MA H1356

Requires hospitals and health systems to report comprehensive financial data to the Center for Health Information and Analysis, including revenues, costs, prices, executive compensation for top 10 employees, and financial relationships with equity investors, real estate investment trusts, and management services organizations

Mandates annual reporting of specific financial metrics including total and operating margins by payer type, debt service coverage ratio, days cash on hand, pension obligations, labor costs by category, and financial transfers between health systems and their affiliated hospitals and physician practices

Triggers mandatory public hearings within 60 days when acute hospitals report operating margins exceeding 3.6%, requiring hospitals to justify the margin and testify on cost containment efforts

Establishes ongoing monitoring of hospitals in financial distress, including those at risk of closing or discontinuing essential health services

Requires public reporting of health status-adjusted total medical expenses, relative prices, and hospital costs on the center's website, with providers receiving 10 days advance notice before publication