MELROSEWAKEFIELD HEALTHCARE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MELROSEWAKEFIELD HEALTHCARE INC (EIN 04-2767880)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-14
IRS object ID
201742269349300744
Schema version
2015v3.0
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)
Return2017-08-14T10:20:13-04:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042767880EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HALLMARK HEALTH SYSTEMINCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHALLBusinessNameControlTxt
Phone7813387424PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAMACDONALDPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7813387323PhoneNum
Signature2017-08-09SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparation2017-08-12PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1LAWRENCE MEMORIAL HOSPITAL OFBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerALAN G MACDONALDPrincipalOfficerNm
Gross Receipts$329,163,367GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.HALLMARKHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO OPERATE HOSPITALS WITH 24 HR ER SERVICES ON (2) CAMPUSES ALONG WITH A HOSPITAL SCHOOL OF NURSING.HALLMARK HEALTH PROVIDES INPATIENT AND OUTPATIENT MEDICAL CARE AND ANCILLARY MEDICAL SERVICES AND TESTING.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee2727TotalEmployeeCnt
Total Volunteers200TotalVolunteersCnt
Total Gross UBI$1,114,039TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$62NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,197,145PYContributionsGrantsAmt
CY Contributions Grants$3,647,547CYContributionsGrantsAmt
PY Program Service Revenue$257,448,228PYProgramServiceRevenueAmt
CY Program Service Revenue$251,973,782CYProgramServiceRevenueAmt
PY Investment Income$8,997,494PYInvestmentIncomeAmt
CY Investment Income$7,973,580CYInvestmentIncomeAmt
PY Other Revenue$1,228,500PYOtherRevenueAmt
CY Other Revenue$1,352,511CYOtherRevenueAmt
PY Total Revenue$270,871,367PYTotalRevenueAmt
CY Total Revenue$264,947,420CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$151,123,687PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$154,353,180CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$105,667,427PYOtherExpensesAmt
CY Other Expenses$111,299,192CYOtherExpensesAmt
PY Total Expenses$256,791,114PYTotalExpensesAmt
CY Total Expenses$265,652,372CYTotalExpensesAmt
PY Revenues Less Expenses$14,080,253PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$704,952CYRevenuesLessExpensesAmt
Total Assets BOY$348,066,687TotalAssetsBOYAmt
Total Assets EOY$330,723,599TotalAssetsEOYAmt
Total Liabilities BOY$183,223,261TotalLiabilitiesBOYAmt
Total Liabilities EOY$175,284,903TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$164,843,426NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$155,438,696NetAssetsOrFundBalancesEOYAmt
MissionTO OPERATE HOSPITALS WITH 24 HR ER SERVICES ON (2) CAMPUSES ALONG WITH A HOSPITAL SCHOOL OF NURSING.HALLMARK HEALTH PROVIDES INPATIENT AND OUTPATIENT MEDICAL CARE AND ANCILLARY MEDICAL SERVICES AND TESTING.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$208,283,265ExpenseAmt
Revenue$251,973,782RevenueAmt
DescTO OPERATE HOSPITALS WITH 24 HR ER SERVICES ON (2)CAMPUSES ALONG WITH A HOSPITAL SCHOOL OF NURSING.HALLMARK HEALTH SYSTEM PROVIDES INPATIENT AND OUTPATIENT MEDICAL,SURGICAL AND PSYCHIATRIC CARE. ANCILLARY MEDICAL SERVICES AND TESTING ARE ALSO PROVIDED ON A 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$208,283,265TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document170IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2727EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

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 EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
AMACDONALD
PRESIDENT3.0040.00Yes (X)Yes (X)$0$640,383$1,272
EPBUTLER MD
DIRECTOR3.0040.00Yes (X)$0$259,411$38,070
J KEENAN
TREASURER3.00Yes (X)$0$0$0
D WEST
DIRECTOR4.00Yes (X)$0$0$0
RS CUMMINGS
DIRECTOR3.00Yes (X)$0$0$0
KE HENRIKSON MD
DIRECTOR3.00Yes (X)$0$0$0
J HERRINGTON
DIRECTOR4.00Yes (X)$0$0$0
E GEORGE
DIRECTOR3.00Yes (X)$0$0$0
R SWANSON JR
DIRECTOR3.00Yes (X)$0$0$0
W LAWRENCE III
DIRECTOR3.00Yes (X)$0$0$0
JA HACKETT SR
DIRECTOR3.00Yes (X)$0$0$0
CP VINCZE
DIRECTOR3.00Yes (X)$0$0$0
S GLASSER
DIRECTOR3.00Yes (X)$0$0$0
P BARDARO
DIRECTPR3.00Yes (X)$0$0$0
R WEINSTEIN MD
DIRECTORYes (X)$0$0$0
GINFURNA
DIRECTOR3.00Yes (X)$0$0$0
T GIBSON
DIRECTOR3.00Yes (X)$0$0$0
J NANIA ASST TREA THRU 91916
CFO/ASST. TR3.0040.00Yes (X)$0$434,830$29,436
C WHIPPLE
ASST.CLERK/G3.0040.00Yes (X)$0$345,722$38,320
S PICHETTE
ASST. CLERK40.00Yes (X)$70,251$0$1,303
MP CONNELLY CFO AS OF 92016
CFO/ASST, TR3.0040.00Yes (X)$0$0$0
WJ DOHERTY MD
VP / C003.0040.00$0$430,012$10,658Yes (X)
STEVE SBARDELLA
VP-MED AFFAI3.0040.00$0$344,401$478Yes (X)
M TURILLI
VP-FISCAL40.00$289,049$0$33,616Yes (X)
PAM DUCHENE
VO-NURSING /3.0040.00$0$263,270$29,057Yes (X)
C DRESSER
VP-INFORMATI40.00$261,223$0$21,276Yes (X)
DAVID RYAN
VP-HUMAN RES3.0040.00$0$234,688$25,701Yes (X)
HKELLEHER
VP-ANCILLARY40.00$226,001$0$398Yes (X)
M PIEROG
VO-QUALITY A40.00$207,165$0$23,193Yes (X)
N BITNER
VP-EDUCATION40.00$194,229$0$6,222Yes (X)
J GIRAGOS
PSYCH MD40.00$348,406$0$36,448Yes (X)
C BEISON
PHYSICIAN -40.00$271,841$0$5,556Yes (X)
AFREEDBERG
PSYCH MD40.00$257,782$0$11,453Yes (X)
D HARNETT
CLINICAL MD40.00$244,876$0$28,745Yes (X)
C WARREN
INTEGRATION40.00$238,980$0$37,526Yes (X)
MVSACK PRESIDENT THRU 21115
PRESIDENT$0$979,473$8,882Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,609,803TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,932,190TotReportableCompRltdOrgAmt
Total Other Compensation$387,610TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K213IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtBusiness Name Line2ContractorName/BusinessName/BusinessNameLine2Txt
SODEXHO INC & AFFILIATES
PO BOX 360170PITTSBURGHPA152516170MGT/CONSULTING$2,117,271
SUBURBAN MECHANICAL DESIGN SERVICES
PO BOX 850914BRAINTREEMA02185MECHANICAL SVS$1,704,341
ALLIED BARTON SERVICES
PO BOX 828854PHILADELPHIAPA191828854SECURITY$1,422,166
HOSPITAL MEDICINE ASSOCIATES
PO BOX 634850CINCINNATIOH45263PHYSICIAN SVS$1,294,6241
DELPHI CONSTRUCTION INC
130 OVERLAND ROADWALTHAMMA02451CONSTRUCTION$1,282,970
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K69CntrctRcvdGreaterThan100KCnt
Fundraising$248,935FundraisingAmt
Government Grants$2,529,525GovernmentGrantsAmt
All Other Contributions$869,087AllOtherContributionsAmt
Noncash Contributions$5,081NoncashContributionsAmt
Total Contributions$3,647,547TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICAL SERVICES622110$250,645,601$250,645,601
MEDICAL STAFF & SUPPORT SVS541900$1,106,239$1,106,239
MONTVALE PET/CT K1621512$214,142$214,142
RENT-PRIV USE BOND532000$7,800$7,800
FieldValueIRS element (for citing)
Total Program Service Revenue$251,973,782TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,000,938TotalRevenueColumnAmt
Exclusion$5,000,938ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,390,328RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,390,328RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,390,328TotalRevenueColumnAmt
Exclusion$1,390,328ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$67,090,856SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$64,118,214SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,972,642SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,972,642TotalRevenueColumnAmt
Exclusion$2,972,642ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$59,916FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$248,935ContriRptFundraisingEventAmt
Fundraising Direct Expenses$97,733FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$37,817TotalRevenueColumnAmt
Exclusion-$37,817ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$264,947,420TotalRevenueColumnAmt
Related Or Exempt Func Income$250,859,743RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,114,039UnrelatedBusinessRevenueAmt
Exclusion$9,326,091ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,718,960TotalAmt
Management And General$1,718,960ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$123,799,491TotalAmt
Program Services$105,122,259ProgramServicesAmt
Management And General$18,677,232ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,053,104TotalAmt
Program Services$3,210,464ProgramServicesAmt
Management And General$842,640ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,174,163TotalAmt
Program Services$12,873,254ProgramServicesAmt
Management And General$2,300,909ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,607,462TotalAmt
Program Services$7,610,071ProgramServicesAmt
Management And General$1,997,391ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$8,075,711TotalAmt
Program Services$3,871,459ProgramServicesAmt
Management And General$4,204,252ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$874,540TotalAmt
Management And General$874,540ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$327,892TotalAmt
Management And General$327,892ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$246,367TotalAmt
Management And General$246,367ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$20,106,902TotalAmt
Program Services$13,903,972ProgramServicesAmt
Management And General$6,202,930ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,790,347TotalAmt
Program Services$149,299ProgramServicesAmt
Management And General$1,641,048ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$42,073,782TotalAmt
Program Services$37,927,126ProgramServicesAmt
Management And General$4,146,656ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,494,843TotalAmt
Management And General$4,494,843ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,506,487TotalAmt
Program Services$6,346,884ProgramServicesAmt
Management And General$2,159,603ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$272,405TotalAmt
Program Services$138,378ProgramServicesAmt
Management And General$134,027ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$213,948TotalAmt
Program Services$114,547ProgramServicesAmt
Management And General$99,401ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,986,005TotalAmt
Program Services$2,239,504ProgramServicesAmt
Management And General$746,501ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,047,480TotalAmt
Program Services$12,035,610ProgramServicesAmt
Management And General$4,011,870ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,606,631TotalAmt
Management And General$1,606,631ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DUES$1,624,373$1,083,989$540,384
MINOR EQUIP$407,047$396,316$10,731
LICENSES$250,664$176,648$74,016
BOND & BANK FINANCE CHG$241,290$241,290

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,152,478TotalAmt
Program Services$842,195ProgramServicesAmt
Management And General$310,283ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$265,652,372TotalAmt
Program Services$208,283,265ProgramServicesAmt
Management And General$57,369,107ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,083,111BOYAmt
EOY$9,858,467EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,482,337BOYAmt
EOY$1,486,281EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,788,579BOYAmt
EOY$23,478,700EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$7,811,498BOYAmt
EOY$7,730,931EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,967,391BOYAmt
EOY$3,021,670EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,199,728BOYAmt
EOY$7,114,689EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$394,073,427LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$316,695,473LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$79,381,306BOYAmt
EOY$77,377,954EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$192,042,729BOYAmt
EOY$174,117,447EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$9,759,643BOYAmt
EOY$10,091,649EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$15,550,365BOYAmt
EOY$16,445,811EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$348,066,687BOYAmt
EOY$330,723,599EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$36,396,723BOYAmt
EOY$33,868,918EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$115,683,171BOYAmt
EOY$108,177,195EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,306,566BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,836,801BOYAmt
EOY$33,238,790EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$183,223,261BOYAmt
EOY$175,284,903EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$147,660,443BOYAmt
EOY$137,460,861EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,732,340BOYAmt
EOY$2,997,796EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,450,643BOYAmt
EOY$14,980,039EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$164,843,426BOYAmt
EOY$155,438,696EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$348,066,687BOYAmt
EOY$330,723,599EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$704,952ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$8,699,778OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,024,911BeginningYearBalanceAmt
Contributions$506,053ContributionsAmt
Investment Earnings Or Losses$1,155,798InvestmentEarningsOrLossesAmt
Other Expenditures-$1,144,700OtherExpendituresAmt
End Year Balance$17,542,062EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,730,987BeginningYearBalanceAmt
Contributions$847,142ContributionsAmt
Investment Earnings Or Losses$1,520,047InvestmentEarningsOrLossesAmt
Other Expenditures-$1,073,265OtherExpendituresAmt
End Year Balance$17,024,911EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.83320PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.16680TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,522,712OtherCostOrOtherBasisAmt
Book Value$7,522,712BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$168,485,377OtherCostOrOtherBasisAmt
Depreciation$146,701,150DepreciationAmt
Book Value$21,784,227BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,095,735OtherCostOrOtherBasisAmt
Depreciation$8,437,311DepreciationAmt
Book Value$1,658,424BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$206,155,996OtherCostOrOtherBasisAmt
Depreciation$161,557,012DepreciationAmt
Book Value$44,598,984BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,813,607OtherCostOrOtherBasisAmt
Book Value$1,813,607BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$77,377,954TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
PENSION LIABILITY$14,412,805
ESTIMATED SETTLEMENTS 3RD PARTY PAY$9,840,855
INSURANCE & OTHER LT LIABILITIES$4,216,751
DUE TO AFFILIATES$3,993,736
ASSET RETIREMENT OBLIGATIONS-FIN 47$935,219
NURSING SCHOOL LONG TERM LIABILITIES$668,279
DEFERRED FINANCING COST-$828,855
FieldValueIRS element (for citing)
Total Liability$33,238,790TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 2, PART V, LINE 4FormAndLineReferenceDesc
ExplanationTHE ENDOWMENT FUNDS ARE USED TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION IN PROVIDING HEALTHCARE TO THE SURROUNDING COMMUNITIES.ExplanationTxt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Licensed StatesMALicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HALLMARK MWH GOEvent1Nm
Gross Receipts Event1$121,177GrossReceiptsEvent1Amt
Charitable Contri Event1$87,509CharitableContriEvent1Amt
Gross Revenue Event1$33,668GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,725NonCashPrizesEvent1Amt
Rent Facility Costs Event1$18,030RentFacilityCostsEvent1Amt
Food And Beverage Event1$9,150FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$5,700OtherDirectExpensesEvent1Amt
Event2HALLMARK LMH GOEvent2Nm
Gross Receipts Event2$89,457GrossReceiptsEvent2Amt
Charitable Contri Event2$67,035CharitableContriEvent2Amt
Gross Revenue Event2$22,422GrossRevenueEvent2Amt
Non Cash Prizes Event2$1,485NonCashPrizesEvent2Amt
Rent Facility Costs Event2$12,484RentFacilityCostsEvent2Amt
Food And Beverage Event2$20,724FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$2,274OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$98,217GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$94,391CharitableContriOtherEventsAmt
Gross Revenue Other Events$3,826GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$3,259NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$4,152RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$5,440FoodAndBeverageOtherEventsAmt
Entertainment Other Events$1,500EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$11,810OthDirectExpnssOtherEventsAmt
Gross Receipts Total$308,851GrossReceiptsTotalAmt
Charitable Contributions Tot$248,935CharitableContributionsTotAmt
Gross Revenue Total Events$59,916GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$6,469NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$34,666RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$35,314FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,500EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$19,784OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$97,733DirectExpenseSummaryEventsAmt
Net Income Summary-$37,817NetIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedMAStatesWhereGamingConductedCd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,618,308TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,363,484DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,254,824NetCommunityBenefitExpnsAmt
Total Expense0.00850TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,453,971TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,835,849DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,618,122NetCommunityBenefitExpnsAmt
Total Expense0.01360TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$169TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$169NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,072,448TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$34,199,333DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,873,115NetCommunityBenefitExpnsAmt
Total Expense0.02210TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs68ActivitiesOrProgramsCnt
Persons Served390271PersonsServedCnt
Total Community Benefit Expns$5,018,852TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,599,694DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,419,158NetCommunityBenefitExpnsAmt
Total Expense0.00910TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served1983PersonsServedCnt
Total Community Benefit Expns$11,095,789TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,024,888DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,070,901NetCommunityBenefitExpnsAmt
Total Expense0.00780TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served100PersonsServedCnt
Total Community Benefit Expns$1,245,882TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$887,097DirectOffsettingRevenueAmt
Net Community Benefit Expns$358,785NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served8906PersonsServedCnt
Total Community Benefit Expns$143,946TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$143,946NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served4714PersonsServedCnt
Total Community Benefit Expns$107,150TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,250DirectOffsettingRevenueAmt
Net Community Benefit Expns$94,900NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs87ActivitiesOrProgramsCnt
Persons Served405974PersonsServedCnt
Total Community Benefit Expns$17,611,619TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,523,929DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,087,690NetCommunityBenefitExpnsAmt
Total Expense0.01920TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs87ActivitiesOrProgramsCnt
Persons Served405974PersonsServedCnt
Total Community Benefit Expns$57,684,067TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,723,262DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,960,805NetCommunityBenefitExpnsAmt
Total Expense0.04130TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served420PersonsServedCnt
Total Community Benefit Expns$3,845TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,845NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served27PersonsServedCnt
Total Community Benefit Expns$4,354TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,354NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,287TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,287NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served2439PersonsServedCnt
Total Community Benefit Expns$6,146TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,146NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served2886PersonsServedCnt
Total Community Benefit Expns$15,632TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$15,632NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$2,344,869BadDebtExpenseAmt
Reimbursed By Medicare$89,065,186ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$96,710,324CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$7,645,138MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)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 AVEMEDFORDMA02155Yes (X)Yes (X)Yes (X)A
HALLMARK ONCOLOGY & HEMATOLOGY CTR
341 MONTVALE AVESTONEHAMMA02180AOUTPATIENT MEDICAL
CHEM CENTER FOR RADIATION & MRI
448 MONTVALE AVESTONEHAMMA02180AOUTPATIENT 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-WAKEFIELD HOSP REHAB SERV
822 COREY STREETMELROSEMA02176APT & REHAB SERVICE
LAWRENCE MEMORIAL HOSPITAL PROGRAM
9200 GOVERNORS AVEMEDFORDMA02155APSYCHIATRIC SERVICE
COMMUNITY COUNSELING CENTER
10178 SAVIN STREETMALDENMA02148AOUTPATIENT COUNSELING

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility110FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)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
Information GapsYes (X)InformationGapsInd
OtherYes (X)OtherInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.HALLMARKHEALTH.ORGOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLHTTP://WWW.HALLMARKHEALTH.ORG/COMMUNITOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLHTTP://WWW.HALLMARKHEALTH.ORG/COMMUNITStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
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 (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPWWWMAHEALTHCONNECTORORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPWWWHALLMARKHEALTHORGFAPSummaryOnWebsiteURLTxt
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
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesYes (true)CollectionActivitiesInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GROUP A - LINE NUMBERS OF HOSPITAL FACILITIES1,2,3,4,5,6,7,8,9,10
GROUP A, FACILITY 1, MELROSE WAKEFIELD HOSPITAL - PART V, LINE 3JIN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), COMPLETED IN AUGUST 2016, HALLMARK HEALTH SYSTEM COMMUNITY BENEFITS STAFF PRIMARILY PARTNERED WITH THE INSTITUTE FOR COMMUNITY HEALTH (ICH), A NATIONALLY RECOGNIZED ORGANIZATION IN MALDEN, MASSACHUSETTS FOCUSED ON HEALTH STATUS IMPROVEMENT THROUGH COMMUNITY-BASED PARTICIPATORY EVALUATION, ASSESSMENT, RESEARCH, STRATEGIC PLANNING AND TRAINING. ICH'S ROLE WAS TO LEAD THE NEEDS ASSESSMENT PROCESS, INCLUDING COLLECTING, ANALYZING AND REPORTING ON THE DATA.THE HALLMARK HEALTH SYSTEM COMMUNITY BENEFITS ADVISORY COUNCIL, COMPRISED OF COMMUNITY REPRESENTATIVES AND COMMUNITY STAKEHOLDERS AS WELL AS HHS LEADERSHIP, ALSO PLAYED A CRITICAL ROLE IN GUIDING THE CHNA PROCESS, REVIEWING PRELIMINARY DATA, PROVIDING FEEDBACK, AND PARTICIPATING IN THE PRIORITIZATION PROCESS. ICH STAFF GAVE THREE PRESENTATIONS TO THE ADVISORY COUNCIL TO GARNER AND INCORPORATE FEEDBACK AS THE CHNA PROCESS WAS IN PROGRESS. VARIOUS CONSULTANTS AND ADVISORS WITH PUBLIC HEALTH EXPERTISE AND LOCAL COMMUNITY KNOWLEDGE SUCH AS HEALTH PLANNING AND PROGRAM DEVELOPMENT OF WAKEFIELD WERE BROUGHT IN AS NEEDED THROUGHOUT THE CHNA PROCESS, AND INPUT WAS ALSO INCORPORATED FROM HALLMARK HEALTH SYSTEM'S COMMUNITY TEAMS LEADERSHIP, HALLMARK HEALTH'S DIVERSITY COMMITTEE, PERINATAL ADVISORY COUNCIL, AND HHS DEPARTMENT-LEVEL COMMITTEES FOR OB/GYN, PEDIATRICS, STROKE, AND BEHAVIORAL HEALTH ISSUES. BROAD REPRESENTATION OF COMMUNITY INTERESTS WAS ALSO ACHIEVED THROUGH THE INCORPORATION OF COMMUNITY RESIDENT AND COMMUNITY STAKEHOLDER INPUT AS KEY COMPONENTS OF THE ASSESSMENT, THROUGH FOUR COMMUNITY FORUMS HELD IN 2015 AND 2016 AND TWO STAKEHOLDER SURVEYS CONDUCTED IN LATE SPRING/EARLY SUMMER 2016. TWO OF THE FORUMS WERE CONDUCTED IN THE WORLD CAF STYLE IN ORDER TO MAKE THEM ACCESSIBLE TO PEOPLE WITH DIVERSE BACKGROUNDS, INCLUDING DIFFERENT PRIMARY LANGUAGES. HALLMARK HEALTH ENCOURAGES AND SOLICITS FEEDBACK ON THE CURRENT CHNA ON AN ONGOING BASIS, SHARING THE REPORT AND INFORMATION WITH COLLABORATORS, COMMUNITY MEMBERS, AND STUDENTS AND OTHERS. IN ADDITION, THE HOSPITAL MONITORS DATA SOURCES, INCLUDING THOSE FROM LOCAL, STATE AND FEDERAL AGENCIES, AND GATHERS ADDITIONAL COMMUNITY-BASED PRIMARY DATA WHENEVER POSSIBLE THAT RELATES TO THE NEEDS OF ITS CORE COMMUNITIES. AS PER IRS FINAL REGULATIONS, THE FY 16 CHNA INCLUDED AN OVERALL ASSESSMENT, INCLUDING SOLICITED FEEDBACK, ON THE OUTCOMES AND ANY PROGRESS MADE ON IDENTIFIED HEALTH PRIORITIES SINCE THE ORIGINAL (FY 2013) CHNA WAS COMPLETED AND STRATEGIES IMPLEMENTED BASED ON ITS OUTCOMES.
GROUP A, FACILITY 1, MELROSE WAKEFIELD HOSPITAL - PART V, LINE 5IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), COMPLETED IN SEPTEMBER 2016 HALLMARK HEALTH SYSTEM (HHS) CONTRACTED WITH HEALTH PLANNING AND PROGRAM DEVELOPMENT TO PROVIDE A FOCUS GROUP FOR AGENCIES SERVING FAMILIES WITH YOUNG CHILDREN AND CONTRACTED WITH INSTITUTE FOR COMMUNITY HEALTH (ICH) TO LEAD THE ENTIRE NEEDS ASSESSMENT PROCESS, INCLUDING COLLECTING, ANALYZING, AND REPORTING ON DATA IN COLLABORATION WITH HHS. HALLMARK HEALTH AND ICH HELD 4 COMMUNITY FORUMS THAT REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY INCLUDING MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, AND COMPLETED 2 STAKEHOLDER SURVEYS WITH LOCAL AGENCIES AND INTERNAL LEADERS REPRESENTING MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. LOCAL HEALTH DEPARTMENT REPRESENTATIVE WERE ALSO INCLUDED. THIS WORK TOOK PLACE BETWEEN MARCH 2015 AND AUGUST 2016. -HALLMARK HEALTH AND ICH WORKED CLOSELY WITH THE HHS COMMUNITY BENEFITS ADVISORY COUNCIL, COMPRISED OF COMMUNITY STAKEHOLDERS AS WELL AS HHS LEADERS. THIS GROUP PROVIDED A CRITICAL ROLE IN GUIDING THE CHNA PROCESS. OTHER GROUPS SUCH AS THE SYSTEM'S COMMUNITY TEAMS, COMPRISED OF COMMUNITY MEMBERS BOTH EMPLOYED AND NON-EMPLOYED RESIDENTS OF THE COMMUNITY, THE DIVERSITY COMMITTEE, PERINATAL ADVISORY COUNCIL, WHICH ALSO INCLUDES A COMMUNITY REPRESENTATIVE, AND DEPARTMENT OR EXECUTIVE LEVEL COMMITTEES SUCH AS FOR OB/GYN, PEDIATRICS, STROKE, AND BEHAVIORAL HEALTH/SUBSTANCE USE ALSO PROVIDED INPUT. -TWO COMMUNITY CONVERSATION FORUMS WERE HELD, ONE REPRESENTING DIVERSE FAMILIES WITH YOUNG CHILDREN AND THE SECOND A BROADER GROUP REPRESENTING RESIDENTS SERVED BY MANY OF THE HEALTH SYSTEMS PROGRAMS SUCH AS A MOBILE FOOD MARKET, ELDER SERVICE PROGRAMS, YOUTH PROGRAMS, AND SERVICES FOCUSED ON MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. FOR THE SECOND FORUM, FLYERS AND MATERIALS WERE TRANSLATED INTO HAITIAN CREOLE, SPANISH, PORTUGUESE, ITALIAN, ARABIC, SIMPLE CHINESE, AND VIETNAMESE AND INTERPRETERS WERE AVAILABLE TO TRANSLATE RESPONSES FOR PARTICIPANTS THROUGHOUT THE EVENT. -TWO ADDITION FORUMS WERE HELD TO SHARE COMMUNITY DATA COLLECTED AND ASK PARTICIPANTS TO VOTE ON THEIR HIGHEST CONCERNS. AGENCIES REPRESENTING MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS AND PUBLIC HEALTH PROVIDERS WERE INCLUDED. -COMMUNITY STAKEHOLDER SURVEYS WERE SENT TO 20 COMMUNITY LEADERS REPRESENTING ONE OR MORE OF THE 9 COMMUNITIES SERVED. THE AGENCIES THAT WERE SENT SURVEYS INCLUDED MYSTIC VALLEY ELDER SERVICES (MVES); THE JOINT COMMITTEE FOR CHILDREN'S HEALTH CARE IN EVERETT (JCCHC); THE GREATER BOSTON FOOD BANK (GBFB); HOUSING FAMILIES; THE MIDDLESEX COUNTY DISTRICT ATTORNEY'S OFFICE; BREAD OF LIFE, INC.; THE LOCAL COMMUNITY ACTION PROGRAM, ACTION FOR BOSTON COMMUNITY DEVELOPMENT (ABCD); THE MA DEPARTMENT OF PUBLIC HEALTH; CAMBRIDGE HEALTH ALLIANCE, THE LOCAL SAFETY NET HOSPITAL SYSTEM; LAHEY HEALTH, ANOTHER NON-PROFIT HEALTH SYSTEM SERVING THIS AREA; SHAREWOOD PROJECT, A WEEKLY FREE CLINIC OFFERED BY TUFTS MEDICAL SCHOOL IN MALDEN; AND THE MA DEPARTMENT OF TRANSITIONAL ASSISTANCE. PUBLIC HEALTH DEPARTMENTS FROM LOCAL COMMUNITIES SUCH AS EVERETT, MALDEN, MEDFORD, MELROSE, READING, NORTH READING, STONEHAM, AND WAKEFIELD WERE ALSO SENT SURVEYS WITH 13 COMPLETED RESPONSES. MORE THAN 40 ADDITIONAL SURVEYS WERE SENT TO HHS LEADERS ENGAGED IN COMMUNITY-BASED ACTIVITIES OR DIVERSITY/INCLUSION EFFORTS ON BEHALF OF THE HEALTH SYSTEM AGAIN WITH 13 RESPONSES. -INCLUDED IN THE 2016 CHNA ARE COMMENTS RECEIVED ON THE HOSPITAL FACILITY'S PRIOR CHNA AND IMPLEMENTATION STRATEGIES INCLUDED IN THE COMMUNITY BENEFITS IMPLEMENTATION PLAN FOR 2014-2016.
GROUP A, FACILITY 1, MELROSE WAKEFIELD HOSPITAL - PART V, LINE 6BINSTITUTE FOR COMMUNITY HEALTH AND HEALTH PLANNING AND PROGRAM DEVELOPMENT
GROUP A, FACILITY 1, MELROSE WAKEFIELD HOSPITAL - PART V, LINE 11AFTER THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED, THE HHS COMMUNITY BENEFITS ADVISORY COUNCIL AND LEADERS FROM THE HEALTH SYSTEM REVIEWED THE INFORMATION GATHERED, SOUGHT COMMUNITY INPUT, AND MADE DECISIONS ABOUT HOW THE HEALTH SYSTEM WILL UTILIZE THE AVAILABLE RESOURCES TO ADDRESS THE NEEDS IDENTIFIED. THE 2017 COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) INCLUDES SOME INITIATIVES LED SOLELY BY HALLMARK HEALTH, ALTHOUGH THE HEALTH SYSTEM HAS MADE COLLABORATION A PRIORITY, WHEREVER POSSIBLE, TO ENGAGE LOCAL STAKEHOLDERS AND RESIDENTS AND ENSURE THEIR CRITICAL FEEDBACK INFORMS ITS EFFORTS. BASED ON THIS PROCESS, THE PRIORITY HEALTH CONCERNS THAT WERE IDENTIFIED INCLUDED SUBSTANCE USE DISORDERS; BEHAVIORAL HEALTH ISSUES; CANCER; CARDIOVASCULAR DISEASE; DIABETES; INFECTIOUS DISEASE; ACCESS TO CARE INCLUDING BARRIERS DUE TO LANGUAGE, TRANSPORTATION, HOUSING, AND FOOD INSECURITY; AND VULNERABLE POPULATIONS SUCH AS ELDERS, IMMIGRANTS, AND FAMILIES WITH YOUNG CHILDREN. SECONDARY HEALTH PRIORITIES INCLUDED PREVENTABLE INJURIES AND POISONINGS, RESPIRATORY DISEASE, OBESITY, VIOLENCE AND SEXUAL ASSAULT PREVENTION AND DISASTER READINESS AND EMERGENCY PREPARATION. SOME OF THE KEY STRATEGIES USED TO ADDRESS THE EIGHT PRIMARY HEALTH PRIORITIES INCLUDE THE FOLLOWING: -SUBSTANCE USE DISORDERS: HHS WILL PROVIDE SUPPORT TO LOCAL AND REGIONAL SUBSTANCE ABUSE PREVENTION COALITIONS, CONTINUE TO HOST AND PARTICIPATE IN THE MIDDLESEX COUNTY DISTRICT ATTORNEY'S REGIONAL EASTERN MIDDLESEX OPIOID TASK FORCE, CO-CHAIR THE CARE COLLABORATIVE, COMPRISED OF AGENCIES SERVING MOTHERS AND INFANTS WITH SUBSTANCE USE DISORDERS, SUPPORT REGIONAL TOBACCO PREVENTION EFFORTS IN THE COMMUNITY, PROVIDE WEEKLY SPACE TO AN ALCOHOLICS ANONYMOUS (AA) SUPPORT GROUP IN A HANDICAPPED ACCESSIBLE LOCATION, CONTINUE TO OFFER PROGRAMMING SUCH AS COACHH (COLLABORATIVE OUTREACH AND ADAPTIVE CARE AT HALLMARK HEALTH), HF/MHVI (HEALTHY FAMILIES PROGRAM AND MASSACHUSETTS HOME VISITING INITIATIVE), AND GRANDPARENTS RAISING GRANDCHILDREN IN HARMONY, REACHING MULTIPLE GENERATIONS WITHIN FAMILIES IMPACTED BY SUBSTANCE USE DISORDERS. -BEHAVIORAL HEALTH ISSUES: HHS WILL CONTINUE TO OFFER SLIDING SCALE SUPPLEMENTAL SUPPORT FOR INDIVIDUALS UNABLE TO AFFORD MENTAL HEALTH SERVICES, ATTEMPT TO REDUCE THE STIGMA OF MENTAL ILLNESS THROUGH EDUCATION AND SUPPORT TO FAMILIES, PROVIDE A VARIETY OF SUPPORT PROGRAMS FOR ELDERS, CHILDREN, AND ADULTS SUFFERING AFTER THE LOSS OF A FAMILY MEMBER OR FRIEND, ACT AS THE FISCAL AGENT FOR THE "MOVING BEYOND DEPRESSION" PROGRAM, AND CONTINUE TO INTEGRATE BEHAVIORAL HEALTH NEEDS INTO PRIMARY AND CHRONIC DISEASE MODELS OF CARE, INCLUDING COMMUNITY-BASED PROGRAMMING AND COALITION EFFORTS (THE CARE COLLABORATIVE, HF/MHVI, COACHH), AS WELL AS WITH EXTERNAL PARTNERS, TO SUPPORT INDIVIDUALS AND FAMILIES IMPACTED BY BEHAVIORAL HEALTH CHALLENGES. -CANCER: HHS WILL CONTINUE TO PROMOTE HEALTHY LIVING AND GREEN TECHNOLOGY AS ROOT CAUSE PREVENTION MEASURES, PROVIDE A VARIETY OF SCREENINGS ACCORDING TO THE AMERICAN CANCER ASSOCIATION STANDARDS, OFFER OPPORTUNITIES FOR CANCER PATIENTS AND THEIR FAMILIES TO RECEIVE SUPPORT TO ADDRESS THE CHALLENGES OF LIVING WITH THE DISEASE, PROVIDE EDUCATIONAL OPPORTUNITIES TO THE COMMUNITY TO INCREASE AWARENESS, CONTINUE TO PROMOTE THE ONGOING HEALTH OF PATIENTS IN RECOVERY FROM CANCER AND THROUGH A COLLABORATIVE EFFORT, PROVIDE CHRONIC DISEASE SELF-MANAGEMENT PROGRAMMING IN THE AREA AND OFFER RESOURCES AND REFERRALS TO "LIVE STRONG PROGRAMS" AT THE LOCAL YMCAS. -CARDIOVASCULAR DISEASE: HHS WILL CONTINUE TO TRAIN HIGH SCHOOL STUDENTS IN A TRAIN-THE-TRAINER CPR MODEL, PREPARING THEM TO TRAIN THEIR FAMILIES AND FRIENDS, PROVIDE EMERGENCY MEDICAL TECHNICIAN (EMT) TRAINING FOCUSED ON STROKE AND CARDIOVASCULAR DISEASE EDUCATION, OFFER HEART HEALTHY EDUCATION TO COMMUNITY RESIDENTS, AND CONTINUE TO TRAIN THE COMMUNITY TO RECOGNIZE AND RESPOND QUICKLY TO THE SIGNS OF STROKE. -DIABETES: HHS WILL PROVIDE DIABETES EDUCATION AND SCREENING THROUGHOUT THE REGION, ESPECIALLY FOCUSED ON THE UNDERSERVED, OFFER MONTHLY SUPPORT GROUPS TO AREA RESIDENTS WITH DIABETES, PROVIDE COMPREHENSIVE DIABETES EDUCATION FOR NEWLY DIAGNOSED AND LONG TERM DIABETICS, THROUGH A COLLABORATIVE EFFORT, PROVIDE CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS IN THE AREA AND RESOURCES AND REFERRALS TO PRE-DIABETES PREVENTION PROGRAMS AT LOCAL YMCAS. -INFECTIOUS DISEASES: HHS WILL MAINTAIN A CLINIC FOR TUBERCULOSIS (TB) TO ASSIST LOCAL PUBLIC HEALTH OFFICIALS IN SUPPORTING INDIVIDUALS WITH TB IN THE REGION, PRODUCE HEALTH MINUTE YOUTUBE EDUCATIONAL VIDEOS ON INFECTIOUS DISEASES IN COLLABORATION WITH WAKEFIELD CABLE ACCESS TV, PROVIDE SUPPORT TO LOCAL FLU CLINICS, PROMOTE THE TRAVEL CLINIC AT LAWRENCE MEMORIAL HOSPITAL AS A RESOURCE FOR ISSUES RELATED TO GLOBAL HEALTH AND DISEASE MANAGEMENT, CONDUCT ONGOING CONTINUING MEDICAL EDUCATION PROGRAMS, AVAILABLE FOR COMMUNITY MEMBERS TO PARTICIPATE IN FREE OF CHARGE, AND CONTINUE TO ADDRESS EMERGING DISEASES THROUGH DISASTER READINESS, AND EMERGENCY PLANNING EFFORTS. -ACCESS TO CARE: HHS WILL ASSIST SEVERAL HUNDRED RESIDENTS ANNUALLY WITH APPLICATIONS OR RE-APPLICATIONS FOR HEALTH INSURANCE, AS WELL AS CONSULTATIONS RELATED TO HEALTH COVERAGE AND RELATED FINANCIAL CHALLENGES AND ISSUES, PARTICIPATE ON LOCAL BOARDS OF DIRECTORS FOR AGENCIES SERVING THE UNDERSERVED, ASSIST FAMILIES WITH ACCESS TO FAMILY ASSISTANCE PROGRAMS SUCH AS THOSE THROUGH WIC, HF/MHVI, AND COACHH, CONTINUE TO WORK WITH LOCAL SCHOOLS AND COLLEGES TO PROMOTE THE EDUCATION AND TRAINING OF PROFESSIONAL HEALTH CARE WORKERS; ESPECIALLY DIVERSE CANDIDATES, AND HOST A MOBILE FOOD MARKET MONTHLY IN PARTNERSHIP WITH THE GREATER BOSTON FOOD BANK AND AREA VOLUNTEERS. -SERVING VULNERABLE POPULATIONS: HHS WILL TRAIN YOUTH TO PROVIDE CALLS TO HOME-BOUND ELDERS IN THE LIFELINE BUDDY PROGRAM, MONITOR HEALTH CONDITIONS AND OFFER EDUCATION TO ELDERS IN THE AGING IN BALANCE PROGRAM, CONVENE ANNUAL NECESSITIES DRIVES FOR VETERANS, CHILDREN, AND LOW-INCOME RESIDENTS, PROVIDE NUTRITION EDUCATION AND FOOD VOUCHERS TO DIVERSE LOW-INCOME ELIGIBLE RECIPIENTS THROUGH THE WIC PROGRAM, AND OFFER ADULT DAY HEALTH (ADH) SERVICES AT THE DUTTON CENTER ADH FOR FRAIL ELDERS AND DEPARTMENT OF MENTAL HEALTH AND DEPARTMENT OF DEVELOPMENTAL SERVICES PARTICIPANTS, AND PROVIDE LIGHTLY-USED CHILDREN'S CLOTHING AND EQUIPMENT, PARENTING EDUCATION, AND RESOURCES AND REFERRALS TO FAMILIES IN NEED AT THE MOTHERS HELPING MOTHERS CLOSET. THIS SHOULD ALLOW FAMILIES ADDITIONAL RESOURCES FOR FOOD AND OTHER NECESSITIES HALLMARK HEALTH WILL MAKE EVERY EFFORT TO USE THE LIMITED FUNDS AVAILABLE TO EFFECTIVELY CONTINUE SUPPORT FOR PROGRAMS WITH HIGH IMPACT, THOSE SUPPORTING MULTIPLE PRIORITY AREAS, SUCH AS THOSE FUNDED BY STATE GRANTS AND SERVING VULNERABLE POPULATIONS. OTHER PROGRAMMING WILL BE IMPLEMENTED THROUGH PARTNERSHIPS WITH OTHER LIKE-MINDED ORGANIZATIONS, AS DONATIONS, GRANTS, AND OTHER FUNDS ARE SECURED TO ENSURE THEIR SUSTAINABILITY. WHILE THE SYSTEM WILL TOUCH ON MOST OF THE PRIMARY AND SECONDARY HEALTH PRIORITIES IDENTIFIED IN THE 2016 CHNA THROUGH ITS COMMUNITY BENEFITS PROGRAMMING; THE CHIP IS NOT FULLY FUNDED WHICH LIMITS THE BREADTH OF PROGRAMMING, TO ADDRESS ALL ASPECTS OF THE IDENTIFIED NEEDS. HOWEVER, IN EACH YEAR OF THE THREE YEAR CHIP, THE RESOURCES AVAILABLE WILL BE REEVALUATED AND ANY ADDITIONAL FUNDS WILL BE ALLOCATED TO THE PRIORITY AREAS.
GROUP A, FACILITY 1, MELROSE WAKEFIELD HOSPITAL - PART V, LINE 16I- A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY WHICH WAS CONTAINED IN THE CREDIT AND COLLECTION POLICY WAS PUBLISHED ON THE WEBSITE AT WWW.HALLMARKHEALTH.ORG. IT DESCRIBED THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO WAS ELIGIBLE, HOW TO APPLY, AND THE TIMES, LOCATION AND TELEPHONE NUMBER OF COUNSELORS TO CONTACT FOR ASSISTANCE IN APPLYING. THIS PAGE OF THW WEBSITE TRANSLATES INTO SIXTY (60) LANGUAGES USING GOOGLE TRANSLATOR.
GROUP A, FACILITY 1, MELROSE WAKEFIELD HOSPITAL - PART V, LINE 22DTHE MAXIMUM AMOUNT THAT MAY BE CHARGED TO FAP ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS 50% OF THE GROSS CHARGES.

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PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CAREIN ADDITION TO FEDERAL POVERTY GUIDELINES, HALLMARK HEALTH 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 CREDIT AND COLLECTION 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
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATIONCHARITY 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 II - COMMUNITY BUILDING ACTIVITIESAS PART OF ITS EFFORTS TO IMPROVE THE HEALTH STATUS OF ITS CORE COMMUNITIES, HALLMARK HEALTH 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, MYSTIC VALLEY ELDER SERVICES PROVIDER TASK FORCE, LOCAL COUNCILS ON AGING,THE HEALTHY FAMILIES COMMUNITY COALITION,LOCAL SUBSTANCE ABUSE PREVENTION COALITIONS IN MALDEN,MELROSE,MEDFORD,READING, STONEHAM AND WAKEFIELD,AS WELL AS REGIONAL MASSACHUSETTS OPIOID ABUSE PREVENTION COLLABORATIVE(MOAPC)AND SUBSTANCE ABUSE PREVENTION COLLABORATIVE (SAPC),BOTH PROGRAMS OF THE MYSTIC VALLEY PUBLIC HEALTH COALITION. HALLMARK HEALTH ALSO PARTNERS WITH 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 HALLMARK HEALTH'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 VIOLENCE IN MELROSE. WORKING CLOSELY WITH THE MELROSE POLICE DEPARTMENT , THE BOARD OF DIRECTORS OF MAAV INCLUDES A REPRESENTATIVES FROM HALLMARK HEALTH, AS WELL AS MEMBERS FROM THE MELROSE SCHOOLS, CLERGY, HEALTH DEPARTMENT, AS WELL AS STUDENTS AND COMMUNITY MEMBERS AT LARGE. IN ADDITION, HALLMARK HEALTH HAS CONTINUED TO CONVENE A NUMBER OF COMMUNITY OUTREACH TEAMS TO ASSIST WITH COLLECTION OF COMMUNITY NEED INFORMATION AND TO PROVIDE HEALTH EDUCATION AND SCREENINGS. THE TEAMS HAVE SPONSORED EVENTS RANGING FROM INFORMAL (PLANNING, HEALTH EVENTS AND SCREENINGS) TO MORE FORMAL (HEALTHY MELROSE, STONEHAM HEALTH AND 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 HALLMARK HEALTH BEGINS THE THIRD YEAR OF ITS IMPLEMENTATION PLAN, IT CONTINUES TO UTILIZE THE COLLECTIVE KNOWLEDGE OF THE TEAM CAPTAINS. THE TEAMS 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, MEDFORD, MELROSE, WAKEFIELD, READING/NORTH READING AND STONEHAM. SAUGUS HAD A TEAM IN 2016 BUT WILL NEED TO CONVENE NEW LEADERSHIP FOR THE TEAM IN 2017. 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 2016/TAX YEAR 2015 (FY 2016/TY 2015). THE COMMUNITY TEAM EFFORTS HAVE BEEN ACKNOWLEDGED BY FOUR AREA CHAMBERS OF COMMERCE, OTHER CIVIC ORGANIZATIONS, THE HOUSE OF REPRESENTATIVES, THE AMERICAN HOSPITAL ASSOCIATION, AND THE MASSACHUSETTS HOSPITAL ASSOCIATION.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGYHALLMARK HEALTH SYSTEM, INC. DEVELOPED A COST TO CHARGE RATIO AND APPLIED IT TO THE BAD DEBT ACCOUNT CHARGES THAT WERE ACTUALLY WRITTEN-OFF.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTSTHE FOLLOWING IS FROM THE HALLMARK HEALTH CORPORATION CONSOLIDATED AUDITED FINANCIAL STATEMENTS, OF WHICH HALLMARK HEALTH SYSTEM IS INCLUDED, RELATING TO CHARITY CARE AND BAD DEBT EXPENSE : 2015 CHARITY CARE AND COMMUNITY BENEFIT FOOTNOTE CHARITY CARE - THE CORPORATION PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CONSISTENT WITH ITS TAX-EXEMPT STATUS AND COMMUNITY SERVICE RESPONSIBILITIES, THE CORPORATION PROVIDES FINANCIAL ASSISTANCE IN THE FORM OF FREE OR DISCOUNTED CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE CORPORATION'S CHARITY CARE POLICY. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE CORPORATION UTILIZES FEDERAL POVERTY INCOME GUIDELINES AND FOLLOWS PROCEDURES SET FORTH IN ITS CREDIT AND COLLECTION POLICY, WHICH HAS BEEN APPROVED BY THE COMMONWEALTH OF MASSACHUSETTS (THE 'COMMONWEALTH" )DIVISION OF HEALTHCARE FINANCE AND POLICY. BECAUSE THE CORPORATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT REPORTED AS PATIENT SERVICE REVENUE. DURING THE YEARS ENDED SEPTEMBER 30,2016 AND 2015,THE CORPORATION ESTIMATED THAT THE COST ASSOCIATED WITH THE CHARITY CARE PROVIDED WAS APPROXIMATELY 506,000 AND 332,000, RESPECTIVELY. SUCH COSTS HAVE BEEN ESTIMATED BASED ON RATIO OF EXPENSES TO ESTABLISHED PATIENT SERVICE CHARGES. BAD DEBTS - THE PROVISION FOR BAD DEBTS 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, AND WHO ARE OTHERWISE UNABLE OR UNWILLING TO PAY THE CORPORATION.THE PROVISION FOR BAD DEBTS OF 8,448,000 AND 8,261,000 IN 2016 AND 2015, RESPECTIVELY, REPRESENTS THE CHARGES FOR SERVICES PROVIDED THAT ARE DEEMED TO BE UNCOLLECTIBLE. THE ESTIMATED COST OF PROVIDING THESE SERVICES DEEMED UNCOLLECTIBLE WAS APPROXIMATELY 3,691,000 FOR 2016 AND 3,489,000 FOR 2015. HEALTH SAFETY NET (HSN) - THE COMMONWEALTH ADMINISTERS THE HSN PROGRAM TO ACT AS THE "PAYOR OF LAST RESORT" FOR COVERED HEALTH CARE SERVICES PROVIDED BY ACUTE HOSPITALS AND COMMUNITY HEALTH CENTERS IN THE COMMONWEALTH. ALL HOSPITALS HAVE BEEN ASSESSED A UNIFORM ALLOWANCE BASED ON ESTIMATES OF THEIR SHARE OF TOTAL HEALTH SAFETY NET FUNDING AND HAVE BEEN REIMBURSED FOR A PORTION OF THE COST OF ACTUAL UNCOMPENSATED CARE WHICH THEY PROVIDE, SUBJECT TO CERTAIN LIMITATIONS. REIMBURSABLE UNCOMPENSATED CARE INCLUDES NET CHARITY CARE AND BAD DEBTS RESULTING FROM EMERGENCY SERVICES. HOSPITALS' RECOVERIES FROM THE HSN ARE BASED ON REGULATED PAYMENT RATES. THE CORPORATION HAS RECORDED ITS ACTIVITY WITH THE HSN AS A COMPONENT OF NET PATIENT SERVICE REVENUE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. MANAGEMENT BELIEVES THAT THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS REFLECT REASONABLE ESTIMATES OF THE CORPORATION'S NET OBLIGATION TO THE HSN AS OF SEPTEMBER 30,2016 AND 2015. THE CORPRATION'S SHARE OF THE TOTAL COMMONWEALTH'S ASSESSMENT WAS 1,669,338 FOR 2016 AND 1,943,152 FOR 2015,RESPECTIVELY. DURING 2016 AND 2015, THE CORPORATION RECEIVED REIMBURSEMENT FROM THE HSN IN THE AMOUNTS OF 193,424 AND 313,745, RESPECTIVELY. TOTAL UNCOMPENSATED CARE PROVIDED BY THE CORPORATIONS FOR THE YEARS ENDED SEPTEMBER 30, 2016 AND 2015, IS AS FOLLOWS: 2016 2015 PROVISION FOR CHARITY CARE(AT COST) 505,725 332,191 PROVISION FOR BAD DEBTS(AT COST) 3,690,589 3,489,295 HSN - (ASSESSMENT NET OF REIMBURSEMENT ) 1,475,914 1,629,407 TOTAL UNCOMPENSATED CARE 5,672,228 5,450,893 TOTAL HALLMARK HEALTH SYSTEM,INC. UNCOMPENSATED CARE FOR FYE 2016 & 2015 IS AS FOLLOWS: 2016 2015 PROVISION FOR CHARITY CARE(AT COST) 531,145 327,123 PROVISION FOR BAD DEBTS(AT COST) 3,613,873 3,345,065 HSN - NET 1,475,914 1,629,407 TOTAL UNCOMPENSATED CARE 5,620,932 5,301,595 COMMUNITY BENEFIT - IN FURTHERING ITS CHARITABLE PURPOSE, THE CORPORATION PROVIDES A WIDE VARIETY OF HEALTH CARE SERVICES TO THE COMMUNITY IN ORDER TO PROVIDE ACCESS TO APPROPRIATE CARE FOR POPULATIONS IN NEED. THE CORPORATION HAS DEVELOPED A FORMAL COMMUNITY BENEFIT PLAN, WHICH RESPONDS TO A COMPREHENSIVE ASSESSMENT OF HEALTH CARE NEEDS IN THE COMMUNITY. THE COMMUNITY BENEFIT PLAN SUPPORTS SERVICES THAT TARGET NOT ONLY THE GENERAL POPULATION IN THE CORPORATION'S SERVICE AREA, BUT ALSO PARTICULAR POPULATIONS WITH SPECIAL HEALTH CARE NEEDS, INCLUDING THE POOR, THE ELDERLY, CHILDREN, AND MINORITY POPULATIONS. SUPPORTED SERVICES INCLUDE VARIOUS CLINICS, HEALTH SCREENING PROGRAMS, HEALTH EDUCATION PROGRAMS, AND SUPPORT GROUPS OPERATED IN THE CORPORATION'S SERVICE AREA. THE CORPORATION WORKS ACTIVELY WITH OTHER AREA SERVICE PROVIDERS TO FACILITATE THE DEVELOPMENT OF AN EFFECTIVE COMMUNITY HEALTH NETWORK. THE CORPORATION ALSO PARTICIPATES IN ACTIVITIES DESIGNED TO FOSTER AND ENHANCE THE ECONOMIC AND CIVIC ENVIRONMENT OF ITS SERVICE AREAS. HALLMARK HEALTH SYSTEM, INC. DOES NOT INCLUDE BAD DEBT AS A COMMUNITY BENEFIT.
PART III, LINE 8 - MEDICARE EXPLANATIONTHE MEDICARE ALLOWABLE COSTS ON LINE 6 WAS DETERMINED BY USING INFORMATION FROM THE MEDICARE COST REPORT. IT IS HALLMARK HEALTH'S POLICY TO EXCLUDE ANY MEDICARE SHORTFALL FROM THE COMMUNITY BENEFIT INFORMATION.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATIONPOLICY- IT IS HALLMARK HEALTH'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 - NEEDS ASSESSMENTHALLMARK HEALTH SYSTEM IS A NOT-FOR-PROFIT HOSPITAL THAT OPERATES TO FURTHER THE IMPROVEMENT OF THE HEALTH STATUS TO 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 HALLMARK HEALTH COMMUNITY BENEFITS ADVISORY COUNCIL, COMMUNITY OUTREACH TEAMS, PATIENT/FAMILY ADVISORY COUNCIL, LOCAL COMMUNITY COALITIONS, 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 HALLMARK HEALTH SYSTEM WEBSITE AND IN PRINTED VERSIONS AT EACH HOSPITAL CAMPUS AND OTHER KEY SERVICE DELIVERY LOCATIONS IN THE CATCHMENT AREA.THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR 2017-2019 IS ALSO POSTED ON THE HEALTH SYSTEM;S WEBSITE. ONGOING MONITORING OF THE CHNA AND ITS IDENTIFIED HEALTH PRIORITIES IS THE RESPONSIBILITY OF THE COMMUNITY BENEFITS ADVISORY COUNCIL. AS OF THE END OF FY 2016/TY 2015, THE HALLMARK HEALTH COUNCIL IS COMPRISED OF A MEMBER OF THE HOSPITAL'S BOARD OF TRUSTEES; THE SYSTEM VICE PRESIDENT FOR HOME CARE & COMMUNITY PROGRAMS WHO CHAIRS THE COUNCIL ,EXECUTIVE VICE PRESIDENT AND CHIEF LEGAL OFFICER;THE EXECUTIVE DIRECTOR OF THE CANCER CENTER E CHIEF MARKETING OFFICER; THE FISCAL CONTROLLER; THE MANAGER OF CASE MANAGEMENT, AN LICSW; THE MANAGER, CENTRAL SCHEDULING, INSURANCE COORDINATION AND INTERPRETER SERVICES; TWO HALLMARK HEALTH-AFFILIATED PHYSICIANS; AND THREE COMMUNITY REPRESENTATIVES; THE DIRECTOR, COMMUNITY SERVICES; AND THE MANAGER,COMMUNITY BENEFITS. THE COUNCIL ACTS AS OVERSEERS 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 BENEFITS IMPLEMENTATION PLAN,NOW COMMUNITY HEALTH IMPROVEMENT PLAN TO RESPOND TO THESE NEEDS.AT THE START OF FY 2016/TY 2015, THE COUNCIL REVIEWED THE FY 2017-16 IMPLEMENTATION PLAN AND MADE AMENDMENTS AS REQUIRED TO REFLECT NEW PROGRAMS OR SHIFTS IN EXISTING PROGRAMS AS APPROVED BY THE BOARD OF TRUSTEES.THE COUNCIL MEETS SIX TIMES PER YEAR TO PROVIDE INPUT TO THE ONGOING EXECUTION OF THE PLAN, DISCUSS ONGOING COMMUNITY HEALTH ISSUES, MONITOR THE STATE AND FEDERAL REPORTING PROCESSES FOR COMMUNITY BENEFITS, AND OFFER INPUT TO THE HALLMARK HEALTH BOARD GOVERNANCE COMMITTEE REGARDING EMERGING AND NEWLY IDENTIFIED COMMUNITY HEALTH NEEDS. THE COUNCIL ADDED AS NEW MEMBERS THE EXECUTIVE DIRECTOR OF A LOCAL HUNGER RELIEF AND FOOD PANTRY PROGRAM, AND A REPRESENTATIVE FROM THE MA DEPARTMENT OF PUBLIC HEALTH, IN FY 2016/TY 2015. RECRUITMENT OF COMMUNITY REPRESENTATIVES, REFLECTING THE VULNERABLE POPULATIONS IN THE COMMUNITY AND REPRESENTING DIVERSE CONSTITUENCIES AND VIEWPOINTS, TAKES PLACES ON AN ONGOING BASIS. IN FY 2017, THREE NEW MEMBERS WERE ADDED; TWO REPRESENTING THE COMMUNITY AND ONE FROM HALLMARK HEALTH VNA AND HOSPICE, WHO IS ALSO A COMMUNITY RESIDENT. HALLMARK HEALTH ALSO ACTIVELY PARTICIPATED 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 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 HALLMARK HEALTH ASSESSES 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 HALLMARK HEALTH 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, HALLMARK HEALTH SYSTEM ALSO 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 THESE MEMBERSHIPS INCLUDE: MYSTIC VALLEY ELDER SERVICES PROVIDER TASK FORCE; 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 ONNECTION; SUBSTANCE ABUSE PREVENTION COALITIONS IN MALDEN, MELROSE, MEDFORD, WAKEFIELD, AND STONEHAM;THE MALDEN'S PROMISE COALITION, MA DEPARTMENT OF PUBLIC HEALTH MASS IN MOTION PROGRAMS IN MELROSE-WAKEFIELD, MALDEN, AND EVERETT; AND THE MELROSE, STONEHAM, AND WAKEFIELD ALLIANCES AGAINST VIOLENCE. ONE CENTRAL FOCUS OF HALLMARK HEALTH'S COMMUNITY BENEFITS WORK IS TO CONTINUE TO FOSTER RELATIONSHIPS WITH A WIDER ARRAY OF COMMUNITY GROUPS AND LOCAL LEADERS, INCLUDING ENHANCING RELATIONSHIPS WITH FAITH-BASED AND GRASSROOTS ORGANIZATIONS. SUCH RELATIONSHIPS PROVIDE INSIGHT INTO HOW THESE GROUPS VIEW HALLMARK HEALTH SYSTEM'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 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEMASSACHUSETTS HOSPITALS AND HALLMARK HEALTH 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 PORTIONS OF THE CREDIT AND COLLECTION POLICY OF HALLMARK HEALTH AND AT HALLMARK HEALTH WEBSITE HTTP://WWW.HALLMARKHEALTH.ORG . FOR THOSE PATIENTS THAT REQUEST SUCH ASSISTANCE, HALLMARK HEALTH'S CERTIFIED FINANCIAL COUNSELORS ASSIST PATIENTS BY SCREENING THEM FOR ELIGIBILITY IN AVAILABLE PUBLIC ASSISTANCE PROGRAMS OR THE HALLMARK HEALTH'S FINANCIAL ASSISTANCE PROGRAM (INCLUDING BUT NOT LIMITED TO MASSHEALTH, THE PREMIUM ASSISTANCE PAYMENT PROGRAM OPERATED BY THE HEALTH CONNECTOR, THE CHILDREN'S MEDICAL SECURITY PROGRAM, THE HEALTH SAFETY NET AND MEDICAL HARDSHIP) AND ASSISTING THEM IN APPLYING FOR THESE PROGRAMS. ASSISTANCE FOR THESE PROGRAMS IS DETERMINED BY REVIEWING, AMONG OTHER ITEMS, AN INDIVIDUAL'S HOUSEHOLD INCOME, ASSETS, FAMILY SIZE, EXPENSES AND MEDICAL NEEDS, CURRENT INSURANCE COVERAGE, AND ANY OTHER INFORMATION THAT MAY BE NECEESARY. THE SCREENING AND APPLICATION PROCESS IS DONE THROUGH A SINGLE UNIFORM APPLICATION THAT IS SUBMITTED THROUGH THE MA HEALTH CONNECTOR (HTTPS://WWW.MAHEALTHCONNECTOR.ORG/), OR THROUGH A STANDARD PAPER APPLICATION. HALLMARK HEALTH HAS NO ROLE IN SPECIFICALLY DETERMINING THE ELIGIBILITY FOR ENROLLMENT WITH 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. HALLMARK HEALTH 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 SERVICE, 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, HALLMARK HEALTH ALSO POSTS GENERAL NOTICES, PAMPHLETS, BROCHURES, AND/OR 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 AFFILIATED COMMUNITY HEALTH CENTER LOCATIONS, 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, HALLMARK HEALTH 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.
PART VI, LINE 4 - COMMUNITY INFORMATIONHALLMARK HEALTH SYSTEM (HHS) IS A COMMUNITY HOSPITAL SYSTEM, LOCATED ON TWO HOSPITAL CAMPUSES APPROXIMATELY TEN (10) MILES NORTH OF BOSTON, MASSACHUSETTS. HALLMARK HEALTH'S OVERALL SERVICE AREA IS PRIMARILY WITHIN MIDDLESEX COUNTY, WITH SOME SLIGHT OVERLAP INTO ESSEX AND SUFFOLK COUNTIES. THE HHS 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 "HHS CB"). THESE COMMUNITIES WERE SELECTED AND APPROVED BY LEADERSHIP BASED ON AN ASSESSMENT OF COMMUNITIES FROM WHICH HHS DRAWS ITS PATIENT POPULATION, COMMUNITIES WHERE HHS 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 FIVE 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 HHS FY 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: POPULATION SIZE & DENSITY THE HHS 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 POPULATIONS 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 THE LEAST DENSELY POPULATED AT 1,103 PEOPLE PER SQUARE MILE.. RACE/ETHNICITY & FOREIGN-BORN RESIDENTS COMPARED 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 BLACKS/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 SLIGHTLY LOWER 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 HHS 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. LANGUAGE BASED 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 2016/TY 2015, HALLMARK HEALTH FINANCIAL COUNSELORS PROVIDED 3,660 INTERACTIONS WITH COMMUNITY MEMBERS AND COMPLETED 2,726 APPLICATIONS FOR INDIVIDUALS IN THE STATE HALLMARK HEALTH 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. AGE & BIRTH RATES COMPARED 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 HHS 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 & CRIME THE MEDIAN HOUSEHOLD INCOME LEVELS IN THE HHS 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 & UNEMPLOYMENT EDUCATIONAL ATTAINMENT VARIES BY COMMUNITY IN THE HHS 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 HHS 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%. PUBLIC SCHOOL ENROLLMENT: DEMOGRAPHICS & SPECIAL POPULATIONS COMPARED 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 PROPORTION OF BLACK/AFRICAN AMERICAN STUDENTS (10% VERSUS 9%), AND A SLIGHTLY HIGHER PROPORTION OF ASIAN STUDENTS (8% VERSUS 7%). CERTAIN SPECIAL POPULATIONS POSE EDUCATIONAL CHALLENGES TO SCHOOLS: IN THE HHS 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 RATES MELROSE, NORTH READING AND READING HAVE THE HIGHEST HIGH SCHOOL 4-YEAR GRADUATION RATES. EVERETT, MALDEN
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTHHALLMARK HEALTH HAS A 16 MEMBER BOARD OF TRUSTEES, COMPRISED OF A MAJORITY OF COMMUNITY MEMBERS. ONLY THREE (3) OF 16 TRUSTEES ARE EMPLOYED BY HALLMARK HEALTH OR THE HOSPITAL'S PARENT, HALLMARK HEALTH 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). HALLMARK HEALTH 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 HALLMARK HEALTH 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 HALLMARK HEALTH TO IMPROVE THE QUALITY OF PATIENT CARE, ACCESS TO CARE, ADVANCE MEDICAL PRACTICE AND TO IMPROVE THE COMMUNITIES HEALTH AND WELLBEING. IN FY 2016/TY 2015, HALLMARK HEALTH FINANCIAL COUNSELORS PROVIDED 3,660 INTERACTIONS WITH COMMUNITY MEMBERS AND COMPLETED 2,726 APPLICATIONS FOR INDIVIDUALS IN THE STATE HEALTH PROGRAMS; SUCH AS MASS HEALTH , COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START AND THE HEALTH SAFETY NET. THIS DOES NOT INCLUDE INTERACTIONS THAT DID NOT RESULT IN AN APPLICATION. HALLMARK HEALTH SYSTEM FINANCIAL NAVIGATORS ALSO HELPED PATIENTS TO ENROLL IN SNAP (FORMERLY FOOD STAMPS) AND OTHER SOCIAL SERVICE PROGRAMS. IN ADDITION, NAVIGATORS 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. HALLMARK HEALTH 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 BENEFITS IMPLEMENTATION PLAN, SUCH AS ALCOHOLICS/OVEREATERS ANONYMOUS GROUPS, RED CROSS FOR BLOOD DRIVES AND MELROSE ALLIANCE AGAINST VIOLENCE FOR A COMMUNITY SUPPORT GROUP. 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 MEASURABLE 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 SERVICES AS 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). BREASTFEEDING HAS BEEN SHOWN TO REDUCE A MOTHER'S RISK OF BREAST AND OVARIAN CANCER, AND IS ALSO IDENTIFIED AS AN EVIDENCE-BASED APPROACH TO REDUCE OBESITY IN CHILDREN, REDUCE RISK FOR CANCER AND OTHER CHRONIC DISEASES LATER IN LIFE. ENCOURAGING HEALTHY FOOD CONSUMPTION SEVERAL HOSPITAL DEPARTMENTS AND CLINICAL AREAS, INCLUDING DIABETES, REHAB 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 HEALTH CARE WITHOUT HARM, 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 HEALTHY DINING OPTIONS OFFERED IN LOCAL RESTAURANTS, CREATED WITH THE ASSISTANCE OF HOSPITAL DIETICIANS AND NUTRITIONISTS. EFFORTS ALSO EXTEND TO DIRECTLY SUPPORT INCREASED ACCESS TO HEALTHY FOODS, INCLUDING FRESH FRUITS AND VEGETABLES PROVIDED THROUGH A MOBILE FOOD MARKET SERVING 300-400 FAMILIES PER MONTH WITH 30 LBS. EACH OF FRESH, HEALTHY FOODS. VOUCHERS FROM WIC TO ITS PROGRAM PARTICIPANTS ARE ALSO PROVIDED TO USE AT LOCAL FARMERS' MARKETS DURING SUMMER MONTHS. WORKPLACE WELLNESS EFFORTS, IN TERMS OF INCREASING PHYSICAL ACTIVITY, AS WELL AS PROMOTING WEIGHT LOSS AND HEALTHIER EATING, HAVE BEEN CONTINUED DURING FY 2016/TX 2015 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. SUPPORTING REGIONAL TOBACCO PREVENTION AND REDUCTION EFFORTS THE HEALTH SYSTEM WORKS ACTIVELY WITH THE MYSTIC VALLEY TOBACCO AND ALCOHOL PROGRAM, AROUND REGIONAL SOLUTIONS TO TOBACCO CONTROL AND PREVENTION, INCLUDING STANDARDIZATION OF LOCAL ORDINANCES RELATED TO THE SALE OF TOBACCO, MONITORING OF REGULATION AND ENFORCEMENT OF BANS TO MINORS, AND OTHER PREDATORY PRACTICES RELATED TO THE SALE OF TOBACCO PRODUCTS. THE ADVENT OF E-CIGARETTES AS VEHICLES FOR NICOTINE AND OTHER SUBSTANCE DELIVERY HAS ALSO PROMPTED REGIONAL RESPONSES TO ADDRESS THEIR USE, ESPECIALLY IN SCHOOL AGE POPULATIONS, GIVEN THE UNKNOWN RISKS AND POTENTIAL FUTURE CAUSATION TO REGULAR TOBACCO USE. AS PART OF THE MYSTIC VALLEY PUBLIC HEALTH COALITION ,MVTAP ALSO WORKS WITH THE REGION'S MASSACHUSETTS OPIOID ABUSE PREVENTION COLLABORATIVE(MOPAC) , SERVING SIX HHS SERVICE AREA COMMUNITIES. MVTAP AND MOAPC WORK IN TANDEM, GIVEN DOCUMENTED HIGHER RATES OF ALCOHOL CONSUMPTION,AMD TOBACCO / TOBACCO- BASED PRODUCT USE AMONG INDIVIDUALS WITH SUBSTANCE USE DISORDERS. ALONG WITH HALLMARK HEALTH, THESE PARTNERSHIPS ALSO WORK TO ADDRESS THE CO-MORBID BEHAVIORAL HEALTH CONDITIONS IMPACTING INDIVIDUALS WITH SUBSTANCE USE DISORDERS, AS WELL AS ATTEMPTING TO MITIGATE AND REDUCE THEIR INCREASED ODDS FOR CHRONIC HEALTH CONDITIONS, INCLUDING HEPATITIS, HIV/AIDS, DIABETES, CARDIOVASCULAR DISEASE, AS WELL AS MULTIPLE ADVERSE SOCIAL DETERMINANT FACTORS. THESE ISSUES CONTINUE TO IMPACT INDIVIDUALS, EVEN WHEN THEY ARE IN ACTIVE RECOVERY. REDUCING ENVIRONMENTAL FACTORS IMPACTING DISEASE HALLMARK HEALTH PROMOTES SEVERAL EFFORTS FOCUSED AROUND REDUCTION OF ITS CARBON FOOTPRINT, GREENHOUSE GAS, PARTICULATE AND OTHER EMISSIONS. THIS INCLUDES ENERGY EFFICIENCY UPGRADES IN INFRASTRUCTURE AND PHYSICAL PLANT AND THE ADDITION OF AN ELECTRIC VEHICLE CHARGING STATIONS AT THE MELROSE-WAKEFIELD HOSPITAL CAMPUS TO ENCOURAGE USE OF ZERO-EMISSION VEHICLES IN THE COMMUNITY. GREEN TECHNOLOGY HAS THE SECONDARY BENEFIT OF REDUCING TRIGGERS FOR ASTHMA AND OTHER RESPIRATORY DISEASES, AS WELL AS RISKS FOR CERTAIN CANCERS.IMMUNIZATION AND VACCINATION, PARTICULARLY RELATED TO THE HUMAN PAPILLOMA VIRUS (HPV), CAN ALSO BE A SUBSTANTIAL PREVENTIVE FACTOR IN PROTECTING AGAINST FUTURE INFECTION AND SUBSEQUENT CERVICAL CANCER IN WOMEN AND ORAL/HEAD/NECK CANCERS IN BOTH MALES AND FEMALES. THE HOSPITAL SUPPORTS IMMUNIZATION FOR HPV, AS WELL AS THE FULL TIMELINE OF RECOMMENDED VACCINATIONS, THROUGH ITS PRIMARY CARE PRACTICES, THE SERVICES PROVIDED IN ITS WIC PROGRAM, AND WITH COMMUNITY PARTNERS SUCH AS THE JOINT COMMITTEE FOR CHILDREN'S HEALTH CARE IN EVERETT. REMEMBRANCE EVENTS, INCLUDING AN ANNUAL TREE LIGHTING HONORING THOSE LOST TO CANCER IN STONEHAM, WHERE THE HEALTH SYSTEM'S CANCER CENTER IS LOCATED, HELPS FORM A CONNECTION TO THOSE LOST WITH THE OPPORTUNITY TO ENCOURAGE SCREENING AND EDUCATION. HIGHLIGHTING RISKS AMONG FAMILY MEMBERS AND OTHER LOVED ONES OF THOSE IMPACTED BY CANCER, INCLUDING LOSS OF LIFE, CONNECTS THESE MESSAGES TO A RECEPTIVE AUDIENCE IN A WAY THAT EXTENDS THE REACH OF SCREENING AND CANCER PREVENTION MES
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEMHALLMARK HEALTH SYSTEM IS A COMMUNITY HOSPITAL WITH MULTIPLE CAMPUSES AND IS A MEMBER OF HALLMARK HEALTH CORPORATION ("HHC"). HHC 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.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORTMASSACHUSETTS
ADDITIONAL INFORMATIONPART I, QUESTION 6A - DID THE ORGANIZATION PREPARE A COMMUNITY BENEFIT REPORT DURING THE TAX YEAR? IN ADDITION TO THE FORM 990 SCHEDULE H, HALLMARK HEALTH SYSTEM ISSUED AN FY 2016 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 ON LINE, WITH THE CHNA AND THE 2014-2016 COMMUNITY BENEFITS IMPLEMENTATION PLAN,AND THE 2017-2019 COMMUNITY BENEFITS HEALTH IMPROVEMENT PLAN (CHIPS) WHICH ARE ALSO AVAILABLE IN PRINT VERSIONS AT EACH HOSPITAL CAMPUS (IN HUMAN RESOURCES) AND AT OTHER KEY PROGRAM SITES IN THE SERVICE AREA. IN ADDITION, HALLMARK HEALTH OFTEN FEATURES STORIES ABOUT COMMUNITY BENEFITS PROGRAMS IN THE QUARTERLY HALLMARK HEALTH SYSTEM MAGAZINE. THIS PUBLICATION REACHES MORE THAN 100,000 HOUSEHOLDS IN OUR SERVICE AREA. HALLMARK HEALTH ALSO 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 OCCASIONAL NEWSPAPER ADVERTISEMENTS AND POSTCARDS ARE ALSO DISSEMINATED WIDELY IN THE COMMUNITY TO NOTIFY RESIDENTS OF UPCOMING COMMUNITY BENEFITS PROGRAMS AND SERVICES. DISCLOSURE STATEMENT FOR CORRECTING SECTION 501(R) OMISSIONS, ERRORS AND OTHER FAILURES PURSUANT TO REVENUE PROCEDURE 2015-21 FOR FORM 990 SCHEDULE H - ON SEPTEMBER 23, 2016, HALLMARK HEALTH BEGAN AN INTERNAL INVESTIGATION AND REVIEW OF ITS COMPLIANCE WITH 501(R) IN AN EFFORT TO SEE WHETHER OR NOT IT WAS FULLY COMPLIANT WITH THE FINAL REGULATIONS OF 501(R) WHICH APPLY TO HALLMARK HEALTH'S TAX YEAR BEGINNING OCTOBER 1, 2016 AND ENDING SEPTEMBER 30, 2017. THE RESULTS OF THE INTERNAL INVESTIGATION REVEALED THAT DESPITE GOOD FAITH BEST EFFORTS (AND NOT WILLFUL OR EGREGIOUS CONDUCT) OF FORMER EXECUTIVE MANAGEMENT PERSONNEL TASKED WITH ENSURING COMPLIANCE WITH THE REQUIREMENTS OF 501(R) HALLMARK HEALTH HAD SOME APPARENT OMISSIONS, ERRORS AND OTHER FAILURES. THE FOLLOWING DESCRIBES THE OMISSIONS, ERRORS AND OTHER FAILURES, AND THE CORRECTIVE ACTIONS WHICH HAVE BEEN OR ARE BEING TAKEN: .1.WITH RESPECT TO FINANCIAL ASSISTANCE POLICY ("FAP"), HALLMARK HEALTH FAILED TO OBTAIN A FORMAL VOTE FROM ITS BOARD OF TRUSTEES ON ITS SEPARATE WRITTEN FINANCIAL ASSISTANCE POLICY. HALLMARK HEALTH HAS OFFERED FINANCIAL ASSISTANCE AS STATED IN ITS CREDIT AND COLLECTION POLICY SINCE 2002. CORRECTIVE ACTION: THE BOARD VOTE ON THE FAP WAS TAKEN ON FEBRUARY 23, 2017. SECOND, THE FAP NEEDED REVISIONS TO CLARIFY HALLMARK HEALTH'S USE OF THE "LOOK BACK" METHOD FOR CALCULATING THE AMOUNTS GENERALLY BILLED ("AGB"), STATE THE AGB PERCENTAGE AND TO DESCRIBE HOW IT WAS CALCULATED. CORRECTIVE ACTION: ADDITIONAL INFORMATION WAS ADDED TO THE FAP REGARDING THE "LOOK BACK" METHOD FOR CALCULATING THE AGB, ITS PERCENTAGE AND A DESCRIPTION OF THE CALCULATION AND PUBLISHED TO THE WEBSITE ON OR ABOUT MAY10, 2017. THIRD, THE PLAIN LANGUAGE SUMMARY OF THE HOSPITAL FACILITY'S FAP NEEDED REVISIONS TO CLARIFY THE APPLICATION PROCESS FOR ASSISTANCE; INSTRUCTIONS ON HOW AN INDIVIDUAL MIGHT OBTAIN A FREE COPY OF THE FAP AND FAP APPLICATION FORM BY MAIL; ADD TO THE WEBSITE THE FAP APPLICATION FORM (RATHER THAN JUST A REFERENCE TO THE MASSACHUSETTS HEALTH SAFETY NET WEBSITE), AS WELL AS THE PHYSICAL LOCATION WHERE AN INDIVIDUAL COULD OBTAIN COPIES OF THE FAP AND FAP APPLICATION FORM, FREE OF CHARGE(RATHER THAN JUST CONTACT NAMES AND PHONE NUMBERS); AND ADD A STATEMENT REGARDING THE AVAILABILITY OF TRANSLATIONS (RATHER THAN JUST TRANSLATIONS OF THE PUBLISHED WEB PAGE), AND DOWNLOADABLE TRANSLATIONS OF THE FAP, FAP APPLICATION FORM, AND PLAIN LANGUAGE SUMMARY OF THE FAP IN OTHER LANGUAGES. CORRECTIVE ACTIONS: REQUIRED PROVISIONS WERE ADDED TO THE PLAIN LANGUAGE SUMMARY OF THE HOSPITAL FACILITY'S FAP AND PUBLISHED TO THE WEBSITE ON OR ABOUT MAY 24, 2017. ADDITIONAL DOWNLOADABLE TRANSLATIONS WILL BE PUBLISHED, AS SOON AS THEY ARE AVAILABLE, BUT NO LATER THAN JULY 31, 2017. FOURTH, WITH RESPECT TO WIDELY PUBLICIZING THE FAP, HALLMARK HEALTH DISCOVERED THE FOLLOWING FAILURES: (1) HALLMARK HEALTH DID NOT PROVIDE INDIVIDUALS WITH ACCESS TO THE FAP, APPLICATION AND PLAIN LANGUAGE SUMMARY ON ITS WEBSITE OR UPON REQUEST WITHOUT BY MAIL AND IN PUBLIC LOCATIONS WITHIN THE HOSPITAL FACILITY, (2) IT DID NOT NOTIFY AND INFORM INDIVIDUALS WHO RECEIVED CARE ABOUT THE FAP BY OFFERING FREE PAPER COPIES OF THE PLAIN LANGUAGE SUMMARY TO PATIENTS AS PART OF THE INTAKE OR DISCHARGE PROCESS; (3) IT DID NOT MAKE AVAILABLE TRANSLATIONS OF THE FAP, APPLICATION, AND PLAIN LANGUAGE SUMMARY IN LANGUAGES SPOKEN BY EACH SIGNIFICANT POPULATION WITH LIMITED ENGLISH PROFICIENCY AND (4) THAT AS A RESULT OF SOME RENOVATIONS AT ONE OF THE HOSPITAL FACILITY CAMPUSES, SOME OF THE POSTERS HAD BEEN TAKEN DOWN, AND LOST, AND SOME OF THE OTHER BROCHURES, AND PAMPHLETS HAD NOT BEEN WIDELY CIRCULATED OR REPLENISHED AFTER THE SUPPLY WAS DEPLETED. CORRECTIVE ACTIONS: IN ADDITION TO ITS CURRENT OPERATIONAL DISSEMINATION OF INFORMATION ABOUT FINANCIAL ASSISTANCE, HALLMARK HEALTH HAS RECOMMITTED ITSELF TO WIDELY PUBLICIZING THE FAP AND THE EXISTENCE OF FINANCIAL ASSISTANCE BY MAKING ITS FAP, FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY OF THE FAP WIDELY AVAILABLE ON ITS WEB SITE; MAKING THE FAP, PLAIN LANGUAGE SUMMARY AND APPLICATION IN LANGUAGES SPOKEN BY EACH SIGNIFICANT POPULATION WITH LIMITED ENGLISH PROFICIENCY; MAKING PAPER COPIES OF THE FAP DOCUMENTS AVAILABLE UPON REQUEST AND WITHOUT CHARGE, BOTH IN PUBLIC LOCATIONS IN THE HOSPITAL FACILITY AND BY MAIL (THIS WAS CORRECTED BY JUNE 6, 2017); NOTIFYING AND INFORMING VISITORS TO THE HOSPITAL FACILITY ABOUT THE FAP THROUGH CONSPICUOUS PUBLIC DISPLAYS OR OTHER MEASURES REASONABLY CALCULATED TO ATTRACT VISITORS' ATTENTION; AND NOTIFYING AND INFORMING RESIDENTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY ABOUT THE FAP IN A MANNER REASONABLY CALCULATED TO REACH THOSE MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE, INCLUDING DISTRIBUTING COPIES OF THE FAP, THE FAP APPLICATION FORMS TO REFERRING STAFF PHYSICIANS, TO COMMUNITY HEALTH CENTERS, TO PUBLIC AGENCIES AND NONPROFITS IN THE COMMUNITY (THIS WAS CORRECTED BY APRIL 24, 2017). THE OUTSTANDING CORRECTIVE ACTIONS WILL BE COMPLETED BY JULY 31, 2017. 2. WITH RESPECT TO BILLING AND COLLECTION, HALLMARK HEALTH DISCOVERED THAT IT NEEDED TO NOTIFY INDIVIDUALS ABOUT ITS FAP AND PROVIDE A COPY OF THE PLAIN LANGUAGE SUMMARY THIRTY DAYS BEFORE INITIATING EXTRAORDINARY COLLECTION ACTIONS TO OBTAIN PAYMENT FOR CARE. FOR ANY FAP ELIGIBLE INDIVIDUALS, IF THE INDIVIDUAL IS ELIGIBLE FOR DISCOUNTED (BUT NOT FREE CARE), THEN PROVIDE THE INDIVIDUAL WITH A BILLING STATEMENT THAT INDICATES THE AMOUNT THE INDIVIDUAL OWES, AND HOW THE AMOUNT WAS DETERMINED AS WELL AS DESCRIBE HOW THE INDIVIDUAL CAN GET INFORMATION REGARDING THE AGB FOR THE CARE.CORRECTIVE ACTION: HALLMARK HEALTH WILL ENSURE THESE CHANGES WILL BE INCORPORATED INTO ITS CREDIT AND COLLECTION PROCEDURES BY SEPTEMBER 30, 2017. FINALLY IT SHOULD BE NOTED, THAT TO DATE, THE HALLMARK HEALTH HAS NOT FOUND ANY PERSONS WHO HAVE BEEN AFFECTED BY THE OMISSIONS, ERRORS OR FAILURES, AND HAS RECEIVED NO COMPLAINTS OR LEGAL ACTIONS FROM ANY INDIVIDUALS REGARDING ITS FAP, FAP APPLICATION PROCESS, OR PLAIN LANGUAGE SUMMARY OF THE FAP. THE HOSPITAL FACILITY HAS UNDERTAKEN A FURTHER INVESTIGATION TO TRY TO DETERMINE IF ANY INDIVIDUALS HAVE BEEN HARMED, ESPECIALLY WITH RESPECT TO BILLING AND COLLECTIONS. IN ADDITION, WITH THE EMPLOYMENT OF NEW EXECUTIVE MANAGEMENT, HALLMARK HEALTH IS COMMITTED TO DEVELOPING ON-GOING PLANS AND PROCEDURES TO MINIMIZE THE LIKELIHOOD OF THESE TYPES OF FAILURES FROM RECURRING IN THE FUTURE, AND IS TAKING CORRECTIVE ACTIONS, AS QUICKLY AS POSSIBLE, TO SATISFY THE REQUIREMENTS OF STATE AND FEDERAL LAW.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
AMACDONALD
PRESIDENT$614,898$100$25,385$1,272$641,655
EPBUTLER MD
DIRECTOR$244,098$15,313$31,450$297,481$6,620
J NANIA ASST TREA THRU 91916
CFO/ASST. TREASURER$380,143$100$54,587$21,486$464,266$7,950
C WHIPPLE
ASST.CLERK/GEN COUN$334,010$360$11,352$30,370$384,042$7,950
WJ DOHERTY MD
VP / C00$429,912$100$2,904$440,670$7,754
STEVE SBARDELLA
VP-MED AFFAIRS / CMO$344,401$478$344,879
M TURILLI
VP-FISCAL$264,724$14,022$10,303$7,950$25,666$322,665
PAM DUCHENE
VO-NURSING / CNO$263,010$260$29,057$292,327
C DRESSER
VP-INFORMATION SERVI$251,019$360$9,844$4,286$16,990$282,499
DAVID RYAN
VP-HUMAN RESOURCES$234,428$260$22,280$260,389$3,421
HKELLEHER
VP-ANCILLARY SERV$226,001$398$226,399
M PIEROG
VO-QUALITY ASSURANCE$202,882$360$3,923$3,168$20,025$230,358
N BITNER
VP-EDUCATION$186,926$100$7,203$5,824$398$200,451
J GIRAGOS
PSYCH MD$348,306$100$6,026$30,422$384,854
C BEISON
PHYSICIAN - DIR.$232,941$38,900$3,402$2,154$277,397
AFREEDBERG
PSYCH MD$241,662$16,120$11,453$269,235
D HARNETT
CLINICAL MD$244,516$360$4,909$23,836$273,621
C WARREN
INTEGRATION ADMIN$198,880$40,100$5,888$31,638$276,506
MVSACK PRESIDENT THRU 21115
PRESIDENT$80,402$100$898,971$2,974$988,355$5,908

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, 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.
SCHEDULE J, PAGE 1, PART I, LINE 4M.V.SACK (PRESIDENT THRU 2/11/15) 558,857 0 0
SCHEDULE J, PART IIIIN ORDER TO FULFILL ITS ARMS-LENGTH NEGOTIATED 2001 EMPLOYMENT AGREEMENT, WHICH INCLUDED GEOGRAPHICAL RELOCATION, ON JANUARY 20, 2015, AN ARMS-LENGTH NEGOTIATED SEPARATION AGREEMENT AND GENERAL RELEASE WAS ENTERED INTO BY AND BETWEEN HALLMARK HEALTH CORPORATION, HALLMARK HEALTH SYSTEM AND THEIR PRESIDENT AND CEO, MICHAEL V. SACK. THE TERMS OF THE AGREEMENT CALL FOR A SEVERANCE PAYMENT EQUAL TO TWO YEARS OF HIS CURRENT SALARY PAYABLE OVER TWENTY-FOUR MONTHS COMMENCING ON FEBRUARY 11, 2015. ACCORDINGLY, HE WAS PAID 558,856.71 IN 2015, AND WILL BE PAID 640,099.98 IN 2016 AND 81,243.46 IN 2017.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MDFA COMM OF MASS
A043431814NONE000002011-12-09$10,000,000FINANCE CAPITALfalsefalsefalse
MDFA COMM OF MASS
B043431814NONE000002013-03-01$49,606,243REFUND 2011 A&B SERIES WHICH REFINDED 1998 SEIES Afalsefalsefalse
MDFA MHEFA ( COMM OF MASS )
C043431814NONE000002013-03-01$19,800,000RATE 2008 SERIES C WHICH REFUNDED 1998 SERIES B.falsefalsefalse
MDFA COMM OF MASS
D043431814NONE000002013-03-01$20,000,000FINANCE CAPITALfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$2,692,151$6$10,000,000$250,5282012falsefalseYes (true)Yes (true)
B$9,210,062$49,606,243$500,6952001Yes (true)falseYes (true)Yes (true)
C$4,220,000$19,800,0002001falsefalseYes (true)Yes (true)
D$5,106,835$20,000,000$98,9392014falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePct
Afalsefalsefalsefalsefalsefalsefalse
BfalseYes (true)falsefalsefalsefalsefalse0.003100.00310
Cfalsefalsefalsefalsefalsefalsefalse
Dfalsefalsefalsefalsefalsefalsefalse

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
AfalsefalsefalseYes (true)Yes (true)falsefalsefalsefalse
BfalsefalsefalseYes (true)falsefalsefalsefalsefalse
CfalsefalsefalseYes (true)falsefalsefalsefalsefalse
DfalsefalsefalseYes (true)falsefalsefalsefalsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
Afalse
Bfalse
Cfalse
Dfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K - DATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationMDFA COMM OF MASS 10/30/14 MDFA COMM OF MASS 10/30/14 MDFA / MHEFA ( COMM OF MASS ) 10/30/14 MDFA COMM OF MASS 10/30/14ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Loan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
MV SACK
ARMS LENGTH NEGOTIATED BENEFITYes (X)$132,500$6,480,102falseYes (true)Yes (true)
J NANIA
ARMS LENGTH NEGOTIATED BENEFITYes (X)$115,296$1,250,829falseYes (true)Yes (true)
FieldValueIRS element (for citing)
Total Balance Due$7,730,931TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, ITEM CMEDFORD MELROSE-WAKEFIELD HOSPITAL
FORM 990, PAGE 6, PART VI, LINE 4ON 6-30-16, HALLMARK HEALTH,INCLUDING AFFILIATES, APPROVED A LETTER OF INTENT TO JOIN WELLFORCE, THE PARENT OF TUFTS MEDICAL CENTER, AND CIRCLE HEALTH. EFFECTIVE 8-30-16, AN AGREEMENT WAS SIGNED THAT BY 1-1-17 WELLFORCE WOULD AMEND ITS ARTICLES AND BYLAWS TO MAKE HALLMARK HEALTH A FOUNDING MEMBER OF WELLFORCE, AND FOR WELLFORCE TO BECAME THE SOLE CORPORATE MEMBER OF HALLMARK HEALTH, AND ITS AFFILIATES.
FORM 990, PAGE 6, PART VI, LINE 6HALLMARK HEALTH SYSTEM, INC. HAS APPROXIMATELY 150 COMMUNITY MEMBERS.
FORM 990, PAGE 6, PART VI, LINE 7AMEMBERS ELECT BOARD OF TRUSTEES
FORM 990, PAGE 6, PART VI, LINE 7BMEMBERS HAVE RIGHTS TO APPROVE DECISIONS OF BOARD AS REQUIRED BY THE ORGANIZATION'S ARTICLES, BYLAWS AND LAWS OF THE COMMONWEALTH OF MASSACHUSTTS.
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 WAS PROVIDED TO THE GOVERNING BODY AND REVIEWED BY THE AUDIT & COMPLIANCE COMMITTEE PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, 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 BODY'S BOARD AND ITS PRESIDENT.
FORM 990, PAGE 6, PART VI, LINE 15AANNUALLY THE HUMAN RESOURCES COMMITTEE OF THE ORGANIZATION COMPRISED OF INDEPENDENT DIRECTORS REVIEWS THE COMPENSATION OF THE PRESIDENT USING DATA FROM AN INDEPENDENT THIRD PARTY EVALUATION OF COMPARABLE COMPENSATION DATA TO ASSESS AND SET COMPENSATION. COMPENSATION IS PAID BY A RELATED CORPORATION.
FORM 990, PAGE 6, PART VI, LINE 15BANUALLY 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.
FORM 990, PAGE 6, PART VI, LINE 18DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST TO THE OFFICE OF GENERAL COUNSEL. THE ORGANIZATION'S RETURNS AND FINANCIALS SHOULD ALSO BE AVAILABLE TO THE PUBLIC AT THE PUBLIC CHARITIES DIVISION OF MASSACHUSETTS ATTORNEY GENERAL WEBSITE.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST TO THE OFFICE OF GENERAL COUNSEL. THE ORGANIZATION'S RETURNS AND FINANCIALS SHOULD ALSO BE AVAILABLE TO THE PUBLIC AT THE PUBLIC CHARITIES DIVISION OF MASSACHUSETTS ATTORNEY GENERAL WEBSITE.
FORM 990, PART XI, LINE 9UNREALIZED GAIN INVESTMENTS(NET CUMULATIVE EFFECT) 7,651,348 UNREALIZED GAIN-BENEFICIAL INTERESTS PERPETUAL TR. 332,006 PENSION LIABILITY ADJUSTMENT -897,693 NET ASSETS RELEASED FROM RESTRICTIONS-OPERATIONS -628,889 NET DISTRIBUTIONS TO AFFILIATES -15,154,962 HOSPITAL AUXILIARY, NET CHANGE 1,978 FRIENDS OF LMH, NET CHANGE -3,566 TOTAL -8,699,778

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/BusinessNameLine1TxtBusiness Name Line2DirectControllingEntityName/BusinessNameLine2Txt
HALLMARK HEALTH SYS MWH AUXILIARY
170 GOVERNORS AVENUEMEDFORDMA02155042767880GIFT SHOPMA$116,171$15,511HHSHALLMARK HEALTH SYSTEM INC
HALLMARK HEALTH SYS FRIENDS OF LMH
170 GOVERMORS AVENUEMEDFORDMA02155042767880GIFT SHOPMA$139,121$9,195HHS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtBusiness Name Line2DirectControllingEntityName/BusinessNameLine2TxtControlled OrganizationControlledOrganizationIndBusiness Name Line2DisregardedEntityName/BusinessNameLine2Txt
HALLMARK HEALTH CORPORATION (HHC)
170 GOVERNORS AVEMEDFORDMA02155042103587PARENTMA501C311ANAN/Afalse
HALLMARK HEALTH VISITING NURSE &
170 GOVERNORS AVEMEDFORDMA02155042437064VISIT NURSMA501C39HHCHALLMARK HEALTH CORPORATIONfalseHOSPICE INC
HALLMARK HEALTH MEDICAL ASSOC INC
170 GOVERNORS AVEMEDFORDMA02155043140938MD OFFICESMA501C39HHCHALLMARK HEALTH CORPORATIONfalse
LM LONG TERM CARE SERVICES INC
170 GOVERNORS AVEMEDFORDMA02155042938772LT CAREMA501C311BHHCHALLMARK HEALTH CORPORATIONfalse
SAVIN LONG TERM CORPORATION
170 GOVERNORS AVEMEDFORDMA02155043012616LT CAREMA501C39HHCHALLMARK HEALTH CORPORATIONfalse
HALLMARK HEALTH PROPERTIES INC
170 GOVERNORS AVEMEDFORDMA02155222580542PROPERTYMA501C311BHHCHALLMARK HEALTH CORPORATIONfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtBusiness Name Line2DirectControllingEntityName/BusinessNameLine2TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmt
HALLMARK HEALTH INVESTMENTS LLC
170 GOVERNORS AVEMEDFORDMA02155020657666INVESTMENTMAN/Afalsefalse0.81920
MONTVALE PETCT LLC
100 BAYVIEW CIRCLE SUITE 400NEWPORT BEACHCA92660270325022CAT SCANCAfalsefalse0.50000HHSHALLMARK HEALTH SYSTEM INCRELATED$214,142$173,493

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HALLMARK HEALTH ENTERPRISES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1585 LEBANON STREETAddressLine1Txt
CityMELROSECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02176ZIPCd
FieldValueIRS element (for citing)
EIN452475660EIN
Primary ActivitiesOTHER HLTHPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxtBusiness Name Line2OtherOrganizationName/BusinessNameLine2Txt
HALLMARK HEALTH CORPORATION
R$2,973,515AUDITED BOOK VALUE
HALLMARK HEALTH MEDICAL ASSOC INC
R$13,432,153AUDITED BOOK VALUE
HALLMARK HEALTH VISTING NURSE &
J$164,568FAIR MARKET VALUEHOSPICE INC
HALLMARK HEALTH MEDICAL ASSOC INC
J$595,971FAIR MARKET VALUE
HALLMARK HEALTH PROPERTIES INC
K$62,200FAIR MARKET VALUE
HALLMARK HEALTH CORPORATION
K$1,213,101FAIR MARKRT VALUE
HALLMARK HEALTH MEDICAL ASSOC INC
L$1,039,840ACTUAL COST
HALLMARK HEALTH VISTING NURSE &
L$54,834COST & TIME ALLOCATIONHOSPICE INC
HALLMARK HEALTH CORPORATION
L$788,890COST & TIME ALLOCATION
HALLMARK HEALTH PROPERTIES INC
L$106,222COST & TIME ALLOCATION
HALLMARK HEALTH MEDICAL ASSOC INC
L$355,062COST & TIME ALLOCATION
HALLMARK HEALTH CORPORATION
M$3,256,844COST & TIME ALLOCATION
HALLMARK HEALTH MEDICAL ASSOC INC
M$947,408COST & TIME ALLOCATION
HALLMARK HEALTH PROPERTIES INC
S$1,250,706LAND
HALLMARK HEALTH CORPORATION
B$30,012CASH

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