Determination of Need Funding Opportunity

UMass Memorial Medical Center works with and reports to the Massachusetts Department of Public Health (MDPH). The Determination of Need (DoN) law and regulation governs Health Care Facilities as that term is defined in M.G.L. c 111, § 25B. Under Massachusetts law M.G.L. c. 111, §§ 25C and 51, proposals for a Substantial Capital Expenditure, Substantial Change in Services and Original Licensure as well as many Transfers of Ownership and Changes in Site for Health Care Facilities must be reviewed and approved under the DoN Regulatory scheme.

The purpose and objective of the DoN program is to encourage competition with a public health focus; to promote population health; to support the development of innovative health delivery methods and population health strategies within the health care delivery system; and, to ensure that resources will be made reasonably and equitably available to every person within the Commonwealth at the lowest reasonable aggregate cost. To that end, health care organizations must file a DoN application with DPH when capital improvement projects are planned for its facilities. New capital improvement projects (new construction and purchases) must be approved by the state’s Public Health Council, and five percent of expenses must go to community health. MDPH has developed requirements and has issued guidelines on how these funds are distributed and monitored.

Since 2018, UMass Memorial Medical Center has been distributing community benefits through the Determination of Needs (DoN) funding from the following projects:

  • UMass Memorial Medical Center Renovations: There was a substantial capital expenditure for renovations affecting four floors at the UMMMC University Campus to address medical/surgical (M/S) capacity, and emergency department (ED) wait time.
    • Total DoN funding: $1,520,012
    • Total distribution remaining: $1,201,070
  • Healthcare Enterprises (Shields): The establishment of the Ambulatory Surgery Center in Shrewsbury.
    • Total DoN funding: $1,561,340
    • Total distribution remaining: $1,387,358


DoN Funding FY22 – FY23 Program

  • Total amount to be distributed: $2,588,428
  • Recommended funding range: $15,000 not to exceed $150,000
  • Deadline to apply: January 30, 2023, by 5:00 pm
  • Awards: Will be announced in March 2023
  • Type of Distribution: RFP (Request for Proposal)
  • Distribution Committee: Comprised of hospital officials and community stakeholders that are unaffiliated with organizations completing the RFP (to ensure transparency and eliminate conflicts of interest)


RFP Submission Eligibility Requirements

  • Organizations may submit only one RFP.
  • Budget justification required with RFP submission.
  • Grants will not be awarded to individuals.
  • Priority focus areas for DoN funding distribution are determined by the distribution committee and based on findings of the 2021 Greater Worcester Community Health Needs Assessment and Community Health Improvement Plan.
  • Only nonprofit organizations with a 501(c)(3) status are eligible to apply. If an applicant organization does not have a 501(c)(3), it must have a fiscal conduit that will be responsible for budgetary management. A W-9 will be required. W-9 (blank forms are available at https://www.irs.gov/forms-pubs/about-form-w-9).
  • A budget justification detailing use and need of funding requested is required with RFP submission (a usable budget form is provided in the RFP application).
  • Programs awarded funding will be required to complete an end of year report reflecting use of funds and outcomes.
  • ​DoN funding awards must serve the 2021 Greater Worcester CHA service area which includes the municipalities of the Central Massachusetts Regional Public Health Alliance:
    • Worcester 
    • Grafton
    • Millbury
    • Shrewsbury
    • West Boylston​
  • DoN funding cannot go to:
    • Projects that do not have clear outcomes and results
    • Endowments
    • PTOs, K-12 sports teams
    • Expenses for political candidates or campaigns
    • Expenses for construction
    • Projects that discriminate on the basis of ethnicity, race, color, creed, religion, gender, national origin, age, disability, marital status, sexual orientation, or gender identity 
    • Projects that promote or proselytize religion will not be funded; however, faith-based organizations that propose projects secular in nature are welcomed
    • Financial deficits
    • Sponsorships/advertising
    • Direct delivery of reimbursable health care services
    • Research and feasibility studies
    • Advocacy
  • Allowable Expenses for DoN funding 
    (Note: Program overhead is capped at 10%):
    • Equipment
    • Food
    • Salaries and Fringe
    • Stipends
    • Incentives
    • Supplies
    • Printing/postage
    • Conferences/meetings
    • Communication expenses (i.e., telephone, technology)

RFP Priority Areas 

Funding will be awarded to community organizations addressing the following priority areas identified through the 2021 Greater Worcester Community Health Needs Assessment (CHA), Greater Worcester Community Health Improvement Plan (CHIP) and the distribution committee:

  • Mental Health
    Efforts addressing:
    • Workforce shortage; career pathways, and development of nontraditional workforce.
    • Mental and/or behavioral health services and programs for children and adolescents, including non-traditional supports such as embedded mental health resources in youth-serving programs.
    • Suicide prevention and access to mental health services for youth and adolescents
    • Mental health access barriers by reducing self, public, and/or structural stigma, providing culturally competent education and resources while building trust in our racially diverse and ethnic communities.
  • Food Insecurity 
    Efforts addressing:
    • Coordination of food security resources and referrals/case management
    • Addressing cliff effect and SNAP enrollment
    • Food delivery/access for home-bound individuals
  • Access to Housing/Housing Security: (funding cannot cover construction costs)
    Preference given to efforts:
    • Promoting affordable rental and first-time homeownership opportunities
    • Addressing housing security e.g. rental and fuel/utilities assistance support
    • That improve energy efficiency and housing related social determinants of health

For questions regarding this opportunity, please contact:
UMass Memorial Medical Center Office of Community Relations

Application Portal