Determination of Need Funding Program

UMass Memorial Medical Center (UMMMC) 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:

  • Healthcare Enterprises (Shields): The establishment of the Ambulatory Surgery Center in Shrewsbury.
    • Total DoN funding: $1,561,340
    • Total distribution remaining: $1,387,358
  • 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

    In April 2023, the DoN Advisory and Allocation Committee approved Request for Proposals applications for the Healthcare Enterprises and UMMMC Renovations DoN Projects. Each grant recipient was selected for its work in alignment with the priority areas of the DoN funding, which included Mental Health, Food Insecurity, and Access to Housing/Housing security, as identified in the 2021 Greater Worcester Community Health Needs Assessment.



    2023 Determination of Need Awardees

    Funding Recipients for the establishment of the Ambulatory Surgery Center in Shrewsbury

    Shields Health and UMass Memorial Health (UMMH) are proud to award more than $1,387,000 to 18 local nonprofits working to improve the health of the Greater Worcester community. This funding reflects Shields’ and UMass Memorial Health’s continued investment in the communities we serve as we work to improve access to high-quality, cost-effective care in Central Massachusetts through The Surgery Center, an ambulatory surgical center in Shrewsbury, MA.


    Organization Name Priority Area Award Amount
    Boys & Girls Club of Worcester Mental Health $100,000
    Building Futures, Inc. Food Insecurity $100,000
    Central Massachusetts Housing Alliance Housing $69,442
    CENTRO, Inc. Housing $75,000
    Community Harvest Project Food Insecurity $100,000
    Dismas House of Massachusetts Food Insecurity $30,000
    Edward Street Mental Health $60,000
    Fresh Start Wellness Center, Inc. Mental Health $147,994
    Jeremiah's Inn Food Insecurity $50,000
    The Latino Education Institute Mental Health $75,000
    Quinsigamond Village Community Center Food Insecurity $20,000
    Regional Environmental Council, Inc. Food Insecurity $75,000
    The Shine Initiative Mental Health $75,000
    The Transformation Center Mental Health $50,000
    Together for Kids Coalition Mental Health $100,000
    Worcester Common Ground, Inc. Housing $114,675
    Yes We Care, Inc. Food Insecurity $80,247
    YOU, Inc. Mental Health $65,000


    Funding Recipients for UMass Memorial Medical Center Renovation Projects

    UMass Memorial Health (UMMH) is proud to award more than $1,201,000 to 16 local nonprofits working to improve the health of the Greater Worcester community. This funding reflects UMMH’s continued investment in the communities it serves as we work to improve access to high-quality, cost-effective care in Central Massachusetts through renovations that addressed medical/surgical capacity and emergency department wait time at the UMMMC University Campus.


    Organization Name Priority Area Award Amount
    2Gether We Eat Food Insecurity $50,000
    Abby Kelley Foster House, Inc. (Abby's House, Inc.)  Mental Health $96,250
    CASA Project of Worcester County  Mental Health $66,550
    Catholic Charities Diocese of Worcester Inc. Food Insecurity $30,000
    Central MA Housing Alliance, Inc. Housing $78,855
    El Buen Samaritano Food Program Inc. Food Insecurity $100,000
    Friendly House, Inc. Food Insecurity $52,832
    Genesis Club House, Inc. Mental Health $100,000
    Inner Voice Outer Change Mental Health $20,000
    Legendary Legacies Food Insecurity $100,000
    Living in Freedom Together, (LIFT) Inc. Mental Health $100,000
    Open Sky Community Services, Inc. Mental Health $75,000
    Pernet Family Health Service Food Insecurity $60,000
    Shrewsbury Youth and Family Services, Inc. Mental Health $64,493
    Worcester Community Action Council, Inc. Food Insecurity $150,000
    YMCA of Central Massachusetts Mental Health $56,090