2011-08-12T14:09:52-05:00 2010-09-30 DELOITTE TAX LLP 200 BERKELEY STREET BOSTON MA 02116 990 2009-10-01 042103606 Mount Auburn Hospital MOUN 6174995021 330 Mount Auburn Street Cambridge MA 02138 WILLIAM SULLIVAN 6174995021 2011-08-08 1 6174372000 2009 2016-02-24 21:20:13Z WILLIAM SULLIVAN 330 Mount Auburn Street Cambridge MA 02138 314303765 0 X www.mountauburnhospital.org X 1871 MA SEE SCHEDULE O 30 22 2598 285 3314474 -29627 4007958 3934496 280029007 291066717 -648260 3710365 7947117 8475339 291335822 307186917 1036550 1004500 0 154014851 161057880 0 1243506 117750099 122289198 272801500 284351578 18534322 22835339 338442096 352860070 164075340 159892507 174366756 192967563 See Schedule O 0 0 107087461 4500 109856237 See Schedule O 18297466 27647941 See Schedule O 15733319 18595721 See Schedule O 108909797 1000000 134966818 108909797 1000000 134966818 250028043 1 1 0 1 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 1 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 1 0 0 0 1 221 0 1 2598 1 1 1 0 0 0 0 1 1 0 0 0 0 0 30 22 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA CT ME MO NH NJ NY RI VT DC X Peter Semenza 6174995021 330 Mount Auburn Street Cambridge MA 02138 Daniel V Calano 5.00 X 0 0 0 John J Canepa 5.00 X 0 0 0 Frederick H Chicos 5.00 X 0 0 0 George E Christodoulo 5.00 X 0 0 0 Stephen D Chubb 10.00 X 0 0 0 CASIMIR DE RHAM JR 5.00 X X 0 0 0 Lisa Gordon 5.00 X 0 0 0 CHARLES J HATEM MD 60.00 X 306413 0 42103 Christopher Kaneb 5.00 X 0 0 0 Rachel Kaprielian 5.00 X 0 0 0 Kija Kim 5.00 X 0 0 0 DAVID L LUCCHINO 5.00 X 0 0 0 George Massaro 5.00 X 0 0 0 RUSSELL J NAUTA MD 60.00 X 476712 119178 81746 LITA L NELSON 5.00 X 0 0 0 Leon Palandjian 5.00 X X 0 0 0 James J Rafferty 5.00 X X 0 0 0 Gerald Reardon 5.00 X 0 0 0 Joseph Roller 5.00 X 0 0 0 A KIM SAAL MD 60.00 X 25837 0 0 Christopher Shachoy 5.00 X 0 0 0 MICHAEL SHORTSLEEVE MD 60.00 X 23398 0 0 Tom Simons 5.00 X 0 0 0 Donna Smerlas 60.00 X 0 0 0 Howard H STEVENSON 5.00 X 0 0 0 Herbert Wagner 5.00 X 0 0 0 Stephen Zinner MD 60.00 X 344417 56068 24722 Jeanette G Clough 60.00 X X 817170 133028 715231 Peter Semenza 60.00 X 379457 61772 410751 NICHOLAS DILESO 60.00 X 387013 0 247485 SUSAN ABOOKIRE MD 60.00 X 336495 0 93179 Deborah Baker 60.00 X 260585 0 67418 John Bridgeman 60.00 X 218085 0 71451 Kathryn Burke 60.00 X 282468 0 86791 Michael O'Connell 60.00 X 244954 0 84483 Charles Lukasik 60.00 X 12079 229509 90419 CHARLES Y KAWADA MD 60.00 X 263235 175490 98315 LESLIE JOSEPH ESQ 60.00 X 276926 0 100600 JOHN SHUGERT 60.00 X 249425 0 77593 LUCIENNE SANCHEZ MD 60.00 X 290935 0 22648 5195604 775045 2314935 15 0 1 0 Walsh Brothers Inc 210 Commercial Street Boston MA 02109 Contractor 8782538 CareGroup Inc 109 Brookline Avenue Boston MA 02215 Management Services 2255108 Quest Diagnostics Nichols Institiute 12436 Collections Center Drive Chicago IL 606932436 Lab Testing 1465167 Angelica Textile Services PO Box 823283 Philadelphia PA 191823283 Laundry Services 1343076 Anesthesia Associates of Massachusetts P 690 Canton Street - Suite 325 Westwood NJ 02090 MD Services 1112580 55 293860 556087 3084549 121423 3934496 Inpatient medical / su 900099 109856237 109856237 Outpatient radiology 900099 27647941 27647941 Inpatient obstectrics 900099 19033879 19033879 Outpatient surgery 621990 18595721 18595721 Emergency department 621990 16084481 16084481 99848458 99848458 291066717 -133715 -133715 153172 153172 1600214 868733 731481 731481 731481 9638217 4575 5935630 16254 3702587 -11679 3690908 3690908 291181 293860 292803 -1622 -1622 5050 3428 1622 1622 Non patient lab revenu 541380 3228158 3228158 Parking Revenue 812930 2218359 2218359 Cafe, Coffee shop & ve 722210 1634035 1634035 663306 84694 578612 7743858 307186917 291066717 3314474 8871230 1000000 1000000 4500 4500 4692351 1775818 2916533 126917792 115140426 11164579 612787 5658094 5035704 565809 56581 14722674 13103180 1472267 147227 9066969 8069602 906697 90670 367700 367700 52000 52000 12474159 10657568 1754676 61915 1113663 25097 1088566 43809355 42555175 1182203 71977 5916532 4903104 1003896 9532 6936105 5270426 1595079 70600 340590 313985 26006 599 1547561 1449066 98495 6036413 4466946 1569467 15653154 12659568 2993586 4175329 4051585 123744 Miscellaneous 12867681 9042035 3802523 23123 Uncompensated Care 5653857 5653857 0 0 Patient Services 4048016 4048016 0 0 Dues, Licenses & Fees 1297083 802385 494698 0 0 0 0 0 284351578 250028043 33080029 1243506 19913162 10410762 9896266 13042898 822993 604399 29247494 30265997 51682 2787445 3362925 3420765 3799984 365558488 207854080 155677360 157704408 40722000 67717467 123243982 8185462 10424715 338442096 352860070 35983149 34089452 118049774 115884124 10042417 9918931 164075340 159892507 X 164198532 183320810 6032801 5494233 4135423 4152520 174366756 192967563 338442096 352860070 X 1 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 79337 0 0 79337 0 10168224 3298045 454217 4273733 9646753 11461701 2711304 349071 4353852 10168224 0.41000 0.59000 0 1 1 169000 169000 183265495 59923276 123342219 3175884 1476025 1699859 176841571 146454779 30386792 2106538 2106538 157704408 Invest held thru CGCIP EIN 04-3278109 123243982 F 123243982 Accrued post retirement benefits 4415118 Due to affiliates 107001 Other Liabilities 2494371 Professional liability claims reserve 2902441 9918931 307186917 284351578 22835339 6490531 -10725063 -4234532 18600807 363499000 6490000 50520475 57010475 306488525 698392 698392 307186917 340378000 56026422 56026422 284351578 0 284351578 Part XI, Line 8 - Other Adjustments: CHANGE IN EMPLOYEE BENEFIT PLANS: 804911. Pledges received beyond cash payments: -691502. Schedule K-1 CareGroup Investment Partnership: -6890. Transfer of unrestricted cash to MAPS: -10836314. ROUNDING: 4732. Part XII, Line 2d - Other Adjustments: Expenses associated with real estate rental: 868733. Expenses associated with special events: 296231. Consolidated affiliate net of eliminations: 49355511. Part XII, Line 4b - Other Adjustments: CareGroup investment partnership gains: 3106. CareGroup investment partnership revenue: 3784. Pledge activity (cash basis): 691502. Part XIII, Line 2d - Other Adjustments: Expenses associated with real estate rental: 868733. Expenses associated with special events: 296231. Change in funded status of benefit plans: -805000. MAPS EXPENSES: 63280000. ELIMINATIONS: -7613000. ROUNDING: -542. 0 GALA 332600 175289 157311 157311 Hoffman 119100 92013 27087 27087 3 133341 26558 106783 108405 585041 293860 291181 292803 292803 -1622 1 1 1 X 0 1 1 1 0 1 1 4778904 1849322 2929582 0.01040 12333178 8502022 3831156 0.01360 2300324 251657 2048667 0.00730 19412406 10603001 8809405 0.03130 928539 928539 0.00330 8952948 3827928 5125020 0.01820 202652 202652 0.00070 111500 111500 0.00040 127452 127452 0.00050 10323091 3827928 6495163 0.02310 29735497 14430929 15304568 0.05440 43206 43206 0.00020 43206 43206 0.00020 1 1622438 74299133 80025681 -5726548 X 1 1 NA Mount Auburn Hospital

330 Mount Auburn Street Cambridge MA 02138

X X X X SEE SCHEDULE O 1 MACIPA INC 1380 SOLDIERS FIELD ROAD BRIGHTON MA 02135 1000000 FUNDING FOR ELECTRONIC MEDICAL RECORDS FOR COMMUNITY PHYSICIANS. 1 Other Information: Part IV: SEE SCHEDULE O X 0 1 X X X X X 0 1 0 0 0 0 0 1 0 CHARLES J HATEM MD 290345 0 400 0 15668 0 19600 0 22503 0 348516 0 360 0 RUSSELL J NAUTA MD 425568 106392 49000 12250 2144 536 46453 11613 18944 4736 542109 135527 49000 12250 Stephen Zinner MD 323098 52597 0 0 21319 3471 13570 2209 7691 1252 365678 59529 0 0 Jeanette G Clough 409567 66674 312357 50849 95246 15505 602634 98103 12465 2029 1432269 233160 326547 53159 Peter Semenza 235305 38306 62309 10143 81843 13323 347147 56512 6099 993 732703 119277 62309 10143 NICHOLAS DILESO 253362 0 72452 0 61199 0 227925 0 19560 0 634498 0 72452 0 SUSAN ABOOKIRE MD 224391 0 64381 0 47723 0 74419 0 18760 0 429674 0 64381 0 Deborah Baker 207186 0 35650 0 17749 0 48658 0 18760 0 328003 0 35650 0 John Bridgeman 163426 0 36059 0 18600 0 52691 0 18760 0 289536 0 36059 0 Kathryn Burke 221067 0 56254 0 5147 0 66211 0 20580 0 369259 0 56254 0 Michael O'Connell 139095 0 44616 0 61243 0 64823 0 19660 0 329437 0 44616 0 Charles Lukasik 8928 169630 2250 42758 901 17121 3433 65228 1088 20670 16600 315407 2250 42578 CHARLES Y KAWADA MD 192773 128515 30375 20250 40087 26725 46426 30951 12563 8375 322224 214816 30375 20250 LESLIE JOSEPH ESQ 205785 0 54080 0 17061 0 75640 0 24960 0 377526 0 54080 0 JOHN SHUGERT 153921 0 38646 0 56858 0 57033 0 20560 0 327018 0 38646 0 LUCIENNE SANCHEZ MD 289949 0 570 0 416 0 12467 0 10181 0 313583 0 0 0 Part I, Line 1b See Schedule O Part I, Line 7 See Schedule O MASSACHUSETTS HEALTH AND EDUCATION FACILITIES 042456011 57586CDK8 2004-08-12 187125000 SEE SCHEDULE O 0 0 MASSACHUSETTS HEALTH AND EDUCATION FACILITIES 042456011 57586C3S2 2008-06-09 377527010 SEE SCHEDULE O 0 0 187125000 177336630 9788370 1 0 1 1 377527010 29870999 204075165 38496027 3929290 121464123 1 0 0 1 0 1 1 1 0 0.70000 0.70000 0 0 1 0 0 0 0 CRICORMF TRUSTEE 7474887 SEE SCH O 0 CAMBRIDGE TRUST CO TRUSTEE 1974739 SEE SCH O 0 ASSOCIATED SURGEONS PC FAMILY MEMBER 100980 SEE SCH O 0 MOUNT AUBURN CARDIOLOGY ASSOCIATES TRUSTEE 208800 SEE SCH O 0 CHRISTOPHER PECKINS MD FAMILY MEMBER 204411 SEE SCH O 0 CARDINAL HEALTH FORMER TRUSTEE 18659119 SEE SCH O 0 KATHERINE RAFFERTY FAMILY MEMBER 93703 SEE SCH O 0 SCHATZKI ASSOCIATES TRUSTEE 322578 SEE SCH O 0 X 8 121423 MARKET QUOTE 0 1 0 Form 990, Part VI, Section A, line 2 See Sch O Form 990, Part VI, Section A, line 6 SEE SCHEDULE O Form 990, Part VI, Section A, line 7a SEE SCH. O Form 990, Part VI, Section A, line 7b SEE SCH. O Form 990, Part VI, Section B, line 11 The Form 990 is reviewed by the Chief Financial Officer of Mount Auburn Hospital (MAH), the Tax Director of CareGroup, which is the Member of MAH and Deloitte Tax, LLP. The complete Form 990 is presented to the Audit Committee of MAH for review and discussion. A copy of the complete return is then provided to each member of the Board of Trustees of the filing entity prior to submission to the Internal Revenue Service. Form 990, Part VI, Section B, line 12c Mount Auburn Hospital (MAH) has a comprehensive Conflict of Interest Policy applicable to both MAH and its affiliate, Mount Auburn Professional Services (MAPS). Pursuant to that policy, all Officers, Trustees and Key Employees of both entities are asked to complete an Annual Conflict Disclosure Statement which is designed to require disclosure of any business relationships maintained by Officers, Trustees or Key Employees and their family members which may result in a conflict of interest. In addition, any individual who commences a term as an Officer, Director, Trustee or Key Employee is required to complete the Annual Conflict Disclosure at the time such position commences. All Annual Disclosures are reviewed by the MAH Office of General Counsel for determination of any potential or actual conflict and any activity that requires action under the Conflict of Interest Policy is subject to ongoing review and action through the General Counsel's office. Pursuant to the Conflict of Interest Policy, certain activities which could create Conflicts of Interest are prohibited while other types of relationships are permitted, subject to compliance with a plan to require disclosure and recusal, including appropriate documentation in the minutes. CareGroup, Inc. is the sole member of MAH. A summary of the Annual Disclosures is provided to the CareGroup Tax Director for review in order to completely and accurately process and complete Form 990 Schedule L, Transactions with Interested Persons. Form 990, Part VI, Section B, line 15 SEE SCHEDULE O Form 990, Part VI, Section C, line 19 The governing documents, Conflict of Interest Policy and Financial Statements are available to the general public upon request at the following location: Mount Auburn Hospital Offices 330 Mount Auburn St Cambridge, MA 02138 FORM 990, PART XI, LINE 2C THE ORGANIZATION HAS COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW OR COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. Part I, Line 1 & Part III, Line 1 - Organization's mission: Mount 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. Part III, Line 4a - Program Service Accomplishments Inpatient Medical Services Surgeons in Mount Auburn Hospital's General Surgery Division use the latest technologies combined with advanced surgical expertise to perform surgeries that are as minimally invasive and painless as possible. Our surgeons perform both elective and emergent surgeries. Elective surgery involves a combination of diagnostic and interventional procedures resulting in pertinent follow-up with the patient's referring physician. It is planned for and scheduled in advance. Emergent surgery is most often the result of a medical emergency, such as an appendicitis attack, and is most often referred from the Emergency Department physician. In either situation, Mount Auburn's surgeons are available twenty-four hours a day, seven days a week, to ensure that patients receive the most advanced treatment possible. 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 2010, Mount Auburn Hospital had 167 licensed medical/surgical beds, and provided inpatient medical services to 7,798 patients, and inpatient surgical services to 2,298 patients. Line 4b - Program Service Accomplishments - Radiologic Services At 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 2010, Mount Auburn Hospital provided outpatient radiology services to 79,616 patients. Line 4c - Program Service Accomplishments - Outpatient Services Due to advances in minimally invasive technologies and anesthesiology, as well as our efforts to provide patients with preventative care and education, more and more surgical procedures at Mount Auburn are performed in an outpatient or short-stay setting, and the patient's recovery period is shorter and involves less pain. The capabilities of our in-house surgical staff and team of residents allow us to provide you with the intensity and continuity necessary to ensure top-notch care. During fiscal 2010, Mount Auburn Hospital performed 6,652 outpatient surgeries. Line 4d - Program Service Accomplishments - Other Mount Auburn Hospital's numerous clinical strengths are the result of a commitment to excellence by the hospital and its staff, which includes recognized and respected professionals, as well as talented students and trainees who come to Mount Auburn Hospital for the outstanding educational opportunities it provides. This commitment by our staff is matched by the cutting-edge clinical technology used throughout the hospital. At Mount Auburn, our patients receive care that is first-rate, as well as compassionate. Mount Auburn Hospital's Clinical Services beyond those listed above include: cancer care, diabetes education, employee assistance program, gynecology, midwifery, 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 2010, Mount Auburn Hospital had 20 licensed inpatient OB/GYN beds and 16 licensed inpatient psychiatry beds, and provided inpatient OB/GYN and psychiatry services to 2,228 and 322 patients respectively. In addition, the hospital had 25 bassinets providing inpatient services to 2,261 newborns. The hospital has a 24 hour emergency department that serviced 37,825 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 79,000 visits to patients' homes through our home care department. For additional information on MAHs 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 O. Part IV Question 12a As described in this filing, Mount Auburn Hospital (MAH) is a public charity and a regional teaching hospital, exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The financial records of MAH are audited each year as part of the MAH consolidated audited financial statement process and for the fiscal period covered by this filing, the audit was prepared and signed by the Boston, MA office of KPMG. Part IV Question 24a As described in this Form 990, CareGroup, Inc., is a 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. Part VI Line 2 The following individuals have business relationships which arise from their roles as Officers, Trustees and/or Key Employees of CareGroup, Inc. and its affiliated entities: Jeanette Clough, Peter Semenza, John J. Canepa, David Lucchino, Stephen Zinner, MD, Steven D. Chubb and A. Kim Saal, MD The following individuals have business relationships which arise from their roles as Officers and/or Trustees of Cambridge Trust Company: Jeanette Clough, Leon Palandjian, and Joseph Roller Part VI, Line 6 - Explanation of Classes of Members or Shareholder Part VI, Line 7 - How Members or Shareholders Elect Governing Body 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. According to MAH bylaws, CareGroup approves Group 2 Trustees which compose up to 21 of a maximum of 28 Trustees. Part VI, Line 7b Decisions of Governing Body Approval by Members or Shareholders 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 of 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 orporation or the addition or elimination of any clinical department or program, which department or program could reasonably be anticipated would 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; and; Initiation of any bankruptcy or insolvency action on behalf of the Corporation or any subsidiary thereof. Part VI, Line 15b - Compensation Review & Approval Process for Officers & Key Employees Mount Auburn Hospital (MAH) has a Compensation Committee (the "Committee" )that is comprised of six members of the Board of Trustees including the current Chairman of the Board of Trustees and the MAH CEO, who serves on the Committee as an "ex officio" member without voting rights. All other members of the Committee are independent. The Committee operates to fulfill the following responsibilities: To review and approve the total compensation of each member of the Hospital's senior management team so as to ensure that such compensation remains competitive in the marketplace, represents good value to the Hospital for the quality and quantity of services provided and constitutes reasonable total compensation to the employee in light of the employee's position, responsibilities, qualifications and performance in accordance with internal and external reasonable compensation standards applicable to this tax exempt hospital; To recommend to the Board of Trustees the terms and conditions of any employment agreements between the Hospital and its President/Chief Executive Officer including base salaries, incentive compensation, supplemental employee retirement plans, benefits and other lawful methods of reasonable compensation; To recommend to the Board of Trustees for the Board's approval the terms and conditions of any Supplemental Employee Retirement Plans for Hospital Executives; To review and approve those portions of the Federal Form 990 and the Massachusetts Form PC, or their equivalents, pertaining to the compensation of Hospital employees prior to the Hospital's filing of such forms with the regulatory authorities; As determined to be advisable by the Committee from time to time, to engage outside compensation consultants and legal and other advisors to provide to the Committee appropriate and reliable comparable compensation data for similarly situated employees of national, regional and local peer institutions and other expert advice to assist the Committee in fulfilling its responsibilities; To work with the Hospital's management and auditors to resolve, or to recommend to the Board of Trustees resolution of, any issues of concern pertaining to the compensation of Hospital employees that may arise during the course of the Hospital's independent audit or may be presented in the independent auditor's management letter to the Hospital; To review and approve employee benefits programs including welfare, fringe and retirement plans and programs, and any material amendments thereto; To adopt such policies and procedures as the Committee may determine from time to time to be necessary or useful to ensure that the Hospital pays reasonable and competitive compensation to its management team while preserving the tax exempt status of the Hospital; and To review and reassess the Committee's charter from time to time and to recommend any proposed changes to the Hospital's Board of Trustees for its consideration and approval. The Committee meets several times during the year to review and approve individual performance goals for management and the CEO, to review performance against such goals, to approve incentive compensation payments to management, to recommend compensation payments to the CEO for approval by the Trustees and to approve salary adjustments for the next year. Further, the Committee will address as required any changes in individual or group compensation arrangements at such meetings. The Committee understands that one of its core responsibilities is to ensure that the total compensation provided to these individuals is fair and reasonable using current and credible market practice information and that all arrangements comply with applicable legal and regulatory guidelines. The Compensation Committee has historically relied upon guidance outlined in written compensation surveys/studies produced under an arrangement with an independent compensation consulting firm that regularly assesses executive compensation and benefits of organizations similar to MAH. The Committee has historically had a full study conducted by such firm every other year with an updated study in the other years. This survey has formed the basis for the Committee fulfilling its responsibility in this regard. For the periods covered in this Form 990, the Committee met several times to review the compensation of each of the individuals described above. Tools utilized for this review included the compensation study prepared by the independent compensation consulting firm contracted by the Committee. Further, performance of each individual was measured against previous approved goals and objectives in determining incentive compensation payments. After discussion and analysis at several meetings, the Compensation Committee voted to approve the compensation arrangements of all individuals described above except for the CEO. Upon excusing the CEO from its meeting, the Compensation Committee discussed the compensation of the CEO and the performance of the CEO against previously approved goals and objectives 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. Part XI Question 2b and 2c As previously reported in this filing, Mount Auburn Hospital (MAH) is a public charity and a regional teaching hospital, exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The financial records of MAH are audited each year as part of the MAH consolidated audited financial statement process and for the fiscal period covered by this filing. The audit was prepared and signed by the Boston, MA office of KPMG. This process is monitored and reviewed internally by the MAH Audit Committee. Schedule C - Lobbying Parts II-B - IV From time to time, certain executives of Mount Auburn Hospital (MAH) engage in lobbying efforts related to the Hospitals 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. MAH estimates the lobbying cost by membership organizations on its behalf was $58,119 and for directly lobbying was $21,218 for the fiscal year ended September 30, 2010. Total combined lobbying expenditures of MAH were minimal and not substantial based on revenues. Schedule D - Supplemental Financial Statements Part V Line 4 Intended Uses of Endowment Fund 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, 2010, these sources increased free care provided to patients by $254,000. Form 990 Schedule H Part VI Supplemental Information The purpose of this Form 990 Schedule H narrative disclosure is to help the reader understand in more 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, 5.44% 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 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 filed with the Attorney General's office. 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. Charity Care and Certain Other Community Benefits - Charity Care and Means Tested Government Programs Charity Care and Means Tested Government Programs As reported in the MAH consolidated financial statement and in this Form 990 Schedule H, MAHs 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 $4,979,000 in fiscal year ended September 30, 2010 and has been reported on this Schedule H. Charity Care at cost was calculated using an internal cost to charge ratio calculation. See additional information below in this Schedule H narrative. Other Uncompensated Charity Care - Medicaid and Medicare In addition to the charity care reported above, the Hospital also provides care to patients who participate in other programs designed to support low income families, including particularly the Medicaid program, which is jointly funded by federal and state governments. The Massachusetts Health Reform Law provided an initiative for expansion of Medicaid coverage to greater populations and for enrollment of uninsured patients in other insurance programs. Payments from Medicaid and other programs which insure low income populations do not cover the cost of services provided. Unreimbursed Medicaid costs reported here were calculated by applying the cost to charge ratio to gross charges and subtracting the Medicaid net reimbursement. During the fiscal period covered by this filing MAH reported $8,502,022 in Medicaid revenue which was less than the cost of care provided by the Hospital for such services by $3,831,000, 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, 29.2% of MAH's patient revenue derived from Medicare patients. This translated to $74,299,133. However, because payments to hospitals through this government sponsored program have not kept pace with inflation, revenue collected was less than the cost of services by $5,726,548. Although MAH considers the provision of clinical care to Medicare patients as part of its community benefit, the additional Medicare shortfall of $5,726,548 is not quantified on page 1 of the Schedule H, per the IRS instructions. Rather it has been separately reported in Schedule H Part III as required. Other Uncompensated Charity Care Bad Debts In addition to charity care and shortfalls in providing services to patients insured under state and federal programs, MAH also incurs losses related to self pay patients who fail to make payments for services or insured patients who fail to pay coinsurance or deductibles for which they are responsible under insurance contracts. Bad debt expense is included in uncompensated care expense in the consolidated financial statements, and includes the provision for accounts anticipated to be uncollectible. Charges for those services were $3,353,500 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 $1,622,438 in 2010. 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. If MAH had included the Medicare shortfall and Bad Debts at cost in the charity care and community benefit calculation, the percentage on Schedule H would have increased to 8.15%. Charity Care and Certain Other Community Benefits - Community Health Improvement Services and Cash and In-Kind Contributions to Community Groups Community Benefits Mission Statement Mount 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 $1,055,991 reported on this Schedule H related to these activities. Community Benefits Process See below for further discussion about the Community Needs Assessment process. In addition, please refer to the attached Community Benefit Report. Community Health Improvement Services Mount Auburn Hospital is actively engaged in community health improvement activities which promote the health of our community. Below are some examples of these activities. Additional information in included later in this Schedule H narrative. Listen and Learn Mount Auburn Hospital has developed the Listen and Learn community health model of community engaged collaboration that aims 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. In Waltham, to address the increased rate of Type 2 diabetes among Latinos, Mount Auburn Hospital created a coalition of 3 English Speakers of Other Languages (ESOL) programs, Healthy Waltham (a civic group) and a local federally funded community health center. A Health Leadership Team with students from the 3 ESOL programs and Health Care Provider groups at Mount Auburn Hospital and the local Community Health Center were created. These groups explore health disparities and cultural competency literature. A Joint Meeting between the Health Leaders and the clinicians focused on understanding beliefs and barriers to prevention of type 2 diabetes and has informed the programs activities while a public campaign raises awareness of health disparities within the city of Waltham. Community Health Network Area 17 Mount 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 Communities The 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. They work to reduce alcohol, tobacco, and other drug use in the general population by strengthening 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. Charity Care and Certain Other Community Benefits - Health Professions Education MAHs 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 Medicine Mount Auburn Hospital offers a three-year categorical medicine track and a one-year preliminary medicine track. The Categorical Track Our 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 Track The 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 Program Residents 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. 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 that 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 $202,652 reported on this Schedule H related to MAH's subsidized health care services. Charity Care and Certain Other Community Benefits - Research The 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 $111,500 reported on this Schedule H related to MAH's research function. Mount Auburn Hospital - Collection Practices Mount Auburn Hospital - Credit and Collection Policy General Principles For those patients who are uninsured or underinsured, the hospital will work with them to assist with applying for available financial assistance programs that may cover some or all of their unpaid hospital bills. 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 as well as in general notices that are posted throughout the hospital. The goal of these notices is to assist patients in applying for coverage within a financial assistance program, such as 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 such as a Medical Hardship based on the patient's documented income and allowable medical expenses. The hospital will provide, upon request, specific information about the eligibility process to be a Low Income Patient under either the Massachusetts Health Safety Net Program or additional assistance for patients who are low income through the hospital's own internal financial assistance program. The hospital will also notify the patient about available payment plans that may be available to them based on their family size and income Mount Auburn Hospital - Credit and Collection Policy - Role of Hospital Patient Counselors and other Finance Staff 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 their services, while the patient is in the hospital, upon discharge, and for a reasonable time following discharge from the hospital. The hospital will direct all patients seeking available coverage options, or those that the hospital determines may be eligible, to the hospital's patient financial counseling to screen for eligibility in an appropriate coverage option. The hospital will then assist the patient in applying for the appropriate coverage options that are available or notify them of the availability of financial assistance through the hospital's own internal financial assistance program. The hospital will also provide information on how to contact the appropriate staff within the hospital's finance office to verify the accuracy of the hospital bill or to dispute certain charges. Mount Auburn Hospital - Credit and Collection Policy - Notification Practices The hospital posts a notice (signs) of availability of financial assistance in the following locations: i. Service Delivery Areas (e.g., Inpatient, clinic, emergency department, admission and/or registration areas); ii. Patient financial counselor areas; iii. Central admission/registration areas; and/or iv. Business office areas that are open to patients. Posted signs are clearly visible and legible to patients visiting these areas. The hospital also includes a notice about the availability of financial assistance in all initial bills. When the patient contacts the hospital, the hospital finance staff will attempt to identify if a patient qualifies for a public financial assistance program or payment plan. A patient who is enrolled in a public financial assistance program (e.g. MassHealth or the Health Safety Net) may qualify for certain plans. Patients may also qualify for additional assistance based on the hospital's own internal criteria for financial assistance, or qualify for coverage of services as a Medical Hardship based on the patient's documented income and allowable medical expenses. 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. All signs and notices are translated into languages other than English if such language is spoken by 10% or more of the population residing in the hospital service area which is based on the Hospital admissions and/or discharge information. Mount Auburn Hospital - Credit and Collection Policy - Standard Collection Practices 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, MAH has established criteria related to billing and collecting from patients. MAH 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. MAH and/or its agents do not charge interest on an overdue balance for a Low Income Patient or any other patient. Mount Auburn Hospital - Credit and Collection Policy - Outside Collection Agencies MAH contracts with outside collection agencies 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 its credit and collection policy, the Hospital may assign such debt as bad debt (otherwise deemed as uncollectible) after 120 days if it is able to determine that the patient was unable to pay. Debt which is determined to be charity care (otherwise deemed as uncollectible) may be assigned prior to 120 days. MAH has a specific authorization or contract with its outside collection agencies and requires such agencies to abide by the Hospital's credit and collection policies for debts that the agency is pursuing. All outside collection agencies hired by the Hospital will provide the patient with an opportunity to file a grievance and will forward to the Hospital the results of such patient grievances. The Hospital requires that any outside collection agency that it uses is licensed by the Commonwealth of Massachusetts and that the outside collection agency also is in compliance with the Massachusetts Attorney General's Debt Collection Regulations. Mount Auburn Hospital - Collection Practices for Patients who Qualify for Charity Care or Financial Assistance 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 patients documented income 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, the patient's applicable financial resources, and citizenship and residency information. This information will be used to determine coverage for the services provided to the patient. 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. If the patient or guarantor is unable to provide the necessary information, the hospital may (at the patient's request) make reasonable efforts to obtain any additional information from other sources. This will occur when the patient is scheduling their services, during pre-registration, while the patient is admitted in the hospital, upon discharge, or for a reasonable time following discharge from the hospital. Information that the hospital obtains will be maintained in accordance with applicable federal and state privacy and security laws. The screening and application process for a public health insurance program is done through either the Virtual Gateway (which is an internet portal designed by the Massachusetts Executive Office of Health and Human Services 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. The Massachusetts Executive Office of Health and Human Services solely manages the application process for the programs listed above, which is available for children, adults, seniors, veterans, homeless, and disabled individuals. 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. The hospital specifically assists the patient in completing the Massachusetts Executive Office of Health and Human Services standard 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, (3) immigration status for non-citizens (if applicable), and (4) assets of those individuals who are also enrolled in the Medicare program. The hospital will then submit this documentation to the Massachusetts Office of Medicaid and assist the patient in securing any additional documentation if such is requested by the state after completing the application. Massachusetts 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 and the provider must work with the MassHealth Enrollment Centers to secure the additional documentation needed for enrollment in the applicable financial assistance program. All Virtual Gateway and paper applications are reviewed and processed by the Massachusetts Office of Medicaid, which uses the Federal Poverty Guidelines as well as the necessary documentation listed above as the basis for the determination of eligibility for state sponsored public assistance programs. The eligibility for enrollment into the Health Safety Net program as a special circumstance is reviewed and approved by the Massachusetts Division of Health Care Finance and Policy also using the Federal Poverty Guidelines and asset information. Hospitals have no role in the determination of program eligibility made by the state, but at the patients request may take a direct role in appealing or seeking information related to the coverage decisions. It is still the patients responsibility to inform the hospital of all coverage decisions made by the state to ensure accurate and timely adjudication of all hospital bills. Mount Auburn Hospital - Credit and Collection Policy - Exemption from MAH Collection Practices MAH 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 with income equal to or less than 400% FPL, full and partial "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. Mount Auburn Hospital - Credit and Collection Policy - Hospital Financial Assistance Programs The Hospital, pursuant to an internal review of each patient's case, may offer a patient an additional opportunity to settle their bill, which must be authorized by the Hospital's Chief Financial Officer or his designee and takes into consideration the patient's financial situation and the patient's inability to make a payment after reasonable collection actions. Any discount that is provided by the Hospital is consistent with federal and state requirements, and is not based on an effort to induce a patient to receive services from the Hospital or to generate business that is payable by a federal or state program. Such programs include: Prompt Pay Discounts for Uninsured Patients, One Time or Special Circumstance situations and Payment Plans Mount Auburn Hospital Financial Statement Footnote for Bad Debt Expense Mount Auburn Hospital is part of the Mount Auburn Hospital and Subsidiary consolidated audit. The footnote that references bad debt expense in the 2010 consolidated audit is as follows: (1) Community Benefits and Uncompensated Care The cost of unreimbursed charity and other uncompensated care consisted of the following for the years ended September 30 (in thousands of dollars): (otherwise deemed as uncollectible) may be assigned prior to 120 days. Unreimbursed Charity Care (2010) 3,191; (2009) 1,677 Uncompensated Care (2010) 6,357; (2009) 6,463 Total (2010) 9,548; (2009) 8,140 (a) Unreimbursed Charity Care The 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 (in thousands of dollars): Charity Care - at established charges (2010) 10,595; (2009) 8,503 Estimated Cost of Charity Care (2010) 5,292; (2009) 4,274 Less Reimbursement from HSN (2010) -2,101; (2009) -2,597 Unreimbursed Charity Care at Cost (2010) 3,191; (2009) 1,677 (b) Uncompensated Care The 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 (in thousands of dollars): Gross obligation to the HSN for the delivery of charity care to the indigent statewide (2010) 2,300; (2009) 2540 Provision for bad debts (2010) 4,057; (2009) 3,923 Uncompensated care expense (2010) 6,357; (2009) 6,463 Community Health Needs Assessment and Needs Assessment Summary of Findings Community Benefits Mission Statement Mount 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. Community Benefits Process See below and attached Community Benefit Report Community Partners Arlington Council on Aging Arlington Department of Public Health Arlington Public Schools Arlington Youth Services Asian Task Force Against Domestic Violence Belmont Council on Aging Belmont Department of Public Health Cambridge and Somerville Program for Alcohol and Drug Rehabilitation -CASPAR Cambridge Council on Aging Cambridge Learning Center CHNA 15 CHNA 16 CHNA 17 CHNA 18 Community Catalyst Heading Home Healthy Waltham Institute of Community Health Joseph M. Smith Community Health Center Lexington Council on Aging Mass Alliance of Portuguese Speakers Massachusetts Council on Compulsive Gambling-Asian Task Force Medford Council on Aging Medford Health Matters On the Rise Power Program Project Bread Project Literacy Salvation Army Cambridge Somerville Cambridge Medford Transportation Somerville Center for Adult Learning Experiences Somerville Council on Aging Somerville Department of Public Health Somerville/Cambridge Eldercare Services Springwell VNA of Eastern MA Waltham Alliance to Create Housing Waltham Council on Aging Waltham Family School Waltham Fields Community Farm Waltham Partnership for Youth Waltham Public Schools Watertown Council on Aging Watertown Department of Public Health Watertown Youth Coalition YWCA Cambridge Target Populations Name of Target Population & Basis for Selection Homeless - Request from local homeless shelters Latinos in Waltham - Literature review, high rate of diabetes among Latinos, Waltham demographic data Underserved Members served by Community Health Network Areas - Community Needs Assessment, DoN Funding Waltham Youth and Families - Community Assessment in Waltham Arlington Youth - Request from Arlington Public Schools Community Members who suffer from hunger - Community Assessment, Request from community Community members served by Joseph M. Smith Community Health Center Elders - Requests from Joseph M. Smith Community Health Center Immigrants - Requests from local ESOL providers, Requests from local organizations who work with Immigrants, Community Needs Assessment, Request from Mass Council on Gambling Youth and Young Adults At Risk For Substance Abuse - Youth Risk Behavior Survey, Emergency Room and Treatment Program Data, Data from local police and universities Key Accomplishments of Reporting Year Over the past few years Mount Auburn Hospital has developed the Listen and Learn community health model of community engaged collaborations that aimed 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. In FY10 there were 3 Listen and Learn programs. To address the increased rate of Type 2 diabetes among Latinos, a Health Leadership Team with students from 3 English Speakers of Other Languages (ESOL) programs in Waltham and Health Care Provider groups at Mount Auburn Hospital and Joseph M. Smith Community Health Center were created. Built on the data collected last year, each of these groups began by exploring health disparities and cultural competency content. A Joint Meeting between the Health Leaders and the clinicians focused on understanding beliefs and barriers to prevention of type 2 diabetes and has informed the programs activities for the next year. A similar program in Somerville addressed immigrant womens barriers to breast cancer screening and involved oncology nurses as well as mammography therapists. The third Listen and Learn program addressed stroke in the elderly and began by designing a focus group for women at the Cambridge Salvation Army to be implemented in FY11. Immigrant health is also addressed more broadly in the Bridge to Healthcare program which provides Health Education at local ESOL providers and in working with the Asian Task Force of the Massachusetts Council on Compulsive Gambling. Elder Health is addressed by designing and piloting a community based medication program. Mount Auburn Hospital increased the capacity of Joseph M. Smith Community Health Center to serve its clients by providing financial counselors to assist underserved Community Members enroll in health insurance. Youth were served through Mount Auburn Hospital programs such as Waltham Wellness, addressing obesity prevention; the Regional Center for Healthy Communities, addressing substance abuse; and a collaboration with the Arlington Public Schools, addressing tobacco use. Programs which addressed the needs of vulnerable populations included: 1) educational sessions to build the capacity of homeless community members to develop self care skills, 2) food pantry drives, 3) systems to enroll patients in Supplemental Nutrition Program Assistance (SNAP) 4) systems to provide transportation to medical services through local companies such as Springwell and Somerville Cambridge Medford (SCM) transportation services which enable elderly residents to access healthcare, and 5) the design and delivery of a toolkit for the simulation activity entitled Walk in My Shoes (Community Catalyst trademarked), which is intended to raise awareness about the difficulties low income individuals have accessing and paying for health care. Mount Auburn Hospital worked closely with Community Health Network Area (CHNA)17 members to complete a needs assessment by serving on the Steering Committee and participating fully in the general membership. Community Health Needs Assessment The Mount Auburn Hospital Community Health Department conducted a Community Needs Assessment from April to June 2009. The community health assessment began by gathering and reviewing existing data compiled by the Massachusetts Department of Health, the US Census bureau, the Massachusetts Depart of Elementary and Secondary Education, local agencies, and Mount Auburn Hospital. The Institute for Community Health was able to provide custom reports using the MassChip data system, and provided preliminary data from the Behavioral Risk Factor survey most recently completed for Cambridge and Somerville. Over 30 phone interviews were conducted with the staff of health department, councils on aging, food pantries, immigrant service agencies, homeless shelters, ESOL programs and others that were thought to have particular insight to a community or population. In addition, members of the Medford Health Matters coalition completed a brief survey, and a dialogue was held with members of CHNA 17, some of who also completed brief surveys. Standard questions began each of these conversations: * What are the top three health issues that you are most concerned about in your community? * Which populations are you most concerned about? * What are the strengths and resources that your community has available? * Who else do you recommend that we talk to? From these, threads were followed to create a fuller picture of the health issues faced by particular towns or populations. Since the completion of the formal needs assessment the Mount Auburn Hospital Community Health staff has held meetings with WIC, Project Bread, local ESOL directors and patients who use interpreter services. Information gleamed from these encounters is also reflected in the community benefit plan. Priorities for the Community Benefit plan were developed by reviewing current programs, information obtained from the Community Needs Assessment and considering the Attorney General's recommended state wide priorities. Internally the Community Benefit Plan was presented to the Social Work department for feedback and input. Recognizing that community benefit planning is ongoing and will change with continued community input the Mount Auburn Hospital Community Benefit plan will evolve. Senior Management and the Board of Trustees are committed to assessing information and updates as needed. The Community Benefits Plan was presented at CHNA 17 general meeting. Copies of the Community Benefits Plan were sent to everyone involved in the community needs assessment and local Departments of Public Health upon request. Community Health staff members meet monthly to review community programs. Twice a year community members are invited to an open Community Benefits meeting. The Metrowest Regional Center for Healthy Communities, a Mount Auburn Hospital program has a Community Advisory Board that meets twice yearly. Organizations Included in Needs Assessment Institute of Community Health Arlington Department of Public Health Arlington Council on Aging Arlington Youth Services Belmont Department of Public Health Belmont Council on Aging Belmont Food Pantry Springwell Cambridge Department of Public Health Community Learning Center Cambridge Council on Aging Cambridge Multi-Service Center Somerville/Cambridge Eldercare Services Homeless Service Providers Group Lexington Department of Public Health Lexington Council on Aging Lexington Youth Services Medford Department of Public Health Medford Council on Aging CHNA 16 Medford Health Matters Somerville Department of Public Health Somerville Council on Aging Somerville Center for Adult Learning Experiences Immigrant Service Providers Group Waltham Department of Public Health Waltham Council on Aging Healthy Waltham Joseph M. Smith Community Health Center Waltham Alliance to Create Housing CHNA 18 Power Program Waltham Partnership for Youth Waltham Family School Watertown Department of Public Health Watertown Council on Aging Watertown Youth Coalition Project Literacy Concilio Hispano (Centro Latino) Mass Alliance of Portuguese Speakers YWCA Cambridge On the Rise CASPAR for Women CASPAR for Men New Day Communities Golden Age Elder Care Services Data Sources Community Focus Groups, Hospital, Interviews, MassChip, Public Health Personnel, Surveys Needs Assessment Summary of Findings Since the completion of the formal needs assessment the Mount Auburn Hospital Community Health staff has held meetings with WIC, Project Bread, local ESOL directors and patients who use interpreter services. Information gleamed from these encounters is also reflected in the community benefit plan. Priorities for the Community Benefit plan were developed by reviewing current programs, information obtained from the Community Needs Assessment and considering the Attorney General's recommended state wide priorities. Internally the Community Benefit Plan was presented to the Social Work department for feedback and input. Recognizing that community benefit planning is ongoing and will change with continued community input the Mount Auburn Hospital Community Benefit plan will evolve. Senior Management and the Board of Trustees are committed to assessing information and updates as needed. The Community Benefits Plan was presented at CHNA 17 general meeting. Copies of the Community Benefits Plan were sent to everyone involved in the community needs assessment and local Departments of Public Health upon request. Community Health staff members meet monthly to review community programs. Twice a year community members are invited to an open Community Benefits meeting. The Metrowest Regional Center for Healthy Communities, a Mount Auburn Hospital program has a Community Advisory Board that meets twice yearly. Mount Auburn Hospital - Community Information Towns 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 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 eight communities have a population older than the statewide average. The highest is 24 percent compared to a statewide average of 14 percent. Drawn from public school enrollments in 2007-08, First Language Not English (FLNE) data indicates that four of MAH's communities are rich with cultural and linguistic diversity. An average of 24.8 percent (range 11.2% to 50%), of the students have a first language that is not English (in descending order of prevalence: Spanish, Portuguese, and Haitian Creole) compared to a statewide average of 14.9 percent. Average race distribution is as follows: 72.5% Caucasian, 7.1% Black, and 7.4%Asian. Hispanic is 11.1%. Mount Auburn Hospital Community Benefits Target Populations Name of Target Population & Basis for Selection Homeless - Request from local homeless shelters Latinos in Waltham - Literature review, high rate of diabetes among Latinos, Waltham demographic data Underserved Members served by Community Health Network Areas - Community Needs Assessment, DoN Funding Waltham Youth and Families - Community Assessment in Waltham Arlington Youth - Request from Arlington Public Schools Community Members who suffer from hunger - Community Assessment, Request from community Community members served by Joseph M. Smith Community Health Center Elders - Requests from Joseph M. Smith Community Health Center Immigrants - Requests from local ESOL providers, Requests from local organizations who work with Immigrants, Community Needs Assessment, Request from Mass Council on Gambling Youth and Young Adults At Risk For Substance Abuse - Youth Risk Behavior Survey, Emergency Room and Treatment Program Data, Data from local police and universities Community Health Network Area 17 Mount 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. Addressing concerns of the Asian Community Mount Auburn Hospital leverages it's expertise to address the health and wellness of the Asian community Mount Auburn Hospital- Additional Information Regarding Promoting the Health of the Community 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 or 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. Mount Auburn Hospital- Affiliated Health Care System MAH 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. Schedule I - Grants and Other Assistance to Organizations, Governments and Individuals in the US Part I - General Information on Grants and Assistance Question 2 - Description of Procedures for Monitoring the Use of Grant Funds in the US Grant fund usage is monitored by requiring the submission of reports by grant recipients. Schedule J - Compensation Information Part I Question 1b - Explanation re Gross-up Payments Peter Semenza, Chief Financial Officer and John Shugert, Vice President of Development each receive an annual payment pursuant to their employment agreements, designed to ensure that their level of retirement funding at Mount Auburn Hospital matched their pre-Mount Auburn Hospital (MAH) level of retirement funding. Such payments are deemed taxable income to them and as such, MAH grosses-up these payments and they 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 $21,907 and $9,946 respectively. Part I Question 7 - Non-Fixed Payments Not Listed The President, Vice Presidents, Department Chairs and other senior management are eligible to receive annual incentive compensation payments based on comparison of actual accomplishments with pre-determined goals. Schedule J -- Question 4b SERPs Additional details related to Supplemental Nonqualified Retirement Plans is included in the Compensation Explanatory Notes, below. MAH 2009 Form 990 Schedule J Additional Explanatory Footnotes: Reportable Compensation listed in Form 990 Part VII includes Base Compensation, Incentive Compensation and Other Reportable Compensation as reported in Form 990 Schedule J. Other Compensation listed in Form 990 Part VII includes Deferred Compensation and Non-taxable Benefits as reported in Form 990 Schedule J. 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: The employee's own contributions to a 401k Plan; the employees own contributions to 403b Plan; 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 deferred compensation 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. 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: 409,567 Incentive Compensation: 312,357 Other Reportable Compensation: 95,246 Deferred Compensation: 602,634 Non-Taxable Benefits: 12,465 Payments reported by Mount Auburn Professional Services: Base Compensation: 66,674 Incentive Compensation: 50,849 Other Reportable Compensation: 15,505 Deferred Compensation: 98,103 Non-Taxable Benefits: 2,029 Incentive Compensation reported for the 2009 calendar year includes 1) payments in 2009 pursuant to a long term incentive plan related to Mount Auburn Hospital's fiscal year ended September 30, 2007 in the amount of $170,026 and 2) a payment pursuant to an annual incentive plan related to the fiscal year ended September 30, 2008 in the amount of $193,000 and paid in January of 2009. 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 2009 calendar year includes a change in value of Ms. Clough's Supplemental Executive Retirement Program (SERP) of $264,200. The SERP does not vest until Ms. Clough reaches age 62. Deferred Compensation reported for the 2009 calendar year includes two incentive payments related to the services Ms. Clough performed during Mount Auburn's fiscal year ended September 30, 2009 but which were not paid to Ms. Clough until after December 31, 2009 -- one in the amount of $209,225 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. de Rham, Jr. Casimir Trustee - Mount Auburn Hospital Treasurer - Mount Auburn Hospital Mr. de Rham's term on the Mount Auburn Hospital Board ended in January 2010. Hatem, M.D., Charles J. Trustee & Director of Medical Education - Mount Auburn Hospital Payments reported by Mount Auburn Hospital: Base Compensation: 290,345 Incentive Compensation: 400 Other Reportable Compensation: 15,668 Deferred Compensation: 19,000 Non-Taxable Benefits: 22,503 As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $360 was also previously reported as deferred compensation in the prior year Form 990. Kaprielian, Rachel Trustee - Mount Auburn Hospital Ms.Kaprielian's term on the Mount Auburn Hospital Board ended December 2009. Kim, Kija Trustee - Mount Auburn Hospital Ms. Kim's term on the Mount Auburn Hospital Board began January 2010. 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: 425,568 Incentive Compensation: 49,000 Other Reportable Compensation: 2,144 Deferred Compensation: 46,453 Non-Taxable Benefits: 18,944 Payments reported by Mount Auburn Professional Services: Base Compensation: 106,392 Incentive Compensation: 12,250 Other Reportable Compensation: 536 Deferred Compensation: 11,613 Non-Taxable Benefits: 4,736 As required in this Form 990, compensation reported by Mount Auburn Hospital for the 2009 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: $162,663 Base and Other Reportable Compensation, $3,728 Deferred Compensation and $23,480 Non-taxable Benefits As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $61,250 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 $37,188 related to Dr. Nauta's performance for the fiscal year ended September 30, 2009, but not paid to Dr. Nauta until after December 31, 2009. Palandjian, Leon Trustee & Treasurer - Mount Auburn Hospital Mr. Palandjian was named Mount Auburn Hospital Treasurer in January 2010. Saal, M.D., A. Kim Trustee & Chief, Division of Cardiology- Mount Auburn Hospital Director- CareGroup Payments reported by Mount Auburn Hospital: Base Compensation: 25,837 As required by this Form 990, compensation reported by Mount Auburn Hospital for the 2009 calendar year includes $25,837 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. Shortsleeve, M.D., Michael Trustee & Chair, Dept. of Radiology- Mount Auburn Hospital Payments reported by Mount Auburn Hospital: Base Compensation: 23,398 As required by this Form 990, compensation reported by Mount Auburn Hospital for the 2009 calendar year includes $23,398 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 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: 323,098 Incentive Compensation: 0 Other Reportable Compensation: 21,319 Deferred Compensation: 13,570 Non-Taxable Benefits: 7,691 Payments reported by Mount Auburn Professional Services: Base Compensation: 52,597 Incentive Compensation: 0 Other Reportable Compensation: 3,471 Deferred Compensation: 2,209 Non-Taxable Benefits: 1,252 DiIeso, Nicholas COO- Mount Auburn Hospital Payments reported by Mount Auburn Hospital: Base Compensation: 253,362 Incentive Compensation: 72,452 Other Reportable Compensation: 61,199 Deferred Compensation: 227,925 Non-Taxable Benefits: 19,560 As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $72,452 was also previously reported as deferred compensation in the prior year Form 990. Deferred Compensation reported by Mount Auburn Hospital for the 2009 calendar year includes a change in value of Mr. DiIeso Supplemental Executive Retirement Program (SERP) of $133,700. The SERP does not vest until Mr. DiIeso reaches age 60. Deferred Compensation reported by Mount Auburn Hospital for the 2009 calendar year includes a bonus in amount of $74,625 related to Mr. DiIeso's performance for the fiscal year ended September 30, 2009, but not paid to Mr. DiIeso until after December 31, 2009. Semenza, Peter Vice President & CFO- Mount Auburn Hospital Vice President Finance & Treasurer- Mount Auburn Professional Services In his role as Chief Financial Officer of both Mount Auburn Hospital and Mount Auburn Professional Services, Mr. Semenza performs services for both Mount Auburn Hospital and Mount Auburn Professional Services. As required by this Form 990, although Mr. Semenza is paid directly by Mount Auburn Hospital, the portion of Mr. Semenza'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: 235,305 Incentive Compensation: 62,309 Other Reportable Compensation: 81,843 Deferred Compensation: 347,147 Non-Taxable Benefits: 6,099 Payments reported by Mount Auburn Professional Services: Base Compensation: 38,306 Incentive Compensation: 10,143 Other Reportable Compensation: 13,323 Deferred Compensation: 56,512 Non-Taxable Benefits: 993 Deferred Compensation reported by Mount Auburn Hospital and Mount Auburn Professional Services for the 2009 calendar year includes a change in value of Mr. Semenza's Supplemental Executive Retirement Program (SERP) of $305,700. The SERP does not vest until Mr. Semenza reaches age 63. Deferred Compensation reported by Mount Auburn Hospital and Mount Auburn Professional Services for the 2009 calendar year includes an incentive payment of $78,359 related to Mr. Semenza's performance for the fiscal year ended September 30, 2009, but not paid to Mr. Semenza until after December 31, 2009. As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $72,452 was also previously reported as deferred compensation in the prior year Form 990. Abookire, M.D., Susan Chair of Quality & Safety- Mount Auburn Hospital Payments reported by Mount Auburn Hospital: Base Compensation: 224,391 Incentive Compensation: 64,381 Other Reportable Compensation: 47,723 Deferred Compensation: 74,419 Non-Taxable Benefits: 18,760 As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $64,381 was also previously reported as deferred compensation in the prior year Form 990. Deferred Compensation reported by Mount Auburn Hospital for the 2009 calendar year includes a bonus in amount of $66,310 related to Dr. Abookire's performance for the fiscal year ended September 30, 2009, but not paid to Dr. Abookire until after December 31, 2009. Baker, Deborah Vice President Patient Care Services- Mount Auburn Hospital Payments reported by Mount Auburn Hospital: Base Compensation: 207,186 Incentive Compensation: 35,650 Other Reportable Compensation: 17,749 Deferred Compensation: 48,658 Non-Taxable Benefits: 18,760 As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $35,650 was also previously reported as deferred compensation in the prior year Form 990. Deferred Compensation reported by Mount Auburn Hospital for the 2009 calendar year includes a bonus in amount of $41,308 related to Ms. Baker's performance for the fiscal year ended September 30, 2009, but not paid to Ms. Baker until after December 31, 2009. Bridgeman, John Vice President Clinical Services- Mount Auburn Hospital Payments reported by Mount Auburn Hospital: Base Compensation: 163,426 Incentive Compensation: 36,059 Other Reportable Compensation: 18,600 Deferred Compensation: 52,691 Non-Taxable Benefits: 18,760 As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $36,059 was also previously reported as deferred compensation in the prior year Form 990. Deferred Compensation reported by Mount Auburn Hospital for the 2009 calendar year includes a bonus in amount of $37,140 related to Mr. Bridgeman's performance for the fiscal year ended September 30, 2009, but not paid to Mr. Bridgeman until after December 31, 2009. Burke, Kathryn Vice President Contracting & Business Development- Mount Auburn Hospital Payments reported by Mount Auburn Hospital: Base Compensation: 221,067 Incentive Compensation: 56,254 Other Reportable Compensation: 5,147 Deferred Compensation: 66,211 Non-Taxable Benefits: 20,580 As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $56,254 was also previously reported as deferred compensation in the prior year Form 990. Deferred Compensation reported by Mount Auburn Hospital for the 2009 calendar year includes a bonus in amount of $57,944 related to Ms. Burke's performance for the fiscal year ended September 30, 2009, but not paid to Ms. Burke until after December 31, 2009. O'Connell, Michael L. Vice President Planning & Marketing- Mount Auburn Hospital Payments reported by Mount Auburn Hospital: Base Compensation: 139, 095 Incentive Compensation: 44,616 Other Reportable Compensation: 61,243 Deferred Compensation: 64,823 Non-Taxable Benefits: 19,660 As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $44,616 was previously reported as deferred compensation in the prior year Form 990. Deferred Compensation reported by Mount Auburn Hospital for the 2009 calendar year includes a bonus in amount of $45,952 related to Mr. O'Connell's performance for the fiscal year ended September 30, 2009, but not paid to Mr. O'Connell until after December 31, 2009. 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: 192,773 Incentive Compensation: 30,375 Other Reportable Compensation: 40,087 Deferred Compensation: 46,426 Non-Taxable Benefits: 12,563 Payments reported by Mount Auburn Professional Services: Base Compensation: 128,515 Incentive Compensation: 20,250 Other Reportable Compensation: 26,725 Deferred Compensation: 30,951 Non-Taxable Benefits: 8,375 As required by this Form 990, compensation reported by Mount Auburn Hospital and Mount Auburn Professional Services for the 2009 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: $97,245 Base and Other Reportable Compensation, $9,602 Deferred Compensation and $1,681 Non-taxable Benefits. Deferred Compensation reported by MAH and MAPS for the 2009 calendar year includes an incentive payment of $50,625 related to Dr. Kawada's performance for the fiscal year ended September 30, 2009, but not paid to Dr. Kawada until after December 31, 2009. As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $50,625 was also previously reported as deferred compensation in the prior year Form 990. Joseph, Esq, Leslie Vice President General Counsel- Mount Auburn Hospital Payments reported by Mount Auburn Hospital: Base Compensation: 205,785 Incentive Compensation: 54,080 Other Reportable Compensation: 17,061 Deferred Compensation: 75,640 Non-Taxable Benefits: 24,960 As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $54,080 was also previously reported as deferred compensation in the prior year Form 990. Deferred Compensation reported by Mount Auburn Hospital for the 2009 calendar year includes a bonus in amount of $58,490 related to Attorney Joseph's performance for the fiscal year ended September 30, 2009, but not paid to Ms. Joseph until after December 31, 2009. Lukasik, 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: 8,928 Incentive Compensation: 2,250 Other Reportable Compensation: 901 Deferred Compensation: 3,433 Non-Taxable Benefits: 1,088 Payments reported by Mount Auburn Professional Services: Base Compensation: 169,630 Incentive Compensation: 42,758 Other Reportable Compensation: 17,121 Deferred Compensation: 65,228 Non-Taxable Benefits: 20,670 As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $45,008 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 2009 calendar year includes an incentive payment of $51,511 related to Mr. Lukasik's performance for the fiscal year ended September 30, 2009, but not paid to Mr. Lukasik until after December 31, 2009. Shugert, John Vice President Development- Mount Auburn Hospital Payments reported by Mount Auburn Hospital: Base Compensation: 153,921 Incentive Compensation: 38,646 Other Reportable Compensation: 56,858 Deferred Compensation: 57,033 Non-Taxable Benefits: 20,560 As required by this Form 990, Bonus & Incentive Compensation for the 2009 calendar year in the amount of $38,646 was also previously reported as deferred compensation in the prior year Form 990. Deferred Compensation reported by Mount Auburn Hospital for the 2009 calendar year includes a bonus in amount of $44,783 related to Mr. Shugert's performance for the fiscal year ended September 30, 2009, but not paid to Mr. Shugert until after December 31, 2009. Form 990 Schedule K Part I Line f, Description of Purpose: Purposes 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, 2004 Form 990 Schedule K Part III Questions 2 and 3: Facilities financed with tax-exempt bonds are primarily occupied by CareGroup and its affiliated tax-exempt entities, including but not limited to 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, 2010 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. Mount Auburn Hospital Schedule L Part IV - Business Transactions Involving Interested Persons Explanatory Notes to be Included in Schedule O Mount Auburn Hospital and Mount Auburn Professional Services may be referred to in these explanatory notes to Form 990 Schedule L Part IV as MAH and MAPS respectively. Stephen Chubb and A. Kim Saal, MD, Trustees of MAH, also sit on the Board of CareGroup, Inc., the parent entity and supporting organization of MAH. Harold Hestnes, Vice-Chair of the CareGroup Board of Directors sits on the Boards of The Risk Management Foundation of the Harvard Medical Institutions, Inc. (CRICO/RMF). All the shareholders of CRICO/RMF, Controlled Risk Insurance Company, Ltd. (CRICO/Cayman), and Controlled Risk Insurance Company of Vermont, Inc. (A Risk Retention Group) (CRICO/VT), a wholly-owned subsidiary of CRICO/RMF, are entities exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. CareGroup, the parent entity and a supporting organization of MAH is a CRICO/Cayman and CRICO/RMF shareholder and through CareGroup, MAH purchased physician professional liability insurance and general liability insurance. For the period covered by this filing, MAH and CareGroup paid $7,474,887 and $614,534 respectively for this coverage. Joseph Roller, a member of the MAH Board of Trustees, is the President and Chief Executive Officer of Cambridge Trust Company. Leon Palandjian, a member of the MAH Board of Trustees and Jeanette Clough, President and CEO of MAH each also serve as Directors for Cambridge Trust. During the period covered by this filing, MAH made payments to Cambridge Trust for trust management fees in the amount of $24,739 and made deposits and withdrawals of temporary cash investments in the amounts of $1,500,000 and $100,000 respectively. MAH made deposits and withdrawals of $450,000 and $1,124,496 respectively related to deferred compensation arrangements. In addition, CareGroup, the sole member and a support organization of MAH, made a trust deposit of $110,000 related to the funding of a deferred compensation vehicle. Rates for the services provided were standard Cambridge Trust rates and are competitive with those of similar financial institutions. Christopher Peckins, MD, husband of Dr. Susan Abookire, Chair of Quality and Safety for Mount Auburn Hospital, is employed as a primary care physician by MAPS, a supporting organization of MAH. His salary and other income includes: Base Compensation: $169,516 Incentive Compensation: $1,441 Other Reportable Compensation: $16,243 Contribution to Employee Benefit Plans Includes: Deferred Compensation: $17,011 Non-Taxable Benefits: $200 Patsy 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 $18,659,119 for medical/surgical supplies, pharmaceuticals and medications. Amounts paid for these items represent fair market value. Katherine 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: $76,385 Incentive Compensation: $400 Other Reportable Compensation: $5,958 Contribution to Employee Benefit Plans Includes: Deferred Compensation: $4,103 Non-Taxable Benefits: $6,857 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, 2010 were $100,980, and reflect fair market rates. A.Kim Saal, MD, 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 $208,800 and reflect fair market value rates. Michael Shortsleeve, M.D., a member of the MAH Board of Trustees and Chair of the MAH Department of Radiology, is the President of Schatzki Associates. Schatzki Associates provided radiology and teaching services to MAH. Charges for those services during the fiscal year ended September 30, 2010 were $322,578. The fees paid to Schatzki reflected fair market value rates. 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. See Form 990 Part VII for further details. 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 $1,000 or more during the fiscal period covered by this filing. All of the above transactions were negotiated at arms length and in accordance with the MAH Conflict of Interest Policy. Mount Auburn Hospital Community Benefits Annual Report Fiscal Year 2010 Organization Address and Contact Information Organization Name: Mount Auburn Hospital Address (1): 330 Mount Auburn Hospital City, State, Zip: Cambridge Massachusetts 02138 Web Site: www.mountauburnhospital.org Contact Name: Mary Hunt Johnson RN Contact Title: Director, Community Health Contact Department: Community Health Telephone Num: 617-499-5722 Fax Num: 617-499-5091 E-Mail Address: mjohnso1@mah.harvard.edu Organization Type and Additional Attributes Organization Type: Hospital For-Profit Status: Not-For-Profit DHCFP ID: VC7000065006 Health System (If part of a Health System): CareGroup, Inc. Community Health Network Area (CHNA): Greater Cambridge/Somerville Community Health Network(CHNA 17), Greater Woburn/Concord/Littleton Community Health Network(CHNA 15), North Suburban Health Alliance (Medford/Malden/Melrose)(CHNA 16), West Suburban Health Network (Newton/Waltham)(CHNA 18) Regional Center for Healthy Communities (RCHC): 4 Regions Served: Arlington, Belmont, Cambridge, Lexington, Medford, Somerville, Waltham, Watertown, Boston-Allston Mount 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. Target Populations Name of Target Population & Basis for Selection Homeless - Request from local homeless shelters Latinos in Waltham - Literature review, high rate of diabetes among Latinos, Waltham demographic data Underserved Members served by Community Health Network Areas - Community Needs Assessment, DoN Funding Waltham Youth and Families - Community Assessment in Waltham Arlington Youth - Request from Arlington Public Schools Community Members who suffer from hunger - Community Assessment, Request from community Community members served by Joseph M. Smith Community Health Center Elders - Requests from Joseph M. Smith Community Health Center Immigrants - Requests from local ESOL providers, Requests from local organizations who work with Immigrants, Community Needs Assessment, Request from Mass Council on Gambling Youth and Young Adults At Risk For Substance Abuse - Youth Risk Behavior Survey, Emergency Room and Treatment Program Data, Data from local police and universities Publication of Target Populations Marketing Collateral, Website Hospital/HMO Web Page Publicizing Target Pop. www.mountauburnhospital.org Key Accomplishments of Reporting Year Over the past few years Mount Auburn Hospital has developed the Listen and Learn community health model of community engaged collaborations that aimed 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. In FY10 there were 3 Listen and Learn programs. To address the increased rate of Type 2 diabetes among Latinos, a Health Leadership Team with students from 3 ESOL programs in Waltham and Health Care Provider groups at Mount Auburn Hospital and Joseph M. Smith Community Health Center were created. Built on the data collected last year, each of these groups began by exploring health disparities and cultural competency content. A Joint Meeting between the Health Leaders and the clinicians focused on understanding beliefs and barriers to prevention of type 2 diabetes and has informed the programs activities for the next year. A similar program in Somerville addressed immigrant women's barriers to breast cancer screening and involved oncology nurses as well as mammography therapists. The third Listen and Learn program addressed stroke in the elderly and began by designing a focus group for women at the Cambridge Salvation Army to be implemented in FY11. Immigrant health is also addressed more broadly in the Bridge to Healthcare program which provides Health Education at local ESOL providers and in working with the Asian Task Force of the Massachusetts Council on Compulsive Gambling. Elder Health is addressed within the following three programs: 1) designing and piloting a community based medication program, 2) decreasing barriers to health care by maintaining a Medical House Calls Program for homebound elders and 3) at the request of community members, establishing an on-site geriatric care in Somerville. Mount Auburn Hospital increased the capacity of Joseph M. Smith Community Health Center to serve its clients by providing financial counselors, midwifery and men's urology programs. Youth were served through Mount Auburn Hospital programs such as Waltham Wellness, addressing obesity prevention; the Regional Center for Healthy Communities, addressing substance abuse; and a collaboration with the Arlington Public Schools, addressing tobacco use. Programs which addressed the needs of vulnerable populations included: 1) educational sessions to build the capacity of homeless community members to develop self care skills, 2) food pantry drives, 3) systems to enroll patients in Supplemental Nutrition Program Assistance (SNAP) 4) systems to provide transportation to medical services, and 5) the design and delivery of a Walk In My Shoes (Community Catalyst trademark) toolkit. Mount Auburn Hospital worked closely with Community Health Network Area 17 members to complete a needs assessment by serving on the Steering Committee and participating fully in the general membership. Plans for Next Reporting Year In FY11 we will continue to utilize the Listen and Learn Model to address Health Disparities. Listen and Learn Type 2 diabetes will work to 1) build leadership skills with the Health Leadership Team, 2) increase capacity of MAH and JMSCHC clinicians to better serve patients from diverse backgrounds and 3) increase public awareness of health disparities and cultural competency issues in Waltham. Immigrant women from Somerville will work with MAH clinicians in Listen and Learn Breast Health to teach fellow students about breast health. Listen and Learn stroke will conduct a focus group with women at the Cambridge Salvation Army and then plan activities based on that data. Immigrant health will continue to be addressed more broadly in the Bridge to Healthcare program which provides Health Education at local ESOL partners and in working with the Asian Task Force of the Massachusetts Council on Compulsive Gambling. Elder Health will continue to be addressed by three programs: 1) delivering medication safety education and brown bag medication review programs, 2) decreasing barriers to health care by maintaining a Medical House Calls Program and 3) implementing the Matter of Balance fall prevention program. Mount Auburn Hospital will continue to support the capacity of Joseph M. Smith Community Health Center to serve its clients by providing financial counselors, midwifery and men's urology programs. Youth will continue to be served through Mount Auburn Hospital programs such as Waltham Wellness, addressing obesity prevention; the Regional Center for Healthy Communities, addressing substance abuse; a simulation-based bioscience immersion for high school students, to inspire and engage learners traditionally underrepresented in the medical field; and a Tobacco Social Norms campaign for middle school students in Arlington. Programs which continue to address the needs of vulnerable populations will include: 1) educational sessions to build the capacity of homeless community members to develop self care skills, 2) food pantry drives, 3) systems to enroll patients in Supplemental Nutrition Program Assistance (SNAP) 4) systems to provide transportation to medical services, and the creation of an opioid overdose prevention work team. Mount Auburn Hospital will continue to work closely with Community Health Network Area members to evaluate the needs assessment and plan community health initiatives by serving on the CHNA 17 Steering Committee and participating fully in the general membership. Community Benefits Leadership/Team The Director of Community Health is responsible for the development and implementation of MAH's community benefits program. As supervisor to the Metrowest Regional Center for Healthy Communities (RCHC) staff, the director has continuous dialogues with those who work closely with local Community Health Network Areas (CHNAs). The Director reports to the Vice President of Marketing and Strategic Planning, who ensures that community benefit priorities are monitored by senior management. The President and CEO of the hospital is actively involved in initiating activities and relationships with community partners. Only the costs that relate directly to the Community Benefit portion of programs are counted as expenditures. Community Benefits Team Meetings Annually the Board of Trustees approves the Community Benefit's mission statement and plan. The VP of Marketing and Strategic Planning and the Director of Community Health meet regularly to discuss community benefit programming. Amendments to the plan during the year are approved by the VP of Marketing and Strategic Planning. A hospital-wide Diversity Committee, aimed at keeping the organization focused on the needs of patients and employees from different cultural and linguistic backgrounds, is chaired by the Director of Community Health and includes representatives from many hospital disciplines. The Community Benefits Plan was presented at CHNA 17 general meeting. Copies of the Community Benefits Plan were sent to everyone involved in the community needs assessment. Community Health staff members meet monthly to review community programs. Twice a year community members are invited to an open Community Benefits meeting. The Metrowest Regional Center for Healthy Communities, a Mount Auburn Hospital program has a Community Advisory Board that meets twice yearly. Starting in FY11 the Community Benefits Plan will be shared with the Patient and Family Advisory Council for their input. Community Partners Arlington Council on Aging Arlington Department of Public Health Arlington Public Schools Arlington Youth Services Asian Task Force Against Domestic Violence Belmont Council on Aging Belmont Department of Public Health Cambridge and Somerville Program for Alcohol and Drug Rehabilitation -CASPAR Cambridge Council on Aging Cambridge Learning Center CHNA 15 CHNA 16 CHNA 17 CHNA 18 Community Catalyst Heading Home Healthy Waltham Institute of Community Health Joseph M. Smith Community Health Center Lexington Council on Aging Mass Alliance of Portuguese Speakers Massachusetts Council on Compulsive Gambling-Asian Task Force Medford Council on Aging Medford Health Matters On the Rise Power Program Project Bread Project Literacy Salvation Army Cambridge Somerville Cambridge Medford Transportation Somerville Center for Adult Learning Experiences Somerville Council on Aging Somerville Department of Public Health Somerville/Cambridge Eldercare Services Springwell VNA of Eastern MA Waltham Alliance to Create Housing Waltham Council on Aging Waltham Family School Waltham Fields Community Farm Waltham Partnership for Youth Waltham Public Schools Watertown Council on Aging Watertown Department of Public Health Watertown Youth Coalition YWCA Cambridge Date Last Assessment Completed and Current Status With assistance from 2 consultants the MAH Community Health Department conducted a Community Needs Assessment from April to June 2009. The community health assessment began by gathering and reviewing existing data compiled by the Massachusetts Department of Health, the US Census bureau, the Massachusetts Depart of Elementary and Secondary Education, local agencies, and Mount Auburn Hospital. The Institute for Community Health was able to provide custom reports using the MassChip data system, and provided preliminary data from the Behavioral Risk Factor survey most recently completed for Cambridge and Somerville. Over 30 phone interviews were conducted with the staff of health department, councils on aging, food pantries, immigrant service agencies, homeless shelters, ESOL programs and others that were thought to have particular insight to a community or population. In addition, members of the Medford Health Matters coalition completed a brief survey, and a dialogue was held with members of CHNA 17, some of who also completed brief surveys. Standard questions began each of these conversations: What are the top three health issues that you are most concerned about in your community? Which populations are you most concerned about? What are the strengths and resources that your community has available? Who else do you recommend that we talk to? From these, threads were followed to create a fuller picture of the health issues faced by particular towns or populations. Since the completion of the formal needs assessment the Mount Auburn Hospital Community Health staff has held meetings with WIC, Project Bread, local ESOL directors and patients who use interpreter services. Information gleamed from these encounters is also reflected in the community benefit plan. Priorities for the Community Benefit plan were developed by reviewing current programs, information obtained from the Community Needs Assessment and considering the Attorney General's recommended state wide priorities. Internally the Community Benefit Plan was presented to the Social Work department for feedback and input. Recognizing that community benefit planning is ongoing and will change with continued community input the Mount Auburn Hospital Community Benefit plan will evolve. Senior Management and the Board of Trustees are committed to assessing information and updates as needed. The Community Assessment was shared with CHNA 17, the Cambridge and Watertown Departments of Public Health Department, and a citizen from the town of Arlington all at their request. Consultants/Other Organizations Institute of Community Health Arlington Department of Public Health Arlington Council on Aging Arlington Youth Services Belmont Department of Public Health Belmont Council on Aging Belmont Food Pantry Springwell Cambridge Department of Public Health Community Learning Center Cambridge Council on Aging Cambridge Multi-Service Center Somerville/Cambridge Eldercare Services Homeless Service Providers Group Lexington Department of Public Health Lexington Council on Aging Lexington Youth Services Medford Department of Public Health Medford Council on Aging CHNA 16 Medford Health Matters Somerville Department of Public Health Somerville Council on Aging Somerville Center for Adult Learning Experiences Immigrant Service Providers Group Waltham Department of Public Health Waltham Council on Aging Healthy Waltham Joseph M. Smith Community Health Center Waltham Alliance to Create Housing CHNA 18 Power Program Waltham Partnership for Youth Waltham Family School Watertown Department of Public Health Watertown Council on Aging Watertown Youth Coalition Project Literacy Concilio Hispano (Centro Latino) Mass Alliance of Portuguese Speakers YWCA Cambridge On the Rise CASPAR for Women CASPAR for Men New Day Communities Golden Age Elder Care Services Data Sources Community Focus Groups, Hospital, Interviews, MassChip, Public Health Personnel, Surveys Program Name & Program Description Regional Center for Healthy Communities MAH has secured Bureau of Substance Abuse funding (most recent 2007) to provide services to the Metrowest region through the Regional Center for Healthy Communities to address health promotion and prevention concerns. Specific programs are aimed at reducing alcohol, tobacco and other drug use. Bridge to Healthcare Bridge is targeted to uninsured/underinsured and LEP residents. Materials and presentations are translated into other languages. Health education topics are coordinated with ESOL program directors. Listen and Learn: Type 2 Diabetes A community collaboration designed to address the growing health disparity of Latinos and diabetes. Waltham Wellness The Waltham Wellness program fills a vital role for the health and well-being of students in the Waltham community. By working with school food personnel and others strategies are aimed to increase availability and accessibility of healthy food option in Waltham schools. Ultimate goals are to improve nutrition and exercise among Waltham youth to prevent illness. Promoting Health of the Homeless Brings basic health education to the homeless. These encounters foster relationships with health care providers and improve health seeking behaviors. Addressing Hunger In an effort to address hunger this program conducts food drives and provides opportunities for SNAP enrollment to improve nutritional status in vulnerable populations. Community Based Medication Management Medication Management for seniors is a concern consistently expressed in the community needs assessment. In an effort to reduce medication errors for elders, this program worked with community leaders and hospital staff to plan interventions which include community education and outreach. Medical House Calls to homebound seniors In response to a working group consisting of homecare providers, home bound elders and their families, and geriatricians; this program addresses barriers to health care by taking geriatricians out of the office to care for vulnerable elders in their own homes. On Site Geriatric Care At the request of community members, decrease barrier to health care for elders by establishing on site geriatric care at Somerville VNA Senior Living. Lack of Transportation Explores ways to address transportation when it is a barrier to medical care. Midwifery Program at Joseph M. Smith Community Health Center This program improves birth outcomes by improving access to peri-natal care. Financial Counselors at Joseph M. Smith Community Health Center Provides financial counselors to augment health care center staff. Men's Urological Health Provides urological health services to men who otherwise would not have access to these services. Community Health Network Areas MAH staff works closely with the local CHNAs to promote the provision of primary and preventative health care services for underserved populations in the CHNA's service area. Listen and Learn: Breast Health To identify and understand cultural barriers to breast cancer screening, create and support a Learning Community comprised of immigrant women and oncology nurses, community health care workers, and social workers to learn together about beliefs and barriers to breast cancer screening among immigrants. Institute of Community Health-Support Support Institute of Community Health goals. "The goals of ICH are to advance community health research; promote community health education and training; develop community action programs and policy; and forge linkages among health care systems, community partners, and academic institutions with shared community health objectives." Tobacco Awareness Through a partnership with the Arlington Public Schools, this program builds awareness about the dangers and consequences of tobacco use for children and adults in the Arlington community. Walk In My Shoes To work with Community Catalyst to design a toolkit for the WIMS trademarked simulation activity which is intended to raise awareness about the difficulties low income individuals have accessing and paying for health care. Addressing concerns of the Asian Community Leverage Mount Auburn Hospital expertise to address concerns in the Asian community. Listen and Learn: Stroke Following the Listen and Learn model, this program aims to better understand barriers to emergent care for elders at risk for stroke. Smoking Cessation This free program provides Smoking Cessation education to those in need of quitting. Expenditures Community Benefits Programs Expenditures Amount Direct Expenses $285,820 Associated Expenses 0 Determination of Need Expenditures $215,085 Employee Volunteerism $13,380 Other Leveraged Resources $1,344,076 ________________________________________ Net Charity Care Expenditures Amount HSN Assessment $3,439,301 HSN Denied Claims $36,165 Free/Discount Care $484,530 Total Net Charity Care $3,959,996 ________________________________________ Corporate Sponsorships $121,500 Total Expenditures $5,939,857 Total Revenue for 2010 $291,353,845 Total Patient Care-related expenses for 2010 $260,599,172 Approved Program Budget for 2011 (*Excluding expenditures that cannot be projected at the time of the report.) $1,250,000 Bad Debt $2,085,055 Mount Auburn Hospital FY10 Community Benefits Programs-Detail Regional Center for Healthy Communities Program Type - Community Participation/Capacity Building Initiative, Healthy Communities Partnership Brief Description or Objective MAH has secured Bureau of Substance Abuse funding (most recent 2007) to provide services to the Metrowest region through the Regional Center for Healthy Communities to address health promotion and prevention concerns. Specific programs are aimed at reducing alcohol, tobacco and other drug use. Target Population Regions Served: Cambridge, Somerville, Watertown Health Indicator: Other: Alcohol and Substance Abuse, Substance Abuse, Tobacco Use Sex: All Age Group: All, Child-Teen Ethnic Group: All Language: English Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity Goal Description and Goal Status LTG-Reduce the number of opioid overdoses in the Cambridge area - Ongoing LTG-Reduce the rates of substance use and abuse among youth ages 13-24 - Ongoing LTG-Increase community-level protective factors - Ongoing STG-Conduct annual coalition assessments to measure changes in capacity of local substance abuse coalitions - Completed STG-Conduct annual coalition assessments to measure changes in capacity of local substance abuse coalitions - Completed STG-Conduct annual coalition assessments to measure changes in capacity of local substance abuse coalitions - Completed STG-Coalition assessment will show improvements in the capacity of local substance abuse prevention coalitions - Achieved STG- Convene 4 meetings of coalitions working on substance abuse prevention to share best practices - Completed STG-Provide 10 trainings that respond to needs identified by communities - Completed Partners Partner Name, Description Partner Web Address Watertown Youth Coalition http://www.watertownyouthcoalition.org/ Somerville Cares About Prevention http://www.somervillema.gov/Division.cfm?orgunit=SCAP Waltham Partnership for Youth http://www.walthampartnershipforyouth.org/ Cambridge Prevention Coalition http://www2.cambridgema.gov/dhsp2/cpc.cfm Contact Information Emily Bhargava, Director Regional Center for Healthy Communities 552 Massachusetts Ave. Cambridge, MA 02139 617-441-0700 x206, ebhargava@healthier-communities.org Detailed Description Download/View Attachment(199856 KB) File Name: RCHC Brochure 2010.pdf Bridge to Healthcare Program Type - Outreach to Underserved Brief Description or Objective Bridge is targeted to uninsured/underinsured and LEP residents. Materials and presentations are translated into other languages. Health education topics are coordinated with ESOL program directors. Target Population Regions Served: Cambridge, Somerville, Waltham, Watertown Health Indicator: All Sex: All Age Group: Adult Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description and Goal Status LTG-Improve health literacy and understanding of the US health care system among ESOL students to reduce barriers to health - Ongoing STG-Design and implement programs for each ESOL partner program based on program need - Ongoing STG-Convene meeting of ESOL leaders to continue to assess needs and evaluate programming - Completed STG-Support Somerville Center for Adult Learning Experiences to implement summer course about women's health for immigrants - Completed STG-Design and provide Diabetes training for ESOL students in Waltham, and Cambridge - Completed STG-Design and implement educational tools and sessions about HINI for ESOL students - Completed STG-Provide corporate sponsorship for Massachusetts Alliance for Portuguese Speakers - Completed Partners Partner Name, Description Partner Web Address Somerville Center Adult Learning Experiences http://www.somerville.k12.ma.us Power Program http://walthampp.org/ Project Literacy http://www.watertownlib.org/catalog/page.asp?id=146 Cambridge Learning Center http://www2.cambridgema.gov/dhsp2/clc.cfm Contact Information Mary Hunt Johnson RN Mount Auburn Hospital 330 Mount Auburn Street Cambridge, MA 02138 617-499-5722, mjohnso1@mah.harvard.edu Detailed Description Download/View Attachment(2862125 KB) File Name: Mount Auburn Hospital H1N1 ESOL.pdf Listen and Learn: Type 2 Diabetes Program Type Community Education, Community Participation/Capacity Building Initiative, Health Professional/Staff Training, Outreach to Underserved, Prevention Brief Description or Objective A community collaboration designed to address the growing health disparity of Latinos and diabetes. Target Population Regions Served: Waltham Health Indicator: Other: Diabetes, Other: Language/Literacy Sex: All Age Group: Adult Ethnic Group: Hispanic/Latino Language: Spanish Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity Goal Description and Goal Status LTG-Community input and engagement results in health care providers at MAH and at JMSCHC reporting improvement in the quality and frequency of assessment of social determinants of health disparities (with a focus on type 2 diabetes) in clinical encounters with their Latino patients - Ongoing LTG-Immigrant Latino Community Members apply skills (e.g., public speaking, confidence) and knowledge (e.g., about type 2 diabetes in Latinos) gained from participating in a health leadership group when engaging health care providers at MAH and JMSCHC in face to face forums about health disparities - Ongoing LTG-MAH and JMSCHC providers increase knowledge about social determinants of racial and ethnic health disparities with a focus on type 2 diabetes in Latinos - Ongoing LTG-Listen and Learn coalition members increase knowledge about social determinants of racial and ethnic health disparities with a focus on type 2 diabetes in Latinos to develop Health Leadership Group curriculum and forums for broader community engagement - Ongoing LTG-Immigrant Latino community members in a Health Leadership Group increase skills (public speaking, and confidence) required to engage with health care providers - Ongoing LTG-Immigrant Latino community members in a Health Leadership Group increase knowledge about how to reduce personal risk for developing type 2 diabetes and social determinants of racial and ethnic health disparities - Ongoing STG-Develop Health Leadership Group Curriculum and forums for broader community engagement - Completed STG: Implement Joint Meeting between Health Leaders and MAH, and Joseph M. Smith Community Health Center clinicians to discuss beliefs about health care - Completed STG-Implement public viewings of Unnatural Causes video series as it relates to health disparities - Completed STG: Create a Health Leadership Group consisting of 15 Latino members who represent Power Program, Breaking Barriers at WATCH, and Waltham Family School - Completed Partners Partner Name, Description Partner Web Address Power Program http://walthampp.org/ Joseph M. Smith Community Health Center www.jmschc.org Healthy Waltham http://www.healthy-waltham.org Waltham Alliance To Create Housing watchcdc.org/ Waltham Family School www.walthampublicschools.org/fam.cfm Contact Information Mary Hunt Johnson 330 Mount Auburn Street Cambridge, MA 02138 617-499-5625, mjohnso1@mah.harvard.edu Detailed Description Download/View Attachment(48816 KB) File Name: Listen and Learn Year 2 Eval 1-pager_FINAL.pdf Waltham Wellness Program Type -Prevention Brief Description or Objective The Waltham Wellness program fills a vital role for the health and well-being of students in the Waltham community. By working with school food personnel and others strategies are aimed to increase availability and accessibility of healthy food option in Waltham schools. Ultimate goals are to improve nutrition and exercise among Waltham youth to prevent illness. Target Population Regions Served: Waltham Health Indicator: Other: Nutrition Sex: All Age Group: All Children Ethnic Group: Not Specified Language: Not Specified Goals Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description and Goal Status LTG-To support health promotion and obesity prevention for Waltham youth and families - Ongoing STG-50 community members participant in the planning and development of 5 gardens - Completed STG-200 community members participate in the maintenance of the gardens - Completed STG-100 community member engaged in an annual community walking event and raise their awareness of local options for physical activity in the context of Day to Play to promote wellness - Completed STG-Deliver 10 sessions on healthy eating and gardening to the Mall Mania afterschool program - Completed STG-Deliver 2 sessions on healthy eating at the Boys and Girls Club garden -Completed Partners Partner Name, Description Partner Web Address Healthy Waltham http://www.healthy-waltham.org Waltham Public Schools www.walthampublicschools.org Joseph M. Smith Community Health Center www.jmschc.org Waltham Partnership for Youth www.walthampartnershipforyouth.org Waltham Fields Community Farm communityfarms.org/ Contact Information Judy Fallows Program Director Judy Fallows, Healthy Waltham Project Director (617) 924-5273 (home office) , jfallows@healthy-waltham.org Detailed Description Download/View Attachment(1948706 KB) File Name: Healthy-Snacks-Healthy-Kids-Recipe-Book.pdf Promoting Health of the Homeless Program Type - Community Education Brief Description or Objective Brings basic health education to the homeless. These encounters foster relationships with health care providers and improve health seeking behaviors. Target Population Regions Served: Cambridge, Somerville Health Indicator: Other: Homelessness Sex: All Age Group: Adult Ethnic Group: All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured, Chronic Disease Management in Disadvantage Populations Goal Description and Goal Status LTG-Decrease morbidity from preventable and detectable illness - Ongoing STG-By 2/1/2010, survey program directors for content and other ways MAH can collaborate - Completed STG-Increase self care skillsprevention of illness, early detection through 15 educational programs - Completed STG-Provide corporate sponsorship for On the Rise - Completed STG-Provide corporate sponsorship for CASPAR - Completed Partners Partner Name, Description Partner Web Address Heading Home www.headinghome.inc.org/ CASPAR www.casparinc.org/ Salvation Army Cambridge www.uss.salvationarmy.org/cambridge On The Rise www.ontherise.org/ Contact Information Mary Hunt Johnson RN 330 Mount Auburn Street Cambridge, MA 02138, mjohnso1@mah.harvard.edu Addressing Hunger Program Type - Direct Services Brief Description or Objective In an effort to address hunger this program conducts food drives and provides opportunities for SNAP enrollment to improve nutritional status in vulnerable populations. Target Population Regions Served: Arlington, Belmont, Cambridge, Lexington, Medford, Somerville, Waltham, Watertown Health Indicator: Other: Nutrition Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Status LTG-Decrease hunger in community members - Ongoing STG-By 1/1/10 design and implement pilot program for MAH financial counselors to enroll patients in Food Stamp Program - Completed STG-Conduct 2 food drives for Cambridge Somerville food pantry - Completed Partners Partner Name, Description Partner Web Address Salvation Army www.uss.salvationarmy.org/cambridge Project Bread www.projectbread.org/ Contact Information Mary Hunt Johnson RN Mount Auburn Hospital 330 Mount Auburn Street Cambridge, MA 02138 617-499-5722, mjohnso1@mah.harvard.edu Detailed Description Download/View Attachment(67333 KB) File Name: SNAP-Mount Auburn Hospital.pdf Community Based Medication Management Program Type - Community Education, Community Health Needs Assessment, Community Participation/Capacity Building Initiative Brief Description or Objective Medication Management for seniors is a concern consistently expressed in the community needs assessment. In an effort to reduce medication errors for elders, this program worked with community leaders and hospital staff to plan interventions which include community education and outreach. Target Population Regions Served: Arlington, Belmont, Cambridge, Lexington, Medford, Somerville, Waltham, Watertown Health Indicator: Other: Safety Sex: All Age Group: Adult-Elder Ethnic Group: All Language: English Goals Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description and Goal Status LTG-Decrease medication errors in seniors - Ongoing STG-By 12/1/09 establish work forums with MAH staff and COA/DPH representatives - Completed STG-By 2/1/10 establish work plan, set timeline and set future goals - Completed STG-Design and deliver 5 educational sessions to seniors - Completed STG-Provide corporate sponsorship to Somerville Cambridge Elder Services - Completed Partners Partner Name, Description Partner Web Address Cambridge Council On Aging www2.cambridgema.gov/dhsp2/coa.cfm Waltham Council on Aging waltham.ma.us/aging/index.htm Springwell www.springwell.com/ VNA Eastern MA www.vnaa.org/VNAA/vna/VNA_of_Eastern_Massachusetts,MASOME.aspx Medford Council On Aging www.medford.org/Pages/MedfordMA_COA/index Belmont Council on Aging www.belmont-ma.gov/Public.../BelmontMA_Aging/index Lexington Council on Aging www.ci.lexington.ma.us Watertown Council on Aging www.ci.watertown.ma.us Arlington Council on Aging www.arlingtonma.gov/Public_Documents/ArlingtonMA.../index Somerville Cambridge Elder Services www.eldercare.org Contact Information Mary Hunt Johnson RN Mount Auburn Hospital 330 Mount Auburn Street Cambridge, MA 02138 617-499-5722, mjohnso1@mah.harvard.edu Detailed Description Download/View Attachment(55296 KB) File Name: Mount Auburn Hospital Medication Management Community Benefit Update Jan 2011.DOC Medical House Calls to homebound seniors Program Type - Direct Services Brief Description or Objective In response to a working group consisting of homecare providers, home bound elders and their families, and geriatricians; this program addresses barriers to health care by taking geriatricians out of the office to care for vulnerable elders in their own homes. Target Population Regions Served: Arlington, Belmont, Cambridge, Somerville, Waltham, Watertown Health Indicator: Access to Health Care, Other: Elder Care, Other: Homebound Sex: All Age Group: Adult-Elder Ethnic Group: All Language: All Goals Statewide Priority: Chronic Disease Management in Disadvantage Populations Goal Description and Goal Status LTG-Increase health of homebound elders - Ongoing STG-Expand services into Waltham - Completed STG-Provide at least 500 senior home visits - Completed Partners Partner Name, Description Partner Web Address Homebound seniors and their families Contact Information Mary Hunt Johnson RN Mount Auburn Hospital 330 Mount Auburn Street Cambridge, MA 02138 617-499-5722, mjohnso1@mah.harvard.edu On Site Geriatric Care Program Type - Direct Services Brief Description or Objective At the request of community members, decrease barrier to health care for elders by establishing on site geriatric care at Somerville VNA Senior Living. Target Population Regions Served: Somerville Health Indicator: Access to Health Care Sex: All Age Group: Adult-Elder Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description and Goal Status LTG-Increase health of seniors in Somerville, Medford and Arlington - Ongoing STG-Establish geriatric practice twice weekly on site at VNA Senior Living Community in Somerville - Completed Partners Partner Name, Description Partner Web Address VNA of Eastern MA www.vnaa.org/VNAA/vna/VNA_of_Eastern_Massachusetts,MASOME.aspx Contact Information Mary Hunt Johnson RN Mount Auburn Hospital 330 Mount Auburn Street Cambridge, MA 02138 617-499-5722, mjohnso1@mah.harvard.edu Lack of Transportation Program Type - Direct Services Brief Description or Objective Explores ways to address transportation when it is a barrier to medical care. Target Population Regions Served: Arlington, Belmont, Cambridge, Lexington, Medford, Somerville, Waltham, Watertown Health Indicator: Access to Health Care Sex: All Age Group: Adult-Elder Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description and Goal Status LTG-Decrease transportation barrier to medical care - Ongoing STG-Work with Social Workers and other clinicians to identify patients in need of transportation - Ongoing STG-Evaluate current use of SCM and Springwell by MAH patients - Completed Partners Partner Name, Description Partner Web Address SCM Community Transportation www.scmtransportation.org Contact Information Mary Hunt Johnson RN Mount Auburn Hospital 330 Mount Auburn Street Cambridge, MA 02138 617-499-5722, mjohnso1@mah.harvard.edu Midwifery Program at Joseph M. Smith Community Health Center Program Type - Direct Services Brief Description or Objective This program improves birth outcomes by improving access to peri-natal care. Target Population Regions Served: Boston-Allston, Waltham Health Indicator: Other: Pregnancy Sex: Female Age Group: All Adults Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description and Goal Status LTG-Improve birth outcomes by improving access to peri-natal care - Ongoing STG-Assess language needs of patients and identify resources to meet those needs - Ongoing STG-Provide doulas to at least 50 Latinas during childbirth - Completed Partners Partner Name, Description Partner Web Address Joseph M. Smith Community Health Center www.jmschc.org Contact Information Tamara Jessiman, CNM 330 Mount Auburn St Cambridge, MA 02138 617-499-5130 tjessima@mah.harvard.edu Financial Counselors at Joseph M. Smith Community Health Center Program Type - Health Coverage Subsidies or Enrollment Brief Description or Objective Provides financial counselors to augment health care center staff. Target Population Regions Served: Waltham Health Indicator: Access to Health Care Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description and Goal Status LTG-Increase access to health care - Ongoing STG-Maintain financial counselors (2ftes) at JMSCHC - Completed and ongoing Partners Partner Name, Description Partner Web Address Joseph M. Smith Community Health Center www.jmschc.org Contact Information Angelo Diorio, 330 Mount Auburn Street, Cambridge, MA 02138 617-499-5566, adiorio@mah.harvard.edu Men's Urological Health Program Type - Direct Services Brief Description or Objective Provides urological health services to men who otherwise would not have access to these services. Target Population Regions Served: Boston-Allston, Waltham Health Indicator: Access to Health Care, Other: Cancer - Other, Other: Cancer - Prostate Sex: Male Age Group: Adult Ethnic Group :All Language: All Goals Statewide Priority: Address Unmet Health Needs of the Uninsured Goal Description and Goal Status LTG-Decrease urological morbidity for male patients from JMSCHC - Ongoing STG-Provide at least 10 urology free clinics for JMSCHC providing at least 50 patient visits - Completed Partners Partner Name, Description Partner Web Address Joseph M. Smith Community Health Center www.jmschc.org Contact Information Mary Hunt Johnson RN Mount Auburn Hospital 330 Mount Auburn Street Cambridge, MA 02138 617-499-5722, mjohnso1@mah.harvard.edu Community Health Network Areas Program Type - Community Participation/Capacity Building Initiative Brief Description or Objective MAH staff works closely with the local CHNAs to promote the provision of primary and preventative health care services for underserved populations in the CHNA's service area. Target Population Regions Served: Arlington, Belmont, Cambridge, Lexington, Medford, Somerville, Waltham, Watertown Health Indicator: All Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description and Goal Status LTG-Support community health assessments, community planning and priority setting, and other services to support the community health initiatives in communities covered by Community Health Network Areas 15,16,17, and 18 -Ongoing LTG-Improve community health through a health promotion and prevention infrastructure that is accessible and impactful for the most underserved populations within the hospital's service area - Ongoing STG-MAH Community Health staff to serve as CHNA 17 Steering Committee - Ongoing STG-MAH Community Health staff to attend at least 80% of CHNA 17 general meetings - Ongoing STG-MAH Community Health staff to attend at least 80% of Healthy Waltham meetings - Ongoing Partners Partner Name, Description Partner Web Address CHNA 17 http://www.healthier-communities.org/chna17 CHNA 18 http://www.healthier-communities.org/CHNA18 Healthy Waltham www.healthy-waltham.org/ Medford Health Matters www.medfordhealthmatters.org/ CHNA 16 http://glfhc.org/nc4hcwp/?page_id=1077 CHNA 15 http://www.healthier-communities.org/CHNA15 Contact Information Mary Hunt Johnson RN Mount Auburn Hospital 330 Mount Auburn Street Cambridge, MA 02138 617-499-5722, mjohnso1@mah.harvard.edu Detailed Description Download/View Attachment(46186 KB) File Name: Community Health Network Area.pdf Listen and Learn: Breast Health Program Type - Community Education, Community Participation/Capacity Building Initiative Brief Description or Objective To identify and understand cultural barriers to breast cancer screening, create and support a Learning Community comprised of immigrant women and oncology nurses, community health care workers, and social workers to learn together about beliefs and barriers to breast cancer screening among immigrants. Target Population Regions Served: Somerville Health Indicator: Other: Cancer - Breast Sex: Female Age Group: Adult Ethnic Group :All, Hispanic/Latino Language: Haitian Creole , Portuguese , Spanish Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity Goal Description and Goal Status LTG-Promote breast screening among immigrant women - Ongoing STG-Conduct focus groups with immigrant women from El Salvador and other Central and South American countries; Brazil and Haiti to identify key beliefs about breast cancer screening to be used to design a Breast Health Learning Community - Completed STG-Design and deliver a Learning Community comprised of Immigrant Women enrolled in Somerville Center for Adult Learning Experiences and MAH staff to explore beliefs and barriers to breast cancer screening - Completed Partners Partner Name, Description Partner Web Address Somerville Center for Adult Learning Experiences www.somerville.k12.ma.us/scale Contact Information Mary Hunt Johnson RN Mount Auburn Hospital 330 Mount Auburn Street Cambridge, MA 02138 617-499-5722, mjohnso1@mah.harvard.edu Detailed Description Download/View Attachment(19297 KB) File Name: Listen and Learn Immigrant Breast Health.pdf Institute of Community Health-Support Program Type - Community Participation/Capacity Building Initiative, Grant/Donation/Foundation/Scholarship, Healthy Communities Partnership Brief Description or Objective Support Institute of Community Health goals. "The goals of ICH are to advance community health research; promote community health education and training; develop community action programs and policy; and forge linkages among health care systems, community partners, and academic institutions with shared community health objectives." Target Population Regions Served: Cambridge, Somerville Health Indicator: Other: Nutrition, Other: Parenting Skills, Other: Pregnancy, Other: Public Safety, Other: Rape, Other: Sexually Transmitted Diseases, Other: Uninsured/Underinsured, Overweight and Obesity, Physical Activity, Responsible Sexual Behavior, Substance Abuse, Tobacco Use Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity Goal Description and Goal Status LTG-Support ICH mission - Ongoing STG-Provide financial support to ICH - Completed STG-Mount Auburn Hospital physicians to serve on ICH board - Ongoing Partners Partner Name, Description Partner Web Address Institute of Community Health http://www.icommunityhealth.org/ Contact Information Mary Hunt Johnson RN 330 Mount Auburn Street Cambridge, MA 02138 617-499-5722, mjohnso1@mah.harvard.edu Detailed Description Download/View Attachment(835480 KB) File Name: ICommBrochure.pdf Tobacco Awareness Program Type - School/Health Center Partnership Brief Description or Objective Through a partnership with the Arlington Public Schools, this program builds awareness about the dangers and consequences of tobacco use for children and adults in the Arlington community. Target Population Regions Served: Arlington Health Indicator: Other: Smoking/Tobacco Sex: All Age Group: Child-Primary School, Child-Teen Ethnic Group: All Language: English Goals Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description and Goal Status LTG-Decrease tobacco use among school aged children in Arlington - Ongoing STG-Educate elementary and middle school students about the dangers of smoking and best practices for avoiding tobacco use and foster their self-management skills - Completed STG-Offer programming, media, and incentives for high school students who use tobacco with the intention of decreasing tobacco use - Completed Partners Partner Name, Description Partner Web Address Arlington Public Schools www.arlington.k12.ma.us Contact Information Mary DeCourcey, MS 330 Mount Auburn Street Cambridge, MA 02138 617-499-5625, mdecourc@mah.harvard.edu Detailed Description Download/View Attachment(198656 KB) File Name: middleschoolwork.ppt Walk In My Shoes Program Type - Community Participation/Capacity Building Initiative Brief Description or Objective To work with Community Catalyst to design a toolkit for the Walk In My Shoes trademarked simulation activity which is intended to raise awareness about the difficulties low income individuals have accessing and paying for health care. Target Population Regions Served: All Massachusetts Health Indicator: Access to Health Care, Other: Cultural Competency, Other: Uninsured/Underinsured Sex: All Age Group: All Ethnic Group: All Language: All Goals Statewide Priority: Promoting Wellness of Vulnerable Populations, Reducing Health Disparity Goal Description and Goal Status LTG-Increase capacity of community members to serve vulnerable populations - Ongoing STG-Work with Community Catalyst to create, pilot and deliver a toolkit for Walk In My Shoes simulations - Completed Partners Partner Name, Description Partner Web Address Community Catalyst http://www.communitycatalyst.org/doc_store/publications/walk_in_my_shoe Contact Information Emily Bhargava, Director Regional Center for Healthy Communities 552 Massachusetts Ave. Cambridge, MA 02139 617-441-0700 x206, ebhargava@healthier-communities.org Detailed Description Download/View Attachment(2771968 KB) File Name: WIMS Interest Sheet.doc Addressing concerns of the Asian Community Program Type - Community Participation/Capacity Building Initiative, Grant/Donation/Foundation/Scholarship Brief Description or Objective Leverage Mount Auburn Hospital expertise to address concerns in the Asian community. Target Population Regions Served: All Massachusetts Health Indicator: Other: Gambling Sex: All Age Group: Adult Ethnic Group: Asian Language: Chinese Goals Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description and Goal Status LTG: Support issues in Asian Community - Ongoing LTG: Reduce gambling in Asian Community - Ongoing STG-Leverage Mount Auburn Hospital expertise to assist the Massachusetts Council on Gambling-Asian Task Force with goals and objectives - Ongoing STG-Provide corporate sponsorship to Asian Task Force Against Domestic Violence - Completed STG-Provide technical assistance to develop a gambling education video aimed at educating Asians utilizing bus services to casinos - Completed Partners Partner Name, Description Partner Web Address Massachusetts Council on Compulsive Gambling www.masscompulsivegambling.org Contact Information Dot Duda Director, Outpatient Psychiatry and Addictions 330 Mount Auburn Street Cambridge, MA 02138 617-499-5665 x4047, dduda@mah.harvard.edu Listen and Learn: Stroke Program Type - Prevention Brief Description or Objective Following the Listen and Learn model, this program aims to better understand barriers to emergent care for elders at risk for stroke. Target Population Regions Served: Cambridge Health Indicator: Other: Stroke Sex: All Age Group: Adult-Elder Ethnic Group: All Language: English Goals Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description and Goal Status LTG: Decrease morbidity associated with Strokes Ongoing STG: Teach community members signs and symptoms of Stroke and to access emergency care immediately - Ongoing STG: Work with Stroke Committee to develop a Listen and Learn Stroke focus group - Completed Partners Partner Name, Description Partner Web Address Salvation Army Cambridge www.uss.salvationarmy.org/cambridge Contact Information Marie McCune, RN Stroke Coordinator 330 Mount Auburn Street Cambridge, MA 02138 617-499-5665 x6090, mmcune@mah.harvard.edu Smoking Cessation Program Type - Direct Services Brief Description or Objective This free program provides Smoking Cessation education to those in need of quitting. Target Population Regions Served: Arlington, Belmont, Cambridge, Lexington, Medford, Somerville, Waltham, Watertown Health Indicator: Other: Smoking/Tobacco Sex: All Age Group: Adult Ethnic Group: All Language: English Goals Statewide Priority: Promoting Wellness of Vulnerable Populations Goal Description and Goal Status LTG-Decrease number of community members who use tobacco - Ongoing STG-Provide 3 smoking cessation courses free to community members - Completed Partners Partner Name, Description Partner Web Address U Mass Memorial Tobacco Free Initiative www.umassmemorial.org/TobaccoFreeInitiative Contact Information Laura M. Beaton Mount Auburn Hospital 330 Mount Auburn Street Cambridge, MA 02138 617-499-5625, lbeaton@mah.harvard.edu Detailed Description Download/View Attachment(84480 KB) File Name: smokingcessationflyermountauburnhospital.doc Assoc Phys of HMFP at BIDMC 375 Longwood Ave Boston MA 02215 320058309 To provide emergency medical services MA 501(c)(3) Line 11a, I HMFP at BIDMC Beth Israel Anaesthesia Foundation Inc 330 Brookline Ave Boston MA 02215 042997215 Patient care, research and teaching missions of BIDMC, HMFP and HMS MA 501(c)(3) Line 11a, I HMFP at BIDMC BID Dept of Medicine Foundation Inc 330 Brookline Ave Boston MA 02215 043079630 Patient care, research and teaching missions of BIDMC, HMFP and HMS MA 501(c)(3) Line 11a, I HMFP at BIDMC BID Dept of Neonatology Foundation Inc 330 Brookline Ave Boston MA 02215 208253452 Patient care, research and teaching missions of BIDMC, HMFP and HMS MA 501(c)(3) Line 11a, I HMFP at BIDMC BID Dept of Neurology Foundation Inc 330 Brookline Ave Boston MA 02215 043030397 Patient care, research and teaching missions of BIDMC, HMFP and HMS MA 501(c)(3) Line 11a, I HMFP at BIDMC BID Dept of Orthopaedic Surgery Foundation Inc 330 Brookline Ave Boston MA 02215 204974585 Patient care, research and teaching missions of BIDMC, HMFP and HMS MA 501(c)(3) Line 11a, I HMFP at BIDMC BID Dept of Surgery Foundation Inc 110 Francis Street Boston MA 02215 020671240 Patient care, research and teaching missions of BIDMC, HMFP and HMS MA 501(c)(3) Line 11a, I HMFP at BIDMC Beth Israel Deaconess Hospital Needham Inc 148 Chestnut St Needham MA 02492 043229679 The operation of a hospital in Needham, MA MA 501(c)(3) Line 3 Beth Israel Deaconess Medical Center Inc BIDMC and Children's Hospital Med Care Corp 300 Longwood Ave Boston MA 02215 043200113 The operation of an outpatient ambulatory care center in Lexington, MA MA 501(c)(3) Line 11a, I none BIDMC Obstetrics and Gynecology Foundation 330 Brookline Ave Boston MA 02215 042794855 Patient care, research and teaching missions of BIDMC, HMFP and HMS MA 501(c)(3) Line 11a, I HMFP at BIDMC Beth Israel Dermatology Foundation Inc 330 Brookline Ave Boston MA 02215 043117601 Patient care, research and teaching missions of BIDMC, HMFP and HMS MA 501(c)(3) Line 11a, I HMFP at BIDMC BIH Pathology Foundation Inc 330 Brookline Ave Boston MA 02215 222548374 Patient care, research and teaching missions of BIDMC, HMFP and HMS MA 501(c)(3) Line 11a, I HMFP at BIDMC BIH Radiologic Foundation Inc 330 Brookline Ave Boston MA 02215 042571853 Patient care, research and teaching missions of BIDMC, HMFP and HMS MA 501(c)(3) Line 11a, I HMFP at BIDMC Cardio Assoc Phys of HMFP at BIDMC 185 Pilgrim Road Bost Boston MA 02215 043208878 Cardiovascular medical svcs to the patients of the Cardio Vsucal Instit MA 501(c)(3) Line 11a, I HMFP at BIDMC Cardiovascular Management Associates Inc 185 Pilgrim Road Boston MA 02215 208550792 Comprehensive cardio care, education and research, within BIDMC and HMFP MA 501(c)(3) Line 11a, I Beth Israel Deaconess Medical Center Inc CareGroup Inc 109 Brookline Ave Boston MA 02215 222629185 Non-discriminatory integrated health care delivery sys and management svcs MA 501(c)(3) Line 11d, III-O none Continuing Educ Prog dba BID Dept of Psych Found 401 Park Dr Boston MA 02215 043242952 Patient care, research and teaching missions of BIDMC, HMFP and HMS MA 501(c)(3) Line 11a, I HMFP at BIDMC Med Care of Boston Mgmt Corp dba Aff Phys Group 400 Hunnewell St Needham MA 02494 042810972 Medical Services Organization MA 501(c)(3) Line 9 Beth Israel Deaconess Medical Center Inc Mount Auburn Hospital 330 Mount Auburn St Cambridge MA 02138 042103606 Operation of a hospital in Cambridge, MA MA 501(c)(3) Line 3 CareGroup Inc Mount Auburn Professional Services Inc 330 Mount Auburn St Cambridge MA 02138 043026897 Serve Cambridge, MA through medical care in general and spec practices MA 501(c)(3) Line 11a, I Mount Auburn Hospital New England Baptist Hospital 125 Parker Hill Ave Boston MA 02120 042103612 Orthopedic specialty hospital in Boston, MA MA 501(c)(3) Line 3 CareGroup Inc New England Baptist Medical Assoc Inc 125 Parker Hill Ave Boston MA 02120 043326928 Outpatient medical svcs to communities serviced by NEBH MA 501(c)(3) Line 3 New England Baptist Hospital Inc Riverbrook Corporation 109 Brookline Ave Boston MA 02215 042828955 To hold title to property for CareGroup, Inc. MA 501(c)(2) CareGroup Inc HMFP at BIDMC Inc 375 Longwood Ave Boston MA 02215 222768204 Medical services to the patients of BIDMC and others MA 501(c)(3) Line 9 Beth Israel Deaconess Medical Center Inc Heart Center of Metrowest Inc 99 Lincoln St Boston MA 01702 030390670 To provide outpatient medical services to the metrowest communities MA 501(c)(3) Line 9 Cardiovascular Management Associates Inc Advanced Vascular Care LLC 375 Longwood Ave Boston MA 02215 261647880 Provide medical support servicesrt MA HMFP at BIDMC Related 0 0 Beth Israel Deaconess Physician Org LLC 110 Francis Street boston MA 02215 043426253 Contracts MA HMFP AT BIDMC related 0 0 BeWell Body Scan LLC 25 Boylston St Chestnut Hill MA 02446 260051016 Operate a diagnostic imaging centeraging ctr MA BIH Radiol Foundation Inc related 0 0 CareGroup Clinical Research LLC 109 Brookline Ave BOSTON MA 02215 300228711 Participate in a clinical research partnership MA NONE NONE 0 0 CareGroup Investment Partnership LLP 109 Brookline Ave BOSTON MA 02215 043278109 Investment Partnership MA BIDMC EXCLUDED 2231364 112923137 0 -20955 0 Physicians Professional Services LLP 10 Cabot Road MEDFORD MA 02215 043275078 To provide medical billing services MA NONE RELATED 0 0 BIDMCCGSMC JV Inc 400 Hunnewell St Needham MA 02494 264426847 Inactive corporation MA N/A C Chestnut Healthcare Alliance Inc 148 Chestnut St Needham MA 02492 043265117 Provide support services to Mount Auburn Hospital MA N/A C Mount Auburn Hospital Foundation Inc 330 Mount Auburn Street Cambridge MA 02138 042898907 Physician/Hospital Organization MA N/A C 0 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1