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Essential service closure process overview
An “essential service” is a service defined in the Hospital Licensure regulation at 105 CMR 130.020 that a Massachusetts hospital is licensed to provide. When a hospital decides to discontinue services within their facility or satellite campuses, there are several requirements that it must fulfill before it can complete the closure. This process is outlined in the Hospital Licensure regulations at 105 CMR 130.122.
The essential service closure process provides a mechanism for DPH to review a proposed closure or reduction in services and to ensure that measures have been put in place to minimize the impact on the community and address concerns that have been brought to DPH’s attention. However, DPH cannot legally require a hospital to keep a service open.
- First, at least 120 days before the proposed closure date, the hospital must notify DPH of its intent to submit formal notification about the intended discontinuation of services. The hospital must also notify those impacted by the service closure, including the hospital’s patient and family council, hospital staff, labor organizations representing the hospital’s workforce, and local and state elected officials.
- The hospital must then submit a formal 90-day notice of the closure to DPH, which must be provided at least 90 calendar days before the proposed closure date.
- DPH is required to hold a public hearing on the proposed closure of an essential service at least 60 days prior to the proposed closure date and publish a notice of a public hearing in the legal notice section of local newspaper(s) at least 21 calendar days prior to the date of the hearing. The public hearing provides interested parties the opportunity to share comments and concerns with DPH about the proposed closure.
- Following the hearing, DPH will provide the hospital with a determination within 15 days as to whether the service provided by the hospital is necessary for preserving access and health status within the hospital’s service area.
- If DPH finds the service to be necessary, the hospital is required to submit a plan for assuring access to DPH within 15 days of the finding.
- DPH will review this plan and if more information is needed, send the hospital written comments within 10 day of receiving the plan. The hospital must then submit a response to any comments by DPH within 10 days. This concludes the essential service closure process, and the hospital may continue with the proposed closure at this time.
Pending and recent hospital essential service closures
2026
Health Rehabilitation Hospital of Braintree - Adult Outpatient therapy program
- Notice of Public Hearing Concerning Encompass Health Rehabilitation Hospital of Braintree
Wednesday, September 23, 2026, at 6:00 PM / Phone Number: +1 929 436 2866 / Computer or Mobile: Join Zoom link - 90-day notice of intent to discontinue services (DOCX)
- 120-day notice of intent to discontinue services (DOCX)
Beverly Hospital - Addison Gilbert Hospital Campus
- DPH Determination on Essential Service (PDF) | (DOCX)
- 30-day notice of intent to discontinue services (PDF) | (DOCX)
- 90-day notice of intent to discontinue services (PDF) | (DOCX)
- DPH Response to Facility Plan (PDF) | (DOCX)
MelroseWakefield Healthcare
- DPH Determination on Essential Service (PDF) | (DOCX)
- 90-day notice of intent to discontinue services (DOCX)
- 120-day notice of intent to discontinue services (DOCX)
Merrimack Health Methuen Hospital and Merrimack Health Haverhill Hospital – Maternity Services and Out-of-Operation Pediatric Beds
Virtual Hearing: Tuesday, May 26th at 6pm.
Dial-In: 800-593-9977
Participant: 6316697
- 90-day notice of intent to discontinue services (DOCX)
- 120-day notice of intent to discontinue services (DOCX)
- DPH Determination on Essential Service (Haverhill Hospital)
- DPH Determination on Essential Service (Metheun Hospital)
- Facility plan to assure access (DOCX)
- DPH Response to Facility Plan (DOCX)
Closure Hearing: August 5th at 6pm
Dial-In: 888-946-7206
Participant: 8452900
2025
Brigham and Women’s Hospital – Inpatient Burn Beds
Closure Hearing: 10-bed Burn Unit Service on Tuesday, January 20, 2026 at 6PM EST
Dial-In: 888-324-8016
Participant Code: 9435793
- DPH Determination on Essential Service (PDF) | (DOCX)
- 120-day notice of intent to discontinue services (PDF) | (DOCX)
- 90-day notice of intent to discontinue services (PDF) | (DOCX)
- DPH Response to Facility Plan (PDF) | (DOCX)
- Facility plan to assure access (PDF) | (DOCX)
- Facility Response to DPH Comments (PDF) | (DOCX)
Holy Family Hospital – Haverhill Campus
An in-person hearing will take place July 23, 2025, on the discontinuation of medical/surgical services, intensive care unit service, and emergency service at Holy Family Hospital’s Haverhill Campus.
Date: Wednesday, July 23rd, 2025
Time: 6pm EST
Location: Northern Essex Community College, Haverhill Campus – Room TC103AB, David Hartle Tech Center
- Facility Response to DPH Comments (PDF) | (DOCX)
- Facility Plan to Assure Access (PDF) | (DOCX)
- DPH Determination on Essential Service (PDF) | (DOCX)
- 120-day notice of intent to discontinue services (PDF) | (DOCX)
- 90-day notice of intent to discontinue services (PDF) | (DOCX)
MelroseWakefield Healthcare, Inc - Inpatient Psychiatric Beds
MetroWest Medical Center – Framingham Union Hospital Inpatient Pediatric Service
- 120-day notice of intent to discontinue services – Level II NICU (PDF) | (DOCX)
- Supplement to 120-day notice of intent to discontinue services – Level II NICU (PDF) | (DOCX)
- Notice of Public Hearing - English (PDF) | (DOCX)
- Notice of Public Hearing – Haitian Creole (PDF) | (DOCX)
- Notice of Public Hearing - Spanish (PDF) | (DOCX)
- Notice of Public Hearing - Portuguese (PDF) | (DOCX)
- Notice of Public Hearing - Russian (PDF) | (DOCX)
- DPH Determination on Essential Service (PDF) | (DOCX)
- Facility Plan to Assure Access (PDF) | (DOCX)
- DPH Response to Facility Plan (PDF) | (DOCX)
- Facility Response to DPH Comments (PDF) | (DOCX)
PAM Health Specialty Hospital of Stoughton – Neuro Behavioral Unit
2024
On July 26, 2024, Steward Health Care announced plans to close Carney Hospital in Dorchester and Nashoba Valley Medical Center in Ayer. These two facilities are winding down operations, and both are scheduled to close August 31, 2024. Visit Steward Health Care transitions for more information.
Norwood Hospital
In-Person Hearing: Monday, October 21, 2024, 6pm EST at Four Points by Sheraton Norwood (1125 Boston Providence Turnpike, Norwood, MA 02062)
Virtual Public Hearing: Tuesday, October 22nd, 2024, at 6pm EST
Norwood closure plan and DPH response to the closure plan
Arabic
- Norwood Response to DPH Comments Arabic (PDF) | (DOCX)
- Infusion Patient Letter Arabic (PDF) | (DOCX)
- OT Patient Letter Arabic (PDF) | (DOCX)
- Physician Infusion Letter Arabic (PDF) | (DOCX)
- Specialty Letter Radiation Therapy Arabic (PDF) | (DOCX)
Haitian Creole
- Norwood Response to DPH Comments Haitian Creole (PDF) | (DOCX)
- Infusion Patient Letter Haitian Creole (PDF) | (DOCX)
- OT Patient Letter Haitian Creole (PDF) | (DOCX)
- Physician Infusion Letter Haitian Creole (PDF) | (DOCX)
- Specialty Letter Radiation Therapy Haitian Creole (PDF) | (DOCX)
Portuguese
- Norwood Response to DPH Comments Portuguese (PDF) | (DOCX)
- Infusion Patient Letter Portuguese (PDF) | (DOCX)
- OT Patient Letter Portuguese (PDF) | (DOCX)
- Physician Infusion Letter Portuguese (PDF) | (DOCX)
- Specialty Letter Radiation Therapy Portuguese (PDF) | (DOCX)
Russian
- Norwood Response to DPH Comments Russian (PDF) | (DOCX)
- Infusion Patient Letter Russian (PDF) | (DOCX)
- OT Patient Letter Russian (PDF) | (DOCX)
- Physician Infusion Letter Russian (PDF) | (DOCX)
- Specialty Letter Radiation Therapy Russian (PDF) | (DOCX)
Spanish
- Norwood Response to DPH Comments Spanish (PDF) | (DOCX)
- Infusion Patient Letter Spanish (PDF) | (DOCX)
- OT Patient Letter Spanish (PDF) | (DOCX)
- Physician Infusion Letter Spanish (PDF) | (DOCX)
- Specialty Letter Radiation Therapy Spanish (PDF) | (DOCX)
Vietnamese
- Norwood Response to DPH Comments Vietnamese (PDF) | (DOCX)
- Infusion Patient Letter Vietnamese (PDF) | (DOCX)
- OT Patient Letter Vietnamese (PDF) | (DOCX)
- Physician Infusion Letter Vietnamese (PDF) | (DOCX)
- Specialty Letter Radiation Therapy Vietnamese (PDF) | (DOCX)
Norwood Public Hearing Information
- Notice of public hearing (PDF) | (DOCX)
- Norwood notice of intent to close (PDF) | (DOCX)
- Norwood notice of intent to close #2 (PDF) | (DOCX)
- Norwood notice of public hearing in Arabic (PDF) | (DOCX)
- Norwood notice of public hearing in European Portuguese (PDF) | (DOCX)
- Norwood notice of public hearing in Hatian Creole (PDF) | (DOCX)
- Norwood notice of public hearing in Russian (PDF) | (DOCX)
- Norwood notice of public hearing in Spanish (PDF) | (DOCX)
- Norwood notice of public hearing in Vietnamese (PDF) | (DOCX)
Carney Hospital
In Person Public Hearing: Tuesday, August 13, 2024, 6:00PM at Florian Hall, 55 Hallet Street, Boston, MA 02122
Virtual Public Hearing: Wednesday, August 14, 2024, 6:00PM
- Carney notice of intent to close #1 (PDF) | (DOCX)
- Carney notice of intent to close #2 (PDF) | (DOCX)
- Carney notice of public hearing (PDF) | (DOCX)
- Carney notice of public hearing in Brazilian Portuguese (PDF) | (DOCX)
- Carney notice of public hearing in Vietnamese (PDF) | (DOCX)
- Carney notice of public hearing in Simplified Chinese (PDF) | (DOCX)
- Carney notice of public hearing in Traditional Chinese (PDF) | (DOCX)
- Carney notice of public hearing in Spanish (PDF) | (DOCX)
- Carney notice of public hearing in Haitian Creole (PDF) | (DOCX)
- Carney notice of public hearing in Cape Verdean Creole (PDF) | (DOCX)
- Carney notice of public hearing in European Portuguese (PDF) | (DOCX)
- Carney notice of public hearing in Gujarati (PDF) | (DOCX)
Carney closure plan and DPH response to the closure plan
- Carney Closure Plan (PDF) | (DOCX), August 12, 2024
- Appendix A (PDF) | (DOCX)
- Appendix A in English (PDF) | (DOCX)
- Appendix A in Spanish (PDF) | (DOCX)
- Appendix A in Gujarati (PDF) | (DOCX)
- Appendix A in Haitian Creole (PDF) | (DOCX)
- Appendix A in Cape Verdean Creole (PDF) | (DOCX)
- Appendix A in European Portuguese (PDF) | (DOCX)
- Appendix A in Brazilian Portuguese (PDF) | (DOCX)
- Appendix A in Vietnamese (PDF) | (DOCX)
- Appendix A in Simplified Chinese (PDF) | (DOCX)
- Appendix A in Traditional Chinese (PDF) | (DOCX)
- Appendix B (PDF) | (DOCX)
- Appendix C (PDF) | (DOCX)
- Appendix C in English (PDF) | (DOCX)
- Appendix C in Spanish (PDF) | (DOCX)
- Appendix C in Gujarati (PDF) | (DOCX)
- Appendix C in Hatian Creole (PDF) | (DOCX)
- Appendix C in Cape Verdean Creole (PDF) | (DOCX)
- Appendix C in European Portuguese (PDF) | (DOCX)
- Appendix C in Brazilian Portuguese (PDF) | (DOCX)
- Appendix C in Vietnamese (PDF) | (DOCX)
- Appendix C in Simplified Chinese (PDF) | (DOCX)
- Appendix C in Traditional Chinese (PDF) | (DOCX)
- Appendix D (PDF) | (DOCX)
- Appendix D in English (PDF) | (DOCX)
- Appendix D in Spanish (PDF) | (DOCX)
- Appendix D in Gujarati (PDF) | (DOCX)
- Appendix D in Hatian Creole (PDF) | (DOCX)
- Appendix D in Cape Verdean Creole (PDF) | (DOCX)
- Appendix D in European Portuguese (PDF) | (DOCX)
- Appendix D in Brazilian Portuguese (PDF) | (DOCX)
- Appendix D in Vietnamese (PDF) | (DOCX)
- Appendix D in Simplified Chinese (PDF) | (DOCX)
- Appendix D in Traditional Chinese (PDF) | (DOCX)
- Appendix A (PDF) | (DOCX)
- DPH Response to plan (PDF) | (DOCX), August 19, 2024
- Facility Response to DPH Comments (PDF) | (DOCX) August 22, 2024
- Carney Closure Plan – Geriatric Behavioral Health Unit, St. Elizabeth’s Medical Center (PDF) | (DOCX), August 15, 2024
- DPH Comments on Facility Plan (PDF) | (DOCX) August 27, 2024
Nashoba Valley Medical Center
In Person Public Hearing: Thursday, August 15th, 2024, 6:00 PM, at the Devens Common Center, 31 Andrews Parkway, Devens, MA 01434.
Virtual Public Hearing: Monday, August 19th, 2024, 6:00 PM
- Nashoba notice of intent to close #1 (PDF) | (DOCX)
- Nashoba notice of intent to close #2 (PDF) | (DOCX)
- Nashoba notice of public hearing (PDF) | (DOCX)
- Nashoba notice of public hearing in Spanish (PDF) | (DOCX)
- Nashoba notice of public hearing in Haitian Creole (PDF) | (DOCX)
- Nashoba notice of public hearing in Arabic (PDF) | (DOCX)
- Nashoba notice of public hearing in European Portuguese (PDF) | (DOCX)
Nashoba closure plan and DPH response to the closure plan
- Nashoba Valley Closure Plan (PDF) | (DOCX)
- DPH Response to plan (PDF) | (DOCX)
- Facility Response to DPH Comments (PDF) | (DOCX) August 23, 2024
- DPH Comments on Facility Plan (PDF) | (DOCX) August 27, 2024
New England Sinai Hospital
Public Hearing: January 31, 2024
- 120-day notice of intent to discontinue services (PDF) | (DOCX)
- 90-day notice of intent to discontinue services (PDF) | (DOCX)
- DPH Determination on Essential Service (PDF) | (DOCX)
- DPH Comments on Facility Plan (PDF) | (DOCX)
- Facility Plan to Assure Access (PDF) | (DOCX)
Saint Anne’s Hospital – Geriatric Psychiatric Unit at New England Sinai Hospital
Public Hearing: February 01, 2024