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MLPB

 NonProfit Center, 89 South Street, Suite 700
 Boston, MA 02111
[P] (617) 336-7500 x 451
[F] (617) 336-7445
www.mlpboston.org
[email protected]
Meg Baker
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INCORPORATED: 1993
 Printable Profile (Summary / Full)
EIN 04-2261109

LAST UPDATED: 12/03/2018
Organization DBA MLPB
Former Names Medical-Legal Partnership for Children (2008)
Family Advocacy Program (2005)
Organization received a competitive grant from the Boston Foundation in the past five years No

Summary

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Mission StatementMORE »

MLPB equips the health and human service workforces with upstream problem-solving strategies that improve people's social determinants of health. Leveraging our public interest law expertise, we advance health equity for individuals, families and communities.

Mission Statement

MLPB equips the health and human service workforces with upstream problem-solving strategies that improve people's social determinants of health. Leveraging our public interest law expertise, we advance health equity for individuals, families and communities.

FinancialsMORE »

Fiscal Year July 01, 2016 to June 30, 2017
Projected Income $1,003,000.00
Projected Expense $1,003,000.00

ProgramsMORE »

  • typical MLPB services

Revenue vs. Expense ($000s)

Expense Breakdown 2016 (%)

Expense Breakdown 2015 (%)

Expense Breakdown 2014 (%)

For more details regarding the organization's financial information, select the financial tab and review available comments.


Overview

Mission Statement

MLPB equips the health and human service workforces with upstream problem-solving strategies that improve people's social determinants of health. Leveraging our public interest law expertise, we advance health equity for individuals, families and communities.

Background Statement

MLPB is a mission-driven, healthcare- and human services-facing enterprise. We currently provide training and technical assistance services to organizational partners in Massachusetts, Rhode Island, as well as several other states (California, Florida, and Vermont) participating in a national demonstration project on which MLPB is a TA provider.

After two decades of thoughtful nurturing at BMC, in July 2012 MLPB began to operate under the auspices of TSNE MissionWorks, a 501(c)(3) incorporated in Massachusetts that seeks to create a just and democratic society. Among other things, this change in organizational structure and independence of any single institution enabled MLPB to launch and maintain many new partnerships across the Commonwealth and beyond.


Impact Statement

MLPB has steadily steered its mission and operations upstream since its founding at Boston Medical Center in 1993. We are committed to rigorous evaluation of our services and their impacts. MLPB successfully concluded participation in a randomized controlled trial (RCT) – Project DULCE – in 2012. Its compelling findings – including accelerated access to concrete supports, reduced Emergency Department visits, and enhanced adherence to preventive care among families with infants 0-6 months – were published in the academic medical journal Pediatrics in July 2015 (http://pediatrics.aappublications.org/content/136/1/97). On the strength of these findings, the national Center for the Study of Social Policy (CSSP) is leading a national demonstration project replicating DULCE in 7 pediatrics clinics in CA, FL, and VT; MLPB is the national technical assistance provider for the public interest law partners in this initiative. 

Our partnership with the Elders Living at Home Program has shown success in preventing Older Adult Homelessness. During Year 1 of the Aging Right in the Community initiative, coordinated services prevented homelessness for 91% of medically complex older adults served. During Year 2, this percentage rose to 93% and then to 96% in year 3.  
 
We currently are intervention partners in other RCTs focused on socially high-risk pregnant women and newly diagnosed cancer patients – studies funded by Kellogg, the American Cancer Society, and the Patient-Centered Outcomes Research Institute (PCORI).
 
In August 2016, the Massachusetts Health Policy Commission awarded Boston Medical Center’s Emergency Department a Health Care Innovation Investment grant to pilot an MLPB-backed community health advocate intervention to reduce costs associated with high utilizers. This work will launch mid-2017: http://cdn2.hubspot.net/hubfs/235578/pdfs_and_other_documents/HPC_Innovation_Investment_grant_press_release.pdf?t=1477060970352

Needs Statement

1. Funds to support new staff and technology services as we invest in digital content platforms

2. Funds to enable recruiting of a part-time Chief Health Officer
 
3. Funds to support a staff member who will manage safe hand-offs of individuals and families to legal community resources for free representation
 

CEO Statement

Charting a course for transformation of the healthcare and human services sectors is staggeringly complex, particularly in today’s unpredictable policy landscape. What is clear, however, is that people’s social, economic, and environmental contexts — which drive harmful disparities in health outcomes and unsustainably high system costs — must be recognized in healthcare delivery system re-design, financing innovation, and workforce preparation.

As health and human service organizations dive deeper into blueprinting a more integrated HHS sector, they must navigate -- with individuals, families, and communities -- rapidly changing federal laws and policies. On the one hand, national innovations like Accountable Health Communities and state-level quality measurement transformation efforts increasingly are giving rise to more systemic screening of people for barriers to (for example) food and housing, and protection from interpersonal violence. On the other hand, over the last two years federal law and policy has changed -- or is poised to change -- dramatically with respect to immigration enforcement practices, related family separations, and potential immigration-related consequences of accessing a range of health-promoting benefits and services - to name just a few dynamic areas.

MLPB also spotlights mechanisms that will help assure that accountable care is accountable to the human beings for whom the system exists, as well as to the system itself. Examples of our thought leadership priorities include risk adjustment as a lever for health disparities reduction, social screening practices that transcend a simplistic risk/deficit lens, and clinicians as "gatekeepers" to health-promoting benefits and services by virtue of their unique role in certifying medical eligibility.


Board Chair Statement



Geographic Area Served

City of Boston- Citywide (Indiv. neighborhoods also listed)
SOUTHEAST REGION, MA
STATEWIDE
NATIONAL
MLPB’s office is located in Suffolk County, but MLPB has long served the communities of Greater Brockton (Plymouth) and Greater Fall River (Bristol) through long-standing partnerships with Good Samaritan Medical Center and Saint Anne’s Hospital. As of January 1, 2017, MLPB assumed leadership of medical-legal partnership services at 3 organizations in Rhode Island. Effective July 1, 2017, MLPB is partnered with the full state-wide Healthy Families MA network, comprised of 20+ home visitor teams supporting first-time parents and their children age 0-3 year in every county across the state.  At a national level, MLPB is providing technical assistance to 7 communities in 5 counties in CA, FL and VT as part of replication of the evidence-based DULCE intervention – published in Pediatrics in 2015, and noted above.

Organization Categories

  1. Health Care - Patient & Family Support
  2. Civil Rights, Social Action, Advocacy - Alliances & Advocacy
  3. Community Improvement, Capacity Building - Management & Technical Assistance

Independent research has been conducted on this organization's theory of change or on the effectiveness of this organization's program(s)

Yes

Programs

typical MLPB services

The Gatekeeper Problem: In many situations, consumers cannot access benefits, services, and legal protections for which they are eligible absent a “doctor’s note.” Yet clinicians receive no formal training or support for how to prepare high-quality medical eligibility attestations for patients pursing Family & Medical Leave Act protection, utility shut-off protection, disability benefits, reasonable accommodation in housing or the workplace, etc. And healthcare teams are so overwhelmed and busy they often don’t feel they have time to even slog through the paperwork. Unfortunately, a poor-quality doctor’s note (or no doctor’s note at all) can mean the difference between a cancer patient having their job protected while they are recovering from chemotherapy, and losing their job.
Budget  $1,003,000.00
Category  Health Care, General/Other Patient & Family Support
Population Served Poor,Economically Disadvantaged,Indigent People/Families with of People with Disabilities Veterans
Program Short-Term Success  See below for Example of Program Success.
Program Long-Term Success  Ten years from now, healthcare and human services teams that serve low-income, medically vulnerable patients will effectively address health-related social needs (such as a landlord's intransigence in correcting unhealthy housing conditions) before they become legal and health emergencies. The incidence of such legal problems in compounding health disparities will substantially decrease.
Program Success Monitored By  See description of DULCE noted above. MLPB currently is participating in 3 randomized controlled trials (Oncology, OB-GYN, Pediatrics) and a rigorous research study sponsored by the MA Health Policy Commission as part of its Healthcare Innovation Investment Program.
Examples of Program Success 

How MLPB Makes a Difference – Ms. Rivera

A doctor at a local health clinic was treating a patient experiencing acute, debilitating back pain that had triggered multiple emergency department visits. Ms. Rivera* needed physical therapy only available during standard business hours, and was worried about approaching her employer for schedule adjustments. The doctor consulted with MLPB and learned that — with an accurate and properly prepared medical form — Ms. Rivera could leverage a range of legal protections in this situation and request a flexible work schedule over the course of the physical therapy regimen. With real-time guidance from MLPB, the
doctor prepared an appropriate medical attestation that Ms. Rivera shared with her manager when they met. The request for reasonable accommodation was successful, enabling Ms. Rivera to maintain stable employment while also getting necessary medical care!
*facts have been modified to preserve patient confidentiality

CEO/Executive Director/Board Comments

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Management


CEO/Executive Director Ms. Samantha J Morton Esq.
CEO Term Start Jan 2009
CEO Email [email protected]
CEO Experience Samantha J. Morton is CEO of MLPB. Ms. Morton is a national expert on how upstream problem-solving strategies can address people's social determinants of health (SDOH), and on the power of the health and human services workforces to reduce health disparities and advance health equity for individuals, families and communities. She is leading MLPB's evidence-based participation in accountable care and patient-centered medical home transformation across the country. Before joining MLPB, Ms. Morton was a litigation associate at Hale & Dorr LLP (now WilmerHale) and a judicial clerk at the United States District Court for the District of Maine. She received her law degree from the University of Michigan School of Law and her BA from Cornell University.
Co-CEO --
Co-CEO Term Start --
Co-CEO Email --
Co-CEO Experience --

Former CEOs and Terms

Name Start End
Ellen Lawton -- Dec
Jean Zotter -- --

Senior Staff

Name Title Experience/Biography
Ms. JoHanna Flacks Esq. Legal Director JoHanna Flacks is the Legal Director at MLPB and in this role links MLPB's workforce capacity-building services to broader opportunities to inform public policy in ways that will reduce health disparities. Before joining MLPB, JoHanna was in private practice, and provided pro bono services to the Cape Cod Anti-Discrimination Task Force in its successful campaign to establish the Barnstable County Human Rights Commission. Prior to that, she served as Assistant General Counsel for the Boston Public Health Commission, and Senior Investigator for the Boston Fair Housing Commission. She began her career as a labor-side employment discrimination litigation associate. JoHanna graduated from the University of Oklahoma College of Law and Brandeis University.

Awards

Award Awarding Organization Year
2017 Community Grant The American Association of Nurse Attorneys 2017

Affiliations

Affiliation Year
-- --
Member of state association of nonprofits? No
Name of state association --

External Assessments and Accreditations

External Assessment or Accreditation Year
-- --

Collaborations

During FY18, we proudly collaborated with leadership and front-line staff at the following healthcare, human services, and workforce development partners:
  • BACO Community Collaborative
  • Boston Allied Partners
  • Boston Medical Center
  • Center for the Study of Social Policy
  • Children’s Health Watch
  • Community Care Cooperative
  • Dana-Farber Cancer Institute
  • Elders Living at Home Program
  • Good Samaritan Medical Center
  • Hasbro Children’s Hospital
  • Health Resources in Action
  • Healthy Families Massachusetts, a program of The Children’s Trust
  • Kent Hospital
  • Rhode Island Hospital
  • Saint Anne’s Hospital
  • St. Elizabeth’s Medical Center
  • Steward Health Care System, LLC
  • Steward Medicaid Care Network
  • Vital Village Network
We also collaborate with the following pro bono partners: 
  • Adams & Sammon
  • Boudreau & Boudreau LLP 
  • Broderick Bancroft & Goldberg 
  • Brown Rudnick LLP 
  • Day Pitney LLP
  • Fish & Richardson P.C.
  • Foley Hoag LLP 
  • Foley & Lardner LLP 
  • Goodwin Procter LLP 
  • Klein Hornig 
  • Latham & Watkins LLP 
  • Liberty Mutual 
  • Margolis & Bloom 
  • McDermott Will & Emery 
  • MetLife 
  • Mintz Levin Cohn Ferris Glovsky and Popeo P.C. 
  • Morgan, Lewis & Bockius LLP
  • Atty. Angel K. Mozina
  • Nutter, McClennen & Fish LLP 
  • Pabian Law, LLC 
  • Pakrooh Law
  • Peabody & Arnold LLP
  • The Law Office of David E. Peterson
  • Prince Lobel Tye LLP 
  • Ratcliffe Harten Galamaga LLP
  • Ropes & Gray LLP 
  • Rosenfeld Rafik & Sullivan, P.C.
  • Seyfarth Shaw LLP
  • Todd & Weld LLP 
  • WilmerHale
We also partner with a range of legal, social services, and public health agencies/coalitions.

CEO/Executive Director/Board Comments

Please note that because we are a fiscally sponsored program of TSNE MissionWorks, MLPB is covered by TSNE's management policies. 

Foundation Comments

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Staff Information

Number of Full Time Staff 6
Number of Part Time Staff 0
Number of Volunteers 250
Number of Contract Staff 6
Staff Retention Rate % 83%

Staff Demographics

Ethnicity African American/Black: 0
Asian American/Pacific Islander: 0
Caucasian: 6
Hispanic/Latino: 0
Native American/American Indian: 0
Other: 0
Other (if specified): --
Gender Female: 5
Male: 1
Not Specified 0

Plans & Policies

Organization has Fundraising Plan? Under Development
Organization has Strategic Plan? Yes
Years Strategic Plan Considers 5
Management Succession Plan Under Development
Business Continuity of Operations Plan No
Organization Policies And Procedures Yes
Nondiscrimination Policy Yes
Whistle Blower Policy Yes
Document Destruction Policy Yes
Directors and Officers Insurance Policy No
State Charitable Solicitations Permit --
State Registration --

Risk Management Provisions

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Reporting and Evaluations

Management Reports to Board? Yes
CEO Formal Evaluation and Frequency Yes Annually
Senior Management Formal Evaluation and Frequency Yes Annually
Non Management Formal Evaluation and Frequency Yes Annually

Governance


Board Chair Ms. Melissa Shannon JD
Board Chair Company Affiliation Boston Medical Center
Board Chair Term Sept 2012 -
Board Co-Chair Melissa N Davis JD
Board Co-Chair Company Affiliation White and Williams LLP
Board Co-Chair Term -

Board Members

Name Company Affiliations Status
Angela B. Ankoma MPH, MSW United Way of Rhode Island --
Cheryl R. Clark MD, ScD Brigham and Women's Hospital, Harvard Medical School Voting
Joan Curry MBA Commonwealth Care Alliance Voting
Melissa N. Davis JD White and Williams LLP Voting
Stanley Hochberg MD Stanley Hochberg MD, LLC Voting
Fred Kemper JD Fred Kemper, JD Voting
Kirsten Meisinger MD, MHCDS Cambridge Health Alliance Voting
Margaret Ann Metzger JD Margaret Metzger JD Voting
Melissa Shannon JD Boston Medical Center Voting
Everett Shorey MBA Shorey Consulting, Inc. Voting
Geoffrey W. Wilkinson MSW Boston University School of Social Work Voting

Constituent Board Members

Name Company Affiliations Status
-- -- --

Youth Board Members

Name Company Affiliations Status
-- -- --

Advisory Board Members

Name Company Affiliations Status
-- -- --

Board Demographics

Ethnicity African American/Black: 2
Asian American/Pacific Islander: 0
Caucasian: 9
Hispanic/Latino: 0
Native American/American Indian: 0
Other: 0
Other (if specified): 0
Gender Female: 7
Male: 4
Not Specified 0

Board Information

Board Term Lengths 2
Board Term Limits --
Board Meeting Attendance % 75%
Written Board Selection Criteria Yes
Written Conflict Of Interest Policy Under Development
Percentage of Monetary Contributions 100%
Percentage of In-Kind Contributions --
Constituency Includes Client Representation No

Standing Committees

  • Finance
  • Human Resources / Personnel
  • Strategic Planning / Strategic Direction

CEO/Executive Director/Board Comments

As a fiscally sponsored program of TSNE MissionWorks, we are governed by TSNE’s Board of Directors, but we have convened an active MLPB Advisory Board composed of leaders in healthcare, law, public health, entrepreneurship, and marketing to support us. This Board meets every three months. 

TSNE's board of directors -- which governs the ~60 programs under its fiscal sponsorship partnerships -- includes:
 
Officers 

Tammy Dowley-BlackmanPresident
Principal,tbd group 

Sally Sharp LehmanVice President
Principal, Sharp Lehman Consulting LLC

Karen WheelerTreasurer
Controller, Unitarian Universalist Association 

*****

Members 
 
Marjorie Ringrose (Chair - Program Committee)
Senior Program Officer, Richard and Susan Smith Family Foundation
 
Cheryl Schaffer (Chair - Governance Committee)
Director of Finance and Administration, Union of Concerned Scientists
 
Miki Akimoto
Senior Vice President/Grantmaking Practice Director, U.S. Trust/Bank of America 
 
Angela Brown
VP for Policy and Program, CF Leads 
 
Rahn Dorsey
Chief of Education, City of Boston
 
Nancy B. Gardiner
Family Office and Philanthropy Services, Hemenway & Barnes LLP
 
Charlayne Murrell-Smith
Vice President, External Relations and Corporate Development, Boston Children's Museum 
 
Marcos Lucio Popovich
Program Office, Nellie Mae Education Foundation
 
Jayne Y. Smith
Chief Advancement Officer, Nurtury 

Foundation Comments

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Financials


Revenue vs. Expense ($000s)

Expense Breakdown 2016 (%)

Expense Breakdown 2015 (%)

Expense Breakdown 2014 (%)

Prior Three Years Total Revenue and Expense Totals

Fiscal Year 2016 2015 2014
Total Revenue $1,237,029 $657,744 $554,964
Total Expenses $795,025 $623,059 $478,742

Prior Three Years Revenue Sources

Fiscal Year 2016 2015 2014
Foundation and
Corporation Contributions
$22,304 $40,925 $63,243
Government Contributions $1,168,678 $528,434 $386,662
    Federal $16,607 -- --
    State -- -- --
    Local $1,152,071 $528,434 $386,662
    Unspecified -- -- --
Individual Contributions $8,160 $17,550 $17,421
Indirect Public Support -- -- --
Earned Revenue $37,847 $65,910 $85,190
Investment Income, Net of Losses -- -- --
Membership Dues -- $2,000 $1,700
Special Events -- -- --
Revenue In-Kind -- -- --
Other $40 $2,925 $748

Prior Three Years Expense Allocations

Fiscal Year 2016 2015 2014
Program Expense $710,459 $559,920 $431,299
Administration Expense $84,566 $63,139 $47,443
Fundraising Expense -- -- --
Payments to Affiliates -- -- --
Total Revenue/Total Expenses 1.56 1.06 1.16
Program Expense/Total Expenses 89% 90% 90%
Fundraising Expense/Contributed Revenue 0% 0% 0%

Prior Three Years Assets and Liabilities

Fiscal Year 2016 2015 2014
Total Assets $624,286 $287,238 $176,786
Current Assets $624,286 $34,686 $76,222
Long-Term Liabilities $0 $0 $0
Current Liabilities $56,796 $161,752 $85,986
Total Net Assets $567,490 $125,487 $90,801

Prior Three Years Top Three Funding Sources

Fiscal Year 2016 2015 2014
1st (Source and Amount) -- --
-- --
-- --
2nd (Source and Amount) -- --
-- --
-- --
3rd (Source and Amount) -- --
-- --
-- --

Financial Planning

Endowment Value --
Spending Policy N/A
Percentage(If selected) --
Credit Line No
Reserve Fund No
How many months does reserve cover? --

Capital Campaign

Are you currently in a Capital Campaign? No
Capital Campaign Purpose --
Campaign Goal --
Capital Campaign Dates -
Capital Campaign Raised-to-Date Amount --
Capital Campaign Anticipated in Next 5 Years? No

Short Term Solvency

Fiscal Year 2016 2015 2014
Current Ratio: Current Assets/Current Liabilities 10.99 0.21 0.89

Long Term Solvency

Fiscal Year 2016 2015 2014
Long-term Liabilities/Total Assets 0% 0% 0%

CEO/Executive Director/Board Comments

Please note that financial documents shared here necessarily relate to our non-profit corporate umbrella agency, TSNE MissionWorks.

Foundation Comments

MLPB is fiscally sponsored by Third Sector New England (TSNE) and has been a TSNE fiscally-sponsored program since July 26, 2012. As such, the audited financials and Form 990s posted above are that of TSNE. Prior to this, MLPB was contained within Boston Medical Center's (BMC) entity structure.
 
The financial summary data in the charts and graphs above reflects MLPB and is per the supplementary sections of TSNE's audited financials.
 
Per the organization: MLPB was founded in 1993 at Boston Medical Center, and was originally known as the Family Advocacy Program. In 2005, thanks to support from the Robert Wood Johnson Foundation and the Kellogg Foundation, the program was (a) re-branded as Medical-Legal Partnership for Children and (b) expanded to house both local MLP service delivery operations and a National Center for MLP dedicated to replication and technical assistance -- the fused programs stayed within BMC's entity structure. In January 2009, the local and national programs bifurcated (separate staff, finances, etc.) and re-branded (again) as Medical-Legal Partnership | Boston and the National Center for Medical-Legal Partnership -- but again, each program remained fiscally sponsored by BMC. In July 2012, as MLP | Boston prepared to expand service delivery outside historical bounds, the program effected a formal transition of fiscal sponsorship from BMC to TSNE. MLPB has been a TSNE program since July 26, 2012; but the MLPB office remains sited on the BMC campus as MLPB continues to provide robust service delivery to BMC patient-families.

Impact

The Impact tab is a section on the Giving Common added in October 2013; as such the majority of nonprofits have not yet had the chance to complete this voluntary section. The purpose of the Impact section is to ask five deceptively simple questions that require reflection and promote communication about what really matters – results. The goal is to encourage strategic thinking about how a nonprofit will achieve its goals. The following Impact questions are being completed by nonprofits slowly, thoughtfully and at the right time for their respective organizations to ensure the most accurate information possible.


1. What is your organization aiming to accomplish?

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2. What are your strategies for making this happen?

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3. What are your organization’s capabilities for doing this?

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4. How will your organization know if you are making progress?

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5. What have and haven’t you accomplished so far?

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