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FORM 990 SCHEDULE H PART V, SECTION C:
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SUPPLEMENTAL INFORMATION FOR SCHEDULE H PART V, SECTION BFINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - COMMUNITY HEALTH IMPROVEMENT SERVICES AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPSCOMMUNITY BENEFITS MISSION STATEMENT BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM (BID-NEEDHAM OR HOSPITAL) IS COMMITTED TO WORKING IN PARTNERSHIP WITH RESIDENTS AND COMMUNITY LEADERS AS WELL AS CIVIC, SOCIAL AND MEDICAL ORGANIZATIONS FROM THE COMMUNITIES SERVED. THE HOSPITAL IS DEDICATED TO THE PLANNING, DEVELOPMENT, IMPLEMENTATION, AND MONITORING OF PROGRAMS THAT ADDRESS THE HEALTH CARE NEEDS OF OUR COMMUNITY. BID-NEEDHAM HAS MAINTAINED A TRADITION OF EXTENSIVE COMMUNITY SERVICE PROGRAMMING THROUGHOUT ITS HISTORY. THROUGH THE HOSPITAL'S COMMUNITY BENEFIT PROGRAMS, BID-NEEDHAM OFFERS CLINICAL, EDUCATIONAL AND FINANCIAL RESOURCES. THESE PROGRAMS ARE DESIGNED TO IMPROVE AWARENESS OF COMMUNITY HEALTHCARE ISSUES AND INCREASE PARTICIPATION IN WELLNESS AND PREVENTATIVE HEALTH ACTIVITIES. THE HOSPITAL'S COMMITMENT TO THE COMMUNITY BENEFIT IDEALS ALSO INCLUDES CONDUCTING PERIODIC COMMUNITY HEALTH NEEDS ASSESSMENTS AND PROVIDING EXTENSIVE OPPORTUNITIES FOR PUBLIC INPUT AND PARTICIPATION IN ONGOING EVALUATIVE PROCESSES. BID-NEEDHAM BELIEVES THAT THE COOPERATIVE AND COLLABORATIVE PARTNERSHIPS DEVELOPED THROUGH COMMUNITY BENEFIT PROGRAMS WILL HELP ADDRESS THE HEALTH AND WELFARE NEEDS OF THE COMMUNITY. AS NOTED THROUGHOUT THIS NARRATIVE, BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER), IS A NATIONALLY RECOGNIZED TERTIARY CARE ACADEMIC MEDICAL CENTER, IS A TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL. FOR THE PERIOD COVERED BY THIS FILING, BIDMC SERVED AS THE SOLE MEMBER OF BID-NEEDHAM. THE MEDICAL CENTER IS ALSO COMMITTED TO ITS COMMUNITY. THE MEDICAL CENTER'S MISSION IS TO SERVE PATIENTS COMPASSIONATELY AND EFFECTIVELY, AND TO CREATE A HEALTHY FUTURE FOR THEM AND THEIR FAMILIES. THAT MISSION IS SUPPORTED BY THE MEDICAL CENTER'S COMMITMENT TO PERSONALIZED, EXCELLENT CARE FOR OUR PATIENTS; A WORKFORCE COMMITTED TO INDIVIDUAL ACCOUNTABILITY, MUTUAL RESPECT AND COLLABORATION; AND A COMMITMENT TO MAINTAINING OUR FINANCIAL HEALTH. THE MEDICAL CENTER IS COMMITTED TO BEING ACTIVE IN THE COMMUNITY AS WELL. SERVICE TO COMMUNITY IS AT THE CORE AND AN IMPORTANT PART OF THE MEDICAL CENTER'S MISSION. BIDMC HAS A COVENANT TO CARE FOR THE UNDERSERVED AND TO WORK TO CHANGE DISPARITIES IN ACCESS TO CARE. THE MEDICAL CENTER KNOWS THAT TO BE SUCCESSFUL WE NEED TO LEARN FROM THOSE WE SERVE. THIS COMMUNITY BENEFIT MISSION IS FULFILLED BY:- IMPLEMENTING PROGRAMS AND SERVICES IN GREATER BOSTON AND OUTER CAPE COD TO IMPROVE THE CURRENT AND FUTURE HEALTH STATUS OF MEDICALLY UNDERSERVED COMMUNITIES WHICH ARE CHALLENGED BY BARRIERS IN ACCESSING AND INTERACTING EFFECTIVELY WITH THE HEALTHCARE SYSTEM AND IMPACTED BY OTHER SOCIAL DETERMINANTS OF HEALTH.- ENSURING THAT ALL PATIENTS RECEIVE EQUITABLE CARE THAT IS RESPECTFUL AND CULTURALLY RESPONSIVE AND THAT THE MEDICAL CENTER IS WELCOMING AND INCLUSIVE; AND- ENCOURAGING COLLABORATIVE RELATIONSHIPS WITH OTHER PROVIDERS AND GOVERNMENT ENTITIES TO SUPPORT AND ENHANCE RATIONAL AND EFFECTIVE HEALTH POLICIES AND PROGRAMS. DURING THE FISCAL YEAR COVERED BY THIS FILING, BID-NEEDHAM PROVIDED COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY BENEFIT OPERATIONS AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS OF $207,630 AS REPORTED ON THIS SCHEDULE H, PART I, LINES 7E AND 7I. IN ADDITION, $137,286 OF BID-NEEDHAM'S COMMUNITY BENEFITS ACTIVITIES HAVE BEEN REPORTED IN THIS SCHEDULE H, PART I, LINE 7G AS SUBSIDIZED HEALTH SERVICES. DURING THE FISCAL YEAR COVERED BY THIS FILING, BETH ISRAEL DEACONESS MEDICAL CENTER, WHICH SERVED AS THE SOLE MEMBER OF BID-NEEDHAM ALSO PROVIDED NET COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFITS OPERATIONS, CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS OF $16,132,415 AS REPORTED ON THE MEDICAL CENTER'S SCHEDULE H, PART I, LINES 7E AND 7I. COMMUNITY BENEFITS LEADERSHIPBID-NEEDHAM'S PRESIDENT AND CEO, LEADERSHIP STAFF AND MEMBERS OF THE BOARD OF TRUSTEES, IN COLLABORATION WITH COMMUNITY BENEFITS STAFF, INCLUDING THE COMMUNITY RELATIONS DIRECTOR AND CHIEF EXTERNAL RELATIONS OFFICER, ARE RESPONSIBLE FOR ENSURING THAT THE HOSPITAL'S COMMUNITY BENEFIT MANDATE IS EXECUTED EFFECTIVELY.
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COMMUNITY HEALTH NEEDS ASSESSMENT
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COMMUNITY HEALTH NEEDS ASSESSMENT - INTERNAL REVENUE CODE SECTION 501(R)INTERNAL REVENUE CODE SECTION 501(R), ENACTED AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, REQUIRES EACH HOSPITAL TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND TO FORMALLY ADOPT AN IMPLEMENTATION STRATEGY PURSUANT TO FEDERAL GUIDELINES, IN ORDER MAINTAIN ITS TAX EXEMPT STATUS AS A HOSPITAL UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) OF 1986, AS AMENDED. BID-NEEDHAM COMPLETED ITS MOST RECENT NEEDS ASSESSMENT IN SEPTEMBER 2016. THAT CHNA WAS COMPLETED IN CONJUNCTION WITH BETH ISRAEL DEACONESS MEDICAL CENTER WHICH SERVED AS BID-NEEDHAM'S SOLE MEMBER AS WELL AS WITH BETH ISRAEL DEACONESS HOSPITAL-MILTON AND BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH FOR WHICH BIDMC ALSO SERVED AS SOLE MEMBER. THE CHNA WAS APPROVED BY THE BID-NEEDHAM BOARD OF TRUSTEES ON SEPTEMBER 1, 2016. THE ACCOMPANYING IMPLEMENTATION STRATEGY FOR THE MOST RECENT CHNA WAS APPROVED BY THE BOARD ON SEPTEMBER 1, 2016 WHICH IS WITHIN THE TIMELINE REQUIRED BY THE TREASURY REGULATIONS UNDER IRC SECTION 501(R). COMMUNITY HEALTH NEEDS ASSESSMENT - TARGETED GEOGRAPHY AND POPULATIONTHE 2016 COMMUNITY HEALTH ASSESSMENT (CHNA) FOCUSED ON THE FOUR TOWNS THAT COMPRISE THE HOSPITAL'S PRIMARY SERVICE AREA. THESE COMMUNITIES INCLUDE DEDHAM, DOVER, NEEDHAM, AND WESTWOOD (REFERRED TO AS THE NEEDHAM REGION). WHILE THE CHNA PROCESS AIMED TO EXAMINE THE HEALTH CONCERNS ACROSS THE ENTIRE REGION, THERE WAS A PARTICULAR FOCUS ON IDENTIFYING THE NEEDS OF THE MOST UNDERSERVED POPULATION GROUPS OF THE REGION, INCLUDING YOUTH, ADULTS WITH BEHAVIORAL HEALTH AND CHRONIC HEALTH CONDITIONS, LOW-INCOME FAMILIES, AND OLDER ADULTS. COMMUNITY HEALTH NEEDS ASSESSMENT -- APPROACH AND METHODSBID-NEEDHAM ENGAGED JOHN SNOW INC. (JSI), A NON-PROFIT HEALTH ORGANIZATION, TO CONDUCT ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE PURPOSE OF THE CHNA WAS TO PROVIDE AN EMPIRICAL FOUNDATION FOR FUTURE HEALTH PLANNING AS WELL AS FULFILL THE CHNA REQUIREMENT FOR BOTH THE MASSACHUSETTS ATTORNEY GENERAL AND IRS. THE RESULTS OF THIS PROCESS HELP GUIDE THE HOSPITAL'S EFFORTS TO IMPROVE THE HEALTH OF THE POPULATION SERVED. THE PROCESS INCLUDED BOTH QUALITATIVE AND QUANTITATIVE REVIEW OF COMMUNITY DATA AND THE CHNA EVALUATED HEALTH NEEDS OF DISADVANTAGED POPULATIONS, AMONG OTHER COMMUNITY HEALTH NEEDS.QUANTITATIVE DATA: REVIEWING EXISTING SECONDARY DATAEXISTING DATA WAS DRAWN FROM STATE, COUNTY AND LOCAL SOURCES IN ORDER TO DEVELOP A SOCIAL, ECONOMIC, AND HEALTH PORTRAIT OF THE NEEDHAM REGION, THROUGH A "SOCIAL DETERMINANTS OF HEALTH FRAMEWORK." SOURCES OF DATA INCLUDED, BUT WERE NOT LIMITED TO, THE U.S. CENSUS, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, AND CHIA INPATIENT DISCHARGES. OTHER TYPES OF DATA INCLUDED SELF-REPORT OF HEALTH BEHAVIORS FROM LARGE, POPULATION-BASED SURVEYS SUCH AS THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VITAL STATISTICS BASED ON BIRTH AND DEATH RECORDS. IT SHOULD BE NOTED THAT ASIDE FROM POPULATION COUNTS, AGE AND RACIAL/ETHNIC DISTRIBUTION, OTHER DATA FROM THE U.S. CENSUS DERIVE FROM THE AMERICAN COMMUNITY SURVEY, WHICH IS COMPRISED OF DATA FROM A SAMPLE OF A GIVEN GEOGRAPHIC AREA. QUALITATIVE DATA: COMMUNITY DIALOGUERESIDENTS AND COMMUNITY MEMBERS FROM THE BID-NEEDHAM SERVICE AREA ATTENDED A COMMUNITY FORUM AT THE NEEDHAM PUBLIC LIBRARY TO DISCUSS HEALTH NEEDS AND PRIORITIES. PARTICIPANTS REPRESENTED A RANGE OF POPULATION GROUPS, LOCAL ORGANIZATIONS, SENIORS, LEADERS AND HEALTH PROVIDERS IN THE SPECIFIC COMMUNITIES. COMMUNICATION ABOUT THE EVENTS WAS DISTRIBUTED THROUGH BID-NEEDHAM CONTACTS IN EACH AREA, INCLUDING THE LOCAL HEALTH DEPARTMENTS, PUBLIC SCHOOLS, AND COUNCILS ON AGING. THE EVENT WAS ALSO ADVERTISED IN THE LOCAL PAPERS. THE DISCUSSION AIMED TO EXPLORE PARTICIPANTS' PERCEPTIONS OF THEIR COMMUNITIES, WHAT ASPECTS OF THE COMMUNITIES MAKE IT EASIER OR HARDER TO BE HEALTHY, AND THEIR SUGGESTIONS FOR FUTURE PROGRAMMING AND SERVICES TO ADDRESS THEIR PERCEIVED HEALTH ISSUES. THE DIALOGUES WERE MODERATED BY TRAINED JSI PERSONNEL. KEY INFORMANT INTERVIEWS JSI CONDUCTED 23 STAKEHOLDER INTERVIEWS IN THE HOSPITAL'S SERVICE AREA. INTERVIEWEES INCLUDED STAFF AT BID-NEEDHAM, PRIMARY CARE PROVIDERS, BEHAVIORAL HEALTH AND MENTAL HEALTH PROVIDERS, COMMUNITY-BASED SERVICE ORGANIZATIONS, COMMUNITY LEADERS, AND LOCAL HEALTH OFFICIALS. INTERVIEWS WERE CONDUCTED USING A STANDARD INTERVIEW GUIDE, AND INFORMATION WAS GATHERED RELATED TO MAJOR HEALTH ISSUES, MORTALITY/MORBIDITY, BARRIERS TO CARE, UNDERLYING DETERMINANTS OF HEALTH, AND SERVICE GAPS THAT COULD NOT BE IDENTIFIED THROUGH QUANTITATIVE DATA. ONE JSI STAFF PERSON WAS THE LEAD ON ALL INTERVIEWS TO ENSURE CONTINUITY OF UNDERSTANDING OF THE SERVICE AREA'S NEEDS AND RESOURCES.IN ADDITION, THERE WERE SOME STAKEHOLDERS THAT WERE UNABLE TO PARTICIPATE IN AN INTERVIEW, SO A SURVEY WAS DEVELOPED FOR THOSE STAKEHOLDERS TO COMPLETE AT THEIR CONVENIENCE. THE SURVEY GATHERED SIMILAR INFORMATION TO THE INTERVIEWS, AND A TOTAL OF 9 PARTICIPANTS COMPLETED THE SURVEY. ANALYSES THE FINAL PHASE OF THE ASSESSMENT WAS TO REVIEW THE RESULTS OF THE QUALITATIVE AND QUANTITATIVE DATA AND IDENTIFY PRIORITIES, FOCUSING ON THE KEY THEMES THAT EMERGED ACROSS DATA, GROUPS AND INTERVIEWS. THE CHNA UTILIZED A PARTICIPATORY, COLLABORATIVE APPROACH TO LOOK AT HEALTH IN ITS BROADEST CONTEXT. AS NOTED ABOVE, THE ASSESSMENT PROCESS INCLUDED SYNTHESIZING EXISTING DATA ON SOCIAL, ECONOMIC, AND HEALTH INDICATORS IN THE REGION AS WELL AS INFORMATION FROM COMMUNITY DIALOGUES CONDUCTED WITH COMMUNITY RESIDENTS, AND INTERVIEWS WITH COMMUNITY STAKEHOLDERS. (SCHEDULE H, PART V, SECTION B, QUESTION 5). BID-NEEDHAM CONDUCTED THIS CHNA PROCESS IN CONJUNCTION WITH BETH ISRAEL DEACONESS MEDICAL CENTER, WHICH SERVED AS ITS SOLE MEMBER, AS WELL AS THE OTHER HOSPITALS FOR WHICH BIDMC SERVED AS SOLE MEMBER, BID-MILTON AND BID-PLYMOUTH. ALTHOUGH THESE HOSPITALS WORKED TOGETHER ON THE CHNA PROCESS, EACH HOSPITAL ULTIMATELY COMPILED ITS OWN INDEPENDENT CHNA AND IMPLEMENTATION STRATEGY. (SCHEDULE H, PART V, SECTION B, QUESTION 6A AND 6B).COMMUNITY HEALTH NEEDS ASSESSMENT - KEY FINDINGSBID-NEEDHAM'S CHNA RESULTED IN KEY FINDINGS RELATED TO HEALTH INSURANCE COVERAGE AND ACCESS TO PRIMARY CARE, HEALTH RISK FACTORS, OVERALL MORTALITY, HEALTH CARE UTILIZATION, CHRONIC DISEASE, CANCER, INFECTIOUS DISEASE, BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE), ELDER HEALTH, AND MATERNAL AND CHILD HEALTH. SEVERAL OVERARCHING THEMES EMERGED FROM THIS SYNTHESIS OF DATA, INCLUDING: LACK OF TRANSPORTATION SERVICES IN THE REGION PREVENTS RESIDENTS FROM ACCESSING SERVICES; HEALTHY EATING, PHYSICAL ACTIVITY AND OBESITY ARE ISSUES AFFECTING RESIDENTS IN THE NEEDHAM REGION AS THEY ARE SEEN NATIONALLY; SUBSTANCE ABUSE AND MENTAL HEALTH ARE PRESSING HEALTH CONCERNS IN THE COMMUNITY, FOR WHICH THE CURRENT SYSTEM WAS PERCEIVED AS INSUFFICIENT; AND, DESPITE STRONG HEALTH CARE SERVICES IN THE REGION, VULNERABLE POPULATIONS ENCOUNTER CONTINUED DIFFICULTIES IN ACCESSING RESOURCES. IN RESPONSE, THERE ARE SEVERAL EFFORTS CURRENTLY UNDERWAY IN THE NEEDHAM REGION WORKING TO MEET THE HEALTH AND SOCIAL SERVICE NEEDS OF RESIDENTS.
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COMMUNITY HEALTH NEEDS ASSESSMENT - ADDRESSING COMMUNITY HEALTH NEEDS
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BID-NEEDHAM STRIVES TO ADDRESS THE PRIORITY AREAS IN ITS CHNA AND IMPLEMENTATION STRATEGY WHICH ARE AVAILABLE ON THE BID-NEEDHAM WEBSITE. AS NOTED THROUGHOUT THIS FORM 990 SCHEDULE H, BID-NEEDHAM'S MOST RECENTLY COMPLETED CHNA WAS COMPLETED DURING THE FISCAL YEAR ENDED 2016 AND THE FIRST YEAR OF ACCOMPLISHMENTS UNDER THAT CHNA AND IMPLEMENTATION STRATEGY (CHIP) WILL BE REPORTED IN THE FORM 990 FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2018. THAT CHNA AND CHIP ARE AVAILABLE ON THE HOSPITAL'S WEBSITE AT:HTTPS://WWW.BIDNEEDHAM.ORG/WRITABLE/FORMS/NEEDHAM-CHNA-REPORT-FINAL-052918.PDFHTTPS://WWW.BIDNEEDHAM.ORG/WRITABLE/FILES/NEEDHAM-CHIP-REPORT-FINAL.PDFIN ADDITION, THE CHNA AND CHIP WHICH WERE PREVIOUSLY COMPLETED DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2013 AND UNDER WHICH COMMUNITY BENEFITS ACTIVITIES WERE GUIDED FOR THE PERIOD COVERED BY THIS FILING IS AVAILABLE ON THE HOSPITAL'S WEBSITE AT: HTTPS://WWW.BIDNEEDHAM.ORG/WRITABLE/FILES/BID-NEEDHAM-CB-PLAN-FINAL-9-6-13-AK.PDFHTTPS://WWW.BIDNEEDHAM.ORG/WRITABLE/FILES/BID-NEEDHAM-FINAL-CHNA-REPORT_8.15.13.PDFBOTH DOCUMENTS ARE ALSO AVAILABLE UPON REQUEST. (SCHEDULE H, PART V, SECTION B, LINE 7A.) 1. HEALTH RISK FACTORS AND PRIMARY PREVENTION TO ADDRESS HEALTH RISK FACTORS AND PREVENTION OF CHRONIC DISEASE, THE HOSPITAL WORKED WITHIN THE COMMUNITY AND WITH COMMUNITY PARTNERS, ON PROGRAMMING, HEALTH LITERACY AND EDUCATION FOR RESIDENTS ON HEALTHY LIFESTYLES, INCLUDING MENTAL HEALTH, SUBSTANCE USE PREVENTION, PHYSICAL ACTIVITY AND NUTRITION.BID-NEEDHAM PARTNERED WITH LOCAL ORGANIZATIONS SUCH AS SUBSTANCE PREVENTION ALLIANCE OF NEEDHAM-DOVER SHERBORN (SPAN-DS), PARENT TALK AND NEEDHAM COMMUNITY EDUCATION TO EDUCATE ON MENTAL HEALTH RISK FACTORS AND HEALTHY BEHAVIORS THROUGH EDUCATIONAL WORKSHOPS. THE WORKSHOPS OFFERED STRATEGIES TO CHANGE BEHAVIOR, ENGAGE IN CONVERSATIONS AND OTHER TECHNIQUES TO ADDRESS MENTAL HEALTH. THE HOSPITAL ALSO WORKS WITH THE NEEDHAM SCHOOLS ON INITIATIVES FOR STUDENTS, SUCH AS "TAKE BACK THE NIGHT," A STUDENT-RUN EVENT THAT EDUCATES ON DOMESTIC VIOLENCE AND SEXUAL ASSAULT PREVENTION, AND 5TH QUARTER, A SAFE, FUN AND ALCOHOL-FREE PARTY AFTER HOME FOOTBALL GAMES. THE HOSPITAL IS A LONGSTANDING PARTNER FOR STUDENTS ADVOCATING LIFE WITHOUT SUBSTANCE ABUSE (SALSA), A PROGRAM WHICH HAS BECOME PART OF THE 8TH GRADE CURRICULUM AND TRAINS HIGH SCHOOL STUDENTS TO GO INTO 8TH GRADE CLASSROOMS AND TALK ABOUT THE PRESSURES OF USING SUBSTANCES.BID-NEEDHAM IS MEMBER OF THE SUBSTANCE PREVENTION ALLIANCE OF NEEDHAM (SPAN), WHICH WORKS TO REDUCE ALCOHOL, MARIJUANA AND OTHER DRUG USE AMONG NEEDHAM YOUTH, PROVIDING VOLUNTEER AND FINANCIAL SUPPORT TO THIS ORGANIZATION. THE HOSPITAL SUPPORTS NEW YEAR'S NEEDHAM ANNUALLY, WHICH PROVIDES MORE THAN 4,000 PEOPLE A SAFE, SUBSTANCE-FREE CELEBRATION ON NEW YEAR'S EVE. THE HOSPITAL'S CONTRIBUTION PROVIDES ADMISSION BUTTONS TO APPROXIMATELY 100 PEOPLE WHO COULD OTHERWISE NOT AFFORD TO ATTEND. WORKING TOGETHER WITH LOCAL ORGANIZATIONS SUCH AS THE GREATER BOSTON JCC, SENIOR LIVING FACILITIES, COUNCILS ON AGING AND NEEDHAM COMMUNITY EDUCATION, THE HOSPITAL EDUCATED ITS RESIDENTS AND MEMBERS ON HEALTHY LIVING AND CHRONIC DISEASE PREVENTION THROUGH TALKS AND WORKSHOPS. THE HOSPITAL PROMOTED THE IMPORTANCE OF ANNUAL HEALTH SCREENINGS AND DOCTOR APPOINTMENTS WITH A "BE SEEN, GET SCREENED" CAMPAIGN AT THE 4TH OF JULY PARADE. IN ORDER TO EDUCATE STAFF, PATIENTS AND THE GENERAL COMMUNITY ON HEALTH LITERACY AND PREVENTION, THE HOSPITAL SETS UP INFORMATION TABLES THROUGHOUT THE YEAR ON HEALTHY LIVING AND PREVENTION TOPICS, WITH STAFF AVAILABLE TO PROVIDE INFORMATION AND ANSWER QUESTIONS. THIS INFORMATION IS ALSO SHARED ON DIGITAL SCREENS IN PUBLIC WAITING AREAS OF THE HOSPITAL. BID-NEEDHAM ALSO OFFERS CPR TRAINING TO THE COMMUNITY, INCLUDING LOCAL FIRST RESPONDERS AND SCHOOL NURSES, COMMUNITY MEMBERS AND A LOCAL PARENT GROUP.IN THE AREA OF PHYSICAL FITNESS, THE HOSPITAL ENCOURAGES STAFF TO DEMONSTRATE A HEALTHY LIFESTYLE AND TO TAKE MOVEMENT BREAKS DURING THE WORKDAY. TEN "FIT TIPS" THAT ENCOURAGED EMPLOYEES TO MOVE MORE THROUGHOUT THE DAY WERE SHARED AND EMPLOYEES WERE ASKED TO TAKE A PLEDGE TO MAKE FITNESS A PRIORITY IN FY18. THE HOSPITAL ALSO DONATED NEW AQUATIC FITNESS EQUIPMENT TO NEEDHAM PARK AND RECREATION FOR THE OPENING OF THE ROSEMARY RECREATION COMPLEX. THIS DONATION ENABLED PARK & RECREATION TO OFFER AQUA AEROBICS AND OTHER FITNESS CLASSES AT THE NEW SWIMMING POOL. BID-NEEDHAM PARTNERED WITH SEVERAL LOCAL ORGANIZATIONS TO PROVIDE ACCESS TO HEALTHY FOODS FOR THE UNDERSERVED IN THE COMMUNITY, INCLUDING THREE SQUARES NEW ENGLAND, RIPPLES OF HOPE, MASS BAY COMMUNITY COLLEGE, COMMUNITY HEALTH NETWORK AREA 18 AND THE GREATER BOSTON FOOD BANK. A COMMUNITY HEALTH NETWORK AREA IS A LOCAL COALITION OF PUBLIC, NON-PROFIT, AND PRIVATE SECTOR ORGANIZATIONS WORKING TOGETHER TO BUILD HEALTHIER COMMUNITIES IN MASSACHUSETTS THROUGH COMMUNITY-BASED PREVENTION PLANNING AND HEALTH PROMOTION RECOMMENDATIONS FROM THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH. IN ADDITION, THE HOSPITAL PARTNERED WITH NEEDHAM BANK, THE CHARLES RIVER CENTER AND THE NEEDHAM COMMUNITY FARM (NCF) TO PROVIDE FRESH, LOCALLY-GROWN PRODUCE TO THE UNDERSERVED IN NEEDHAM THROUGH THE NEEDHAM COMMUNITY FARM "MOBILE MARKET." A WEEKLY PRODUCE DELIVERY WAS TAKEN TO NEEDHAM HOUSING AUTHORITY SITES AND DISTRIBUTED FREE OF CHARGE FROM JUNE THROUGH OCTOBER. MORE THAN ONE HUNDRED FAMILIES RECEIVED FOOD THROUGH THE MOBILE MARKET, WITH 2,133 POUNDS OF FOOD DONATED. THIS PARTNERSHIP ALSO PROVIDES FARM PROGRAMMING AND EDUCATION IN THE NEEDHAM HOUSING AUTHORITY UNITS AT LINDEN CHAMBERS (FOR ELDERLY AND DISABLED) AND AN AFTER-SCHOOL PROGRAM AT CAPTAIN ROBERT COOK (FOR FAMILIES). THE PROGRAMS, WHICH RUN DURING THE GROWING AND HARVESTING SEASONS, INVOLVE NCF STAFF WHO HAVE BUILT GARDENING BEDS AND PROVIDED PLANTS, SEEDS, SUPPLIES, AND EDUCATION ABOUT HOW TO PLAN, PLANT, MAINTAIN AND HARVEST FROM THE GARDEN.FINALLY, THE HOSPITAL IS COMMITTED TO PARTNERING WITH THE TOWN AND LOCAL FIRST RESPONDERS TO BE PREPARED IN CASE OF AN EMERGENCY, BY BEING A PART OF THE LOCAL EMERGENCY PLANNING COMMITTEE (LEPC) IN NEEDHAM. THIS COMMITTEE MEETS MONTHLY TO PLAN AND PREPARE THE TOWN FOR A RANGE OF CRISES FROM MASS CASUALTY AND NATURAL DISASTER TO OTHER PUBLIC HEALTH EMERGENCIES, SUCH AS OUTBREAKS OF WIDESPREAD ILLNESS. HOSPITAL EMPLOYEES ARE ALSO TRAINED ANNUALLY ON EMERGENCY MANAGEMENT TOPICS, PREPAREDNESS AND SAFETY.
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2. PHYSICAL DISEASE MANAGEMENT: CHRONIC DISEASE, CANCER
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AND INFECTIOUS DISEASETO ADDRESS THE RANGE OF CHRONIC AND INFECTIOUS DISEASES IN THE BID-NEEDHAM SERVICE AREA, THE HOSPITAL FOCUSED ON COMMUNITY EDUCATION AND PROGRAMMING, TIMELY ACCESS TO TREATMENT AND COORDINATION OF FOLLOW-UP CARE.WITHIN THE HOSPITAL, EFFORTS WERE MADE TO IMPROVE EDUCATION AND FOLLOW-UP CARE FOR PATIENTS WITH CHRONIC DISEASES. THE HOSPITAL'S UTILIZATION REVIEW COMMITTEE MET MONTHLY TO EVALUATE READMISSION RATES AND DISCUSS AT-RISK PATIENTS, AND CONTINUED WITH A DEDICATED CONGESTIVE HEART FAILURE NURSE TO BETTER SERVE PATIENTS AT HOSPITAL DISCHARGE AND REDUCE READMISSION RATES. THE PATIENT AND FAMILY ADVISORY COUNCIL (PFAC) CONTINUED TO MEET TO LOOK AT READMISSION RATES, AS WELL AS PATIENT QUALITY OF CARE AND ACCESS.TO ENSURE THAT PATIENTS ARE GETTING THE PROPER CARE AND COVERAGE, BID-NEEDHAM EMPLOYS THREE CERTIFIED APPLICATION COUNSELORS (CAC) TO HELP PATIENTS WITH INSURANCE APPLICATIONS AND RENEWALS. IN FY18 OUR FINANCIAL COUNSELORS ASSISTED 215 PEOPLE WITH THE ENROLLMENT PROCESS, AND SUCCESSFULLY ENROLLED 100 PATIENTS IN MASSHEALTH. THE HOSPITAL ALSO OFFERS SEVERAL OPTIONS FOR INTERPRETER SERVICES FOR PATIENTS AND PROVIDED INTERPRETATION FOR 1,630 PATIENTS IN FY18, ENSURING THAT THEY WERE ABLE TO COMMUNICATE EFFECTIVELY ABOUT THEIR CARE. BID-NEEDHAM BELIEVES THAT THIS IS A VERY IMPORTANT COMMUNITY BENEFIT ACTIVITY AND AS SUCH, THE DETAILS ARE INCLUDED HERE AS PART OF THE FORM 990 SCHEDULE H NARRATIVE. IN ACCORDANCE WITH THE INSTRUCTIONS TO THE FORM 990, THE COSTS ASSOCIATED WITH FINANCIAL COUNSELORS AND INTERPRETER SERVICES HAVE NOT BEEN INCLUDED IN THE QUANTIFICATION ON FORM 990 SCHEDULE H LINE 7E.BID-NEEDHAM HOSTS WEEKLY "GRAND ROUNDS" PHYSICIAN EDUCATION WORKSHOPS ON TOPICS RANGING FROM UPDATES ON CHRONIC DISEASE MANAGEMENT AND TREATMENT OPTIONS, TO HEALTHIER LIFESTYLES, PATIENT COMMUNICATION, TRANSGENDER CARE, AND OPIOID USE DISORDERS AND CHANGES IN PRESCRIBING. AN AVERAGE OF 22 PHYSICIANS AND STAFF MEMBERS ATTENDED EACH OF THE 39 WORKSHOPS.EMT'S ARE AN IMPORTANT PARTNER IN MANAGING DISEASE WITHIN THE COMMUNITY. IN FY18, THE HOSPITAL PROVIDED TRAINING FOR TWO EMT TRAINEES, WHO EACH SPENT ROUGHLY 200 HOURS IN THE EMERGENCY DEPARTMENT TO TRAIN WITH A BID-NEEDHAM NURSE. ADDITIONALLY THE HOSPITAL TRAINS EMTS TO IDENTIFY STROKES IN THE FIELD, ALLOWING STROKE PATIENTS TO GET THE TIMELIEST CARE POSSIBLE. BID-NEEDHAM ALSO SUPPLIES MEDICATIONS FOR THE NEEDHAM FIRE DEPARTMENT'S BASIC LIFE SUPPORT VEHICLES. AS A DPH PRIMARY STROKE SERVICE HOSPITAL, BID-NEEDHAM'S STROKE COMMITTEE PARTNERED WITH COVERDELL TO OFFER STROKE INFORMATION AND TRAINING TO THE HOSPITAL'S COMMUNITY PARTNERS BY PRESENTING AT ONE OF THE COMMUNITY RESOURCE GROUP MEETINGS. THIS PROGRAM PROVIDED EXECUTIVE DIRECTORS AND STAFF EDUCATORS AT POST-ACUTE CARE FACILITIES WITH STROKE EDUCATION IN ORDER TO IMPROVE PATIENT OUTCOMES (STROKE PREVENTION & TRANSITIONS OF CARE). WITHIN THE COMMUNITY, BID-NEEDHAM IS PROVIDING ONGOING GRANT SUPPORT TO FAMILY PROMISE METROWEST FOR THEIR "FAMILY HEALTH INITIATIVE" FOR HOMELESS FAMILIES. IN FY18, 100 INDIVIDUALS IN THE FAMILY PROMISE METROWEST PROGRAM WERE SUPPORTED WITH THIS INITIATIVE, WHICH ASSISTS FAMILIES WITH OBTAINING HEALTH INSURANCE, SECURING A PRIMARY CARE PHYSICIAN FOR EACH FAMILY MEMBER, SECURING MENTAL HEALTH SERVICES (AS NEEDED), ADDRESSING OUTSTANDING MEDICAL AND DENTAL NEEDS, AND PARTICIPATING IN HEALTH AND SAFETY TRAINING.THE HOSPITAL ALSO PROVIDED GRANTS TO SEVERAL LOCAL SCHOOLS AND COMMUNITY ORGANIZATIONS TO ADDRESS INFECTIOUS AND CHRONIC DISEASE MANAGEMENT. THESE GRANTS PROVIDED A WATER BOTTLE REFILLING STATION IN THE MEDFIELD SCHOOLS, FOUR AUTOMATED EXTERNAL DEFIBRILLATOR'S, EPI-PENS AND NALOXONE IN NEEDHAM SCHOOLS, AND DIAPERS FOR UNDERSERVED FAMILIES THROUGH BABY BASICS. FUNDING WAS ALSO GIVEN TO THE SCHWARTZ CENTER FOR COMPASSIONATE HEALTHCARE TO ASSIST THEIR MISSION TO PROVIDE SUPPORT TO FAMILIES AND CAREGIVERS DEALING WITH CHRONIC HEALTH ISSUES.TO ASSIST PATIENTS WITH GETTING TO MEDICAL APPOINTMENTS, WHICH IS A KEY STEP IN MANAGING CHRONIC DISEASE, BID-NEEDHAM AND THE NEEDHAM COMMUNITY COUNCIL PARTNERED ON A MEDICAL APPOINTMENT TRANSPORTATION PROGRAM. THE COMMUNITY COUNCIL MANAGES DISPATCH OF THE LYFT-BASED RIDE PROGRAM AND BID-NEEDHAM FUNDS THE PROGRAM. THE HOSPITAL ALSO PROVIDES TAXI VOUCHERS TO THOSE WHO NEED A RIDE HOME FROM THE HOSPITAL OR MEDICAL APPOINTMENTS. FINALLY, THE HOSPITAL PARTNERED WITH THE NEEDHAM CONSERVATION COMMISSION AND THE NEEDHAM DIVISION OF PUBLIC HEALTH TO OFFER A TALK ON THE PREVENTION OF LYME DISEASE, WHICH 50 PEOPLE ATTENDED. THE HOSPITAL DISTRIBUTED INSECT REPELLENT AND INFORMATION ON HOW TO PREVENT TICK BITES AT THIS EVENT AND AT TOWN FAIRS.
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3. BEHAVIORAL HEALTH: MENTAL HEALTH AND SUBSTANCE ABUSE
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THE BURDEN OF MENTAL ILLNESS AND SUBSTANCE ABUSE IS SUBSTANTIAL. BID-NEEDHAM WORKED TO INTEGRATE BEHAVIORAL HEALTH INTO CARE, TO REDUCE THE BURDEN OF OPIOID USE, AND TO ASSIST WITH ENHANCED CARE MANAGEMENT.BID-NEEDHAM, BETH ISRAEL DEACONESS HEALTHCARE (BIDHC), A TAX-EXEMPT AFFILIATE OF BID-NEEDHAM AND RIVERSIDE COMMUNITY CARE PARTNERED TO PROVIDE A LICENSED SOCIAL WORKER (LICSW) AT A LOCAL PRIMARY CARE OFFICE. BID-NEEDHAM PROVIDED A GRANT THAT SUPPORTED NON-BILLABLE ACTIVITIES, FREE CARE, AND URGENT INTERVENTIONS FOR PATIENTS THAT HAVE INSURANCES THAT DID NOT INCLUDE RIVERSIDE IN THEIR PANEL. THE SOCIAL WORKER WORKED 33 HOURS PER WEEK AND SAW 44 PATIENTS IN 405 THERAPY SESSIONS. A PORTION OF THE SOCIAL WORKER'S TIME (5-10 HOURS A WEEK) WAS SPENT ON CONSULTS WITH THE PRIMARY CARE PHYSICIAN'S. WHILE THE SOCIAL WORKER WAS BASED AT ONE LOCATION, OTHER BIDHC PHYSICIANS COULD REFER TO THE LICSW AS WELL. WITHIN THE HOSPITAL, A PSYCHOLOGIST IS EMPLOYED TO PROVIDE PSYCHIATRIC CONSULTATIONS ON THE INPATIENT UNITS, AND THE HOSPITAL HAS A REFERRING PARTNERSHIP WITH RIVERSIDE TO PROVIDE EVALUATIONS, CARE AND PLACEMENTS FOR BEHAVIORAL HEALTH PATIENTS THAT COME INTO THE EMERGENCY DEPARTMENT (ED). THE COSTS ASSOCIATED WITH INCREASING THIS ACCESS BEHAVIORAL HEALTH CARE HAS BEEN QUANTIFIED IN THIS SCHEDULE H, LINE 7G, SUBSIDIZED HEALTH SERVICES. BID-NEEDHAM CREATED AN INTERNAL "OPIOID TASKFORCE" TO ADDRESS PAIN MANAGEMENT AND PRESCRIBING PRACTICES FOR THE HOSPITAL. THE TEAM IS MADE UP OF SURGERY, PHARMACY, MEDICAL STAFF, PHYSICAL THERAPY, ANESTHESIOLOGY, QUALITY, CASE MANAGEMENT AND REPRESENTATIVES FROM OTHER CLINICAL DEPARTMENTS WHO CAN CONTRIBUTE TO IMPROVING PRACTICES AROUND OPIOID PRESCRIBING. THE HOSPITAL ALSO INSTALLED A PRESCRIPTION DRUG DISPOSAL KIOSK IN THE LOBBY, AS A SAFE WAY FOR THE COMMUNITY TO DISPOSE OF UNWANTED OR UNNEEDED PRESCRIPTION DRUGS. THE KIOSK IS MANAGED BY THE BID-NEEDHAM PHARMACY AND SECURITY STAFF AND WAS A PARTNERSHIP BETWEEN BID-NEEDHAM, NEEDHAM PUBLIC HEALTH AND THE SUBSTANCE PREVENTION ALLIANCE OF NEEDHAM (SPAN).WITHIN THE COMMUNITY, BID-NEEDHAM PARTICIPATES IN A LOCAL COMMUNITY CRISIS INTERVENTION TEAM (CCIT), A GROUP OF COMMUNITY PARTNERS CONSISTING OF NEEDHAM PUBLIC HEALTH, FIRST RESPONDERS, LOCAL HOSPITALS, SCHOOLS AND BEHAVIORAL HEALTH ORGANIZATIONS. THE GOAL OF THE TEAM IS TO ADDRESS SUBSTANCE USE, AND TO CONFIDENTIALLY ADDRESS CHRONIC RESIDENT NEEDS RELATED TO SUBSTANCE USE DISORDERS, MENTAL HEALTH CONDITIONS AND DOMESTIC VIOLENCE. THE TEAM WORKS TOGETHER TO PROVIDE RESOURCES, TO ENHANCE ENGAGEMENT IN ASSESSMENT AND TREATMENT, TO BREAK THE CYCLE OF RECURRING INCIDENTS, AND TO ENHANCE HEALTH AND WELLNESS.BID-NEEDHAM, NEEDHAM PUBLIC HEALTH AND THE KYLE SHAPIRO FOUNDATION, AS PART OF A FIVE-YEAR FUNDING PARTNERSHIP, WORKED WITH WILLIAM JAMES COLLEGE TO PROVIDE A FREE MENTAL HEALTH REFERRAL HOTLINE TO THOSE WHO LIVE AND/OR WORK IN NEEDHAM. THIS HELPLINE OFFERS CALLERS AN OPPORTUNITY TO WORK WITH A COUNSELOR WHO WILL PROVIDE MATCHES TO SERVICES, AS WELL AS PROVIDE INFORMATION AND RESOURCES ABOUT MENTAL HEALTH AND WELLNESS. THE HELPLINE SERVED 97 CASES IN FY18. THE MAJORITY OF THE CALLS WERE FROM PARENTS CALLING ON BEHALF OF THEIR HIGH SCHOOL STUDENTS, WITH ANXIETY AS THE TOP SELF-REPORTED ISSUE.THE HOSPITAL SUPPORTED SEVERAL LOCAL BEHAVIORAL HEALTH AND SUBSTANCE USE ORGANIZATIONS IN FY18, TO PROVIDE RESILIENCE TRAINING, SCREENING, AND PROGRAMMING AND SUPPORT GROUPS. BID-NEEDHAM PROVIDED A GRANT TO WALKER TO ENCOURAGE SOCIAL INTERACTION AMONG YOUTH RECOVERING FROM MENTAL ILLNESS, ALLOWING 45 CHILDREN TO PARTICIPATE IN A ROPES COURSE ADVENTURE TRIP. THE HOSPITAL ALSO SUPPORTED "DODGING ADDICTION FOR AMY," AN ORGANIZATION STARTED BY A BID-NEEDHAM EMPLOYEE, WITH A GRANT TO ASSIST RECOVERING ADDICTS WITH HOUSING COSTS FOR SOBER LIVING FACILITIES, AND PROVIDED FUNDING SUPPORT TO RIVERSIDE FOR THEIR COMMUNITY MENTAL HEALTH SCREENING PROGRAMS. IN THE AREA OF YOUTH RESILIENCE PROGRAMMING, THE HOSPITAL SUPPORTED NEEDHAM YOUTH SERVICES, NEEDHAM STEPS UP AND PLUGGED IN BAND.FINALLY, BID-NEEDHAM DONATED SPACE AT THE HOSPITAL FOR ALCOHOLICS ANONYMOUS MEETINGS. MEETINGS ARE HELD WEEKLY IN A CONFERENCE ROOM AT THE HOSPITAL.4. HEALTHY AGINGTHE SERVICE AREA OF BID-NEEDHAM HAS A LARGE POPULATION OF OLDER ADULTS. THE HOSPITAL HAS FOCUSED ON THIS POPULATION TO REDUCE FALLS AND ISOLATION, INCREASE ACCESS TO CARE AND SERVICES AND TO IMPROVE CARE TRANSITIONS.WITHIN THE HOSPITAL, CASE MANAGERS FROM BID-NEEDHAM MEET WITH PATIENTS AND FAMILIES TO DISCUSS ADVANCED CARE PLANNING OPTIONS AND TO COMPLETE HEALTH CARE PROXY DOCUMENTS. THE HOSPITAL'S FALL PREVENTION COMMITTEE WORKS TO IDENTIFY AND ASSIST PATIENTS WHO ARE A FALL RISK, REVIEW AND ENHANCE ITS FALL PREVENTION PROGRAM, CONDUCT POST-FALL ANALYSES, DEVELOP EDUCATIONAL/COLLATERAL MATERIALS FOR PATIENTS AND FAMILY MEMBERS AND TO OFFER DIVERSIONARY ACTIVITIES FOR PATIENTS AT RISK OF FALLING. THE FALL PREVENTION COMMITTEE MET ON A QUARTERLY BASIS IN FY18 TO REVIEW THE FALL PREVENTION PROGRAM, FALLS THAT HAVE OCCURRED IN THE HOSPITAL (AND NEAR MISSES) AND ON OTHER INTERVENTIONS AND PRECAUTIONS. THE NURSING AND RADIOLOGY STAFF COMPLETE AN ANNUAL ONLINE COMPETENCY ON ASSESSING PATIENTS FOR RISK TO FALL. ADDITIONALLY, A QUALITY IMPROVEMENT EFFORT HAS FOCUSED ON DETERMINING THE ROOT CAUSES OF FALLS IN ORDER TO CONTINUE TO REDUCE THE RATE OF FALLS.WITHIN THE COMMUNITY, THE HOSPITAL PARTNERED WITH THE VNA CARE NETWORK, THE DOVER CHURCH AND THE DOVER COUNCIL ON AGING TO OFFER TWO WORKSHOPS ON HEALTHY AGING IN DOVER. THE FIRST WAS FOR ADULTS WHO WANTED TO STAY IN THEIR HOME BUT NEEDED INFORMATION AND RESOURCES ABOUT HOME SAFETY, HEALTHCARE, TRANSPORTATION, CARE PLANNING AND MORE. THE SECOND WAS AIMED AT CAREGIVERS WHO NEEDED RESOURCES AND INFORMATION ABOUT CARING FOR A LOVED ONE. FORTY PEOPLE ATTENDED THE WORKSHOPS.THE HOSPITAL ALSO WORKED WITH LOCAL COUNCILS ON AGING TO PROVIDE OPPORTUNITIES FOR SOCIALIZATION AND PHYSICAL ACTIVITY. BID-NEEDHAM FUNDED LUNCH PROGRAMS FOR SENIORS AT THE WESTWOOD AND DOVER COUNCILS ON AGING, DONATED FUNDS FOR NEW EXERCISE EQUIPMENT AT THE DEDHAM COUNCIL ON AGING, AND "ADOPTED" THE FITNESS CENTER AT THE NEEDHAM COUNCIL ON AGING FOR ONE MONTH. IN FY18, BID-NEEDHAM PARTNERED WITH NEEDHAM PUBLIC HEALTH TO KICK-OFF AND PROMOTE THEIR "SAFETY AT HOME" PROGRAM. THE HOSPITAL'S DIRECTOR OF REHABILITATION SERVICES PRESENTED ON FALLS PREVENTION AT THE KICK-OFF EVENT AT THE NEEDHAM SENIOR CENTER, AND HOSTED A FALL PREVENTION SCREENING AT THE NEEDHAM FALL FAIR. 50 PEOPLE ATTENDED THE KICK-OFF AND 10 PEOPLE WERE SCREENED AT THE FAIR. THE HOSPITAL ALSO PROMOTES THE PROGRAM TO PATIENTS WHO ARE SEEN AS A FALL RISK. BID-NEEDHAM SUPPORTS THE TRAVELING MEALS PROGRAM IN NEEDHAM, AND PREPARED 7,504 HEALTHY AND NUTRITIOUS MEALS IN FY18. THE MEALS ARE MADE AND DELIVERED MONDAY-FRIDAY FROM SEPTEMBER TO JUNE. BID-NEEDHAM ALSO DONATES SPACE IN THE HOSPITAL'S CAF, WHERE VOLUNTEERS PACKAGE THE MEALS FOR DELIVERY. THE HOSPITAL ALSO GAVE A GRANT TO THE DEDHAM HOUSING AUTHORITY TO RENOVATE THE KITCHEN SPACE AT THE COMMUNITY ROOM OF O'NEIL GARDENS. THE KITCHEN, WHICH IS USED TO HEAT AND PACKAGE "MEALS ON WHEELS," NEEDED TO BE UPDATED IN ORDER TO MEET THE NECESSARY STANDARDS TO CONTINUE THE PROGRAM. THE MEALS ON WHEELS PROGRAM IS NOT ONLY ESSENTIAL TO THE ADULTS WHO RECEIVE THE MEALS, BUT ALSO AN ENJOYABLE SOCIAL INTERACTION FOR THOSE WHO PREPARE THE MEAL DELIVERIES.THE HOSPITAL ALSO FUNDS LUNCH PROGRAMMING AT THE WESTWOOD AND DOVER COUNCILS ON AGING, IN ORDER TO PROVIDE A HEALTHY MEAL AND SOCIAL ENVIRONMENT. IN ORDER TO PROVIDE HOME-BOUND ADULTS WITH HEALTHY AND NUTRITIOUS MEALS.FINALLY, BID-NEEDHAM OFFERS THE SENIOR POPULATION AN OPPORTUNITY TO GIVE BACK TO THE COMMUNITY THROUGH A VOLUNTEER PROGRAM AT THE HOSPITAL. THIS EXPERIENCE PROVIDES SOCIAL CAMARADERIE WITH OTHER VOLUNTEERS, A POSITIVE OUTLET FOR HELPING OTHERS AND A WAY TO STAY CONNECTED TO THE COMMUNITY. VOLUNTEERS ARE ALSO PROVIDED WITH FREE PARKING DURING VOLUNTEER HOURS AND A FREE LUNCH IN THE TROTMAN FAMILY GLOVER CAFE.
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6. OTHER COMMUNITY HEALTH AND SUPPORT INITIATIVES
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BID-NEEDHAM CONTINUES TO BUILD RELATIONSHIPS WITH COMMUNITY PARTNERS, PROVIDE RESOURCES IN THE COMMUNITY, AND INCREASE COLLABORATION AMONG COMMUNITY GROUPS TO ADDRESS HEALTHCARE REFORM AND REDUCE HEALTH DISPARITY. THE HOSPITAL HAS A REPRESENTATIVE ON THE COMMUNITY HEALTH NETWORK AREA 18 STEERING COMMITTEE. IN FY18, THE COMMUNITY HEALTH NETWORK AREA HOSTED A WORKSHOP FOR LOCAL NON-PROFITS CALLED "THINKING OUTSIDE THE BOX: INNOVATIVE APPROACHES TO HEALTHCARE." THIS WORKSHOP ENCOURAGED TRYING NEW APPROACHES TO SOLVE HEALTH ISSUES. WORKSHOP PARTICIPANTS COULD APPLY FOR A GRANT FROM THE CHNA, TO CONDUCT A TRIAL OF THEIR NEW IDEA. ELEVEN LOCAL ORGANIZATIONS WERE AWARDED GRANTS TO TRY NEW PROGRAMS THAT OFFERED INNOVATIVE APPROACHES TO HEALTHCARE.BID-NEEDHAM ENCOURAGES OUR EMPLOYEES TO VOLUNTEER AND ANNUALLY RECOGNIZES THOSE EMPLOYEES WHO GO ABOVE AND BEYOND IN THEIR SERVICE TO THE COMMUNITY. HOSPITAL EMPLOYEES VOLUNTEERED MORE THAN 500 HOURS IN THE COMMUNITY IN FY18. THE HOSPITAL ALSO HAS A THRIVING VOLUNTEER PROGRAM FOR RESIDENTS OF THE COMMUNITY, CONSISTING OF BOTH ACTIVE SENIORS AND STUDENT VOLUNTEERS. MORE THAN 106 VOLUNTEERS DONATED OVER 8,600 HOURS OF SERVICE TO THE HOSPITAL IN FY18.THE HOSPITAL WELCOMES STUDENTS AND PROMOTES EDUCATION, NOT JUST THROUGH OUR VOLUNTEER PROGRAM, BUT THROUGH SCHOOL FIELD TRIPS, SCOUT FIELD TRIPS AND A SUMMER CAMP PROGRAM. WE ENJOY SHOWING STUDENTS DIFFERENT CAREER PATHS THAT CAN BE ACHIEVED BY WORKING IN A HOSPITAL SETTING. BID-NEEDHAM ALSO SUPPORTS STUDENTS WHO SHOW EXEMPLARY SERVICE TO THE COMMUNITY, BY ANNUALLY SPONSORING THE "RAY OF HOPE" AWARD THROUGH NEEDHAM YOUTH SERVICES.COMMUNITY PARTNERSBID-NEEDHAM PARTNERS WITH A WIDE RANGE OF COMMUNITY LEADERS AND LOCAL GROUPS TO IMPROVE THE HEALTH STATUS OF THE PEOPLE LIVING IN THE HOSPITAL'S SERVICE AREA AND TO PROVIDE CARE FOR THEM AT THE RIGHT PLACE, AT THE RIGHT TIME. BID-NEEDHAM IS AN IMPORTANT MEMBER OF LOCAL PUBLIC HEALTH TEAMS ADDRESSING THE NEEDS OF AREA COMMUNITIES. BID-NEEDHAM CRAFTS ITS COMMUNITY BENEFITS INITIATIVES WITH AREA BOARDS OF HEALTH, PUBLIC SAFETY, COUNCILS ON AGING, AND SCHOOLS TO COLLECTIVELY PROMOTE THE HEALTH AND WELLBEING OF THE BID-NEEDHAM COMMUNITY. AS NOTED IN THIS NARRATIVE SUPPORT TO FORM 990 SCHEDULE H, BOTH WITHIN AND BEYOND ITS WALLS, BID-NEEDHAM PLAYS AN ACTIVE ROLE IN COALITION BUILDING, WORKING TO EMPOWER A RANGE OF COMMUNITY LEADERS TO FOSTER SUSTAINABLE, HEALTHY LIFESTYLES THAT LEAD TO BETTER HEALTH FOR ALL MEMBERS OF THE COMMUNITY. THE HOSPITAL CONTINUED TO ORGANIZE MEETINGS OF THE "COMMUNITY RESOURCE GROUP," CONSISTING OF LOCAL HEALTH DEPARTMENTS, COUNCILS ON AGING, SCHOOLS, SENIOR LIVING, HOUSING AUTHORITIES, AND OTHER ORGANIZATIONS DEDICATED TO THE HEALTH AND WELLBEING OF RESIDENTS. THERE ARE 50 PEOPLE IN THE GROUP, REPRESENTING MORE THAN 30 ORGANIZATIONS. THE MEETINGS AND EMAIL LIST HAVE PROVEN TO BE A VALUABLE WAY TO SHARE RESOURCES AND COMMUNICATION ABOUT EVENTS, HEALTH NEEDS AND PROGRAMMING IN THE COMMUNITY. BID-NEEDHAM WORKS CLOSELY WITH SEVERAL COMMUNITY PARTNERS TO SUPPORT HEALTH PROGRAMMING AND TO PROVIDE EDUCATION AND INFORMATION TO AREA RESIDENTS. IN CLOSE COLLABORATION WITH THE LOCAL PUBLIC HEALTH DEPARTMENTS AS WELL AS LOCAL COUNCILS ON AGING, THE HOSPITAL PARTNERS TO ADDRESS SUBSTANCE ABUSE PREVENTION, MENTAL HEALTH, HEALTHY AGING AND TRANSPORTATION. THE HOSPITAL ALSO SUPPORTS LOCAL FITNESS FACILITIES THAT PROVIDE HEALTHY OPPORTUNITIES FOR THE UNDERSERVED, SUCH AS THE COUNCIL ON AGING, THE BOSTON JCC AND THE CHARLES RIVER YMCA. THE HOSPITAL PROVIDES FUNDING TO AND PROGRAMMING WITH MENTAL HEALTH ORGANIZATIONS SUCH AS CHARLES RIVER CENTER, WALKER AND RIVERSIDE. WE SERVE ON COALITIONS AND PROVIDE SUPPORT FOR PROGRAMS AND CURRICULUM ON SUBSTANCE PREVENTION. THE HOSPITAL SUPPORTS ORGANIZATIONS THAT PROVIDE ACCESS TO HEALTHY FOOD AND OTHER BASIC NECESSITIES TO THE UNDERSERVED, SUCH AS RIPPLES OF HOPE, THREE SQUARES RIDE FOR FOOD, DEDHAM HOUSING AUTHORITY, THE GREATER BOSTON FOOD BANK, FAMILY PROMISE METROWEST, NEEDHAM COMMUNITY COUNCIL, NEEDHAM STEPS UP AND NEEDHAM COMMUNITY FARM. WE PROVIDE EDUCATION TO THE AGING POPULATION WITH FOX HILL, NORTH HILL, THE NEWTON NEEDHAM REGIONAL CHAMBER AND LOCAL COUNCILS ON AGING. BID-NEEDHAM ALSO PROMOTES HEALTH AND WELLNESS FOR OUR STAFF AND THROUGH PARTNERSHIPS WITH COMMUNITY GROUPS THAT ADVOCATE FOR HEALTHY LIFESTYLES, EXERCISE, SOCIALIZING AND MENTAL WELLNESS SUCH AS NEEDHAM TRACK CLUB, BIGGSTEPS, AND THE GREAT HALL CONCERT SERIES.THE HOSPITAL WORKS WITH SEVERAL AREA GROUPS INCLUDING: - ALCOHOLICS ANONYMOUS- AMERICAN CANCER SOCIETY- AMERICAN LUNG ASSOCIATION- AMERICAN HEART ASSOCIATION- AVITA OF NEEDHAM- BABY BASICS- BETH ISRAEL DEACONESS HEALTHCARE- BIGGSTEPS- BULFINCH GROUP CHARITABLE FOUNDATION- CENTERS FOR DISEASE CONTROL & PREVENTION - CHANNEL 5- CHARLES RIVER CENTER- CHARLES RIVER YMCA- CHNA 18- COLORECTAL CANCER ALLIANCE- DEDHAM COUNCIL ON AGING- DEDHAM DEPARTMENT OF PUBLIC HEALTH- DEDHAM HOUSING AUTHORITY- DODGING ADDICTION FOR AMY- DOVER CHURCH- DOVER COUNCIL ON AGING- FAMILY PROMISE METROWEST- FOX HILL VILLAGE- GLOBAL INITIATIVE FOR COPD (GOLD)- GREAT HALL PERFORMANCE FOUNDATION- GREATER BOSTON FOOD BANK- GREATER BOSTON JCC- HEBREW SENIOR LIFE- HESSCO- JOSLIN DIABETES CENTER- KYLE SHAPIRO FOUNDATION- LANGUAGE LINE PACIFIC INTERPRETERS- LYFT- MASS BAY COMMUNITY COLLEGE- MEDFIELD EMPLOYERS AND MERCHANTS ASSOCIATION- MEDFIELD PUBLIC SCHOOLS- NATIONAL MEDICAL EDUCATION & TRAINING CENTER- NEEDHAM ATHLETICS- NEEDHAM BANK- NEEDHAM COALITION FOR SUICIDE PREVENTION- NEEDHAM COMMUNITY COUNCIL- NEEDHAM COMMUNITY EDUCATION- NEEDHAM COMMUNITY FARM- NEEDHAM CONSERVATION COMMISSION- NEEDHAM COUNCIL ON AGING- NEEDHAM-DEDHAM-WELLESLEY RELAY FOR LIFE- NEEDHAM DIVISION OF PUBLIC HEALTH- NEEDHAM EDUCATION FOUNDATION- NEEDHAM EMERGENCY MANAGEMENT- NEEDHAM EXCHANGE CLUB- NEEDHAM FARMERS MARKET- NEEDHAM FIRE DEPARTMENT- NEEDHAM HOUSING AUTHORITY- NEEDHAM JUNIOR FOOTBALL AND CHEER- NEEDHAM PARK & RECREATION- NEEDHAM POLICE DEPARTMENT- NEEDHAM PUBLIC SCHOOLS- NEEDHAM PUBLIC WORKS- NEEDHAM ROTARY CLUB- NEEDHAM STEPS UP- NEEDHAM TRAVELING MEALS- NEEDHAM TOWN MANAGER- NEEDHAM TRACK CLUB- NEEDHAM YOUTH & FAMILY SERVICES- NEW YEAR'S NEEDHAM- NEWTON NEEDHAM REGIONAL CHAMBER - NEWTON WELLESLEY HOSPITAL- NORTH HILL- OLIN COLLEGE- PAM'S RUN- PARENT TALK- PAUL COVERDELL NATIONAL ACUTE STROKE PROGRAM- PLUGGED IN BAND- RIPPLES OF HOPE- RIVERSIDE COMMUNITY CARE- RIVERSIDE EMERGENCY SERVICES- SCHWARTZ CENTER FOR COMPASSIONATE HEALTHCARE- SEAN D. BIGGS FOUNDATION- SPAN-DS (SUBSTANCE PREVENTION AND AWARENESS NETWORK OF DOVER)- SPAN (SUBSTANCE PREVENTION ALLIANCE OF NEEDHAM)- TAKE BACK THE NIGHT- THE NEEDHAM CHANNEL- THREE SQUARES NEW ENGLAND- TOWN OF DOVER- TOWN OF NEEDHAM- TWO KIDNEYS, ONE HEART- VNA CARE NETWORK- WALKER - WESTWOOD COUNCIL ON AGING- WESTWOOD DEPARTMENT OF PUBLIC HEALTH- WESTWOOD YOUTH & FAMILY SERVICES- WILLIAM JAMES COLLEGEAS DESCRIBED IN DETAIL IN THIS SUPPORTING NARRATIVE TO THE FORM 990 SCHEDULE H, BID-NEEDHAM IS DEEPLY DEDICATED TO ITS COMMUNITY BENEFITS OPERATIONS AND TO IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES. DUE TO LIMITED FINANCIAL AND STAFF RESOURCES, THE HOSPITAL'S COMMUNITY BENEFITS EFFORTS WERE DEVOTED TO THE PRIORITY AREAS IDENTIFIED BY THE CHNA AND THE HOSPITAL DID NOT IMPLEMENT SPECIFIC COMMUNITY BENEFITS PROGRAMMING FOR ISSUES THAT WERE NOT CITED AS PRESSING HEALTH CONCERNS, ISSUES WHERE THE REGIONAL RATES OF OCCURRENCE FELL BELOW THE STATEWIDE AVERAGE, OR THOSE ISSUES WHERE THE CONCERN WAS BEING ADDRESSED BY OTHER COMMUNITY PARTNERS. THESE AREAS INCLUDE REPRODUCTIVE AND MATERNAL HEALTH AND AFFORDABLE HOUSING. IN ADDITION, EFFORTS TO IMPROVE TRANSPORTATION SYSTEMS ARE NOT PART OF THE HOSPITAL'S MISSION AND UNLIKE THE MANY PROGRAMS DESCRIBED HEREIN WHERE BID-NEEDHAM IS UNIQUELY SITUATED TO IMPLEMENT OR PARTICIPATE IN SUCH PROGRAMS, IMPROVING TRANSPORTATION SYSTEMS IS OUTSIDE THE SCOPE OF THE HOSPITAL'S EXPERTISE, AS REFLECTED IN THE EFFORTS DEVOTED TO THAT NEED. (SCHEDULE H, PART V, SECTION B, QUESTION 11). AS NOTED IN DETAIL ABOVE, THE BID-NEEDHAM'S PRIMARY TOOL FOR ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED IS THROUGH THE CHNA AND CHIP (SCHEDULE H PART VI QUESTION 2).
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FORM 990 SCHEDULE H PART VI SUPPLEMENTAL INFORMATION
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THE PURPOSE OF THIS FORM 990 SCHEDULE H NARRATIVE DISCLOSURE IS TO HELP THE READER UNDERSTAND IN MORE DETAIL HOW BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM (BID-NEEDHAM OR HOSPITAL) CARES FOR ITS COMMUNITY BY PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS. AS REPORTED IN THIS SCHEDULE H, 9.03% OF BID-NEEDHAM'S TOTAL EXPENSES AS REPORTED ON FORM 990 PART IX, LINE 24, ARE INCURRED IN PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST. IN ADDITION AS NOTED THROUGHOUT THIS SCHEDULE H NARRATIVE, THERE ARE SIGNIFICANT ADDITIONAL ACTIVITIES AND EXPENDITURES WHICH BID-NEEDHAM CONSIDERS FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS. UNDER THE INSTRUCTIONS TO THIS SCHEDULE H QUESTION 7 THESE ITEMS ARE NOT QUANTIFIED IN SCHEDULE H QUESTION 7, BUT IT IS WORTH NOTING THAT IF BID-NEEDHAM HAD INCLUDED THESE IN SCHEDULE H QUESTION 7, THE FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST WOULD BE 12.73% FOR THE PERIOD COVERED BY THIS FILING.IN ADDITION, IT IS IMPORTANT TO NOTE IN THIS CONTEXT THAT BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER) IS A TERTIARY CARE ACADEMIC MEDICAL CENTER, ENTITY EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED, A TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL AND FOR THE PERIOD COVERED BY THIS FILING SERVED AS THE SOLE MEMBER OF BID-NEEDHAM. THE FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS PROVIDED BY BIDMC ARE PROVIDED BY THE SAME HEALTH CARE SYSTEM, AND ALTHOUGH THOSE ACTIVITIES ARE NOT QUANTIFIED ON THE BID-NEEDHAM SCHEDULE H PER THE INSTRUCTIONS TO THE FORM 990, THOSE ACTIVITIES ARE RELEVANT IN EVALUATING THE TOTAL COMMUNITY BENEFIT PROVIDED. BIDMC REPORTED OVER $253,000,000 IN NET EXPENDITURES AT COST WHICH REPRESENTED APPROXIMATELY 15% OF TOTAL EXPENSES INCURRED IN PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST FOR THE FISCAL PERIOD COVERED BY THIS FILING. COMMUNITY BENEFITS - ANNUAL COMMUNITY BENEFITS REPORTAS PREVIOUSLY NOTED IN THIS FILING, THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) WERE APPROVED BY THE COMMUNITY BENEFITS COMMITTEE AND BOARD OF DIRECTORS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2017 AND RELATE TO THE COMMUNITY BENEFIT ACTIVITIES REPORTED IN THIS NARRATIVE SUPPORT TO THE FORM 990 SCHEDULE H. IN ADDITION, AS NOTED IN THIS FORM 990 SCHEDULE H, PART I, LINES 6A AND 6B, THE HOSPITAL PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS SUBMITTED TO THE MASSACHUSETTS ATTORNEY GENERAL (SCHEDULE H, PART VI, LINE 7). THAT FILING IS AVAILABLE FOR PUBLIC INSPECTION AT THE ATTORNEY GENERAL'S OFFICE, ON THE ATTORNEY GENERAL'S WEBSITE AND UPON REQUEST AT THE HOSPITAL. THERE ARE SOME DIFFERENCES BETWEEN THE MASSACHUSETTS ATTORNEY GENERAL DEFINITION OF CHARITY CARE AND COMMUNITY BENEFITS AND THE INTERNAL REVENUE SERVICE DEFINITION OF FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS. AS SUCH, THERE ARE VARIANCES BETWEEN THIS SCHEDULE H DISCLOSURE AND THE REPORT THE MEDICAL CENTER FILED WITH THE ATTORNEY GENERAL'S OFFICE. COMMUNITY BENEFITS - EMERGENCY ROOM OPERATIONIN ADDITION, AS NOTED IN THIS FORM 990, SCHEDULE H, PART V, SECTION A, BID-NEEDHAM IS A GENERAL MEDICAL AND SURGICAL COMMUNITY HOSPITAL, PROVIDING 24 HOUR EMERGENCY MEDICAL CARE TO ALL PATIENTS WITHOUT REGARD TO ABILITY TO PAY. FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - CHARITY CARE AND MEANS TESTED GOVERNMENT PROGRAMSFINANCIAL ASSISTANCEBIDN'S NET COST OF CHARITY CARE, INCLUDING CARE FOR EMERGENT SERVICES PROVIDED TO NON-PAYING PATIENTS AND INCLUDING PAYMENTS TO THE HEALTH SAFETY NET TRUST, WAS $694,245 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2018 AND HAS BEEN REPORTED ON THIS SCHEDULE H, PART I, LINE 7A. THE MEDICAL CENTER, WHICH AS PREVIOUSLY NOTED IS THE SOLE MEMBER OF BID-NEEDHAM, PROVIDED AN ADDITIONAL $16,174,069 OF FINANCIAL ASSISTANCE AND CHARITY CARE AT COST WHICH IS REPORTED ON THE MEDICAL CENTER FORM 990, SCHEDULE H, PART I, LINE 7A FOR THE SAME FISCAL PERIOD. HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (HMFP) IS AN ENTITY EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. HMFP IS THE DEDICATED PHYSICIAN PRACTICE OF THE MEDICAL CENTER. THE OPERATIONS OF HMFP AND THE ENTITIES FOR WHICH HMFP SERVES AS MEMBER ARE INTEGRALLY RELATED TO THE MEDICAL CENTER'S ACCOMPLISHMENTS OF ITS PURPOSES. HMFP AND ITS AFFILIATES ARE INTEGRALLY RELATED TO BID-NEEDHAM AND TO SERVING THE COMMUNITIES SERVED BY BID-NEEDHAM. AS PART OF THIS RELATIONSHIP, HMFP PATIENTS WHO MEET THE FREE CARE CRITERIA OF THE MEDICAL CENTER ARE PROVIDED FREE CARE AT HMFP AND ITS AFFILIATED ENTITIES. DURING THE FISCAL PERIOD COVERED BY THIS FILING, HMFP AND ITS AFFILIATED ENTITIES PROVIDED ADDITIONAL NET FREE CARE TO PATIENTS IN THE AMOUNT OF $1,566,619. SEE ADDITIONAL INFORMATION BELOW IN THIS SCHEDULE H NARRATIVE. SEE ADDITIONAL INFORMATION BELOW IN THIS SCHEDULE H NARRATIVE.OTHER UNCOMPENSATED CHARITY CARE - MEDICAID AND MEDICAREIN ADDITION TO THE CHARITY CARE REPORTED ABOVE, BIDN ALSO PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN OTHER PROGRAMS DESIGNED TO SUPPORT LOW INCOME FAMILIES, INCLUDING PARTICULARLY THE MEDICAID PROGRAM, WHICH IS JOINTLY FUNDED BY FEDERAL AND STATE GOVERNMENTS. THE MASSACHUSETTS HEALTH REFORM LAW PROVIDED AN INITIATIVE FOR EXPANSION OF MEDICAID COVERAGE TO GREATER POPULATIONS AND FOR ENROLLMENT OF UNINSURED PATIENTS IN OTHER INSURANCE PROGRAMS. PAYMENTS FROM MEDICAID AND OTHER PROGRAMS WHICH INSURE LOW INCOME POPULATIONS DO NOT COVER THE COST OF SERVICES PROVIDED. MEDICAID IS A GOVERNMENT INSURANCE PROGRAM FOR INDIVIDUALS WITH LIMITED INCOME AND RESOURCES, AND BIDN PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICAID PROGRAM. PAYMENTS TO HOSPITALS THROUGH THIS GOVERNMENT SPONSORED PROGRAM HAVE NOT KEPT PACE WITH INFLATION AND ALTHOUGH THE PROVISION OF HEALTH CARE TO THESE PATIENTS GENERATED $ 7,591,247 IN REVENUE, THIS AMOUNT WAS LESS THAN THE COST OF CARE PROVIDED BY BIDN FOR SUCH SERVICES BY $1,053,653 AS REPORTED ON THIS SCHEDULE H, PART I LINE 7B. DURING THE FISCAL PERIOD COVERED BY THIS FILING, 11.80% OR 20,028 OF BID-NEEDHAM'S PATIENT ENCOUNTERS WERE WITH MEDICAID PATIENTS. IN ADDITION 21.4% OR 254,330 OF THE MEDICAL CENTER'S PATIENT CASES WERE WITH MEDICAID PATIENTS. THIS TRANSLATED TO AN ADDITIONAL $35,778,658 IN UNCOVERED COST BORNE BY BIDMC IN PROVIDING CARE TO MEDICAID PATIENTS. AS PREVIOUSLY NOTED, THIS ADDITIONAL BIDMC COST IS NOT QUANTIFIED IN THE BID- -NEEDHAM SCHEDULE H. MEDICARE IS THE FEDERALLY SPONSORED HEALTH INSURANCE PROGRAM FOR ELDERLY OR DISABLED PATIENTS, AND BIDN PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM. PAYMENTS TO HOSPITALS THROUGH THIS GOVERNMENT SPONSORED PROGRAM HAVE ALSO NOT KEPT PACE WITH INFLATION AND ALTHOUGH THE PROVISION OF HEALTH CARE TO THESE PATIENTS GENERATED $31,067,219 IN REVENUE, THIS AMOUNT WAS LESS THAN THE COST OF CARE PROVIDED BY BIDN FOR SUCH SERVICES BY $1,386,351. DURING THE FISCAL PERIOD COVERED BY THIS FILING, 59,103 OR 34.7% OF BID-NEEDHAM'S PATIENT ENCOUNTERS WERE WITH MEDICARE PATIENTS. IN RESPONSE TO THE FORM 990, SCHEDULE H, PART III, LINE 8, ALTHOUGH BIDN CONSIDERS THE PROVISION OF CLINICAL CARE TO ALL MEDICARE PATIENTS AS PART OF ITS COMMUNITY BENEFIT, THIS MEDICARE SHORTFALL IS NOT QUANTIFIED ON PAGE 1 OF THE SCHEDULE H. INSTEAD, PER THE IRS INSTRUCTIONS TO SCHEDULE H, BIDN HAS SEPARATELY REPORTED THIS AMOUNT IN SCHEDULE H, PART III, LINE 7, AS REQUIRED.BIDMC SIMILARLY PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM. DURING THE FISCAL PERIOD COVERED BY THIS FILING, 29.3% OR 348,544 OF THE MEDICAL CENTER'S PATIENT ENCOUNTERS WERE WITH MEDICARE PATIENTS. THIS TRANSLATED TO MEDICARE REVENUE OF $401,739,417. 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 $33,492,068. THIS ADDITIONAL BIDMC COST IS NOT QUANTIFIED IN THE BID-NEEDHAM SCHEDULE H.
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BAD DEBTS
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IN ADDITION TO CHARITY CARE AND SHORTFALLS IN PROVIDING SERVICES TO PATIENTS INSURED UNDER STATE AND FEDERAL PROGRAMS, BIDN ALSO INCURS LOSSES RELATED TO SELF-PAY PATIENTS WHO FAIL TO MAKE PAYMENTS FOR SERVICES OR INSURED PATIENTS WHO FAIL TO PAY COINSURANCE OR DEDUCTIBLES FOR WHICH THEY ARE RESPONSIBLE UNDER INSURANCE CONTRACTS. BAD DEBT EXPENSE IS INCLUDED IN UNCOMPENSATED CARE EXPENSE IN THE CONSOLIDATED FINANCIAL STATEMENTS, AND INCLUDES THE PROVISION FOR ACCOUNTS ANTICIPATED TO BE UNCOLLECTIBLE. CHARGES FOR THOSE SERVICES DURING THE FISCAL PERIOD COVERED BY THIS FILING OF $2,181,755 AND ARE REPORTED AS BAD DEBT ON FORM 990, SCHEDULE H, PART III, LINE 2. BIDMC SIMILARLY INCURS BAD DEBT LOSSES AND INCLUDES THE PROVISION FOR ACCOUNTS ANTICIPATED TO BE UNCOLLECTIBLE IN ITS FINANCIAL STATEMENTS. BIDMC CHARGES FOR THOSE SERVICES WERE $20,510,577 DURING THE FISCAL PERIOD COVERED BY THIS FILING AS REPORTED IN THE FINANCIAL STATEMENTS AND AS REPORTED ON THE BIDMC FORM 990, SCHEDULE H, PART III, LINE 2. AS REQUIRED BY THE INSTRUCTIONS TO THIS FORM 990 SCHEDULE H, LOSSES RELATED TO BAD DEBTS HAVE NOT BEEN INCLUDED IN THE CALCULATION OF FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS IN SCHEDULE H PART I LINE 7. RATHER IT HAS BEEN SEPARATELY REPORTED IN SCHEDULE H PART III AS REQUIRED. THE PERCENTAGES CALCULATED IN PART I, LINE 7, COLUMN F WERE BASED ON EACH ITEM OF FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT AS A PERCENTAGE OF TOTAL EXPENSES REPORTED IN PART IX OF THIS FORM 990. AS REQUIRED BY THIS FORM 990, SCHEDULE H, PART III, LINE 4, BELOW ARE THE BAD DEBT AND ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTES FROM THE BETH ISRAEL DEACONESS MEDICAL CENTER'S (BIDMC OR MEDICAL CENTER) AUDITED FINANCIAL STATEMENTS. AS PREVIOUSLY NOTED IN THIS FORM 990, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE MEDICAL CENTER AND AFFILIATES FOR FISCAL YEAR ENDED SEPTEMBER 30, 2018 INCLUDE THE ACCOUNTS OF THE MEDICAL CENTER AND ITS SUBSIDIARIES, (BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM (BIDN), MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION, D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP (APG)), BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH (BID-PLYMOUTH), JORDAN HEALTH SYSTEMS, INC., BETH ISRAEL DEACONESS HOSPITAL - MILTON, INC. (BID-MILTON)) AND HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP), THE DEDICATED PHYSICIAN PRACTICE OF THE MEDICAL CENTER AND AN ENTITY INTEGRALLY RELATED TO HELPING THE MEDICAL CENTER ACCOMPLISH ITS CHARITABLE PURPOSES, AS WELL AS ALL ENTITIES FOR WHICH THESE ENTITIES SERVE AS MEMBER. THE BIDN FORM 990 IS PREPARED FOR BIDN ONLY AND AS SUCH, THE METRICS INCLUDED IN THESE FOOTNOTES WILL NOT TIE TO THE FACE OF THE BIDN FORM 990, SCHEDULE H.FINANCIAL STATEMENT FOOTNOTES:BAD DEBTSIN ADDITION TO CHARITY CARE AND SHORTFALLS IN PROVIDING SERVICES TO PATIENTS INSURED UNDER STATE AND FEDERAL PROGRAMS, THE MEDICAL CENTER ALSO INCURS LOSSES RELATED TO SELF PAY PATIENTS WHO FAIL TO MAKE PAYMENTS FOR SERVICES OR INSURED PATIENTS WHO FAIL TO PAY COINSURANCE OR DEDUCTIBLES FOR WHICH THEY ARE RESPONSIBLE UNDER INSURANCE CONTRACTS. BAD DEBTS ARE INCLUDED AS A COMPONENT OF NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED FINANCIAL STATEMENTS, AND INCLUDE THE PROVISION FOR ACCOUNTS ANTICIPATED TO BE UNCOLLECTIBLE. THE ESTIMATED COST OF PROVIDING SUCH SERVICES WAS $20,111,000 AND $16,928,000 IN 2018 AND 2017, RESPECTIVELY. PATIENT ACCOUNTS RECEIVABLE AND RELATED ALLOWANCE FOR DOUBTFUL ACCOUNTSPATIENT ACCOUNTS RECEIVABLE ARE REFLECTED NET OF AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST COLLECTION HISTORY, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN GOVERNMENTAL AND EMPLOYEE HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS FOR EACH OF ITS MAJOR CATEGORIES OF REVENUE BY PAYOR TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR CATEGORIES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THROUGHOUT THE YEAR, THE MEDICAL CENTER, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, WILL WRITE OFF PATIENTS' UNMET OR UNCOLLECTED RESPONSIBILITY AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN ADDITION TO THE REVIEW OF THE CATEGORIES OF REVENUE, MANAGEMENT MONITORS THE WRITE OFFS AGAINST ESTABLISHED ALLOWANCES TO DETERMINE THE APPROPRIATENESS OF THE UNDERLYING ASSUMPTIONS USED IN ESTIMATING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE MEDICAL CENTER'S METHODOLOGY FOR VALUING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE REMAINED SUBSTANTIALLY CONSISTENT IN 2018 AND 2017. THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS REPRESENTED APPROXIMATELY 8.8% AND 9.3% OF PATIENT ACCOUNTS RECEIVABLE, NET OF CONTRACTUAL ALLOWANCES IN 2018 AND 2017, RESPECTIVELY.EMERGENCY CARE ACCESSAS PREVIOUSLY NOTED IN THIS FILING, FOR THE PERIOD COVERED BY THIS FILING, BIDMC SERVED AS THE SOLE MEMBER OF BID-NEEDHAM. THE MEDICAL CENTER IS A NATIONALLY RECOGNIZED ACADEMIC MEDICAL CENTER AND TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL. HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (HMFP) IS AN INTEGRALLY RELATED PHYSICIAN PRACTICE OF BIDMC AND IS ALSO EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. HMFP PHYSICIANS PROVIDE AROUND THE CLOCK PHYSICIAN PATIENT CARE COVERAGE AND MEDICAL DIRECTION OF THE BID-NEEDHAM EMERGENCY DEPARTMENT. THESE PHYSICIANS ARE ALL CERTIFIED OR BOARD-ELIGIBLE IN LEVEL 1 TRAUMA. THE BIDN DEPARTMENT OF EMERGENCY MEDICINE, PROVIDES MEDICALLY NECESSARY CARE FOR ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OFFERS THIS CARE FOR ALL PATIENTS THAT COME TO THIS FACILITY 24 HOURS A DAY, SEVEN DAYS A WEEK, AND 365 DAYS A YEAR. FINANCIAL ASSISTANCE POLICY - INTERNAL REVENUE CODE SECTION 501(R)(4)FINANCIAL ASSISTANCE POLICY PURPOSE BID-NEEDHAM'S MISSION IS TO DISTINGUISH ITSELF FROM OTHER PROVIDERS THROUGH EXCELLENCE IN PATIENT CARE, EDUCATION, RESEARCH AND THROUGH IMPROVED HEALTH IN THE COMMUNITIES SERVED.BID-NEEDHAM IS DEDICATED TO PROVIDING FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE HEALTH CARE NEEDS AND ARE UNINSURED, UNDERINSURED INELIGIBLE FOR A GOVERNMENT PROGRAM, OR OTHERWISE UNABLE TO PAY FOR MEDICALLY NECESSARY CARE BASED ON THEIR INDIVIDUAL FINANCIAL SITUATION. THIS FINANCIAL ASSISTANCE POLICY IS INTENDED TO BE IN COMPLIANCE WITH APPLICABLE FEDERAL AND STATE LAWS FOR OUR SERVICE AREA. PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WILL RECEIVE DISCOUNTED CARE RECEIVED FROM QUALIFYING BIDMC PROVIDERS.BID-NEEDHAM DOES NOT DISCRIMINATE BASED ON THE PATIENT'S AGE, GENDER, RACE, CREED, RELIGION, DISABILITY, SEXUAL ORIENTATION, GENDER IDENTITY, NATIONAL ORIGIN OR IMMIGRATION STATUS WHEN DETERMINING ELIGIBILITY.FINANCIAL ASSISTANCE POLICY, CREDIT AND COLLECTION POLICY AND EMERGENCY CARE POLICYAS REQUIRED BY IRC SECTION 501(R)(4) AND THE REGULATIONS PROMULGATED THEREUNDER, THE HOSPITAL MAINTAINS A WRITTEN FINANCIAL ASSISTANCE POLICY (FAP) WHICH APPLIES TO ALL EMERGENCY AND OTHER MEDICALLY NECESSARY CARE PROVIDED BY THE HOSPITAL FACILITY. (SCHEDULE H PART I QUESTIONS 1A AND 1B). DETAIL RELATED TO EMERGENCY AND OTHER MEDICALLY NECESSARY CARE COVERED BY THE POLICY IS INCLUDED WITHIN THE POLICY AND THE DEFINITION OF EMERGENCY CARE MEETS THE DEFINITION OF THE EMERGENCY MEDICAL TREATMENT AND LABOR ACT (EMTALA), SECTION 1867 OF THE SOCIAL SECURITY ACT (42 USC 1395DD). (SCHEDULE H PART V SECTION B QUESTION 21). THE FAP INCLUDES A LIST OF PROVIDERS OTHER THAN THE HOSPITAL ITSELF, WHICH ARE COVERED BY THE FAP AND SPECIFIES ELIGIBILITY CRITERIA FOR BOTH FREE AND DISCOUNTED CARE. THE FAP ALSO INCLUDES THE BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS. THE HOSPITAL MAINTAINS A SEPARATE CREDIT AND COLLECTION POLICY AS PERMITTED UNDER THE TREASURY REGULATIONS AND THIS CREDIT AND COLLECTION POLICY IS REFERENCED WITHIN THE FAP AS REQUIRED, ALONG WITH INFORMATION ON HOW TO OBTAIN A FREE COPY OF THE CREDIT AND COLLECTION POLICY. (SCHEDULE H PART III SECTION C QUESTIONS 9A AND 9B AND PART V SECTION B QUESTION 17). THE HOSPITAL'S FAP AND CREDIT & COLLECTION POLICY WERE ADOPTED BY THE HOSPITAL'S BOARD PRIOR TO SEPTEMBER 30, 2017 AND THESE DOCUMENTS WERE ALL EFFECTIVE AS OF OCTOBER 1, 2017, THE FIRST DAY OF THE HOSPITAL'S FISCAL YEAR IN WHICH THE HOSPITAL WAS REQUIRED TO BE IN COMPLIANCE WITH THE REGULATIONS PROMULGATED BY THE TREASURY AND RELATED TO IRC SECTION 501(R).
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FINANCIAL ASSISTANCE POLICY - APPLYING FOR ASSISTANCE
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THE HOSPITAL'S FAP INCLUDES INFORMATION ON THE METHOD FOR APPLYING FOR FINANCIAL ASSISTANCE UNDER THE FAP. IN ADDITION, THE HOSPITAL'S FINANCIAL ASSISTANCE APPLICATION INCLUDES A LIST OF INFORMATION/DOCUMENTATION REQUIRED AS PART OF A PATIENT'S APPLICATION FOR FINANCIAL ASSISTANCE. (SCHEDULE H PART V SECTION B QUESTION 15).FINANCIAL ASSISTANCE POLICY - ELIGIBILITY GUIDELINES THE HOSPITAL'S FAP USES THE FEDERAL POVERTY GUIDELINES IN DETERMINING ELIGIBILITY FOR FREE AND DISCOUNTED CARE. (SCHEDULE H PART I QUESTION 3A AND 3B AND PART V SECTION B QUESTION 13). IN ADDITION, THE HOSPITAL'S FAP PROVIDES FOR FINANCIAL ASSISTANCE BASED ON MEDICAL HARDSHIP AND ASSET LEVEL (SCHEDULE H PART I QUESTIONS 3C AND 4, PART V SECTION B QUESTION 13 AND PART VI QUESTION 3). FINALLY, THE HOSPITAL UNDERSTANDS THAT NOT ALL PATIENTS ARE ABLE TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION OR COMPLY WITH REQUESTS FOR DOCUMENTATION. THERE MAY BE INSTANCES UNDER WHICH A PATIENT/GUARANTOR'S QUALIFICATION FOR FINANCIAL ASSISTANCE IS ESTABLISHED WITHOUT COMPLETING THE APPLICATION FORM. OTHER INFORMATION MAY BE USED BY THE HOSPITAL TO DETERMINE WHETHER A PATIENT/GUARANTOR'S ACCOUNT IS UNCOLLECTIBLE AND THIS INFORMATION WILL BE USED TO DETERMINE PRESUMPTIVE ELIGIBILITY AS OUTLINED IN THE HOSPITAL'S FAP. (SCHEDULE H PART I QUESTIONS 3C).FINANCIAL ASSISTANCE - PUBLIC ASSISTANCE PROGRAMS (SCHEDULE H PART I QUESTION 3C)IN ADDITION TO FINANCIAL ASSISTANCE ELIGIBILITY UNDER THE HOSPITAL'S FAP, FOR THOSE INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH PATIENTS TO ASSIST THEM IN APPLYING FOR PUBLIC ASSISTANCE AND/OR HOSPITAL FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER SOME OR ALL OF THEIR UNPAID HOSPITAL BILLS. IN ORDER TO HELP UNINSURED AND UNDERINSURED INDIVIDUALS FIND AVAILABLE AND APPROPRIATE OPTIONS, THE HOSPITAL WILL PROVIDE ALL INDIVIDUALS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PUBLIC ASSISTANCE AND FINANCIAL ASSISTANCE PROGRAMS DURING THE PATIENT'S INITIAL IN-PERSON REGISTRATION AT A HOSPITAL LOCATION FOR A SERVICE, IN ALL BILLING INVOICES THAT ARE SENT TO A PATIENT OR GUARANTOR, AND WHEN THE PROVIDER IS NOTIFIED OR THROUGH ITS OWN DUE DILIGENCE BECOMES AWARE OF A CHANGE IN THE PATIENT'S ELIGIBILITY STATUS FOR PUBLIC OR PRIVATE INSURANCE COVERAGE.HOSPITAL PATIENTS MAY BE ELIGIBLE FOR FREE OR REDUCED COST OF HEALTH CARE SERVICES THROUGH VARIOUS STATE PUBLIC ASSISTANCE PROGRAMS AS WELL AS THE HOSPITAL FINANCIAL ASSISTANCE PROGRAMS (INCLUDING BUT NOT LIMITED TO MASSHEALTH, THE PREMIUM ASSISTANCE PAYMENT PROGRAM OPERATED BY THE HEALTH CONNECTOR, THE CHILDREN'S MEDICAL SECURITY PROGRAM, THE HEALTH SAFETY NET, AND MEDICAL HARDSHIP). SUCH PROGRAMS ARE INTENDED TO ASSIST LOW-INCOME PATIENTS TAKING INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. FOR THOSE INDIVIDUALS THAT ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL, WHEN REQUESTED, HELP THEM WITH APPLYING FOR EITHER COVERAGE THROUGH PUBLIC ASSISTANCE PROGRAMS OR HOSPITAL FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER ALL OR SOME OF THEIR UNPAID HOSPITAL BILLS.THE HOSPITAL IS AVAILABLE TO ASSIST PATIENTS IN ENROLLING INTO STATE HEALTH COVERAGE PROGRAMS. THESE INCLUDE MASSHEALTH, THE PREMIUM ASSISTANCE PAYMENT PROGRAM OPERATED BY THE STATE'S HEALTH CONNECTOR, AND THE CHILDREN'S MEDICAL SECURITY PLAN. FOR THESE PROGRAMS, APPLICANTS CAN SUBMIT AN APPLICATION THROUGH AN ONLINE WEBSITE (WHICH IS CENTRALLY LOCATED ON THE STATE'S HEALTH CONNECTOR WEBSITE), A PAPER APPLICATION, OR OVER THE PHONE WITH A CUSTOMER SERVICE REPRESENTATIVE LOCATED AT EITHER MASSHEALTH OR THE CONNECTOR. INDIVIDUALS MAY ALSO ASK FOR ASSISTANCE FROM HOSPITAL FINANCIAL COUNSELORS (ALSO CALLED CERTIFIED APPLICATION COUNSELORS) WITH SUBMITTING THE APPLICATION EITHER ON THE WEBSITE OR THROUGH A PAPER APPLICATION.FINANCIAL ASSISTANCE POLICY - TRANSLATIONS THE HOSPITAL'S FAP, CREDIT AND COLLECTION POLICY AND PLAIN LANGUAGE SUMMARY OF THE FAP (SEE DETAIL BELOW) HAVE ALL BEEN TRANSLATED INTO THE LANGUAGES SPOKEN BY THOSE IN THE HOSPITAL'S COMMUNITY WHO MAY COMMUNICATE IN A LANGUAGE OTHER THAN ENGLISH. THE HOSPITAL HAS TRANSLATED THESE DOCUMENTS INTO THE LANGUAGES OF LIMITED ENGLISH PROFICIENCY (LEP) OF ITS PATIENTS, USING THE HEALTH AND HUMAN SECRETARY GUIDANCE SAFE HARBOR OF 5% OF THE POPULATION OR 1000 PERSONS, WHICHEVER IS LESS. BASED ON THE HOSPITAL'S REVIEW OF THIS SAFE HARBOR, THE HOSPITAL HAS TRANSLATED THESE DOCUMENTS INTO THE FOLLOWING LANGUAGES: SPANISH, CHINESE AND RUSSIAN. (SCHEDULE H PART V SECTION B QUESTION 16I)FINANCIAL ASSISTANCE POLICY - WIDELY PUBLICIZING AND AVAILABILITYCOPIES OF THE FAP, CREDIT AND COLLECTION POLICY, FAP SUMMARY AND APPLICATION FOR FINANCIAL ASSISTANCE ARE ALL AVAILABLE IN BOTH ENGLISH AND ALL LEP LANGUAGES AT THE HOSPITAL OR BY MAIL FREE OF CHARGE AND ON THE HOSPITAL'S WEBSITE AT (SCHEDULE H PART V SECTION B QUESTIONS 16A, 16B, 16C, 16D, 16E, 16H):HTTPS://WWW.BIDNEEDHAM.ORG/YOUR-VISIT/INSURANCE-AND-FINANCIAL-INFORMATIONIN ADDITION, THE FAP, CREDIT AND COLLECTION POLICY, FAP SUMMARY AND APPLICATION FOR FINANCIAL ASSISTANCE ARE ALL AVAILABLE IN THE HOSPITAL'S EMERGENCY DEPARTMENT AND FINANCIAL COUNSELING OFFICE. (SCHEDULE H PART V SECTION B QUESTION 16F AND SCHEDULE H PART VI QUESTION 3).THE HOSPITAL MAINTAINS SIGNAGE AND CONSPICUOUS PUBLIC DISPLAYS ABOUT FINANCIAL ASSISTANCE AND THE FAP DESIGNED TO ATTRACT THE ATTENTION OF PATIENTS AND VISITORS, INCLUDING BOTH THE EMERGENCY DEPARTMENT AND ADMISSIONS. SUCH SIGNAGE IS POSTED BOTH IN ENGLISH AND THE LEP LANGUAGES NOTED ABOVE. IN ADDITION, FINANCIAL COUNSELING PERSONNEL ROUTINELY VISIT LOCATIONS DESIGNATED FOR SIGNAGE TO ENSURE THAT SUCH SIGNAGE REMAINS VISIBLE TO PATIENTS AND VISITORS AS ATTENDED. THE HOSPITAL PROVIDES INFORMATION ABOUT THE FAP TO PATIENTS BEFORE DISCHARGE AND CONSPICUOUSLY WITHIN BILLING STATEMENTS. INFORMATION PROVIDED TO PATIENTS IN THESE COMMUNICATIONS INCLUDE CONTACT INFORMATION FOR THOSE THAT CAN HELP PROVIDE ADDITIONAL INFORMATION ABOUT THE FAP, INFORMATION ON THE APPLICATION PROCESS AND THE WEBSITE WHERE THE FAP CAN BE OBTAINED. ADDITIONALLY, A PLAIN LANGUAGE SUMMARY OF THE FAP IS PROVIDED TO PATIENTS AS PART OF THE INTAKE PROCESS. (SCHEDULE H PART V SECTION B QUESTION 16G).
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FINANCIAL ASSISTANCE POLICY - PLAIN LANGUAGE SUMMARY
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AS NOTED IN THIS NARRATIVE SUPPORT TO THE FORM 990 SCHEDULE H, THE HOSPITAL HAS A PLAIN LANGUAGE SUMMARY OF ITS FAP. THIS IS A WRITTEN STATEMENT DESIGNED TO NOTIFY PATIENTS AND VISITORS THAT THE HOSPITAL HAS A WRITTEN FAP AND PROVIDES FINANCIAL ASSISTANCE. THIS PLAIN LANGUAGE SUMMARY INCLUDES INFORMATION ON FREE AND DISCOUNTED CARE, HOW TO OBTAIN A COPY OF THE FAP POLICY AND APPLICATION, THE LOCATION (INCLUDING THE BUILDING AND ROOM NUMBER) AND PHONE NUMBER OF THE FINANCIAL COUNSELING OFFICE. THE PLAIN LANGUAGE SUMMARY ALSO INCLUDES THE LIST OF LANGUAGES INTO WHICH THE FAP AND SUMMARY HAVE BEEN TRANSLATED AS WELL AS HOW TO ACCESS INFORMATION ON PROVIDERS NOT COVERED BY THE FAP AND TO WHICH OTHER RELATED HOSPITALS APPROVAL UNDER THE FAP WILL APPLY. LIMITATION ON CHARGES - INTERNAL REVENUE CODE SECTION 501(R)(5)LIMITATION ON CHARGESAS REQUIRED BY IRC SECTION 501(R)(5) AND THE REGULATIONS PROMULGATED THEREUNDER, THE HOSPITAL LIMITS THE AMOUNTS CHARGED FOR ANY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IT PROVIDES TO A FINANCIAL ASSISTANCE ELIGIBLE PATIENT, TO NOT MORE THAN AMOUNTS GENERALLY BILLED (AGB) AND LIMITS THE AMOUNTS CHARGED TO ANY FINANCIAL ASSISTANCE ELIGIBLE PATIENT FOR ALL OTHER MEDICAL CARE TO LESS THAN GROSS CHARGES. AMOUNTS GENERALLY BILLED - LOOK BACK METHODTHE HOSPITAL CALCULATES ITS AGB, USING THE LOOK BACK METHOD, DIVIDING THE TOTAL PAYMENTS RECEIVED FROM ALL COMMERCIAL PLANS AND MEDICARE BY THE TOTAL CHARGES SENT TO THOSE SAME PAYERS FOR THE PREVIOUS FISCAL YEAR. (SCHEDULE H PART V SECTION B QUESTION 22). PATIENT REFUNDS FOR CHARGES IN EXCESS OF AMOUNTS GENERALLY BILLEDTHE HOSPITAL REGULARLY MONITORS THE FINANCIAL ACCOUNTS OF FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. WHERE A PATIENT SUBMITS A COMPLETED APPLICATION FOR FINANCIAL ASSISTANCE AND IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL REFUNDS ANY AMOUNTS PREVIOUSLY PAID FOR CARE THAN EXCEEDS THE AMOUNT THAT THE PATIENT IS PERSONALLY RESPONSIBLE FOR PAYING WHERE SUCH AMOUNTS ARE EQUAL TO OR EXCEED $5.00. BILLING AND COLLECTIONS -- 501(R)(6)EXTRAORDINARY COLLECTION ACTIVITIESTHE HOSPITAL DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIVITIES (ECAS) FOR FINANCIAL ASSISTANCE ELIGIBLE PATIENTS. SPECIFICALLY, THE HOSPITAL DOES NOT REPORT TO CREDIT AGENCIES, ENGAGE IN LEGAL OR JUDICIAL PROCESSES OR SELL A PATIENT'S OUTSTANDING AMOUNTS OWED FOR PATIENT CARE. IN ADDITION, THIS EXTENDS TO ANY THIRD PARTY CONTRACTED WITH THE HOSPITAL RELATED TO BILLING AND COLLECTIONS. (SCHEDULE H PART V SECTION B QUESTIONS 18 AND 19).APPLICATION PERIOD PATIENTS MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME UP TO TWO HUNDRED FORTY (240) DAYS AFTER THE FIRST POST-DISCHARGE BILLING STATEMENT IS AVAILABLE. IRC 501(R) REPORTING UNDER REVENUE PROCEDURE 2015-21DURING A REVIEW OF THE HOSPITAL'S SECTION 501(R) COMPLIANCE IN FY18, IT WAS DETERMINED THAT CERTAIN INFORMATION IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (FAP), PLAIN LANGUAGE SUMMARY (PLS) AND CREDIT AND COLLECTIONS POLICY (CCP) REQUIRED CLARIFICATION OR CORRECTION. IN ACCORDANCE WITH THE PROCEDURES SET FORTH IN REVENUE PROCEDURE 2015-21, EACH OF THOSE ITEMS IS LISTED ALONG WITH THE METHOD OF CORRECTION. CORRECTION OCCURRED BY ADOPTION OF A REVISED FAP, PLS AND CCP BY THE HOSPITAL'S AUTHORIZED BODY PRIOR TO FILING THIS RETURN. (1) WHILE THE FAP SPECIFIED THE PERCENTAGE OF DISCOUNTS AVAILABLE, IT DID NOT SPECIFICALLY REFER TO WHAT CHARGES THOSE DISCOUNTS WOULD BE APPLIED. THE FAP HAS BEEN REVISED TO CLARIFY THAT THE DISCOUNTS ARE APPLIED TO PATIENT GROSS CHARGES. (2) THE FAP DID NOT SPECIFY THE AMOUNTS GENERALLY BILLED (AGB) BY THE HOSPITAL OR SPECIFY THE METHODOLOGY FOR CALCULATING THE AGB. THE FAP HAS BEEN REVISED TO INCLUDE THIS INFORMATION. (3) THE LIST OF PROVIDERS OF EMERGENCY AND MEDICALLY NECESSARY CARE AT THE HOSPITAL DID NOT INCLUDE ALL PROVIDERS. THE LIST HAS BEEN UPDATED AND NOW REFLECTS ALL PROVIDERS. (4) THE HOSPITAL HAD NOT YET MADE EFFORTS TO INFORM MEMBERS OF THE COMMUNITY SERVED BY THE HOSPITAL ABOUT THE FAP IN A MANNER REASONABLY CALCULATED TO REACH THOSE MEMBERS WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE. THE HOSPITAL HAS SINCE MADE SUCH EFFORTS, INCLUDING BY DISTRIBUTING COPIES OF ITS FAP AND FAP APPLICATION TO REFERRING STAFF PHYSICIANS AND TO COMMUNITY HEALTH CENTERS SERVING THE HOSPITAL'S COMMUNITY. (5) WHILE THE HOSPITAL HAD TRANSLATED ITS FAP, FAP APPLICATION AND PLS INTO SEVERAL LANGUAGES, IT HAD NOT YET TRANSLATED THOSE DOCUMENTS INTO ALL LANGUAGES SPOKEN BY LIMITED ENGLISH PROFICIENCY POPULATIONS IN THE HOSPITAL'S COMMUNITY. SUCH TRANSLATIONS HAVE NOW BEEN MADE. (6) THE HOSPITAL WAS NOT OFFERING COPIES OF THE PLS TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS. IT IS NOW DOING SO. (7) THE CCP DID NOT INCLUDE A DESCRIPTION OF THE OFFICE, DEPARTMENT OR COMMITTEE WITH FINAL AUTHORITY FOR DETERMINING THAT THE HOSPITAL HAS MADE REASONABLE EFFORTS TO DETERMINE FAP-ELIGIBILITY PRIOR TO ENGAGING IN ANY EXTRAORDINARY COLLECTION ACTIONS. THE CCP HAS BEEN REVISED TO INCLUDE SUCH A DESCRIPTION. (8) WHILE THE HOSPITAL HAS HAD A LONGSTANDING EMERGENCY MEDICAL CARE POLICY IN PLACE THE POLICY HAD NOT BEEN ADOPTED BY AN AUTHORIZED BODY. THE HOSPITAL HAS NOW INCLUDED LANGUAGE IN ITS FAP, ADOPTED BY AN AUTHORIZED BODY, REQUIRING THE HOSPITAL TO PROVIDE, WITHOUT DISCRIMINATION, CARE FOR EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF WHETHER THEY ARE FAP-ELIGIBLE. (9) THE HOSPITAL HAD NOT BEEN INCLUDING WITH BILLS TO PATIENTS OFFERED DISCOUNTED BUT NOT FREE CARE AN EXPLANATION OF HOW THE PATIENT'S DISCOUNT HAD BEEN DETERMINED. THAT INFORMATION IS NOW INCLUDED WITH PATIENT BILLS.FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - COMMUNITY HEALTH IMPROVEMENT SERVICES AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLANDETAIL TO BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM'S (BID-NEEDHAM OR HOSPITAL) COMMUNITY HEALTH NEEDS ASSESSMENT, IMPLEMENTATION STRATEGY AND COMMUNITY BENEFITS ACTIVITIES HAVE BEEN PROVIDED IN FORM 990, SCHEDULE H, PART V SECTION C ABOVE. FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - GRADUATE MEDICAL EDUCATION AS PREVIOUSLY NOTED IN THROUGHOUT THIS FORM 990, FOR THE PERIOD COVERED BY THIS FILING BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER) SERVED AS THE SOLE MEMBER OF BID-NEEDHAM. IN CONJUNCTION WITH BIDMC, BID-NEEDHAM PROVIDES A PROGRAM IN GRADUATE MEDICAL EDUCATION. THE MEDICAL CENTER'S DEVOTION TO TEACHING, RESPECT FOR STUDENTS/TRAINEES AND WILLINGNESS TO EMBRACE TECHNOLOGICAL AND CLINICAL PRACTICE INNOVATION MAKE THE MEDICAL CENTER A TOP CHOICE AMONG MEDICAL STUDENTS AND HEALTH CARE PROFESSIONALS. THE MEDICAL CENTER TRAINS HUNDREDS OF MEDICAL STUDENTS, INTERNS, RESIDENTS AND FELLOWS, AS WELL AS PROFESSIONALS IN NURSING, SOCIAL WORK AND THE ALLIED HEALTH SCIENCES. THE MEDICAL CENTER HAS 55 ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) APPROVED CLINICAL RESIDENCY AND FELLOWSHIP PROGRAMS WITH 653 RESIDENTS AND CLINICAL FELLOWS. IN ADDITION, THE MEDICAL CENTER HAS 45 NONSTANDARD CLINICAL FELLOWSHIP PROGRAMS WITH 65 TRAINEES PER YEAR. STAFF PHYSICIANS AT THE MEDICAL CENTER WHO HOLD FACULTY APPOINTMENTS AT HARVARD MEDICAL SCHOOL INSTRUCT THE DOCTORS OF TOMORROW THROUGH SUPERVISION OF THEIR DAILY PATIENT CARE AND A RANGE OF INTERACTIVE LEARNING EXPERIENCES.
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CORE CLINICAL TRAINING PROGRAMS
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THE MEDICAL CENTER SPONSORS CORE CLINICAL TRAINING PROGRAMS IN THE FOLLOWING FIELDS:- ANESTHESIOLOGY- EMERGENCY MEDICINE- INTERNAL MEDICINE- NEUROLOGY- NEUROSURGERY- OBSTETRICS AND GYNECOLOGY- PATHOLOGY- PSYCHIATRY- RADIOLOGY- SURGERY- TRANSITIONAL YEARDURING THE FISCAL YEAR COVERED BY THIS FILING, THE MEDICAL CENTER HAD NET EXPENDITURES OF $74,862,985 REPORTED ON THE MEDICAL CENTER SCHEDULE H, PART I, LINE 7F RELATED TO THE MEDICAL CENTER'S TEACHING FUNCTION WHICH REPRESENTED 4.26% OF THE MEDICAL CENTER'S TOTAL EXPENSES. IN ADDITION, BID-NEEDHAM HAD NET EXPENDITURES OF $386,638 WHICH ARE REPORTED IN THIS SCHEDULE H, PART I, LINE 7F RELATED TO TEACHING. RESIDENCY PROGRAMSTHE MEDICAL CENTER SPONSORS ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) APPROVED RESIDENCY PROGRAMS IN EACH OF THE CORE CLINICAL TRAINING PROGRAMS LISTED ABOVE. FELLOWSHIP PROGRAMSIN ADDITION TO THE RESIDENT TRAINING PROGRAMS LISTED ABOVE, THE MEDICAL CENTER SPONSORS A WIDE VARIETY OF FELLOWSHIP TRAINING PROGRAMS FOR ELIGIBLE DOCTORS WHO HAVE COMPLETED THEIR RESIDENCY AND WANT TO ENGAGE IN MORE SPECIALIZED STUDY. OVER HALF OF THESE PROGRAMS (55 OF 90) ARE ACGME APPROVED OR APPROVED BY A COMPARABLE BODY RELATED TO THE PARTICULAR SUBSPECIALTY. THE MEDICAL CENTER SPONSORS THE FOLLOWING FELLOWSHIP PROGRAMS:- ANESTHESIA: ADULT CARDIOTHORACIC ANESTHESIOLOGY, ADVANCED CLINICAL ANESTHESIA, CRITICAL CARE MEDICINE, NEUROANESTHESIA, OBSTETRIC ANESTHESIOLOGY, PAIN MEDICINE, REGIONAL ANESTHESIA, VASCULAR ANESTHESIA, PATIENT SAFETY AND QUALITY IMPROVEMENT IN ANESTHESIA- EMERGENCY MEDICINE: EMERGENCY MEDICAL SERVICES, EMERGENCY ULTRASOUND, DISASTER MEDICINE, ACADEMIC EMERGENCY MEDICINE- INTERNAL MEDICINE: ADVANCED CARDIAC NON-INVASIVE IMAGING, ADVANCED ENDOSCOPY, CARDIAC MAGNETIC RESONANCE IMAGING CARDIOVASCULAR DISEASE, CELIAC DISEASE, CLINICAL CARDIAC ELECTROPHYSIOLOGY, CLINICAL INFORMATICS, ENDOCRINOLOGY, DIABETES, AND METABOLISM, GASTROENTEROLOGY, GENERAL MEDICINE, GERIATRIC MEDICINE, GERIATRIC AND DIABETES, GI MOTILITY/FUNCTIONAL BOWEL DISORDERS, GLOBAL HEALTH, HEMATOLOGY AND ONCOLOGY, HEPATOLOGY, HOSPICE AND PALLIATIVE CARE, INFECTIOUS DISEASE, INFLAMMATORY BOWEL DISEASE, INTERVENTIONAL CARDIOLOGY, INTERVENTIONAL PULMONOLOGY, NEPHROLOGY, PULMONARY CRITICAL CARE, RHEUMATOLOGY, SLEEP MEDICINE, SLEEP RESPIRATION, STRUCTURAL HEART DISEASE, TRANSPLANT HEPATOLOGY, TRANSPLANT NEPHROLOGY- NEUROLOGY: AUTONOMIC DISORDERS, COGNITIVE BEHAVIORAL NEUROLOGY, CLINICAL NEUROPHYSIOLOGY, EPILEPSY, MOVEMENT DISORDERS, MULTIPLE SCLEROSIS, NEUROLOGY-HIV, NEUROMUSCULAR MEDICINE, NEURO-ONCOLOGY, VASCULAR NEUROLOGY- OBSTETRICS AND GYNECOLOGY: FEMALE PELVIC MEDICINE & RECONSTRUCTIVE SURGERY, MATERNAL FETAL MEDICINE, MINIMALLY INVASIVE GYNECOLOGIC SURGERY, REPRODUCTIVE ENDOCRINOLOGY- PATHOLOGY: BLOOD BANKING/TRANSFUSION MEDICINE, CYTOPATHOLOGY, DERMATOPATHOLOGY, HEMATOLOGY, MEDICAL MICROBIOLOGY, MEDICAL MICROBIOLOGY - CPEP, NEUROPATHOLOGY, SELECTIVE PATHOLOGY - RADIOLOGY-DIAGNOSTIC: ABDOMINAL RADIOLOGY, BREAST IMAGING RADIOLOGY, INTERVENTIONAL RADIOLOGY-INDEPENDENT, INTERVENTIONAL RADIOLOGY-INTEGRATED MRI, MUSCULOSKELETAL IMAGING - MSK, NEURORADIOLOGY, THORACIC IMAGING RADIOLOGY, VASCULAR AND INTERVENTIONAL RADIOLOGY, RADIATION ONCOLOGYSURGERY: ABDOMINAL TRANSPLANT SURGERY/KIDNEY, COLORECTAL SURGERY, CORNEA AND REFRACTIVE SURGERY, CEREBROVASCULAR AND ENDOVASCULAR NEUROSURGERY, INTERDISCIPLINARY BREAST SURGERY, MINIMALLY INVASIVE BARIATRIC SURGERY, NEUROSURGERY/ORTHO SPINE, NEUROSURGICAL ONCOLOGY & STERIOTACTIC NEUROSURGERY, ORTHOPAEDIC HAND SURGERY, ORTHOPAEDIC SPINE SURGERY, PLASTIC HAND SURGERY, PLASTIC SURGERY/AESTHETIC RECONSTRUCTION, PODIATRY, SURGICAL CRITICAL CARE, THORACIC SURGERY, UROLOGY, UROLOGY MALE INFERTILITY/SEXUAL DYSFUNCTION, VASCULAR SURGERY, VASCULAR SURGERY-INTEGRATEDADDITIONAL INFORMATION ON THE MEDICAL CENTER'S CLINICAL RESIDENCY AND FELLOWSHIPS IS AVAILABLE IN THE SUPPORTING DETAIL TO THE MEDICAL CENTER'S FORM 990, SCHEDULE H. FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS - RESEARCHAS PREVIOUSLY NOTED IN THROUGHOUT THIS FORM 990, BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER) SERVED AS THE SOLE MEMBER OF BID-NEEDHAM FOR THE PERIOD COVERED BY THIS FILING. ALTHOUGH BID-NEEDHAM DOES NOT ENGAGE DIRECTLY IN ANY FUNDAMENTAL BENCH RESEARCH, CONDUCTING RESEARCH IS PART OF BIDMC'S MISSION. THE MEDICAL CENTER IS A WORLD-CLASS RESEARCH INSTITUTION WHERE OUTSTANDING SCIENTISTS WORK TO DEVELOP NEW KNOWLEDGE FOR THE BETTERMENT OF THE HEALTH OF LOCAL AND EXTENDED COMMUNITIES. THE BIDMC RESEARCH PROGRAM STRIVES TO BE, AND IS, RENOWNED FOR ITS BENCH-TO-BEDSIDE MODEL OF TRANSLATIONAL RESEARCH AND FOR ITS COLLABORATION WITH INDUSTRY AS A PATHWAY FOR TRANSFERRING THE FRUITS OF RESEARCH INTO PRODUCTS THAT IMPROVE THE QUALITY OF LIFE.THE MEDICAL CENTER'S NOTABLE RESEARCH ACCOMPLISHMENTS INCLUDE CONSISTENTLY BEING RANKED IN THE TOP TIER OF INDEPENDENT HOSPITALS IN NATIONAL INSTITUTES OF HEALTH (NIH) FUNDING. THE MEDICAL CENTER SCIENTISTS CONTINUE TO SEARCH FOR IMPROVED UNDERSTANDING OF DISEASES AND BETTER TREATMENTS FOR PATIENTS, WHICH IN TURN DIRECTLY IMPACT THE LIVES OF OUR PATIENTS AND IMPROVE THE MEDICAL CENTER'S PATIENT CARE. DURING THE FISCAL PERIOD COVERED BY THIS FILING, MORE THAN 1,220 ACTIVE FEDERAL, INDUSTRY AND FOUNDATION SPONSORED PROJECTS AND MORE THAN 2,500 ACTIVE EXEMPT, EXPEDITED, AND FULL BOARD-REVIEWED CLINICAL RESEARCH STUDIES. BIDMC RESEARCH IS LED BY MORE THAN 280 PRINCIPAL INVESTIGATORS, THE MAJORITY OF WHOM ARE HARVARD MEDICAL SCHOOL FACULTY. THE KEY AREAS OF RESEARCH INCLUDE VASCULAR BIOLOGY, MOLECULAR IMAGING, TRANSPLANTATION, SIGNAL TRANSDUCTION, CANCER BIOLOGY, METABOLIC DISEASE, NEUROBIOLOGY, AIDS AND CARDIOLOGY/CARDIAC SURGERY. AS NOTED IN THIS FILING, THE MEDICAL CENTER IS A TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL AND IS COMMITTED TO MAINTAINING A COLLABORATIVE CULTURE; TO MAINTAINING MODERN, HIGH-QUALITY FACILITIES, AND TO TAKING FULL ADVANTAGE OF THE UNIQUE RELATIONSHIPS THAT EXIST AMONG THE HARVARD MEDICAL SCHOOL AND THE HARVARD TEACHING HOSPITALS. THE MEDICAL CENTER DESIGNS AND IMPLEMENTS MANY INTERDEPARTMENTAL AND INTERDISCIPLINARY RESEARCH PROGRAMS WITHIN THE INSTITUTION. THE MEDICAL CENTER ALSO COLLABORATES WITH OTHER NATIONALLY RECOGNIZED AND WORLD RENOWNED EXPERTS IN VARIOUS FIELDS IN AN EFFORT TO TRANSLATE NEW KNOWLEDGE INTO NOVEL MEDICAL TREATMENTS AND PATIENT CARE. THE MEDICAL CENTER PARTICIPATES IN HARVARD CATALYST, THE HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER, WHICH BRINGS TOGETHER THE INTELLECTUAL FORCE, TECHNOLOGIES, AND CLINICAL EXPERTISE AT HARVARD UNIVERSITY AND ITS ACADEMIC, HEALTH CARE, AND COMMUNITY PARTNERS TO CREATE CONNECTIONS, ENABLE RESEARCH AT THE CUTTING EDGE OF DISCOVERY, AND NURTURE CLINICAL AND TRANSLATIONAL RESEARCHERS WITH THE GOAL OF IMPROVING HUMAN HEALTH.STUDIES BY MEDICAL CENTER RESEARCHERS ARE ROUTINELY PUBLISHED IN THE WORLD'S LEADING SCIENTIFIC JOURNALS, INCLUDING NATURE, SCIENCE AND THE NEW ENGLAND JOURNAL OF MEDICINE, WHICH HELPS TO BRING THE RESEARCH FINDINGS TO CLINICIANS AND PATIENTS BEYOND THE MEDICAL CENTER.
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THE MEDICAL CENTER ENGAGES IN RESEARCH IN ALL OF THE FOLLOWING DISCIPLINES:
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- ANESTHESIA, CRITICAL CARE, AND PAIN MEDICINE - EMERGENCY MEDICINE - MEDICINE - ALLERGY AND INFLAMMATION - CARDIOVASCULAR MEDICINE - CENTER FOR VASCULAR BIOLOGY RESEARCH - CENTER FOR VIROLOGY AND VACCINE RESEARCH - CLINICAL INFORMATICS - CLINICAL NUTRITION - ENDOCRINOLOGY - EXPERIMENTAL MEDICINE - GASTROENTEROLOGY - GENERAL MEDICINE AND PRIMARY CARE - GENETICS - GERONTOLOGY - HEMATOLOGY AND ONCOLOGY - HEMOSTASIS AND THROMBOSIS - IMMUNOLOGY - INFECTIOUS DISEASE - INTERDISCIPLINARY MEDICINE AND BIOTECHNOLOGY - MOLECULAR AND VASCULAR MEDICINE - NEPHROLOGY - PULMONOLOGY - RHEUMATOLOGY - SIGNAL TRANSDUCTION - TRANSLATIONAL RESEARCH - TRANSPLANT IMMUNOLOGY- NEONATOLOGY - NEUROLOGY - OBSTETRICS AND GYNECOLOGY - ORTHOPAEDIC SURGERY - PATHOLOGY - PSYCHIATRY - RADIOLOGY - SURGERY - CARDIAC SURGERY - CENTER FOR MINIMALLY INVASIVE SURGERY - NEUROSURGERY - PLASTIC AND RECONSTRUCTIVE SURGERY - VASCULAR SURGERY- TRANSPLANT INSTITUTEDURING THE FISCAL YEAR COVERED BY THIS FILING, THE MEDICAL CENTER REPORTED $77,578,478 OF NET INTERNALLY FUNDED RESEARCH ON ITS SCHEDULE H, PART I, LINE 7H RELATED TO RESEARCH TO FURTHER SCIENCE AND PATIENT CARE, WHICH REPRESENTED 4.42% OF THE MEDICAL CENTER'S TOTAL EXPENSES. ADDITIONALLY, THE MEDICAL CENTER REPORTED $219,244,237 OF RESEARCH EXPENSES FUNDED BY GOVERNMENTS AND OTHER TAX-EXEMPT ENTITIES INCLUDING OTHER HOSPITALS, UNIVERSITIES AND FOUNDATIONS ON SCHEDULE H, PART I LINE 7H COLUMN D, WHICH, IF INCLUDED IN SCHEDULE H, PART I, LINE 7H COLUMN E CALCULATION, WOULD INCREASE THE NET COMMUNITY BENEFIT REPORTED FROM RESEARCH ACTIVITIES ON THIS SCHEDULE H, PART I, LINE 7H TO 16.77%.
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SCHEDULE H PART VI QUESTIONS 5 AND 6
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ADDITIONAL PROMOTION OF COMMUNITY HEALTH AND AFFILIATED HEALTH CARE SYSTEMBIDN MAINTAINS AN OPEN MEDICAL STAFF AND AS NOTED IN THIS FORM 990 PARTS I AND VI, THE MAJORITY OF BOARD MEMBERS ARE INDEPENDENT COMMUNITY MEMBERS. IN ADDITION, AS NOTED THROUGHOUT THIS NARRATIVE SUPPORT TO THE BID-NEEDHAM FORM 990 AND SCHEDULES, FOR THE PERIOD COVERED BY THIS FILING, THE MEDICAL CENTER WAS PART OF THE CAREGROUP NETWORK OF AFFILIATES AND CAREGROUP SERVED AS THE MEDICAL CENTER'S SOLE MEMBER. FOR THE SAME PERIOD THE MEDICAL CENTER SERVED AS THE SOLE MEMBER TO BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, BETH ISRAEL DEACONESS HOSPITAL - MILTON, BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH, MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A BETH ISRAEL DEACONESS HEALTHCARE A/K/A AFFILIATED PHYSICIANS GROUP AND JORDAN HEALTH SYSTEMS, INC. HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER IS THE DEDICATED PHYSICIAN PRACTICE OF BIDMC. EACH OF THESE ENTITIES MAY, IN TURN, SERVE AS THE SOLE MEMBER OF ADDITIONAL AFFILIATES. BID-NEEDHAM, THE MEDICAL CENTER AND EACH OF ITS AFFILIATES IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES THEY SERVE.
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Attach to Form 990 or Form 990-EZ. 
Attach to Form 990 or 990-EZ.