Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 10-01-2010 and ending 09-30-2011
BCheck if applicable:
CName of organization
NEW ENGLAND BAPTIST HOSPITAL
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
125 PARKER HILL AVENUE
 
Room/suite
City or town, state or country, and ZIP + 4
BOSTON, MA02120
D Employer identification number

04-2103612
E Telephone number

G Gross receipts $ 203,446,205
F Name and address of principal officer:
THOMAS GHERINGHELLI
125 PARKER HILL AVENUE
BOSTON,MA02120
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.NEBH.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1889
M State of legal domicile: MA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: OPERATION OF AN ACUTE CARE HOSPITAL
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 17
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 10
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 1,395
6 Total number of volunteers (estimate if necessary) .... 6 50
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 1,846,256
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b -526,210
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,076,389 4,809,037
9 Program service revenue (Part VIII, line 2g) ......... 185,700,028 189,172,163
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 3,685,024 2,031,540
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 5,033,150 5,515,871
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 196,494,591 201,528,611
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 121,500 128,500
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 84,088,184 84,720,981
16a Professional fundraising fees (Part IX, column (A), line 11e).... 286,628 269,376
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet1,339,614    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 103,500,214 107,318,397
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 187,996,526 192,437,254
19 Revenue less expenses. Subtract line 18 from line 12...... 8,498,065 9,091,357
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 198,135,796 200,207,549
21 Total liabilities (Part X, line 26)............ 107,038,406 101,199,133
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 91,097,390 99,008,416
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signature
Big Right Arrow
Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4
Big Right Arrow




EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: SEE SCHEDULE O
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 66,388,265 including grants of $   ) (Revenue $ 53,722,342 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $ 64,080,236 including grants of $   ) (Revenue $ 92,236,641 )
SEE SCHEDULE O
4c (Code:   ) (Expenses $ 38,553,920 including grants of $   ) (Revenue $ 42,545,746 )
SEE SCHEDULE O
(Code:   ) (Expenses $ 468,688 including grants of $ 128,500 ) (Revenue $ 522,711 )
COMMUNITY HEALTHCARE & EDUCATION AND OTHER PROGRAM SERVICESIN 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 2011.-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 INITIATIVESFOR 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. RESEARCHNEW 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 DISCOUNTSTHE HOSPITAL RECEIVED $203,204 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.
4d Other program services. (Describe in Schedule O.)
(Expenses $ 468,688 including grants of $ 128,500 ) (Revenue $ 522,711 )
4e Total program service expensesMediumBullet$ 169,491,109
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
Click to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I
Click to see attachment
.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV
Click to see attachment
...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
Yes
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
90
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
1,395
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
Yes
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
No
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
No
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
17
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
10
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
AZ , CO , CT , FL , IL , KY , ME , MD , MA , MI , MN , MS , MO , NH , NJ , NM , NY , NC , ND , AK , OH , OK , OR , PA , SC , UT , WA , WI
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
THOMAS J GHERINGHELLI
125 PARKER HILL AVENUE
BOSTON,MA021202847
(617) 754-5800
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) BASILICO MD FREDERICK C
TRUSTEE & CHAIR MEDICINE
30.00 X           107,240 107,240 0
(2) BLUMENREICH ESQ GENE A
TRUSTEE & CLERK
5.00 X   X       0 0 0
(3) CAMER MD STEPHEN J
TRUSTEE & SURGERY CHAIR
15.00 X           45,500 45,500 1,976
(4) GULCZYNSKI RN MS DIANE
TRUSTEE & SVP, CNO
60.00 X   X       330,161 0 12,144
(5) HANNON PATRICIA
TRUSTEE & PRESIDENT/CEO
55.00 X   X       793,407 33,059 24,648
(6) KEARNEY MD GARY
TRUSTEE & MED STAFF PRES
10.00 X           21,120 880 0
(7) KOLLIGIAN ESQ JOAN
TRUSTEE & CLERK
5.00 X   X       0 0 0
(8) MALONEY RICHARD J
TRUSTEE & BD CHAIR
5.00 X   X       0 0 0
(9) MATTINGLY MD DAVID A
TRUSTEE
5.00 X           0 104,544 0
(10) NICHOLS PETER B
TRUSTEE
5.00 X           0 0 0
(11) POGORZELSKI DONALD E
TRUSTEE
5.00 X           0 0 0
(12) REPPUCI EUGENE M
TRUSTEE
5.00 X           0 0 0
(13) RICHMOND MD JOHN C
TRUSTEE & ORTHO CHAIR
30.00 X           124,025 124,025 0
(14) SAMSEL ERVEN
TRUSTEE
5.00 X           0 0 0
(15) SMYTH PETER
TRUSTEE
5.00 X           0 0 0
(16) STEWART EDWARD
TRUSTEE & TREASURER
5.00 X   X       0 0 0
(17) STRIEDER HELEN R
TRUSTEE
5.00 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) GHERINGHELLI THOMAS J
VP & CFO
55.00     X       279,844 11,660 14,739
(19) THOMPSON LINDA
VP HUMAN RESOURCES
55.00       X     212,730 8,864 13,288
(20) COLEMAN DEBRA
CHIEF DEV OFFICER
60.00         X   240,967 0 3,607
(21) BROMS MAUREEN MULKERRIN
VP QUAL, CLIN INFO & RES
60.00         X   205,507 0 -250
(22) SULLIVAN SMITH MARY
DIR PATIENT CARESVCS
60.00         X   168,807 0 5,490
(23) CALLAHAN ANNE E
OPERATING ROOM NURSE
60.00         X   178,671 0 -10,130
(24) CONNOLLY SHARON
OPERATING ROOM NURSE
60.00         X   146,081 0 21,948
(25) GREEN JAMES F
FMR VP CLINICAL PROG
60.00           X 188,451 0 1,119










1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 3,042,511 435,772 88,579
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet182
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
SHAWMUT DESIGN AND CONSTRUCTION
560 HARRISON AVE
BOSTON,MA02118
BUILDING DESIGN AND CONSTRUCTION 5,843,200
UNICCO SERVICE COMPANY
4002 SOLUTIONS CTR
CHICAGO,IL60677
FACILITIES MGMT 2,306,059
SODEXO INC & AFFILIATES
PO BOX 81049
WOBURN,MA02284
SUPPORT SERVICES MGMT 2,209,318
CONTROLLED RISK INSURANCE COMPANY
PO BOX 845969
BOSTON,MA02284
MALPRACTICE INSURANCE 2,061,589
CAREGROUP INC
109 BROOKLINE AVE
BOSTON,MA02215
SUPPORT SERVICES MGMT 1,535,136
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet55
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c 175,432
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
4,633,605
g Noncash contributions included in lines 1a-1f:$ 391,732
h Total. Add lines 1a-1f.......MediumBullet 4,809,037
 Program Service Revenue Business Code
2a INPATIENT CARE 621,400 92,236,641 92,236,641    
b MEDICARE 623,000 53,722,342 53,722,342    
c WALK-IN CLINIC/ACU/EME 621,990 42,545,746 42,545,746    
d RESEARCH 621,990 319,507 319,507    
e PURCHASE REBATES 621,990 203,204 203,204    
f All other program service revenue . 144,723     144,723
g Total. Add lines 2a–2f........MediumBullet 189,172,163
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 656,892   9,211 647,681
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 1,057,720 134,467
b Less: rental expenses 1,806,514  
c Rental income or (loss) -748,794 134,467
d Net rental income or (loss).......MediumBullet -614,327   17,362 -631,689
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 1,372,655 1,993
b Less: cost or other basis and sales expenses    
c Gain or (loss) 1,372,655 1,993
d Net gain or (loss)..........MediumBullet 1,374,648   1,993 1,372,655
8a Gross income from fundraising events (not including
$ 175,432
of contributions reported on line 1c). See Part IV, line 18 ...
a 356,179
b Less: direct expenses ...b 111,080
c Net income or (loss) from fundraising events..MediumBullet 245,099   245,099
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a PARKING 900,099 1,510,743     1,510,743
b PHYSICIAN ADMIN REIMB 900,099 1,430,473   1,430,473  
c CAFETERIA 900,099 1,002,701     1,002,701
d All other revenue .... 1,941,182   387,217 1,553,965
e Total. Add lines 11a–11d ......MediumBullet 5,885,099
12 Total revenue. See Instructions....MediumBullet 201,528,611 189,027,440 1,846,256 5,845,878
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 128,500 128,500
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 1,129,055 282,260 846,795  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 67,890,210 60,269,999 7,116,019 504,192
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 3,614,863 3,125,213 463,628 26,022
9 Other employee benefits ....... 6,950,366 5,963,667 938,964 47,735
10 Payroll taxes ........... 5,136,487 4,440,725 658,786 36,976
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 946,523 5,388 941,135  
c Accounting ........... 234,724   234,724  
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17.. 269,376 269,376
f Investment management fees ......        
g Other ..........        
12 Advertising and promotion .... 860,195   860,195  
13 Office expenses ....... 54,383,746 53,067,465 1,042,967 273,314
14 Information technology ...... 4,322,403 4,321,246 1,157  
15 Royalties ..        
16 Occupancy ........... 6,565,665 5,556,279 964,223 45,163
17 Travel ............ 55,019 12,452 41,864 703
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 143,413 134,098 9,315  
20 Interest ........... 3,689,284 3,689,284    
21 Payments to affiliates ....... 3,374,181 2,173,665 1,200,446 70
22 Depreciation, depletion, and amortization ..... 10,225,243 8,437,055 1,727,355 60,833
23 Insurance .............. 598,994   598,994  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a CONSULTING 10,734,953 7,977,622 2,736,178 21,153
b MAINTENANCE & REPAIRS 4,610,632 4,077,210 495,161 38,261
c FREE CARE 2,652,116 2,652,116 0 0
d EQUIPMENT LEASES 1,827,037 1,827,037 0 0
e BAD DEBT 1,172,229 1,172,229 0 0
f All other expenses 922,040 177,599 728,625 15,816
25 Total functional expenses. Add lines 1 through 24f 192,437,254 169,491,109 21,606,531 1,339,614
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation
       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 15,100,993 1 14,813,745
2 Savings and temporary cash investments ....... 1,945,991 2 2,902,588
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 20,831,808 4 23,288,920
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 131,969 7 110,368
8 Inventories for sale or use .............. 2,767,154 8 2,351,825
9 Prepaid expenses and deferred charges ............ 2,580,473 9 2,518,922
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 210,818,930
b Less: accumulated depreciation. ..... 10b 116,423,516 93,030,689 10c 94,395,414
11 Investments—publicly traded securities .......... 44,088,433 11 24,719,887
12 Investments—other securities. See Part IV, line 11 ...... 16,503,767 12 31,273,568
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 1,154,519 15 3,832,312
16 Total assets. Add lines 1 through 15 (must equal line 34)... 198,135,796 16 200,207,549
Liabilities 17 Accounts payable and accrued expenses . 20,326,192 17 19,485,352
18 Grants payable ..........   18  
19 Deferred revenue .......... 9,020 19  
20 Tax-exempt bond liabilities .......... 70,917,489 20 69,090,196
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 1,398,723 23 1,082,196
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 14,386,982 25 11,541,389
26 Total liabilities. Add lines 17 through 25..... 107,038,406 26 101,199,133
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 63,533,604 27 72,784,300
28 Temporarily restricted net assets ..... 15,282,254 28 13,917,534
29 Permanently restricted net assets ..... 12,281,532 29 12,306,582
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 91,097,390 33 99,008,416
34 Total liabilities and net assets/fund balances ..... 198,135,796 34 200,207,549
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
201,528,611
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
192,437,254
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
9,091,357
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
91,097,390
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-1,180,331
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
99,008,416
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
NEW ENGLAND BAPTIST HOSPITAL
 
Employer identification number

04-2103612
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization
(ii)
EIN
(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv)
Is the organization in col. (i) listed in your governing document?
(v)
Did you notify the organization in col. (i) of your support?
(vi)
Is the organization in col. (i) organized in the U.S.?
(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
NEW ENGLAND BAPTIST HOSPITAL
 
Employer identification number

04-2103612
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
NEW ENGLAND BAPTIST HOSPITAL
 
Employer identification number

04-2103612
Part I
Contributors (see Instructions)
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Aggregate contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
NEW ENGLAND BAPTIST HOSPITAL
 
Employer identification number

04-2103612
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
NEW ENGLAND BAPTIST HOSPITAL
 
Employer identification number

04-2103612
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
NEW ENGLAND BAPTIST HOSPITAL
 
Employer identification number

04-2103612
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
Organization's
Totals
(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount 1,000,000 1,000,000 1,000,000   3,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
        4,500,000
             
c Total lobbying expenditures 23,283 37,417 34,897   95,597
             
d Grassroots non-taxable amount   250,000 250,000   500,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
        750,000
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
 
 
j
Total. lines 1c through 1i ...................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: 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 TO BE LESS THAN $50K FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2011. TOTAL LOBBYING EXPENDITURES WERE MINIMAL AND INSUBSTANTIAL BASED ON REVENUES.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
NEW ENGLAND BAPTIST HOSPITAL
 
Employer identification number

04-2103612
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 37,380,000 34,323,000 34,728,000
b Contributions ........ 4,553,000 3,109,000 2,765,000
c Investment earnings or losses ... 137,000 3,270,000 1,480,000
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........
4,204,000 3,322,000 4,650,000
f Administrative expenses ....      
g End of year balance ...... 37,866,000 37,380,000 34,323,000
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet30.750 %
b
Permanent endowment: SchDMd Bullet32.500 %
c
Term endowment: SchDMd Bullet36.750 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   3,956,331 3,956,331
b Buildings ................   127,242,513 65,163,493 62,079,020
c Leasehold improvements ............   2,009,488 1,333,904 675,584
d Equipment ................   77,610,598 49,926,119 27,684,479
e Other .................        
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 94,395,414
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives 31,273,568 F
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 31,273,568
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
GIFT ANNUITIES 46,748
LT DEFERRED PENSION LIABILITY 11,494,641







Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 11,541,389
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 201,528,611
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 192,437,254
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 9,091,357
4 Net unrealized gains (losses) on investments .......................... 4 -1,468,541
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 288,210
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 -1,180,331
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 7,911,026
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 202,910,007
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a -659,001
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d 5,136,397
e Add lines 2a through 2d ..................... 2e 4,477,396
3 Subtract line 2e from line 1..................... 3 198,432,611
4 Amounts included on Form 990, Part VIII, 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 3,096,000
c Add lines 4a and 4b....................... 4c 3,096,000
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 201,528,611
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 194,243,768
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 Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d 1,806,514
e Add lines 2a through 2d...................... 2e 1,806,514
3 Subtract line 2e from line 1..................... 3 192,437,254
4 Amounts included on Form 990, Part IX, line 25, 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 0
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 192,437,254
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: UNDER THE NEW ENGLAND BAPTIST HOSPITALS (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. 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, 2011, NEW ENGLAND BAPTIST HOSPITAL (NEBH OR HOSPITAL) HAD MARKET VALUE INVESTMENTS OF $31,273,568 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) AMOUNT CASH & CASH EQUIVALENTS $ 4,959,674 EQUITIES $ 8,991,724 FIXED INCOME $ 1,079,545 REAL ASSETS $ 1,853,111 CREDIT RELATED $ 4,203,153 PRIVATE EQUITY & OTHER ILLIQUID INVEMENTS $ 10,186,361 TOTAL INVESTMENTS OTHER SECURITIES $ 31,273,568
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
NEW ENGLAND BAPTIST HOSPITAL
 
Employer identification number

04-2103612
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region
(f) Total
expenditures for region/investments
in region
CENTRAL AMERICA AND THE CARIBBEAN     INVESTMENTS   10,991,077
EUROPE (INCLUDING ICELAND & GREENLAND)     INVESTMENTS   22,931
CENTRAL AMERICA AND THE CARIBBEAN     PROGRAM SERVICE JOINTLY OWNED FOREIGN INSURANCE 936
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 11,014,944
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 11,014,944
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount of
of non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
non-cash
assistance
(g) Description
of non-cash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
NEW ENGLAND BAPTIST HOSPITAL
 
Employer identification number

04-2103612
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
HEIDI PRICE
125 PARKER HILL AVENUE
 
BOSTON, MA02120
ADVISORY   No 0 184,388 0
LAURA DUFFY ASSOCIATES
125 PARKER HILL AVENUE
 
BOSTON, MA02120
WRITING   No 0 103,250 0
 
THE WAYLAND GROUP
125 PARKER HILL AVENUE
 
BOSTON, MA02120
ADVISORY   No 0 38,947 0
Total .................right arrow   326,585  
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
AK, AZ, CO, FL, GA, IL, KY, ME, MD, MA, MI, MN, MS, MO, NH, NJ, NM, NY, ND, OH, OR, OK, TN, UT, WA, WI
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

GALA
(event type)
(b) Event #2

 
(event type)
(c) Other Events

 
(total number)
(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 531,611     531,611
2 Less: Charitable
contributions . . .
175,432     175,432
3 Gross income (line 1
minus line 2) . . .
356,179     356,179
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . .        
6 Rent/facility costs . .        
7 Food and beverages . .        
8 Entertainment . . .        
9 Other direct expenses . 111,080     111,080
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 111,080
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow 245,099
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
NEW ENGLAND BAPTIST HOSPITAL
 
Employer identification number

04-2103612
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) ..
    116,000   116,000 0.060 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) .
    3,976,266 993,498 2,982,768 1.560 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs .....
    4,092,266 993,498 3,098,768 1.620 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) ....
    1,448,028 573,618 874,410 0.460 %
f Health professions education
(from Worksheet 5) ..
    1,255,686 224,600 1,031,086 0.540 %
g Subsidized health services
(from Worksheet 6) ..
    3,260,711 2,112,214 1,148,497 0.600 %
h Research (from Worksheet 7)     1,245,039 319,507 925,532 0.480 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) ..
    309,422   309,422 0.160 %
jTotal Other Benefits ...     7,518,886 3,229,939 4,288,947 2.240 %
kTotal. Add lines 7d and 7j. ..     11,611,152 4,223,437 7,387,715 3.860 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development     21,500   21,500 0.010 %
9 Other            
10 Total     21,500   21,500 0.010 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
522,822
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
0
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
52,250,839
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
62,411,999
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-10,161,160
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership%
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 NEW ENGLAND BAPTIST HOSPITAL
125 PARKER AVENUE
BOSTON,MA02120
X X   X         OUTPATIENT SURGERY & RADIOLOGY
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:NA
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?  
Name and address Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1172229.
    PART II: COMMUNITY BUILDING ACTIVITIESIN 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 COMMUNITY BUILDING AREAS:-WORKFORCE DEVELOPMENT / JOB TRAINING-VIOLENCE PREVENTION-CLEAN NEIGHBORHOOD: MISSION HILL / ROXBURYTHE GOALS OF THESE INITIATIVES FOCUS ON THE HEALTH AND WELL BEING OF MISSION HILL. 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.WORKFORCE DEVELOPMENT/JOB TRAININGNEBH 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. 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.VIOLENCE PREVENTIONCOMMUNITY 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 THEMISSION HILL AREA.MISSION HILL / ROXBURY: CLEANER NEIGHBORHOODCLEANER 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.
    PART III, LINE 4: SCHEDULE H, PART VI, LINE 1: PART III, LINE 4: AUDITED FINANCIALS FOOTNOTE FOR BAD DEBT EXPENSETHE 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 2011 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.COMMUNITY SERVICE AND UNCOMPENSATED CARETHE COST OF THE CORPORATION'S UNREIMBURSED CHARITY AND OTHER UNCOMPENSATED CARE CONSISTED OF THE FOLLOWING (IN THOUSANDS): YEAR ENDED SEPTEMBER 30 2011 2010UNREIMBURSED CHARITY CARE - AT COST $116 $139UNCOMPENSATED CARE EXPENSE $2,894 $2,672TOTAL $3,010 $2,811A. UNREIMBURSED CHARITY CARETHE 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): YEAR ENDED SEPTEMBER 30 2011 2010CHARITY CARE - AT ESTABLISHED CHARGES $199 $233ESTIMATED COST OF CHARITY CARE $116 $139B.UNCOMPENSATED CARETHE 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): SEPTEMBER 30 2011 2010GROSS OBLIGATION TO THE HSN FOR THE DELIVERY OF CHARITY CARE TO THE INDIGENT STATEWIDE $1,480 $1,569PROVISION FOR BAD DEBTS $1,414 $1,103 $2,894 $2,672
    PART III, LINE 8: SCHEDULE H, PART VI, LINE 1: PART III, SECTION B., LINE 8: MEDICARE SHORTFALL AND COSTING METHODOLOGY MEDICARE SHORTFALLTHE HOSPITAL MAY ON OCCASION REPORT A SHORTFALL RELATED TO ITS CARE OF MEDICARE PATIENTS. THIS SHORTFALL CAN BE CONSIDERED A COMMUNITY BENEFIT DUE TO ONE OR MORE OF THE FOLLOWING REASONS:-IRS REV. RUL. 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THIS IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT.-MEDICARE IS THE LARGEST PAYER FOR THE HOSPITAL AND ITS COMMUNITY. THE HOSPITAL MUST ACCEPT THESE PATIENTS REGARDLESS OF WHETHER THEY MAKE A SURPLUS OR DEFICIT FROM PROVIDING SUCH SERVICES. IF THE MEDICARE PARTICIPATION IS PREMISED ON THIS FACT, THEN PROVIDING MEDICARE SERVICES PROMOTES ACCESS TO HEALTHCARE SERVICES WHICH IS A COMMUNITY BENEFIT.-IN OUR COMMUNITY, MANY LOW INCOME INDIVIDUALS RECEIVE MEDICARE BENEFITS.-THE ELDERLY ARE OFTEN AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE SERVICES, CMS WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY.MEDICARE COSTING METHODOLOGYTHE HOSPITAL USES THE COST TO CHARGE RATIO AS COMPUTED IN ITS FY 2011 MEDICARE COST REPORT FILING FOR AMOUNTS REPORTED IN PART III, SECTION B OF THIS TAX RETURN.
    PART III, LINE 9B: SCHEDULE H, PART VI, LINE 1: PART III, SECTION C., LINE 9B: COLLECTION PRACTICESHOSPITAL BILLING AND COLLECTION PRACTICESTHE 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 COVERAGE1) 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; ANDC)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 PRACTICESTHE 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 PROGRAMSPATIENTS 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 ACTIVITIESTHE 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 ACTIONS1)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 AGENCIESTHE HOSPITAL CONTRACTS WITH AN OUTSIDE COLLECTION AGENCY TO ASSIST IN THE COLLECTION OF CERTAIN ACCOUNTS, INCLUDING PATIENT RESPONSIBLE AMOUNTS NOT RESOLVED AFTER ISSUANCE OF HOSPITAL BILLS OR FINAL NOTICES. HOWEVER, AS DETERMINED THROUGH 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.
    PART V, SECTION A: SCHEDULE H, PART VI, LINE 1: PART V: FACILITY INFORMATION: NEW ENGLAND BAPTIST HOSPITAL IS AN ACUTE CARE MEDICAL / SURGICAL HOSPITAL WITH A HARVARD MEDICAL SCHOOL AFFILIATED TEACHING PROGRAM IN THE AREAS OF ORTHOPEDICS AND RADIOLOGY. 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.
    PART VI, LINE 2: NEEDS ASSESSMENTTHE 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 NEIGHBORHOODSIMILAR 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. THE HOSPITAL WILL CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT IN FY 12.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 BASIS FOR SELECTIONADULTS 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 NEIGHBORHOODMISSION HILL/ROXBURY NEIGHBORHOOD NEIGHBORHOOD INVOLVEMENT YOUTH LIVING IN MISSION HILL/ROXBURY VIOLENCE PREVENTION YOUTH LIVING IN MISSION HILL/ROXBURY WORKFORCE DEVELOPMENT/JOB TRAINING
    PART VI, LINE 4: COMMUNITY INFORMATIONTHE 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, BOSTONTHE 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 SELECTIONADULTS 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 NEIGHBORHOODMISSION HILL/ROXBURY NEIGHBORHOOD NEIGHBORHOOD INVOLVEMENT YOUTH LIVING IN MISSION HILL/ROXBURY VIOLENCE PREVENTION YOUTH LIVING IN MISSION HILL/ROXBURY WORKFORCE DEVELOPMENT/JOB TRAININGOTHER DEMOGRAPHIC TRENDS IN OUR EXTENDED COMMUNITYDIVERSITYACCORDING TO THE 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.AGINGAN 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.
    PART VI, LINE 7: AFFILIATED HEALTH CARE SYSTEM: CAREGROUPNEW 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 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 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.ASPXHTTP://WWW.CBSYS.AGO.STATE.MA.US/HEALTHCARE/HCCBAR.ASP
FEDERAL POVERTY GUIDELINES AND PATIENT ELIGIBILITY: SCHEDULE H, PART VI, LINE 1: PART I, LINE 3(C): FREE CAREFREE 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/EOHHS/DOCS/MASSHEALTH/DESKGUIDES/FPL-DESKGUIDE.PDF DISCOUNTED CAREDISCOUNTED 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.
AND MEANS-TESTED PROGRAMS SCHEDULE H, PART VI, LINE 1: PART I, LINE 7(A-D): CHARITY CARE CHARITY CARE AT COST IS CALCULATED USING AN INTERNAL COST TO CHARGE RATIO CALCULATION. UNREIMBURSED MEDICAID COSTS ARE CALCULATED BY APPLYING THE COST TO CHARGE RATIO TO MEDICAID GROSS CHARGES AND SUBTRACTING MEDICAID NET REIMBURSEMENT. OTHER BENEFITS INCLUDE THE HOSPITAL'S GROSS OBLIGATION INTO THE MASSACHUSETTS HEALTH SAFETY NET POOL. 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: DIRECT OFFSETTING NET COMMUNITYCHARITY CARE & MEANS TESTED BENEFITGOV'T PROGRAMS EXPENSE REVENUE EXPENSEA) CHARITY CARE AT COST $116,000 $0 $116,000B) CONTRIBUTION TO HEALTH SAFETY NET POOL $1,624,509 $0 $1,624,509UNREIMBURSED MEDICAID, NET $2,351,757 $(993,498) $1,358,259TOTALS TO SCH H, PART I, LINE 7D $4,092,266 $(993,498) $3,098,768
  SCHEDULE H, PART VI, LINE 1: PART I, LINE 7(E):COMMUNITY HEALTH IMPROVEMENT 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: 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 2011: DIRECT NET COMMUNITY OFFSETTING BENEFITSUBSIDIZED HEALTH SERVICE EXPENSE REVENUE EXPENSEORTHOPEDIC BRACES TO PATIENTS AT NO COST $368,905 $0 $368,905COMMUNITY HEALTH SERVICES IN MISSION HILL $412,894 $(180,731) $232,163PASTORAL & PSYCHIATRIC CARE $153,602 $0 $153,602COMMUNITY HEALTH SERVICES IN HYDE PARK $512,627 $(392,887) $119,740TOTALS TO SCH H, PART I, LINE 7E $1,448,028 $(573,618) $874,410ORTHOPEDIC BRACES PROVIDED TO PATIENTS AT NO COSTAS 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 ACU 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 2011, THE BRACE PROGRAM REQUIRED A NET SUBSIDY OF $369K.COMMUNITY HEALTH SERVICES ON MISSION HILL & HYDE PARKNEBH IS A REFERRAL AND APPOINTMENT BASED ORTHOPEDIC SPECIALTY HOSPITAL. IN FY 2011 TOTAL INPATIENT HOSPITAL ADMISSIONS WERE 7,068, OF WHICH 95% 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 ACU, 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 IMMEDIATE 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 ACU, 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. IN FY 2011, DR. TSIKITAS' PRACTICE REQUIRED A SUBSIDY $232K AND THE HOSPITAL EXPECTS A SIMILAR FINANCIAL LOSS IN FUTURE YEARS.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 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. NEBH HAS SINCE FY 2005 SUBSIDIZED THE PRACTICE OF DR. GREGORY TALALYEVSKY, A RUSSIAN-SPEAKING PRIMARY CARE PHYSICIAN, TO THE MEET THE UNIQUE NEEDS OF THAT COMMUNITY. DR. TALALAYEVSKY SMALL PRACTICE HAS A STEADY PATIENT BASE OF THE ELDERLY AND RUSSIAN-SPEAKING POPULATION IN HYDE PARK. THESE PATIENTS AND OTHER NON-PROFITS OR GOVERNMENT AGENCIES WOULD SUFFER UNWANTED BURDENS IF HIS PRACTICE WERE TO CLOSE. IN FY 2011, DR. TALAYEVSKY'S PRACTICE REQUIRED A SUBSIDY $120K AND THE HOSPITAL EXPECTS A SIMILAR FINANCIAL LOSS IN FUTURE YEARS.PASTORAL & PSYCHIATRIC CARENEBH OFFERS MINISTRY SERVICES AND IS FULLY ACCREDITED THROUGH THE ASSOCIATION OF CLINICAL PASTORAL EDUCATION. CHAPLAINS, LED BY DR. KEN 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). ADDITIONALLY, DR. LARSEN AND HIS STAFF OFFER PASTORAL AND PSYCHIATRIC 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 PASTORAL AND PSYCHIATRIC SERVICES WITHOUT REIMBURSEMENT, FOR THE WELL BEING OF ITS PATIENTS, THEIR FAMILIES, AND OUR COMMUNITY. IN FY 2011, THESE SERVICES REQUIRED A SUBSIDY $154K AND THE HOSPITAL EXPECTS A SIMILAR FINANCIAL LOSS IN FUTURE YEARS.
  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 2011, THE HOSPITAL HEALTH PROFESSIONS EDUCATION WAS AS FOLLOWS: DIRECT NET COMMUNITY OFFSETTING BENEFIT HEALTH PROFESSIONS EDUCATION EXPENSE REVENUE EXPENSERESIDENTS (OFFSET BY GME REIMBURSEMENT) $1,235,602 $(224,600) $1,011,002INTERNATIONAL FELLOWSHIP $20,084 $0 $20,084TOTALS TO SCH H, PART I, LINE 7F $1,255,686 $(224,600) $1,031,086
  SCHEDULE H, PART VI, LINE 1: PART I, LINE 7(G): SUBSIDIZED HEALTH SERVICES NEW ENGLAND BAPTIST HOSPITAL PROVIDES AN AMBULATORY CARE UNIT (ACU) 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.AMBULATORY CARE UNIT (ACU)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 AMBULATORY CARE UNIT (ACU) 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 ACU'S HOURS OF OPERATION. THE ACU 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 ACU HOURS, CARE IS STILL PROVIDED. NO PATIENT IS TURNED AWAY WITHOUT CARE. AFTER ACU 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 ACU MAY RUN A DEFICIT. IN FY 2011, THE SHORTFALL WAS $1,011K.
  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.
COMMUNITY HEALTH RELATED INITIATIVES SCHEDULE H, PART VI, LINE 1: PART I, LINE 7(I): CONTRIBUTIONS TO 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 COMMUNITY HEALTH RELATED AREAS: -MUSCULOSKELETAL HEALTH: OSTEOPOROSIS, ARTHRITIS & LUPUS-HUNGER-OBESITY-TRANSPORTATION FOR THE ELDERLY.MUSCULOSKELETAL HEALTHOSTEOPOROSISOSTEOPOROSIS, A DISEASE OF BONES THAT LEADS TO INCREASE RISK OF FRACTURES IS A MAJOR PUBLIC HEALTH THREAT IN THE UNITED STATES. AN ESTIMATED 10 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 LUPUSTHE 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 2011, THE GROUP ASKED FOR A CONTINUATION OF THE GUEST SPEAKER SERIES WITH AN EMPHASIS ON HEARING FROM MORE PROVIDERS. 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% BLACK, 40% CAUCASIAN, AND 10% LATINA.HUNGERHUNGER IS ON THE RISE IN MASSACHUSETTS. IN LOW INCOME COMMUNITIES, FAMILIES WITH CHILDREN SUFFER FROM HUNGER FOUR TIMES MORE OFTEN THAN THE STATEWIDE AVERAGE. 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 2011, 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. 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.OBESITYOBESITY 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 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 2011, 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.ELDERLY TRANSPORTATIONTHE MISSION HILL NEIGHBORHOOD IS LOCATED ON OF THE HIGHEST HILLS AND POINTS IN BOSTON. WHILE PUBLIC TRANSPORTATION IS AVAILABLE AT POINTS AROUND AND AT THE BOTTOM OF THE HILL, MISSION HILL ITSELF LACKS SUFFICIENT PUBLIC TRANSPORTATION OPTIONS. THE COMMUNITY NEED FOR PUBLIC TRANSPORTATION IS ESPECIALLY PREVALENT AMONG THE ELDERLY POPULATION OF THE MISSION HILL 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.
  SCHEDULE H, PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANC PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEDOCUMENTING ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMSGENERAL PRINCIPLESFINANCIAL 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.HOSPITAL SCREENING AND ELIGIBILITY APPROVAL PROCESSTHE 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 PROGRAMSAS 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 OPTIONS1. GENERAL PRINCIPLESFOR 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.
    ROLE OF HOSPITAL PATIENT FINANCIAL COUNSELORS AND OTHER FINANCE STAFFTHE 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 HOSPITAL'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL WILL ALSO PROVIDE INFORMATION ON HOW TO CONTACT THE APPROPRIATE STAFF WITHIN THE HOSPITAL'S FINANCE OFFICE TO VERIFY THE ACCURACY OF THE HOSPITAL BILL OR TO DISPUTE CERTAIN CHARGES.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/ORD)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 (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
NEW ENGLAND BAPTIST HOSPITAL
 
Employer identification number
04-2103612
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed
......................... lBullet
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) MISSION HILL LINK8 BUCKNAM ST
BOSTON,MA02120
04-2921969   47,000   FMV   SEE SCHEDULE H
(2) CITY OF BOSTON PARKS & REC1010 MASS VE 3RD FLOOR
BOSTON,MA02118
    70,000 FMV   SEE SCHEDULE H
(3) ABCD COMMUNITY PROPERTIES178 TREMONT ST
BOSTON,MA02111
22-3308452   11,500   FMV   SEE SCHEDULE H


















2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
0
3
Enter total number of other organizations ................................ . Bullet Image
3
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
NEW ENGLAND BAPTIST HOSPITAL
 
Employer identification number

04-2103612
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
Yes
 
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
Yes
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) BASILICO MD FREDERICK C (i)
(ii)
107,240
107,240
0
0
0
0
0
0
0
0
107,240
107,240
0
0
(2) GULCZYNSKI RN MS DIANE (i)
(ii)
296,442
0
31,611
0
2,108
0
114
0
12,030
0
342,305
0
0
0
(3) HANNON PATRICIA (i)
(ii)
489,460
20,394
124,596
5,192
179,351
7,473
2,200
92
21,462
894
817,069
34,045
0
0
(4) RICHMOND MD JOHN C (i)
(ii)
124,004
124,004
0
0
21
21
0
0
0
0
124,025
124,025
0
0
(5) GHERINGHELLI THOMAS J (i)
(ii)
242,232
10,093
26,280
1,095
11,332
472
-5,387
-224
19,536
814
293,993
12,250
0
0
(6) THOMPSON LINDA (i)
(ii)
186,157
7,757
20,857
869
5,716
238
-11,659
-486
24,416
1,017
225,487
9,395
0
0
(7) COLEMAN DEBRA (i)
(ii)
215,511
0
23,573
0
1,883
0
-4,855
0
8,462
0
244,574
0
0
0
(8) BROMS MAUREEN MULKERRIN (i)
(ii)
176,679
0
19,553
0
9,275
0
-13,981
0
13,731
0
205,257
0
0
0
(9) SULLIVAN SMITH MARY (i)
(ii)
168,224
0
0
0
583
0
4,096
0
1,394
0
174,297
0
0
0
(10) CALLAHAN ANNE E (i)
(ii)
171,407
0
0
0
7,264
0
-23,823
0
13,693
0
168,541
0
0
0
(11) CONNOLLY SHARON (i)
(ii)
138,883
0
0
0
7,198
0
-2,685
0
24,633
0
168,029
0
0
0
(12) GREEN JAMES F (i)
(ii)
29,668
0
0
0
158,783
0
888
0
231
0
189,570
0
0
0




Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AS REQUIRED BY THIS FORM 990, SCHEDULE J, COMPENSATION INFORMATION, THE COMPENSATION DETAIL INCLUDED IN NEW ENGLAND BAPTIST HOSPITAL'S FORM 990 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2011 IS CALENDAR YEAR 2010 DETAIL. AS DETAILED BELOW, DURING THE 2010 CALENDAR YEAR, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF NEBH WAS PAID BY CAREGROUP, INC. AN ENTITY EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, WHICH IS ALSO THE SOLE MEMBER OF NEBH AND A SUPPORT ORGANIZATION OF NEBH. CAREGROUP MAINTAINS THE CAREGROUP, INC. ANNUITY RETIREMENT PLAN WHICH, UNDER THE DEFINITIONS TO THIS FORM 990, IS CONSIDERED A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PARTICIPANTS RECEIVED BOTH CURRENTLY TAXABLE AND DEFERRED BENEFITS FROM THIS PLAN AND ADDITIONAL INFORMATION IS INCLUDED WITH THE EXPLANATORY NOTES TO SCHEDULE J BELOW.
  PART I, LINE 7 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.
  PART I, LINE 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.
SUPPLEMENTAL INFORMATION PART III 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: 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 TRUSTEES SERVE WITHOUT COMPENSATION OR BENEFITS. COMPENSATION PAID TO OFFICERS, TRUSTEES OR KEY EMPLOYEES WAS EARNED FOR WORK PERFORMED IN A CAPACITY OTHER THAN THAT OF 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 ASSISTANT CLINICAL PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL 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: $107,240 -INCENTIVE COMPENSATION: $0 -OTHER REPORTABLE COMPENSATION: $0 -DEFERRED COMPENSATION: $0 -NON-TAXABLE BENEFITS: $0 PAYMENTS REPORTED BY NEBMA -BASE COMPENSATION: $107,240 -INCENTIVE COMPENSATION: $0 -OTHER REPORTABLE COMPENSATION: $0 -DEFERRED COMPENSATION: $0 -NON-TAXABLE BENEFITS: $0 BLUMENREICH, ESQ. GENE A. TRUSTEE & SECRETARY - NEW ENGLAND BAPTIST HOSPITAL MR. BLUMENREICH SERVED ON THE NEBH BOARD UNTIL JANUARY 24, 2011. CAMER, M.D. STEPHEN J. TRUSTEE (EX-OFFICIO) & CHAIR, DEPT OF SURGERY - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE & PRESIDENT - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES CLINICAL PROFESSOR IN SURGERY - TUFTS MEDICAL SCHOOL 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: $45,500 -INCENTIVE COMPENSATION: $0 -OTHER REPORTABLE COMPENSATION: $0 -DEFERRED COMPENSATION: $0 -NON-TAXABLE BENEFITS: $988 PAYMENTS REPORTED BY NEBMA: -BASE COMPENSATION: $45,500 -INCENTIVE COMPENSATION: $0 -OTHER REPORTABLE COMPENSATION: $0 -DEFERRED COMPENSATION: $0 -NON-TAXABLE BENEFITS: $98 GULCZYNSKI, DIANE SENIOR VICE PRESIDENT, CLINICAL OPERATIONS, CHIEF NURSING OFFICER, & TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST HOSPITAL PAYMENTS MADE BY NEBH: -BASE COMPENSATION: $296,422 -BONUS AND INCENTIVE COMPENSATION: $31,611 -OTHER REPORTABLE COMPENSATION: $2,108 -DEFERRED COMPENSATION: $114 -NON-TAXABLE BENEFITS: $12,030 DEFERRED COMPENSATION REPORTED FOR THE 2010 CALENDAR YEAR INCLUDES A DECREASE IN THE ACTUARIAL VALUE OF A PENSION ACCOUNT DURING THE 2010 CALENDAR YEAR IN THE AMOUNT OF $7,236. HANNON, PATRICIA TRUSTEE (EX-OFFICIO), PRESIDENT & CEO - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO) & CEO - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES IN HER POSITIONS AS PRESIDENT & CEO FOR NEW ENGLAND BAPTISTS HOSPITAL AND CEO FOR NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, AND FOR HER SERVICES PROVIDED IN THESE ROLES, MS. HANNON RECEIVED PAYMENTS FROM CAREGROUP DURING THE CALENDAR YEAR 2010. CAREGROUP IS 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: $489,460 -INCENTIVE COMPENSATION: $124,596 -OTHER REPORTABLE COMPENSATION: $179,351 -DEFERRED COMPENSATION: $ 2,200 -NON-TAXABLE BENEFITS: $21,462 PAYMENTS REPORTED BY NEBMA: -BASE COMPENSATION: $20,394 -INCENTIVE COMPENSATION: $ 5,192 -OTHER REPORTABLE COMPENSATION: $7,473 -DEFERRED COMPENSATION: $92 -NON-TAXABLE BENEFITS: $894 OTHER REPORTABLE INCOME INCLUDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM PAYMENT IN THE AMOUNT OF $175,000 FOR THE PURPOSE OF PROVIDING SUPPLEMENTAL RETIREMENT BENEFITS. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MS. HANNON ALSO INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $11,730. KOLLIGAN, ESQ., JOAN. TRUSTEE & SECRETARY - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE & CLERK - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES MS. KOLLIGIAN WAS NAMED THE NEBH SECRETARY OF THE BOARD ON JANUARY 24, 2011. RICHMOND, M.D. JOHN C. TRUSTEE (EX-OFFICIO) & CHAIR, DEPT. OF ORTHOPEDICS - NEW ENGLAND BAPTIST HOSPITAL TRUSTEE (EX-OFFICIO) - NEW ENGLAND BAPTIST MEDICAL ASSOCIATES PROFESSOR OF ORTHOPAEDIC SURGERY - TUFTS MEDICAL SCHOOOL 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: $124,004 -INCENTIVE COMPENSATION: $0 -OTHER REPORTABLE COMPENSATION: $21 -DEFERRED COMPENSATION: $0 -NON-TAXABLE BENEFITS: $0 PAYMENTS REPORTED BY NEBMA: -BASE COMPENSATION: $124,004 -INCENTIVE COMPENSATION: $0 -OTHER REPORTABLE COMPENSATION: $21 -DEFERRED COMPENSATION: $0 -NON-TAXABLE BENEFITS: $0 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: $242,232 -INCENTIVE COMPENSATION: $26,280 -OTHER REPORTABLE COMPENSATION: $11,332 -DEFERRED COMPENSATION: $(5,387) -NON-TAXABLE BENEFITS: $19,536 PAYMENTS REPORTED BY NEBMA: -BASE COMPENSATION: $10,093 -INCENTIVE COMPENSATION: $1,095 -OTHER REPORTABLE COMPENSATION: $472 -DEFERRED COMPENSATION: $(224) -NON-TAXABLE BENEFITS: $814
SUPPLEMENTAL INFORMATION PART III 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: $186,157 -INCENTIVE COMPENSATION: $20,857 -OTHER REPORTABLE COMPENSATION: $5,716 -DEFERRED COMPENSATION: $(11,659) -NON-TAXABLE BENEFITS: $24,416 PAYMENTS REPORTED BY NEBMA: -BASE COMPENSATION: $7,757 -INCENTIVE COMPENSATION: $869 -OTHER REPORTABLE COMPENSATION: $238 -DEFERRED COMPENSATION: $(486) -NON-TAXABLE BENEFITS: $1,1017 DEFERRED COMPENSATION REPORTED FOR THE 2010 CALENDAR YEAR INCLUDES A DECREASE IN THE ACTUARIAL VALUE OF A PENSION ACCOUNT DURING THE 2009 CALENDAR YEAR IN THE AMOUNT OF $18,295 AND AS SUCH IS REFLECTED AS A NEGATIVE AMOUNT ON THIS FILING. COLEMAN, DEBRA. VICE PRESIDENT DEVELOPMENT - NEW ENGLAND BAPTIST HOSPITAL PAYMENTS REPORTED BY NEBH: -BASE COMPENSATION: $215,511 -INCENTIVE COMPENSATION: $23,573 -OTHER REPORTABLE COMPENSATION: $1,883 -DEFERRED COMPENSATION: $(4,855) -NON-TAXABLE BENEFITS: $8,462 DEFERRED COMPENSATION REPORTED FOR THE 2010 CALENDAR YEAR INCLUDES A DECREASE IN THE VALUE OF A PENSION ACCOUNT DURING THE 2010 CALENDAR YEAR IN THE AMOUNT OF $11,429, AND AS SUCH IS REFLECTED AS A NEGATIVE AMOUNT ON THIS FILING. BROMS, MAUREEN MULKERRIN. VICE PRESIDENT OF QUALITY, CLINICAL INFORMATICS & RESEARCH SUPPORT - NEW ENGLAND BAPTIST HOSPITAL PAYMENTS REPORTED BY NEBH: -BASE COMPENSATION: $176,679 -INCENTIVE COMPENSATION: $19,553 -OTHER REPORTABLE COMPENSATION: $9,275 -DEFERRED COMPENSATION: $(13,981) -NON-TAXABLE BENEFITS: $13,731 DEFERRED COMPENSATION REPORTED FOR THE 2010 CALENDAR YEAR INCLUDES A DECREASE IN THE VALUE OF A PENSION ACCOUNT DURING THE 2010 CALENDAR YEAR IN THE AMOUNT OF $16,981, AND AS SUCH IS REFLECTED AS A NEGATIVE AMOUNT ON THIS FILING. CALLAHAN, ANNE E. OPERATING ROOM NURSE - NEW ENGLAND BAPTIST HOSPITAL PAYMENTS REPORTED BY NEBH: -BASE COMPENSATION: $171,407 -INCENTIVE COMPENSATION: $0 -OTHER REPORTABLE COMPENSATION: $7,264 -DEFERRED COMPENSATION: $(23,823) -NON-TAXABLE BENEFITS: $13,693 DEFERRED COMPENSATION REPORTED FOR THE 2010 CALENDAR YEAR INCLUDES A DECREASE IN THE VALUE OF A PENSION ACCOUNT DURING THE 2010 CALENDAR YEAR IN THE AMOUNT OF $24,354, AND AS SUCH IS REFLECTED AS A NEGATIVE AMOUNT ON THIS FILING. CONNOLLY, SHARON OPERATING ROOM NURSE - NEW ENGLAND BAPTIST HOSPITAL PAYMENTS REPORTED BY NEBH: -BASE COMPENSATION: $138,883 -INCENTIVE COMPENSATION: $0 -OTHER REPORTABLE COMPENSATION: $7,198 -DEFERRED COMPENSATION: $(2,685) -NON-TAXABLE BENEFITS: $24,663 DEFERRED COMPENSATION REPORTED FOR THE 2010 CALENDAR YEAR INCLUDES A DECREASE IN THE VALUE OF A PENSION ACCOUNT DURING THE 2010 CALENDAR YEAR IN THE AMOUNT OF $7,000, AND AS SUCH IS REFLECTED AS A NEGATIVE AMOUNT ON THIS FILING. SULLIVAN SMITH, MARY. VICE PRESIDENT, PATIENT CARE SERVICES AND CHIEF NURSING OFFICER - NEW ENGLAND BAPTIST HOSPITAL PAYMENTS REPORTED BY NEBH: -BASE COMPENSATION: $151,724 -INCENTIVE COMPENSATION: $0 -OTHER REPORTABLE COMPENSATION: $17,083 -DEFERRED COMPENSATION: $0 -NON-TAXABLE BENEFITS: $0 GREEN, JAMES F. FORMER VICE PRESIDENT CLINICAL PROGRAMS - NEW ENGLAND BAPTIST HOSPITAL PAYMENTS REPORTED BY NEBH: -BASE COMPENSATION: $29,668 -INCENTIVE COMPENSATION: $0 -OTHER REPORTABLE COMPENSATION: $158,783 -DEFERRED COMPENSATION: $888 -NON-TAXABLE BENEFITS: $231 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 16, 2010. OTHER REPORTABLE COMPENSATION INCLUDES SEVERANCE PAYMENTS PAID DURING THE CALENDAR YEAR 2010 IN THE AMOUNT OF $135,386.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
NEW ENGLAND BAPTIST HOSPITAL
 
Employer identification number
04-2103612
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer
(i) Pool
financing
Yes No Yes No Yes No
A MA DEVELOPMENT FINANCE AGENCY
 
04-3431814 NONEAVAIL 09-15-2011 120,280,000 REFUND ISSUES DATED 2/11/1998   X   X   X
B MA HLTH & ED FAC AUTH
 
04-2456011 57586C3S2 06-09-2008 377,527,010 REFUND ISSUES DATED 1/19/1989, 9/23/1992, 8/12/2004; & FIN VARIOUS CAP EXP   X   X   X
C MA HLTH & ED FAC AUTH
 
04-2456011 57586CDK8 08-12-2004 187,125,000 REFUND ISSUES DATES 9/23/1992, 11/9/1994   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 35,475,000 35,475,000 146,675,000  
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 120,280,000 378,911,689 187,125,000  
4 Gross proceeds in reserve funds . . 27,256,617 27,256,617    
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . . 119,989,328 204,075,167 177,336,000  
7 Issuance costs from proceeds . . . 290,672 3,929,289 1,796,643  
8 Credit enhancement from proceeds. 7,991,727   7,991,727  
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 127,932,058 127,932,058    
11 Other spent proceeds . . 8,993,760 8,993,760    
12 Other unspent proceeds. . . 6,614,451 6,614,451    
13 Year of substantial completion . . . 2011 2011
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X   X          
15 Were the bonds issued as part of an advance refunding issue?   X   X   X    
16 Has the final allocation of proceeds been made? . . X     X X      
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X      
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X            
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . X              
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X              
b Are there any research agreements that may result in private business use of bond-financed property? . . X              
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X              
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0.600 %      
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0.100 %      
6 Total of lines 4 and 5 . . .. . . . . . 0.700 %      
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X              
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X    
2 Is the bond issue a variable rate issue? X     X X      
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X X      
b Name of provider . CITIBANK
 
 
 
CITIBANK
 
 
 
c Term of hedge . .        
d Was the hedge superintegrated? .   X       X    
e Was a hedge terminated? . X       X      
4a Were gross proceeds invested in a GIC? .   X   X   X    
b Name of provider .  
 
 
 
 
 
 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .                
6 Did the bond issue qualify for an exception to rebate? . . .   X   X   X    
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
SCHEDULE K, PART II, COLUMN A, LINE 1:   138,075,000 OF THE 2004C1&2 PORTION OF THE 2004 ISSUE WAS REFUNDED BY THE 2008 SERIES. 8,600,000 OF 2004D HAS REACHED MATURITY.
SCHEDULE K, PART II, COLUMN B, LINE 3:   THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS OF THE ISSUE AND THE ISSUE PRICE IS, 1,348,679 OF INVESTMENTS EARNINGS EARNED TO DATE.
SCHEDULE K, PART II, COLUMN B, LINE 11:   THIS AMOUNT WAS SPENT ON THE TERMINATION OF THE 2004 SWAP AGREEMENT.
SCHEDULE K, PART II, COLUMN A, B, & C, LINE 6:   THE AMOUNTS LISTED IN THE REFUNDING ESCROW ARE THE REFUNDING PROCEEDS OF THE ISSUES BUT AS OF THE FISCAL YEAR END ONLY 1,187,000 OF PROCEEDS REMAIN IN THE 2011 ESCROW, ALL OTHER PROCEEDS HAVE BEEN DISBURSED.
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 HOSPITAL, 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 PURPOSES OF CAREGROUP SERIES F BONDS: -REFUNDING OF A PORTION OF THE OUTSTANDING PRINCIPAL BALANCE OF THE CAREGROUP SERIES A BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED 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, 2011 WERE REVIEWED TO ENSURE PROPER ACCOUNTING OF ANY PRIVATE USE GENERATED FROM SUCH ACTIVITIES. IN ADDITION, SUCH AGREEMENTS ARE GENERALLY REVIEWED BY INSIDE COUNSEL PRIOR TO FINALIZING.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
NEW ENGLAND BAPTIST HOSPITAL
 
Employer identification number

04-2103612
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) JOHN RICHMOND
 
TRUSTEE(EX-OFFICIO) 182,750 SEE SCHEDULE O   No
(2) DAVID MATTINGLY
 
TRUSTEE 157,599 SEE SCHEDULE O   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
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.DR. JOHN RICHMOND, CHAIRMAN OF THE NEBH DEPARTMENT OF ORTHOPEDICS, TRUSTEE (EX-OFFICIO), NEBH AND TRUSTEE (EX-OFFICIO), NEBMA AND DAVID MATTINGLY, A TRUSTEE AT NEBH, ARE BOTH DIRECTORS ON THE BOARD OF ORTHOPAEDIC CLINICAL ASSOCIATES. DURING THE PERIOD COVERED BY THIS FILING, NEBH MADE PAYMENTS TO ORTHOPAEDIC CLINICAL ASSOCIATES, AND RECEIVED PAYMENTS FROM ORTHOPAEDIC CLINICAL ASSOCIATES IN THE AMOUNTS OF $182,750 AND $157,599 RESPECTIVELY.NEBH MAINTAINS AN ACCOUNTABLE BUSINESS EXPENSE REIMBURSEMENT PLAN. FROM TIME TO TIME, NEBH MAY REIMBURSE ITS OFFICERS, TRUSTEES AND/OR KEY EMPLOYEES FOR EXPENSES THEY INCURRED AND WHICH ARE PROPERLY ORDINARY AND NECESSARY BUSINESS EXPENSES OF THE REPORTING ENTITY. THE POLICIES AND PROCEDURES REQUIRED BY THE ACCOUNTABLE BUSINESS PLAN MUST BE FOLLOWED IN ORDER TO RECEIVE REIMBURSEMENT FOR SUCH EXPENSES AND IT IS POSSIBLE THAT ONE OR MORE INDIVIDUALS RECEIVED NON-TAXABLE REIMBURSEMENTS WHICH TOTALED $10,000 OR MORE DURING THE FISCAL PERIOD COVERED BY THIS FILING.ALL OF THE ABOVE TRANSACTIONS WERE NEGOTIATED AT ARMS LENGTH AND IN ACCORDANCE WITH THE NEBH CONFLICT OF INTEREST POLICY.
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
NEW ENGLAND BAPTIST HOSPITAL
 
Employer identification number

04-2103612
Part I
Types of Property
(a)
Check if applicable
(b)
Number of Contributions or items contributed
(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods .......
     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous .. X 11 295,210 FMV
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( OTHER: EQUIPMENT ) X 1 731,836 FMV
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
...
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
NEW ENGLAND BAPTIST HOSPITAL
 
Employer identification number

04-2103612
Identifier Return Reference Explanation
ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 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.
EXEMPT PURPOSE ACHIEVEMENTS FORM 990, PART III LINE 4A-D 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.
MEDICAID & MEDICARE FORM 990, PART III LINE 4A 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, 1.5% OR 2,404 OF NEBH'S PATIENT ENCOUNTERS WERE WITH MEDICAID PATIENTS. THIS TRANSLATED TO $993,498 IN MEDICAID REVENUE WHICH WAS LESS THAN THE COST OF CARE PROVIDED BY NEBH FOR SUCH SERVICES BY $1,358,259, AS REPORTED WITHIN SCHEDULE H, LIKE 7B. 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, 29% OR 46,553 OF NEBH'S PATIENT ENCOUNTERS WERE WITH MEDICARE PATIENTS. THIS TRANSLATED TO $52,728,844 IN NET PATIENT SERVICE REVENUE; 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 $10,161,160. ALTHOUGH NEBH CONSIDERS THE PROVISION OF CLINICAL CARE TO MEDICARE PATIENTS AS PART OF ITS COMMUNITY BENEFIT, THE ADDITIONAL MEDICARE SHORTFALL OF $10,161,160 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 9.1%.
INPATIENT CARE FORM 990, PART III LINE 4B NEW ENGLAND BAPTIST HOSPITAL CARES FOR ITS PATIENTS IN ITS 135 LICENSED BEDS. DURING FISCAL YEAR 2011, NEBH ADMITTED 7,068 PATIENTS, INCLUDING: 6,694 SURGICAL ADMISSIONS AND 374 MEDICAL ADMISSIONS; TOTAL DISCHARGES WERE 7,079 PATIENTS; AND TOTAL PATIENT DAYS WERE 25,221
COMMUNITY WALK-IN CLINIC/ AMBULATORY CARE UNIT/ EMERGENT CARE FORM 990, PART III LINE 4C 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 141,000 DURING FISCAL YEAR 2011. 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 2011 WAS $55,005,296. SINCE CARE IS NOT CONDITIONAL ON AVAILABLE BUDGET OR OTHERWISE RATIONED, THE CWC MAY RUN A DEFICIT. IN FY 2011, THE SHORTFALL WAS $1,148,496.
  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 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, 2011. 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 (24B): STATEMENT REGARDING TAX EXEMPT BOND ISSUE PROCEEDS IN THE PROJECT FUND WERE UNEXPECTEDLY HELD BEYOND THE THREE-YEAR TEMPORARY PERIOD, BUT WERE YIELD RESTRICTED IN COMPLIANCE WITH FEDERAL TAX REQUIREMENTS.
LIST OF STATES WITH QUALIFIED HEALTH PLANS FORM 990, PART V, LINE 13A AR,AZ,CO,CT,FL,IL,KY,ME,MD,MA,MI,MN,MS,MO,NH,NJ,NM,NY,NC,ND,OH,OK,OR,PA,SC UT,WA,WI
  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, 2011.
FORM 990, PART VI, SECTION A, LINE 2   THE FOLLOWING INDIVIDUALS ARE DEEMED TO HAVE BUSINESS RELATIONSHIPS WHICH ARISE FROM THEIR ROLES AS OFFICERS, DIRECTORS AND / OR TRUSTEES IF NEW ENGLAND BAPTIST HOSPITAL AND ITS AFFILIATED ENTITIES DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2011: 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   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.
FORM 990, PART VI, SECTION A, LINE 7A   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.
FORM 990, PART VI, SECTION A, LINE 7B   THE MEMBER 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, 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 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, SECTION B, LINE 15 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 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
OTHER REVENUE FORM 990, PART VIII, LINE 11D RELATED OR UNRELATED REVENUE TOTAL EXEMPT BUSINESS EXCLUDED DESCRIPTION BUS CODE REVENUE FUNCTION REVENUE FROM TAX NEBMA SUPPORT REVENUE: $1,068,393 $0 $0 $1,068,393 BIOSKILLS LEARNING EVENTS:541900 $137,738 $0 $137,738 $0 GIFT SHOP: $139,922 $0 $0 $139,922 OTHER PROGRAM: $209,454 $0 $0 $209,454 GUEST ROOMS: $92,320 $0 $0 $92,320 ANSWERING SERVICE: 517000 $91,501 $0 $91,501 $0 MANAGED CARE EMPL REIMB: 541900 $79,218 $0 $79,218 $0 ANESTHESIA ASSOC OF MA: 531190 $63,791 $0 $63,791 $0 MEDICAL RECORD FEES: $21,746 $0 $0 $21,746 X-RAY / LAB: $5,952 $0 $0 $5,952 LAUNDRY AND LINENS: 812300 $14,970 $0 $14,970 $0 PHYSICIAN INTEREST: $11,539 $0 $0 $11,539 EDUCATION EVENTS: $2,174 $0 $0 $2,174 COPYING FEES: $2,465 $0 $0 $2,465 TOTALS: $1,941,182 $0 $387,217 $1,553,965
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,468,541. NET ASSETS RELEASED FROM RESTRICTIONS -3,376,157. TRANSFERS IN/ OUT FROM AFFILIATES -1,778,253. MINIMUM ADDITIONAL PENSION LIABILITY 2,783,211. NET REALIZED GAINS 68,732. DIVIDEND & INCOME 3,015,795. OTHER ADJUSTMENTS -413,914. CAREGROUP PARTNERSHIP -11,204. TOTAL TO FORM 990, PART XI, LINE 5: -1,180,331.
  FORM 990, PART XI (Q 2B AND 2C): FINANCIAL STATEMENTS AND COMMITTEE OVERSIG 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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
NEW ENGLAND BAPTIST HOSPITAL
 
Employer identification number

04-2103612
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income



(e)
End-of-year assets


(f)
Direct controlling
entity









(1) 812 HUNTINGTON LLC
812 HUNTINGTON
BOSTON,MA02120
54-2195262
SUPPORT NEBH MA 0 0 SEE SCHEDULE O
 










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section



(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled organization
Yes No
(1) ASSOC PHYS HARVARD MED FAC PHY AT BIDMC

375 LONGWOOD AVE

BOSTON,MA02215
32-0058309
TO PROVIDE EMERGENCY MEDICAL SERVICES MA 501(C)(3) LINE 11A, I HARVARD MED FAC PHYS AT BIDMC
 
 
No
(2) BI ANAESTHESIA FOUNDATION INC

330 BROOKLINE AVE

BOSTON,MA02215
04-2997215
PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS MA 501(C)(3) LINE 11A, I HMFP AT BIDMC
 
 
No
(3) BI COMMUNITY FOUNDATION INC

330 BROOKLINE AVE

BOSTON,MA02215
04-2776678
INACTIVE CORPORATION MA 501(C)(3) LINE 7 N/A
 
No
(4) BI DEACONESS DEPARTMENT OF MEDICINE FOUNDATION INC

330 BROOKLINE AVE

BOSTON,MA02215
04-3079630
PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS MA 501(C)(3) LINE 11A, I HMFP AT BIDMC
 
 
No
(5) BI DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION INC

330 BROOKLINE AVE

BOSTON,MA02215
20-8253452
PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS MA 501(C)(3) LINE 11A, I HMFP AT BIDMC
 
 
No
(6) BI DEACONESS DEPARTMENT OF NEUROLOGY FOUNDATION INC

330 BROOKLINE AVE

BOSTON,MA02215
04-3030397
PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS MA 501(C)(3) LINE 11A, I HMFP AT BIDMC
 
 
No
(7) BI DEACONESS DEPARTMENT OF ORTHOPAEDIC SURGERY FOUNDATION INC

330 BROOKLINE AVE

BOSTON,MA02215
20-4974585
PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS MA 501(C)(3) LINE 11A, I HMFP AT BIDMC
 
 
No
(8) BI DEACONESS DEPARTMENT OF SURGERY FOUNDATION INC

110 FRANCIS STREET

BOSTON,MA02215
02-0671240
PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS MA 501(C)(3) LINE 11A, I HMFP AT BIDMC
 
 
No
(9) BI DEACONESS HOSPITAL - NEEDHAM INC

148 CHESTNUT STREET

NEEDHAM,MA02492
04-3229679
HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS MA 501(C)(3) LINE 3 BETH ISRAEL DEACONESS MEDICAL CENTER INC
 
 
No
(10) BETH ISRAEL DEACONESS MEDICAL CENTER

330 BROOKLINE AVE

BOSTON,MA02215
04-2103881
THE OPERATION OF A WORLD CLASS ACADEMIC MEDICAL CENTER IN BOSTON, MA MA 501(C)(3) LINE 3 CAREGROUP INC
 
 
No
(11) BIDMC AND CHILDREN'S HOSPITAL MEDICAL CARE CORP

300 LONGWOOD AVE

BOSTON,MA02215
04-3200113
OUTPATIENT AMBULATORY CARE CENTER IN LEXINGTON, MA MA 501(C)(3) LINE 11A, I N/A
 
No
(12) BIDMC OBSTETRICS AND GYNECOLOGY FOUNDATION INC

330 BROOKLINE AVE

BOSTON,MA02215
04-2794855
PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS MA 501(C)(3) LINE 11A, I HMFP AT BIDMC
 
 
No
(13) BI DERMATOLOGY FOUNDATION INC

330 BROOKLINE AVE

BOSTON,MA02215
04-3117601
PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS MA 501(C)(3) LINE 11A, I HMFP AT BIDMC
 
 
No
(14) BIH PATHOLOGY FOUNDATION INC

330 BROOKLINE AVE

BOSTON,MA02215
22-2548374
PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS MA 501(C)(3) LINE 11A, I HMFP AT BIDMC
 
 
No
(15) BIH RADIOLOGIC FOUNDATION INC

330 BROOKLINE AVE

BOSTON,MA02215
04-2571853
PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS MA 501(C)(3) LINE 11A, I HMFP AT BIDMC
 
 
No
(16) CARDIOVASCULAR ASSOC PHYS OF HMFP AT BIDMC INC

185 PILGRIM ROAD

BOSTON,MA02215
04-3208878
SPECIALIZED CARDIOVASCULAR MED SVCS TO PATIENTS OF CARDIO VSUCAL INSTITUTES MA 501(C)(3) LINE 11A, I HMFP AT BIDMC
 
 
No
(17) CARDIOVASCULAR MANAGEMENT ASSOCIATES INC

185 PILGRIM ROAD

BOSTON,MA02215
20-8550792
FACILITATE COMP CARDIOVASCULAR CARE, EDU, AND RESEARCH, WITHIN BIDMC, HMFP MA 501(C)(3) LINE 11A, I BETH ISRAEL DEACONESS MEDICAL CENTER INC
 
 
No
(18) CAREGROUP INC

109 BROOKLINE AVE

BOSTON,MA02215
22-2629185
DEVELOP AND COORDINATE INTEGRATED HEALTHCARE DELIVERY SYSTEM MA 501(C)(3) LINE 11D, III-O N/A
 
No
(19) CARL J SHAPIRO INSTITUTE

330 BROOKLINE AVE

BOSTON,MA02215
04-2810972
DEVELOP INNOVATIVE PROG AND MODELS FOR TEACHING AND RESEARCH MA 501(C)(3) LINE 11A, I N/A
 
No
(20) CONTINUING EDU PROGRAM DBA BID DEPT OF PSYCH FDN

C/O HARVARD MED SCH 401 PARK DR

BOSTON,MA02215
04-2103606
PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS MA 501(C)(3) LINE 11A, I HMFP AT BIDMC
 
 
No
(21) JOSLIN CLINIC INC

ONE JOSLIN PLACE

BOSTON,MA02215
22-2984590
TO PROVIDE SPECIALITY MEDICAL AND RESEARCH SERVICES FOR DIABETES MA 501(C)(3) LINE 11A, I N/A
 
No
(22) MED CARE OF BOSTON MGMT CORP DBA AFFILIATED PHYS GROUP

400 HUNNEWELL ST

NEEDHAM,MA02494
04-2810972
MEDICAL SERVICES ORGANIZATION MA 501(C)(3) LINE 9 BETH ISRAEL DEACONESS MEDICAL CENTER INC
 
 
No
(23) MOUNT AUBURN HOSPITAL

330 MOUNT AUBURN ST

CAMBRIDGE,MA02138
04-2103606
HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS MA 501(C)(3) LINE 3 CAREGROUP INC
 
 
No
(24) MOUNT AUBURN PROFESSIONAL SERVICES INC

330 MOUNT AUBURN ST

CAMBRIDGE,MA02138
04-3026897
OFFERING MEDICAL CARE IN GENERAL AND SPECIALIZED PRACTICES MA 501(C)(3) LINE 11A, I MOUNT AUBURN HOSPITAL
 
 
No
(25) NEW ENGLAND BAPTIST MEDICAL ASSOCIATES INC

125 PARKER HILL AVE

BOSTON,MA02120
04-3326928
OUTPATIENT MEDICAL SERVICES TO THE VARIUOS COMMUNITIES SERVICED BY NEBH MA 501(C)(3) LINE 3 NEW ENGLAND BAPTIST HOSPITAL INC
 
Yes
 
(26) RIVERBROOK CORPORATION

109 BROOKLINE AVE

BOSTON,MA02215
04-2828955
TO HOLD TITLE TO PROPERTY FOR CAREGROUP, INC. MA 501(C)(3)   CAREGROUP INC
 
 
No
(27) HARVARD MEDICAL COLLABORATIVE INC

25 SHATTUCK ST

BOSTON,MA02115
04-3476764
COORDINATE AND PROVIDE STRATEGIC PLANNING OPP FOR HMS MA 501(C)(3) LINE 11A, I N/A
 
No
(28) HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC INC

375 LONGWOOD AVE

BOSTON,MA02215
22-2768204
GENERAL AND SPECIALIZED MEDICAL SERVICES TO THE PATIENTS OF BIDMC AND OTHERS MA 501(C)(3) LINE 9 BETH ISRAEL DEACONESS MEDICAL CENTER INC
 
 
No
(29) HEART CENTER OF METROWEST INC

99 LINCOLN ST

BOSTON,MA01702
03-0390670
TO PROVIDE OUTPATIENT MEDICAL SERVICES TO THE METROWEST COMMUNITIES MA 501(C)(3) LINE 9 CARDIOVASCULAR MANAGEMENT ASSOCIATES INC
 
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) ADVANCED VASCULAR CARE LLC

375 LONGWOOD AVEN
BOSTON,MA02215
26-1647880
TO PROVIDE MEDICAL SUPPORT SERVICES MA HMFP AT BIDMC
 
RELATED       No     No  
(2) BETH ISRAEL DEACONESS PHYSICIAN ORGANIZATION LLC

110 FRANC1S STREET
BOSTON,MA02215
04-3426253
TO PROMOTE THE HIGHEST QUALITY OF COORD, SAFE AND CST EFF PATIENTS AT BIDMC MA HMFP AT BIDMC
 
RELATED       No     No  
(3) BE-WELL BODY SCAN LLC

25 BOYLSTON STREET
CHESTNUT HILL,MA02215
26-0051016
TO OPERATE A DIAGNOSTIC IMAGING CENTER MA BIH RADIOLOGY FOUNDATION INC
 
RELATED       No     No  
(4) CAREGROUP CLIMCAL RESEARCH LLC

109 BROOKLINE AVENUE
BOSTON,MA02215
30-0228711
TO PARTICIPATE IN A CLINICAL RESEARCH PARTNERSHIP MA NONE
 
N/A       No     No  
(5) CAREGROUP INVESTMENT PARTNERSHIP LLP

109 BROOKLINE AVENUE
BOSTON,MA02215
04-3278109
INVESTMENT PARTNERSHIP MA BETH ISRAEL DEACONESS MEDICAL
 
UNRELATED 982,107 29,141,522   No 11,204   No 4.437 %
(6) PHYSICIANS PROFESSIONAL SERVICES LLP

10 CABOT ROAD
MEDFORD,MA02215
04-3275078
TO PROVIDE MEDICAL BILLING SERVICES MA  
RELATED       No     No  


Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



(b)
Primary activity



(c)
Legal domicile
(state or
foreign
country)
(d)
Direct controlling
entity


(e)
Type of entity
(C corp, S corp,
or trust)

(f)
Share of total income



(g)
Share of
end-of-year
assets

(h)
Percentage
ownership


(1) BIDMCCGSMC JV INC
400 HUNNEWELL ST
NEEDHAM,MA02494
26-4426847
INACTIVE CORPORATION MA NONE
 
C      
(2) CHESTNUT HEALTHCARE ALLIANCE INC
148 CHESTNUT ST
NEEDHAM,MA00292
04-3265117
PHYSICIAN / HOSPITAL ORGANIZATION MA NONE
 
C      










Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type(a-r)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
(2)

(3)

(4)

(5)

(6)

Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Are all
partners
section
501(c)(3)
organizations?
(e)
Share of
end-of-year
assets
(f)
Disproprtionate allocations?
(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065)
(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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