FORM 990, COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2010 CALENDAR YEAR INCLUDES $28,013 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. DR. SAAL'S TERM ON THE MOUNT AUBURN HOSPITAL BOARD ENDED DECEMBER 31, 2010. SHORTSLEEVE, M.D., MICHAEL TRUSTEE & CHAIR, DEPT. OF RADIOLOGY - MOUNT AUBURN HOSPITAL PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 23,332 AS REQUIRED BY THIS FORM 990, COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2010 CALENDAR YEAR INCLUDES $23,332 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. SWANN, ERIC TRUSTEE- MOUNT AUBURN HOSPITAL MR. SWANN'S TERM ON THE MOUNT AUBURN HOSPITAL BOARD BEGAN JANUARY 1, 2011. ZINNER, M.D., STEPHEN TRUSTEE, CHAIR DEPARTMENT OF MEDICINE - MOUNT AUBURN HOSPITAL TRUSTEE, CHAIR DEPARTMENT OF MEDICINE - MOUNT AUBURN PROFESSIONAL SERVICES 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: 337,013 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 8,052 DEFERRED COMPENSATION: 14,749 NON-TAXABLE BENEFITS: 8,329 PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 54,863 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 1,311 DEFERRED COMPENSATION: 2,401 NON-TAXABLE BENEFITS: 1,356 DIIESO, NICHOLAS COO- MOUNT AUBURN HOSPITAL PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 280,898 INCENTIVE COMPENSATION: 74,625 OTHER REPORTABLE COMPENSATION: 46,741 DEFERRED COMPENSATION: 453,418 NON-TAXABLE BENEFITS: 21,131 AS REQUIRED BY THIS FORM 990, BONUS & INCENTIVE COMPENSATION FOR THE 2010 CALENDAR YEAR IN THE AMOUNT OF $74,625 WAS ALSO PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2010 CALENDAR YEAR INCLUDES AN ACTUARIAL CHANGE IN THE PROJECTED BENEFIT OBLIGATION OF MR. DIIESO'S SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) OF $357,700. THE SERP DOES NOT VEST UNTIL MR. DIIESO REACHES AGE 60. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2010 CALENDAR YEAR INCLUDES A BONUS IN AMOUNT OF $76,118 RELATED TO MR. DIIESO'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2010, BUT NOT PAID TO MR. DIIESO UNTIL AFTER DECEMBER 31, 2010.SUPPLEMENTAL INFORMATION
PART IIISEMENZA, PETER VICE PRESIDENT & CFO - MOUNT AUBURN HOSPITAL VICE PRESIDENT FINANCE & TREASURER - MOUNT AUBURN PROFESSIONAL SERVICES MR. SEMENZA RETIRED ON AUGUST 15, 2011. IN HIS ROLE AS CHIEF FINANCIAL OFFICER OF BOTH MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES, MR. SEMENZA PERFORMED SERVICES FOR BOTH ENTITIES. AS REQUIRED BY FORM 990, ALTHOUGH MR. SEMENZA WAS PAID DIRECTLY BY MOUNT AUBURN HOSPITAL, THE PORTION OF MR. SEMENZA'S COMPENSATION ATTRIBUTABLE TO SERVICES PROVIDED TO EACH ENTITY HAS BEEN SEPARATELY REPORTED AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 280,967 INCENTIVE COMPENSATION: 67,389 OTHER REPORTABLE COMPENSATION: 1,178,142 DEFERRED COMPENSATION: 99,293 NON-TAXABLE BENEFITS: 6,601 PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 45,739 INCENTIVE COMPENSATION: 10,970 OTHER REPORTABLE COMPENSATION: 191,791 DEFERRED COMPENSATION: 16,164 NON-TAXABLE BENEFITS: 1,075 AS REQUIRED BY FORM 990, BONUS & INCENTIVE COMPENSATION FOR THE 2010 CALENDAR YEAR IN THE AMOUNT OF $78,359 WAS ALSO PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. OTHER REPORTABLE COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES FOR THE 2010 CALENDAR YEAR INCLUDES PAYMENTS PURSUANT TO A SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) WHICH VESTED IN AUGUST OF 2010 AND IN THE AMOUNT OF $1,301,046 FOR THE CALENDAR YEAR 2010. THE SERP RECOGNIZED MR. SEMENZA'S MORE THAN ELEVEN YEARS SERVING AS CHIEF FINANCIAL OFFICER FOR MAH AND MAPS. MAH/MAPS REPORTED ANNUAL ACTUARIAL CHANGES IN THE BENEFIT OBLIGATION RELATED TO THIS SERP AS DEFERRED COMPENSATION IN PRIOR FORM 990 FILINGS AS REQUIRED. AS NOTED ABOVE, MR. SEMENZA CONTINUED TO SERVE IN HIS ROLE AS CHIEF FINANCIAL OFFICER UNTIL HE RETIRED IN AUGUST OF 2011. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES FOR THE 2010 CALENDAR YEAR INCLUDES AN INCENTIVE PAYMENT OF $95,857 RELATED TO MR. SEMENZA'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2010, BUT NOT PAID TO MR. SEMENZA UNTIL AFTER DECEMBER 31, 2010. SULLIVAN, WILLIAM VICE PRESIDENT & CFO - MOUNT AUBURN HOSPITAL VICE PRESIDENT FINANCE & TREASURER - MOUNT AUBURN PROFESSIONAL SERVICES MR. SULLIVAN COMMENCED HIS ROLES AS VICE PRESIDENT AND CHIEF FINANCIAL OFFICER OF MOUNT AUBURN HOSPITAL AND AS VICE PRESIDENT FINANCE AND TREASURER OR MOUNT AUBURN PROFESSIONAL SERVICES ON JUNE 27, 2011. ABOOKIRE, M.D., SUSAN CHAIR OF QUALITY & SAFETY - MOUNT AUBURN HOSPITAL PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 248,306 INCENTIVE COMPENSATION: 66,310 OTHER REPORTABLE COMPENSATION: 27,272 DEFERRED COMPENSATION: 79,886 NON-TAXABLE BENEFITS: 20,331 AS REQUIRED BY THIS FORM 990, BONUS & INCENTIVE COMPENSATION FOR THE 2010 CALENDAR YEAR IN THE AMOUNT OF $66,310 WAS ALSO PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2010 CALENDAR YEAR INCLUDES A BONUS IN AMOUNT OF $67,636 RELATED TO DR. ABOOKIRE'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2010, BUT NOT PAID TO DR. ABOOKIRE UNTIL AFTER DECEMBER 31, 2010. BAKER, DEBORAH VICE PRESIDENT PATIENT CARE SERVICES - MOUNT AUBURN HOSPITAL PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 227,837 INCENTIVE COMPENSATION: 41,308 OTHER REPORTABLE COMPENSATION: 1,262 DEFERRED COMPENSATION: 49,485 NON-TAXABLE BENEFITS: 20,331 AS REQUIRED BY THIS FORM 990, BONUS & INCENTIVE COMPENSATION FOR THE 2010 CALENDAR YEAR IN THE AMOUNT OF $41,308 WAS ALSO PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2010 CALENDAR YEAR INCLUDES A BONUS IN AMOUNT OF $42,135 RELATED TO MS. BAKER'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2010, BUT NOT PAID TO MS. BAKER UNTIL AFTER DECEMBER 31, 2010. BRIDGEMAN, JOHN VICE PRESIDENT CLINICAL SERVICES - MOUNT AUBURN HOSPITAL PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 183,196 INCENTIVE COMPENSATION: 37,140 OTHER REPORTABLE COMPENSATION: 2,111 DEFERRED COMPENSATION: 53,775 NON-TAXABLE BENEFITS: 20,331 AS REQUIRED BY THIS FORM 990, BONUS & INCENTIVE COMPENSATION FOR THE 2010 CALENDAR YEAR IN THE AMOUNT OF $37,140 WAS ALSO PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2010 CALENDAR YEAR INCLUDES A BONUS IN AMOUNT OF $37,885 RELATED TO MR. BRIDGEMAN'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2010, BUT NOT PAID TO MR. BRIDGEMAN UNTIL AFTER DECEMBER 31, 2010. BURKE, KATHRYN VICE PRESIDENT CONTRACTING & BUSINESS DEVELOPMENT - MOUNT AUBURN HOSPITAL PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 229,126 INCENTIVE COMPENSATION: 57,944 OTHER REPORTABLE COMPENSATION: 1,604 DEFERRED COMPENSATION: 71,353 NON-TAXABLE BENEFITS: 21,891 AS REQUIRED BY THIS FORM 990, BONUS & INCENTIVE COMPENSATION FOR THE 2010 CALENDAR YEAR IN THE AMOUNT OF $57,944 WAS ALSO PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2010 CALENDAR YEAR INCLUDES A BONUS IN AMOUNT OF $59,103 RELATED TO MS. BURKE'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2010, BUT NOT PAID TO MS. BURKE UNTIL AFTER DECEMBER 31, 2010. O'CONNELL, MICHAEL L. VICE PRESIDENT PLANNING & MARKETING- MOUNT AUBURN HOSPITAL PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 177,885 INCENTIVE COMPENSATION: 45,952 OTHER REPORTABLE COMPENSATION: 51,595 DEFERRED COMPENSATION: 70,149 NON-TAXABLE BENEFITS: 21,631 AS REQUIRED BY THIS FORM 990, BONUS & INCENTIVE COMPENSATION FOR THE 2010 CALENDAR YEAR IN THE AMOUNT OF $45,952 WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2010 CALENDAR YEAR INCLUDES A BONUS IN AMOUNT OF $50,549 RELATED TO MR. O'CONNELL'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2010, BUT NOT PAID TO MR. O'CONNELL UNTIL AFTER DECEMBER 31, 2010. KAWADA, M.D., CHARLES Y. CHAIR, DEPT. OF OB/GYN - MOUNT AUBURN HOSPITAL TRUSTEE & CHAIR, DEPT. OF OB/GYN - MOUNT AUBURN PROFESSIONAL SERVICES ASSISTANT CLINICAL PROFESSOR OF OBSTETRICS, GYNECOLOGY AND REPRODUCTIVE BIOLOGY, HARVARD MEDICAL SCHOOL DR. KAWADA PERFORMS SERVICES FOR BOTH MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. KAWADA IS PAID DIRECTLY BY MOUNT AUBURN HOSPITAL, THE PORTION OF DR. KAWADA'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: 207,604 INCENTIVE COMPENSATION: 30,375 OTHER REPORTABLE COMPENSATION: 24,955 DEFERRED COMPENSATION: 46,484 NON-TAXABLE BENEFITS: 12,196 PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 138,403 INCENTIVE COMPENSATION: 20,250 OTHER REPORTABLE COMPENSATION: 16,636 DEFERRED COMPENSATION: 30,989 NON-TAXABLE BENEFITS: 8,131 AS REQUIRED BY THIS FORM 990, COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES FOR THE 2010 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. KAWADA'S POSITION AS CHAIR OF THE MOUNT AUBURN HOSPITAL DEPARTMENT OF OBSTETRICS AND GYNECOLOGY AND ASSISTANT CLINICAL PROFESSOR OF OBSTETRICS, GYNECOLOGY AND REPRODUCTIVE BIOLOGY, HARVARD MEDICAL SCHOOL: $100,546 BASE AND OTHER REPORTABLE COMPENSATION, $9,698 DEFERRED COMPENSATION AND $1,706 NON-TAXABLE BENEFITS. DEFERRED COMPENSATION REPORTED BY MAH AND MAPS FOR THE 2010 CALENDAR YEAR INCLUDES AN INCENTIVE PAYMENT OF $50,625 RELATED TO DR. KAWADA'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2010, BUT NOT PAID TO DR. KAWADA UNTIL AFTER DECEMBER 31, 2010. AS REQUIRED BY THIS FORM 990, BONUS & INCENTIVE COMPENSATION FOR THE 2010 CALENDAR YEAR IN THE AMOUNT OF $50,625 WAS ALSO PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990.SUPPLEMENTAL INFORMATION
PART IIIJOSEPH, ESQ, LESLIE VICE PRESIDENT GENERAL COUNSEL - MOUNT AUBURN HOSPITAL PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 228,195 INCENTIVE COMPENSATION: 58,490 OTHER REPORTABLE COMPENSATION: 1,137 DEFERRED COMPENSATION: 76,810 NON-TAXABLE BENEFITS: 24,631 AS REQUIRED BY THIS FORM 990, BONUS & INCENTIVE COMPENSATION FOR THE 2010 CALENDAR YEAR IN THE AMOUNT OF $58,490 WAS ALSO PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2010 CALENDAR YEAR INCLUDES A BONUS IN AMOUNT OF $59,660 RELATED TO ATTORNEY JOSEPH'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2010, BUT NOT PAID TO MS. JOSEPH UNTIL AFTER DECEMBER 31, 2010.SUPPLEMENTAL INFORMATION
PART IIILUKASIK, CHARLES COO & CLERK - MOUNT AUBURN PROFESSIONAL SERVICES IN HIS ROLE AS CHIEF OPERATING OFFICER OF MAPS, MR. LUKASIK PERFORMS SERVICES FOR BOTH MOUNT AUBURN PROFESSIONAL SERVICES AND MOUNT AUBURN HOSPITAL. AS REQUIRED BY THIS FORM 990, ALTHOUGH MR. LUKASIK IS PAID DIRECTLY BY MOUNT AUBURN HOSPITAL, THE PORTION OF MR. LUKASIK'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: 11,557 INCENTIVE COMPENSATION: 2,576 OTHER REPORTABLE COMPENSATION: 80 DEFERRED COMPENSATION: 3,871 NON-TAXABLE BENEFITS: 1,167 PAYMENTS REPORTED BY MOUNT AUBURN PROFESSIONAL SERVICES: BASE COMPENSATION: 219,584 INCENTIVE COMPENSATION: 48,935 OTHER REPORTABLE COMPENSATION: 1,529 DEFERRED COMPENSATION: 73,547 NON-TAXABLE BENEFITS: 22,164 AS REQUIRED BY THIS FORM 990, BONUS & INCENTIVE COMPENSATION FOR THE 2010 CALENDAR YEAR IN THE AMOUNT OF $51,511 WAS ALSO 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 2010 CALENDAR YEAR INCLUDES AN INCENTIVE PAYMENT OF $60,268 RELATED TO MR. LUKASIK'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2010, BUT NOT PAID TO MR. LUKASIK UNTIL AFTER DECEMBER 31, 2010.SUPPLEMENTAL INFORMATION
PART IIISHUGERT, JOHN VICE PRESIDENT DEVELOPMENT- MOUNT AUBURN HOSPITAL PAYMENTS REPORTED BY MOUNT AUBURN HOSPITAL: BASE COMPENSATION: 180,794 INCENTIVE COMPENSATION: 44,783 OTHER REPORTABLE COMPENSATION: 40,547 DEFERRED COMPENSATION: 56,912 NON-TAXABLE BENEFITS: 20,331 AS REQUIRED BY THIS FORM 990, BONUS & INCENTIVE COMPENSATION FOR THE 2010 CALENDAR YEAR IN THE AMOUNT OF $44,783 WAS ALSO PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. DEFERRED COMPENSATION REPORTED BY MOUNT AUBURN HOSPITAL FOR THE 2010 CALENDAR YEAR INCLUDES A BONUS IN AMOUNT OF $44,662 RELATED TO MR. SHUGERT'S PERFORMANCE FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2010, BUT NOT PAID TO MR. SHUGERT UNTIL AFTER DECEMBER 31, 2010.SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MA DEVELOPMENT FINANCE AGENCY
043431814NONEAVAIL2001-09-15120280000REFUND ISSUES DATES 2/11/1998000
MA HLTH & ED FAC AUTH
04245601157586C3S22008-06-09377527010REFUND ISSUES DATED 1/19/1989; 9/23/1992; 8/12/2004; & FIN VARIOUS CAP EXP000
MA HLTH & ED FAC AUTH
04245601157586CDK82004-08-12187125000REFUND ISSUES DATED 9/23/1992; 11/09/1994000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount RetiredAmountRetiredAmount In Reserve FundAmountInReserveFundCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCredit EnhancementCreditEnhancement
1202800001199893282906721011
378911689204075167392928910013547500027256617127932058899376066144512011
187125000177336000179664310111466750007991727

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements1AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty1MngmentCntrctBondFinancdPrprty
Any Research Agreements1AnyResearchAgreements
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00600PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00100PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00700TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICException To RebateExceptionToRebateSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
(no name)
01000
(no name)
00000
CITIBANK
0110001

Form990 Schedule K Part V Form990ScheduleKPartV (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART II, COLUMN A, LINE 1:138,075,000 OF THE 2004C1&2 PORTION OF THE 2004 ISSUE WAS REFUNDED BY THE 2008 SERIES. 8,600,000 OF 2004D HAS REACHED MATURITY.
PART I LINE FPURPOSES OF THE 2008 CAREGROUP SERIES E BONDS: -TO FINANCE OR REFINANCE VARIOUS RENOVATION AND CONSTRUCTION PROJECTS AND CAPITAL EQUIPMENT ACQUISITIONS FOR BIDMC -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 BIDN'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 THE 2004 CAREGROUP SERIES D BONDS: -REFUNDING OF THE OUTSTANDING PRINCIPAL BALANCE OF THE MOUNT AUBURN HOSPITAL SERIES B BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUSTS 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 TRUSTS DATED JULY 13, 2004DESCRIPTION OF PURPOSE:
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 BETH ISRAEL DEACONESS MEDICAL CENTER, BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, NEW ENGLAND BAPTIST HOSPITAL, NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, MOUNT AUBURN HOSPITAL, MOUNT AUBURN PROFESSIONAL SERVICES AND MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A AFFILIATED PHYSICIANS GROUP. SOME FINANCED SPACE MAY CONTAIN LEASE ARRANGEMENTS, AND THE AFFILIATES WHICH OWN THE DEBT FINANCED SPACE MAY OPT TO ENGAGE A MANAGEMENT SERVICES COMPANY (IE CLEANING, PATIENT TRANSPORT, 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, 2011 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 - EXPLANATORY STATEMENTCAREGROUP, 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 AND OVERSEES A REGIONAL HEALTH CARE DELIVERY SYSTEM COMPRISED OF TEACHING AND COMMUNITY HOSPITALS, PHYSICIAN GROUPS AND OTHER CAREGIVERS. CAREGROUP'S PURPOSES INCLUDE THE SUPPORT OF PERSONALIZED, PATIENT CENTERED CARE AND EXCELLENCE IN MEDICAL EDUCATION AND RESEARCH. CAREGROUP AND SOME OF ITS AFFILIATES JOINTLY BORROW DEBT AS AN OBLIGATED GROUP. THE OBLIGATED GROUP MEMBERS ARE: CAREGROUP, BETH ISRAEL DEACONESS MEDICAL CENTER, MOUNT AUBURN HOSPITAL (MAH), NEW ENGLAND BAPTIST HOSPITAL (NEBH), 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 (BIDMC) REFLECTS THE COMBINED CAREGROUP OBLIGATED GROUP DEBT ISSUED AFTER DECEMBER 31, 2002 WITH AN OUTSTANDING PRINCIPAL BALANCE IN EXCESS OF $100,000.
PART II, COLUMN B, LINE 3:THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS OF THE ISSUE AND THE ISSUE PRICE IS, 1,348,679 OF INVESTMENTS EARNINGS EARNED TO DATE.
PART II, COLUMN B, LINE 11:THIS AMOUNT WAS SPENT ON THE TERMINATION OF THE 2004 SWAP AGREEMENT.
PART II, COLUMN A,B&C, LINE 6:THE AMOUNTS LISTED IN THE REFUNDING ESCROW ARE THE REFUNDING PROCEEDS OF THE ISSUES BUT AS OF THE FISCAL YEAR END ONLY 1,187,000 OF PROCEEDS REMAIN IN THE 2011 ESCROW, ALL OTHER PROCEEDS HAVE BEEN DISBURSED.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
STEPHEN ZINNER MD
TRUSTEE141130SEE BELOWSTEPHEN ZINNER, MD, CHAIR OF THE DEPARTMENT OF MEDICINE AND A MEMBER OF THE MAH BOARD OF TRUSTEES, ALSO SERVES ON THE BOARD OF THE INSTITUTE FOR COMMUNITY HEALTH IN CAMBRIDGE. DURING THE PERIOD COVERED BY THIS FILING, MAH MADE PAYMENTS OF $141,130 TO THE INSTITUTE FOR COMMUNITY HEALTH, TO FURTHER ITS MISSION OF IMPROVING COMMUNITY HEALTH.0
DR SUSAN ABOOKIRE
FAMILY MEMBER241629SEE BELOWDR. SUSAN ABOOKIRE, CHAIR OF QUALITY AND SAFETY FOR MOUNT AUBURN HOSPITAL, IS MARRIED TO CHRISTOPHER PECKINS, MD. DR. PECKINS IS EMPLOYED AS A PRIMARY CARE PHYSICIAN BY MAPS, A SUPPORTING ORGANIZATION OF MAH. HIS SALARY AND OTHER INCOME INCLUDE:BASE COMPENSATION: $210,852INCENTIVE COMPENSATION: $21,479OTHER REPORTABLE COMPENSATION: $825CONTRIBUTION TO EMPLOYEE BENEFIT PLANS INCLUDES:DEFERRED COMPENSATION: $8,273NON-TAXABLE BENEFITS: $2000
PATSY AND GEORGE CONRADES
FORMER TRUSTEE17920779SEE BELOWPATSY CONRADES AND GEORGE CONRADES, ARE HUSBAND AND WIFE AND EACH IS A FORMER MEMBER OF THE MAH BOARD OF TRUSTEES. GEORGE CONRADES IS ALSO A MEMBER OF THE CARDINAL HEALTH BOARD OF DIRECTORS. DURING THE PERIOD COVERED BY THIS FILING, MAH MADE PAYMENTS TO CARDINAL HEALTH IN THE AMOUNT OF $17,920,779 FOR MEDICAL/SURGICAL SUPPLIES, PHARMACEUTICALS AND MEDICATIONS. AMOUNTS PAID FOR THESE ITEMS REPRESENT FAIR MARKET VALUE.0
KATHERINE RAFFERTY
FAMILY MEMBER96107SEE BELOWKATHERINE RAFFERTY, SISTER OF JAMES RAFFERTY WHO IS ONE OF THE MAH TRUSTEES, SERVES AS DIRECTOR OF COMMUNITY RELATIONS FOR MAH. HER SALARY AND OTHER INCOME INCLUDES:BASE COMPENSATION: $83,808INCENTIVE COMPENSATION: $500OTHER REPORTABLE COMPENSATION: $65CONTRIBUTION TO EMPLOYEE BENEFIT PLANS INCLUDES:DEFERRED COMPENSATION: $4,322NON-TAXABLE BENEFITS: $7,4120
A KIM SAAL MD
FAMILY MEMBER112320SEE BELOW A. KIM SAAL, MD, A TRUSTEE AND THE CHIEF OF CARDIOLOGY AT MAH AND A MEMBER OF THE CAREGROUP BOARD OF DIRECTORS, IS MARRIED TO JANICE SAAL, MD, A DIRECTOR OF ASSOCIATED SURGEONS, P.C (ASPC). ASPC PROVIDED MEDICAL SERVICES TO MAPS, A SUPPORTING ORGANIZATION OF MAH AND A MEMBER OF THE CAREGROUP NETWORK OF AFFILIATED ENTITIES. CHARGES FOR THOSE SERVICES DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2011 WERE $112,320.0
AKIM SAAL MD
TRUSTEE431950SEE BELOWA.KIM SAAL, MD, A TRUSTEE AND THE CHIEF OF CARDIOLOGY AT MAH AND A MEMBER OF THE CAREGROUP BOARD OF DIRECTORS, IS ALSO AN OFFICER AND DIRECTOR OF MOUNT AUBURN CARDIOLOGY ASSOCIATES, INC. (MACA). MACA PROVIDED MEDICAL SERVICES TO MAH DURING THE PERIOD COVERED BY THIS FILING. CHARGES FOR THESE SERVICES TOTALED $328,750 IN ADDITION, MACA MADE PAYMENTS TO MAH FOR RENT AND PARKING SERVICES TOTALING $103,200. ALL PAYMENTS REFLECT FAIR MARKET VALUE RATES.0
MICHAEL SHORTSLEEVE MD
TRUSTEE322578SEE BELOWMICHAEL 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 ENDED SEPTEMBER 30, 2010 WERE $322,578. THE FEES PAID TO SCHATZKI REFLECTED FAIR MARKET VALUE RATES.0
KARLA HANIFY
FAMILY MEMBER30848SEE BELOWKARLA HANIFY, IS THE DAUGHTER OF JOHN HANIFY, WHO SERVED ON THE MAH BOARD OF TRUSTEES THROUGH DECEMBER 31, 2008. MS. HANIFY'S SALARY AND OTHER INCOME INCLUDE:BASE COMPENSATION: $30,723INCENTIVE COMPENSATION: $125OTHER REPORTABLE COMPENSATION: $0CONTRIBUTION TO EMPLOYEE BENEFIT PLANS INCLUDES:DEFERRED COMPENSATION: $0NON-TAXABLE BENEFITS: $00

Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)

ExplanationExplanation
MOUNT AUBURN HOSPITAL AND MOUNT AUBURN PROFESSIONAL SERVICES MAY BE REFERRED TO IN THESE EXPLANATORY NOTES TO FORM 990 SCHEDULE L PART IV AND MASSACHUSETTS FORM PC AS MAH AND MAPS RESPECTIVELY.
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. 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 MOUNT AUBURN HOSPITAL CONFLICT OF INTEREST POLICY AND REFLECT FAIR MARKET PAYMENTS AND RATES.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions8NumberOfContributions
Noncash Contribs Rptd F99085974NoncashContribsRptdF990
Method Of Determining RevenuesCOST OR SELLING PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (18 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART I LINE 1 & PART III, LINE 1MOUNT AUBURN HOSPITAL'S PRIMARY PURPOSE IS TO IMPROVE THE HEALTH OF THE RESIDENTS OF CAMBRIDGE, MA AND THE SURROUNDING COMMUNITIES. OUR SERVICES ARE DELIVERED IN A PERSONABLE, CONVENIENT AND COMPASSIONATE MANNER, WITH RESPECT FOR THE DIGNITY OF OUR PATIENTS AND THEIR FAMILIES.
FORM 990, PART III LINE 4ASURGEONS 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. OUR SURGEONS FOCUS ON A DUAL MISSION OF CLINICAL CARE AND PATIENT EDUCATION. BECAUSE WE ARE A TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL, WE ARE ABLE TO OFFER MORE SURGICAL SERVICES THAN MOST HOSPITALS OF OUR SIZE, INCLUDING NEUROSURGERY AND CARDIOVASCULAR SURGICAL PROCEDURES, AS WELL AS CONTINUAL SURGICAL RESPONSES IN ALL DISCIPLINES. HOWEVER, WE ARE SMALL ENOUGH TO OFFER PERSONALIZED CARE THROUGHOUT A PATIENT'S SURGERY, INCLUDING PREPARATION AND RECOVERY. OUR INSTITUTION 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 2011, MOUNT AUBURN HOSPITAL HAD 167 LICENSED MEDICAL/SURGICAL BEDS, AND PROVIDED INPATIENT MEDICAL SERVICES TO 7,055 PATIENTS, AND INPATIENT SURGICAL SERVICES TO 2,267 PATIENTS.INPATIENT MEDICAL SERVICES
FORM 990, PART III LINE 4BAT MOUNT AUBURN HOSPITAL'S RADIOLOGY DEPARTMENT, WE PROVIDE COMPASSIONATE, PROFESSIONAL CARE THROUGH OUR HIGHLY-SKILLED TEAM OF BOARD-CERTIFIED RADIOLOGISTS, TECHNOLOGISTS AND NURSES. WE 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. WE ENSURE THE PATIENT'S PRIVACY AT ALL STAGES OF TREATMENT, INCLUDING TRANSMISSION AND DISTRIBUTION OF FILMS AND REPORTS. OUR 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 OUR 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, OUR 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, OUR UTILIZATION OF STATE-OF-THE-ART IMAGING TECHNOLOGY, COMBINED WITH THE SERVICES OF OUR HIGHLY-SKILLED, COMPASSIONATE TEAM OF PROFESSIONALS ENSURES THAT THE PATIENT WILL BENEFIT FROM OUR SUPERIOR LEVEL OF CARE. DURING FISCAL 2011, MOUNT AUBURN HOSPITAL PROVIDED OUTPATIENT RADIOLOGY SERVICES TO 79,989 PATIENTS.RADIOLOGIC SERVICES
FORM 990, PART III LINE 4CAT MOUNT AUBURN HOSPITAL, YOU CAN BE ASSURED THAT AN EXCEPTIONAL LEVEL OF CARE AND SUPPORT IS AVAILABLE FOR YOU AND YOUR NEWBORN THROUGHOUT YOUR 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. OUR 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 OUR 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 WHO 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, WE OFFER CHOICE. 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. AT MOUNT AUBURN HOSPITAL, WE 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 YOUR 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. OUR NURSERY HAS A SPECIALIST PEDIATRICIAN ON CALL 24 HOURS A DAY, AS WELL AS 'ROUND THE CLOCK NEONATAL BACKUP COVERAGE. ANESTHESIA IS AVAILABLE 24 HOURS A DAY, AS WELL. IN ADDITION TO OUR EXPERT OBSTETRIC TEAM, MOUNT AUBURN'S LEVEL II NURSERY FEATURES STATE-OF-THE-ART MONITORING EQUIPMENT FOR OUR NEONATES. IF YOUR NEWBORN IS SERIOUSLY ILL, YOU CAN BE ASSURED THAT HE OR SHE WILL RECEIVE THE BEST CARE POSSIBLE IN MOUNT AUBURN'S LEVEL II NURSERY. DURING FISCAL 2011, MOUNT AUBURN HOSPITAL HAD 20 LICENSED OB/GYN BEDS PROVIDING SERVICES TO 2,271 PATIENTS AND 25 BASSINETS PROVIDING INPATIENT SERVICES TO 2,340 NEWBORNS.INPATIENT OBSTETRICS / NEWBORN SERVICES
FORM 990, PART III LINE 4DMOUNT 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 SERVICES 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 2011, MOUNT AUBURN HOSPITAL HAD 16 LICENSED INPATIENT PSYCHIATRY BEDS, AND PROVIDED INPATIENT PSYCHIATRY SERVICES TO 271 PATIENTS. THE HOSPITAL HAS A 24 HOUR EMERGENCY DEPARTMENT THAT SERVICED 37,595 VISITS. IN ADDITION, THE HOSPITAL PROVIDED A VARIETY OF OUTPATIENT SERVICES TO MORE THAN 170,000 PATIENTS IN VARIOUS SPECIALTIES LISTED ABOVE, AND CONDUCTED MORE THAN 80,000 VISITS TO PATIENTS' 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 ATTACHED MOUNT AUBURN HOSPITAL COMMUNITY BENEFITS STATEMENT WHICH IS INCLUDED IN SCHEDULE H.OTHER
FORM 990 PART IV QUESTION 12AS 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 AUDIT WAS PREPARED AND SIGNED BY THE BOSTON, MA OFFICE OF KPMG.
FORM 990 PART IV QUESTION 24AAS 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 24BPROCEEDS IN THE PROJECT FUND WERE UNEXPECTEDLY HELD BEYOND THE THREE-YEAR TEMPORARY PERIOD, BUT WERE YIELD RESTRICTED IN COMPLIANCE WITH FEDERAL TAX REQUIREMENTS.
THE FOLLOWING INDIVIDUALS HAVE BUSINESS RELATIONSHIPS WHICH ARISE FROM THEIR ROLES AS OFFICERS AND/OR TRUSTEES OF CAMBRIDGE TRUST COMPANY: JEANETTE CLOUGH LEON PALANDJIAN JOSEPH ROLLERFORM 990, PART VI, SECTION A, LINE 2
EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDERS. CAREGROUP, INC., 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 6
ACCORDING TO MAH BYLAWS, CAREGROUP APPROVES GROUP 2 TRUSTEES WHICH COMPOSE UP TO 21 OF A MAXIMUM OF 28 TRUSTEES.FORM 990, PART VI, SECTION A, LINE 7A
THE MEMBER RESERVES THE RIGHT TO SELECT THE CORPORATION'S INDEPENDENT AUDITORS AND HAS THE RIGHT TO APPROVE THE FOLLOWING ACTIONS PRIOR TO IMPLEMENTATION THEREOF: - ESTABLISHMENT OR MODIFICATION OF COMPENSATION OF OR REMOVAL OF THE CHIEF EXECUTIVE OFFICER, IF ANY, OR PRESIDENT OF THE CORPORATION - ENTERING INTO CONTRACTS WHICH BIND THE CORPORATION AND WHICH ARE MANAGED CARE CONTRACTS, EXCLUSIVE CONTRACTS, AGREEMENTS-NOT-TO-COMPETE OR USE SIMILAR ARRANGEMENTS, CONTRACTS FOR MANAGEMENT SERVICES OR OTHER MULTI-YEAR SERVICE CONTRACTS WITH POTENTIALLY SIGNIFICANT MULTI-YEAR BUDGETARY IMPACT - ADOPTION OF A MISSION STATEMENT AND STRATEGIC, FINANCIAL AND OPERATIONAL PLAN FOR THE CORPORATION - ADOPTION OF AN ANNUAL OPERATING BUDGET AND ALL CAPITAL BUDGETS - THE BORROWING OF, OR INCIDENCE OF DEBT IN, ANY AMOUNT OTHER THAN (I) FOR PURPOSE OF SECURING WORKING CAPITAL FROM A LENDER WHICH SHALL HAVE BEEN APPROVED BY THE MEMBER AND PURSUANT TO THEN EXISTING AND PROVISIONS RELATING TO SUCH BORROWING WHICH SHALL HAVE BEEN APPROVED BY THE MEMBER, AND (II) DEBT INCURRED IN THE ORDINARY COURSE OF BUSINESS WHICH IS ANTICIPATED IN AND CONSISTENT WITH THE ANNUAL OPERATING BUDGET OR A CAPITAL BUDGET WHICH SHALL HAVE BEEN APPROVED BY THE MEMBER FOR THE YEAR IN WHICH INCURRED - ANY VOLUNTARY DISSOLUTION, MERGER OR CONSOLIDATION OF THE CORPORATION, THE SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS, THE CREATION, ACQUISITION OR DISPOSAL OF ANY SUBSIDIARY OR AFFILIATED CORPORATION OR THE ADDITION OR ELIMINATION OF ANY CLINICAL DEPARTMENT OR PROGRAM, WHICH DEPARTMENT OR PROGRAM COULD REASONABLY BE ANTICIPATED TO MATERIALLY AFFECT THE FINANCIAL STATUS OF THE CORPORATION, OR ITS ABILITY TO CONDUCT ITS BUSINESS, OR THE ENTERING INTO OF ANY JOINT VENTURE OR OTHER PARTNERSHIP ARRANGEMENTS BY THE ENTITY - INITIATION OF ANY BANKRUPTCY OR INSOLVENCY ACTION ON BEHALF OF THE CORPORATION OR ANY SUBSIDIARY THEREOF.FORM 990, PART VI, SECTION A, LINE 7B
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 11
FORM 990, PART VI, SECTION B, LINE 12CMOUNT 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 CONFLICET 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 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.
FORM 990, PART VI, SECTION B, LINE 15MOUNT 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 - 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 IN COMMITTEES 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 AND WITH THE INPUT OF THE COMPENSATION STUDY AND 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 19THE 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
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -2,926,616. TRANSFER OF UNRESTRICTED CASH TO MAPS (AFFILIATE) -9,980,928. CHANGE IN FUNDED STATUS OF EMPLOYEE BENEFIT PLANS -126,874. CHANGE IN VALUE OF LIMITED PARTNERSHIPS -1,003,322. PLEDGES RECEIVED BEYOND CASH PAYMENTS -628,361. UBIT FROM CIP -43,539. OTHER ACCOUNTING ADJUSTMENTS -2,490. ROUNDING -5. TOTAL TO FORM 990, PART XI, LINE 5: -14,712,135.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII QUESTION 2B AND 2CAS 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 (29 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ASSOC PHYS HARVARD MED FAC OHY AT BUDMC
275 LONGWOOD AVEBOSTONMA02215320058309TO PROVIDE EMERGENCY MEDICAL SERVICESMA501(C)(3)LINE 11, TYPE I: 509HARVARD MED FAC PHYS AT BIDMC INC0
BETH ISRAEL ANAESTHESIA FOUNDATION INC
330 BROOKLINE AVEBOSTONMA02215042997215SUPPORT PATIENT CARE, RESEARCH & TEACHING BIDMC, HMFP & HMSMA501(C)(3)LINE 11A, IHARVARD MED FAC PHYS AT BIDMC INC0
BETH ISRAEL DEACONESS DPT MED FOUNDATION
330 BROOKLINE AVEBOSTONMA02215043079630SUPPORT PATIENT CARE, RESEARCH & TEACHING BIDMC, HMFP & HMSMA501(C)(3)LINE 11A, IHARVARD MED FAC PHYS AT BIDMC INC0
BI DEAC DPT NEONATOLOGY FOUNDATION
330 BROOKLINE AVEBOSTONMA02215208253452SUPPORT PATIENT CARE, RESEARCH & TEACHING BIDMC, HMFP & HMSMA501(C)(3)LINE 11A, IHARVARD MED FAC PHYS AT BIDMC INC0
BI DEACONESS DPT OF NEUROLOGY FOUNDATION
330 BROOKLINE AVEBOSTONMA02215043030397SUPPORT PATIENT CARE, RESEARCH & TEACHING BIDMC, HMFP & HMSMA501(C)(3)LINE 11A, IHARVARD MED FAC PHYS AT BIDMC INC0
BI DEAC DPT ORTHOPAEDIC SURG FOUNDATION
330 BROOKLINE AVEBOSTONMA02215204974585SUPPORT PATIENT CARE, RESEARCH & TEACHING BIDMC, HMFP & HMSMA501(C)(3)LINE 11A, IHARVARD MED FAC PHYS AT BIDMC INC0
BI DEACONESS DPT OF SURGERY FOUNDATION
110 FRANCIS STREETBOSTONMA02215020671240SUPPORT PATIENT CARE, RESEARCH & TEACHING BIDMC, HMFP & HMSMA501(C)(3)LINE 11A, IHARVARD MED FAC PHYS AT BIDMC INC0
BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM INC
148 CHESTNUT STREETNEEDHAMMA02492043229679HOSPITAL IN NEEDHAM MA FOR TREATMENT OF SICK AND SUFFERING PERSONS.MA501(C)(3)LINE 3BETH ISRAEL DEACONESS MEDICAL CENTER INC0
BETH ISRAEL DEACONESS MEDICAL CENTER
330 BROOKLINE AVEBOSTONMA02215042103881THE OPERAION OF A WORLD CLASS ACADEMIC MEDICAL CENTER IN BOSTON, MAMA501(C)(3)LINE 11A, ICAREGROUP INC0
BIDMC & CHILDRENS HOSPITAL MED CTR CORP
300 LONGWOOD AVEBOSTONMA02215043200113OUTPATIENT AMBULATORY CARE CENTER IN LEXINGTON, MAMA501(C)(3)LINE 11A, I0N/A
BIDMC OBSTETRICS AND GYNECOLOGY FOUNDATION INC
330 BROOKLINE AVEBOSTONMA02215042794855PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMSMA501(C)(3)LINE 11A, IHMFP AT BIDMC0
BETH ISRAEL DERMATOLOGY FOUNDATION INC
330 BROOKLINE AVEBOSTONMA02215043117601PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HMFP AND HMSMA501(C)(3)LINE 11A, IHMFP AT BIDMC0
BIH PATHOLOGY FOUNDATION INC
330 BROOKLINE AVEBOSTONMA02215222548374PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HMFP AND HMSMA501(C)(3)LINE 11A, IHMFP AT BIDMC0
BIH RADIOLOGIC FOUNDATION INC
330 BROOKLINE AVEBOSTONMA02215042571853PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HMFP AND HMSMA501(C)(3)LINE 11A, IHMFP AT BIDMC0
CARDIO ASSOC PHYS OF HMFP AT BIDMC
185 PILGRIM ROAD BOSTBOSTONMA02215043208878SPECIALIZED CARDIOVASCULAR MED SVCS TO PATIENTS OF CARDIO VSUCAL INSTITUTESMA501(C)(3)LINE 11A, IHMFP AT BIDMC0
CARDIOVASCULAR MANAGEMENT ASSOCIATES INC
185 PILGRIM ROADBOSTONMA02215208550792FACILITATE COMP CARDIOVASCULAR CARE, EDU, AND RESEARCH, WITHIN BIDMC, HMFPMA501(C)(3)LINE 11A, IBETH ISRAEL DEACONESS MEDICAL CENTER INC0
CAREGROUP INC
109 BROOKLINE AVEBOSTONMA02215222629185DEVELOP AND COORDINATE INTEGRATED HEALTH CARE DELIVERY SYSTEMMA501(C)(3)LINE 11D, III-ONONE0
CONTINUING EDUC PROG DBA BID DEPT OF PSYCH FOUND
401 PARK DRBOSTONMA02215043242952PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HMFP AND HMSMA501(C)(3)LINE 11A, IHMFP AT BIDMC0
MED CARE OF BOSTON MGMT CORP DBA AFF PHYS GROUP
400 HUNNEWELL STNEEDHAMMA02494042810972MEDICAL SERVICES ORGANIZATIONMA501(C)(3)LINE 9BETH ISRAEL DEACONESS MEDICAL CENTER INC0
MOUNT AUBURN PROFESSIONAL SERVICES INC
330 MOUNT AUBURN STCAMBRIDGEMA02138043026897OFFERING MEDICAL CARE IN GENERAL AND SPECIALIZED PRACTICESMA501(C)(3)LINE 11A, IMOUNT AUBURN HOSPITAL0
NEW ENGLAND BAPTIST HOSPITAL
125 PARKER HILL AVEBOSTONMA02120042103612ORTHOPEDIC SPECIALTY HOSPITALMA501(C)(3)LINE 3CAREGROUP INC0
NEW ENGLAND BAPTIST MEDICAL ASSOC INC
125 PARKER HILL AVEBOSTONMA02120043326928OUTPATIENT MEDICAL SERVICES TO THE VARIOUS COMMUNITIES SERVICED BY NEBHMA501(C)(3)LINE 3NEW ENGLAND BAPTIST HOSPITAL INC0
RIVERBROOK CORPORATION
109 BROOKLINE AVEBOSTONMA02215042828955TO HOLD TITLE TO PROPERTY FOR CAREGROUP, INC.MA501(C)(2)CAREGROUP INC0
HMFP AT BIDMC INC
375 LONGWOOD AVEBOSTONMA02215222768204GENERAL AND SPECIALIZED MEDICAL SERVICES TO THE PATIENTS OF BIDMC AND OTHERSMA501(C)(3)LINE 9BETH ISRAEL DEACONESS MEDICAL CENTER INC0
HEART CENTER OF METROWEST INC
99 LINCOLN STBOSTONMA01702030390670TO PROVIDE OUTPATIENT MEDICAL SERVICES TO THE METROWEST COMMUNITIESMA501(C)(3)LINE 9CARDIOVASCULAR MANAGEMENT ASSOCIATES INC0
BI COMMUNITY FOUNDATION INC
330 BROOKLINE AVEBOSTONMA02215042776678INACTIVE CORPORATIONMA501(C)(3)LINE 70N/A
CARL J SHAPIRO INSTITUTE
330 BROOKLINE AVEBOSTONMA02215043326928DEVELOP INNOVATIVE PROG AND MODELS FOR TEACHING AND RESEARCHMA501(C)(3)LINE 11A, I0N/A
JOSLIN CLINIC INC
ONE JOSLIN PLACEBOSTONMA02215222984590TO PROVIDE SPECIALTY MEDICAL AND RESEARCH SERVICES FOR DIABETESMA501(C)(3)LINE 11A, I0N/A
HARVARD MEDICAL COLLABORATIVE INC
25 SHATTUCK STBOSTONMA02215043476764COORDINATE AND PROVIDE STATEGIC PLANNING OPP FOR HMSMA501(C)(3)LINE 11A, I0N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsCode VCodeVAmount
ADVANCED VASCULAR CARE LLC
375 LONGWOOD AVEBOSTONMA02215261647880TO PROVIDE MEDICAL SUPPORT SERVICESMAHARVARD MEDICAL FACULTY PHYSICIANS AT BIDMCRELATED00
BETH ISRAEL DEACONESS PHYSICIAN ORG LLC
110 FRANCIS STREETBOSTONMA02215043426253COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMCMAHARVARD MEDICAL FACULTY PHYSICIANS AT BIDMCRELATED00
BEWELL BODY SCAN LLC
25 BOYLSTON STCHESTNUT HILLMA02446260051016TO OPERATE A DIAGNOSTIC IMAGING CENTERMABIH RADIOLOGIC FOUNDATION INCRELATED00
CAREGROUP CLINICAL RESEARCH LLC
109 BROOKLINE AVENUEBOSTONMA02215300228711TO PARTICIPATE IN A CLINICAL RESEARCH PARTNERSHIPMANONERELATED00
CAREGROUP INVESTMENT PARTNERSHIP LLP
109 BROOKLINE AVENUEBOSTONMA02215043278109INVESTMENT PARTNERSHIPMABETH ISRAEL DEACONESS MEDICAL CENTEREXCLUDED003888352115278342$43,539
PHYSICIAN PROFESSIONAL SERVICES LLP
10 CABOT ROADMEDFORDMA02215043275078TO PROVIDE MEDICAL BILLING SERVICESMASEE SUPPLEMENTAL EXPLANATIONSRELATED00

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
BIDMCCGSMC JV INC
400 HUNNEWELL STNEEDHAMMA02494264426847INACTIVE COMAN/AC
CHESTNUT HEALTHCARE ALLIANCE INC
148 CHESTNUT STNEEDHAMMA02492043265117PROVIDE SUPPORT SERVICES TO MOUNT AUBURN HOSPITALMAN/AC
MOUNT AUBURN HOSPITAL FOUNDATION INC
330 MOUNT AUBURN STREETCAMBRIDGEMA02138042898907PHYSICIAN/ HOSPITAL ORGANIZATIONMAN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
Return ReferenceFORM 990, SCHEDULE R, PART IIIReturnReference
ExplanationTHE PARTNERSHIP IS CONTROLLED 50% BY THE BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION, INC. AND 50% BY THE BETH ISRAEL DEACONESS MEDICAL CENTER OBSTETRICS DO GYNECOLOGY FOUNDATION, INC.Explanation

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.