Massachusetts Nurses Association

“During the fiscal year 2025, mna made the following changes to its by-laws. Article iii, regional councils section 6 (a) section 6: regional dues a. Regional dues shall be a part of the annual mna dues. Mna shall collect regional dues, equalized at $30 per member annually, and designate such dues to a regional fund within the mna for each region to use in a manner consistent with section 3 of this article and in compliance with any applicable laws. B. Any proposed increase in regional dues must be first recommended by a majority of the regional councils and then approved by a majority vote at the mna annual business meeting. Dues may not vary from region to region. C. Notification of a proposed change will comply with article ii, section 7:a., and c.”

“The mna is directed and run by the membership with an elected board of directors and a grassroots organizational structure. With regional councils in five different regions of the state, members have an opportunity to become involved in the mna on local issues and concerns. The mna also provides members with an opportunity to influence nursing and other healthcare issues on a national level.”

“The members vote for their board of directors and make governing decisions at their annual convention.”

“The members vote for their board of directors and make governing decisions at their annual convention.”

“The board of directors has delegated the responsibility for reviewing, approving and signing the form 990 to the president. The form 990 is made available to any director upon request.”

“The massachusetts nurses association has a conflict of interest policy in place. Annually each board member is required to disclose if there are any conflicts. The board reviews the disclosures and takes whatever action is needed to resolve the conflict.”

“The board of directors determines the compensation for their organization's president, directors and management. This process includes review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision.”

“The organizational governing documents, financial statements and form 990 are available upon request to the general public.”

“The mission of the mna, the association for registered nurses and healthcare professionals, is to preserve the identity, integrity, and continuity of professional nursing and healthcare in the commonwealth of massachusetts. - promote the health and safety of nurses and healthcare workers - advance the economic and general welfare of nurses and healthcare workers. - act and speak for registered nurses and healthcare workers in massachusetts. - foster involvement by rns and healthcare workers in the political process to shape sound health policies.”

“Division of nursing: over the past year, the division has remained steadfast in supporting our members as they navigate increasingly complex challenges stemming from shifts in the labor movement, political landscape, and broader healthcare environment. We have collaborated closely with our colleagues in the legislative and labor divisions to proactively identify gaps, address emerging challenges, and ensure that the evolving needs of our members are met with timely and effective solutions. Members continue to benefit from tuition reduction agreements with 13 colleges and universities across the u.s., offering both undergraduate and graduate nursing programs in on-campus and online formats. The division remains committed to professional development through the provision of free cne programs for all mna and associate members. These offerings include both face-to-face and virtual learning opportunities. 32 cne programs either live in-person or virtual. The total number of participants with completions receiving continuing education contact hours from these programs is 1,335. Unit 7: the division developed a unit 7 specific online ce hippotlian platform with 4 courses to commence. Collaboration with the unit 7 office of employment enhancement has also led to a strategic and coordinated rotating schedule of live and virtual programs. The mna annual convention was held on october 8-10, 2024, at margaritaville cape cod in hyannis, ma. The event included empowering and informative presentations on critical issues impacting frontline nurses and other healthcare providers. The 19th annual clinical nursing conference was presented on may 2nd at the four points sheraton, norwood, ma, with 281 attendees. A total of 8 programs were held which included a keynote and closing plenary. Programs included workplace violence, basics of medical cannabis, nurse's role in organ donation, fundamentals of worker's compensation, update in clinical practice, polypharmacy, ob emergencies and sentinel event-a tragic medication error. Addictions nursing council continued their work and spoke at several schools of nursing on the subject of substance use disorders and diversion in the nursing profession. A weekly online support group for health professionals with a substance use problem continued throughout the year.”

“Division of health & safety: the division of health & safety associate directors serve as essential resources, consultants, and educators for mna members, the broader nursing community, healthcare organizations, and other stakeholders. Their work covers a wide range of health and safety (h&s) topics critical to protecting healthcare professionals. This year, the division has addressed multiple environmental health concerns, including suspected exposure clusters among nurses in specific work areas. Reports of workplace violence, including sexual assaults, hostile work environments, and staffing shortages, have also increased significantly, underscoring widespread systemic issues within healthcare settings. Our ongoing work includes addressing safety culture, workplace bullying, infectious disease management, environmental exposures and hazards, and the provision of timely medical treatment following injuries or exposures. We also assist members with navigating the workers' compensation process where appropriate. The division continues to advocate for proactive, preventive measures through engineering controls, such as improvements in indoor air quality, enhanced respiratory protection, and proper use of personal protective equipment (ppe). Our commitment remains steadfast in protecting the health and safety of mna members through responsive action, advocacy, and education. The division of health & safety provides educational programs in hospitals and healthcare systems to support of our membership. Training sessions included :"the brain science behind addiction; by drug story theater" worcester recovery center (wrc): june 26, 2025; climate change education program- virtually: april 21, 2025;workers' compensation in the existing healthcare environment- clinical conference, may 2, 2025; "fundamentals of workers' compensation" virtually: may 21, 2025; "the gift of 5 wishes," in-person, june 9, 2025. Unit 7 training sessions included: "failure-free activities: packing a lunchbox filled with endless possibilities" chelsea soldiers home: march 18, 2025; "the brain science behind addiction; by drug story theater" tewksbury hospital: may 8, 2025. "understanding the complexities of substance use in the workplace" virtual may 8, 2025 the division currently holds a voting seat on the massachusetts governor's executive committee 511. This committee plays a key role in addressing workplace injuries experienced by nurses and other union members within the state system. The committee has been instrumental in extending osha safety standards to public sector and municipal workers. Notably, a new subcommittee has been formed to draft proposed standards on workplace violence prevention for massachusetts state employees. The division collaborates closely with the massachusetts department of public health (dph). We are a member of the state occupational health advisory board, and we actively participated in the dph ergonomic task force, which focuses on safe patient handling education. Additionally, the mna is engaged in injury prevention efforts related to sharps injuries among healthcare workers. Workplace violence workplace violence and prevention task force activities: -currently conducting planning meetings to bring in members and reconstruct for a stronger workplace violence and prevention task force. -completing wpv toolkits as pilot for dissemination in 2 hospitals on all floors in fall 2025. -added wpv hotline for easy member access to call and report wpv events and concerns. Workplace violence prevention bill: the division of health & safety identified and selected mna members and other nurses to provide virtual testimony for a hearing in support of the workplace violence prevention bill. The mna division of health & safety continues to be a leader in education and legislative action involving workplace violence prevention. The role mna plays regarding the protection of healthcare workers is recognized both state-wide and nationally. Addi”

“Division of labor action: i.independent facilities lawrence general hospital lawrence general won a two-year contract. The agreement includes: -a three-year agreement establishing a new step structure resulting in year 1 increases ranging from 7.7% to 12.7% depending on step. Year 2 increases range from 3.6% to 6.2%, and year 3 increase is 5% across the board. -increases to evening, charge, night (rotating only), preceptor differential, and bereavement. -improvements to staffing language, requiring charge with no assignment in the ec on all shifts and charge with no assignment on maternity and labor and delivery on day and evening shifts. -new on-call language requiring up to 8 hours of sleep time between call and scheduled hours. -codification of 2 1/4 time pay in accordance with current practice. -per diem positions for nurses with over 20 years' service who are eligible for social security retirement. Boston vna our rn contract will expire on 11/1/25 and the healthcare professionals' contract will expire on 1/1/26. Happily, the employer has agreed to bargain both contracts at one table, in a positive break from recent history of insisting on two tables which has wasted the valuable time and resources of all involved in the vna's important work. Brockton hospital our contract, which was scheduled to expire on march 31, 2024 is currently extended. We have been in difficult bargaining the wages lag surrounding hospitals, and the health insurance lags surrounding hospitals and we are struggling to win management's agreement to enforceable staffing grids. Brockton hospital reopened about a year ago after major reconstruction following a fire. The hospital is currently losing millions each month at the same time, we have pointed out that there are 106 rn vacancies compared to 260 mna rn positions filled, and this is untenable. We have been repeating to management that while the financial difficulties will be real for the next year or two until higher compensated cases return, the hospital has to bring wages and benefits to the area standards to be able to fill the 106 open positions and not lose more. Cambridge health alliance cambridge hospital won a one-year extension of the current contract which significantly increased wages and differentials. This win brings them much closer to the area standards but there is still work to do and a one-year extension goes by fast. The committee is meeting regularly between the three hospitals, and our unity will be our strength! Atrius this is the second round of bargaining that we will do with optum as the corporate owners of atrius. Optum has begun what they call integration with the nonunion staff at atrius, and it has resulted in takeaways, including the loss of two holidays. We anticipate hard bargaining in the coming year. Ii. Dana farber cancer institute dana farber cancer institute foxborough this is a new unit of over 30 members who are bargaining for a first contract. There has been a lot of progress on contract language, but the employer is dragging their feet on wages. Nurses are united and have begun taking action to get the contract they deserve. Dana farber cancer institute merrimack valley this unit of around 35 members have spent the year establishing labor management processes and getting used to being a unionized workplace following a successful first contract settlement the previous year. Iii. Beth israel health system northeast health (beverly and addison gilbert hospitals) following a contract campaign with broad participation and escalating action northeast nurses won the contract they set out for. As a result, we won a tentative agreement with unprecedented wage increases, improved differentials, and maintenance of medical benefits. Our wage package includes: -across the board increase of 18.5% for steps 2-19. -new step 20 at 4% above step 19 by year 3. -step 1 increases to $36 in year 1, $37 in year 2, and $38 in year 3. Nurses moving along the step ladder will recei”

“Vi. Public sector unit 7 the executive board just reached a tentative agreement with the commonwealth, and that tentative agreement is subject to ratification by the members in the next month. The mna has engaged in an extensive campaign to save the pappas rehabilitation hospital for children. There will be a legislative commission to explore options for the future, and the mna will be advocating for revitalizing pappas and for the addition of pediatric services at western massachusetts hospital. School and public health nurses since the fall of 2024 we have negotiated contracts for the nurses in gloucester, newton, west springfield, north middlesex, lawrance, haverhill, and taunton. Vii. Brown morton hospital bargaining for a successor agreement but with a new employer is a tricky subject, especially when the employer is determined to create continuity with an already established system and bargaining at their flagship hospital with a different union. This is the position our committee found themselves in at morton and they navigated it admirably. Helping brown medical understand that they were not going to roll over mna was a task. Brown came in with the intention of stripping away hard-fought gains in health insurance coverage while keeping the nurses and health professionals at morton the lowest paid in the region. Instead, they got a fight and the committee at morton achieved a contract to be proud of.”

“The 990 is prepared on the same basis as the financial statements which are prepared on the modified cash basis of accounting. The financial statements of the association are presented on a modified cash basis, whereby the association's dues income is recognized when received rather than on the accrual basis of accounting. Expenses are recorded as incurred.”

“There was no change in the oversight process or selection process during the tax year.”