2015-08-12T13:46:51-05:00 2014-09-30 990 2013-10-01 042767880 HALLMARK HEALTH SYSTEMINC HALL 7813387424 170 GOVERNORS AVENUE MEDFORD MA 02155 ALAN G MACDONALD PRESIDENT/CEO (AS OF 2/12/15) 7813387424 2015-08-04 2015-08-12 2013 2016-02-25 16:41:14Z LAWRENCE MEMORIAL HOSPITAL OF ALAN G MACDONALD AS OF 21215 170 GOVERNORS AVENUE MEDFORD MA 02155 314682366 false X HTTP://WWW.HALLMARKHEALTH.ORG X 1982 MA TO 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. 16 12 2842 210 1265323 2641984 3762835 257348825 251332829 9649260 9432590 1310586 1266618 270950655 265794872 0 0 156517799 152574801 0 0 100590253 98505345 257108052 251080146 13842603 14714726 345861629 342814392 175866903 164899962 169994726 177914430 TO 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. false false 200048081 251332829 TO 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. 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MA HALLMARK MWH GO 115105 67497 47608 2695 18200 12600 5117 HALLMARK LMH GO 83481 56151 27330 6960 13407 18404 1930 3 103456 93362 10094 4734 5484 7252 10460 302042 217010 85032 14389 37091 38256 17507 107243 -22211 MA true true X true X true X true true false true true 4083310 3105486 977824 0.00390 33158138 31549126 1609012 0.00640 5977 3413 2564 37247425 34658025 2589400 0.01030 62 43267 5008681 2386732 2621949 0.01040 7 1589 11591628 9281680 2309948 0.00920 1 184 1176148 820943 355205 0.00140 2 2706 186151 11370 174781 0.00070 35 5830 110957 110957 0.00040 107 53576 18073565 12500725 5572840 0.02220 107 53576 55320990 47158750 8162240 0.03250 2618 2618 8159 8159 14616 14616 0.00010 2051 2051 27444 27444 0.00010 false 2747148 85903001 89911442 -4008441 X true true 10 1 MELROSE WAKEFIELD HOSPITAL 585 LEBANON STREET MELROSE MA 02176 X X X A 2 LAWRENCE MEMORIAL HOSPITAL 170 GOVERNORS AVE MEDFORD MA 02155 X X X A 3 HALLMARK ONCOLOGY & HEMATOLOGY CTR 41 MONTVALE AVE STONEHAM MA 02180 OUTPATIENT MEDICAL A 4 CHEM CENTER FOR RADIATION & MRI 48 MONTVALE AVE STONEHAM MA 02180 OUTPATIENT MEDICAL A 5 HALLMARK HEALTH AT 101 MAIN 101 MAIN STREET MEDFORD MA 02155 OUTPATIENT MEDICAL A 6 HALLMARK OUTPAT DIAGNOSTIC & REHAB 30 NEWCROSSING ROAD READING MA 01867 OUTPATIENT MEDICAL A 7 HEALTH IMAGE WOMAN'S IMAGING CENTER 830 MAIN STREET MELROSE MA 02176 IMAGING CENTER A 8 MELROSE-WAKEFIELD HOSP REHAB SERV 22 COREY STREET MELROSE MA 02176 PT & REHAB SERVICE A 9 LAWRENCE MEMORIAL HOSPITAL PROGRAM 200 GOVERNORS AVE MEDFORD MA 02155 PSYCHIATRIC SERVICE A 10 COMMUNITY COUNSELING CENTER 178 SAVIN STREET MALDEN MA 02148 OUTPATIENT COUNSELING A A true X X X X X X X X X X 12 true false true X HTTP://WWW.HALLMARKHEALTH.ORG X HTTP://WWW.HALLMARKHEALTH.ORG/COMMUNIT X X X X X X X X X true false true true 200.000000000000 true 400.000000000000 true X X X X X true true X X X X true false X X X true X false false FACILITY 1, MELROSE WAKEFIELD HOSPITAL - PART V, LINE 3 IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), COMPLETED IN AUGUST 2013, HALLMARK HEALTH SPECIFICALLY TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES WITHIN THE COMMUNITIES SERVED BY ITS FACILITIES. DURING THE CHNA RESEARCH PROCESS, CONDUCTED IN COLLABORATION WITH THE INSTITUTE FOR COMMUNITY HEALTH, INTERVIEWS WERE CONDUCTED WITH 18 KEY COMMUNITY LEADERS AND STAKEHOLDERS ACROSS THE CATCHMENT AREA, INCLUDING STATE PUBLIC HEALTH OFFICIALS, AND MEMBERS OF LOCAL BOARDS OF HEALTH AND PUBLIC HEALTH DIRECTORS, ASKING ABOUT TOP HEALTH CONCERNS, VULNERABLE POPULATIONS, COMMUNITY ASSETS AND RESOURCES, EXPERIENCES AND SUGGESTIONS. BROADER COMMUNITY-WIDE INPUT WAS ALSO SOLICITED THROUGH A FORMAL SURVEY, CONDUCTED BOTH ONLINE AND IN HARD COPY FORMAT. THE SURVEY TOOL WAS AVAILABLE IN ENGLISH AND TRANSLATED INTO THE SIX MOST COMMON LANGUAGES WITHIN THE SERVICE AREA. THE RESPONSES OF 387 CATCHMENT AREA RESIDENTS WERE ULTIMATELY COMPILED, INCLUDING INFORMATION RELATED TO THEIR HEALTH CONCERNS, BEHAVIORS AND NEEDS, AND INCORPORATED INTO THE CHNA. 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. IN ADDITION, THE HOSPITAL MONITORS SECONDARY DATA SOURCES, INCLUDING LOCAL, STATE AND FEDERAL AGENCIES, AND GATHERS ADDITIONAL PRIMARY DATA WHENEVER POSSIBLE THAT RELATES TO THE NEEDS OF ITS CORE COMMUNITIES. THIS SERVES TO IDENTIFY EMERGING NEEDS IN THE SHORT TERM, AS WELL SUPPORTS ONGOING PREPARATION FOR THE CHNA PROCESS TO BE COMPLETED BY THE END OF FY 2016. METHODS OF INFORMATION GATHERING INCLUDE "WORLD CAF" STYLE FORUMS, TARGETING SPECIFIC PRIORITY CONSTITUENCIES, AS WELL AS DATA-SHARING WITH OTHER COMMUNITY HEALTH PROVIDERS AND PARTNERS. FACILITY 1, MELROSE WAKEFIELD HOSPITAL - PART V, LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE. FACILITY 2, LAWRENCE MEMORIAL HOSPITAL - PART V, LINE 3 REFER TO PART VI SUPPLEMENTAL SCHEDULE H INFORMATION AS REPORTED IN MELROSE WAKEFIELD HOSPITAL , REPORTING GROUP A -- PART V LINE 3 FACILITY 2, LAWRENCE MEMORIAL HOSPITAL - PART V, LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE. FACILITY 3, HALLMARK ONCOLOGY & HEMATOLOGY CTR. - PART V, LINE 3 REFER TO PART VI SUPPLEMENTAL SCHEDULE H INFORMATION AS REPORTED IN MELROSE WAKEFIELD HOSPITAL , REPORTING GROUP A -- PART V LINE 3 FACILITY 3, HALLMARK ONCOLOGY & HEMATOLOGY CTR. - PART V, LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE. FACILITY 4, CHEM CENTER FOR RADIATION & MRI - PART V, LINE 3 REFER TO PART VI SUPPLEMENTAL SCHEDULE H INFORMATION AS REPORTED IN MELROSE WAKEFIELD HOSPITAL , REPORTING GROUP A -- PART V LINE 3 FACILITY 4, CHEM CENTER FOR RADIATION & MRI - PART V, LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE. FACILITY 5, HALLMARK HEALTH AT 101 MAIN - PART V, LINE 3 REFER TO PART VI SUPPLEMENTAL SCHEDULE H INFORMATION AS REPORTED IN MELROSE WAKEFIELD HOSPITAL , REPORTING GROUP A -- PART V LINE 3 FACILITY 5, HALLMARK HEALTH AT 101 MAIN - PART V, LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE. FACILITY 6, HALLMARK OUTPAT DIAGNOSTIC & REHAB - PART V, LINE 3 REFER TO PART VI SUPPLEMENTAL SCHEDULE H INFORMATION AS REPORTED IN MELROSE WAKEFIELD HOSPITAL , REPORTING GROUP A -- PART V LINE 3 FACILITY 6, HALLMARK OUTPAT DIAGNOSTIC & REHAB - PART V, LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE. FACILITY 7, HEALTH IMAGE WOMAN'S IMAGING CENTER - PART V, LINE 3 REFER TO PART VI SUPPLEMENTAL SCHEDULE H INFORMATION AS REPORTED IN MELROSE WAKEFIELD HOSPITAL , REPORTING GROUP A -- PART V LINE 3 FACILITY 7, HEALTH IMAGE WOMAN'S IMAGING CENTER - PART V, LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE. FACILITY 8, MELROSE-WAKEFIELD HOSP REHAB SERV. - PART V, LINE 3 REFER TO PART VI SUPPLEMENTAL SCHEDULE H INFORMATION AS REPORTED IN MELROSE WAKEFIELD HOSPITAL , REPORTING GROUP A -- PART V LINE 3 FACILITY 8, MELROSE-WAKEFIELD HOSP REHAB SERV. - PART V, LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE. FACILITY 9, LAWRENCE MEMORIAL HOSPITAL PROGRAM - PART V, LINE 3 REFER TO PART VI SUPPLEMENTAL SCHEDULE H INFORMATION AS REPORTED IN MELROSE WAKEFIELD HOSPITAL , REPORTING GROUP A -- PART V LINE 3 FACILITY 9, LAWRENCE MEMORIAL HOSPITAL PROGRAM - PART V, LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE. FACILITY 10, COMMUNITY COUNSELING CENTER - PART V, LINE 3 REFER TO PART VI SUPPLEMENTAL SCHEDULE H INFORMATION AS REPORTED IN MELROSE WAKEFIELD HOSPITAL , REPORTING GROUP A -- PART V LINE 3 FACILITY 10, COMMUNITY COUNSELING CENTER - PART V, LINE 20D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE. PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE BAD DEBT EXPENSE 8,565,080 PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION CHARITY CARE COSTS FROM WORKSHEETS 1 & 2 AND UNREIMBURSED MEDICAID FROM WORKSHEET 3 AND HEALTH PROFESSIONS EDUCATION FROM WORKSHEET 5 WERE APPLIED TO ALL PATIENT SEGMENTS. ( COST TO CHARGE RATIO ) PART II - COMMUNITY BUILDING ACTIVITIES AS 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, HEALTHY FAMILIES COMMUNITY COALITION, MEDFORD FAMILY RESOURCE COALITION, SUBSTANCE ABUSE PREVENTION COALITIONS IN MELROSE, MEDFORD, READING, STONEHAM AND WAKEFIELD, THE MYSTIC VALLEY OPIOID ABUSE PREVENTION COALITION (MOAPC), AND THE MALDEN, EVERETT, AND MEDFORD COORDINATED FAMILY AND COMMUNITY ENGAGEMENT (CFCE) GRANT PROGRAMS. ANOTHER SPECIFIC EXAMPLE OF THIS COMMUNITY BUILDING IS 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 TWO REPRESENTATIVES FROM HALLMARK HEALTH, AS WELL AS FROM THE MELROSE SCHOOLS, CLERGY, HEALTH DEPARTMENT, AS WELL AS STUDENTS AND COMMUNITY MEMBERS AT LARGE. IN ADDITION, HALLMARK HEALTH HAS CONTINUED TO OPERATE A NUMBER OF COMMUNITY OUTREACH TEAMS TO ASSIST WITH COLLECTION OF COMMUNITY NEED INFORMATION AND HEALTH EDUCATION AND SCREENINGS. THE TEAMS HAVE SPONSORED EVENTS RANGING FROM INFORMAL (PLANNING, HEALTH EVENTS AND SCREENINGS) TO MORE FORMAL (HEALTHY MELROSE, DIABETES DAY, MOBILE FOOD MARKET), 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 SECOND 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. 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 60 EMPLOYEES, VOLUNTEERS, AND PHYSICIANS WERE INVOLVED IN TEAM- SPONSORED EVENTS IN FISCAL YEAR 2014/TAX YEAR 2013 (FY 2014/TY 2013). 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 METHODOLOGY HALLMARK HEALTH SYSTEM, INC. DEVELOPED A COST TO CHARGE RATIO ON WORKSHEET 2 AND APPLIED IT TO THE BAD DEBT ACCOUNT CHARGES THAT WERE ACTUALLY WRITTEN-OFF. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS THE 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 : 2013 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 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, 2014 AND 2013,THE CORPORATION ESTIMATED THAT THE COST ASSOCIATED WITH THE CHARITY CARE PROVIDED WAS APPROXIMATELY 1,584,000 AND 2,277,000, RESPECTIVELY. SUCH COSTS HAVE BEEN ESTIMATED BASED ON RATIO OF EXPENSES ( EXCLUDING BAD DEBT ) 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 8,814,000 AND 8,807,000 IN 2014 AND 2013, RESPECTIVELY, REPRESENTS THE CHARGES FOR SERVICES PROVIDED THAT ARE DEEMED TO BE UNCOLLECTIBLE. THE ESTIMATED COST OF PROVIDING THESE SERVICES DEEMED UNCCLLECTIBLE WAS APPROXIMATELY 3,733,000 FOR 2014 AND 3,676,000 FOR 2013. HEALTH SAFETY NET) - THE COMMONWEALTH OF MASSACHUSETTS (THE "COMMONWEALTH") ADMINISTERS A HEALTH SAFETY NET (THE HSN) 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 30,2014 AND 2013. THE CORPRATION'S SHARE OF THE TOTAL COMMONWEALTH'S ASSESSMENT WAS 1,981,492 FOR 2014 AND 1,913,883 FOR 2013. DURING 2014 AND 2013, THE CORPORATION RECEIVED REIMBURSEMENT FROM THE HSN IN THE AMOUNTS OF 758,486 AND 893,476, RESPECTIVELY. TOTAL UNCOMPENSATED CARE PROVIDED BY ALL RELATED CORPORATIONS FOR THE YEARS ENDED SEPTEMBER 30, 2014 AND 2013, IS AS FOLLOWS: 2014 2013 PROVISION FOR CHARITY CARE(AT COST) 1,584,085 2,276,716 PROVISION FOR BAD DEBTS(AT COST) 3,732,533 3,676,180 HSN - NET 1,223,006 1,020,407 TOTAL UNCOMPENSATED CARE 6,539,624 6,973,303 TOTAL HALLMARK HEALTH SYSTEM,INC. UNCOMPENSATED CARE FOR FYE 2014 & 2013 IS AS FOLLOWS: 2014 2013 PROVISION FOR CHARITY CARE(AT COST) 1,565,235 2,258,150 PROVISION FOR BAD DEBTS(AT COST) 3,627,311 3,662,612 HSN - NET 1,223,006 1,020,407 TOTAL UNCOMPENSATED CARE 6,415,552 6,941,169 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 EXPLANATION MEDICARE REIMBURSEMENT SHORTFALL USING ALLOWABLE COSTS FROM MEDICARE COST REPORT. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION POLICY- " COLLECTION ACTIVITY IS STOPPED ONCE A PATIENT IS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE THIS POPULATION IS EXEMPT FROM COLLECTION ACTIVITY. " PART VI, LINE 2 - NEEDS ASSESSMENT HALLMARK 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, A YEAR-LONG PROCESS TO DEVELOP A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED BY HALLMARK HEALTH IN AUGUST 2013, 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 SURVEYS WERE ALSO COMPLETED. REFLECTING IRS REQUIREMENTS, AND TO FOSTER TRANSPARENCY, THE ENTIRE CHNA AS WELL AS AN EXECUTIVE SUMMARY OF ITS 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. 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 2014/TY 2013, THE HALLMARK HEALTH COUNCIL IS COMPRISED OF A MEMBER OF THE HOSPITAL'S BOARD OF TRUSTEES; THE EXECUTIVE VICE PRESIDENT FOR STRATEGY & EXTERNAL AFFAIRS; EXECUTIVE VICE PRESIDENT AND CHIEF LEGAL OFFICER; SYSTEM VICE PRESIDENT OF HOME CARE AND COMMUNITY PROGRAMS; CHIEF MARKETING OFFICER; FISCAL CONTROLLER; SYSTEM DIRECTOR OF HEMATOLOGY-ONCOLOGY; TWO HALLMARK HEALTH-AFFILIATED PHYSICIANS; 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 TO RESPOND TO THESE NEEDS. AT THE START OF FY 2014/TY 2013, THE COUNCIL REVIEWED AND SENT THE FY 2014-16 IMPLEMENTATION PLAN TO THE BOARD OF TRUSTEES WHO VOTED TO APPROVE IT AS PRESENTED. THE COUNCIL MEETS QUARTERLY (AND INCREASED TO 6 MEETINGS PER YEAR IN FY 2015) TO PROVIDE INPUT TO THE ONGOING EXECUTION OF THE PLAN, DISCUSS ONGOING COMMUNITY HEALTH ISSUES, AND OFFER INPUT TO THE GOVERNING BOARD REGARDING EMERGING AND NEWLY IDENTIFIED COMMUNITY HEALTH NEEDS. THE COUNCIL ADDED TWO PHYSICIAN REPRESENTATIVES DURING FY 2014/TY 2013, AND PLANS TO WELCOME ADDITIONAL HOSPITAL REPRESENTATIVES (THE MANAGER, INTERPRETER SERVICES AND LICSW MANAGER, CASE MANAGEMENT) IN FY 2015. RECRUITMENT OF COMMUNITY REPRESENTATIVES REFLECTING THE VULNERABLE POPULATIONS IN THE COMMUNITY, AND REPRESENTING DIVERSE CONSTITUENCIES AND VIEWPOINTS, WILL TAKE PLACE ON AN ONGOING BASIS. 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 BUILDING 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. IN FY 2014/TY 2013, PFAC MEMBERS' INPUT WAS SOLICITED ON FURNITURE THAT HALLMARK HEALTH PURCHASED TO UPDATE AND IMPROVE PATIENT ROOMS, A COMPLETE REVISION OF THE HOSPITAL'S PATIENT WELCOME PACKETS, A UNIFORM, SYSTEM-WIDE PROTOCOL FOR PATIENT SIGN-IN PROCEDURES IN OUTPATIENT OFFICES, AND THE CREATION OF A MORE "USER- FRIENDLY" PATIENT DISCHARGE REPORT. PFAC MEMBERS RAISED QUESTIONS AROUND PATIENT CALL BUTTONS, SERVED ON A PILOT SUB-GROUP TO TEST THE HOSPITAL'S NEW ELECTRONIC PATIENT PORTAL, PROVIDED FEEDBACK ON THE HOSPITAL'S INTERPRETER SERVICES PROGRAM, AND REVIEWED AND COMMENTED ON PROPOSED RENOVATIONS TO THE EMERGENCY DEPARTMENT AT LAWRENCE MEMORIAL HOSPITAL. 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 HEALTHY FAMILIES COMMUNITY COALITION; THE JOINT COMMITTEE FOR CHILDREN'S HEALTH CARE IN EVERETT (JCCHCE); MEDFORD HEALTH MATTERS; TRI-CITY HUNGER NETWORK; CHINESE CULTURE CONNECTION; SUBSTANCE ABUSE PREVENTION COALITIONS IN MELROSE, MEDFORD, WAKEFIELD, READING AND STONEHAM; THE MALDEN'S PROMISE COALITION; DPH 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 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 ASSISTANCE MASSACHUSETTS HOSPITALS 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 CREDIT AND COLLECTION POLICY.FOR THOSE PATIENTS THAT REQUEST SUCH ASSISTANCE,THE HOSPITAL ASSISTS PATIENTS BY SCREENING THEM FOR ELIGIBILTY IN AVAILABLE PUBLIC PROGRAMS AND ASSISTING THEM IN APPLYING FOR THE PROGRAMS.THE SCREENING AND APPLICATION PROCESS IS DONE THROUGH A SINGLE UNIFORM APPLICATION THAT IS SUBMITTED THROUGH THE THE HEALTH INSURANCE EXCHANGE (HIX) OR THROUGH A STANDARD PAPER APPLICATION. HOSPITALS HAVE 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. PART VI, LINE 4 - COMMUNITY INFORMATION HALLMARK 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 SECONDARY COMMUNITIES OF EVERETT, NORTH READING, AND SAUGUS . 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 PROGRAMM 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 ADDITIONAL TO 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 2013 COMMUNITY HEALTH NEEDS ASSESSMENT: POPULATION SIZE & DENSITY THE HHS CB NINE-COMMUNITY CATCHMENT AREA COVERS 71.7 SQUARE MILES, WITH A TOTAL POPULATION OF 294,024. SIZE AND POPULATION DENSITY VARY BY COMMUNITY, WITH MALDEN AND MEDFORD HAVING THE LARGEST POPULATIONS AT 58,180 AND 55,451 RESPECTIVELY, AND NORTH READING THE SMALLEST, AT 14,536. MALDEN IS THE MOST DENSELY POPULATED COMMUNITY AT 11,408 PEOPLE PER SQUARE MILE, AND NORTH READING THE LEAST DENSELY POPULATED AT 1,077 PEOPLE PER SQUARE MILE. RACE/ETHNICITY & FOREIGN-BORN RESIDENTS COMPARED TO THE STATE OF MASSACHUSETTS, EVERETT, MALDEN AND MEDFORD HAVE LARGER POPULATIONS OF NON-WHITE RESIDENTS. THE REMAINING SIX COMMUNITIES ALL HAVE MOSTLY WHITE POPULATIONS. EVERETT, MALDEN AND MEDFORD ALSO HAVE LARGER POPULATIONS OF FOREIGN-BORN RESIDENTS (35%, 39% AND 21% RESPECTIVELY, COMPARED TO 15% STATEWIDE). IN EVERETT, THE LARGEST PERCENTAGE OF FOREIGN-BORN RESIDENTS IS FROM LATIN AMERICA (75%); IN MALDEN 50% ARE FROM ASIA AND 36% FROM LATIN AMERICA; AND IN MEDFORD 37% ARE FROM LATIN AMERICA, 28% FROM ASIA AND 26% FROM EUROPE. NORTH READING, READING, SAUGUS, STONEHAM AND WAKEFIELD HAVE SMALLER POPULATIONS OF FOREIGN-BORN RESIDENTS COMPARED TO THE STATE AS A WHOLE, RANGING FROM 5% TO 11%, FROM ASIA, EUROPE AND LATIN AMERICA. THE PERCENTAGE OF FOREIGN-BORN RESIDENTS IN MELROSE IS CLOSER TO THE STATE AT 13%, WITH HIGHER PERCENTAGES OF AFRICAN AND ASIAN FOREIGN-BORN RESIDENTS. OVERALL, 20.8% OF THE CATCHMENT AREA POPULATION IS FOREIGN BORN, OF WHICH 42.5% WERE BORN IN CENTRAL AND SOUTH AMERICA, 28.3% IN ASIA, 18.8% IN EUROPE, AND 7.9% IN AFRICA. IN TERMS OF ETHNIC ORIGIN, 7% OF THE CATCHMENT AREA POPULATION IDENTIFIES AS ASIAN, PREDOMINANTLY CHINESE (47.3%), VIETNAMESE (16.8%), INDIAN (16.1%), AND FILIPINO (4.3%). 6.4% OF THE TOTAL POPULATION IDENTIFIES AS HISPANIC/LATINO, INCLUDING A MIX OF CARIBBEAN, CENTRAL AND SOUTH AMERICAN BACKGROUNDS. OF THE POPULATION THAT IDENTIFIED AS LATINO, THE LARGEST GROUPS REPRESENTED INCLUDE SALVADORAN (21.2%), PUERTO RICAN (16.9%), MEXICAN (10.4%), GUATEMALAN (9.1%), DOMINICAN (7.9%), AND COLOMBIAN (7.2%). 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 (53.56%), CHINESE (67.26%), VIETNAMESE (58.59%), AND ARABIC (60.10%). 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. HALLMARK HEALTH INTERPRETER SERVICES REPORTED AN INCREASE OF 1.7% FROM THE PREVIOUS YEAR OF COMPLETED INTERPRETER REQUESTS, WITH 3,500 REQUESTS COMPLETED IN FY 2014/TY 2013. 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). THE PROGRAM ALSO EMPLOYS PER DIEM STAFF INTERPRETERS TO SUPPLEMENT THE INTERPRETER SERVICES CONTRACT. 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 SIX-COMMUNITY CORE 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; SEE APPENDIX E). 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 MEDIAN HOUSEHOLD INCOME LEVELS IN THE HHS CB CATCHMENT AREA RANGE FROM 49,737 IN EVERETT TO 99,130 IN READING, COMPARED TO A STATE MEDIAN INCOME LEVEL OF 64,509. COMPARED TO THE STATE, EVERETT AND MALDEN HAVE HIGHER POVERTY RATES FOR CHILDREN, FAMILIES, AND THE ELDERLY. MEDFORD AND STONEHAM HAVE HIGHER ELDERLY POVERTY RATES. NORTH READING, READING, STONEHAM AND WAKEFIELD - THE COMMUNITIES WITH THE HIGHEST MEDIAN INCOME LEVELS - HAVE LOWER OVERALL POVERTY RATES COMPARED TO THE STATE. CRIME RATES FOR VIOLENT AND PROPERTY CRIMES ARE HIGHER IN EVERETT AND MALDEN THAN IN THE STATE, AND MUCH LOWER THAN IN THE STATE FOR MELROSE, NORTH READING, READING, STONEHAM AND WAKEFIELD. SAUGUS HAS ALMOST TWICE THE STATE RATE OF PROPERTY CRIMES, BUT A LOWER VIOLENT CRIME RATE. EDUCATIONAL ATTAINMENT & UNEMPLOYMENT EDUCATIONAL ATTAINMENT VARIES BY COMMUNITY IN THE HHS CB CATCHMENT AREA. COMPARED TO THE STATE, EVERETT, MALDEN AND SAUGUS HAVE HIGHER PERCENTAGES OF RESIDENTS WITH ONLY A HIGH SCHOOL DEGREE OR LESS. RESIDENTS OF MEDFORD AND STONEHAM HAVE COMPARABLE LEVELS OF EDUCATIONAL ATTAINMENT, AND MELROSE, NORTH READING, READING, AND WAKEFIELD RESIDENTS HAVE HIGHER LEVELS OF EDUCATIONAL ATTAINMENT. SINCE THE COMPLETION OF THE CHNA, UNEMPLOYMENT RATES WITHIN THE CATCHMENT AREA HAVE FALLEN, CONSISTENT WITH TRENDS ACROSS THE COMMONWEALTH. ESTIMATED UNEMPLOYMENT DATA FOR THE END OF FY 2014 SHOWS RATES OF UNEMPLOYMENT IN EACH COMMUNITY AT OR BELOW THE STATEWIDE SEASONALLY ADJUSTED UNEMPLOYMENT RATE OF 5.6%, WITH THE EXCEPTION OF EVERETT AT 6.0% AND SAUGUS AT 5.7% RESPECTIVELY. PUBLIC SCHOOL ENROLLMENT: DEMOGRAPHICS & SPECIAL POPULATIONS THE DEMOGRAPHICS OF THE PUBLIC SCHOOL POPULATIONS IN THE NINE HHS CB TOWNS GENERALLY MIRROR THE DEMOGRAPHICS OF THE TOWNS AS A WHOLE, WITH MELROSE, NORTH READING, READING, STONEHAM, SAUGUS AND WAKEFIELD ALL HAVING LESS THAN 20% NON-WHITE STUDENTS (COMPARED TO 33% NON-WHITE PUBLIC SCHOOL STUDENTS IN THE STATE OF MASSACHUSETTS). EVERETT, MALDEN AND MEDFORD ALL HAVE LARGER NON-WHITE STUDENT POPULATIONS THAN IN THE STATE, WITH EVERETT AND MALDEN HAVING PARTICULARLY HIGH PERCENTAGES OF NON-WHITE PUBLIC SCHOOL STUDENTS (60% AND 67% RESPECTIVELY). LOOKING AT SPECIAL POPULATIONS IN THE PUBLIC SCHOOL DISTRICTS IN THE HHS CB CATCHMENT AREA COMPARED TO THE STATE, MEDFORD AND STONEHAM HAVE SLIGHTLY HIGHER PERCENTAGES OF PUBLIC SCHOOL STUDENTS ENROLLED IN SPECIAL EDUCATION. EVERETT, MALDEN AND MEDFORD HAVE HIGHER PERCENTAGES OF STUDENTS WHOSE FIRST LANGUAGE IS NOT ENGLISH, AND EVERETT AND MALDEN HAVE HIGHER PERCENTAGES OF STUDENTS WITH LIMITED ENGLISH PROFICIENCY. EVERETT AND MALDEN ALSO HAVE HIGHER PERCENTAGES OF STUDENTS WHO QUALIFY FOR FREE OR REDUCED LUNCH. SELF-REPORTED YOUTH RISK BEHAVIORS RELATED TO SUBSTANCE USE, SEXUAL ACTIVITY AND MENTAL HEALTH CONCERNS AMONGST PUBLIC HIGH SCHOOL STUDENTS INCLUDES DATA FROM SIX COMMUNITIES: EVERETT, MALDEN, MEDFORD (SUBSTANCE US PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH HALLMARK 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 (THESE ARE 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 2014, HALLMARK HEALTH FINANCIAL COUNSELORS COMPLETED 2,117 APPLICATIONS FOR INDIVIDUALS IN THE STATE HEALTH PROGRAMS; SUCH AS MASS HEALTH PROGRAMS, 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 MORE THAN (20) COMMUNITY OUTREACH EVENTS, AND HOSTED FOUR FINANCIAL ACCESS-SPECIFIC 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 ALSO 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, MYSTIC VALLEY OPIOID ADDICTION PREVENTION COALITION, AND MELROSE ALLIANCE AGAINST VIOLENCE. 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 BEGUN, AS PART OF ITS MULTI-YEAR IMPLEMENTATION PLAN, TO IDENTIFY AND IMPLEMENT 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 FOOD, EMPLOYMENT, AND SAFE HOUSING, REFLECT THE OPPORTUNITY TO HAVE MEASURABLE IMPACT ON 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 CANCER, AND 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 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 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 400-600 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 IMPLEMENTED DURING 2013-14 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. MVTAP ALSO WORKS WITH THE MYSTIC VALLEY OPIOID ABUSE PREVENTION COALITION, SERVING SIX HHS SERVICE AREA COMMUNITIES. MVTAP AND MOAPC WORK IN TANDEM, GIVEN DOCUMENTED HIGHER RATES OF ALCOHOL CONSUMPTION, TOBACCO AND 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 ELECTRIC VEHICLE CHARGING STATIONS AT EACH 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 MESSAGES. LASTLY, RECOGNIZING THAT DISEASE CAN BE EXPERIENCED BY DIFFERENT CULTURES IN DIFFERENT WAYS, THE HOSPITAL HAS ALSO WORKED WITH ITS DI PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM HALLMARK 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 REPORT MASSACHUSETTS ADDITIONAL INFORMATION PART 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 A REPORT TO THE COMMONWEALTH OF MASSACHUSETTS, IN COMPLIANCE WITH THE REQUIREMENTS OF THE MA ATTORNEY GENERAL FOR REPORTING COMMUNITY BENEFITS. THIS REPORT IS SUBMITTED ANNUALLY AND POSTED TO A CENTRAL PUBLIC DATABASE ON THE MA AGO WEB SITE. HALLMARK HEALTH CURRENTLY DESIGNATES A SECTION OF THE HOSPITAL'S WEBSITE TO ITS COMMUNITY BENEFITS PROGRAM (HTTP://WWW.HALLMARKHEALTH.COM/COMMUNITY-BENEFITS.HTML) THAT HIGHLIGHTS THE TARGET POPULATIONS TO RECEIVE SERVICES, A FULL PDF VERSION OF THE CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND EXECUTIVE SUMMARY, THE MEMBERSHIP OF THE COMMUNITY BENEFITS ADVISORY COUNCIL, AND DESCRIPTIONS OF KEY PROGRAMS, OUTCOMES AND COMMUNITY PARTNERSHIPS. A SEPARATE OVERVIEW REPORT, HIGHLIGHTING KEY PROGRAMS AND AN OVERVIEW OF THE HOSPITAL'S COMMUNITY BENEFITS PROCESS AND ACTIVITIES, IS ALSO AVAILABLE ON LINE, WITH THE CHNA AND COMMUNITY BENEFITS IMPLEMENTATION PLAN, WHICH ARE ALSO IN PRINT VERSIONS AT EACH HOSPITAL CAMPUS (IN HUMAN RESOURCES) AND 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 ARE ALSO DISSEMINATED WIDELY IN THE COMMUNITY TO NOTIFY RESIDENTS OF UPCOMING COMMUNITY BENEFITS PROGRAMS AND SERVICES. false false false false false false false false false MVSACK PRESIDENT THRU 21115 PRESIDENT 636279 178979 246176 7500 70231 1139165 WJ DOHERTY MD DIRECTOR / C00 364110 49550 14109 7519 2827 438115 EPBUTLER MD DIRECTOR 6000 238479 114580 150 7500 55117 6150 415676 J NANIA CFO/ASST. 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SEC. / VP 272924 1291 274215 SCHEDULE J, PAGE 1, PART I, LINE 3 ANNUALLY 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. A MDFA COMM OF MASS 043431814 NONE00000 2011-12-09 10000000 FINANCE CAPITAL false false false B MDFA COMM OF MASS 043431814 NONE00000 2013-03-01 49606243 REFUND 2011 A&B SERIES WHICH REFINDED 1998 SEIES A false false false C MDFA MHEFA ( COMM OF MASS ) 043431814 NONE00000 2013-03-01 19800000 RATE 2008 SERIES C WHICH REFUNDED 1998 SERIES B. false false false D MDFA COMM OF MASS 043431814 NONE00000 2013-03-01 20000000 FINANCE CAPITAL false false false A 1494496 10000000 250528 2012 false false true true B 2994078 49606243 500695 2001 true false true true C 2030000 19800000 2001 false false true true D 814788 20000000 98939 2014 false false true true A false false false false true false false B false false false false true false false C false false false false true false false D false false false false true false false A false true false false true false false false false B false true false false false false false false false C false true false false false false false false false D false true false false false false false false false MV SACK ARMS LENGTH NEGOTIATED BENEFIT X 132500 6229000 false true true J NANIA ARMS LENGTH NEGOTIATED BENEFIT X 115296 1365334 false true true 7594334 FORM 990, PAGE 1, ITEM C MEDFORD MELROSE-WAKEFIELD HOSPITAL FORM 990, PAGE 6, PART VI, LINE 4 FRIENDS OF LAWRENCE MEMORIAL HOSPITAL MERGED INTO HALLMARK HEALTH SYSTEM, INC. ON JANUARY 31, 2014. FORM 990, PAGE 6, PART VI, LINE 6 HALLMARK HEALTH SYSTEM, INC. HAS APPROXIMATELY 151 COMMUNITY MEMBERS. FORM 990, PAGE 6, PART VI, LINE 7A MEMBERS ELECT BOARD OF TRUSTEES FORM 990, PAGE 6, PART VI, LINE 7B MEMBERS 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 11B FORM 990 WAS PROVIDED TO THE GOVERNING BODY AND REVIEWED BY THE AUDIT & COMPLIANCE COMMITTEE PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C ANNUALLY 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 15A ANNUALLY 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 15B ANUALLY 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 18 DOCUMENTS 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 WEBSITE. FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS 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 WEBSITE. FORM 990, PART XI, LINE 9 UNREALIZED GAIN INVESTMENTS(NET CUMULATIVE EFFECT) 4,064,742 UNREALIZED GAIN-BENEFICIAL INTERESTS PERPETUAL TR. 252,634 PENSION LIABILITY ADJUSTMENT 592,715 NET ASSETS RELEASED FROM RESTRICTIONS-OPERATIONS -441,877 NET DISTRIBUTIONS TO AFFILIATES -11,270,940 HOSPITAL AUXILIARY, NET CHANGE -3,571 FRIENDS OF LMH, BALANCE 11,275 HALLMARK HEALTH SYS MWH AUXILIARY 170 GOVERNORS AVENUE MEDFORD MA 02155 042767880 GIFT SHOP MA 129763 18543 HHS HALLMARK HEALTH SYSTEM INC HALLMARK HEALTH SYS FRIENDS OF LMH 170 GOVERMORS AVENUE MEDFORD MA 02155 042767880 GIFT SHOP MA 135989 11275 HHS HALLMARK HEALTH CORPORATION (HHC) 170 GOVERNORS AVE MEDFORD MA 02155 042103587 PARENT MA 501C3 11C NA N/A false HALLMARK HEALTH VISITING NURSE & HOSPICE INC 170 GOVERNORS AVE MEDFORD MA 02155 042437064 VISIT NURS MA 501C3 9 HHC HALLMARK HEALTH CORPORATION false HALLMARK HEALTH MEDICAL ASSOC INC 170 GOVERNORS AVE MEDFORD MA 02155 043140938 MD OFFICES MA 501C3 9 HHC HALLMARK HEALTH CORPORATION false LM LONG TERM CARE SERVICES INC 170 GOVERNORS AVE MEDFORD MA 02155 042938772 LT CARE MA 501C3 11C HHC HALLMARK HEALTH CORPORATION false SAVIN LONG TERM CORPORATION 170 GOVERNORS AVE MEDFORD MA 02155 043012616 LT CARE MA 501C3 9 HHC HALLMARK HEALTH CORPORATION false HALLMARK HEALTH PROPERTIES INC 170 GOVERNORS AVE MEDFORD MA 02155 222580542 PROPERTY MA 501C3 11C HHC HALLMARK HEALTH CORPORATION false FRIENDS OF LAWRENCE MEMORIAL HOSP 170 GOVERNORS AVE MEDFORD MA 02155 042149760 GIFT SHOP MA 501C3 9 HHS HALLMARK HEALTH CORPORATION true HALLMARK HEALTH INVESTMENTS LLC 170 GOVERNORS AVE MEDFORD MA 02155 020657666 INVESTMENT MA N/A false false 0.84860 MONTVALE PETCT LLC 100 BAYVIEW CIRCLE SUITE 400 NEWPORT BEACH CA 92660 270325022 CAT SCAN CA HHS HALLMARK HEALTH SYSTEM INC RELATED 121019 74772 false false 0.50000 HALLMARK HEALTH ENTERPRISES INC 585 LEBANON STREET MELROSE MA 02176 452475660 OTHER HLTH MA N/A false false true false false false false false false false true true true true false false false false false false HALLMARK HEALTH CORPORATION B 7638505 FAIR MARKET VALUE HALLMARK HEALTH MEDICAL ASSOC INC B 3632435 FAIR MARKET VALUE HALLMARK HEALTH VISTING NURSE & HOSPICE INC J 164568 FAIR MARKET VALUE HALLMARK HEALTH MEDICAL ASSOC INC J 417380 FAIR MARKET VALUE HALLMARK HEALTH PROPERTIES INC K 203360 FAIR MARKET VALUE HALLMARK HEALTH CORPORATION K 1153286 FAIR MARKRT VALUE HALLMARK HEALTH MEDICAL ASSOC INC L 782585 ACTUAL COST HALLMARK HEALTH VISTING NURSE & HOSPICE INC L 51660 COST & TIME ALLOCATION HALLMARK HEALTH CORPORATION M 2898317 COST & TIME ALLOCATION FRIENDS OF LAWRENCE MEM HOSPITAL M 50801 ACTUAL COST HALLMARK HEALTH MEDICAL ASSOC INC M 106507 ACTUAL COST