FURP.ORG / PUBLIC DATA EXPLORER

MELROSEWAKEFIELD HEALTHCARE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MELROSEWAKEFIELD HEALTHCARE INC (EIN 04-2767880)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-15
IRS object ID
201932279349300243
Schema version
2017v2.3
Note
A later return for the same period supersedes this one.
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-08-15T08:28:24-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN263753134PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 BOYLSTON STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02116ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042767880EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MELROSEWAKEFIELD HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMELRBusinessNameControlTxt
Phone7813387424PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1170 GOVERNORS AVENUEAddressLine1Txt
CityMEDFORDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02155ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUSAN M SANDBERGPersonNm
Person TitleCEOPersonTitleTxt
Phone7813387424PhoneNum
Signature2019-08-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCRAIG KLEINPreparerPersonNm
PTINP00734640PTIN
Phone6177610600PhoneNum
Preparation2019-08-07PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address207.172.72.163IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-12IPDt
IP Tm10:39:59IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdAAFE5242E44AA74A98A743050A15125E154A43A4AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSUSAN M SANDBERGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1170 GOVERNORS AVENUEAddressLine1Txt
CityMEDFORDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02155ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$320,689,064GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MELROSEWAKEFIELD.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO OPERATE HOSPITALS WITH 24 HOUR ER SERVICES ON TWO CAMPUSES ALONG WITH A HOSPITAL SCHOOL OF NURSING. MELROSEWAKEFIELD HEALTHCARE PROVIDES INPATIENT AND OUTPATIENT MEDICAL CARE AND ANCILLARY MEDICAL SERVICES AND TESTING.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee2614TotalEmployeeCnt
Total Volunteers180TotalVolunteersCnt
Total Gross UBI$1,166,772TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$329,089NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,863,704PYContributionsGrantsAmt
CY Contributions Grants$3,536,561CYContributionsGrantsAmt
PY Program Service Revenue$251,884,772PYProgramServiceRevenueAmt
CY Program Service Revenue$240,588,376CYProgramServiceRevenueAmt
PY Investment Income$13,068,515PYInvestmentIncomeAmt
CY Investment Income$9,364,352CYInvestmentIncomeAmt
PY Other Revenue$1,436,988PYOtherRevenueAmt
CY Other Revenue$2,013,166CYOtherRevenueAmt
PY Total Revenue$271,253,979PYTotalRevenueAmt
CY Total Revenue$255,502,455CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$152,355,870PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$132,420,973CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$108,472,077PYOtherExpensesAmt
CY Other Expenses$101,116,564CYOtherExpensesAmt
PY Total Expenses$260,827,947PYTotalExpensesAmt
CY Total Expenses$233,537,537CYTotalExpensesAmt
PY Revenues Less Expenses$10,426,032PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$21,964,918CYRevenuesLessExpensesAmt
Total Assets BOY$319,199,641TotalAssetsBOYAmt
Total Assets EOY$294,461,064TotalAssetsEOYAmt
Total Liabilities BOY$163,241,193TotalLiabilitiesBOYAmt
Total Liabilities EOY$144,109,400TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$155,958,448NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$150,351,664NetAssetsOrFundBalancesEOYAmt
MissionTO OPERATE HOSPITALS WITH 24 HOUR ER SERVICES ON TWO CAMPUSES ALONG WITH A HOSPITAL SCHOOL OF NURSING. MELROSEWAKEFIELD HEALTHCARE PROVIDES INPATIENT AND OUTPATIENT MEDICAL CARE AND ANCILLARY MEDICAL SERVICES AND TESTING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$182,031,994ExpenseAmt
Revenue$239,421,604RevenueAmt
DescOPERATED HOSPITALS WITH 24 HR ER SERVICES ON TWO CAMPUSES ALONG WITH A HOSPITAL SCHOOL OF NURSING. MELROSEWAKEFIELD HEALTHCARE PROVIDED INPATIENT AND OUTPATIENT MEDICAL, SURGICAL AND PSYCHIATRIC CARE. ANCILLARY MEDICAL SERVICES AND TESTING WERE ALSO PROVIDED ON AN INPATIENT AND OUTPATIENT BASIS IN AREAS SUCH AS LABORATORY, RADIOLOGY, EKG, EEG, PHARMACY, NUCLEAR MEDICINE, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, RESPIRATORY THERAPY AND I.V. THERAPY.Desc
Total Program Service Expenses$182,031,994TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document179IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2614EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL P CONNELLY CFOPersonNm
Phone7813387424PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1170 GOVERNORS AVEAddressLine1Txt
CityMEDFORDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02155ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROBERT L SWANSON JR
DIRECTOR/ASSISTANT CLERK3.003.00Yes (X)Yes (X)$0$0$0
WILLIAM B LAWRENCE III
DIRECTOR3.003.00Yes (X)$0$0$0
EDA U GEORGE RN P HD
DIRECTOR3.003.00Yes (X)$0$0$0
TARA GIBSON
DIRECTOR3.003.00Yes (X)$0$0$0
GAIL INFURNA
DIRECTOR3.003.00Yes (X)$0$0$0
ROBERT WEINSTEIN MD
DIRECTOR3.003.00Yes (X)$25,015$0$0
LAURENCE CONWAY MD
DIRECTOR40.003.00Yes (X)$253,963$0$2,540
MEHREEN BUTT
DIRECTOR3.003.00Yes (X)$0$0$0
PATRICIA PARCELLIN
DIRECTOR3.003.00Yes (X)$0$0$0
PATRICIA CAMPBELL
DIRECTOR3.003.00Yes (X)$0$0$0
ALAN G MACDONALD UNTIL 218
PRESIDENT & CEO/DIRECTOR3.0040.00Yes (X)Yes (X)$0$847,993$1,464
JOHN KEENAN
SECOND VICE CHAIRMAN/DIREC3.003.00Yes (X)Yes (X)$0$0$0
SUSAN GLASSER
FIRST VICE CHAIRMAN/DIRECTOR3.003.00Yes (X)Yes (X)$0$0$0
PAUL BARDARO
TREASURER/DIRECTOR3.003.00Yes (X)Yes (X)$0$0$0
K ERICK HENRIKSON MD
CLERK/DIRECTOR3.003.00Yes (X)Yes (X)$0$0$0
JAMES HERRINGTON
CHAIRMAN/DIRECTOR3.003.00Yes (X)Yes (X)$0$0$0
SUSAN M SANDBERG AS OF 818
PRESIDENT & CEO/DIRECTOR3.0040.00Yes (X)Yes (X)$0$0$0
SHEILA E PICHETTE
ASSISTANT SECRETARY (UNTIL 10/1/17)40.003.00Yes (X)$67,882$0$2,022
CHARLES R WHIPPLE ESQ
ASSISTANT SECRETARY/GENERAL COUNSEL3.0040.00Yes (X)$0$514,462$32,334
MICHAEL P CONNELLY
CFO/ASSISTANT TREASURER3.0040.00Yes (X)$0$435,248$9,150
LISA RUSSELL
ASSISTANT CLERK40.000.00Yes (X)$61,759$0$11,693
KAREN BARBARA CARBONE
INTERIM CEO (FEB. '18 TO AUG. '18)3.003.00Yes (X)$0$0$0
WILLIAM DOHERTY
EXECUTIVE VICE PRES. & COO3.0040.00$0$550,051$8,918Yes (X)
CAROL A DRESSER
VP INFO. SERVICES & CIO40.000.00$304,269$0$23,809Yes (X)
NANCY BITTNER
VP EDUCATION40.000.00$196,272$0$28,356Yes (X)
STEVE SBARDELLA
VP MEDICAL AFFAIRS & CMO3.0040.00$0$434,620$1,399Yes (X)
PAM DUCHENE
VP, NURSING & CNO3.0040.00$0$328,645$16,968Yes (X)
DAVID RYAN
VP, HUMAN RESOURCES3.0040.00$0$295,605$40,333Yes (X)
RYAN FULLER
DIRECTOR OF PLANNING40.000.00$247,249$0$4,327Yes (X)
THERESA SIEVERS
VP QUALITY ASSURANCE40.000.00$232,104$0$2,789Yes (X)
CHERYL WARREN
INTERGRATION ADMIN.40.000.00$225,220$0$40,611Yes (X)
JOHN G GIRAGOS MD
PSYCH M.D.40.000.00$415,733$0$39,265Yes (X)
CARYL A BEISON
PHYSICIAN DIRECTOR40.000.00$284,060$0$10,065Yes (X)
JAMES LECH
PSYCH M.D.40.000.00$290,983$0$4,603Yes (X)
ROBIN VOLANTE
DIRECTOR OF SERVICE LINE40.000.00$260,834$0$18,524Yes (X)
DANEIL REILLY
PSYCH M.D.40.000.00$270,737$0$17,760Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,136,080TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,406,624TotReportableCompRltdOrgAmt
Total Other Compensation$316,930TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K234IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CONSIGLI CONSTRUCTION
72 SUMMER STREETMILFORDMA01757CONSTRUCTION$11,483,443
SODEXHO INC & AFFILIATES
PO BOX 360170PITTSBURGHPA152516170MANAGEMENT/CONSULTING$2,157,772
HOSPITAL MEDICINE ASSOCIATES
PO BOX 634850CINCINATTIOH45263PHYSICIAN SERVICES$1,295,121
PRESIDEO NETWORK
PO BOX 822169PHILADELPHIAPA19182COMPUTER SERVICES$1,245,544
RESTORIX HEALTH
445 HAMILTON AVE SUITE 800WHITE PLAINSNY10601PHYSICIAN SERVICES$1,159,921
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K59CntrctRcvdGreaterThan100KCnt
Fundraising$235,739FundraisingAmt
Government Grants$1,674,501GovernmentGrantsAmt
All Other Contributions$1,626,321AllOtherContributionsAmt
Total Contributions$3,536,561TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICAL SERVICES622110$239,247,504$239,247,504
MEDICAL STAFF & SUPPORT SERVICES541900$1,166,772$1,166,772
MONTVALE PET/CT K1621512$174,100$174,100
FieldValueIRS element (for citing)
Total Program Service Revenue$240,588,376TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,632,382TotalRevenueColumnAmt
Exclusion$5,632,382ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,030,188RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,030,188RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,030,188TotalRevenueColumnAmt
Exclusion$2,030,188ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$68,817,482SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$65,085,512SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,731,970SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,731,970TotalRevenueColumnAmt
Exclusion$3,731,970ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$84,075FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$235,739ContriRptFundraisingEventAmt
Fundraising Direct Expenses$101,097FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$17,022TotalRevenueColumnAmt
Exclusion-$17,022ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$255,502,455TotalRevenueColumnAmt
Related Or Exempt Func Income$239,421,604RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,166,772UnrelatedBusinessRevenueAmt
Exclusion$11,377,518ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$522,747TotalAmt
Management And General$522,747ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$109,934,140TotalAmt
Program Services$92,469,260ProgramServicesAmt
Management And General$17,464,880ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,138,320TotalAmt
Program Services$1,699,108ProgramServicesAmt
Management And General$439,212ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,488,675TotalAmt
Program Services$8,808,958ProgramServicesAmt
Management And General$2,679,717ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,337,091TotalAmt
Program Services$6,624,653ProgramServicesAmt
Management And General$1,712,438ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$11,042,630TotalAmt
Program Services$5,295,115ProgramServicesAmt
Management And General$5,747,515ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$463,159TotalAmt
Management And General$463,159ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$289,923TotalAmt
Management And General$289,923ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$17,237,241TotalAmt
Program Services$14,021,272ProgramServicesAmt
Management And General$3,215,969ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,375,364TotalAmt
Program Services$79,074ProgramServicesAmt
Management And General$1,296,290ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$35,086,606TotalAmt
Program Services$30,616,504ProgramServicesAmt
Management And General$4,470,102ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,378,533TotalAmt
Management And General$4,378,533ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,547,328TotalAmt
Program Services$7,151,418ProgramServicesAmt
Management And General$2,395,910ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$104,501TotalAmt
Program Services$27,620ProgramServicesAmt
Management And General$76,881ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$111,957TotalAmt
Program Services$57,146ProgramServicesAmt
Management And General$54,811ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,659,682TotalAmt
Program Services$1,994,762ProgramServicesAmt
Management And General$664,920ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,094,164TotalAmt
Program Services$11,320,623ProgramServicesAmt
Management And General$3,773,541ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$695,296TotalAmt
Management And General$695,296ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DUES$1,378,840$688,496$690,344
MINOR EQUIPMENT$411,877$388,193$23,684
BOND & BANK FINANCE CHG$245,264$245,264
LICENSES$196,267$122,795$73,472

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$797,932TotalAmt
Program Services$421,733ProgramServicesAmt
Management And General$376,199ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$233,537,537TotalAmt
Program Services$182,031,994ProgramServicesAmt
Management And General$51,505,543ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,472,096BOYAmt
EOY$494,263EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,669,858BOYAmt
EOY$9,679,209EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,884,172BOYAmt
EOY$25,280,185EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$7,969,764BOYAmt
EOY$6,797,284EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,552,539BOYAmt
EOY$2,260,900EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,985,003BOYAmt
EOY$3,037,941EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$415,801,677LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$343,932,980LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$76,139,129BOYAmt
EOY$71,868,697EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$155,198,255BOYAmt
EOY$148,218,829EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$10,774,187BOYAmt
EOY$10,881,680EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$410,305BOYAmt
EOY$1,921,511EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$20,144,333BOYAmt
EOY$14,020,565EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$319,199,641BOYAmt
EOY$294,461,064EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$37,218,823BOYAmt
EOY$33,854,289EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$98,456,589BOYAmt
EOY$88,380,747EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,565,781BOYAmt
EOY$21,874,364EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$163,241,193BOYAmt
EOY$144,109,400EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$135,086,401BOYAmt
EOY$128,452,302EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,197,287BOYAmt
EOY$6,114,124EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,674,760BOYAmt
EOY$15,785,238EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$155,958,448BOYAmt
EOY$150,351,664EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$319,199,641BOYAmt
EOY$294,461,064EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$21,964,918ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,275,016NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$26,296,686OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,872,047BeginningYearBalanceAmt
Contributions$1,163,388ContributionsAmt
Investment Earnings Or Losses$1,139,921InvestmentEarningsOrLossesAmt
Other Expenditures$1,275,994OtherExpendituresAmt
End Year Balance$21,899,362EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,977,835BeginningYearBalanceAmt
Contributions$2,117,238ContributionsAmt
Investment Earnings Or Losses$1,625,664InvestmentEarningsOrLossesAmt
Other Expenditures$848,690OtherExpendituresAmt
End Year Balance$20,872,047EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,182,983BeginningYearBalanceAmt
Contributions$708,411ContributionsAmt
Investment Earnings Or Losses$1,170,049InvestmentEarningsOrLossesAmt
Other Expenditures$1,083,608OtherExpendituresAmt
End Year Balance$17,977,835EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,180,436BeginningYearBalanceAmt
Contributions$486,338ContributionsAmt
Investment Earnings Or Losses-$625,822InvestmentEarningsOrLossesAmt
Other Expenditures$857,969OtherExpendituresAmt
End Year Balance$17,182,983EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,542,062BeginningYearBalanceAmt
Contributions$803,003ContributionsAmt
Investment Earnings Or Losses$1,059,927InvestmentEarningsOrLossesAmt
Other Expenditures$1,224,556OtherExpendituresAmt
End Year Balance$18,180,436EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.72080PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.27920TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,353,666OtherCostOrOtherBasisAmt
Book Value$4,353,666BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$176,329,744OtherCostOrOtherBasisAmt
Depreciation$154,327,440DepreciationAmt
Book Value$22,002,304BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,179,858OtherCostOrOtherBasisAmt
Depreciation$9,246,917DepreciationAmt
Book Value$932,941BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$218,220,183OtherCostOrOtherBasisAmt
Depreciation$180,239,642DepreciationAmt
Book Value$37,980,541BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,718,226OtherCostOrOtherBasisAmt
Depreciation$118,981DepreciationAmt
Book Value$6,599,245BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$71,868,697TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
PENSION LIABILITY$6,345,384
ESTIMATED SETTLEMENTS 3RD PARTY PAYABLE$2,500,457
DUE TO AFFILIATES$5,210,705
ASSET RETIREMENT OBLIGATIONS$1,150,862
NURSING SCHOOL LONG TERM LIABILITIES$567,229
SELF-INSURANCE RESERVES$5,740,738
DEFERRED RENT$111,136
CAPITAL LEASE$247,853
FieldValueIRS element (for citing)
Total Liability$21,874,364TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationTHE ENDOWMENT FUNDS ARE USED TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION IN PROVIDING HEALTHCARE TO THE SURROUNDING COMMUNITIES.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HALLMARK MWH GOLFEvent1Nm
Gross Receipts Event1$123,300GrossReceiptsEvent1Amt
Charitable Contri Event1$78,150CharitableContriEvent1Amt
Gross Revenue Event1$45,150GrossRevenueEvent1Amt
Non Cash Prizes Event1$9,185NonCashPrizesEvent1Amt
Rent Facility Costs Event1$19,060RentFacilityCostsEvent1Amt
Food And Beverage Event1$8,550FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$4,953OtherDirectExpensesEvent1Amt
Event2HALLMARK LMH GOLFEvent2Nm
Gross Receipts Event2$96,221GrossReceiptsEvent2Amt
Charitable Contri Event2$62,621CharitableContriEvent2Amt
Gross Revenue Event2$33,600GrossRevenueEvent2Amt
Non Cash Prizes Event2$7,620NonCashPrizesEvent2Amt
Rent Facility Costs Event2$12,825RentFacilityCostsEvent2Amt
Food And Beverage Event2$18,910FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$2,806OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$100,293GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$94,968CharitableContriOtherEventsAmt
Gross Revenue Other Events$5,325GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$2,215NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$5,638RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$3,514FoodAndBeverageOtherEventsAmt
Entertainment Other Events$500EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$5,321OthDirectExpnssOtherEventsAmt
Gross Receipts Total$319,814GrossReceiptsTotalAmt
Charitable Contributions Tot$235,739CharitableContributionsTotAmt
Gross Revenue Total Events$84,075GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$19,020NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$37,523RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$30,974FoodAndBeverageTotalEventsAmt
Entertainment Total Events$500EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$13,080OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$101,097DirectExpenseSummaryEventsAmt
Net Income Summary-$17,022NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other301.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,682,114TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$256,552DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,425,562NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,071,421TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,682,215DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,389,206NetCommunityBenefitExpnsAmt
Total Expense0.00590TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,753,535TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,938,767DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,814,768NetCommunityBenefitExpnsAmt
Total Expense0.01200TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs122ActivitiesOrProgramsCnt
Persons Served767852PersonsServedCnt
Total Community Benefit Expns$8,720,041TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,932,541DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,787,500NetCommunityBenefitExpnsAmt
Total Expense0.02050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs16ActivitiesOrProgramsCnt
Persons Served3805PersonsServedCnt
Total Community Benefit Expns$12,518,705TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,420,126DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,098,579NetCommunityBenefitExpnsAmt
Total Expense0.01330TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served205PersonsServedCnt
Total Community Benefit Expns$2,480,561TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,778,820DirectOffsettingRevenueAmt
Net Community Benefit Expns$701,741NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served15467PersonsServedCnt
Total Community Benefit Expns$290,189TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$191DirectOffsettingRevenueAmt
Net Community Benefit Expns$289,998NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served6945PersonsServedCnt
Total Community Benefit Expns$223,442TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,150DirectOffsettingRevenueAmt
Net Community Benefit Expns$209,292NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs159ActivitiesOrProgramsCnt
Persons Served794274PersonsServedCnt
Total Community Benefit Expns$24,232,938TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,145,828DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,087,110NetCommunityBenefitExpnsAmt
Total Expense0.03890TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs159ActivitiesOrProgramsCnt
Persons Served794274PersonsServedCnt
Total Community Benefit Expns$56,986,473TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,084,595DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,901,878NetCommunityBenefitExpnsAmt
Total Expense0.05090TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served375PersonsServedCnt
Total Community Benefit Expns$5,484TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,484NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served34PersonsServedCnt
Total Community Benefit Expns$7,843TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,843NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served1587PersonsServedCnt
Total Community Benefit Expns$948TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$948NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served6760PersonsServedCnt
Total Community Benefit Expns$11,352TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,352NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served8756PersonsServedCnt
Total Community Benefit Expns$25,627TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$25,627NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$2,757,188BadDebtExpenseAmt
Reimbursed By Medicare$74,100,892ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$80,240,879CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$6,139,987MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities10HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (10 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdOtherOtherDesc
MELROSE WAKEFIELD HOSPITAL
1585 LEBANON STREETMELROSEMA02176Yes (X)Yes (X)Yes (X)A
LAWRENCE MEMORIAL HOSPITAL
2170 GOVERNORS AVENUEMEDFORDMA02155Yes (X)Yes (X)Yes (X)A
HALLMARK ONCOLOGY & HEMATOLOGY CENTER
341 MONTVALE AVENUESTONEHAMMA02180AOUTPATIENT MEDICAL
CHEM CENTER RADIATION & MRI
448 MONTVALE AVENUESTONEHAMMA02180AOUTPATIENT MEDICAL
HALLMARK HEALTH AT 101 MAIN
5101 MAIN STREETMEDFORDMA02155AOUTPATIENT MEDICAL
HALLMARK OUTPAT DIAGNOSTIC & REHAB
630 NEWCROSSING ROADREADINGMA01867AOUTPATIENT MEDICAL
HEALTH IMAGE WOMAN'S IMAGING CENTER
7830 MAIN STREETMELROSEMA02176AIMAGING CENTER
MELROSE-WAKEFILED HOSPITAL REHAB SERVICES
822 COREY STREETMELROSEMA02176APT & REHAB SERVICE
LAWRENCE MEMORIAL HOSPITAL PROGRAM
9200 GOVERNORS AVENUEMEDFORDMA02155APSYCHIATRIC SERVICE
COMMUNITY COUNSELING CENTER
10178 SAVIN STREETMALDENMA02148AOUTPATIENT COUNSELING

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP - ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
OtherYes (X)OtherInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP:/WWW.MELROSEWAKEFIELD.ORGOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLWWW.MELROSEWAKEFIELD.ORG/IN-THE-COMMUNITY/COMMUNITY-BENEFITS/OtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.MELROSEWAKEFIELD.ORG/IN-THE-COMMUNITY/COMMUNITY-BENEFITS/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care301.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.MELROSEWAKEFIELD.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.MELROSEWAKEFIELD.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.MELROSEWAKEFIELD.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On Nonpayment0FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: MELROSE WAKEFIELD HOSPITAL, - FACILITY 2: LAWRENCE MEMORIAL HOSPITAL, - FACILITY 3: HALLMARK ONCOLOGY & HEMATOLOGY CENTER, - FACILITY 4: CHEM CENTER RADIATION & MRI, - FACILITY 5: HALLMARK HEALTH AT 101 MAIN, - FACILITY 6: HALLMARK OUTPAT DIAGNOSTIC & REHAB, - FACILITY 7: HEALTH IMAGE WOMAN'S IMAGING CENTER, - FACILITY 8: MELROSE-WAKEFILED HOSPITAL REHAB SERVICES, - FACILITY 9: LAWRENCE MEMORIAL HOSPITAL PROGRAM, - FACILITY 10: COMMUNITY COUNSELING CENTER

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:IN ADDITION TO THE FEDERAL POVERTY GUIDELINE, MELROSEWAKEFIELD HEALTHCARE, INC. REVIEWS, AMONG OTHER ITEMS, AN INDIVIDUAL'S HOUSEHOLD INCOME, ASSETS, FAMILY SIZE, EXPENSES, MEDICAL NEEDS, CURRENT INSURANCE COVERAGE, CITIZENSHIP AND RESIDENCY WHEN EVALUATING A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE AS PART OF ITS FINANCIAL ASSISTANCE POLICY. FOR MASSACHUSETTS RESIDENTS, THE APPLICABLE INFORMATION IS SUBMITTED TO THE STATE AS PART OF THE APPLICATION PROCESS FOR PUBLIC PROGRAM ASSISTANCE TO DETERMINE COVERAGE FOR SERVICES PROVIDED TO THE INDIVIDUAL.MASSACHUSETTS RESIDENTS ARE INFORMED, ENCOURAGED AND ASSISTED IN APPLYING FOR STATE SPONSORED HEALTH INSURANCE PLANS THAT MAY RESULT IN FULL COVERAGE PROSPECTIVELY AND IN THE CASE OF MASSHEALTH, RETROACTIVELY. ONCE THE PATIENT HAS BEEN INSURED, FINANCIAL COUNSELORS EVALUATE INDIVIDUAL SITUATIONS FOR POSSIBLE APPLICATION FOR HARDSHIP THROUGH THE HEALTH SAFETY NET. IF APPROVED, HARDSHIP APPLICATIONS MAY COVER SERVICES THAT DATE BACK ONE YEAR FROM THE DATE OF APPLICATION.IF OR WHEN ANY OF THE AFOREMENTIONED MECHANISMS FAIL OR DO NOT OFFER ADEQUATE RELIEF TO THE PATIENT GIVEN HIS/HER INDIVIDUAL NEEDS, THE FINANCIAL ASSISTANCE APPLICATION (FAP) APPLICATION MAY BE COMPLETED; AND IF APPROVED, MAY ALSO OFFER FREE OR DISCOUNTED CARE BASED ON THE INDIVIDUAL'S HOUSEHOLD INCOME, AS DETERMINED BY FEDERAL POVERTY GUIDELINES (FPL); ASSETS, FAMILY SIZE, EXPENSES, MEDICAL NEEDS, AMOUNT OF MEDICAL DEBT, CURRENT INSURANCE COVERAGE, CITIZENSHIP AND MA RESIDENCY. WHEN A FAP DETERMINATION DOES NOT COVER THE FULL AMOUNT OF THE OUTSTANDING BILLS, THE PATIENT WILL BE CONTACTED TO MAKE SUITABLE PAYMENT ARRANGEMENTS.
PART I, LINE 7:CHARITY CARE COSTS FROM WORKSHEETS 1 & 2 AND UNREIMBURSED MEDICAID FROM WORKSHEET 3 AND HEALTH PROFESSIONS EDUCATION FROM WORKSHEET 5 WERE APPLIED TO ALL PATIENT SEGMENTS. (COST TO CHARGE RATIO).
PART I, QUESTION 6A:IN ADDITION TO THE FORM 990 SCHEDULE H, MELROSEWAKEFIELD HEALTHCARE ISSUED AN FY 2018 COMMUNITY BENEFITS REPORT TO THE COMMONWEALTH OF MASSACHUSETTS, IN COMPLIANCE WITH THE REQUIREMENTS OF THE MA ATTORNEY GENERAL (THE "MA AGO") FOR REPORTING COMMUNITY BENEFITS. THE COMMUNITY BENEFITS PROCESS AND ACTIVITIES, IS ALSO AVAILABLE ONLINE, WITH THE CHNA AND THE 2017-2019 COMMUNITY BENEFITS IMPLEMENTATION PLAN (CHIP) WHICH ARE ALSO AVAILABLE IN PRINT VERSIONS AT EACH HOSPITAL CAMPUS AND AT OTHER COMMUNITY SITES IN THE SERVICE AREA.MELROSEWAKEFIELD HEALTHCARE, INC. PROMOTES COMMUNITY BENEFITS PROGRAMS THROUGH NEWS RELEASES, CALENDAR POSTINGS, FACEBOOK AND TWITTER MESSAGING, BULLETINS FOR LOCAL HOUSE OF WORSHIP AND SERVICE ORGANIZATIONS, AND LOCAL CABLE ACCESS TELEVISION STATIONS. FLYERS AND POSTCARDS ARE ALSO DISSEMINATED WIDELY IN THE COMMUNITY TO NOTIFY RESIDENTS OF UPCOMING COMMUNITY BENEFITS PROGRAMS AND SERVICES. THE ANNUAL COMMUNITY BENEFITS REPORT IS DISTRIBUTED TO THE MELROSEWAKEFIELD HEALTHCARE, INC. BOARD OF TRUSTEES, LEADERS, LOCAL LEGISLATORS AND COMMUNITY PARTNERS. THE REPORT IS ALSO POSTED ON THE MELROSEWAKEFIELD HEALTHCARE WEBSITE FOR THE GENERAL PUBLIC TO VIEW AND COMMENT.
PART II, COMMUNITY BUILDING ACTIVITIES:AS PART OF ITS EFFORTS TO IMPROVE THE HEALTH STATUS OF ITS CORE COMMUNITIES, MELROSEWAKEFIELD HEALTHCARE, INC. PARTICIPATES IN A VARIETY OF BROAD-BASED COMMUNITY COALITIONS AND INITIATIVES THAT WORK TOWARDS ADDRESSING THE SPECIFIC AND GENERAL HEALTH NEEDS IN THESE CITIES AND TOWNS. A SAMPLE OF CURRENT ACTIVITIES INCLUDE: THE JOINT COMMITTEE FOR CHILDREN'S HEALTHCARE IN EVERETT; THE MALDEN'S PROMISE COALITION; MEDFORD HEALTH MATTERS; LOCAL COUNCILS ON AGING; THE MELROSE COMMUNITY COALITION; LOCAL SUBSTANCE ABUSE PREVENTION COALITIONS IN MALDEN, MELROSE, MEDFORD, READING, STONEHAM, AND WAKEFIELD; AS WELL AS THE REGIONAL MASSACHUSETTS OPIOID ABUSE PREVENTION COLLABORATE (MOAPC) AND SUBSTANCE ABUSE PREVENTION COLLABORATIVE (SAPC), BOTH PROGRAMS OF THE MYSTIC VALLEY PUBLIC HEALTH COALITION. MELROSEWAKEFIELD HEALTHCARE, INC. ALSO PARTNERS WITH THE NORTH SUBURBAN CHILD AND FAMILY RESOURCE NETWORK, SERVING LYNNFIELD, MELROSE, NORTH READING, READING, STONEHAM, WAKEFIELD, AND WINCHESTER; AND THE MALDEN, EVERETT, AND MEDFORD COORDINATED FAMILY AND COMMUNITY ENGAGEMENT (CFCE) GRANT PROGRAMS FUNDED BY THE MA DEPARTMENT OF EARLY EDUCATION AND CARE; THE TRI-CITY HUNGER NETWORK AND A HOST OF OTHER COMMUNITY-BASED AND GUIDED COALITIONS AND INITIATIVES. A SPECIFIC EXAMPLE OF THIS COMMUNITY BUILDING INCLUDES MELROSEWAKEFIELD HEALTHCARE, INC.'S REPRESENTATION ON THE MELROSE ALLIANCE AGAINST VIOLENCE (MAAV). MAAV IS A NON-PROFIT, COMMUNITY-BASED ORGANIZATION THAT FOCUSES ON OUTREACH, EDUCATION AND COMMUNITY COLLABORATION IN ORDER TO RAISE AWARENESS OF THE PROBLEMS OF DOMESTIC AND SEXUAL ASSAULT VIOLENCE IN MELROSE. WORKING CLOSELY WITH THE MELROSE POLICE DEPARTMENT, THE BOARD OF DIRECTORS OF MAAV INCLUDES A REPRESENTATIVE FROM MELROSEWAKEFIELD HEALTHCARE, INC., AS WELL AS MEMBERS FROM THE MELROSE SCHOOLS, CLERGY, HEALTH DEPARTMENT, AS WELL AS STUDENTS AND COMMUNITY MEMBERS AT LARGE.IN ADDITION, MELROSEWAKEFIELD HEALTHCARE, INC. HAS CONTINUED TO CONVENE A NUMBER OF COMMUNITY OUTREACH TEAMS TO ASSIST WITH THE COLLECTION OF COMMUNITY HEALTH NEED INFORMATION TO OPTIMIZE THE BENEFITS OF COMMUNITY HEALTH EDUCATION AND SCREENINGS. THE TEAMS HAVE SPONSORED EVENTS RANGING FROM INFORMAL (PLANNING HEALTH EVENTS AND SCREENINGS) TO MORE FORMAL PARTICIPATION ON (HEALTHY MELROSE, STONEHAM SUMMER SAFETY DAY, AND THE MOBILE FOOD MARKET IN MALDEN), OFFERING MULTIPLE OPPORTUNITIES TO INTERACT WITH A WIDE RANGE OF COMMUNITY MEMBERS TO FORM TRUSTING RELATIONSHIPS, LISTENING TO THE VOICES OF INDIVIDUAL COMMUNITY MEMBERS, AND FOSTERING THE DEVELOPMENT OF RESILIENCE WITHIN EACH COMMUNITY. AS MELROSEWAKEFIELD HEALTHCARE, INC. BEGINS THE LAST YEAR OF ITS IMPLEMENTATION PLAN FOR 2017-2019, IT CONTINUES TO UTILIZE THE COLLECTIVE KNOWLEDGE OF THE TEAM CAPTAINS. THE TEAM ORGANIZING CHARTER GUIDES THE MEMBERSHIP TOWARD SALIENT ACTIVITIES. RELEVANT HEALTH DATA AND THE IDENTIFIED TARGET POPULATION LISTS ARE PROVIDED TO EACH TEAM CAPTAIN TO ASSIST THEM IN PLANNING PROGRAMS IN THEIR COMMUNITIES. CURRENTLY, THERE ARE SIX (6) COMMUNITY OUTREACH TEAMS NAMED FOR MALDEN/EVERETT, MEDFORD, MELROSE, WAKEFIELD, READING/NORTH READING AND STONEHAM. SAUGUS DID NOT HAVE A TEAM IN 2018, BUT WAS SERVED BY THE MWHC COMMUNITY SERVICE DEPARTMENT. THE TEAMS CONTINUOUSLY SOLICIT INPUT FROM COMMUNITY LEADERS INCLUDING SUPERINTENDENTS OF SCHOOLS, STATE REPRESENTATIVES, BUSINESS LEADERS, FIRE AND POLICE OFFICIALS AND LOCAL HEALTH DEPARTMENTS. MANY EMPLOYEES SERVING ON TEAMS ALSO PARTICIPATE IN OTHER COMMUNITY GROUPS AND CIVIC ORGANIZATIONS. MORE THAN 40 EMPLOYEES, VOLUNTEERS, AND PHYSICIANS WERE INVOLVED IN TEAM-SPONSORED EVENTS IN FISCAL YEAR 2018/TAX YEAR 2017 (FY 2018/TY 2017).THE COMMUNITY TEAM EFFORTS HAVE BEEN ACKNOWLEDGED BY FOUR AREA CHAMBERS OF COMMERCE, OTHER CIVIC ORGANIZATIONS, THE AMERICAN HOSPITAL ASSOCIATION, AND THE MASSACHUSETTS HOSPITAL ASSOCIATION.
PART III, LINE 2:MELROSEWAKEFIELD HEALTHCARE, INC. DEVELOPED A COST TO CHARGE RATIO AND APPLIED IT TO THE BAD DEBT ACCOUNT CHARGES THAT WERE ACTUALLY WRITTEN OFF.
PART III, LINE 4:THE FOLLOWING IS FROM THE WELLFORCE, INC. AND CONSOLIDATED AFFILIATES (THE SYSTEM) AUDITED FINANCIAL STATEMENTS, OF WHICH MELROSEWAKEFIELD HEALTHCARE, INC. IS INCLUDED, RELATING TO CHARITY CARE AND BAD DEBT EXPENSE:2018 CHARITY CARE AND COMMUNITY BENEFIT FOOTNOTECHARITY CARE - THE SYSTEM'S COMMITMENT TO COMMUNITY SERVICE IS EVIDENCED BY SERVICES PROVIDED TO THE POOR AND BENEFITS PROVIDED TO THE PATIENTS THAT IT SERVES. THE SYSTEM PROVIDES HEALTH CARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. THESE PATIENTS MAY RECEIVE FULL ASSISTANCE OR MAY BE SUBJECT TO PARTIAL LIABILITY BASED ON INCOME AND FAMILY SIZE. BECAUSE THE SYSTEM DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE.MELROSEWAKEFIELD HEALTHCARE, INC. PROVIDED CHARITY CARE, BASED ON CHARGES FORGONE AND THE ESTIMATED COST OF THE CHARITY CARE PROVIDED AMOUNTED TO $621K AND $262K, FOR THE YEAR ENDED SEPTEMBER 30, 2018, AND $1,392K AND $605K, FOR THE YEAR ENDED SEPTEMBER 30, 2017, RESPECTIVELY. THE ESTIMATED COST OF CHARITY CARE IS BASED ON THE RELATIONSHIP OF PATIENT CARE SERVICE CHARGES TO THE RELATED COSTS APPLIED TO CHARITY CARE CHARGES RECOGNIZED DURING THE YEAR ENDED SEPTEMBER 30, 2018 AND SEPTEMBER 30, 2017. PROVISION FOR UNCOLLECTIBLE ACCOUNTS - THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS REFLECTS THE CHARGES AT ESTABLISHED RATES FOR SERVICES PROVIDED TO THOSE INDIVIDUALS WHO DO NOT QUALIFY FOR CHARITY CARE UNDER THE GUIDELINES DESCRIBED ABOVE, BUT WHO ARE OTHERWISE UNABLE OR UNWILLING TO PAY THE SYSTEM. THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS OF APPROXIMATELY $9,368K AND $9,570K, RESPECTIVELY, FOR THE YEAR ENDED SEPTEMBER 30, 2018, AND SEPTEMBER 30, 2017 REPRESENTS CHARGES FOR SERVICES PROVIDED THAT ARE DEEMED TO BE UNCOLLECTIBLE. THE ESTIMATED COST OF PROVIDING THESE SERVICES WAS APPROXIMATELY $3,948K AND $4,164K, RESPECTIVELY, FOR THE YEAR ENDED SEPTEMBER 30, 2018, AND SEPTEMBER 30, 2017. SUCH COSTS HAVE BEEN ESTIMATED BASED ON RATIOS OF EXPENSES TO ESTABLISHED PATIENT SERVICE CHARGES.ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND HISTORIC PAYMENT TRENDS AND RECORDS ESTIMATED CONTRACTUAL ALLOWANCES. THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILLS FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.MELROSEWAKEFIELD HEALTHCARE, INC.'S ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR ALL PATIENTS INCREASED FROM 26% OF ACCOUNTS RECEIVABLE AS OF SEPTEMBER 30, 2017 TO 30% OF ACCOUNTS RECEIVABLE AS OF SEPTEMBER 30, 2018. IN ADDITION, THE MWHC'S WRITE-OFFS, NET OF RECOVERIES, WERE $7,511K AND $6,900K, RESPECTIVELY, FOR THE YEAR ENDED SEPTEMBER 30, 2018, AND SEPTEMBER 30, 2017. THE CHANGES WERE A RESULT OF MANAGEMENT'S REVIEW OF HISTORICAL TRENDS IN UNCOLLECTIBLE ACCOUNTS AND DETERMINATION OF RESERVES, INCLUDING THE IMPACT OF THE PROVISIONS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT.THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING 2018. THE SYSTEM DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FROM THIRD-PARTY PAYORS, NOR DID IT HAVE SIGNIFICANT BAD DEBT WRITE-OFFS FROM THIRD-PARTY PAYORS.HEALTH SAFETY NET (HSN) - THE COMMONWEALTH OF MASSACHUSETTS (THE "COMMONWEALTH") OPERATES THE HSN, WHICH WAS CREATED BY THE COMMONWEALTH'S HEALTH CARE REFORM ACT TO REPLACE THE STATE'S UNCOMPENSATED CARE POOL. THE HSN ALLOCATES THE COST OF UNCOMPENSATED CARE AMONG THE HOSPITALS IN THE COMMONWEALTH. HOSPITALS HAVE BEEN ASSESSED A UNIFORM ALLOWANCE BASED ON ESTIMATES OF THE STATEWIDE COST OF UNCOMPENSATED CARE AND REIMBURSED FOR A PORTION OF THE COST OF UNCOMPENSATED CARE, SUBJECT TO CERTAIN LIMITATIONS. REIMBURSABLE UNCOMPENSATED CARE INCLUDES NET CHARITY CARE AND CERTAIN UNCOLLECTIBLE ACCOUNTS RELATED TO EMERGENCY SERVICES. HOSPITALS' RECOVERIES FROM THE HSN ARE BASED ON A CLAIMS-BASED PAYMENT METHOD THAT USES MEDICARE PRINCIPLES. REIMBURSEMENT FROM THE HSN FOR UNCOMPENSATED CARE IS RECORDED IN NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENT OF OPERATIONS. THE COMMONWEALTH HAS DETERMINED FINAL SETTLEMENTS WITH RESPECT TO THE HSN FOR ALL YEARS PRIOR TO 2014.COMMUNITY BENEFIT - IN FURTHERING ITS CHARITABLE PURPOSE, THE SYSTEM PROVIDES A WIDE VARIETY OF HEALTH CARE SERVICES TO THE COMMUNITY IN ORDER TO PROVIDE ACCESS TO APPROPRIATE CARE FOR POPULATIONS IN NEED. THE SYSTEM HAS DEVELOPED A FORMAL COMMUNITY BENEFIT PLAN THAT RESPONDS TO THE COMPREHENSIVE ASSESSMENT OF HEALTH CARE NEEDS IN THE COMMUNITY. THE COMMUNITY BENEFIT PLAN SUPPORTS SERVICES THAT TARGET NOT ONLY THE GENERAL POPULATION IN THE SYSTEM'S SERVICE AREA, BUT ALSO PARTICULAR POPULATIONS WITH SPECIAL HEALTH CARE NEEDS, INCLUDING THE POOR, ELDERLY, CHILDREN, AND MINORITY POPULATIONS. SUPPORTED SERVICES INCLUDE VARIOUS CLINICS, HEALTH SCREENING PROGRAMS, HEALTH EDUCATION PROGRAMS, AND SUPPORT GROUPS OPERATED IN THE SYSTEM'S SERVICE AREA. THE SYSTEM WORKS ACTIVELY WITH OTHER AREA SERVICE PROVIDERS TO FACILITATE THE DEVELOPMENT OF AN EFFECTIVE COMMUNITY HEALTH NETWORK. THE SYSTEM ALSO PARTICIPATES IN ACTIVITIES DESIGNED TO FOSTER AND ENHANCE THE ECONOMIC AND CIVIC ENVIRONMENT OF ITS SERVICE AREAS.TOTAL MELROSEWAKEFIELD HEALTHCARE, INC. UNCOMPENSATED CARE FOR THE YEARS ENDED SEPTEMBER 30, 2018 AND 2017, WAS AS FOLLOWS: PROVISION FOR CHARITY CARE (AT COST)$262,000 (2018) ; $616,091 (2017)PROVISIONS FOR BAD DEBTS (AT COST)$3,948,000 (2018) ; $4,003,662 (2017)HSN (ASSESSMENTS NET OF REIMBURSEMENT)$1,365,000 (2018) ; $1,958,499 (2017)TOTAL UNCOMPENSATED CARE$5,575,000 (2018) ; $6,578,252 (2017)
PART III, LINE 8:THE MEDICARE ALLOWABLE COSTS ON LINE 6 WAS DETERMINED BY USING INFORMATION FROM THE MEDICARE COST REPORT. IT IS MELROSEWAKEFIELD HEALTHCARE, INC.'S POLICY TO EXCLUDE ANY MEDICARE SHORTFALL FROM THE COMMUNITY BENEFIT INFORMATION.
PART III, LINE 9B:POLICY - IT IS MELROSEWAKEFIELD HEALTHCARE, INC.'S POLICY TO EXEMPT CERTAIN INDIVIDUALS AND PATIENT POPULATIONS WHO ARE ENROLLED IN MASSHEALTH, CERTAIN OTHER GOVERNMENT BENEFIT PROGRAMS AND FINANCIAL ASSISTANCE PROGRAMS FROM ANY COLLECTION OR BILLING PROCEDURES, SUBJECT TO ALLOWABLE EXCEPTIONS, PURSUANT TO MASSACHUSETTS STATE REGULATIONS AND POLICIES.
PART VI, LINE 2:MELROSEWAKEFIELD HEALTHCARE, INC. IS A NOT-FOR-PROFIT HOSPITAL THAT OPERATES TO FURTHER THE IMPROVEMENT OF THE HEALTH STATUS OF THE COMMUNITIES THAT WE SERVE THROUGH THE DELIVERY OF HEALTHCARE SERVICES AND EDUCATION. THIS EFFORT IS ACHIEVED BY:-RE-INVESTING SURPLUS FUNDS BACK INTO COMMUNITIES THROUGH PROGRAMS AND SERVICES.-MAKING SURE THAT CARE IS AVAILABLE TO EVERYONE REGARDLESS OF THE ABILITY TO PAY.-USING COMPASSION AS A CORNERSTONE IN IMPROVING THE HEALTH OF OUR COMMUNITIES.-ATTENDING TO THE NEEDS OF PATIENTS AND THEIR FAMILY MEMBERS BY ADDRESSING THE NEEDS OF THE WHOLE PERSON NOT JUST AS A DISEASE OR A DIAGNOSIS.-PROVIDING A RANGE OF SPECIAL BENEFITS TO THE COMMUNITY, SUCH AS PROGRAMS TO MANAGE CARE FOR PERSONS WITH CHRONIC DISEASES, HEALTH EDUCATION AND DISEASE PREVENTION INITIATIVES, OUTREACH FOR THE ELDERLY, AND CARE FOR PERSONS WHO ARE POOR OR UNINSURED.IN COMPLIANCE WITH IRS GUIDELINES, AN 18 MONTH-LONG PROCESS TO DEVELOP A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED BY HALLMARK HEALTH IN AUGUST 2016, IN COLLABORATION WITH THE INSTITUTE FOR COMMUNITY HEALTH (ICH), A NON-PROFIT ORGANIZATION RECOGNIZED FOR COMMUNITY-BASED PARTICIPATORY RESEARCH, ASSESSMENT, AND DISSEMINATION. THIS PROCESS INCLUDED A REVIEW OF REPUTABLE PUBLIC HEALTH, SOCIO-ECONOMIC, AND FOUNDATION DATA; INPUT FROM THE MELROSEWAKEFIELD HEALTHCARE COMMUNITY BENEFITS ADVISORY COUNCIL, COMMUNITY OUTREACH TEAMS, PATIENT/FAMILY ADVISORY COUNCIL, LOCAL COMMUNITY COALITIONS, COMMUNITY RESIDENTS, AND THE COMMUNITY HEALTH NETWORK AREAS MEMBERSHIP. STAKEHOLDER INTERVIEWS AND COMMUNITY FORUMS WERE ALSO COMPLETED. REFLECTING IRS REQUIREMENTS, AND TO FOSTER TRANSPARENCY, THE ENTIRE CHNA AND PRIOR CHNA AS WELL AS AN EXECUTIVE SUMMARY OF THE FINDINGS ARE POSTED ON THE MWHC WEBSITE AND IN PRINTED VERSIONS AT EACH HOSPITAL CAMPUS AND OTHER KEY EASILY ACCESSIBLE LOCATIONS IN THE CATCHMENT AREA. THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR 2017-2019 IS ALSO POSTED ON MWHC'S WEBSITE. FROM THE FOURTH QUARTER OF FISCAL 2017 AND INTO THE FIRST QUARTER OF FISCAL 2018, IT BECAME APPARENT THAT DUE TO SIGNIFICANT FINANCIAL CHALLENGES FACING THE ORGANIZATION, THE COMMUNITY BENEFITS EXPECTED TO BE DELIVERED TO THE COMMUNITY WOULD NEED TO BE REDUCED. IN FISCAL 2018, THE CHIP WAS AMENDED TO REFLECT THE CHANGES. THE CHANGES ARE POSTED ON THE HEALTH SYSTEMS' WEBSITE.ONGOING MONITORING OF THE CHNA AND ITS IDENTIFIED HEALTH PRIORITIES IS THE RESPONSIBILITY OF THE COMMUNITY BENEFITS ADVISORY COUNCIL (CBAC). AS OF THE END OF FY 2018/TY 2017, THE MWHC COUNCIL INCLUDED: A TRUSTEE OF MELROSEWAKEFIELD HEALTHCARE; SYSTEM VICE PRESIDENT OF HOME CARE & COMMUNITY PROGRAMS; EXECUTIVE VICE PRESIDENT & CHIEF LEGAL OFFICER; CHIEF MARKETING OFFICER; TWO MWHC EMPLOYED PHYSICIANS; FISCAL CONTROLLER; EXECUTIVE DIRECTOR OF THE CANCER CENTER; DIRECTOR OF CLINICAL SERVICES; DIRECTOR, COMMUNITY SERVICES; MANAGER, CASE MANAGEMENT; MANAGER, CENTRAL SCHEDULING, INSURANCE COORDINATION, AND INTERPRETER SERVICES; MANAGER, COMMUNITY BENEFITS AND OPERATIONS; AND 12 COMMUNITY REPRESENTATIVES. THE CBAC PROVIDES OVERSIGHT FOR THE CHNA, AND DEFINES THE PROCESS FOR RECOGNIZING CURRENT AND EMERGING HEALTH NEEDS IN THE COMMUNITY, AS WELL AS DEVELOPING A MULTI-YEAR COMMUNITY HEALTH IMPLEMENTATION/IMPROVEMENT PLAN (CHIP) TO RESPOND TO THESE NEEDS. THE CBAC MEETS SIX TIMES PER YEAR TO ENSURE COMPLIANCE WITH THE CHIP, REVIEW PROGRAM OUTCOMES, DISCUSS IMPORTANT COMMUNITY HEALTH ISSUES, AND OFFER RECOMMENDATIONS TO THE BOARD OF TRUSTEES RELATED TO COMMUNITY HEALTH NEEDS AND DISPARITIES. THE COUNCIL IS ALSO AVAILABLE ON-LINE TO ADDRESS ANY ISSUES THAT MIGHT ARISE BETWEEN SCHEDULED MEETING TIMES. THE CBAC APPROVES ANY AND ALL AMENDMENTS TO THE CHIP RESULTING FROM EMERGING HEALTH ISSUES OR UNPLANNED CHANGES IN CAPACITY. IT ALSO ENGAGES NEW MEMBERS FROM THE COMMUNITIES SERVED TO JOIN THE GROUP, PRIORITIZING CANDIDATES WHO CAN ASSIST THE CBAC AND MWHC TO BETTER UNDERSTAND COMMUNITY HEALTH NEEDS AND BARRIERS TO ACCESS. IN FY 2018, THE MELROSEWAKEFIELD COMMUNITY BENEFITS ADVISORY COUNCIL ADDED SEVEN NEW MEMBERS TO MEET CURRENT ENGAGEMENT STANDARDS SET BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH AND ATTORNEY GENERAL'S OFFICE. THE COUNCIL IS COMPRISED OF 25 MEMBERS. THE COUNCIL REPORTS TO THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES AND THE FULL BOARD IS RESPONSIBLE FOR FINAL APPROVAL ON THE CHNA, CHIP, AND OTHER MATTERS OF IMPORTANCE SUCH AS REVIEWING COUNCIL RECOMMENDATIONS FOR SIGNIFICANT AMENDMENTS TO THE COMMUNITY HEALTH IMPLEMENTATION/IMPROVEMENT PLAN.MELROSEWAKEFIELD HEALTHCARE, INC. ALSO ACTIVELY PARTICIPATES WITH THE COMMUNITY THROUGH ITS COMMUNITY OUTREACH TEAMS, SOLICITING INPUT FROM KEY COMMUNITY LEADERS, INCLUDING SUPERINTENDENTS OF SCHOOLS, STATE REPRESENTATIVES, BUSINESS LEADERS, FIRE AND POLICE PERSONNEL AND LOCAL HEALTH DEPARTMENTS. ADDITIONAL APPROACHES INCLUDE WORK AS MEMBERS OF COMMUNITY COALITIONS AND WITH THE COMMUNITY HEALTH NETWORK AREAS (CHNA 15 AND 16) DESIGNATED BY THE MA DEPARTMENT OF PUBLIC HEALTH. THESE STRATEGIES HAVE PROVEN EFFECTIVE IN GAINING VITAL PERSPECTIVE AROUND THE HEALTH NEEDS OF LOCAL RESIDENTS, AND IN TAILORING OUTREACH MESSAGES AND PROGRAMMING BASED ON WHAT CONSTITUENCIES AND COMMUNITIES VALUE MOST.(COMMUNITY TEAMS FUNCTIONS ARE FURTHER EXPLAINED IN THE DESCRIPTION OF COMMUNITY ACTIVITIES IN PART II.)ANOTHER WAY THAT MELROSEWAKEFIELD HEALTHCARE, INC. ASSESSED NEEDS WITHIN THE COMMUNITY IS THROUGH THE PATIENT/FAMILY ADVISORY COUNCIL (PFAC). THIS COUNCIL WAS FORMED TO OBTAIN FEEDBACK AND IDEAS FROM COMMUNITY MEMBERS ON HOW THE HOSPITALS CAN BE MORE RECEPTIVE TO THE UNIQUE NEEDS OF COMMUNITY RESIDENTS, ESPECIALLY THOSE OF DIVERSE BACKGROUNDS, AND TO PROMOTE THE HIGHEST QUALITY OF PATIENT-CENTERED SERVICES BY FOSTERING A STRONG PARTNERSHIP THROUGH OUTREACH ACTIVITIES WITH COMMUNITY RESIDENTS. THE COUNCIL OFTEN ASSISTS MELROSEWAKEFIELD HEALTHCARE, INC. STAFF BY PROVIDING INPUT INTO THE PLANNING OF FUTURE COMMUNITY ACTIVITIES AND INITIATIVES.AS PART OF ITS EFFORTS TO IMPROVE HEALTH STATUS IN THE CATCHMENT AREA, MELROSEWAKEFIELD HEALTHCARE, INC. ALSO PARTICIPATED IN A VARIETY OF BROAD-BASED COMMUNITY COALITIONS AND INITIATIVES THAT WORK TOWARDS ADDRESSING THE SPECIFIC AND GENERAL HEALTH NEEDS IN THESE CITIES AND TOWNS. A SAMPLE OF THESE MEMBERSHIPS INCLUDE: LOCAL COUNCILS ON AGING; THE MIDDLESEX COUNTY DISTRICT ATTORNEY'S OPIOID TASK FORCE, THE CARE COLLABORATIVE TO SUPPORT PROVIDERS TREATING PREGNANT AND POSTNATAL WOMEN WITH SUBSTANCE USE DISORDERS AND THEIR INFANTS; THE SAFE BABY/SAFE KIDS TASK FORCE THROUGH THE MIDDLESEX COUNTY DISTRICT ATTORNEY'S OFFICE; MEDFORD HEALTH MATTERS; TRI-CITY HUNGER NETWORK; THE CHINESE CULTURE CONNECTION; SUBSTANCE ABUSE PREVENTION COALITIONS IN MALDEN, MELROSE, MEDFORD, WAKEFIELD, AND STONEHAM; THE MALDEN'S PROMISE COALITION, MA DEPARTMENT OF PUBLIC HEALTH IN MASS IN MOTION PROGRAMS IN MELROSE-WAKEFIELD, MALDEN, AND EVERETT; AND THE MELROSE, STONEHAM, AND WAKEFIELD ALLIANCES AGAINST VIOLENCE. ONE CENTRAL FOCUS OF MELROSEWAKEFIELD HEALTHCARE, INC.'S COMMUNITY BENEFITS GROUPS AND LOCAL LEADERS, INCLUDES ENHANCING RELATIONSHIPS WITH FAITH-BASED AND GRASSROOTS ORGANIZATIONS. SUCH RELATIONSHIPS PROVIDE INSIGHT INTO HOW THESE GROUPS VIEW MELROSEWAKEFIELD HEALTHCARE, INC.'S ROLE IN THEIR COMMUNITY, HOW OUR SYSTEM CAN IMPROVE THE WAYS WE SERVE DIVERSE RESIDENTS, AND HOW THE SYSTEM SHOULD STRENGTHEN COLLABORATION TO BEST MEET DIVERGENT HEALTH NEEDS.
PART VI, LINE 3:MASSACHUSETTS HOSPITALS AND MELROSEWAKEFIELD HEALTHCARE, INC. PROVIDE PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS THROUGH THE COMMONWEALTH OF MASSACHUSETTS OR THROUGH THE HOSPITAL'S OWN FINANCIAL ASSISTANCE PROGRAM AS OUTLINED IN THE FINANCIAL ASSISTANCE POLICY AND THE CREDIT AND COLLECTION POLICY OF MELROSEWAKEFIELD HEALTHCARE, INC. AND AT THE MELROSEWAKEFIELD HEALTHCARE, INC. WEBSITE HTTP://WWW.MELROSEWAKEFIELD.ORG. FOR THOSE PATIENTS THAT REQUEST SUCH ASSISTANCE, MELROSEWAKEFIELD HEALTHCARE, INC.'S CERTIFIED FINANCIAL COUNSELORS ASSIST PATIENTS BY SCREENING THEM FOR ELIGIBILITY IN AVAILABLE PUBLIC ASSISTANCE PROGRAMS OR THE MELROSEWAKEFIELD HEALTHCARE, INC.'S FINANCIAL ASSISTANCE PROGRAM. IN FY 2018 MWHC FINANCIAL COUNSELORS HAD A COMBINED TOTAL OF 9,584 ENCOUNTERS WITH COMMUNITY MEMBERS AND COMPLETED A COMBINED TOTAL OF 1,789 APPLICATIONS FOR INDIVIDUALS IN THE STATE HEALTH PROGRAMS SUCH AS MASSHEALTH AND HEALTH CONNECTOR PLANS. THE MASSHEALTH APPLICATIONS WERE DETERMINED TO BE ELIGIBLE FOR A VARIETY OF CATEGORIES SUCH AS: STANDARD, CAREPLUS, COMMONHEALTH, FAMILY ASSISTANCE, LIMITED, CHILDREN'S MEDICAL SECURITY PLAN, PREMIUM ASSISTANCE, BUY-IN, AND HEALTH SAFETY NET. ADDITIONALLY, LONG TERM CARE AS WELL AS HARDSHIP APPLICATIONS WERE COMPLETED. IN THE HEALTH CONNECTOR PLANS, WHICH ARE MAINLY DETERMINED BASED ON THE HOUSEHOLD INCOME, THE APPLICATIONS RESULTED IN APPROVALS FOR CONNECTOR CARE PLANS (1, 2A, 2B, 3A AND 3B) AS WELL AS UNSUBSIDIZED HEALTH CONNECTOR PLANS DIFFERENTIATED BY METALLIC TIERS (BRONZE, SILVER, GOLD AND PLATINUM). ADDITIONAL INTERACTIONS, WHICH ARE NOT QUANTIFIED ABOVE, INCLUDED APPLICATIONS FOR MEDICARE PART D AND EXTRA HELP. OTHER FORMS OF COUNSELING INCLUDED EDUCATION FOR RISING MEDICARE ELIGIBLE COMMUNITY MEMBERS TO HELP THEM UNDERSTAND THEIR RIGHTS AND BENEFITS AND TO MEET DEADLINES THAT WOULD OTHERWISE LEAVE THEM UNINSURED AT CRITICAL TIMES. COUNSELORS ALSO PLAYED A VITAL ROLE IN HELPING PATIENTS UNDERSTAND AND DIFFERENTIATE BETWEEN TRADITIONAL MEDICARE AND ADVANTAGE PLANS. CONSEQUENTLY, COUNSELORS ALSO DABBLED IN MEDICARE SUPPLEMENTAL INSURANCES FOR THOSE UNWILLING TO APPLY OR UNABLE TO QUALIFY FOR MASSHEALTH BENEFITS.SERVICES PROVIDED BY FINANCIAL COUNSELORS INCLUDED CONTACTING DOCTORS TO COMPLETE FORMS THAT WERE NEEDED TO PROVIDE EMERGENCY MEDICATION OR FREE MEDICINE FROM MANUFACTURERS, ADVOCATING WITH INSURANCE COMPANIES ON THEIR BEHALF, HELPING THEM SETTLE BILLS OR SETTING UP PAYMENT PLANS, CONTACTING OTHER PROVIDERS AND ADVOCATING FOR A REDUCTION OR WRITE OFF OF CHARGES, HELPING THEM SORT THROUGH REAMS OF DOCUMENTS TO HELP THEM PROVIDE REQUIRED DOCUMENTATION FOR INSURANCE OR UTILITY DISCOUNTS.MELROSEWAKEFIELD HEALTHCARE, INC. HAS NO ROLE IN SPECIFICALLY DETERMINING THE ELIGIBILITY FOR ENROLLMENT IN A PUBLIC ASSISTANCE PROGRAM, BUT AT THE PATIENT'S REQUEST MAY TAKE A DIRECT ROLE IN APPEALING OR SEEKING INFORMATION RELATED TO THE COVERAGE DECISION.MELROSEWAKEFIELD HEALTHCARE, INC. PROVIDES ALL INDIVIDUALS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PUBLIC ASSISTANCE AND FINANCIAL ASSISTANCE PROGRAMS DURING A PATIENT'S INITIAL IN-PERSON PRE-REGISTRATION AT A HOSPITAL LOCATION FOR NON-EMERGENCY SERVICES, BY PHONE CALL OR IN-PERSON INTERVIEWS ONCE A PATIENT IS ADMITTED TO THE HOSPITAL FROM THE EMERGENCY ROOM OR DISCHARGED FROM THE EMERGENCY ROOM, IN ALL BILLING INVOICES THAT ARE SENT TO A PATIENT OR GUARANTOR, AND WHEN THE PROVIDER IS NOTIFIED OR THROUGH ITS OWN DILIGENCE BECOMES AWARE OF A CHANGE IN THE PATIENT'S ELIGIBILITY STATUS FOR PUBLIC OR PRIVATE INSURANCE COVERAGE.IN ADDITION, MELROSEWAKEFIELD HEALTHCARE, INC. ALSO POSTS GENERAL NOTICES AND BUSINESS CARDS OF CERTIFIED FINANCIAL COUNSELORS AT SERVICE DELIVERY AREAS WHERE THERE IS A REGISTRATION OR CHECK-IN AREA, INCLUDING BUT NOT LIMITED TO, INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENTS, AND IN THE GENERAL BUSINESS OFFICE AREAS THAT ARE CUSTOMARILY USED BY PATIENTS (E.G. ADMISSIONS AND REGISTRATION AREAS OR PATIENT FINANCIAL SERVICE OFFICES THAT ARE ACTIVELY OPEN TO THE PUBLIC). THE GENERAL NOTICE INFORMS THE PATIENT AND/OR VISITOR OF THE AVAILABILITY OF THE VARIOUS PUBLIC ASSISTANCE PAYMENT PROGRAMS AS WELL AS THE LOCATION(S) WITHIN THE HOSPITAL AND PHONE NUMBERS TO CALL TO SCHEDULE AN APPOINTMENT WITH THE CERTIFIED FINANCIAL COUNSELORS. WHEN COMMUNICATING WITH PATIENTS REGARDING FINANCIAL ASSISTANCE, ESPECIALLY DURING SCHEDULED INTERVIEWS, OR ON THE TELEPHONE, MELROSEWAKEFIELD HEALTHCARE, INC. ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT OR HIS/HER FAMILY, IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. ADDITIONALLY, THE FAP IS DISTRIBUTED IN MULTIPLE LANGUAGES AT NON-TRADITIONAL LOCATIONS SUCH AS THE MOBILE FOOD MARKET AND FAMILY NETWORKS IN OUR SERVICE AREA. THE FAP IS AVAILABLE ON THE MELROSEWAKEFIELD HEALTHCARE, INC. WEBSITE WHICH ALSO OFFERS A TRANSLATION FEATURE TO ACCOMMODATE VISITS.WHEN LANGUAGE IS AN ISSUE THAT IMPEDES PROPER UNDERSTANDING OF THE APPLICATION PROCESS FOR HEALTH INSURANCE OR ADDITIONAL FINANCIAL ASSISTANCE, FINANCIAL COUNSELORS USE THE LANGUAGE LINE, A TRANSLATION SERVICE, TO ENSURE THAT THE PATIENT UNDERSTANDS ALL ASPECTS OF THE PROCESS IN HIS/HER NATIVE LANGUAGE. THIS IS OF SPECIAL IMPORTANCE AS APPROVALS FOR SOME CATEGORIES REQUIRE THE PATIENT TO CHOOSE A PLAN OR MAKE A PAYMENT AFTER THE INITIAL ENCOUNTER WITH THE FINANCIAL COUNSELOR.
PART VI, LINE 4:MELROSEWAKEFIELD HEALTHCARE, INC. IS A COMMUNITY HOSPITAL SYSTEM, LOCATED ON TWO HOSPITAL CAMPUSES APPROXIMATELY TEN (10) MILES NORTH OF BOSTON, MASSACHUSETTS. MELROSEWAKEFIELD HEALTHCARE, INC.'S OVERALL SERVICE AREA IS PRIMARILY WITHIN MIDDLESEX COUNTY, WITH SOME SLIGHT OVERLAP INTO ESSEX AND SUFFOLK COUNTIES.THE MELROSEWAKEFIELD HEALTHCARE, INC. COMMUNITY BENEFIT CATCHMENT AREA (AS DEFINED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS) INCLUDES THE SIX CORE COMMUNITIES OF MALDEN, MEDFORD, MELROSE, READING, STONEHAM, AND WAKEFIELD, AND THREE ADDITIONAL COMMUNITIES OF EVERETT, NORTH READING, AND SAUGUS (HEREAFTER REFERRED TO AS "MELROSEWAKEFIELD HEALTHCARE, INC. CB"). THESE COMMUNITIES WERE SELECTED AND APPROVED BY LEADERSHIP BASED ON AN ASSESSMENT OF COMMUNITIES FROM WHICH MELROSEWAKEFIELD HEALTHCARE, INC. DRAWS ITS PATIENT POPULATION, COMMUNITIES WHERE MELROSEWAKEFIELD HEALTHCARE, INC. HAS AN EXISTING PHYSICAL OR PROGRAM PRESENCE, AS WELL AS LONG-STANDING RELATIONSHIPS WITH COMMUNITY STAKEHOLDERS OR ORGANIZATIONS. ADDITIONAL COMMUNITIES ARE SERVED BY THE HOSPITAL'S COMMUNITY-BASED PROGRAMS THAT ARE PROXIMATE TO THE CATCHMENT AREA. FOR EXAMPLE, THE NORTH SUBURBAN WOMEN, INFANTS, AND CHILDREN (WIC) PROGRAM SERVES THE TOWNS OF BURLINGTON, WILMINGTON, WINCHESTER, AND WOBURN IN ADDITION TO EIGHT OTHER CATCHMENT AREA CITIES AND TOWNS, AND THE NORTH SUBURBAN CHILD AND FAMILY RESOURCE NETWORK SERVES LYNNFIELD AND WINCHESTER, IN ADDITION TO SIX OTHER CATCHMENT AREA COMMUNITIES. FOR PURPOSES OF MONITORING LANGUAGE NEEDS AND THE HOSPITAL'S INTERPRETER SERVICES PROGRAM, THE MA DEPARTMENT OF PUBLIC HEALTH DEFINES A 12-COMMUNITY ASSESSMENT AREA FOR REVIEW, CONSISTING OF THE NINE CATCHMENT AREA CITIES AND TOWNS, PLUS THE ADDITION OF THE COMMUNITIES OF REVERE, LYNNFIELD, AND WINTHROP, REFLECTING THEIR RELATIVE UTILIZATION OF EMERGENCY DEPARTMENT AND INPATIENT SERVICES OF THEIR POPULATIONS.THE FOLLOWING STATISTICAL AND DEMOGRAPHIC PROFILE OF THE CATCHMENT AREA IS EXCERPTED FROM THE COMPREHENSIVE MELROSEWAKEFIELD HEALTHCARE, INC. FY 2016 COMMUNITY HEALTH NEEDS ASSESSMENT:POPULATION SIZE AND DENSITYTHE MELROSEWAKEFIELD HEALTHCARE, INC. COMMUNITY BENEFITS (CB) NINE-COMMUNITY CATCHMENT OR SERVICE AREA COVERS 71.7 SQUARE MILES, WITH A TOTAL POPULATION OF 302,797. SIZE AND POPULATION DENSITY VARY BY COMMUNITY, WITH MALDEN AND MEDFORD HAVING THE LARGEST POPULATION AT 60,309 AND 56,981 RESPECTIVELY, AND NORTH READING THE SMALLEST, AT 15,249. MALDEN IS THE MOST DENSELY POPULATED COMMUNITY AT 11,788 PEOPLE PER SQUARE MILE, AND NORTH READING IS THE LEAST DENSELY POPULATED AT 1,103 PEOPLE PER SQUARE MILE.RACE/ETHNICITY & FOREIGN-BORN RESIDENTSCOMPARED TO MASSACHUSETTS AS A WHOLE, THE AREA HAS A SMALLER HISPANIC POPULATION (8 PERCENT, COMPARED TO 10 PERCENT IN MA); A LARGER POPULATION OF ASIANS (9 PERCENT VS. 6 PERCENT) AND SLIGHTLY LARGER POPULATION OF BLACK/AFRICAN-AMERICANS (7 PERCENT VS. 6 PERCENT); A LARGER FOREIGN-BORN POPULATION (23 PERCENT COMPARED TO 15 PERCENT); AND A POPULATION IN WHICH FEWER PEOPLE SPEAK ENGLISH AT HOME (71 PERCENT COMPARED TO 78 PERCENT). MALDEN HAS A SLIGHTLY HIGHER PROPORTION OF THE POPULATION IDENTIFYING AS ASIAN OR BLACK/AFRICAN-AMERICAN AND A SLIGHTLY LOWER POPULATION IDENTIFYING AS HISPANIC COMPARED TO MASSACHUSETTS AS A WHOLE. HOWEVER, BREAKING IT DOWN BY COMMUNITY, MORE VARIATION IS OBSERVED. WAKEFIELD AND STONEHAM BOTH HAVE VERY HIGH PROPORTIONS IDENTIFYING AS WHITE (NON-HISPANIC): 93% AND 92%, RESPECTIVELY, COMPARED TO A STATE WIDE RATE OF 75%. MALDEN HAS THE HIGHEST RATE OF PEOPLE DESCRIBING THEMSELVES AS ASIAN (24%, COMPARED TO A MA RATE OF 6%), AND EVERETT HAS THE HIGHEST RATES OF PEOPLE IDENTIFYING AS HISPANIC (21%, VERSUS THE MA RATE OF 10%) AND BLACK/AFRICAN-AMERICAN (16%, VERSUS A MA RATE OF 6%).THE MELROSEWAKEFIELD HEALTHCARE, INC. CB SERVICE AREA ALSO HAS A HIGHER POPULATION OF FOREIGN-BORN RESIDENTS COMPARED TO THE STATE OF MASSACHUSETTS AS A WHOLE: 23% COMPARED TO 15% STATEWIDE. WITHIN THE SERVICE AREA, THE RATES VARY FROM A HIGH OF 42% IN MALDEN TO A LOW OF 7% IN WAKEFIELD.LANGUAGEBASED ON CENSUS DATA, THE MOST COMMON LANGUAGES SPOKEN IN THE CATCHMENT AREA, BESIDES ENGLISH, INCLUDE SPANISH, PORTUGUESE, CHINESE (MANDARIN AND CANTONESE DIALECTS), ARABIC, AND VIETNAMESE. IN MANY CASES, A MAJORITY OF THE SPEAKERS OF MANY OF THE MOST COMMON LANGUAGES ALSO REPORT THEIR SPOKEN ENGLISH PROFICIENCY AS "LESS THAN VERY WELL," INCLUDING PORTUGUESE (54.33%), FRENCH CREOLE (50.29%), CHINESE (68.27%), VIETNAMESE (56.64%), CAMBODIAN (60.22%) AND ARABIC (62.20%). OTHER LESS PREVALENT BUT BECOMING INCREASINGLY MORE COMMON LANGUAGES WITHIN THE CATCHMENT AREA INCLUDE HAITIAN CREOLE, FRENCH, ITALIAN, URDU, KHMER-CAMBODIAN, RUSSIAN, SERBO-CROATIAN, AND VARIOUS AFRICAN DIALECTS.IN FY 2018/TY 2017, MELROSEWAKEFIELD HEALTHCARE, INC. FINANCIAL COUNSELORS PROVIDED 9,584 INTERACTIONS WITH COMMUNITY MEMBERS AND COMPLETED 1,789 APPLICATIONS FOR INDIVIDUALS IN THE STATE HEALH PROGRAMS. CONTRACTS WITH A SERVICE PROVIDER FOR A VARIETY OF LANGUAGE INTERPRETERS AND ALSO WITH THE MASSACHUSETTS COMMISSION FOR THE DEAF AND HARD OF HEARING FOR AMERICAN SIGN LANGUAGE INTERPRETERS (ASL). IN ADDITION, LANGUAGE LINE TELEPHONE INTERPRETER SERVICES ARE AVAILABLE FOR RARELY ENCOUNTERED LANGUAGES OR WHEN TIMELY IN-PERSON INTERPRETER SERVICES CANNOT BE ACCESSED, SUCH AS DURING EMERGENCIES. MELROSEWAKEFIELD HEALTHCARE, INC. ALSO HAS VIDEO REMOTE INTERPRETING AVAILABLE IN NINETEEN LANGUAGES AT BOTH HOSPITAL CAMPUSES, AND SOME OFFSITE LOCATIONS. THERE IS 24/7 COVERAGE FOR BOTH SPANISH AND AMERICAN SIGN LANGUAGE, WITH THE ADDITIONAL LANGUAGES AVAILABLE MONDAY THRU FRIDAY FROM 8AM-11PM. THE SERVICE ALSO ALLOWS US TO CONNECT WITH AN OVER THE PHONE INTERPRETING VENDOR WHEN THE LANGUAGE NEEDED IS NOT AVAILABLE IN VIDEO FORMAT.AGE & BIRTH RATESCOMPARED TO MASSACHUSETTS, MEDFORD, MELROSE, SAUGUS, STONEHAM AND WAKEFIELD ALL HAVE LARGER ELDERLY POPULATIONS. EVERETT, NORTH READING AND READING HAVE LARGER POPULATIONS OF CHILDREN, AND THE AGE DISTRIBUTION IN MALDEN IS COMPARABLE TO THE STATE.LOOKING AT THE MWHC CB CATCHMENT AREA AS A WHOLE, THE BIRTH RATE IS HIGHER THAN IN THE STATE FOR WOMEN AGES 30 TO 44 (74.3 BIRTHS PER 1,000 WOMEN VS. 58.4 BIRTHS PER 1,000 WOMEN STATEWIDE) IN MALDEN, MEDFORD, MELROSE, READING, STONEHAM, AND WAKEFIELD. EVERETT, MALDEN, NORTH READING, READING, SAUGUS, AND STONEHAM ALL HAVE HIGHER BIRTH RATES THAN IN THE STATE FOR WOMEN AGES 20 TO 29, AND MALDEN, MEDFORD, MELROSE, READING, STONEHAM, AND WAKEFIELD HAVE HIGHER BIRTH RATES FOR WOMEN AGES 30 TO 44.INCOME, POVERTY & CRIMETHE MEDIAN HOUSEHOLD INCOME LEVELS IN THE MWHC CB CATCHMENT AREA RANGE FROM $51,056 IN EVERETT TO $112,419 IN NORTH READING, COMPARED TO A STATE MEDIAN INCOME LEVEL OF $67,846.IN THE CB SERVICE AREA AS A WHOLE, OVERALL POVERTY RATES ARE COMPARABLE TO THOSE OF MASSACHUSETTS. RATES OF CHILDREN UNDER AGE 18 LIVING IN POVERTY ARE LOWER THAN STATE-WIDE RATES (10% COMPARED TO 15% STATEWIDE). HOWEVER, THE RATE OF OLDER ADULTS (OVER AGE 65) IN POVERTY IS HIGHER (11% COMPARED TO 9% STATEWIDE). FURTHER, THERE IS SIGNIFICANT VARIATION WITHIN THE SERVICE AREA. MALDEN CONTAINS THE HIGHEST RATES OF POVERTY, WITH 21% OF CHILDREN AND 18% OF OLDER ADULTS LIVING IN POVERTY. READING AND STONEHAM CONTAIN THE LOWEST RATES: ONLY 4% OF STONEHAM OLDER ADULTS LIVE IN POVERTY AND ONLY 2% OF READING CHILDREN LIVE IN POVERTY. MALDEN'S VIOLENT CRIME RATE IS HIGHER THAN THE STATE. EVERETT HAS A HIGHER RATE OF PROPERTY CRIME THAN THE STATE. READING AND NORTH READING HAD THE LOWEST RATES OF VIOLENT AND PROPERTY CRIME OF THE CB SERVICE AREAS.EDUCATIONAL ATTAINMENT & UNEMPLOYMENTEDUCATIONAL ATTAINMENT VARIES BY COMMUNITY IN THE MELROSEWAKEFIELD HEALTHCARE, INC. CB CATCHMENT AREA. COMPARED TO THE STATE, EVERETT AND MALDEN HAVE HIGHER RATES OF PEOPLE WITH LESS THAN A HIGH SCHOOL DEGREE. THESE TWO COMMUNITIES PLUS SAUGUS AND STONEHAM ALSO HAVE HIGHER RATES OF PEOPLE WITH JUST A HIGH SCHOOL DIPLOMA. ON THE OTHER END OF THE SCALE, MEDFORD, MELROSE, NORTH READING, AND WAKEFIELD HAVE HIGH RATES OF PEOPLE WITH A BACHELOR'S DEGREE, AND MEDFORD, MELROSE, AND READING HAVE HIGH RATES OF PEOPLE WITH A GRADUATE OR ADVANCED DEGREE. ALTHOUGH THE OVERALL MELROSEWAKEFIELD HEALTHCARE, INC. SERVICE AREA RATE OF UNEMPLOYMENT IS UNAVAILABLE, THE HIGHEST RATE, IN EVERETT, MATCHES THE OVERALL MASSACHUSETTS RATE (5.7%), WHILE THE LOWEST RATE, IN READING, IS 4.2%.(SEE CONTINUATION LATER)
PART VI, LINE 5:MELROSEWAKEFIELD HEALTHCARE, INC. HAS A 15 MEMBER BOARD OF TRUSTEES, COMPRISED OF A MAJORITY OF COMMUNITY MEMBERS. ONLY THREE (3) OF 15 TRUSTEES ARE EMPLOYED BY MELROSEWAKEFIELD HEALTHCARE OR THE HOSPITAL'S PARENT, MELROSEWAKEFIELD HEALTHCARE CORPORATION (I.E. THE CHIEF EXECUTIVE OFFICER, THE CHIEF OPERATING OFFICER, AND AN EMPLOYED PHYSICIAN LEADER). MEDICAL STAFF MEMBERSHIP AND PRIVILEGES ARE OPEN AND AVAILABLE TO ALL QUALIFIED PHYSICIANS, INCLUDING A LARGE AND DIVERSE MEDICAL STAFF OF MORE THAN 400 MEMBERS (EMPLOYED AND AFFILIATED). MWHC OPERATES ACTIVE EMERGENCY DEPARTMENTS ON EACH OF ITS CAMPUSES. THEY ARE ACCESSIBLE TO ANYONE NEEDING CARE REGARDLESS OF THEIR ABILITY TO PAY. NO PART OF THE INCOME OF MWHC INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED. ALL SURPLUS FUNDS ARE REINVESTED INTO THE FACILITIES, EQUIPMENT OR PROGRAMS OF MWHC TO IMPROVE THE QUALITY OF PATIENT CARE, ACCESS TO CARE, ADVANCE MEDICAL PRACTICE AND TO IMPROVE THE COMMUNITIES HEALTH AND WELLBEING. IN FY 2018/TY 2017, MELROSEWAKEFIELD HEALTHCARE, INC. FINANCIAL COUNSELORS PROVIDED 9,584 INTERACTIONS WITH COMMUNITY MEMBERS AND COMPLETED 1,789 APPLICATIONS FOR INDIVIDUALS IN THE STATE HEALTH PROGRAMS; SUCH AS MASS HEALTH, CHILDREN'S MEDICAL SECURITY PLAN AND THE HEALTH SAFETY NET. THIS DOES NOT INCLUDE INTERACTIONS THAT DID NOT RESULT IN AN APPLICATION. MELROSEWAKEFIELD HEALTHCARE, INC. FINANCIAL NAVIGATORS ALSO HELPED PATIENTS TO ENROLL IN SNAP (FORMALLY FOOD STAMPS) AND OTHER SOCIAL SERVICE PROGRAMS. IN ADDITION, MELROSEWAKEFIELD HEALTHCARE, INC. STAFF ATTENDED SEVERAL COMMUNITY OUTREACH EVENTS TO ASSIST PARTICIPANTS AND PROVIDE ENROLLMENT INFORMATION. OTHER SERVICES PROVIDED INCLUDE ADVOCATING FOR RESIDENTS, MAKING APPOINTMENTS, PROCURING OTHER SERVICES AND PROVIDING INFORMATION ABOUT PROGRAMS SUCH AS THE MOBILE FOOD MARKET. BILLING AND COLLECTIONS PRACTICES ARE POSTED ON THE SYSTEM WEB SITE. MELROSEWAKEFIELD HEALTHCARE, INC. ALSO PROVIDED MEETING SPACE IN-KIND AND SUBSIDIZED OR PROVIDED RENT AND UTILITIES IN-KIND FOR KEY COMMUNITY PARTNERS, SUCH AS PORTAL TO HOPE, WHICH PROVIDES DOMESTIC VIOLENCE PREVENTION AND SUPPORT SERVICES. MEETING SPACE IS OFFERED TO COMMUNITY AGENCIES ON A REGULAR BASIS, WHEN MISSION AND GOALS ALIGN WITH THE PRIORITIES OF THE COMMUNITY HEALTH IMPLEMENTATION PLAN, SUCH AS ALCOHOLICS/OVEREATERS ANONYMOUS GROUPS, RED CROSS FOR BLOOD DRIVES, DISTRICT ATTORNEY MARIAN RYAN'S EASTERN MIDDLESEX OPIOID TASK FORCE, MASSACHUSETTS OPIOID PREVENTION COALITION (MOAPC), SUBSTANCE ABUSE PREVENTION COALITION (SAPC) AND MELROSE ALLIANCE AGAINST VIOLENCE AND PORTAL TO HOPE FOR COMMUNITY SUPPORT GROUPS.IN ADDITION TO PROVIDING A RANGE OF PROGRAMS TO ADDRESS PRIMARY AND SECONDARY HEALTH PRIORITIES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE HEALTH SYSTEM HAS ALSO, AS PART OF ITS MULTI-YEAR IMPLEMENTATION PLAN, IDENTIFIED AND IMPLEMENTED EFFORTS THAT MORE PROACTIVELY ADDRESS FACTORS THAT HAVE BEEN DEMONSTRATED TO ADVERSELY IMPACT HEALTH STATUS, INCREASE HEALTH DISPARITIES, AND REDUCE OVERALL HEALTH IN VULNERABLE POPULATIONS. THESE SO CALLED SOCIAL DETERMINANTS OF HEALTH, SUCH AS AVAILABILITY OF HEALTHY FOOD, EMPLOYMENT, AND SAFE HOUSING, REFLECT THE OPPORTUNITY TO HAVE MEASUREABLE IMPACT ON POPULATION HEALTH STATUS, AND ARE BECOMING A MEANINGFUL PART OF EFFORTS TO ADDRESS PRIMARY AND SECONDARY HEALTH PRIORITIES.EXAMPLES OF THESE EFFORTS, AND THEIR IMPACT BOTH DIRECTLY AND INDIRECTLY ON THE HEALTH PRIORITIES IDENTIFIED IN THE CHNA AND BY OTHER COMMUNITY STAKEHOLDERS, INCLUDE:INTEGRATED BREASTFEEDING SERVICESAS A BABY FRIENDLY HOSPITAL, PROVIDING NEW MOTHERS WITH AN INTEGRATED APPROACH TO ENCOURAGING BREASTFEEDING SUPPORTS A NUMBER OF KEY FACTORS IN REDUCING A NUMBER OF ISSUES FOR MOTHER AND CHILD ALIKE. LACTATION SERVICES FOR POST-PARTUM MOTHERS ARE AVAILABLE BOTH AT MELROSE-WAKEFIELD HOSPITAL, AND AT THREE BABY CAFES IN MELROSE, MALDEN, AND EVERETT. ALL MATERNAL/CHILD HEALTH STAFF, CHILDBIRTH EDUCATION STAFF, AND NORTH SUBURBAN WIC NUTRITIONIST AND FAMILY SUPPORT STAFF ARE CERTIFIED IN LACTATION (CLC OR IBCLC DEPENDING ON OTHER CLINICAL TRAINING). CONTINUING MEDICAL EDUCATION PROGRAMS ARE PROVIDED TO PHYSICIANS AND CLINICIANS ANNUALLY. BREASTFEEDING HAS BEEN SHOWN TO REDUCE RISK FOR CANCER AND OTHER CHRONIC DISEASES LATER IN LIFE. ENCOURAGING HEALTHY FOOD CONSUMPTIONSEVERAL HOSPITAL DEPARTMENTS AND CLINICAL AREAS, INCLUDING DIABETES, REHABILITATION SERVICES, NUTRITION, AND WIC, ALL SUPPORT HEALTHY EATING-REDUCING CONSUMPTION OF ADDED SUGAR, EATING AMPLE FRUITS AND VEGETABLES, AND PROVIDING EDUCATION PROGRAMS TARGETING THE DIETARY NEEDS AND CHALLENGES OF STUDENT ATHLETES, CANCER PATIENTS, AND OTHERS IN THE COMMUNITY LIVING WITH CHRONIC DISEASES SUCH AS HYPERTENSION AND DIABETES.THE HEALTH SYSTEM WORKS WITH ORGANIZATIONS SUCH AS THE GREATER BOSTON FOOD BANK AND BREAD OF LIFE, AROUND ADDRESSING FOOD INSECURITY AND ACCESS TO HEALTHY FOODS. NUTRITION AND DIETARY STAFF SUPPORT THE CREATION OF HEALTHY MENU OPTIONS, NOT ONLY FOR HOSPITAL INPATIENTS AND IN CAFETERIAS, BUT ALSO THROUGH PROGRAMS SUCH AS MASS IN MOTION OFFERING GUIDANCE TO LOCAL RESTAURANTS ON HEALTHFUL EATING AND NUTRITIONAL INFORMATION. EFFORTS ALSO EXTEND TO DIRECTLY SUPPORTING INCREASED ACCESS TO HEALTHY FOODS, INCLUDING FRESH FRUITS AND VEGETABLES PROVIDED THROUGH A FREE MOBILE FOOD MARKET SERVING 300-400 FAMILIES PER MONTH WITH APPROXIMATELY 30 LBS. EACH OF FRESH, HEALTHY FOODS. VOUCHERS FROM WIC TO ITS PROGRAM PARTICIPANTS ARE ALSO PROVIDED FOR USE AT LOCAL FARMERS' MARKETS DURING SUMMER MONTHS. THE NORTH SUBURBAN CHILD AND FAMILY RESOURCE NETWORK (NSFRN) OFFERS STORYBOOK WALKS PROMOTING PHYSICAL ACTIVITY WHILE CONNECTING WITH NATURE AND FOSTERING LITERACY SKILLS. THE NSFRN ALSO HOSTS FITNESS, FOOD AND FRIENDS GROUP FOR FAMILIES WITH YOUNG CHILDREN TO PROMOTE A HEALTHY LIFESTYLE, LEARN ABOUT HEALTHY EATING HABITS AND FUN PHYSICAL ACTIVITIES TO DO AS A FAMILY. WORKPLACE WELLNESS EFFORTS, IN TERMS OF INCREASING PHYSICAL ACTIVITY, AS WELL AS PROMOTING WEIGHT LOSS AND HEALTHIER EATING, HAVE BEEN CONTINUED DURING FY 2018/TY 2017 THROUGH THE WORK OF THE EMPLOYEE WELLNESS COMMITTEE. CORRELATING GREATER PHYSICAL HEALTH AND WELLBEING THROUGH REDUCTIONS IN OBESITY, CARDIOVASCULAR AND OTHER RELATED HEALTH PROBLEMS, SUPPORTS A WHOLE-HEALTH APPROACH TO REDUCING CHRONIC DISEASE AND THE IMPACTS OF TREATMENT BY PRESENTING OPPORTUNITIES TO IDENTIFY AND REDUCE THESE HEALTH RISKS. WHILE THESE EFFORTS ARE NOT COMMUNITY BENEFIT, THE MODELING OF HEALTHY BEHAVIOR IS IMPORTANT IN A COMMUNITY HOSPITAL WHERE THE EMPLOYEES ARE OFTEN ALSO LOCAL RESIDENTS.A MELROSEWAKEFIELD HEALTHCARE, INC. LEADER IS A MEMBER OF THE GREATER BOSTON FOOD BANK (GBFB) FOOD INSECURITY TASK FORCE AND MEDFORD FOOD INSECURITY TASK FORCE TO ADDRESS THE NEED TO STRATEGIZE AND SHARE BEST PRACTICE IDEAS IN ADDRESSING FOOD INSECURITY IN THE AREA. IN 2017, SIX NEW FRUIT AND VEGETABLE OUTDOOR MARKETS WERE OPENED ACROSS THE GBFB SERVICE AREA USING STRATEGIES DEVELOPED AT THE MELROSEWAKEFIELD HEALTHCARE, INC. MOBILE MARKET.(SEE CONTINUATION LATER)
PART VI, LINE 6:MELROSEWAKEFIELD HEALTHCARE, INC. IS A COMMUNITY HOSPITAL SYSTEM WITH MULTIPLE CAMPUSES AND IS A MEMBER OF THE MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION WHICH HAS OTHER MEMBER ORGANIZATIONS THAT INCLUDE A HOME HEALTH VISITING NURSE AND HOSPICE ENTITY AND A PHYSICIAN PRACTICE ORGANIZATION. ALL AFFILIATED ENTITIES PROVIDE PATIENT CARE WITHOUT CONSIDERATION OF A PATIENT'S ABILITY TO PAY. ALL SURPLUS FUNDS OF THE AFFILIATED ENTITIES ARE REINVESTED IN PROVIDING ACCESS TO HEALTH SERVICES AND IMPROVING HEALTH STATUS OF COMMUNITIES SERVED.MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION IN A MEMBER OF WELLFORCE, INC.
PART VI, LINE 4 COMMUNITY INFORMATION CONTINUEDPUBLIC SCHOOL ENROLLMENT: DEMOGRAPHICS & SPECIAL POPULATIONSCOMPARED WITH THE STATE OF MASSACHUSETTS, THE PUBLIC SCHOOLS IN THE OVERALL CB SERVICE AREA HAVE A SLIGHTLY LOWER PROPORTION OF HISPANIC STUDENTS ENROLLED (16% VERSUS 19% STATEWIDE), A SLIGHTLY HIGHER PORTION OF BLACK/AFRICAN AMERICAN STUDENTS (10% VERSUS 9%), AND A SLIGHTLY HIGHER PROPORTION OF ASIAN STUDENTS (8% VERSUS 7%).IN THE MELROSEWAKEFIELD HEALTHCARE, INC. CB SERVICE AREA, THREE COMMUNITIES (EVERETT, 59%; MALDEN, 50%; MEDFORD, 25%) HAVE HIGHER RATES OF STUDENTS WHOSE FIRST LANGUAGE IS NOT ENGLISH. ONLY MALDEN AND EVERETT HAVE HIGHER RATES THAN MASSACHUSETTS OF STUDENTS WITH LIMITED ENGLISH PROFICIENCY OR ENGLISH LANGUAGE LEARNERS (19% AND 16%, RESPECTIVELY).THE RATE OF STUDENTS WITH DISABILITIES IS FAIRLY CONSISTENT ACROSS THE SERVICE AREA: THE COMMUNITY WITH THE HIGHEST RATE IS STONEHAM, WITH 19%, AND THE LOWEST RATES ARE IN EVERETT, MELROSE, AND SAUGUS, ALL WITH 15% (COMPARED TO MASSACHUSETTS RATE OF 17%). THE PERCENTAGE OF STUDENTS FROM LOW INCOME FAMILIES VARIES FROM A HIGH RATE IN EVERETT OF 42% TO A LOW IN NORTH READING AND READING OF 7%.PUBLIC SCHOOL GRADUATION & DROP-OUT RATESMELROSE, NORTH READING AND READING HAVE THE HIGHEST HIGH SCHOOL 4-YEAR GRADUATION RATES. DROPOUT RATES ARE HIGHEST IN EVERETT AND LOWEST IN MELROSE.OTHER HEALTH DATAACROSS ALL COMMUNITIES IN THE MELROSEWAKEFIELD HEALTHCARE, INC. AREA, THE TOP THREE CAUSES OF DEATH WERE CIRCULATORY SYSTEM DISEASES, MENTAL DISORDERS (WHICH INCLUDES DEMENTIA), AND LUNG CANCER. NOT INCLUDING CHILDBIRTH, THE TOP THREE CAUSES OF HOSPITALIZATION WERE RELATED TO DIABETES, CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), AND CIRCULATORY SYSTEM DISEASE. THESE ARE SIMILAR TO THE COMMONWEALTH OF MASSACHUSETTS OVERALL.PRIORITY POPULATIONSBASED ON THE 2016 CHNA, THE PRIORITIES FOR 2017-2019 INCLUDE THE FOLLOWING:PRIMARY PRIORITIES-RESIDENTS MANAGING BEHAVIORAL HEALTH ISSUES AND SUBSTANCE USE-COMMUNITY MEMBERS AT RISK FOR DEVELOPING CANCER OR BEING TREATED FOR CANCER, WITH A FOCUS ON LUNG, COLORECTAL, ORAL, HEAD AND NECK, BREAST AND SKIN CANCERS.-RESIDENTS AT RISK FOR DEVELOPING OR HAVING CARDIOVASCULAR DISEASE.-COMMUNITY MEMBERS AT RISK FOR DEVELOPING DIABETES OR WITH DIABETES MANAGEMENT ISSUES.-RESIDENTS NEEDING ACCESS TO HEALTHCARE WITH A FOCUS ON BARRIERS INCLUDING LANGUAGE, TRANSPORTATION, HOUSING AND FOOD INSECURITY.VULNERABLE POPULATIONS NEEDING SERVICES; SUCH AS FAMILIES WITH CHILDREN AND ADOLESCENTS AT RISK, ELDERS, THE DISABLED, AND THOSE WITH BEHAVIORAL HEALTH ISSUES.SECONDARY PRIORITIES-RESIDENTS IMPACTED BY TUBERCULOSIS AND OTHER INFECTIOUS DISEASES.-MEN, WOMEN AND CHILDREN AT RISK FOR DEVELOPING BONE AND JOINT INJURIES OR DISEASE, WITH A FOCUS ON INJURY PREVENTION FOR ALL AGES.-MEN, WOMEN, AND CHILDREN WITH WEIGHT MANAGEMENT ISSUES, WITH SPECIFIC FOCUS ON OBESITY PREVENTION.-RESIDENTS IMPACTED BY RESPIRATORY HEALTH ISSUES.-RESIDENTS IMPACTED BY SEXUAL ASSAULT/DOMESTIC VIOLENCE.-THE COMMUNITY AT-LARGE TO BE PREPARED FOR DISASTERS AND EMERGENCIES.FOR MANY PROGRAMS, EMPHASIS WILL BE PLACED ON SERVING RESIDENTS THAT ARE UNDERSERVED DUE TO SOCIO-ECONOMIC FACTORS, AGE (ELDERLY AND CHILDREN) AS WELL AS OTHER HEALTH DISPARITIES SUCH AS CULTURAL OR LINGUISTIC BARRIERS.COMMUNITY DEMOGRAPHIC DATATHE DEMOGRAPHIC DIVERSITY AND LANGUAGE CHARACTERISTICS DEFINED ABOVE AND IN THE CHNA FOR THE MELROSEWAKEFIELD HEALTHCARE, INC. COMMUNITY BENEFITS CATCHMENT AREA WAS DETERMINED USING THESE SOURCES:-US CENSUS BUREAU, 2009-2013, 5-YEAR AMERICAN COMMUNITY SURVEY US CENSUS-FBI UNIFORM CRIME REPORT, 2012-US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY (ACS) 2010 TO 2014;-US DEPARTMENT OF LABOR, BUREAU OF LABOR AND STATISTICS, LOCAL AREA UNEMPLOYMENT STATISTICS 2012-MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION (DESE), SCHOOL AND DISTRICT PROFILES 2015-2016-MADPH BUREAU OF COMMUNICABLE DISEASE CONTROL (BCDC) REGISTRIES, DIVISION OF EPIDEMIOLOGY AND IMMUNIZATION, FOR 2012-MA DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION AND MA DEPARTMENT OF PUBLIC HEALTH (MDPH) 2011HEALTH AND RISK BEHAVIOR OF MA YOUTH REPORT, MAY 2012-LOCAL YOUTH RISK BEHAVIOR SURVEYS, WHERE AVAILABLE (EVERETT 2014-2015; MALDEN 2013-2014; MEDFORD 2014; MELROSE 2014; READING 2015; SAUGUS 2015; WAKEFIELD 2014-MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (MDPH)MASSACHUSETTS DATABASE (2010, 2011, AND 2012 VARIOUS YEARS)-MDPH MASSACHUSETTS CANCER REGISTRY, 2006-2008 (GROUPED)-MDPH REGISTRY OF VITAL RECORDS, 2010-2012 (GROUPED)-MA DIVISION OF HEALTH CARE FINANCE AND POLICYUNIFORM HOSPITAL DISCHARGE DATASET SYSTEM (UHDDS), 2010-2012 (GROUPED)-MDPH BUREAU OF COMMUNICABLE DISEASE CONTROL (BCDC) REGISTRIES, DIVISION OF EPIDEMIOLOGY AND IMMUNIZATION, 2012-MDPH DIVISION OF SEXUALLY TRANSMITTED DISEASE PREVENTION, 2012ADDITIONAL DATA RESOURCES AND SOURCES OF VALIDATING DATA INCLUDE:-US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY (ACS) 2010 TO 2014 (5-YEAR ESTIMATES) FOR REVIEW AND VALIDATION OF PREVIOUSLY COLLECTED CHNA DATA.-BUREAU OF LABOR STATISTICS UNEMPLOYMENT RATES WITHIN CATCHMENT AREA (2014)-PROGRAM DATA FROM THE MELROSEWAKEFIELD HEALTHCARE INTERPRETER SERVICES PROGRAM (2011-PRESENT), MELROSEWAKEFIELD HEALTHCARE'S INPATIENT DATA (2011-PRESENT), MELROSEWAKEFIELD HEALTHCARE NORTH SUBURBAN WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM, AND HEALTHY FAMILIES (2011-PRESENT).-ANECDOTAL INFORMATION WAS COLLECTED FROM SOME OF MWHC'S COMMUNITY PARTNERS SUCH AS THE JOINT COMMITTEE FOR CHILDREN'S HEALTH CARE IN EVERETT AND MELROSEWAKEFIELD HEALTHCARE, INC. COMMUNITY TEAM REPRESENTATIVES.
PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH CONTINUEDSUPPORTING REGIONAL AND LOCAL SUBSTANCE USE PREVENTION EFFORTSTHE HEALTH SYSTEM WORKS ACTIVELY WITH THE MYSTIC VALLEY PUBLIC HEALTH COALITION INCLUDING MASSACHUSETTS OPIOID ABUSE PREVENTION COALITION (MOAPC) AND SUBSTANCE ABUSE PREVENTION COALITION (SAPC), THE DISTRICT ATTORNEY'S EASTERN MIDDLESEX OPIOID TASK FORCE AS WELL AS LOCAL ORGANIZATIONS IN MALDEN, MEDFORD, MELROSE, READING, STONEHAM AND WAKEFIELD. IN FY 2018, MELROSEWAKEFIELD HEALTHCARE, INC. STAFF SPENT NEARLY 300 HOURS AT MEETINGS AND EVENTS WORKING TOWARDS PREVENTION, AWARENESS, TREATMENT AND INTERVENTIONS TO REDUCE THE IMPACT OF SUBSTANCE USE DISORDER IN THE COMMUNITY. MELROSEWAKEFIELD HEALTHCARE, INC. PROVIDES SPACE AND FOOD FOR THE DISTRICT ATTORNEY'S EASTERN MIDDLESEX OPIOID TASK AT LAWRENCE MEMORIAL HOSPITAL OF MEDFORD AS WELL AS EMPLOYEE MEMBERSHIP. THE OPIOID TASK FORCE FOCUSES ON COMBATING THE INCREASE IN DRUG OVERDOSES IN THE EASTERN REGION OF MIDDLESEX COUNTY, SERVING THE COMMUNITIES OF MALDEN, MEDFORD, MELROSE, NORTH READING, READING, STONEHAM, AND WAKEFIELD. LED BY MIDDLESEX COUNTY DISTRICT ATTORNEY, MARIAN RYAN, THE EASTERN MIDDLESEX OPIOID TASK FORCE INCLUDES FIRST RESPONDERS, POLICE AND FIRE OFFICIALS, MUNICIPAL HEALTH WORKERS, DOCTORS, NURSES, SOCIAL WORKERS, SUBSTANCE ABUSE COUNSELORS, COMMUNITY-BASED ADVOCATES AND PROBATION OFFICERS. RAISING AWARENESS OF THE SEVERITY OF DOMESTIC VIOLENCE, WORKING WITH LOCAL GROUPS, ORGANIZATIONS AND COALITIONS TO PREVENT AND END DOMESTIC VIOLENCE, SEXUAL ASSAULT AND STALKING CRIMES.IN FY 2018, MELROSEWAKEFIELD HEALTHCARE, INC. STAFF SPENT NEARLY 200 HOURS AT MEETINGS AND EVENTS PROVIDING SUPPORT AND WORKING TOWARDS PREVENTION, EDUCATION, AWARENESS, MENTORING, AND SERVICE TO REDUCE THE IMPACT OF DOMESTIC VIOLENCE BY PARTNERING WITH THE FOLLOWING GROUPS AND PROGRAMS: WAKEFIELD ALLIANCE AGAINST VIOLENCE (WAAV), A COMMUNITY BASED VOLUNTEER ORGANIZATION, DEDICATED TO CREATING A LIFESTYLE FREE FROM VIOLENCE IN WAKEFIELD BY REACHING OUT TO THE COMMUNITY, RAISING AWARENESS, PROVIDING EDUCATION RESOURCES, AND SUPPORT TO FAMILIES AND INDIVIDUALS, WITH AN EMPHASIS ON PREVENTION. TWO MELROSEWAKEFIELD HEALTHCARE EMPLOYEES REPRESENT MELROSEWAKEFIELD HEALTHCARE, INC. ON THE WAAV BOARD OF DIRECTORS.THE DIRECTOR OF MEDICAL STAFF DEVELOPMENT AND SERVICES FOR MELROSEWAKEFIELD HEALTHCARE, INC. SERVES AS THE VICE PRESIDENT OF MELROSE ALLIANCE AGAINST VIOLENCE (MAAV). MAAV'S MISSION IS TO RAISE COMMUNITY AWARENESS OF DOMESTIC AND TEEN DATING VIOLENCE, PROMOTE PROGRAMS THAT WORK TO REDUCE VIOLENCE AND ENCOURAGE HEALTHY RELATIONSHIPS THROUGH COMMUNITY AWARENESS ACTIVITIES, EDUCATION AND PREVENTION PROGRAMS IN THE SCHOOLS, INCLUDING BULLYING PREVENTION, MENTORING AND PEER LEADERSHIP PROGRAMS; AND INFORMATION, SUPPORT, RESOURCE AND REFERRAL SERVICES. ADDITIONALLY, MELROSEWAKEFIELD HEALTHCARE, INC. ALSO PROVIDES SPACE FOR MAAV'S RELATIONSHIP DISCUSSION GROUP AT MELROSE-WAKEFIELD HOSPITAL. IN 2018, MELROSEWAKEFIELD HEALTHCARE, INC. HELPED TO SPONSOR MAAV'S ANNUAL WALK AND CANDLELIGHT VIGIL. A COMMUNITY HEALTH EDUCATOR FOR MELROSEWAKEFIELD HEALTHCARE, INC. SERVES AS A MEMBER OF THE STONEHAM ALLIANCE AGAINST VIOLENCE (SAAV), A DIVERSE GROUP WHOSE MEMBERS CARE ABOUT STONEHAM AND ITS QUALITY OF LIFE. NOTING AN UPSWING IN REPORTED INCIDENCES OF VIOLENCE IN THE TOWN, THE GROUP CAME TOGETHER TO ADDRESS THIS ISSUE. MELROSEWAKEFIELD HEALTHCARE, INC. HAS A STRONG PARTNERSHIP WITH PORTAL TO HOPE (PTH), AN AGENCY THAT SERVED 932 PEOPLE IMPACTED BY DOMESTIC VIOLENCE DURING FY 2018. OUR UNIQUE COLLABORATION HELPS TO PROVIDE CONFIDENTIAL, COMPREHENSIVE SERVICES TO VICTIMS OF DOMESTIC VIOLENCE AND RELATED ASSAULT CRIMES. SERVICES INCLUDE: THE BENEVOLENCE PROJECT; CRISIS INTERVENTION AND EMERGENCY SHELTER; THE HEALING & RECOVERY PROGRAM, INCLUDING SUPPORT GROUPS; LEGAL AID; JOB AND HOUSING SEARCH ASSISTANCE; YOUTH SUPPORT; SAFETY PLANNING; AND OTHER DIRECT CARE SERVICES. MELROSEWAKEFIELD HEALTHCARE, INC. PROVIDES OFFICE SPACE, PHONE AND INTERNET SERVICE CAPABILITIES TO PTH AT THE MALDEN FAMILY HEALTH CENTER (PTH'S CENTRAL OPERATIONS SITE) AND THE LAWRENCE MEMORIAL HOSPITAL, WHERE PTH OFFERS SUPPORT GROUPS, AND IN PARTNERSHIP WITH MELROSEWAKEFIELD HEALTHCARE, INC., FACILITATES TRI-CITY DOMESTIC VIOLENCE TASK FORCE MEETINGS, BOARD AND ADVISORY COMMITTEE MEETINGS AND OTHER PUBLIC EDUCATIONAL EFFORTS. IN ADDITION, PTH AND MELROSEWAKEFIELD HEALTHCARE, INC. PARTNER TO PROVIDE VIOLENCE PREVENTION EDUCATION TO THE PUBLIC AND TRAINING TO MEDICAL STAFF ONSITE AT THESE LOCATIONS, AT MELROSE-WAKEFIELD HOSPITAL AND ON THE GRASSROOTS LEVEL IN THE COMMUNITIES PTH SERVES. PTH IS ONE OF SEVEN DOMESTIC VIOLENCE INTERVENTION AGENCIES WORKING ONSITE AT MEDICAL FACILITIES IN MASSACHUSETTS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LAURENCE CONWAY MD
DIRECTOR$253,963$0$0$0$0$0$2,540$0$0$0$256,503$0$0$0
ALAN G MACDONALD UNTIL 218
PRESIDENT & CEO/DIRECTOR$0$769,276$0$110$0$78,607$0$0$0$1,464$0$849,457$0$0
CHARLES R WHIPPLE ESQ
ASSISTANT SECRETARY/GENERAL COUNSEL$0$396,384$0$80,000$0$38,078$0$0$0$32,334$0$546,796$0$0
MICHAEL P CONNELLY
CFO/ASSISTANT TREASURER$0$425,248$0$10,000$0$0$0$6,000$0$3,150$0$444,398$0$0
WILLIAM DOHERTY
EXECUTIVE VICE PRES. & COO$0$452,935$0$80,000$0$17,116$0$6,000$0$2,918$0$558,969$0$0
CAROL A DRESSER
VP INFO. SERVICES & CIO$289,269$0$15,000$0$0$0$4,165$0$19,644$0$328,078$0$0$0
NANCY BITTNER
VP EDUCATION$188,925$0$0$0$7,347$0$6,029$0$22,327$0$224,628$0$0$0
STEVE SBARDELLA
VP MEDICAL AFFAIRS & CMO$0$404,620$0$30,000$0$0$0$0$0$1,399$0$436,019$0$0
PAM DUCHENE
VP, NURSING & CNO$0$181,533$0$20,000$0$127,112$0$0$0$16,968$0$345,613$0$0
DAVID RYAN
VP, HUMAN RESOURCES$0$259,128$0$20,000$0$16,477$0$6,000$0$34,333$0$335,938$0$0
RYAN FULLER
DIRECTOR OF PLANNING$232,249$0$15,000$0$0$0$3,931$0$396$0$251,576$0$0$0
THERESA SIEVERS
VP QUALITY ASSURANCE$222,104$0$10,000$0$0$0$0$0$2,789$0$234,893$0$0$0
CHERYL WARREN
INTERGRATION ADMIN.$205,220$0$20,000$0$0$0$5,454$0$35,157$0$265,831$0$0$0
JOHN G GIRAGOS MD
PSYCH M.D.$244,279$0$171,454$0$0$0$6,003$0$33,262$0$454,998$0$0$0
CARYL A BEISON
PHYSICIAN DIRECTOR$241,173$0$42,887$0$0$0$6,776$0$3,289$0$294,125$0$0$0
JAMES LECH
PSYCH M.D.$290,983$0$0$0$0$0$3,705$0$898$0$295,586$0$0$0
ROBIN VOLANTE
DIRECTOR OF SERVICE LINE$139,293$0$0$0$121,541$0$0$0$18,524$0$279,358$0$0$0
DANEIL REILLY
PSYCH M.D.$270,737$0$0$0$0$0$5,427$0$12,333$0$288,497$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3ANNUALLY, THE HUMAN RESOURCES COMMITTEE OF THE ORGANIZATION COMPRISED OF INDEPENDENT DIRECTORS, REVIEWS THE COMPENSATION OF THE PRESIDENT AND EXECUTIVE LEADERSHIP TEAM USING DATA FROM AN INDEPENDENT THIRD PARTY EVALUATION OF COMPARABLE COMPENSATION DATA TO ASSESS AND SET COMPENSATION. COMPENSATION IS PAID BY A RELATED CORPORATION.
PART I, LINE 4ATHESE FORMER EMPLOYEES RECEIVED SEVERANCE PAYMENTS: PAM DUCHENE WAS PAID $87,692 IN 2017. ROBIN VOLANTE WAS PAID $93,893 IN 2017. SHEILA PICHETTE WAS PAID $6,731 IN 2017.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MASSACHUSETTS DEVELOPMENT FINANCE AGENCY
A0434318140000000002011-12-09$10,000,000FINANCE CAPITAL000
MASSACHUSETTS DEVELOPMENT FINANCE AGENCY
B0434318140000000002013-03-01$49,606,243REFUND 2011 A&B SERIES WHICH REFUNDED 1998 SERIES A000
MASSACHUSETTS DEVELOPMENT FINANCE AGENCY
C0434318140000000002013-03-01$19,800,000RATE 2008 SERIES C WHICH REFUNDED 1998 SERIES B000
MASSACHUSETTS DEVELOPMENT FINANCE AGENCY
D0434318140000000002013-03-01$20,000,000FINANCE CAPITAL000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmt
A$3,955,389$10,000,000$250,528$9,749,472201200Yes (1)Yes (1)
B$15,749,433$49,606,243$500,6952001Yes (1)0Yes (1)Yes (1)$49,105,548
C$6,595,000$19,800,000200100Yes (1)Yes (1)$19,800,000
D$12,478,346$20,000,000$98,939$19,901,061201400Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.00000000
B0Yes (1)000.000000.003100.00310000
C00000.000000.000000.00000000
D00000.000000.000000.00000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)Yes (1)0000
B000Yes (1)00000
C000Yes (1)00000
D000Yes (1)00000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0
D0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: MASSACHUSETTS DEVELOPMENT FINANCE AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/30/2014 ISSUER NAME: MASSACHUSETTS DEVELOPMENT FINANCE AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/30/2014 ISSUER NAME: MASSACHUSETTS DEVELOPMENT FINANCE AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/30/2014 ISSUER NAME: MASSACHUSETTS DEVELOPMENT FINANCE AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/30/2014 ISSUER NAME: MASSACHUSETTS DEVELOPMENT FINANCE AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/10/2017ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MASSACHUSETTS DEVELOPMENT FINANCE AGENCYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN043431814BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2015-06-05BondIssuedDt
Issue Price$30,000,000IssuePriceAmt
PurposeFINANCE CAPITALPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$1,603,063RetiredAmt
Total Proceeds$30,000,000TotalProceedsAmt
Issuance Costs From Proceeds$268,250IssuanceCostsFromProceedsAmt
Capital Expenditures$29,731,750CapitalExpendituresAmt
Substantial Completion2017SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL V SACKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship With OrgFORMER OFFICERRelationshipWithOrgTxt
Loan PurposeARM'S LENGTH NEGOTIATED BENEFITLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$132,500OriginalPrincipalAmt
Balance Due$6,797,284BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$6,797,284TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION IS THE SOLE CORPORATE MEMBER OF MELROSEWAKEFIELD HEALTHCARE, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF TRUSTEES CONSISTS OF THOSE PERSONS THAT SERVE ON THE BOARD OF TRUSTEES OF MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION. WELLFORCE, INC., AS SOLE MEMBER OF MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION, HAS THE POWER TO APPOINT MELROSEWAKEFIELD HEALTHCARE PARENT TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BMELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION HAS CERTAIN RIGHTS TO APPROVE DECISIONS OF THE BOARD AS REQUIRED BY THE ORGANIZATION'S ARTICLES AND BYLAWS AND LAWS OF THE COMMONWEALTH OF MASSACHUSETTS.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 WAS REVIEWED BY MANAGEMENT AND PROVIDED TO THE GOVERNING BODY PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY THE GOVERNING BODY AND KEY EMPLOYEES ARE SENT THE POLICY AND REQUIRED TO COMPLETE A DISCLOSURE FORM THAT IS SUBMITTED TO THE OFFICE OF GENERAL COUNSEL FOR REVIEW. THE CONTENTS OF THE DISCLOSURES AND ACTIONS NECESSARY TO ADDRESS CONFLICTS ARE REVIEWED WITH THE CHAIR OF THE GOVERNING BOARD AND ITS PRESIDENT.
FORM 990, PART VI, SECTION B, LINE 15ANNUALLY, THE HUMAN RESOURCES COMMITTEE OF THE ORGANIZATION COMPRISED OF INDEPENDENT DIRECTORS, REVIEWS THE COMPENSATION OF THE PRESIDENT AND EXECUTIVE LEADERSHIP TEAM USING DATA FROM AN INDEPEDENT THIRD PARTY. COMPENSATION IS PAID BY A RELATED CORPORATION.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST TO THE OFFICE OF THE GENERAL COUNSEL. THE ORGANIZATION'S FINANCIAL STATEMENTS AND FORM 990 ARE ALSO MADE AVAILABLE TO THE PUBLIC ON THE WEBSITE OF THE PUBLIC CHARITIES DIVISION OF MASSACHUSETTS ATTORNEY GENERAL.
FORM 990, PART XI, LINE 9:PENSION LIABILITY ADJUSTMENT 1,391,522. NET ASSETS RELEASED FROM RESTRICTIONS- OPERATIONS -608,442. NET DISTRIBUTIONS TO AFFILIATES -27,075,527. HOSPITAL AUXILIARY, NET CHANGE -1,557. FRIENDS OF LMH, NET CHANGE -2,682.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MELROSEWAKEFIELD HEALTHCARE AUXILIARY
170 GOVERNORS AVENUEMEDFORDMA02155042767880GIFT SHOPMA$112,165$9,133MELROSEWAKEFIELD HEALTHCARE INC
MELROSEWAKEFIELD HEALTHCARE FRIENDS OF LMH
170 GOVERNORS AVENUEMEDFORDMA02155042767880GIFT SHOPMA$87,975$12,381MELROSEWAKEFIELD HEALTHCARE INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (41 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
HALLMARK HEALTH MEDICAL ASSOCIATES INC
170 GOVERNORS AVEMEDFORDMA02155043140938MD OFFICESMA501(C)(3)LINE 10MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
LM LONG TERM CARE SERVICES INC
170 GOVERNORS AVEMEDFORDMA02155042938772LONG-TERM CAREMA501(C)(3)LINE 12B, IIMELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
SAVIN LONG TERM CARE CORPORATION
170 GOVERNORS AVEMEDFORDMA02155043012616LONG-TERM CAREMA501(C)(3)LINE 10MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
HALLMARK HEALTH VISITING NURSE ASSOCIATION AND HOSPICE INC
178 SAVIN ST SUITE 300MALDENMA02148042437064VISITING NURSEMA501(C)(3)LINE 10MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
HALLMARK HEALTH PROPERTIES
170 GOVERNORS AVEMEDFORDMA02155222580542PROPERTYMA501(C)(3)LINE 12B, IIMELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
170 GOVERNORS AVEMEDFORDMA02155042103587PARENTMA501(C)(3)LINE 12A, IWELLFORCE INCYes (1)
THE LOWELL GENERAL HOSPITAL
295 VARNUM AVENUELOWELLMA01854042103590HEALTH CAREMA501(C)(3)LINE 3CIRCLE HEALTH INCYes (1)
CIRCLE HEALTH PHYSICIANS INC
295 VARNUM AVENUELOWELLMA01854273902914MEDICAL SERVICESMA501(C)(3)LINE 10CIRCLE HEALTH INCYes (1)
LGH PHYSICIAN ASSOCIATES INC
ONE HOSPITAL DRIVELOWELLMA01852043190747MEDICAL SERVICESMA501(C)(3)LINE 10CIRCLE HEALTH PHYSICIANS INCYes (1)
CIRCLE HEALTH INC
295 VARNUM AVENUELOWELLMA01854222579798PARENT/SUPPORTING ORGANIZATIONMA501(C)(3)LINE 12B, IIWELLFORCE INCYes (1)
WELLFORCE INC
1600 DISTRICT AVE SUITE 125BURLINGTONMA01803452250732PARENT/SUPPORTING ORGANIZATIONMA501(C)(3)LINE 12A, I0N/A
CNS NURSING HOME CARE INC
847 ROGERS STREET SUITE 201LOWELLMA01852371836433HOME CARE SERVICESMA501(C)(3)LINE 10CIRCLE HOME INCYes (1)
CIRCLE HOME INC
847 ROGERS STREET SUITE 201LOWELLMA01852042103812HOME CARE SERVICESMA501(C)(3)LINE 10CIRCLE HEALTH INCYes (1)
TUFTS MEDICAL CENTER PARENT INC
800 WASHINGTON STREETBOSTONMA02111042810022FUNDRAISING, ADMIN. PLANNING & OTHER ACTIVITIESMA501(C)(3)LINE 12B, IIWELLFORCE INCYes (1)
TUFTS MEDICAL CENTER INC
800 WASHINGTON STREETBOSTONMA02111043400617HOSPITAL SERVICESMA501(C)(3)LINE 3TUFTS MEDICAL CENTER PARENT INCYes (1)
TUFTS MEDICAL CENTER REAL ESTATE COMPANY INC
800 WASHINGTON STREETBOSTONMA02111042772654ACQUIRING REAL PROPERTYMA501(C)(3)LINE 12B, IITUFTS MEDICAL CENTER PARENT INCYes (1)
NEW ENGLAND LONG-TERM CARE INC
800 WASHINGTON STREETBOSTONMA02111042912578PEDIATRIC LONG-TERM CARE FACILITYMA501(C)(3)LINE 3TUFTS MEDICAL CENTER PARENT INCYes (1)
NEW ENGLAND QUALITY CARE ALLIANCE INC
800 WASHINGTON STREETBOSTONMA02111043040427MEDICAL PROGRAMS & SERVICESMA501(C)(3)LINE 12B, IITUFTS MEDICAL CENTER PARENT INCYes (1)
NEQCA ACCOUNTABLE CARE INC
325 WOOD RD SUITE 210BRAINTREEMA02184800824142ACOMA501(C)(3)LINE 7NEW ENGLAND QUALITY CARE ALLIANCE INCYes (1)
TUFTS MEDICAL CENTER COMMUNITY CARE INC
325 WOOD RD SUITE 210BRAINTREEMA02184473046563MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PARENT INCYes (1)
THE CAMERON M NEELY FOUNDATION
800 WASHINGTON STREETBOSTONMA02111043265628CHARITABLEMA501(C)(3)LINE 7TUFTS MEDICAL CENTER PARENT INCYes (1)
HEART CENTER OF METROWEST INC
99 LINCOLN STREETFRAMINGHAMMA01702030390670MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT ANESTHESIOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043418395MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT MEDICAL AND SURGICAL ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148397MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT NEUROLOGY ASSOICATES INC
800 WASHINGTON STREETBOSTONMA02111043148384MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT OBGYN ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148385MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT OPHTHALMOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148392MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT ORTHOPEDIC ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111205129051MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT OTOLARYNGOLOGY
800 WASHINGTON STREETBOSTONMA02111043148381MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT PATHOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148393MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT PEDIATRIC ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148394MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT PSYCHIATRIC ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148387MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT RADIOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148388MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT RADIATION ONCOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148389MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT REHABILITATION MEDICINCE
800 WASHINGTON STREETBOSTONMA02111043148378MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT SURGICAL ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148376MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT UROLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148379MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
NEW ENGLAND MEDICAL CENTER
800 WASHINGTON STREETBOSTONMA02111043096445MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT MEDICAL GROUP INC
800 WASHINGTON STREETBOSTONMA02111042743894MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
TUFTS MEDICAL CENTER PHYSICIANS ORG INC
800 WASHINGTON STREETBOSTONMA02111043044706ADMIN.MA501(C)(3)LINE 12B, IITUFTS MEDICAL CENTER PARENT INCYes (1)
CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER INC
800 WASHINGTON STREETBOSTONMA02111823315703MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
HALLMARK HEALTH INVESTMENTS LLC
170 GOVERNORS AVENUEMEDFORDMA02155020657666INVESTMENTMAMELROSEWAKEFIELD HEALTHCARE INCEXCLUDED$8,379,721$137,071,776000.78080
MONTVALE PETCT LLC
100 BAYVIEW CIRCLE SUITE 400NEWPORT BEACHCA92660270325022CAT SCANCAMELROSEWAKEFIELD HEALTHCARE INCRELATED$174,100$103,868000.50000
CIRCLE HEALTH ALLIANCE LLC
295 VARNUM AVELOWELLMA01854800782682ACCOUNTABLE CARE ORGANIZATIONMACIRCLE HEALTH INCRELATED00
SHIELDS-TUFTS MEDICAL CENTER IMAGING MANAGEMENT LLC
800 WASHINGTON STREETBOSTONMA02111320558307MEDICAL SERVICES (MRI)MATUFTS MEDICAL CENTER INCRELATED00
MEDFORD LAWRENCE REAL ESTATE LLC
55 CHRISTYS DRIVEBROCKTONMA02301320553759MEDICAL OFFICE BUILDINGMAMELROSEWAKEFIELD HEALTHCARE INCRELATED000.55000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndOwnershipOwnershipPctLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
HALLMARK HEALTH ENTERPRISES INC
585 LEBANON STREETMELROSEMA02176042475660OTHER HEALTH SERVICESMAMELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONCYes (1)
LAWRENCE MELROSE MEDICAL ELECTRONICS RECORD INC
170 GOVERNORS AVEMEDFORDMA02155421685777ELECTRONIC MEDICAL RECORDSMAMELROSEWAKEFIELD HEALTHCARE INCC00.50000
HALLMARK HEALTH PHO INC
170 GOVERNORS AVEMEDFORDMA02155461134759PHYSICIAN HOSPITAL ORGANIZATIONMAMELROSEWAKEFIELD HEALTHCARE INCC00.50000
LGH SERVICES INC
295 VARNUM AVENUELOWELLMA01854042854673MEDICAL SERVICESMACIRCLE HEALTH INCCYes (1)
LGH MEDICAL BUILDING SERVICES INC
295 VARNUM AVENUELOWELLMA01854043058954MEDICAL OFFICE BUILDINGMALGH SERVICES INCCYes (1)
LGH MANAGEMENT SERVICES INC
295 VARNUM AVENUELOWELLMA01854042919244MEDICAL SERVICESMALGH SERVICES INCCYes (1)
LGH MEDICAL SERVICES INC
295 VARNUM AVENUELOWELLMA01854261889904MEDICAL SERVICESMALGH SERVICES INCCYes (1)
TUFTS MEDICAL CENTER INDEMNITY CO LTD
800 WASHINGTON STREETBOSTONMA02111980444573CAPTIVE INSURANCETUFTS MEDICAL CENTER INCCYes (1)CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (24 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HALLMARK HEALTH VISITING NURSE ASSOCIATION AND HOSPICE INC
J$164,568FAIR MARKET VALUE
HALLMARK HEALTH MEDICAL ASSOCIATES INC
J$770,406FAIR MARKET VALUE
HALLMARK HEALTH PROPERTIES INC
K$345,801FAIR MARKET VALUE
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
K$1,287,612FAIR MARKET VALUE
HALLMARK HEALTH VISITING NURSE ASSOCIATION AND HOSPICE INC
L$244,824COST & TIME ALLOCATION
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
L$686,504COST & TIME ALLOCATION
HALLMARK HEALTH PROPERTIES INC
L$142,560COST & TIME ALLOCATION
HALLMARK HEALTH MEDICAL ASSOCIATES INC
L$1,303,051COST & TIME ALLOCATION
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
M$5,542,942COST & TIME ALLOCATION
HALLMARK HEALTH MEDICAL ASSOCIATES INC
M$204,553COST & TIME ALLOCATION
HALLMARK HEALTH PROPERTIES INC
R$165,960AUDITED BOOK VALUE
HALLMARK HEALTH MEDICAL ASSOCIATES INC
R$22,110,887AUDITED BOOK VALUE
WELLFORCE INC
R$4,798,679AUDITED BOOK VALUE
HALLMARK HEALTH VISITING NURSE ASSOCIATION AND HOSPICE INC
L$58,152COST & TIME ALLOCATION
HALLMARK HEALTH PROPERTIES INC
E$137,444AUDITED BOOK VALUE
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
D$592,285AUDITED BOOK VALUE
HALLMARK HEALTH MEDICAL ASSOCIATES INC
D$1,554,485AUDITED BOOK VALUE
HALLMARK HEALTH VISITING NURSE ASSOCIATION AND HOSPICE INC
D$200,085AUDITED BOOK VALUE
TUFTS MEDICAL CENTER INDEMNITY CO LTD
D$5,472,072AUDITED BOOK VALUE
LM LONG TERM CARE CORPORATION
E$2,899,796AUDITED BOOK VALUE
SAVIN LONG TERM CARE CORPORATION
E$1,406,130AUDITED BOOK VALUE
TUFTS MEDICAL CENTER PHYSICIANS ORG
E$72,229AUDITED BOOK VALUE
CIRCLE HEALTH INC
E$237,440AUDITED BOOK VALUE
WELLFORCE INC
E$281,539AUDITED BOOK VALUE