NEW ENGLAND BAPTIST HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: NEW ENGLAND BAPTIST HOSPITAL (EIN 04-2103612)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-08-12
IRS object ID: 201112289349301681
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-08-12T13:01:49-05:00	Timestamp
Tax Period End Date	2010-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 BERKELEY STREET	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02116	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	042103612	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	NEW ENGLAND BAPTIST HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	NEWE	NameControl
Phone	6177545800	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	125 PARKER HILL AVENUE	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02120	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Thomas Gheringhelli	Name
Title	CFO	Title
Phone	6177545800	Phone
Date Signed	2011-08-02	DateSigned
Authorize Third Party	0	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	6174372000	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	THOMAS GHERINGHELLI	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	125 PARKER HILL AVENUE	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02120	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	198411569	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.NEBH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1889	YearFormation
State Legal Domicile	MA	StateLegalDomicile
Activity Or Mission Description	OPERATION OF AN ACUTE CARE HOSPITAL	ActivityOrMissionDescription
Nbr Voting Members Governing Body	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	1413	TotalNbrEmployees
Total Nbr Volunteers	50	TotalNbrVolunteers
Total Gross UBI	1557936	TotalGrossUBI
Net Unrelated Business Txbl Income	-428185	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4704931	ContributionsGrantsPriorYear
Contributions Grants Current Year	2076389	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	173330621	ProgramServiceRevenuePriorYear
Program Service Revenue CY	185700028	ProgramServiceRevenueCY
Investment Income Prior Year	2785900	InvestmentIncomePriorYear
Investment Income Current Year	3685024	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5576196	OtherRevenuePriorYear
Other Revenue Current Year	5033150	OtherRevenueCurrentYear
Total Revenue Prior Year	186397648	TotalRevenuePriorYear
Total Revenue Current Year	196494591	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	106500	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	121500	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	82354782	SalariesEtcPriorYear
Salaries Etc Current Year	84088184	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	218404	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	286628	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1462637	TotalFundrsngExpCurrentYear
Other Expense Prior Year	96682577	OtherExpensePriorYear
Other Expenses Current Year	103500214	OtherExpensesCurrentYear
Total Expenses Prior Year	179362263	TotalExpensesPriorYear
Total Expenses Current Year	187996526	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	7035385	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	8498065	RevenuesLessExpensesCY
Total Assets BOY	189031229	TotalAssetsBOY
Total Assets EOY	198135796	TotalAssetsEOY
Total Liabilities BOY	106544940	TotalLiabilitiesBOY
Total Liabilities EOY	107038406	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	82486289	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	91097390	NetAssetsOrFundBalancesEOY
Mission Description	SEE SCHEDULE O	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	60914533	Expense
Revenue	50839948	Revenue
Description	SEE SCHEDULE O: MEDICARE/MEDICAID PATIENT CARE	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	70387702	Expense
Revenue	93600715	Revenue
Description	SEE SCHEDULE O: OTHER INPATIENT/MEDICAL-SURGICAL	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	30578606	Expense
Revenue	40663601	Revenue
Description	SEE SCHEDULE O: WALK-IN CLINIC/AMBULATORY CARE UNIT/EMERGENT CARE	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	1568253	Expense
Revenue	446441	Revenue

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	1568253	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	446441	TotalOfOtherProgramServiceRev
Total Program Service Expense	163449094	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	1	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	65	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	1413	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Form8899 Filed	0	Form8899Filed
Nbr Voting Governing Body Members	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	AZ	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	CO	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	CT	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	FL	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	KY	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	ME	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MD	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MI	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MS	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MO	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NH	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NJ	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NM	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NC	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	ND	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	AK	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OK	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	SC	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	UT	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	WA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	THOMAS J GHERINGHELLI	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6177546018	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	125 PARKER HILL AVE	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	021202847	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
BASILICO MD FREDERICK C
CHAIRMAN DEPT.OF SURGERY, TRUSTEE(N	60.00	X	110475	110475	0
BLUMENREICH ESQ GENE A
chAIRMAN DEPT.OF SURGERY, TRUSTEE(N	60.00	X	0	0	0	X
CAMER MD STEPHEN J
CHAIRMAN DEPT.OF SURGERY, TRUSTEE(N	60.00	X	47517	47517	0
GULCZYNSKI RN MS DIANE
SENIOR VP, CLINICAL OPS, CNO & TRUS	60.00	X	333628	0	-21325	X
HANNON PATRICIA
TRUSTEE, PRESIDENT & CEO(NEBH)	60.00	X	73176	3049	27290	X
KEARNEY MD GARY
PRESIDENT OF MEDICAL STAFF & TRUSTE	60.00	X	20064	836	0
KOLLIGIAN ESQ JOAN
TRUSTEE(NEBH), TRUSTEE AND CLERK(NE	60.00	X	0	0	0
MALONEY RICHARD J
TRUSTEE & BOARD CHAIR(NEBH) DIRECTO	60.00	X	0	0	0	X
MATTINGLY MD DAVID A
TRUSTEE(NEBH)STAFF PHYSICIAN(NEBMA)	60.00	X	0	105000	0
NICHOLS PETER B
TRUSTEE & BOARD VICE-CHAIR(NEBH)	60.00	X	0	0	0
POGORZELSKI DONALD E
TRUSTEE(NEBH)	60.00	X	0	0	0
REPPUCI EUGENE M
TRUSTEE(NEBH)	60.00	X	0	0	0
RICHMOND MD JOHN C
chaIRMAN DEPT.OF SURGERY, TRUSTEE(N	60.00	X	117823	117823	0
SAMSEL ERVEN
TRUSTEE(NEBH)	60.00	X	0	0	0
SMYTH PETER
TRUSTEE(NEBH)	60.00	X	0	0	0
STEWART EDWARD
TRUSTEE & TREASURER	60.00	X	0	0	0	X
STRIEDER HELEN R
TRUSTEE AND FORMER INTERIM PRESIDEN	60.00	X	338326	14097	2746	X
GHERINGHELLI THOMAS J
VICE PRESIDENT & CFO	60.00	X	286865	11953	-52172
WILKINS JOHN P
TRUSTEE(NEBH)	60.00	X	0	0	0
GREEN JAMES F
VICE PRESIDENT OF CLINICAL PROGRAMS	60.00		252340	10514	26664		X
COLEMAN DEBRA
VICE PRESIDENT-DEVELOPMENT	60.00		245635	0	-48099			X
MCDONOUGH ERIN
VICE PRESIDENT PUBLIC AFFAIRS	60.00		228880	0	17920			X
THOMPSON LINDA
VICE PRESIDENT, HUMAN RESOURCES	60.00		206515	8605	-44287			X
BROMS MAUREEN MULKERRIN
VP OF QUALITY, CLINICAL INFORMATICS	60.00		190275	0	34067			X
BOTTICELLI MARTIN
SENIOR DIRECTOR INFORMATION SERVICE	60.00		169758	0	23168			X
CALLAHAN ANNE E
OPERATING ROOM NURSE	60.00		179632	0	92425			X
VAN FLANDERN GEOFFREY
FORMER PRESIDENT OF MEDICAL STAFF	60.00		0	49000	0				X
DIONISIO JOSEPH
FORMER CEO	60.00		762972	0	0				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3563881	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	478869	TotalReportableCompFrmRltdOrgs
Total Other Compensation	58397	TotalOtherCompensation
Number Individuals GT100 K	147	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
SHAWMUT DESIGN & CONSTRUCTION
560 HARRISON AVE	BOSTON	MA	02118	CONSTRUCTION	13139860
SODEXO inc & affiliates
PO BOX 81049	WOBURN	MA	02284	SUPPORT SVCS MGMT	2402425
UNICCO SERVICE COMPANY
4002 SOLUTIONS CTR	CHICAGO	IL	60677	FACILITIES MGMT	2143921
controlled risk insurance
PO BOX 845969	BOSTON	MA	02284	MLPR INSURANCE	1569005
Massey & Co
85 MERRIMAC ST	BOSTON	MA	02114	ADMIN OFFICE LESSOR	1008917

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	60	NumberOfContractorsGT100K
Fundraising Events	145615	FundraisingEvents
All Other Contributions	1930774	AllOtherContributions
Total Contributions	2076389	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER INPATIENT/MEDICA	623000	93600715	93600715
MEDICARE/MEDICAID PATI	621400	50839948	50839948
WALK-IN CLINIC/ACU/EME	621990	40663061	40663061
RESEARCH	621990	275899	275899
PURCHASE REBATES	621990	170542	170542

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	149863	TotalRevenueColumn
Exclusion	$149,863	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	185700028	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	726594	TotalRevenueColumn
Exclusion	$726,594	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1038146	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1798228	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-760082	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-760082	TotalRevenueColumn
Unrelated Business Revenue	-155731	UnrelatedBusinessRevenue
Exclusion	-$604,351	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	2958430	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2958430	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2958430	TotalRevenueColumn
Exclusion	$2,958,430	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	295643	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	145615	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	118750	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	176893	TotalRevenueColumn
Exclusion	$176,893	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
PARKING	900099	1556421	$1,556,421
PHYSICIAN ADMIN REIMB	900099	1188176		1188176
CAFETERIA	900099	1030244	$1,030,244

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1841498	TotalRevenueColumn
Unrelated Business Revenue	525491	UnrelatedBusinessRevenue
Exclusion	$1,316,007	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	5616339	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	196494591	TotalRevenueColumn
Related Or Exempt Function Income	185550165	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1557936	UnrelatedBusinessRevenue
Exclusion	$7,310,101	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	121500	Total
Program Services	121500	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1334606	Total
Program Services	346839	ProgramServices
Management And General	987767	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	67469081	Total
Program Services	59464851	ProgramServices
Management And General	7506234	ManagementAndGeneral
Fundraising	497996	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3969334	Total
Program Services	3403461	ProgramServices
Management And General	537536	ManagementAndGeneral
Fundraising	28337	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	6205965	Total
Program Services	5386655	ProgramServices
Management And General	776010	ManagementAndGeneral
Fundraising	43300	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5109198	Total
Program Services	4380824	ProgramServices
Management And General	691899	ManagementAndGeneral
Fundraising	36475	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	793691	Total
Program Services	10353	ProgramServices
Management And General	783338	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	226050	Total
Management And General	226050	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	286628	Total
Fundraising	286628	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	212861	Total
Management And General	212861	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	53060437	Total
Program Services	51425472	ProgramServices
Management And General	1294804	ManagementAndGeneral
Fundraising	340161	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3545358	Total
Program Services	3545358	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7073983	Total
Program Services	5777400	ProgramServices
Management And General	1239744	ManagementAndGeneral
Fundraising	56839	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	53295	Total
Program Services	22660	ProgramServices
Management And General	30457	ManagementAndGeneral
Fundraising	178	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	108143	Total
Program Services	104037	ProgramServices
Management And General	4106	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	3327046	Total
Program Services	3327046	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	3257888	Total
Program Services	2206923	ProgramServices
Management And General	1050965	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	9606273	Total
Program Services	6540466	ProgramServices
Management And General	2976961	ManagementAndGeneral
Fundraising	88846	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	606309	Total
Management And General	606309	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
CONSULTING	10423050	7379858	3021300	21892
MAINTENANCE & REPAIRS	4693579	4036200	618057	39322
EQUIPMENT LEASES	1874773	1874773
FREE CARE	1568667	1568667
BAD DEBT	1093296	1093296

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1975515	Total
Program Services	1432455	ProgramServices
Management And General	520397	ManagementAndGeneral
Fundraising	22663	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	187996526	Total
Program Services	163449094	ProgramServices
Management And General	23084795	ManagementAndGeneral
Fundraising	1462637	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	15428734	BOY
EOY	15100993	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2962296	BOY
EOY	1945991	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	19570342	BOY
EOY	20831808	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	258020	BOY
EOY	131969	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2526226	BOY
EOY	2767154	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1851696	BOY
EOY	2580473	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	199009421	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	105978732	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	89284096	BOY
EOY	93030689	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	42999308	BOY
EOY	44088433	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	12819487	BOY
EOY	16503767	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1331024	BOY
EOY	1154519	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	189031229	BOY
EOY	198135796	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	17800862	BOY
EOY	20326192	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	164928	BOY
EOY	9020	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	72764741	BOY
EOY	70917489	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	373079	BOY
EOY	1398723	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	15441330	BOY
EOY	14386982	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	106544940	BOY
EOY	107038406	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	56070323	BOY
EOY	63533604	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	19263083	BOY
EOY	15282254	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	7152883	BOY
EOY	12281532	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	82486289	BOY
EOY	91097390	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	189031229	BOY
EOY	198135796	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Affiliated Group Totals	34897	AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Affiliated Group Totals	34897	AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Affiliated Group Totals	185515268	AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Affiliated Group Totals	185550165	AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Affiliated Group Totals	1000000	AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Affiliated Group Totals	250000	AffiliatedGroupTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

Field	Value	IRS element (for citing)
Affiliated Group Totals	0	AffiliatedGroupTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

Field	Value	IRS element (for citing)
Affiliated Group Totals	0	AffiliatedGroupTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus2	1000000	CurrentYearMinus2
Current Year Minus1	1000000	CurrentYearMinus1
Current Year	1000000	CurrentYear
Total	3000000	Total

Field	Value	IRS element (for citing)
Lobbying Ceiling	$4,500,000	LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus2	23283	CurrentYearMinus2
Current Year Minus1	37417	CurrentYearMinus1
Current Year	34897	CurrentYear
Total	95597	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus1	250000	CurrentYearMinus1
Current Year	250000	CurrentYear
Total	500000	Total

Field	Value	IRS element (for citing)
Grassroots Ceiling	$750,000	GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

Field	Value	IRS element (for citing)
Current Year	0	CurrentYear

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part IV, Supplemental Information:	Identifier
Explanation	SEE SCHEDULE O	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	34323000	BeginningOfYearBalance
Contributions	3109000	Contributions
Investment Earnings Or Losses	3270000	InvestmentEarningsOrLosses
Other Expenditures	3322000	OtherExpenditures
End Of Year Balance	37380000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	34728000	BeginningOfYearBalance
Contributions	2765000	Contributions
Investment Earnings Or Losses	1480000	InvestmentEarningsOrLosses
Other Expenditures	4650000	OtherExpenditures
End Of Year Balance	34323000	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.31000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.31000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.38000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3956331	OtherCostOrOtherBasis
Book Value	3956331	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	120214993	OtherCostOrOtherBasis
Depreciation	60909850	Depreciation
Book Value	59305143	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1998688	OtherCostOrOtherBasis
Depreciation	994624	Depreciation
Book Value	1004064	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	68788480	OtherCostOrOtherBasis
Depreciation	44074258	Depreciation
Book Value	24714222	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4050929	OtherCostOrOtherBasis
Book Value	4050929	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	93030689	TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

Field	Value	IRS element (for citing)
Book Value	16503767	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	16503767	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
GIFT ANNUITIES	$68,131
LT DEFERRED PENSION LIABILITY	$14,318,851

Field	Value	IRS element (for citing)
Total Of Amounts	14386982	TotalOfAmounts
Total Revenue	196494591	TotalRevenue
Total Expenses	187996526	TotalExpenses
Excess Or Deficit For Year	8498065	ExcessOrDeficitForYear
Prior Period Adjustments	371085	PriorPeriodAdjustments
Other	-$258,049	OtherAmount
Total Adjustments	113036	TotalAdjustments
Excess Or Deficit Per FS	8611101	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	198034771	TotRevenueEtcAuditedFinclStmt
Other Revenues	4156139	OtherRevenues
Revenue Not Rptd F990	4156139	RevenueNotRptdF990
Revenue Subtotal	193878632	RevenueSubtotal
Other Revenues Not Included	2615959	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	2615959	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	196494591	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	189794754	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	1798228	OtherExpensesIncluded
Expenses Not Rptd F990	1798228	ExpensesNotRptdF990
Expenses Subtotal	187996526	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	187996526	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Explanation	PLEASE SEE SCH O FOR ADDITIONAL DISCLOSURES	Explanation

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Email Solicitations	X	EmailSolicitations
Phone Solicitations	X	PhoneSolicitations
In Person Solicitations	X	InPersonSolicitations
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	1	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (4 entries)

ActivityActivity	Fundraiser Control Of FundsFundraiserControlOfFunds	Gross ReceiptsGrossReceipts	Amount Retained By ContractorAmountRetainedByContractor	Net To OrganizationNetToOrganization
HEIDI PRICE
ADVISORY	0	0	139499	0
LAURA DUFFY & ASSOCIATES
WRITING	0	0	78100	0
THE WAYLAND GROUP
ADVISORY	0	0	55723	0
JOAN SEIDEL PHOTOGRAPHY
PHOTOGRAPHY	0	0	11806	0

Field	Value	IRS element (for citing)
Total Retained By Contractors	285128	TotalRetainedByContractors
Licensed States	AK	LicensedStates
Licensed States	AZ	LicensedStates
Licensed States	CO	LicensedStates
Licensed States	FL	LicensedStates
Licensed States	GA	LicensedStates
Licensed States	IL	LicensedStates
Licensed States	KY	LicensedStates
Licensed States	ME	LicensedStates
Licensed States	MD	LicensedStates
Licensed States	MA	LicensedStates
Licensed States	MI	LicensedStates
Licensed States	MN	LicensedStates
Licensed States	MS	LicensedStates
Licensed States	MO	LicensedStates
Licensed States	NH	LicensedStates
Licensed States	NJ	LicensedStates
Licensed States	NM	LicensedStates
Licensed States	NY	LicensedStates
Licensed States	ND	LicensedStates
Licensed States	OH	LicensedStates
Licensed States	OK	LicensedStates
Licensed States	OR	LicensedStates
Licensed States	TN	LicensedStates
Licensed States	UT	LicensedStates
Licensed States	WA	LicensedStates
Licensed States	WI	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GALA	NameOfEvent1
Gross Receipts Event1	441258	GrossReceiptsEvent1
Charitable Contributions Event1	145615	CharitableContributionsEvent1
Gross Revenue Event1	295643	GrossRevenueEvent1
Other Direct Expenses Event1	118750	OtherDirectExpensesEvent1
Gross Receipts Total	441258	GrossReceiptsTotal
Charitable Contributions Total	145615	CharitableContributionsTotal
Gross Revenue Total Events	295643	GrossRevenueTotalEvents
Other Direct Expenses Total Events	118750	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	118750	DirectExpenseSummaryEvents
Net Income Summary	176893	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	139490	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	139490	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4261724	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1334798	DirectOffsettingRevenue
Net Community Benefit Expense	2926926	NetCommunityBenefitExpense
Percent Of Total Expense	0.01560	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4401214	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1334798	DirectOffsettingRevenue
Net Community Benefit Expense	3066416	NetCommunityBenefitExpense
Percent Of Total Expense	0.01630	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1422318	TotalCommunityBenefitExpense
Direct Offsetting Revenue	538172	DirectOffsettingRevenue
Net Community Benefit Expense	884146	NetCommunityBenefitExpense
Percent Of Total Expense	0.00470	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1237038	TotalCommunityBenefitExpense
Direct Offsetting Revenue	219745	DirectOffsettingRevenue
Net Community Benefit Expense	1017293	NetCommunityBenefitExpense
Percent Of Total Expense	0.00540	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1797859	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1089163	DirectOffsettingRevenue
Net Community Benefit Expense	708696	NetCommunityBenefitExpense
Percent Of Total Expense	0.00380	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1568253	TotalCommunityBenefitExpense
Direct Offsetting Revenue	275899	DirectOffsettingRevenue
Net Community Benefit Expense	1292354	NetCommunityBenefitExpense
Percent Of Total Expense	0.00690	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	279290	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	279290	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6304758	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2122979	DirectOffsettingRevenue
Net Community Benefit Expense	4181779	NetCommunityBenefitExpense
Percent Of Total Expense	0.02230	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10705972	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3457777	DirectOffsettingRevenue
Net Community Benefit Expense	7248195	NetCommunityBenefitExpense
Percent Of Total Expense	0.03860	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	40000	TotalCommunityBuildingExpense
Net Community Building Expense	40000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	6000	TotalCommunityBuildingExpense
Net Community Building Expense	6000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	46000	TotalCommunityBuildingExpense
Net Community Building Expense	46000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$292,824	BadDebtExpenseAmount
Amount Reimbursed By Medicare	49505151	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	56203872	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-6698721	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	NEW ENGLAND BAPTIST HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	125 PARKER AVE	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02120	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Other	OUTPATIENT SURGERY & RADIOLOGY	Other

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
General Explanation	SEE SCHEDULE O	GeneralExplanation

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	0	RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
MISSION HILL LINK
8 BUCKNAM ST	BOSTON	MA	02120	042921969	45000	CASH	SEE SCH H
CITY OF BOSTON PARKS & REC
1010 MASS AVE 3RD FLOOR	BOSTON	MA	02118			FMV	SEE SCH H	70000	MAINTENANCE OF PLAYGROUND
ABCD COMMUNITY PROPERTIES
178 TREMONT ST	BOSTON	MA	02111		6500	CASH	SEE SCH H

Field	Value	IRS element (for citing)
Total Nbr Of Other Organizations	3	TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	1	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	1	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	1	InitialContractException
Rebuttable Presumption Procedure	1	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BASILICO MD FREDERICK C
110475	110475	0	0	0	0	0	0	0	0	110475	110475	0	0
GULCZYNSKI RN MS DIANE
273545	0	41600	0	18483	0	-33952	0	12627	0	312303	0	41600	0
RICHMOND MD JOHN C
117804	117804	0	0	19	19	0	0	0	0	117823	117823	0	0
STRIEDER HELEN R
299992	12500	14400	600	23934	997	0	110	2636	0	340962	14207	14400	600
GHERINGHELLI THOMAS J
218152	9090	36864	1536	31849	1327	-68293	-2846	18208	759	236780	9866	36864	1536
GREEN JAMES F
187977	7832	32256	1344	32107	1338	6330	264	19267	803	277937	11581	32256	1344
COLEMAN DEBRA
196945	0	31050	0	17640	0	-55149	0	7050	0	197536	0	31050	0
MCDONOUGH ERIN
178997	0	30400	0	19483	0	5991	0	11929	0	246800	0	30400	0
THOMPSON LINDA
167248	6969	28416	1184	10851	452	-67724	-2822	25209	1050	164000	6833	28416	1184
BROMS MAUREEN MULKERRIN
168582	0	12000	0	9693	0	21719	0	12348	0	224342	0	0	0
BOTTICELLI MARTIN
154316	0	1811	0	13631	0	5077	0	18091	0	192926	0	1500	0
CALLAHAN ANNE E
160615	0	716	0	18301	0	79735	0	12690	0	272057	0	0	0
VAN FLANDERN GEOFFREY
0	49000	0	0	0	0	0	0	0	0	0	49000	0	0
DIONISIO JOSEPH
5885	0	0	0	757087	0	0	0	0	0	762972	0	757087	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Supplemental Information	Identifier
Return Reference	Part III	ReturnReference
Explanation	SEE SCHEDULE O	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
MASS HEALTH & EDUCATION FACILITIES AUTHORITY
042456011	57586CDK8	2004-08-12	187125000	SEE SCH O	0	0
MASS HEALTH & EDUCATION FACILITIES AUTHORITY
042456011	57586C3S2	2008-06-09	377527010	SEE SCH O	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount DefeasedAmountDefeased	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount In Reserve FundAmountInReserveFund	Amount UnspentAmountUnspent	Capital ExpendituresCapitalExpenditures
187125000	177336630	9788370	1	0	1	1
377527010	204075167	3929290	1	0	0	1	29870999	38496027	121464123

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	1	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	1	MngmentCntrctBondFinancdPrprty
Any Research Agreements	1	AnyResearchAgreements
Bond Counsel Routinely Engaged	0	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00700	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00700	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	0	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	1	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	0	ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
CRICORMF
DIRECTOR	2061589	SEE SCH O	0
FOLEY & LARDNER
DIRECTOR	437712	SEE SCH O	0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	7	NumberOfContributions
Noncash Contribs Rptd F990	125077	NoncashContribsRptdF990
Method Of Determining Revenues	MARKET RATE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (27 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part VI, Section A, line 2	SEE SCH. O
Form 990, Part VI, Section A, line 6	SEE SCH. 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	Prior to filing the Form 990 Tax Return and Related Schedules (Return), each member of the governing body (Board of Trustees) receives a copy of the Return for their review. At the next board meeting, time is then dedicated to discuss and review the Return. The Hospital's Form 990 return is not filed until this review is complete.
Form 990, Part VI, Section B, line 12c	SEE SCH. O
Form 990, Part VI, Section B, line 15	SEE SCH. O
Form 990, Part VI, Section C, line 19	The governing documents, Conflicts of Interest Policy and Financial Statements are available to the general public upon request at the following location: New England Baptist Hospital 125 Parker Hill Ave Boston, MA 02120
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.
Form 990, Part III (1): Organization's Mission	http://www.nebh.org/home/about-us/mission/default.aspx New England Baptist Hospital will transform the lives of those we serve by promoting wellness, restoring function, lessening disability, alleviating pain, and advancing knowledge in musculoskeletal diseases and related disorders. Our mission will be delivered on a foundation of Respect, Ownership, Superior Service and Excellence in all that we do. Form 990, Part III (4a-d): Exempt Purpose Achievements New England Baptist Hospital's (NEBH or Hospital) primary purpose is the operation and maintenance of an acute care, orthopedic specialty hospital and provision of all services related thereto for the benefit of patients. The Hospital operates as an adult Medical / Surgical Hospital with a national reputation in orthopedic care. Patients are offered a full range of services in orthopedics and rheumatology, joint replacement, spine care, foot and ankle care, hand surgery, occupational medicine and sports medicine. We provide a number of quality clinical services. These clinical services are divided into Care Centers. We have an Orthopedic Care Center, as well as Care Centers for Medical, Surgical, Diagnostics and Support Services, Rehabilitation Services and Patient Care. Through our Care Centers, our patients receive not only the finest orthopedic services, but also diagnostic, surgical, medical and rehabilitative treatment that's beyond compare. New England Baptist Hospital strives to provide the most advanced methods of health care combined with compassionate, highly skilled and well trained providers of care. Our Nurses and Health Care Professionals provide a comprehensive array of programs and services that are focused on our patients and meeting our community's health care needs. The care and comfort of our patients is our highest mission. Care to All Patients NEBH is the frontline caregiver providing medically necessary care for all people regardless of 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. NEBH assists patients in obtaining financial assistance from public programs and other sources whenever appropriate. I. Medicaid & Medicare: Medicaid NEBH provides care to patients who participate in 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. In aggregate, the cost of care provided by the NEBH for such services exceeded reimbursement by $1,358,259 for the period covered by this filing. During the fiscal period covered by this filing, 2% or 3,481 of NEBH's patient encounters were with Medicaid patients. This translated to $1,334,798 in Medicaid revenue which was less than the cost of care provided by NEBH for such services by $1,358,259, as reported on this Schedule H. NEBH also makes payments to the Health Safety Net Trust to support the delivery of charity care to patients throughout Massachusetts. These payments are reported as a component of uncompensated care expense in the consolidated statements of operations. Medicare Medicare is the federally sponsored health insurance program for elderly or disabled patients and NEBH provides care to patients who participate in the Medicare program. During the fiscal period covered by this filing, 31% or 47,602 of NEBH's patient encounters were with Medicare patients. This translated to $49,505,151. 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 $6,698,721. Although NEBH considers the provision of clinical care to Medicare patients as part of its community benefit, the additional Medicare shortfall of $6,698,721 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. If NEBH had included the Medicare shortfall in the charity care and community benefit calculation, the percentage on Schedule H would have increased to 7.3%. II. Inpatient Care: New England Baptist Hospital cares for its patients in its 135 licensed beds. During fiscal year 2010, NEBH admitted 7,195 patients, including: 6,668 surgical admissions and 527 medical admissions; total discharges were 7,215 patients; and total Patient Days were 27,022. Net Inpatient Revenue for fiscal year 2010 was $129,188,679. III. Community Walk-in Clinic/ Ambulatory Care Unit/ Emergent Care: Although NEBH is not licensed to operate an emergency department, NEBH still provides care to all who need urgent care, regardless of their ability to pay. NEBH operates a Community Walk-in Clinic (CWC) which functions as an Urgent Care Clinic. Triage and assessment of a patient's condition is available 24 hours a day, 7 days a week regardless of the CWC's hours of operation. The CWC operates treatment hours 7 days a week, with early morning, full day and evening hours on all days, to accommodate as many patients as possible. Where a patient comes to NEBH in need of urgent care after CWC hours, care is still provided. No patient is turned away without care. After CWC hours, the patient is seen and their medical condition assessed to determine whether they can be treated at NEBH or whether their condition would require a transfer to Beth Israel Deaconess Medical Center (BIDMC), a related tertiary care academic medical center and organization exempt from income taxation under Internal Revenue Code Section 501(c)(3) of 1986, as amended, which is located just miles away from NEBH. All patients who come to NEBH, and who can be adequately treated at NEBH, are treated and not transferred, regardless of the patient's ability to pay for care. Outpatient Statistics and Financial Results: Patient visits to NEBH's outpatient clinics and other departments totaled over 145,000 during fiscal year 2010. This includes visits to NEBH's Occupational Medicine, Spine Clinic, Pain Clinic, Ambulatory Care Unit, Radiology, Lab, Physical Therapy and other ancillary departments. Net Outpatient Revenue for FY 10 was $55,915,045. Since care is not conditional on available budget or otherwise rationed, the CWC may run a deficit. In FY 2010, the shortfall was $708,000. IV. Community Healthcare & Education and Other Program Services In addition to providing medical care, New England Baptist Hospital (NEBH or Hospital) is also committed to the maintenance and support of educational activities and the promotion of health and healthcare within the communities served by NEBH, and beyond, and to the quality of life of those individuals. To this end, NEBH engages in many community benefit activities available to the community at large, but especially focused on the neighboring area of Mission Hill, Boston, which is an underserved area. Community Benefits Mission Statement Approved by NEBH Board of Trustees, October 2009 "New England Baptist Hospital is committed to collaborating with community partners and residents across Boston to identify areas of special need in musculoskeletal disease and collaborate on programs to address these needs, with special focus on underserved populations through outreach, education and provision of services to address musculoskeletal health." The Hospital's Community Benefit Report and details are included in the notes to Schedule H, but here is a brief list of the programs during the FY 2010. Musculoskeletal Health: Arthritis, Lupus, and Osteoporosis programs Obesity and Hunger Programs Violence Prevention Community Workforce Development & Job Training Transportation for the Elderly and Community Mission Hill / Roxbury Clean Neighborhood Initiatives For additional information on community benefits provided see Form 990 Schedule H and the Community benefits report which was filed with the Massachusetts Attorney General's office.
	Research New England Baptist Hospital has conducted and supported research activities to improve its methods and abilities to care for patients. NEBH's research program is primarily self-funded. See Schedule H and related notes for further explanations. Program Purchasing Rebates and Discounts The Hospital received $170,542 in purchase discounts and rebates from vendors. This revenue was received based on the volume of purchases of medical supplies, implants, and other program service related purchases. Form 990, Part IV (Q12a): Statement Regarding Audited Financial Statements Explanation of Consolidated Audit The Boston, MA office of KPMG prepared and signed the consolidated audited financial statements of New England Baptist Hospital and Affiliates for fiscal year ended September 30, 2010. The audited financial statements included the accounts of New England Baptist Hospital (NEBH) and New England Baptist Medical Associates of which NEBH is the sole Member. Form 990, Part IV (24a): Statement Regarding Tax Exempt Bond Issue 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 New England Baptist Hospital (NEBH). NEBH 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 NEBH. Form 990, Part V (Q 7 g& h): Gifts of Qualified Intellectual Property New England Baptist Hospital did not receive and contributions of qualified intellectual property or vehicles during the fiscal year ended September 30th, 2010. Form 990, Part VI Section A, line 2: Business and Family Relationships The following individuals are deemed to have business relationships which arise from their roles as Officers, Directors and / or Trustees of New England Baptist Hospital and its affiliated entities during the fiscal year ended September 30, 2010: Officers and / or Trustees of: New England Baptist Medical Associates Frederick C. Basilico, M.D. Stephen J. Camer, M.D. Thomas J. Gheringhelli Patricia Hannon Gary Kearney, M.D. John Richmond, M.D. Officers and / or Directors of: CareGroup, Inc. Richard J. Maloney Helen Strieder John Wilkins Form 990, Part VI Section A, line 6: Members or Stockholders Statement Form 990, Part VI Section A, line 7a & b: Governing Body Elections & Decisions CareGroup, Inc. is the sole member of New England Baptist Hospital (NEBH or Hospital). According to NEBH bylaws, Caregroup approves but does not elect members of the governing body. The member, according to NEBH's bylaws, has the following rights: To approve the President who shall be NEBH's representative in the management of the Hospital; The power and authority to approve annual operating and capital budgets for the Hospital; To approve unbudgeted capital expenditures in excess of 5% of the most recent approved annual capital budget in the aggregate; To approve any unbudgeted capital commitment in excess of $5 million shall be subject to approval by the Parent; To select the independent auditors to examine the financial accounts of the Hospital; To approve the overall strategic and financial plans for the Hospital, which shall be consistent with the strategic and financial plans and programs of the Member; To approve the borrowing of, or incurrence of debt, in any amount, other than (a) for purposes of securing working capital from a lender which shall have been approved by the Parent and pursuant to then-existing loan documentation containing the terms and provisions relating to such borrowing which shall have been approved by the Parent and (b) 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 Parent for the year in which incurred; and, To approve any voluntary dissolution, merger or consolidation of the Hospital, or the sale or transfer of all or substantially all of the Hospital's assets, or the creation, acquisition or disposal of any subsidiary or affiliated corporation, or the entering into of any joint venture or other partnership arrangement by the Hospital. The Member also has the power and authority to initiate and to take on behalf of the Hospital any of the foregoing actions described above, the exclusive power and authority to initiate any bankruptcy or insolvency action on behalf of the Hospital and Other powers and rights as vested by law. Form 990, Part VI (12c): Conflicts of Interest Policy Monitoring & Compliance New England Baptist Hospital (NEBH or Hospital) consistently monitors and enforces compliance with its Conflict of Interest Policy through its Compliance Subcommittee, which by the Hospital's by-laws is organized as follows: There shall be a Compliance Subcommittee of the Finance and Audit Committee, which shall be chaired by an independent, Elected Trustee and comprised of at least three (3) additional members of the Finance and Audit Committee and such other persons as may be appointed from time to time by the chair of the Subcommittee in consultation with the chair of the Finance and Audit Committee. The Compliance Subcommittee shall assist in the development and implementation of the Hospital's compliance program, and shall work with Hospital management to promote a culture that encourages ethical conduct and a commitment to compliance with the law. The Compliance Subcommittee shall receive reports from the Hospital's chief compliance officer, and shall assist such officer in the oversight of internal processes and programs that promote adherence to state and federal laws and regulations. In cooperation with senior management, the chief compliance officer, and the various Hospital Departments, the Compliance Subcommittee shall: a- identify and analyze the Hospital's position in the health care industry, the legal and regulatory requirements with which it must comply, and particular areas of risk where unethical or unlawful conduct might occur; b- evaluate existing standards, policies, and procedures that address these areas and formulate recommendations in response to specific risks or systemic shortcomings; c- research, review, recommend and monitor appropriate employee screening policies, training and education programs at all levels of the organization, and written policies and procedures that emphasize legal compliance and ethical behavior; d- oversee the development and oversight of systems for the detection, reporting, and deterrence of potential violations, including appropriate internal mechanisms through which Hospital employees may report or seek guidance regarding potential violations without fear of retribution; e- review and evaluate policies and procedures for responding to allegations of improper or illegal conduct and formulate guidelines for appropriate disciplinary action against employees who have violated internal policies or relevant statutes Form 990, Part VI (15a &b): Process to Determine CEO, Officer, and Key Employee Compensation New England Baptist Hospital (NEBH or Hospital) independently reviews and approves compensation for its executives (including CEO) and other senior officials through its Personnel and Compensation Committee. Outside, independent consultants are utilized and provide comparative market data, and make recommendations to the Committee, which by the Hospital's by-laws is organized and proceeds as follows: The Personnel and Compensation Committee shall be comprised of a chair, who shall be a Trustee, the President of the Hospital, ex-officio without vote, the Vice President, Human Resources of the Hospital, ex-officio without vote, the Treasurer, ex-officio with vote, and three (3) or more persons selected from among the Trustees and/or members of the Board of Visitors. The Personnel and Compensation Committee shall: 1- Periodically review and recommend to the Board of Trustees personnel and compensation policies and practices for the Hospital, consistent with the fiscal policies of the Finance and Audit Committee and the fiscal and strategic policies of the Parent;
	(2)Annually review the performance of, and recommend to the Board of Trustees overall compensation for, the President and any Vice Presidents of the Hospital; (3)Annually provide reports to the Parent's Compensation Committee regarding the general compensation arrangements of the Hospital President and other senior officers, for informational purposes only; (4)Consider issues relating to personnel planning, employee relations, employee education and development, quality of work life, and morale; and (5)Review and make recommendations regarding other significant human resources issues and policies as appropriate. No member of the Personnel and Compensation Committee shall participate in the consideration of his/her personal compensation arrangements. Form 990, Part VIII Line 11D Other Revenue Other Revenue includes: DESCRIPTION BUS. TOTAL CODE REVENUE NEBMA SUPPORT REVENUE 868,786 BIOSKILLS LEARNING EVENTS 541900 201,643 GIFT SHOP 134,425 OTHER PROGRAM 130,782 GUEST ROOM 128,490 ANSWERING SERVICE 517000 87,298 ANTENNA RENTAL 517000 80,100 MANAGED C.RE EHPL REIMB 541900 79,404 ANAESTHESIA ASSOC OF MA 531190 63,791 MEDICAL RECORDS FEES 24,123 X-RAY / LAB PT FEES 20,008 LAUNDRY SERVICES 812300 13,255 PHYSICIAN LOAN INTEREST 10,415 EDUCATION EVENTS 7,421 CAREGROUP ZNV PARTNERSHIP 523,000 UNCO4PENSATED CAPE (8,443) TOTALS 1,841,498 RELATED OR UNRELATED REVENUE EXEMPT FUNC BUSINESS EXCLUDED TION REVENUE REVENUE FROM TAX NEBMA SUPPORT REVENUE 868,786 BIOSKILLS LEARNING EVENTS 201,643 GIFT SHOP 134,425 OTHER PROGRAM 130,782 GUEST ROOM 128,490 ANSWERING SERVICE 87,298 ANTENNA RENTAL 80,100 MANAGED C.RE EHPL REIMB 79,404 ANAESTHESIA ASSOC OF MA 63,791 MEDICAL RECORDS FEES 24,123 X-RAY / LAB PT FEES 20,008 LAUNDRY SERVIES 13,255 PHYSICIAN LOAN INTEREST 10,415 EDUCATION EVENTS 7,421 CAREGROUP ZNV PARTNERSHIP UNCOMPENSATED CAPE (8,443) TOTALS 0 525,491 1,316,007 Form 990, Part XI (Q 2b and 2c): Financial Statements and Committee Oversight As previously reported in this filing, New England Baptist Hospital (NEBH or Hospital) is a public charity, exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The financial records of NEBH are audited each year as part of the NEBH consolidated audited financial statement process. As previously noted, 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 NEBH Audit Committee. Form 990, Schedule C, Part II-A: Description of Lobbying Activities New England Baptist Hospital (NEBH or Hospital) is engaged in lobbying efforts on behalf of itself and other affiliated network entities. Additionally, NEBH 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. NEBH estimates the lobbying costs associated with these combined lobbying activities at $34,897 for the fiscal year ended September 30, 2010. Total lobbying expenditures were minimal and insubstantial based on revenues. Form 990, Schedule D, Part V: New England Baptist Hospital Endowment Fund Under the New England Baptist Hospital's (NEBH or Hospital) current long-term investment spending policy, which is within the guidelines specified under Massachusetts state law, 5% of the of qualifying income available may be appropriated. During FY 2010, $109,989 was appropriated of which $22,869 was related specifically to free care. In establishing these policies, NEBH considered the expected return on its endowment and its programming needs. Accordingly, NEBH expects the current spending policy to allow its endowment to maintain its purchasing power and to provide a predictable and stable source of revenue to the annual operating budget. Additional real growth will be provided through new gifts or excess investment return. Form 990, Schedule D, Part VII: Investments Other Securities As of September 30, 2010, New England Baptist Hospital (NEBH or Hospital) had market value investments of $12,819,487 with Caregroup Investment Partnership (EIN: 04-3278109: See Schedule R for additional information on this related entity). The holdings as of this date included: CAREGROUP INVESTMENT PARTNERSHIP - EIN: 04-3278109 - Amounts Real Assets 1,953,075 Credit Related 4,639,715 Private Equity & Other Illiquid Investments 9,910,977 Total Investments other Securities 16,503,767 Form 990, Schedule D, Part XI: Reconciliation of Change in Net Assets Part XI; Reconciliation of Change in NetAssets from Form 990 to Financial Statements 1.Total revenue (Form 990, Part VII, Column (A), line 12) 1 196,494,591 2.Total expenses (Form 990, Part IX,Column (A), line 25) 2 187,996,526 3.Excess or(deficit)for the year Subtract 2 from line 1. 3 8,498,065 4. Net unrealized gains (losses) on investments 4 5. Donated services and use of Facilities 5 6. Investment Expenses 6 7.Prior period adjustments 7 8.Other (See Note : A) 8 (258,049) 9. Total adjustments (net) Add lines 4-8 9 (258,049) 10. Execess or(deficit) for the year per financial statements, Combine lines 3 and 9 10 8,240,016 Note A: Line 8 :Other Changes in Net Assets Restricted Contributions - (551,390) Restricted Dividends & Interest- (91,495) Restricted Gain on Investments- (1,973,074) Partnerships lncome/(Losses)from K-1's- - CareGroup Investment Partnership, LLP - - Unrealized Gain on Limted Partnership Equity- 352,324 Net Assets Released to Operations- 2,005,586 Line 8. Other- (258,049)
	Form 990, Schedule D, Part XII: Reconciliation of Revenue Part XII - Reconciliation of Revenue Per Audited Financial Stements with Revenue per Return 1. Total revenue, gains,and other support per audited financial statements 198,034,771 2. Amounts included on line 1 but not on Form 990, Part VIII, Line 12: a Net unrealized gains on investments 2a b Donated services and use of Facilities 2b c Recoveries of prior Year grants 2c d Other (See Note B): 2d 4,156,140 e Add lines 2a through 2d 2e 4,156,140 3 Subtract line 2e from line 1 3 193,878,631 4 Amounts included on Form 990, Part VIII, line 12, but not on line 1: a Investment expences not included on Form 990, Part VIII, line 7b 4a b Other(See Note: B) 4b 2,615,959 c Add lines 4a and 4b. 4c 2,615,959 5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part 1 line 12) 5 196,494,590 Note B: Line 2d: Amounts included on line 1 but not on Form 990, Part IX, line 25: Net Assets Released to Operationn - 2,005,586 Rent Expense on Form 990, Part VIII, line 6b- 1,798,229 Unrealized Gain on Limited Partnership Equity- 352,324 Rounding- 1 New England Baptist Medical Associates Revenue reported in consolidation Partnerships lncome/(Losses)from K-1's Care Group Investment Partnership. LLP Care Group Investment Partnership, LLP Line 2d: Amount induded on line 1 but not on Form 990, Part IX, line 25: 4,156,140 Line 4b: Amounts included on Form 990, Part VlIl, line 12, but not on line 1: Restricted Contributions 551,390 Restricted Dividends & Interest 91,495 Restricted Gain on Investments 1,973,074 Partnerships Income/(Losses) from K-1's Waltham Admin Management Net income - Line 4b: Amounts included on Form 990, Part VIII, Line 12, but not on line 1: 2,615,959 Form 990, Schedule D, Part XIII: Reconciliation of Expenses Part XIII: Reconciliation of Expenses Per Audited Financial Statements with Expenses per Return 1 Total expenses and losses per audited Financial Statements 1 189,794,754 2 Amounts included on line 1 but not on Form 990, Part IX, Line 25: a Donated Services and Use of Facilities 2a b Prior Year adjustments 2b c Losses reported on Form 990, Part IX, Line 25 2c d Other (See Note C) : 2d 1,798,229 e Add lines 2a through 2d 2e 1,798,229 3 Subtract line 2e from line 1 3 187,996,525 4 Amounts included on Form 990, Part VIll,line 12 but not on line 1: a Investment expenses not included on Form 990, Part VIII, Line 7b 4a b Other (Describe in Part XIV) 4b c Add lines 4a and 4b 4c 5 Total Expenses Add lines 3 and 4c. 5 187,996,525 (Form 990, Part I, line 18) Note C: Line 2d: Amounts included on line 1 but not on Form 990, Part IX, Line 25 Rent Expense on Form 990, Part VIII, line 6b 1,798,229 New England Baptist Medical Associates Revenue reported in consolidation 0 Line 2d: Amounts included on line 1 but not on Form 990, Part IX, line 25: 1,798,229
	Schedule H, Part VI, Line 1: Part I, Line 3(c): Federal Poverty Guidelines and Patient Eligibility: Free Care Free Care is provided for medically necessary service to patients who have been deemed financially unable to pay for all or part of the hospital care pursuant to the hospital's credit and collection policy. Eligibility is available to Massachusetts residents whose family income is equal to or less than 200% of the Federal Poverty Guidelines (FPG). The FPG is updated annually and is posted on the state's Division of Health Care Finance and Policy website: http://www.mass.gov/Eeohhs2/docs/masshealth/deskguides/fpl_deskguide.pd Discounted Care Discounted Care is provided to Low Income Patients who meet the criteria under 114.6 CMR 13.04(1). In order to be determined a Low Income Patient; an individual must be a Resident of the Commonwealth and document Family Income equal to or less than 400% of the FPG, subject to the following conditions. The following individuals are not eligible for Low Income Patient status: Individuals enrolled in MassHealth Standard and MassHealth Family Assistance/Direct Coverage programs; Individuals who have been determined eligible for any MassHealth program including MassHealth Premium Assistance but who have failed to enroll; and Individuals whose enrollment in MassHealth or Commonwealth Care has been terminated due to failure to pay premiums. Schedule H, Part VI, Line 1: Part I, Line 6(a): Community Benefit Report filed? New England Baptist Hospital (NEBH or Hospital) prepares and files an annual non-profit hospital community benefit report with the State of Massachusetts Office of Attorney General. 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 NEBH filed with the Attorney General's office. Current and past filings of the Hospital's Community Benefit Report are made public on both the Hospital's public website and that of the Massachusetts Office of Attorney General: http://www.nebh.org/home/about-us/community-programs/default.aspx http://www.cbsys.ago.state.ma.us/healthcare/hccbar.asp Schedule H, Part VI, Line 1: Part I, Line 7(a-d): Charity Care & Means-Tested Programs Charity Care NEBH provides care without charge or at amounts less than its established rates to patients who meet certain criteria under its charity care policy. Because NEBH does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue except to the extent reimbursed by the Massachusetts Health Safety Net Trust (Health Safety Net Trust). NEBH also makes payments to the Health Safety Net Trust to support the delivery of charity care to patients throughout Massachusetts. These payments are reported as a component of uncompensated care expense in the consolidated statements of operations. NEBH's net cost of charity care, calculated using an internal cost to charge ratio calculations and including payments to the Health Safety Net Trust, was $1,708,157 for the fiscal period covered by this filing. Other Uncompensated Care NEBH 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. In aggregate, the cost of care provided by the NEBH for such services exceeded reimbursement by $1,358,259 for the period covered by this filing. During the fiscal period covered by this filing, 2% or 3,481 of NEBH's patient encounters were with Medicaid patients. This translated to $1,334,798 in Medicaid revenue which was less than the cost of care provided by NEBH for such services by $1,358,259, as reported on this Schedule H. Medicare is the federally sponsored health insurance program for elderly or disabled patients and NEBH provides care to patients who participate in the Medicare program. During the fiscal period covered by this filing, 31% or 47,602 of NEBH's patient encounters were with Medicare patients. This translated to $49,505,151. 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 $6,698,721. Although NEBH considers the provision of clinical care to Medicare patients as part of its community benefit, the additional Medicare shortfall of $6,698,721 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. If NEBH had included the Medicare shortfall in the charity care and community benefit calculation, the percentage on Schedule H would have increased to 7.3%. Bad Debts In addition to charity care and shortfalls in providing services to patients insured under state and federal programs, NEBH 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 $1,103,000 the fiscal period covered by this filing and are reported as Bad Debts on Form 990 Part IX, functional expenses. The estimated cost of providing such services was approximately $292,824 for the fiscal year ended September 30, 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. The percentages calculated in Part I Line 7 column f were based on each item of community benefit as required as a percentage of Total Expenses reported in Part IX of this Form 990 decreased by the bad debt expense based on charges also reported in the Part IX of this Form 990. Please see the notes to the audited financials for bad debts included in this Schedule H disclosure (Part III, Line 4) and the following summary: Benefit Charity Care & Means Tested Govt's Programs (Expense, Offsetting Revenue, Net Community Benefit Expense) A) Charity Care At Cost 139,490 - 139,490 B) Contribution to Health Safety Net pool 1,568,667 1,568,667 Unreimbursed Medicaid, Net 2.693,057 (1,334,798) 1,358,259 Total to Sch H, Part I, Line 7d 4,401,214 (1,334,798) 3,066,416
	Schedule H, Part VI, Line 1: Part I, Line 7(e): Community Health Improvement Services New England Baptist Hospital (NEBH) provides certain health improvement services with the purpose of improving community health. These services are provided for the benefit of our community, and subsidized by the organization and provided in conjunction with community needs discussions. If NEBH discontinued these services, then other community not-for-profit organizations or government agencies would bear the additional burden of coverage and service. The following is a list of the programs (please see descriptions of the programs below) that were subsidized by the Hospital in FY 2010: Subsidized Health Service (Expense, Direct Offsetting Revenue, Net Community Benefit Expense) Orthopedic Braces to Patients at NO Cost 356,033 356,033 Community Health Services in Mission Hill 413,659 (134,716) 278,943 Psychiatric Care & counselling 132,406 132,406 Community Health Services in Hyde Park 481,220 (403,456) 77,764 Workforce Development/ Job Training (M. Came) 39,000 39,000 Totals to Sch H, Part I, Line 7e 1,422,318 (538,172) 884,146 Orthopedic Braces Provided to Patients at No Cost As a center of Orthopedic Excellence, NEBH is a place where the care and comfort of our patients extends beyond their hospital visit. The NEBH Brace Program provides patients with the custom durable medical equipment (DME)they need after surgery or hospital visit. Each patient need is different and the program is designed to best protect, support, and rehabilitate patients in our community. Common needs include: an Community Walk-in Clinic/Ambulatory Care Unit (CWC) patient needing a custom cast, walking boot, walker or brace after a fall; a patient requiring a customized orthotic for protection before going home after surgery; or a patient continuing rehabilitation using a continuous passive motion devices (CPM's). This program is designed to allow our patients to safely exit the hospital and support them as they return to their daily routines. In FY 2010, the brace program required a net subsidy of $332,000k. Community Health Services on Mission Hill & Hyde Park NEBH is a referral and appointment based orthopedic specialty hospital. In FY 2010 total inpatient hospital admissions were 7,195, of which 93% were for surgical procedures - primarily hip, knee, and other musculoskeletal procedures; and outpatient activity were predominantly appointment surgeries and related ancillary visits to radiology, lab, and physical therapy clinics. The CWC, as mentioned above, is designed to meet the urgent care needs not met by our appointment based structure. Beyond urgent care and appointment surgeries, though, the Hospital identified a need within its immediately surrounding community for continuing care. In FY 2009, the Hospital hired a primary care physician with offices on Mission Hill, Dr. Bill Tsikitas, to provide those in the Mission Hill community with a first contact for undiagnosed health concerns or preventive care needs. Similarly to the CWC, patients with conditions best served by other health care organizations are transferred. His practice is not designed or maintained to find and refer orthopedic cases, but rather to provide the underserved Mission Hill area with access to primary care. In FY 2010, Dr. Tsikitas' practice required a subsidy $279,000 and the Hospital expects to provide a similar financial subsidy in future years to ensure continued provision of healthcare to this community. Boston's foreign-born population has increase by almost 50% over the past twenty years and now makes up an estimated 28% of the population, well above the state and national averages and making Boston one of the most diverse cities in the United States. The origin of these recent immigrants is incredibly diverse, no single country of origin represents more than 10% of this foreign-born population and it is estimated that there are over 140 different languages spoken in Boston homes. Settlement of recent immigrants is similarly diverse, as every Boston neighborhood has seen its foreign-born population grow at higher rates than the general population. Hyde Park, a neighborhood at the southern edge of Boston (approximately a fifteen minute drive from NEBH) has experienced similar growth in diversity. Since 2005 NEBH has subsidized the practice of Dr. Gregory Talalyevsky, a Russian-speaking primary care physician, to the meet the unique needs of that community. Dr. Talalayevsky's small practice has a steady patient base of the elderly and Russian-speaking population in Hyde Park and if this community based practice geared to providing healthcare to this unique community were to close, it would be more difficult for this population to access care. These patients and other non-profits or government agencies would suffer additional financial burdens. In FY 2010, Dr. Talayevsky's practice required a $78,000 subsidy and the Hospital expects to provide a similar financial subsidy in future years. Psychiatric Care and Counseling As previously noted in this Form 990, NEBH's primary purpose is the operation and maintenance of an acute care hospital and provision of all services related thereto for the benefit of patients. The Hospital is nationally recognized for its orthopedic care, and patients are offered a full range of services in orthopedics and rheumatology, joint replacement, spine care, foot and ankle care, hand surgery, occupational medicine and sports medicine. Many patients who come to NEBH for care suffer from significant pain issues as well but generally need to be free from pain medications prior to surgical intervention. NEBH provides patient support both before and after surgery. Dr. Ken Larsen and his staff offer psychiatric care, counseling and pastoral care to patients and families, supporting their emotional well being while they recover physically. NEBH standard psychiatric care includes evaluations during pre-admission screening, monitoring of patients during pre & post-operative periods, and for certain patients, support during detoxification and management of pain. The Hospital offers these services without reimbursement, for the well being of its patients and their families. NEBH also offers Ministry Services and is fully accredited through the Association of Clinical Pastoral Education. Chaplains, led by Dr. Larsen, provide spiritual counseling upon request. A full Chapel is open to all visitors, patients, and employees, as well as prayer room located next to the Intensive Care Unit (ICU). The Hospital offers these services without reimbursement, for the well being of its patients, their families and our community. In FY 2010, these services required a subsidy of $132,000 and the Hospital expects a similar financial expenditure in future years. Workforce Development/Job Training NEBH is committed to providing employment, supporting job training and supporting the educational needs of the health care workers of tomorrow. This too is a subject of high priority for our community. The Hospital and the community together have pledged a stronger focus on education and job training through: -Partnership with local high schools to promote either post-graduate education or job training in health careers, -Continuation of the Meredith Cameron Youth Opportunity Internship -Aggressive recruitment of community residents to NEBH staff. At NEBH, the philosophy centers around a continuum of programming beginning with work in the elementary schools through entry level positions and above at the Hospital. The Hospital has programs designed to introduce health care careers to elementary and middle school students through partnerships with local schools. It works too with high school and college students through existing partnerships with the Private Industry Council, ABCD Summerworks, the Mission Hill Youth Collaborative and Sociedad Latina, a youth agency in Mission Hill.
	In 2010, NEBH made an important commitment to our community by creating the Meredith Cameron Youth Opportunity Internship, named after a long-term Hospital employee. The goal of this program is to offer a paid internship to 10th-12th grade high school students and local college students living in the Mission Hill/Roxbury area. In 2010, NEBH had 11 summer interns. Two of the interns were hired as permanent employees. Human Resources staff meets with students throughout the internship. The students provide evaluations at the end of the internship so that the internship can be evaluated. The budget for the Meredith Cameron Youth Opportunity Internship is developed each year with the goal of hiring 10-12 interns each summer. Schedule H, Part VI, Line 1: Part I, Line 7(f): Health Professions Education New England Baptist Hospital (NEBH) serves as a teaching hospital affiliated with the Tufts University School of Medicine and Philadelphia College of Medicine and maintains residency programs specializing in orthopedics and radiology. Residents in these programs obtain education necessary to be licensed as a health professional, and their selection and rotation beyond the NEBH program is in no way restricted. In addition, the Hospital offers annually one International professional similar opportunity for education through its International Fellowship Program. In FY 2010, the Hospital Health Professions Education was as follows: Health Professions Education (Expense, Direct Offsetting Revenue, Net Community Benefit Expense) Residents (offset by GVE Reimbursement) 1,225,088 (219,745) 1,005,298 International Fellowship 12,000 - 12,000 Totals to Sch. H, Part I, line 7f 1,237,088 (219,745) 1,017,298 Schedule H, Part VI, Line 1: Part I, Line 7(g): Subsidized Health Services As previously noted, New England Baptist Hospital provides a Community Walk-in Clinic/Ambulatory Care Unit (CWC) despite it generating a net financial loss for the organization. These services are offered for the benefit of our community. If NEBH discontinued these services, then other community not-for-profit organizations or government agencies would bear the additional burden of coverage and service. Community Walk-in Clinic (CWC) Although NEBH is not licensed to operate an emergency department, NEBH still provides care to all who need urgent care, regardless of their ability to pay. NEBH operates an Community Walk-in Clinic/Ambulatory Care Unit (CWC) which functions as an Urgent Care Clinic. Triage and assessment of a patient's condition is available 24 hours a day, 7 days a week regardless of the CWC's hours of operation. The CWC operates treatment hours 7 days a week, with early morning, full day and evening hours on all days, to accommodate as many patients as possible. Where a patient comes to NEBH in need of urgent care after CWC hours, care is still provided. No patient is turned away without care. After CWC hours, the patient is seen and their medical condition assessed to determine whether they can be treated at NEBH or whether their condition would require a transfer to Beth Israel Deaconess Medical Center (BIDMC), a related tertiary care academic medical center and organization exempt from income taxation under Internal Revenue Code Section 501(c) (3) of 1986, as amended, which is located just miles away from NEBH. All patients who come to NEBH, and who can be adequately treated at NEBH, are treated and not transferred, regardless of the patient's ability to pay for care. Since care is not conditional on available budget or otherwise rationed, the CWC may run a deficit. In FY 2010, the shortfall was $708,000. Schedule H, Part VI, Line 1: Part I, Line 7(h): Research The NEBH Division of Research supports existing research groups within and outside of the Hospital in clinical, transactional, and patient-centered research, with a focus on three key areas: joint replacement, osteoarthritis, and spine research. Each year, the Division of Research hosts a Symposium where research principal investigators share their knowledge to the public. NEBH research is predominantly self-funded. Schedule H, Part VI, Line 1: Part I, Line 7(i): Contributions to Community Health Related Initiatives In 2009, members from the Community Benefits Committee met with community residents and community organizations as well as elected officials in the Mission Hill / Roxbury district of Boston which is adjacent to NEBH, to define what needs there were in this community. The needs expressed along with information from the Department of Public Health led to NEBH focusing on the following community health related areas: Musculoskeletal Health: Osteoporosis, Arthritis & Lupus Hunger Obesity Transportation for the Elderly Neighborhood Improvement / Violence Prevention Musculoskeletal Health Osteoporosis Osteoporosis, a disease of bones that leads to increase risk of fractures is a major public health threat in the United States. Ten million Americans are estimated to already have the disease and almost 34 million more are estimated to have low bone mass, placing them at increased risk for osteoporosis. Twenty percent of non-Hispanic Caucasian and Asian women aged 50 and older are estimated to have osteoporosis, and 52 percent are estimated to have low bone mass. While osteoporosis is often thought of as an older person's disease, it can strike at any age. Yet, osteoporosis can be prevented through education about and adoption of healthy behaviors around nutrition, exercise and supplements. The Massachusetts Department of Public Health (DPH) has identified osteoporosis as a public health issue and established the Osteoporosis awareness program. Physical activity can improve the overall health and well-being of older adults. Even modest levels of activity, done each day for a total of 30 minutes, can prevent or control osteoporosis and weight gain. New England Baptist Hospital (NEBH or Hospital) and its community have identified osteoporosis prevention as shared goal: to be achieved through increased education, activity and hopefully, behavior change. NEBH provided funding for community activities to address osteoporosis. One program in particular that was selected was the Walking Group at Roxbury Tenants of Harvard, a walking /exercise program held in Mission Hill, serving between 20-30 women and men between the ages of 40 and 80 from all ethnic backgrounds at each session. The Hospital provided funding to support this program. The Hospital also offers community educational programs such as stretching, eating healthy, etc. to members of this group. Arthritis and Lupus The goal of this initiative is to address access, education, treatment, and support needs of people with arthritis and lupus, especially for the under-served populations in the City of Boston, targeting women of color. This goal was identified after the Arthritis Foundation and the Hospital worked together with a joint goal of providing outreach and services into the community of color. For 2010, the group asked for a continuation of the guest speaker series with an emphasis on hearing from more providers and with a goal of increasing health awareness through community education. Speakers covered a variety of issues including new medications for arthritis, joint replacement, new therapies and treatments, resources for disabilities and helpful techniques to manage arthritis and lupus. Speakers and events were scheduled throughout the year. Participants this year remained diverse: about 50% African American, 40% Caucasian, and 10% Latina. Hunger Hunger is on the rise in Massachusetts. In low income communities, families with children suffer from hunger four times more often than the statewide average and it is well established that failure to consume a healthy diet has an direct impact on an individual's health. NEBH is committed to combating hunger in our community with the goal of being able to provide food to the appropriate community centers and schools so that no one goes hungry. In 2010, NEBH partnered with the Action for Boston Community Development (ABCD) Parker Hill/Fenway Neighborhood Service Center and the Farragut School to combat hunger. ABCD houses a food pantry for the Roxbury/Mission Hill community that serves 200 families in their home each month. Families at the Farragut School were able to have dinner during the Thanksgiving and Christmas holidays when they would otherwise go hungry. Community Relations staff meets regularly with ABCD staff and the Farragut school to make sure there is food for families in our community. NEBH will focus again on Hunger in 2011, adding the Mission Hill School to this initiative.
	Obesity Obesity has reached epidemic proportions in the United States and Massachusetts. While many epidemics can be defeated with a pill or a vaccine, obesity requires changes in behavior as well as access to affordable, nutritious foods and opportunities for physical activity in the places where people live. Low income residents are more likely to be overweight and obese for a variety of socio-economic reasons and low income residents are more likely to develop chronic diseases - such as diabetes, heart disease, osteoarthritis and high blood pressure. NEBH has a long-standing commitment to improving the health status of Boston residents, with a focus on Mission Hill. The goal of this initiative is to address the need for physical activity in order to combat obesity. The Hospital has worked together with various community constituents such as the Mission Hill Little League, Mission Hill Softball League, Maurice J. Tobin Community Center and community members on the importance of physical activity. Working with these and other community groups, we have a goal to decrease the number and percentage of overweight and obese, by promoting wellness and exercise. In 2010, NEBH provided maintenance for McLaughlin Field, a park at the top of Mission Hill comprised of two ball fields and a playground, and funding for lights at the Field. NEBH additionally provides funding support of the Leagues as well as a summer Camp at the Maurice J. Tobin Community Center. These efforts help to encourage exercise which supports a healthier lifestyle of, and the overall health of, the community. Elderly Transportation The Mission Hill neighborhood is located on one of the highest hills and points in Boston with a measurably steep incline/decent between Mission Hill itself and access to amenities including certain types of medical care, healthy food shopping options, etc in the neighborhoods located at the base of Mission Hill. While public transportation is available at points around and at the bottom of the Hill, Mission Hill itself lacks sufficient public transportation options to help community members safely access the lower neighborhoods and amenities. Due to the area topography, the community need for public transportation is especially prevalent among the elderly population of the Mission Hill neighborhood whose footing is less certain and who are more likely to suffer from medical complications if they were to fall. At the request of the neighborhood, NEBH has partnered with Mission Hill Link, Inc., a local non-profit organization, to provide community bus service to the Mission Hill section of Boston, for many years. NEBH funds almost half of the Mission Hill Link budget each year. In addition, the Director of Public Affairs and Community Benefits is a volunteer member of the Mission Hill Link board. Board members receive regular feedback from community riders of experiences and needs, which helps NEBH continue to improve the services provided realted to this otherwise unmet community need. Neighborhood Improvement / Violence Prevention The goals of these initiatives focus on the health and well being of Mission Hill residents. Health is defined broadly in this case and includes employment, housing, safety, and neighborhood development. This is accomplished by working with a variety of agencies on a number of initiatives to benefit seniors, youth and adults in the community. In 2011, NEBH will continue discussions with the community both to evaluate its mission statement and continue to develop programming to address identified community needs. Violence Prevention Community agencies and the Boston Police are working with the youth in Mission Hill/Roxbury by reaching out and providing education and activities to them. One of the goals for the Mission Hill Youth Collaborative (MHYC) is to provide violence prevention activities. NEBH will work with community groups and the Boston Police to help educate and keep our youth busy with activities to prevent violence in our community. The MHYC serves over 1,500 youth and families living in the Mission Hill area. Mission Hill / Roxbury: Cleaner Neighborhood Cleaner neighborhoods lead to lower crime and increased availability to parks and public areas for its residents. Safer neighborhoods and better access for outdoor activity improve resident's physical and mental health, which lead to healthier and happier families. NEBH and our Mission Hill community share these goals. The Hospital's Director of Public Affairs and Community Relations manages a Clean Neighborhood program for the community to clean the streets of Mission Hill. The Community Relations staff works closely with representative of area colleges and universities to identify students requiring or requesting community service. NEBH staff provides the students equipment and clothing, then directs and monitors their neighborhood clean-up. NEBH Director of Public Affairs and Community Relations reports reviews and reports the student's individual progress and the program's effectiveness to interested community groups: college and university representatives, City of Boston elected officials, Mission Hill residents, and the Mission Hill Problem Properties Committee. Summary of Cash & In-kind Contributions to Community Groups NEBH Director of Community Relations 113,663 Mission Hill Obesity & Hunger Prevention Initiatives 60,675 Transportation for the Elderly(Mission Hill Link) 45,250 Mission Hill Neighbourhood Involvement / violence Prevention 42,697 Mission Hill Neighbourhood Clean-up 10,900 Anthritis, Lupus & Osteoporosis Initiatives 6,105 Total 279,290 Schedule H, Part VI, Line 1: Part III, line 4: Audited Financials Footnote for Bad Debt Expense The audited financial statements of New England Baptist Hospital (Hospital) include the Hospital and New England Baptist Medical Associates, of which NEBH is its sole member. Footnote 3 (included in its entirety below) of those statements describe and detail FY 2010 charity care and bad debt expense. The Hospital records bad debts in accordance with Healthcare Financial Management Association Statement No. 15. As such, the expense represents the expected lost revenue rather than the full charges or at cost. (3) Community Service and Uncompensated Care The cost of the Corporation's unreimbursed charity and other uncompensated care consisted of the following (in thousands): For Years ended September 30, 2009 and 2010 Unreimbursed charity care- at cost 139 (21) Uncompensated care Expense 2,672 2,944 Total 2,811 2,923 (a) Unreimbursed Charity Care The Corporation provides care without charge or at amounts less than its established rates, to patients who meet certain criteria under its charity care policy. Because the Corporation does not pursue collection of amounts determined to qualify as charity care, they are not reported as revenue except to the extent reimbursed by the statewide Health Safety Net (HSN). The amount of charity care at established charges, and the estimated cost of unreimbursed charity care provided by the Corporation, is comprised of the components listed below (in thousands): For Years ended September 30, 2009 and 2010 Charity Care- at established charges 233 224 Estimated cost of charity care 139 138 Less reimbursement from the HSN - (159) Unreimbursed charity care-at cost 139 (21) (b) Uncompensated Care The Corporation also provides for the delivery of charity care to the indigent statewide through payments to the HSN that is operated by the Commonwealth of Massachusetts. In addition, the Corporation provides services that were not paid by patients and, therefore, are recorded as bad debts. The Corporation has reported its gross obligation to the HSN for the delivery of charity care to the indigent statewide and bad debts as uncompensated care expense in the consolidated statements of operations as follows (in thousands): For Years Ended September 30, 2010 and 2009 Gross obligation to the HSN for the delivery of charity care to the indigent statewide 1,569 1,651 Provision for bad debts 1103 1293 Total 2,672 2,944 Schedule H, Part VI, Line 1: Part III, Section B., Line 8: Medicare Shortfall and Costing Methodology Medicare Shortfall As previously noted, Medicare is the federally sponsored health insurance program for elderly or disabled patients and NEBH provides care to patients who participate in the Medicare program. NEBH considers the provision of clinical care to Medicare patients as part of its community benefit, even thought the Medicare shortfall is not quantified on page 1 of the Schedule H, per the IRS instructions. The Hospital's Medicare shortfall is a community benefit.
	In our community, many low income individuals receive Medicare benefits. The elderly are often an underserved population who experience difficulty with access to healthcare services. Without tax-exempt hospitals providing Medicare services, the federal governments' Centers for Medicare and Medicaid Services (CMS) would bear the burden of directly providing services to the elderly. Medicare Costing Methodology The Hospital uses the cost to charge ratio as computed in its FY 2010 Medicare Cost Report filing for amounts reported in Part III, Section B of this tax return. Schedule H, Part VI, Line 1: Part III, Section C., Line 9b: Collection Practices Does the Organizations Collection Policy contain provisions for Patients known to qualify for charity care of financial assistance? Please see below Section IV of the Hospital's Credit & Collection Policy in its entirety. This section describes the overall Hospital policies and practices, including specific guidance for low income and charity care patients. IV. Hospital Billing and 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, the hospital follows the following criteria related to billing and collecting from patients. A. Collecting Information on Patient Financial Resources and Insurance Coverage 1) Patient Obligations: Prior to the delivery of any health care services (except for cases that are an emergency or urgent care service level), the patient is expected to provide timely and accurate information on their insurance status, demographic information, changes to their family income or insurance status, and information on any deductibles or co-payments that are owed based on their existing insurance or financial program's payment obligations. The detailed information will include: a)Full name, address, telephone number, date of birth, social security number (if available), current health insurance coverage options, citizenship and residency information, and the patient's applicable financial resources that may be used to pay their bill; b)Full name of the patient's guarantor, their address, telephone number, date of birth, social security number (if available), current health insurance coverage options, and their applicable financial resources that may be used to pay for the patient's bill; and c)Other resources that may be used to pay their bill, including other insurance programs, motor vehicle or homeowners insurance policies if the treatment was due to an accident, worker's compensation programs, student insurance policies, and any other family income such as an inheritances, gifts, or distributions from an available trust, among others. It is ultimately the patient's obligation to keep track of and timely pay their unpaid hospital bill, including any existing co-payments, co-insurance, and deductibles. The patient is further required to inform either their current health insurer (if they have one) or the agency that determined the patient's eligibility status in a public program of any changes in family income or insurance status. The hospital may also assist the patient with updating their eligibility in a public program when there are any changes in Family Income or insurance status, but only if the hospital is made aware by the patient of facts that may indicate a change in the patient's eligibility status. Patients are required to notify the applicable public program in which they are enrolled (e.g., Office of Medicaid and the Health Safety Net), of any information related to a change in family income or any lawsuit or insurance claim that may cover the cost of the services provided by the hospital. A patient is further required to assign the right to a third party payment that will cover the costs of the services paid by the applicable public program, such as the Office of Medicaid or the Health Safety Net. 2) Hospital Obligations: The hospital will make all reasonable and diligent efforts to collect the patient's insurance and other information to verify coverage for the health care services to be provided by the hospital. These efforts may occur when the patient is scheduling their services, during pre-registration, while the patient is admitted in the hospital, upon discharge, or during the collection process which may occur for a reasonable time following discharge from the hospital. This information will be obtained prior to the delivery of any non-emergent and non-urgent health care services (i.e., elective procedures as defined in this credit and collection policy). The hospital will delay any attempt to obtain this information during the delivery of any EMTALA level emergency or urgent care services, if the process to obtain this information will delay or interfere with either the medical screening examination or the services undertaken to stabilize an emergency medical condition. The hospital's reasonable and diligent efforts will include, but is not limited to, requesting information about the patient's insurance status, checking any available public or private insurance databases, and following the billings rules of a known third party payer. When hospital registration or admission staff are made aware of any such information, they shall also inform patients of their responsibility to inform the appropriate public program of any changes to family income or insurance status, including any lawsuit or insurance claim that may cover the cost of the services provided by the hospital. If the patient or guarantor/guardian is unable to provide the information needed, and the patient consents, the hospital will make reasonable efforts to contact relatives, friends, guarantor/guardian, and/or other appropriate third parties for additional information. The hospital will also make reasonable and diligent efforts to investigate whether a third party resource may be responsible for the services provided by the hospital, including but not limited to: (1) a motor vehicle or home owner's liability policy, (2) general accident or personal injury protection policies, (3) worker's compensation programs, (4) student insurance policies, among others. In accordance with applicable state regulations or the insurance contract, for any claim where the hospital's reasonable and diligent efforts resulted in a payment from a private insurer or public program, the hospital will report the payment and offset it against any claim that may have been paid by the private insurer or public program. For state public assistance programs, the hospital is not required to secure assignment on a patient's right to a third party coverage on services provided due to an accident. In these cases the State of Massachusetts will attempt to seek assignment on the costs of the services provided to the patient and which was paid for by either the Office of Medicaid or the Health Safety Net. The hospital further maintains all information in accordance with applicable federal and state privacy, security, and ID theft laws. B. Hospital Billing Practices The hospital makes the same reasonable effort and follows the same reasonable process for collecting on bills owed by an uninsured patient as it does for all other patients. The hospital will first show that it has a current unpaid balance that is related to services provided to the patient and not covered by a private insurer or a financial assistance program. The hospital follows reasonable collection/billing procedures, which include: 1)An initial bill sent to the patient or the party responsible for the patient's personal financial obligations, the initial bill will include information about the availability of a financial assistance program that might be able to cover the cost of the hospital's bill; 2)Subsequent billings, telephone calls, collection letters, personal contact notices, computer notifications, or any other notification method that constitutes a genuine effort to contact the party responsible for the obligation and informs the patient of the availability of financial assistance; 3)If possible, documentation of alternative efforts to locate the party responsible for the obligation or the correct address on billings returned by the postal service such as "incorrect address" or "undeliverable;"
	4)Sending a final notice by certified mail for uninsured patients (those who are not enrolled in a public program such as the Health Safety Net or MassHealth) who incur an emergency bad debt balance over $1,000 on Emergency Level Services only, where notices have not been returned as "incorrect address" or "undeliverable" And also notifying the patients of the availability of financial assistance in the communication; 5)Documentation of continuous billing or collection action undertaken on a regular, frequent basis is maintained. Such documentation is maintained until audit review by a federal and/or state agency of the fiscal year cost report in which the bill or account is reported. The federal Medicare program and the state Division of Health Care Finance and Policy for purposes of the Health Safety Net Program, deems 120 days as appropriate for period of time representing continuous billing or collection actions. 6)Checking the Massachusetts Eligibility Verification System (EVS) to ensure that the patient is not a Low Income Patient as determined by the Office of Medicaid and has not submitted an application to the Virtual Gateway system for coverage of the services under a public program, prior to submitting claims to the Health Safety Net Office for emergency bad debt coverage of an emergency level or urgent care service. C. Hospital Financial Assistance Programs Patients who are eligible for enrollment in a state public assistance program, like the Massachusetts MassHealth or Health Safety Net programs, are deemed enrolled in a financial assistance program. For all patients that are enrolled in these state public assistance programs, the hospital may only bill those patients for the specific co-payment, co-insurance, or deductible that is outlined in the applicable state regulations and which may further be indicated on the state Medicaid Management Information System. The hospital will seek a specified payment for those patients that do not qualify for enrollment in a Massachusetts state public assistance program, such as out-of-state residents, but who may otherwise meet the general financial eligibility categories of a state public assistance program. For these patients, the payment amount will be set at the discounted payment amount will be set at a percentage of charges based on an average of one of our best negotiated HMO payors for both inpatient and outpatient services. The hospital, when requested by the patient and based on an internal review of each patient's financial status, may offer a patient an additional discount on an unpaid bill. Any such review shall be part of a separate hospital financial assistance program that is applied on a uniform basis to patients, and which takes into consideration the patient's documented 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 does not influence a patient to receive services from the hospital. D. Populations Exempt from Collection Activities The following individuals and patient populations are exempt from any collection or billing procedures pursuant to state regulations and policies: 1)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, "Low Income Patients" as determined by the Office of Medicaid - subject to the following exceptions: a)The hospital may seek collection action against any patient enrolled in the above mentioned programs for their required co-payments and deductibles that are set forth by each specific program; b)The hospital may also initiate billing or collection for a patient who alleges that he or she is a participant in a financial assistance program that covers the costs of the hospital services, but fails to provide proof of such participation. Upon receipt of satisfactory proof that a patient is a participant in a financial assistance program, (including receipt or verification of signed application) the hospital shall cease its billing or collection activities; c)The hospital may continue collection action on any Low Income Patient for services rendered prior to the Low Income Patient determination, provided that the current Low Income Patient status has been terminated, expired, or not otherwise identified on the state Virtual Gateway or Eligibility Verification System. However, once a patient is determined eligible and enrolled in the Health Safety Net, MassHealth, or certain Commonwealth Care programs, the hospital will cease collection activity for services provided prior to the beginning of their eligibility. d)The hospitals may seek collection action against any of the patients participating in the programs listed above for non-covered services that the patient has agreed to be responsible for, provided that the hospital obtained the patient's prior written consent to be billed for the service. E. Standard Collection Actions 1)The hospital will not undertake any "extraordinary collection activities" until such time as the hospital has made a reasonable effort and followed a reasonable review of the patient's financial status, which will determine that a patient is entitled to financial assistance or exemption from any collection or billing activities under this credit and collection policy. The hospital will keep any and all documentation that was used in this determination pursuant to the hospital's applicable record retention policy. Extraordinary collection activities may include lawsuits, liens on residences, arrests, body attachments, or as otherwise described below in compliance with state requirements. 2)The hospital will not undertake collection action against an individual that has been approved for Medical Hardship under the Massachusetts Health Safety Net program with respect to the amount of the bill that exceeds the Medical Hardship contribution. The hospital will further cease any collection efforts against an emergency bad debt claim that is approved for Medical Hardship under the Health Safety Net program. 3)The hospital will not garnish a Low Income Patient's (as determined by the Office of Medicaid) or their guarantor's wages or execute a lien on the Low Income Patient's or their guarantor's personal residence or motor vehicle unless: (1) the hospital can show the patient or their guarantor has the ability to pay, (2) the patient/guarantor did not respond to hospital requests for information or the patient/guarantor refused to cooperate with the hospital to seek an available financial assistance program, and (3) for purposes of the lien, it was approved by the hospital's Board of Trustees on an individual case by case basis. 4)The hospitals and its agents shall not continue collection or billing on a patient who is a member of a bankruptcy proceeding except to secure its rights as a creditor in the appropriate order, provided that the state of Massachusetts will file its own recovery action for those patients enrolled in MassHealth or the Health Safety Net. The hospital and its agents will also not charge interest on an overdue balance for a Low Income Patient or for patients who are low income based on the hospital's own internal financial assistance program. 5)The hospital maintains compliance with applicable billing requirements, including the Department of Public Health regulations (105 CMR 130.332) for non-payment of specific services or readmissions that the hospital determines was the result of a Serious Reportable Events (SRE). SREs that do not occur at the hospital are excluded from this determination of non-payment. The hospital also does not seek payment from a low income patient determined eligible for the Health Safety Net program whose claims were initially denied by an insurance program due to an administrative billing error by the hospital. F. Outside Collection Agencies The hospital contracts with an outside collection agency to assist in the collection of certain accounts, including patient responsible amounts not resolved after issuance of hospital bills or final notices. However, as determined through this credit and collection policy, the hospital may assign such debt as bad debt or charity care (otherwise deemed as uncollectible) prior to 120 days if it is able to determine that the patient was unable to pay following the hospital's own internal financial assistance program.
	The hospital has a specific authorization or contract with the outside collection agency and requires such agencies to abide by the hospital's credit and collection policies for those debts that the agency is pursuing, including the obligation to refrain from "extraordinary collection activities" until such time as the hospital has made a reasonable effort and followed a reasonable process for determining that a patient is entitled to assistance or exemption from any collection or billing procedures under this credit and collection policy. 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 at 940 C.M.R. 7.00. Schedule H, Part VI, Line 1: Part V: Facility Information: New England Baptist Hospital is an acute care medical / surgical hospital with a Tufts University School of Medicine and Philadelphia College of Medicine affiliated teaching program in the areas of orthopedics and radiology. Although NEBH is not licensed to operate an emergency department, as previously described herein, NEBH still provides care to all who need urgent care, regardless of their ability to pay. Schedule H, Part VI, Line 2: Needs Assessment The Hospital is an orthopedic specialty-referral hospital for the region. It is not a full-service community hospital as we do not have an Emergency Department or Obstetrics. Because of this, and to avoid duplication of services, the Hospital identified resources and strengths in its specialty areas. In 2009, members from the Community Benefits Committee met with community residents and community organizations as well as elected officials in the Mission Hill / Roxbury district to define what needs there were in this community. The needs expressed along with information from the Department of Public Health led to NEBH focusing on the following areas: Musculoskeletal Health Obesity Violence Prevention Workforce Development / Job Training Hunger Transportation for the Elderly Clean Neighborhood Similar to the community needs assessment process, the Hospital evaluated resources and strengths of its specialty areas and then sought out community partners for each area to help develop and implement plans and projects according to community need. Community Collaborations to Develop and Implement Plan The Hospital serves as a member of or is actively working with the following organizations to plan and develop community health programs identified in its mission statement. It should be clear that this is only a partial listing of the many organizations with which the Hospital works on other community projects. Boston Health Alliance (Boston Community Health Network Area (CHNA)) Roxbury Tenants of Harvard The Arthritis Foundation The Lupus Foundation Massachusetts Department of Public Health The Roxbury Community Alliance for Health Mission Hill Link Friends of McLaughlin Playground ABCD Mission Hill Road Race Mission Hill Softball League Mission Hill Main Streets Mission Hill Youth Collaborative Mission Hill Little League Mission Hill Neighborhood Housing Services Farragut Elementary School Roxbury Tenants of Harvard Maurice J. Tobin Community Center ABCD Summerworks / Private Industry Council (PIC) Sociedad Latina Roxbury Community College Northeastern University Mass Bay Community College Simmons College MGH Institutions of Health Professionals Brighton High School (PIC) Promoting the Health & Wellness of Vulnerable Populations with Unmet Needs The Hospital worked with key Hospital and community partners to conduct a needs assessment establishing target communities, who were under-served, to develop goals for the programming and to set indicators for evaluation. The target population and projects for each area are described below. Community Benefits Target Populations Target Population Basis for selection and Basis for Selection Adults in the Mission Hill Neighborhood - Musculoskeletal Health Adults & Children in the Mission Hill Neighborhood - Obesity African American and Latino Women - Musculoskeletal Health Elderly living in Mission Hill/Roxbury - Transportation Needs Low Income Families in Mission Hill/Roxbury - Hunger Mission Hill/Roxbury Community - Clean Neighborhood Mission Hill/Roxbury Neighborhood - Neighborhood Involvement Youth living in Mission Hill/Roxbury - Violence Prevention Youth living in Mission Hill/Roxbury - Workforce Development/Job Training Schedule H, Part VI, Line 3: Patient Education of Eligibility for Assistance II. Documenting Eligibility for Financial Assistance Programs 1. General Principles Financial assistance is intended to assist low-income patients who do not otherwise have the ability to pay for their health care services. Such assistance takes into account each individual's ability to contribute to the cost of his or her care. For those patients that are uninsured or underinsured, the hospital will work with them to assist with applying for available financial assistance programs that may cover all or some of their unpaid hospital bills. The Hospital provides this assistance for both residents and non-residents of Massachusetts; however, there may not be coverage in a state public assistance program for a Massachusetts hospital's services through an out-of state resident. In order for the hospital to assist uninsured and underinsured patients find the most appropriate coverage options as well as determine if the patient is financially eligible for any discounts in payments, patients must actively work with hospitals to verify the patient's documented family income, other insurance coverage, and any other information that could be used in determining eligibility. 2. Hospital Screening and Eligibility Approval Process The hospital provides patients with information about financial assistance programs that are available through the Commonwealth of Massachusetts or through the hospital's own financial assistance program, which may cover all or some of their unpaid hospital bill. For those patients that request such assistance, the hospital assists patients by screening them for eligibility in an available public program and assisting them in applying for the program. These programs include, but are not limited to: MassHealth, Commonwealth Care, Children's Medical Security Plan, Healthy Start, and the Health Safety Net. When applicable, the hospital may also assist patients in applying for coverage of services as a Medical Hardship based on the patient's documented family income, current and prior insurance coverage, and allowable medical expenses. It is the patient's obligation to provide the hospital with accurate and timely information regarding their full name, address, telephone number, date of birth, social security number (if available), current health insurance coverage options (including any other insurance or coverage options (like a motor vehicle policy or worker's compensation policy) that can cover the cost of the care received), any other 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 programs 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 for eligibility in the Health Safety Net program 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, asset information, as well as the necessary documentation listed above as the basis for determining eligibility for state sponsored public assistance programs. The eligibility for enrollment into the Health Safety Net program for full or partial Health Safety Net coverage is also determined through the Virtual Gateway. The hospital will also assist other patients, such as minors receiving confidential services or individuals who have been battered or abused, obtain coverage through the Health Safety Net by using the Massachusetts Division of Health Care Finance and Policy Special Circumstance Application. A copy of the federal poverty guidelines that are used by the state is attached to this policy. Hospitals have no role in the determination of program eligibility made by the state, but at the patient's request may take a direct role in appealing or seeking information related to the coverage decisions. It is still the patient's responsibility to inform the hospital of all coverage decisions made by the state to ensure accurate and timely adjudication of all hospital bills. 3. Future Programs As future coverage options are developed, as discussed in both federal and state healthcare reform proposals, the hospital will make appropriate changes to this credit and collection policy. III. Notice of Availability of Financial Assistance and Other Coverage Options 1. 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 bills that are 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 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. 2. Role of Hospital Patient Financial 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 registration and admission staff will direct all patients seeking available coverage options or financial assistance to the hospital's patient financial counseling office to determine if they are eligible and then 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 hospitals 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. 3. Notification Practices: The hospital will post a notice (signs) of availability of financial assistance as outlined in this credit and collection policy in the following locations: a) Inpatient, clinics, urgent care department admission and/or registration areas; b) Patient financial counselor areas; c) Central admission/registration areas; and/or d) Business office areas that is open to patients. Posted signs will be clearly visible and legible to patients visiting these areas. The hospital will also include 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 a 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 shall be translated into languages other than English if such language is primarily spoken by 10% or more of the residents in the hospital service area, which is based on the hospital admissions and/or discharge information. Schedule H, Part VI, Line 4: Community Information The community served by New England Baptist Hospital (NEBH) is determined by proximity to the Hospital and an evaluation of discharge data. Its primary community service area is the Boston neighborhood of Mission Hill; however, the Hospital's patient base and services extend to other Boston neighborhoods and surrounding towns.
	Schedule H, Part VI, Line 4: Community Information The community served by New England Baptist Hospital (NEBH) is determined by proximity to the Hospital and an evaluation of discharge data. Its primary community service area is the Boston neighborhood of Mission Hill; however, the Hospital's patient base and services extend to other Boston neighborhoods and surrounding towns. Primary Community Service Area: Mission Hill, Boston The Mission Hill is a small neighborhood of Boston, less than one square mile in size with approximately 18,000 residents. It borders the Roxbury, Longwood Medical Area and town of Brookline. Mission Hill is one of the highest points in Boston, with steep inclines to its top, where New England Baptist Hospital is located. Due to its proximity to Northeastern and other local colleges and universities, its population is younger and more transient than the general population. NEBH focuses its community outreach on this community and the residents of Mission Hill who are most vulnerable or underserved: Target Population Basis for selection & Basis for Selection Adults in the Mission Hill Neighborhood - Musculoskeletal Health Adults & Children in the Mission Hill Neighborhood - Obesity African American and Latino Women - Musculoskeletal Health Elderly living in Mission Hill/Roxbury - Transportation Needs Low Income Families in Mission Hill/Roxbury - Hunger Mission Hill/Roxbury Community - Clean Neighborhood Mission Hill/Roxbury Neighborhood - Neighborhood Involvement Youth living in Mission Hill/Roxbury - Violence Prevention Youth living in Mission Hill/Roxbury - Workforce Development/Job Training Other Demographic Trends in our Extended Community Diversity According to the most recent 2010 census, Boston's population was 617,594, and with 53% of the population non-white or Hispanic it continued to be a majority minority city. One of the most distinctive trends was the growth and diversity of Boston's foreign-born population: it has increased by almost 50% over the past twenty years and now represents an estimated 28% of the population. Nearly 1/3rd of this population are recent immigrants, arriving within the last ten years. These averages and totals are well above the state and national average making Boston one of the most diverse cities in the United States. Further, the foreign-born are incredibly diverse, as no single country of origin represents more than 10% of the population. In fact, estimates by the City of Boston Redevelopment Authority identify over 140 languages spoken in Boston homes. Settlement of recent immigrants is similarly diverse, as every Boston neighborhood has seen its foreign-born population grow at higher rates than the general population. Aging An overall trend in Massachusetts and the United States, and one that directly impacts the Hospital's patient and community base is the rapid growth in its older population. Americans aged 65 and older is expected to more than double in the next forty years, a growth rate much greater than that of the general population. NEBH's specialty is treating and caring for patients with Musculoskeletal diseases and complications, and those over age 65 are more likely to have such needs. Schedule H, Part VI, Line 6: Other Information New England Baptist Hospital (NEBH or Hospital) is governed by a board of trustees made up of 29 volunteers, many of whom live and work in the community and serve to support the mission and values of the Hospital. NEBH 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. NEBH strives to fully serve the community through participation in government sponsored healthcare programs such as Medicare, Medicaid, MassHealth and Commonwealth Care. NEBH also serves as a teaching hospital affiliated with the Harvard Medical School and maintains residency programs specializing in orthopedics and radiology. Community members also use NEBH as a conduit for volunteering as evidenced by more than 80 volunteers who assist with patient services, administration and the gift shop. Schedule H, Part VI, Line 7: Affiliated Health Care System: Caregroup New England Baptist Hospital is a member of CareGroup, Inc., 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 H, Part VI, Line 8: State Filings of the Community Benefit Report New England Baptist Hospital prepares and files an annual non-profit hospital community benefit report with the State of Massachusetts Office of Attorney General. Current and past filings of the Hospital's Community Benefit Report are made public on both the Hospital's public website and that of the Massachusetts Office of Attorney General: http://www.nebh.org/home/about-us/community-programs/default.aspx http://www.cbsys.ago.state.ma.us/healthcare/hccbar.asp
	Form 990, Schedule J, Part 1 (Q6a): Contingent Compensation New England Baptist Hospital's (NEBH or Hospital) executive compensation packages include opportunities to earn incentive compensation, contingent on a combination of: The Hospital meeting or exceeding its budgeted consolidated operating margin The individuals meeting individual goals and objectives The incentive compensation for each executive is reviewed and approved by the NEBH Compensation Committee, which as detailed in Part VI (Q 15) disclosures, is staffed by staff and independent and members of the Board of Trustees. Form 990, Schedule J, Part I (8): Initial Contract Exception As noted below Ms. Patricia Hannon joined NEBH and NEBMA as the President and Chief Executive Officer as of September 3, 2009. Prior to that time Ms. Hannon was not related to NEBH. As such, all payments to Ms. Hannon are subject to the initial contract exception described in the Regs section 53.4958-4(a)(3). Ms. Hannon's compensation was set by the NEBH compensation committee, using independent consultant data and salary survey information and was approved by the full Board of Trustees and meets the rebuttable presumption of reasonableness. Form 990, Schedule J: Additional Compensation Disclosures 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 employee's 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 non-taxable benefits include amounts from one or more of the non-taxable benefits: Employee contributions to health insurance, Employer contributions to health insurance, Employee contributions to flexible spending accounts for dependent care and/or medical reimbursement, Group term life insurance, Disability insurance All Directors/Trustees serve without compensation or benefits. Compensation paid to Officers, Directors, Trustees or Key Employees was earned for work performed in a capacity other than that of Director/Trustee, as denoted by the listed titles New England Baptist Hospital and New England Baptist Medical Associates may be referred to in these explanatory notes to Form 990 Part VII and Form 990 Schedule J as NEBH and NEBMA respectively. Basilico, M.D., Frederick C. Trustee (Ex-Officio) & Chair, Dept. of Medicine - New England Baptist Hospital President, Physician Board of Governors Trustee - New England Baptist Medical Associates Dr. Basilico performs services for both New England Baptist Hospital and New England Baptist Medical Associates. As required by this Form 990, although Dr. Basilico is paid directly by New England Baptist Medical Associates, the portion of Dr. Basilico's compensation attributable to each position has been separately reported on this Form 990, as further outlined below.
	Payments reported by NEBH: Base Compensation: $110,475 Incentive Compensation: $0 Other Reportable Compensation: $0 Deferred Compensation: $0 Non-Taxable Benefits: $0 Payments reported by NEBMA Base Compensation: $110,475 Incentive Compensation: $0 Other Reportable Compensation: $0 Deferred Compensation: $0 Non-Taxable Benefits: $0 Camer, M.D., Stephen J. Trustee (Ex-Officio) & Chair, Dept of Surgery - New England Baptist Hospital Trustee & President - New England Baptist Medical Associates Dr. Camer performs services for both New England Baptist Hospital and New England Baptist Medical Associates. As required by this Form 990, although Dr. Camer is paid directly by New England Baptist Medical Associates, the portion of Dr. Camer's compensation attributable to each position has been separately reported on this Form 990, as further outlined below. Payments reported by NEBH: Base Compensation: $45,353 Incentive Compensation: $0 Other Reportable Compensation: $2,164 Deferred Compensation: $0 Non-Taxable Benefits: $0 Payments reported by NEBMA: Base Compensation: $45,353 Incentive Compensation: $0 Other Reportable Compensation: $2,164 Deferred Compensation: $0 Non-Taxable Benefits: $0 Gulczynski, Diane Senior Vice President, Clinical Operations, Chief Nursing Officer, & Trustee (Ex-Officio) - New England Baptist Hospital Payments made by NEBH: Base Compensation: $273,545 Bonus and Incentive Compensation: $41,600 Other Reportable Compensation: $18,483 Deferred Compensation: $(33,952) Non-Taxable Benefits: $12,627 As required by Form 990, Incentive Compensation for the 2009 calendar year in the amount of $41,600 was also previously reported as Deferred Compensation in the prior year. Deferred Compensation reported for the 2009 calendar year includes a decrease in the actuarial value of a pension account during the 2009 calendar year in the amount of $42,664 and as such is reflected as a negative amount on this filing. Hannon, Patricia Trustee (Ex-Officio), President & CEO - New England Baptist Hospital Trustee (Ex-Officio) & CEO - New England Baptist Medical Associates Ms. Hannon's term as President and CEO of both NEBH and NEBMA began on September 3, 2009. In her position as President & CEO for New England Baptists Hospital and New England Baptist Medical Associates, Ms. Hannon receives payments from CareGroup, the sole Member of NEBH, 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 NEBH. Additionally, Ms. Hannon performs services for both New England Baptist Hospital and New England Baptist Medical Associates but not directly for CareGroup. As such and as required by this Form 990, Ms. Hannon's compensation is reported here as if paid by NEBH and NEBMA. The compensation attributable to each position has been separately reported on this Form 990, as further outlined below. Payments reported by NEBH: Base Compensation: $70,696 Incentive Compensation: $0 Other Reportable Compensation: $2,479 Deferred Compensation: $ 0 Non-Taxable Benefits: $26,198 Payments reported by NEBMA: Base Compensation: $2,946 Incentive Compensation: $ 0 Other Reportable Compensation: $103 Deferred Compensation: $0 Non-Taxable Benefits: $1,092 Kearney, M.D., Gary Trustee (Ex-Officio) & President of the Medical Staff - New England Baptist Hospital Trustee & Board Chair - New England Baptist Medical Associates Dr. Kearney performs services for both New England Baptist Hospital and New England Baptist Medical Associates. As required by this Form 990, although Dr. Kearney is paid directly by New England Baptist Medical Associates, the portion of Dr. Kearney's compensation attributable to each position has been separately reported on this Form 990, as further outlined below. Payments reported by NEBH: Base Compensation: $20,064 Incentive Compensation: $0 Other Reportable Compensation: $0 Deferred Compensation: $0 Non-Taxable Benefits: $0 Payments reported by NEBMA: Base Compensation: $836 Incentive Compensation: $0 Other Reportable Compensation: $0 Deferred Compensation: $0 Non-Taxable Benefits: $0 Richmond, M.D., John C. Trustee (Ex-Officio) & Chair, Dept. of Orthopedics - New England Baptist Hospital Trustee (Ex-Officio) - New England Baptist Medical Associates Dr. Richmond performs services for both New England Baptist Hospital and New England Baptist Medical Associates. As required by this Form 990, although Dr. Richmond is paid directly by New England Baptist Medical Associates, the portion of Dr. Richmond's compensation attributable to each position has been separately reported on this Form 990, as further outlined below. Payments reported by NEBH: Base Compensation: $117,804 Incentive Compensation: $0 Other Reportable Compensation: $19 Deferred Compensation: $0 Non-Taxable Benefits: $0 Payments reported by NEBMA: Base Compensation: $117,804 Incentive Compensation: $0 Other Reportable Compensation: $19 Deferred Compensation: $0 Non-Taxable Benefits: $0 Strieder, Helen R. Trustee - New England Baptist Hospital Director - CareGroup, Inc. Former Interim President & CEO - New England Baptist Hospital Former Interim CEO - New England Baptist Medical Associates Ms. Strieder's term as Interim CEO ended on September 3, 2009, and her term on the NEBH Board began January 25, 2010. Compensation paid to Ms. Strieder during the 2009 calendar year relates to her positions as then Interim President and CEO. Ms. Strieder performed services for both New England Baptist Hospital and New England Baptist Medical Associates. As required by this Form 990, although Ms. Strieder was paid directly by New England Baptist Hospital, the portion of Ms. Strieder's compensation attributable to each position has been separately reported on this Form 990, as further outlined below. Payments reported by NEBH: Base Compensation: $299,992 Incentive Compensation: $14,400 Other Reportable Compensation: $23,934 Deferred Compensation: $0 Non-Taxable Benefits: $2,636 Payments reported by NEBMA: Base Compensation: $12,500 Incentive Compensation: $600 Other Reportable Compensation: $997 Deferred Compensation: $0 Non-Taxable Benefits: $110 As required by Form 990, Incentive Compensation for the 2009 calendar year in the amount of $15,000 was also previously reported as Deferred Compensation in the prior year. Wilkins, John P. Trustee - New England Baptist Hospital Director - CareGroup, Inc. Mr. Wilkins' term on the NEBH Board ended January 25, 2010. Gheringhelli, Thomas, J. Vice President & Chief Financial Officer - New England Baptist Hospital Trustee & Treasurer - New England Baptist Medical Associates Mr. Gheringhelli performs services for both New England Baptist Hospital and New England Baptist Medical Associates. As required by this Form 990, although Mr. Gheringhelli is paid directly by New England Baptist Hospital, the portion of Mr. Gheringhelli's compensation attributable to each position has been separately reported on this Form 990, as further outlined below. Payments reported by NEBH: Base Compensation: $218,152 Incentive Compensation: $36,864 Other Reportable Compensation: $31,849 Deferred Compensation: $(68,293) Non-Taxable Benefits: $18,208 Payments reported by NEBMA: Base Compensation: $9,090 Incentive Compensation: $1,536 Other Reportable Compensation: $1,327 Deferred Compensation: $ (2,846) Non-Taxable Benefits: $759 As required by Form 990, Incentive Compensation for the 2009 calendar year in the amount of $38,400 was also previously reported as Deferred Compensation in the prior year. Deferred Compensation reported for the 2009 calendar year includes a decrease in the actuarial value of a pension account during the 2009 calendar year in the amount of $78,692, and as such is reflected as a negative amount on this filing.
	Green, James F. Vice President Clinical Programs - New England Baptist Hospital Trustee (Ex-Officio) - New England Baptist Medical Associates Mr. Green served as Vice President of Clinical Programs at New England Baptist Hospital and as Trustee (Ex-Officio) at New England Baptist Medical Associates through February 26, 2010. Mr. Green performed services for both New England Baptist Hospital and New England Baptist Medical Associates. As required by this Form 990, although Mr. Green was paid directly by New England Baptist Medical Associates, the portion of Mr. Green's compensation attributable to each position has been separately reported on this Form 990, as further outlined below. Payments reported by NEBH: Base Compensation: $187,977 Incentive Compensation: $32,256 Other Reportable Compensation: $32,107 Deferred Compensation: $6,330 Non-Taxable Benefits: $19,267 Payments reported by NEBMA: Base Compensation: $7,832 Incentive Compensation: $1,344 Other Reportable Compensation: $1,338 Deferred Compensation: $264 Non-Taxable Benefits: $803 As required by Form 990, Incentive Compensation for the 2009 calendar year in the amount of $33,600 was also previously reported as Deferred Compensation in the prior year. Thompson, Linda Vice President, Human Resources - New England Baptist Hospital Trustee & Clerk - New England Baptist Medical Associates Ms. Thompson performs services for both New England Baptist Hospital and New England Baptist Medical Associates. As required by this Form 990, although Ms. Thompson is paid directly by New England Baptist Hospital, the portion of Ms. Thompson's compensation attributable to each position has been separately reported on this Form 990, as further outlined below. Payments reported by NEBH: Base Compensation: $167,248 Incentive Compensation: $28,416 Other Reportable Compensation: $10,851 Deferred Compensation: $(67,724) Non-Taxable Benefits: $25,209 Payments reported by NEBMA: Base Compensation: $6,969 Incentive Compensation: $1,184 Other Reportable Compensation: $452 Deferred Compensation: $(2,822) Non-Taxable Benefits: $1,050 As required by Form 990, Incentive Compensation for the 2009 calendar year in the amount of $29,600 was also previously reported as Deferred Compensation in the prior year. Deferred Compensation reported for the 2009 calendar year includes a decrease in the actuarial value of a pension account during the 2009 calendar year in the amount of $76,373, and as such is reflected as a negative amount on this filing. McDonough, Erin Vice President Public Affairs - New England Baptist Hospital Ms. McDonough served as Vice President Public Affairs at New England Baptist Hospital through March 3, 2010. Payments reported by NEBH: Base Compensation: $178,997 Incentive Compensation: $30,400 Other Reportable Compensation: $19,483 Deferred Compensation: $5,991 Non-Taxable Benefits: $11,929 As required by Form 990, Incentive Compensation for the 2009 calendar year in the amount of $30,400 was also previously reported as Deferred Compensation in the prior year. Coleman, Debra Vice President Development - New England Baptist Hospital Payments reported by NEBH: Base Compensation: $196,945 Incentive Compensation: $31,050 Other Reportable Compensation: $17,640 Deferred Compensation: $(55,149) Non-Taxable Benefits: $7,050 As required by Form 990, Incentive Compensation for the 2009 calendar year in the amount of $31,050 was also previously reported as Deferred Compensation in the prior year.
	Deferred Compensation reported for the 2009 calendar year includes a decrease in the value of a pension account during the 2009 calendar year in the amount of $61,653, and as such is reflected as a negative amount on this filing. Botticelli, Martin Senior Director Information Services & Chief Information Officer - New England Baptist Hospital Mr. Botticelli served as Senior Director Information Services & Chief Information Officer at New England Baptist Hospital through August 20, 2010. Payments reported by NEBH: Base Compensation: $154,316 Incentive Compensation: $1,811 Other Reportable Compensation: $13,631 Deferred Compensation: $5,077 Non-Taxable Benefits: $18,091 As required by Form 990, Incentive Compensation for the 2009 calendar year in the amount of $1,500 was also previously reported as Deferred Compensation in the prior year. Dionisio, Joseph Former President & Chief Executive Officer - New England Baptist Hospital Mr. Dionisio served as President & Chief Executive Officer of New England Baptist Hospital until August 22, 2008. Mr. Dionisio received payments directly from CareGroup, Inc. (CareGroup) the sole Member of NEBH, and 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 NEBH. As required by this Form 990, although Mr. Dionisio was paid directly by CareGroup, Mr. Dionisio's compensation has been separately reported by NEBH on this Form 990, as further outlined below: Payments made by CareGroup: Base Compensation: $5,885 Incentive Compensation: $0 Other Reportable Compensation: $757,087 Deferred Compensation: $0 Non-Taxable Benefits: $0 As required by this Form 990, Other Reportable Compensation for the 2009 calendar year in the amount of $757,087 was also previously reported as Deferred Compensation in the prior year Form 990. This amount was funded by annual minimum contributions of $175,000 in fiscal years 2005, 2006, 2007 and 2008. Van Flandern, MD, Geoffrey Former President of Medical Staff and Former Trustee (Ex-Officio) - NEBH Staff Physician - NEBMA Dr. Van Flandern's term as President of the Medical Staff and Trustee (Ex-Officio) at NEBH ended December 4, 2008. Payments reported by NEBMA: Base Compensation: $49,000 Incentive Compensation: $ 0 Other Reportable Compensation: $0 Deferred Compensation: $0 Non-Taxable Benefits: $0 Form 990, Schedule K: Explanatory Statement CareGroup, Inc., (CareGroup) is a Massachusetts non-profit corporation exempt from income tax under Section 501(c)(3) of the Internal Revenue Code of 1986, as amended, that serves as a support organization and oversees a regional health care delivery system comprised of teaching and community hospitals, physician groups and other caregivers. CareGroup's purposes include the support of personalized, patient centered care and excellence in medical education and research. CareGroup and some of its affiliates jointly borrow debt as an Obligated Group. The Obligated Group members are: CareGroup, Beth Israel Deaconess Medical Center (BIDMC), Mount Auburn Hospital (MAH), New England Baptist Hospital (NEBH), Beth Israel Deaconess Hospital - Needham (BIDN), Mount Auburn Professional Services (MAPS) and Medical Care of Boston Management Corp d/b/a Affiliated Physicians Group (APG). The information reported on Schedule K for New England Baptist Hosptial, reflects the combined CareGroup Obligated Group debt issued after December 31, 2002 with an outstanding principal balance in excess of $100,000. Form 990, Schedule K, Part 1f: Description of Tax-Exempt Debt Purpose Purposes of CareGroup Series E Bonds: To finance or refinance various renovation and construction projects and capital equipment acquisitions for 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 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 II, Line 8: Year of Substantial Completion of Project(s) The projects financed and/or refinanced with tax-exempt bond financed were completed, or will be completed, on various dates. Form 990, Schedule K, Part III, Question 2 & 3: Private Business Use 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 (i.e. cleaning, patient transport, and food services) or engage in research pursuant to research agreements within tax exempt debt financed space. Any such agreements in place as of September 30, 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. Form 990, Schedule L Part IV Col (d): Description of Transactions Involving Interested Persons New England Baptist Hospital and New England Baptist Medical Associates may be referred to in these explanatory notes to Form 990 Schedule L Part IV as NEBH and NEBMA respectively. The Risk Management Foundation of the Harvard Medical Institutions, Inc. (CRICO/RMF) is the patient safety and medical malpractice company serving the Harvard medical community. Insurance coverage is provided to its member institutions and their affiliates by Controlled Risk Insurance Company, Ltd. (CRICO/Cayman) and Controlled Risk Insurance Company of Vermont, Inc. (A Risk Retention Group) (CRICO/Vermont). Both CRICO/RMF and CRICO/Cayman are owned by their member institutions. CRICO/Vermont is wholly owned by CRICO/RMF. All CRICO/RMF and CRICO/Cayman shareholders are entities exempt from income taxes under Section 501(c) (3) of the Internal Revenue Code of 1986, as amended. Members of CRICO/RMF and CRICO/Cayman are entitled to representation on the boards of these entities. CareGroup, Inc, the sole Member and a supporting organization of NEBH, is a CRICO member. Richard J. Maloney, Helen Strieder and John Wilkins serve on the NEBH Board of Trustees and also sit on the Board of CareGroup. Harold Hestnes, Vice-Chair of CareGroup Board of Directors, sits on the Board of CRICO/RMF. CareGroup is a CRICO/Cayman and CRICO/RMF (CRICO) shareholder/member. NEBH purchases professional liability insurance and general liability insurance for NEBH and NEBMA from CRICO through CareGroup. For the period covered by this filing, NEBH and CareGroup paid 2,061,589 and $614,534 for this insurance coverage, respectively.
	As noted above, Richard J. Maloney, Helen Strieder and John Wilkins all serve on the both NEBH Board of Trustees and the CareGroup Board of Directors. CareGroup is the sole Member and a supporting organization of NEBH. J. Mark Waxman, Esq. the CareGroup Clerk, is a partner at Foley & Lardner LLP. Foley & Lardner provided legal services to CareGroup and NEBH during the period covered by this filing. Charges for these services totaled $253,555 for CareGroup and $437,712 for NEBH during the period covered by this filing. Rates for the services provided were standard Foley & Lardner rates and are competitive with those of similar law firms. NEBH maintains an accountable business expense reimbursement plan. From time to time, NEBH 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 NEBH Conflict of Interest Policy.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	812 HUNTINGTON LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	812 HUNTINGTON	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02120	ZIPCode

Field	Value	IRS element (for citing)
EIN	542195262	EIN
Primary Activities	SUPPORT NEBH	PrimaryActivities
Legal Domicile State	MA	LegalDomicileState
Total Income	0	TotalIncome

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	New England Baptist Hospital	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (26 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Direct Controlling Entity NADirectControllingEntityNA
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 Hospital League
125 Parker Hill Ave	Boston	MA	02120	046112976	To support the patient care mission of New England Baptist Hospital	MA	501(c)(3)	Line 9		N/A
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

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Code VCodeVAmount
Advanced Vascular Care LLC
375 Longwood Ave	Boston	MA	02215	261647880	To provide medical support services	MA	HMFP at BIDMC	Related	0	0
Beth Israel Deaconess Physician Organization LLC
110 Francis Street	Boston	MA	02215	043426253	To promote the highest quality of coord, safe and cst eff pati at BIDMC.	MA	HMFP at BIDMC	related	0	0
Be-Well Body Scan LLC
25 Boylston Street	Chestnut HIll	MA	02215	260051016	To operate a diagnostic imaging center	MA	BIH Radiologic Foundation Inc	related	0	0
CareGroup Clinical Research LLC
109 Brookline Ave	Boston	MA	02215	300228711	To 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	Beth Israel Deaconess Medical	excluded	0	0	373271	19624913	-$3,819
Physicians Professional Services LLP
10 Cabot Road	Medford	MA	02215	043275078	To provide medical billing services	MA	statement 1	related	0	0

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity
BIDMCCGSMC JV Inc
400 Hunnewell St	Needham	MA	02494	264426847	Inactive corporation	MA	none	C
Chestnut HealthCare Alliance Inc
148 Chestnut St	Needham	MA	02492	043265117	Physician/Hospital Organization	MA	none	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg