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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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X X X 3 HEALTH IMAGE WOMAN'S IMAGING CENTER

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SENIOR CENTER 5 LAWRENCE MEMORIAL HOSPITAL PROGRAM

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PSYCHIATRIC SERVICE 6 LAWRENCE MEMORIAL HOSPITAL MEDICAL PROGRAM

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OUTPATIENT TESTING 7 LMH REHABILITATION SERVICES

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PT & REHAB SERVICE 8 HALLMARK COMMUNITY COUNSELING

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OUTPATIENT MEDICAL 13 FAMILY MEDICAL ASSOCIATES

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PHYSICIAN OFFICE 14 COMMUNITY COUNSELING CTR

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MELROSE-WAKEFIELD HOSP REHAB SERV 9 true true 200.0 true 400.0 true X X true true X true X X true X X X X true X false false HALLMARK ONCOLOGY & HEMATOLOGY CTR 10 true true 200.0 true 400.0 true X X true true X true X X true X X X X true X false false CHEM CTR FOR RADIATION & MRI 11 true true 200.0 true 400.0 true X X true true X true X X true X X X X true X false false HALLMARK OUTPAT DIAGNOSTIC & REHAB 12 true true 200.0 true 400.0 true X X true true X true X X true X X X X true X false false FAMILY MEDICAL ASSOCIATES 13 true true 200.0 true 400.0 true X X true true X true X X true X X X X true X false false COMMUNITY COUNSELING CTR 14 true true 200.0 true 400.0 true X X true true X true X X true X X X X true X false false OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE PART I LINE 3C NA RELATED ORGANIZATION INFORMATION PART I LINE 6A NA SUBSIDIZED HEALTH SERVICES EXPLANATION PART I LINE 7G NA EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F BAD DEBT EXPENSE 8297273 COSTING METHODOLOGY EXPLANATION PART I LINE 7 CHARITY CARE COSTS FROM WORKSHEETS 1 2 AND UNREIMBURSED MEDICAID FROM WORKSHEET 3 AND HEALTH PROFESSIONS EDUCATION FROM WORKSHEET 5 WERE APPLIED TO ALL PATIENT SEGMENTS COST TO CHARGE RATIO COMMUNITY BUILDING ACTIVITIES PART II AS PART OF ITS EFFORTS TO IMPROVE THE HEALTH STATUS OF ITS CORE COMMUNITIES HALLMARK HEALTH PARTICIPATES IN A VARIETY OF BROADBASED COMMUNITY COALITIONS AND INITIATIVES THAT WORK TOWARDS ADDRESSING THE SPECIFIC AND GENERAL HEALTH NEEDS IN THESE CITIES AND TOWNS A SAMPLE OF CURRENT MEMBERSHIP INCLUDE MALDEN HIGH SCHOOL TEEN PARENT TASK FORCE THE EVERETT COMMUNITY PARTNERSHIP AND LEAD PREVENTION COMMITTEE MYSTIC VALLEY ELDER SERVICES PROVIDER TASK FORCE LOCAL COUNCILS ON AGING HEALTHY FAMILIES COMMUNITY COALITION MEDFORD FAMILY RESOURCE COALITION THE MELROSE SUBSTANCE ABUSE PREVENTION COALITION AND THE MALDENEVERETT AND MEDFORD FAMILY NETWORKS A SPECIFIC EXAMPLE OF THIS COMMUNITY BUILDING IS HALLMARK HEALTHS LEADERSHIP OF THE MELROSE ALLIANCE AGAINST VIOLENCE MAAV THE MELROSE ALLIANCE AGAINST VIOLENCE MAAV IS A NONPROFIT COMMUNITYBASED 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 INCLUDES REPRESENTATIVES FROM THE POLICE SCHOOLS CLERGY HOSPITAL BUSINESS COMMUNITY HEALTH DEPARTMENT STUDENTS AND COMMUNITY MEMBERS AT LARGE HALLMARK HEALTH IS PARTNERING WITH MAAV ON SAFE SPACE A PROGRAM DESIGNED TO SUPPORT DOMESTIC VIOLENCE VICTIMS WITH RESOURCES AND PLACEMENTS IN ADDITION HALLMARK HEALTH HAS ESTABLISHED 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 RECREATION SPORTING EVENTS TO FORMAL COMMUNITY HEALTH FAIRS THEREBY PROMOTING MULTIPLE OPPORTUNITIES TO INTERACT WITH A WIDE RANGE OF COMMUNITY MEMBERS IN WAYS THAT BUILD A TRUSTING RELATIONSHIP KEY TO TRULY LISTENING TO THE VOICE OF INDIVIDUAL COMMUNITY MEMBERS AS HALLMARK HEALTH MOVES FORWARD IN ITS COMMUNITY BENEFITS PLANNING PROCESS IT WILL CONTINUE TO UTILIZE THE COLLECTIVE KNOWLEDGE OF THE TEAMS TO THIS AIM THE TEAMS ORGANIZING CHARTERS HAVE BEEN REWRITTEN TO HELP GUIDE THE MEMBERSHIP TOWARD MORE FORMAL COMMUNITY SERVICESCOMMUNITY BENEFITS ACTIVITIES RELEVANT HEALTH DATA AND THE IDENTIFIED TARGET POPULATION LISTS IS PROVIDED FOR 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 AND STONEHAM THE TEAMS CONTINUOUSLY SOLICIT INPUT FROM KEY COMMUNITY LEADERS INCLUDING SUPERINTENDENTS OF SCHOOLS STATE REPRESENTATIVES BUSINESS LEADERS FIRE AND POLICE PERSONNEL AND LOCAL HEALTH DEPARTMENTS MANY OF THE EMPLOYEES AT HALLMARK HEALTH WHO SERVE ON THE TEAMS ALSO PARTICIPATE IN A NUMBER OF OTHER COMMUNITY GROUPS AND CIVIC ORGANIZATIONS THE COMMUNITY TEAMS 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 BAD DEBT EXPENSE EXPLANATION PART III LINE 4 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 WRITTENOFF 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 2011 CHARITY CARE AND COMMUNITY BENEFIT FOOTNOTE CHARITY CARE THE CORPORATION PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY CONSISTENT WITH ITS TAXEXEMPT 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 CORPORATIONS CHARITY CARE POLICY IN ASSESSING A PATIENTS 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 2011 AND 2010 THE CORPORATION PROVIDED 5202000 AND 4976000 IN CHARITY CARE RESPECTIVELY THE EQUIVALENT PERCENTAGE OF CHARITY CARE TO ALL PATIENTS SERVED WAS APPROXIMATELY 08 AND 08 OF TOTAL PATIENT SERVICE CHARGES FOR THE YEARS ENDED SEPTEMBER 30 2011 AND 2010 RESPECTIVELY SUCH AMOUNTS AND PERCENTAGES ARE DETERMINED USING CHARGES FOREGONE BASED ON ESTABLISHED RATES 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 HEALTH SAFETY NET FORMERLY THE UNCOMPENSATED CARE FUND 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 TOTAL UNCOMPENSATED CARE PROVIDED BY ALL RELATED CORPORATIONS FOR THE YEARS ENDED SEPTEMBER 30 2011 AND 2010 IS AS FOLLOWS 2011 2010 PROVISION FOR CHARITY CARE 5202243 4975782 PROVISION FOR BAD DEBTS 8760600 8340634 HSN NET 237962 799707 TOTAL UNCOMPENSATED CARE 14200805 14116123 TOTAL HALLMARK HEALTH SYSTEMINC UNCOMPENSATED CARE FOR FYE 2011 2010 2011 2010 PROVISION FOR CHARITY CARE 5151645 4953402 PROVISION FOR BAD DEBTS 8297273 7927441 HSN NET 237962 799707 TOTAL UNCOMPENSATED CARE 13686880 13680550 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 WHICH TARGET NOT ONLY THE GENERAL POPULATION IN THE CORPORATIONS 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 CORPORATIONS 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 MEDICARE EXPLANATION PART III LINE 8 MEDICARE REIMBURSEMENT SHORTFALL USING ALLOWABLE COSTS FROM MEDICARE COST REPORT COLLECTION PRACTICES EXPLANATION PART III LINE 9B 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 NEEDS ASSESSMENT PART VI INTRODUCTION HALLMARK HEALTH SYSTEM IS A NOTFORPROFIT 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 WE DO THIS BY REINVESTING OUR SURPLUS FUNDS BACK INTO THE COMMUNITIES THROUGH VARIOUS PROGRAMS AND SERVICES MAKING SURE THAT CARE IS AVAILABLE TO EVERYONE REGARDLESS OF HIS OR HER ABILITY TO PAY USING COMPASSION AS THE CORNERSTONE FOR OUR WORK TO IMPROVE THE HEALTH OF OUR COMMUNITIES PATIENTS AND THEIR FAMILIES ARE ALWAYS TREATED AS PEOPLE FIRST ATTENDING TO THE NEEDS OF THE WHOLE PERSON 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 THE IRS GRANTS US TAX EXEMPTION AS A CHARITABLE COMMUNITYORIENTED ORGANIZATION WITHOUT THIS STATUS WE COULD NOT CONTINUE TO DELIVER THE SAME LEVEL OF COMMUNITY BENEFITS THAT ARE SO IMPORTANT AND NECESSARYTHE FOLLOWING SUMMARIZES A WIDE ARRAY OF ACTIVITIES AND SERVICES THAT MAKE UP OUR COMMUNITY SERVICE BENEFIT PROGRAMS LINE 2 NEEDS ASSESSMENT DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES HALLMARK HEALTH SYSTEM HALLMARK HEALTH REVIEWS LOCAL STATE FOUNDATION AND FEDERAL HEALTH AND SOCIOECONOMIC DATA TO IDENTIFY ITS TARGET POPULATIONS DATA WAS ALSO REVIEWED AS NEEDED WHEN WRITING GRANT PROPOSALS TO FUND COMMUNITY BENEFITS INITIATIVES IN 2010 HALLMARK HEALTH ALSO COMPLETED THE BIANNUAL LANGUAGE NEEDS ASSESSMENT FOR THE MA DEPARTMENT OF PUBLIC HEALTH AND REVIEWED INTERNAL LANGUAGE RACE AND ETHNICITY ADMISSION STATISTICS HALLMARK HEALTH ALSO ACTIVELY PARTICIPATED WITH THE COMMUNITY IN AN ONGOING WAY THROUGH OUR COMMUNITY OUTREACH TEAMS AS MEMBERS OF COMMUNITY COALITIONS AND IN THE COMMUNITY HEALTH NETWORK AREA PUBLIC HEALTH GROUPS CHNAS THESE METHODS HAVE PROVEN TO BE AN EFFECTIVE WAY TO REACH OUT INTO THE COMMUNITY TO GAIN LOCAL PERSPECTIVE AROUND THE HEALTH NEEDS OF AREA RESIDENTS CURRENTLY THERE ARE SIX COMMUNITY OUTREACH TEAMS NAMED FOR MALDEN MEDFORD MELROSE WAKEFIELD READING AND STONEHAM BY TAILORING OUTREACH AND PROGRAMS BASED ON WHAT INDIVIDUAL COMMUNITIES VALUE MOST HALLMARK HEALTH HAS DEVELOPED A TRUSTING RELATIONSHIP WITH LOCAL RESIDENTS THE TEAMS CONTINUOUSLY SOLICIT INPUT FROM KEY COMMUNITY LEADERS AS WELL INCLUDING SUPERINTENDENTS OF SCHOOLS STATE REPRESENTATIVES BUSINESS LEADERS FIRE AND POLICE PERSONNEL AND LOCAL HEALTH DEPARTMENTS THE COMMUNITY TEAM FUNCTIONS ARE FURTHER EXPLAINED IN PART II DESCRIPTION COMMUNITY BUILDING ACTIVITIES ANOTHER WAY THAT HALLMARK HEALTH COMMUNICATES WITH THE COMMUNITY IS THROUGH THE PATIENTFAMILY ADVISORY COUNCILS THESE COUNCILS WERE 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 PATIENTCENTERED SERVICES BY FOSTERING A STRONG PARTNERSHIP THROUGH OUTREACH ACTIVITIES WITH COMMUNITY RESIDENTS THE COUNCILS OFTEN ASSIST HALLMARK HEALTH STAFF BY PROVIDING INPUT INTO THE PLANNING OF FUTURE COMMUNITY ACTIVITIES AND INITIATIVES IN ADDITION HALLMARK HEALTH FACILITATED FOUR COMMUNITY FOCUS GROUPS REVIEWED ONLINE AND PAPER HEALTH ASSESSMENTS COMPLETED BY COMMUNITY RESIDENTS AND INTERVIEWED THE COMMUNITY TEAMS AND THE MEMBERS OF THE PATIENTFAMILY ADVISORY COUNCILS HALLMARK HEALTH STAFF AND LEADERS ARE ALSO MEMBERS OF MANY SOCIAL AND COMMUNITY HEALTH GROUPSCOALITIONS AND SHARE ANECDOTAL COMMUNITY REPORTING REGULARLY WITH THE COMMUNITY SERVICES DEPARTMENT BASED UPON THE ABOVE NEEDS ASSESSMENT THE FOLLOWING MAJOR COMMUNITY NEEDS WERE IDENTIFIED RESIDENTS ESPECIALLY FOCUSED ON UNINSURED OR UNDERINSURED RESIDENTS OF OUR CORE COMMUNITIES AND SPECIFICALLY THE TARGET POPULATIONS IDENTIFIED TO IMPROVE ACCESS TO CARE THIS INCLUDES THE RECRUITMENT EDUCATION AND TRAINING OF NURSES PHYSICIANS AND OTHER PRACTITIONERS NEEDED TO CARE FOR THE TARGET POPULATIONS LOW TO MODERATE INCOME UNSERVED AND UNDERSERVED ELDERLY IN OUR COMMUNITIES ESPECIALLY THOSE LIVING IN THE COMMUNITIES OF EVERETT MALDEN MEDFORD MELROSE READING SAUGUS STONEHAM WAKEFIELD AND OTHERS WHERE THE PERCENTAGE OF ELDERLY RESIDENTS IS HIGHER THAN THE STATE AVERAGE FAMILIES WITH CHILDRENADOLESCENTS AT RISK DUE TO POVERTY ISOLATION LANGUAGE OR CULTURAL BARRIERS DOMESTIC VIOLENCE LACK OF SKILLS TO NAVIGATE THE HEALTH CARE SYSTEM OR THOSE IN NEED OF DEVELOPING PARENTING SKILLS BASED ON PUBLIC HEALTH DATA THESE EFFORTS WILL FOCUS ESPECIALLY ON FAMILIES IN BURLINGTON EVERETT MALDEN MEDFORD MELROSE NORTH READING READING SAUGUS STONEHAM WAKEFIELD WILMINGTON WINCHESTER AND WOBURN FAMILIES AND PATIENTS COPING WITH A VARIETY OF BEHAVIORAL HEALTH ISSUES IN OUR CORE COMMUNITIES RESIDENTS AT RISK FOR DEVELOPING CARDIOVASCULAR DISEASE OR THOSE EXPERIENCING HEALTH ISSUES DUE TO UNDIAGNOSED OR POORLY UNDERSTOOD CARDIOVASCULAR RISKS INCLUDING THOSE AT RISK FOR DEVELOPING CONGESTIVE HEART FAILURE CHF AND FOR SUFFERING A STROKE COMMUNITY MEMBERS AT RISK FOR DEVELOPING DIABETES OR WITH DIABETES MANAGEMENT ISSUES COMMUNITY MEMBERS AT RISK FOR DEVELOPING CANCER WITH A SPECIAL FOCUS ON BREASTUTERINE AND CERVICAL CANCER SKIN CANCER LUNG CANCER AND COLORECTAL CANCER MEN AND WOMEN NEEDING BONE AND JOINT HEALTH AWARENESS WITH A FOCUS ON INJURY PREVENTION FOR ALL AGES SPECIFICALLY FALLS PREVENTION ARTHRITIS AND OSTEOPOROSIS PREVENTION AND DETECTION AND PREVENTION OF SPORTS INJURIES MEN WOMEN AND CHILDREN WITH WEIGHT MANAGEMENT ISSUES WITH A SPECIFIC FOCUS ON OBESITY PREVENTION FOR ADULTS AND CHILDREN THE COMMUNITY ATLARGE TO BE PREPARED FOR EMERGENCIES BOTH LOCAL AND MORE PERVASIVE SUCH AS SEASONAL FLU ACCIDENTS INVOLVING LARGE NUMBERS OF VICTIMS NATURAL DISASTERS PANDEMIC FLU OR TERRORIST ACTIVITIES HALLMARK HEALTH IS COMMITTED TO AND CONTINUES TO WORK WITH LOCAL GROUPS AND OTHER HEALTH CARE PROVIDERS HOSPITALS AND OTHER PROVIDERS TO PARTNER AND COLLABORATE WHERE POSSIBLE IN ORDER TO AVOID DUPLICATION OF SERVICES AND UTILIZE ITS CHARITABLE RESOURCES TO PROVIDE THE GREATEST SERVICES TO THE LARGEST POPULATION OF THOSE MOST IN NEED PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI MASSACHUSETTS HOSPITALS PROVIDE PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS THROUGH THE COMMONWEALTH OF MASSACHUSETTS OR THROUGH THE HOSPITALS OWN FINANCIAL ASSISTANCE PROGRAM AS OUTLINED IN THE CREDIT AND COLLECTION POLICYFOR THOSE PATIENTS THAT REQUEST SUCH ASSISTANCETHE HOSPITAL ASSISTS PATIENTS BY SCREENING THEM FOR ELIGIBILTY IN AVAILABLE PUBLIC PROGRAMS AND ASSISTING THEM IN APPLYING FOR THE PROGRAMSTHE SCREENING AND APPLICATION PROCESS IS DONE THROUGH EITHER THE VIRTUAL GATEWAY WHICH IS AN INTERNET PORTAL DESIGNED BY MASSACHUSETTS EXECUTIVE OFFICES OF HEALTH AND HUMAN SERVICES TO PROVIDE AN ONLINE APPLICATION FOR THE PROGRAMS OFFERED BY THE STATEOR THROUGH A STANDARD PAPER APPLICATIONALL VIRTUAL GATEWAY AND PAPER APPLICATIONS ARE REVIEWED AND PROCESSED BY THE MASSACHUSETTS OFFICE OF MEDICAID WHICH USES FEDERAL POVERTY GUIDELINES AS THE BASIS FOR DETERMINING ELIGIBILITY HOSPITALS HAVE NO ROLE IN DETERMINING ELIGIBILITY MADE BY THE STATE BUT AT THE PATIENTS REQUEST MAY TAKE A DIRECT ROLE IN APPEALING OR SEEKING INFORMATION RELATED TO THE COVERAGE DECISION COMMUNITY INFORMATION PART VI HALLMARK HEALTH IS A COMMUNITY HOSPITAL LOCATED APPROXIMATELY TEN10 MILES NORTH OF BOSTON MASSACHUSETTSIN THE GREATER BOSTON METROPOLITAN AREA THERE ARE A SIGNIFICANT NUMBER OF ACADEMIC MEDICAL CENTERS AND COMMUNITY HOSPITALS IN THE PRIMARY AND SECONDARY AREA COMMUNITIES OF HALLMARK HEALTH BASED ON DPH CRITERIA USING 2006 INPATIENT DATA AND ZIP CODE ANALYSIS THE PRIMARY SERVICE AREA INCLUDES MALDEN MEDFORD MELROSE SAUGUS AND WAKEFIELD AND THE SECONDARY SERVICE AREA INCLUDES EVERETT LYNNFIELD NORTH READING READING REVERE STONEHAM WILMINGTON AND WINTHROP FOR COMMUNITY BENEFITS THE GEOGRAPHIC AREA SERVED INCLUDES ADDITIONAL COMMUNITIES AN EXAMPLE OF THIS IS THE NORTH SUBURBAN WOMEN INFANTS AND CHILDREN WIC PROGRAM WHICH SERVES THE TOWNS OF BURLINGTON WILMINGTON WINCHESTER AND WOBURN IN ADDITION TO EVERETT MALDEN MEDFORD MELROSE NORTH READING READING STONEHAM AND WAKEFIELD HALLMARK HEALTHS SERVICES AREA IS PRIMARILY WITHIN MIDDLESEX COUNTY IN THE CORE COMMUNITIES OF HALLMARK HEALTH WHICH INCLUDES EVERETT MALDEN MEDFORD MELROSE NORTH READING READING SAUGUS STONEHAM AND WAKEFIELD THREE OF THE COMMUNITIES EVERETT MALDEN AND MEDFORD HAVE PER CAPITA INCOME LEVELS BELOW THE STATE AVERAGE IN EVERETT THE POVERTY RATE IS AT 118 AND THE UNEMPLOYMENT RATE IS ALSO HIGHER THAN THE STATE AVERAGE MALDENS PER CAPITA INCOME IS 15 BELOW THE STATE AVERAGE YET THE POVERTY LEVEL AND UNEMPLOYMENT LEVEL ARE SIMILAR TO THE STATE AVERAGE INDICATING A HIGHER PERCENT OF THE POPULATION ARE THE WORKING POOR MEDFORDS PER CAPITA INCOME IS SLIGHTLY BELOW THE STATE AVERAGE AND UNEMPLOYMENT IS SLIGHTLY BETTER THAN THE REST OF THE STATE NINETEEN PERCENT 19 OF THE COMMUNITY IS AT 200 OF POVERTY LEVEL OR BELOW IN ALL OF THE COMMUNITIES EXCEPT NORTH READING THE PERCENT OF RESIDENTS AGE 65 AND OLDER IS GREATER THAN THE STATE AVERAGE COMMUNITY DEMOGRAPHIC DATA THE DEMOGRAPHIC DIVERSITY AND LANGUAGE NEEDS OF THE POPULATIONS IN HALLMARK HEALTHS CORE COMMUNITIES IS DETERMINED FROM THE FOLLOWING SOURCES PROGRAM DATA FROM THE HALLMARK HEALTH INTERPRETER SERVICES PROGRAM HALLMARK HEALTHS 2008 INPATIENT DATA HALLMARK HEALTH NORTH SUBURBAN WOMEN INFANTS AND CHILDREN WIC NUTRITION PROGRAM AND HEALTHY FAMILIES MASS CHIP US CENSUS BUREAU REPORT SELECTED SOCIAL CHARACTERISTICS IN THE UNITED STATES 20052007 AMERICAN COMMUNITY SURVEY US CENSUS STATE AND COUNTY QUICKFACTS 2000 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH REPORT FIRST LANGUAGE IS NOT ENGLISH FLNE AND LIMITED ENGLISH PROFICIENCY LEP STUDENTS IN MASSACHUSETTS PUBLIC SCHOOLS 20052006 SCHOOL YEAR MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH REPORT REFUGEE AND IMMIGRANT HEALTH PROGRAM REFUGEE ARRIVALS BY COUNTRY OF ORIGIN 20062010 MASSACHUSETTS SCHOOL AND DISTRICT PROFILES 20082009 ENROLLMENT BY RACEGENDER REPORT ANECDOTAL INFORMATION WAS COLLECTED FROM SOME OF HALLMARK HEALTHS COMMUNITY PARTNERS SUCH AS THE JOINT COMMITTEE FOR CHILDRENS HEALTH CARE IN EVERETT HEALTHY MALDEN INC AND HALLMARK HEALTH COMMUNITY TEAM REPRESENTATIVES RACIALETHNIC DIVERSITY THE CULTURES REPRESENTED IN THE AFOREMENTIONED POPULATION INCLUDE BUT ARE NOT LIMITED TO PATIENTS FROM PUERTO RICO THE DOMINICAN REPUBLIC COLOMBIA BRAZIL CAPE VERDE CHINA CAMBODIA VIETNAM HAITI TURKEY ITALY FRANCE ALBANIA GREECE INDIA THE WEST INDIES AFRICAN NATIONS SUCH AS CAMEROON AFRICAN AMERICANS EASTERN EUROPEANS MULTIETHNIC FAMILIES AND PATIENTS OF ALL CULTURES WHO ARE ALSO DEAF AND HARD OF HEARING THE DIVERSITY OF THE HALLMARK HEALTH COMMUNITIES IS ALSO VERY DIFFERENT BOTH EVERETT AND MALDEN HAVE POPULATIONS COMPRISED OF A HIGHER NUMBER OF BLACK RESIDENTS 79 IN EVERETT AND 101 IN MALDEN THAN THE REST OF THE STATE AND IN MALDEN THE PERCENTAGE OF ASIAN RESIDENTS IS 19 ALSO HIGHER THAN THE STATE AVERAGE IN EVERETT THE HISPANIC POPULATION IS HIGHER THAN THE STATE AVERAGE AT 11 IN MEDFORD THE PERCENT OF BLACK RESIDENTS IS TWO PERCENT HIGHER THAN OTHER COMMUNITIES WHILE THE ASIAN POPULATION IS SLIGHTLY HIGHER THAN THE REST OF THE STATE THE COMMUNITIES OF MELROSE NORTH READING READING STONEHAM SAUGUS AND WAKEFIELD HAVE PRIMARILY WHITE POPULATIONS WITH SMALLER ASIAN HISPANIC AND BLACK POPULATIONS HALLMARK HEALTH DATA FOR 2008 DEMONSTRATES THAT OVERALL 903 OF THE POPULATION USING THE FACILITIES IN FISCAL YEAR 2008 WERE WHITE 130 HISPANIC 38 BLACK 23 ASIAN 006 NATIVE AMERICAN AND 22 REPORTED THEIR RACEETHNICITY AS UNKNOWN IN MIDDLESEX COUNTY IN 2007 POPULATION STATISTICS REPORT 861 OF THE POPULATION AS WHITE 51 HISPANIC 420 BLACK 82 ASIAN 020 NATIVE AMERICAN AND 13 AS UNKNOWN FOR RACEETHNICITY LANGUAGE BASED ON STATE DATA THE MOST COMMON LANGUAGES SPOKEN IN HALLMARK HEALTHS SERVICE AREA OTHER THAN ENGLISH ARE SPANISH PORTUGUESE CHINESE HAITIAN CREOLE AND VIETNAMESE OTHER LANGUAGES THAT ARE NOT AS COMMON BUT SPOKEN BY MEMBERS OF THE COMMUNITY ARE AMERICAN SIGN LANGUAGE ARABIC FRENCH ITALIAN KHMERCAMBODIAN KOREAN POLISH RUSSIAN AND TURKISH IN TOTAL RESIDENTS IN OUR SERVICE AREA SPEAK OVER 35 DIFFERENT LANGUAGES REVIEWING MASSACHUSETTS SCHOOL DATA FOR SCHOOL YEAR 20052006 IN EVERETT 423 OF STUDENTS IDENTIFIED AS FIRST LANGUAGE NOT ENGLISH FLNE EVERETT HAS THE 5TH LARGEST STUDENT POPULATION OF PORTUGUESE SPEAKERS IN THE STATE 282 OF THE STUDENT POPULATION AND 46 OF THE TOTAL STATE STUDENT POPULATION IN MALDEN 343 OF STUDENTS WERE FLNE MALDEN HAS THE FOURTH LARGEST STUDENT POPULATION OF CHINESE SPEAKERS IN THE STATE 257 OF THE STUDENT POPULATION AND 61 OF THE TOTAL STATE STUDENT POPULATION THE FIFTH LARGEST STUDENT POPULATION OF VIETNAMESE SPEAKERS IN THE STATE 112 OF THE TOTAL STATE STUDENT POPULATION AND 42 OF THE TOTAL STATE STUDENT POPULATION AND THE 5TH LARGEST STUDENT POPULATION OF ARABIC SPEAKERS AT 39 OF THE STUDENT POPULATION AND 42 OF THE TOTAL STATE STUDENT POPULATION IN MEDFORD 16 OF THE STUDENTS WERE FLNE IN REVERE 395 OF STUDENTS WERE FLNE REVERE HAS THE 2ND HIGHEST STUDENT POPULATION OF ARABIC SPEAKERS 72 OF THE STUDENT POPULATION AND 83 OF THE TOTAL STATE STUDENT POPULATION AND THE 4TH HIGHEST STUDENT POPULATION OF KHMER SPEAKERS 111 OF THE STUDENT POPULATION AND 48 OF THE TOTAL STATE STUDENT POPULATION IN WOBURN 101 OF THE STUDENTS WERE FLNE THE INTERPRETER SERVICES DEPARTMENT ALSO NOTED AN OVERALL INCREASE IN INTERPRETER REQUESTS FROM 1444 REQUESTS IN 2007 TO 2178 REQUESTS IN 2008 A 337 INCREASE IN THE TOTAL NUMBER OF REQUESTS HALLMARK HEALTH CONTRACTS WITH A SERVICE PROVIDER FOR A VARIETY OF LANGUAGE INTERPRETERS AND ALSO THE MASSACHUSETTS COMMISSION FOR THE DEAF AND HARD OF HEARING FOR AMERICAN SIGN LANGUAGE INTERPRETERS ASL THE PROGRAM ALSO EMPLOYS SOME PER DIEM STAFF INTERPRETERS TO SUPPLEMENT THE INTERPRETER SERVICES CONTRACT IN ADDITION THE PROGRAM OFFERS LANGUAGE LINE TELEPHONE INTERPRETER SERVICES FOR RARELY ENCOUNTERED LANGUAGES WHEN THEY ARE UNABLE TO ACCESS TIMELY INTERPRETER SERVICES OR FOR EMERGENCIES HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI HALLMARK HEALTH HAS A 16 MEMBER COMMUNITY BOARD COMPRISED OF A MAJORITY OF COMMUNITY MEMBERS ONLY THREE 3 OF THE 16 BOARD MEMBERS ARE EMPLOYED BY HALLMARK HEALTH OR THE HOSPITALS PARENT CORPORATION HALLMARK HEALTH CORPORATION THE CHIEF EXECUTIVE OFFICER THE CHIEF MEDICAL OFFICER AND AN EMPLOYED PHYSICIAN MEMBER MEDICAL STAFF MEMBERSHIP AND PRIVILEGES ARE OPEN AND AVAILABLE TO ALL QUALIFIED PHYSICIANS WE HAVE A LARGE AND DIVERSE MEDICAL STAFF OF OVER 500 MEMBERS HALLMARK HEALTH OPERATES TWO VERY ACTIVE EMERGENCY ROOMS AT 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 WELL BEING HALLMARK HEALTHS RESPONSIVENESS TO THE NEEDS OF OUR COMMUNITIES IS EVIDENCED BY OUR WILLINGNESS TO PROVIDE ANDOR PARTICIPATE IN A BROAD RANGE OF COMMITTEES COALITIONS PANELS ADVISORY GROUPS AND COMMISSIONS IN ORDER PROMOTE OUR MISSION OF IMPROVING HEALTH STATUS AND PROVIDING THE EFFICIENT DELIVERY OF HIGH QUALITY HEALTH CARE TO OUR COMMUNITIES AFFILIATED HEALTH CARE INFORMATION PART VI 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 SUBSTANTIAL HOME HEALTH VISITING NURSE AND HOSPICE ENTITY AND A PHYSICIAN PRACTICE ORGANIZATION A COMPREHENSIVE SYSTEM APPROACH IS TAKEN TO PROVIDING COMMUNITY BENEFITS ALL AFFILIATED ENTITIES PROVIDE PATIENT CARE WITHOUT CONSIDERATION OF A PATIENTS ABILITY TO PAY ALL SURPLUS FUNDS OF THE AFFILIATED ENTITIES ARE REINVESTED IN PROVIDING ACCESS TO HEALTH SERVICES AND IMPROVING THE HEALTH STATUS OF THE COMMUNITIES SERVED LIST OF STATES WHERE COMMUNITY BENEFIT REPORT IS FILED PART VI MASSACHUSETTS ADDITIONAL INFORMATION PART VI QUESTION 6B IF YES DOES THE ORGANIZATION MAKE IT AVAILABLE TO THE PUBLIC THIS REPORT IS SUBMITTED TO THE MASSACHUSETTS ATTORNEY GENERALS OFFICE EACH YEAR AND POSTED ON THEIR WEBSITE THE ORGANIZATION ALSO POSTS THE ANNUAL COMMUNITY BENEFITS REPORT ON THE HOSPITALS WEBSITE HTTPWWWHALLMARKHEALTHCOMCOMMUNITYBENEFITSHTML HALLMARK HEALTH CURRENTLY DESIGNATES NINE WEB PAGES ON THE HOSPITALS WEBSITE TO DESCRIBING THE HOSPITALS TARGET POPULATIONS TO RECEIVE SERVICES THE COMMUNITY BENEFITS ADVISORY COUNCIL AND KEY PROGRAMS AND COMMUNITY PARTNERSHIPS THIS YEAR AN ADDITIONAL PAGE WILL BE ADDED TO INCLUDE COMMUNITY HEALTH NEEDS ASSESSMENT DATA IN ADDITION HALLMARK HEALTH FEATURES STORIES ABOUT COMMUNITY BENEFITS PROGRAMS EACH QUARTER IN THE HALLMARK HEALTH SYSTEM MAGAZINE THIS PUBLICATION REACHES MORE THAN 100000 HOUSEHOLDS IN OUR SERVICE AREA HALLMARK HEALTH ALSO PROMOTES COMMUNITY BENEFITS PROGRAMS THROUGH LOCAL PRESS RELEASES CALENDAR POSTINGS FACEBOOK AND TWITTER MESSAGING AND THROUGH LOCAL CABLE ACCESS STATIONS FLYERS ARE ALSO DISSEMINATED WIDELY IN THE COMMUNITY TO NOTIFY RESIDENTS OF UPCOMING COMMUNITY BENEFITS PROGRAMS AND SERVICES MELROSE WAKEFIELD HOSPITAL LINE NUMBER 1 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE LAWRENCE MEMORIAL HOSPITAL LINE NUMBER 2 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE HEALTH IMAGE WOMANS IMAGING CENTER LINE NUMBER 3 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE SENI0R CITZEN HEALTH CENTER LINE NUMBER 4 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE LAWRENCE MEMORIAL HOSPITAL PROGRAM LINE NUMBER 5 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE LAWRENCE MEMORIAL HOSPITAL MEDICAL LINE NUMBER 6 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE LMH REHABILITATION SERVICES LINE NUMBER 7 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE HALLMARK COMMUNITY COUNSELING LINE NUMBER 8 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE MELROSEWAKEFIELD HOSP REHAB SERV LINE NUMBER 9 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE HALLMARK ONCOLOGY HEMATOLOGY CTR LINE NUMBER 10 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE CHEM CTR FOR RADIATION MRI LINE NUMBER 11 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE HALLMARK OUTPAT DIAGNOSTIC REHAB LINE NUMBER 12 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE FAMILY MEDICAL ASSOCIATES LINE NUMBER 13 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE COMMUNITY COUNSELING CTR LINE NUMBER 14 PART V LINE 19D PART V LINE 19D FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE X X X X X true false false false false false false false false MVSACK 632899 125000 139493 1287 84657 983336 EPBUTLER MD 233004 20189 7494 4434 56673 321794 WJ DOHERTY MD 7292 177001 3958 1497 7292 182456 J NANIA 378410 65760 33916 1457 79741 559284 K HOPPE 238786 73650 2203 7163 321802 M TURILLI 189307 7582 11298 2796 20731 231714 C DRESSER 186952 7032 6967 1470 16869 219290 SJ WYRSCH 94477 104412 2054 200943 D RICHARDSON 184776 100 4000 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WYRSCH 92,703 0 0 B. WALLACE 50,181 0 0 MHEFA (COMM OF MASS ) 042456011 57586ECF6 2008-12-19 23020000 REFUND SERIES B 1998. false false false 2265000 20755000 82661 2001 true false true true false false false false false false true true false false false false MV SACK ARMS LENGTH NEGOTIATED BENEFIT X 132500 4282868 false true true J NANIA ARMS LENGTH NEGOTIATED BENEFIT X 115296 1022181 false true true 5305049 DOING BUSINESS AS FORM 990, PAGE 1, ITEM C MEDFORD MELROSE-WAKEFIELD HOSPITAL EXPLANATION FOR WHY FORM 990-T NOT FILED FORM 990, PAGE 5, PART V, LINE 3B FORM 990-T FILED FOR TAX 2010 WITH NO UNRELATED BUSINESS INCOME SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PAGE 6, PART VI, LINE 4 NORTH SUBURBAN LONG TERM CARE, INC. MERGED INTO HALLMARK HEALTH SYSTEM, INC. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 HALLMARK HEALTH SYSTEM, INC. HAS MEMBERS. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A MEMBERS ELECT BOARD OF TRUSTEES DECISIONS SUBJECT TO APPROVAL OF MEMBERS 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. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 WAS PROVIDED TO THE GOVERNING BODY AND REVIEWED AT THE AUDIT & COMPLIANCE COMMITTEE PRIOR TO FILING. ENFORCEMENT OF CONFLICTS POLICY 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 CHAIR OF THE AUDIT & COMPLIANCE COMMITTEE. COMPENSATION PROCESS FOR TOP OFFICIAL 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. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B 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. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST TO THE OFFICE OF GENERAL COUNSEL. RELATED ORGANIZATIONS FORM 990, PAGE 7, PART VII AVERAGE HOURS OF 37.50 PER WEEK FOR M. SACK AND J. NANIA ARE ALLOCATED BETWEEN THIS CORPORATION AND RELATED ORGANIZATIONS. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 NET ASSETS RELEASED FROM RESTRICTIONS-OPERATIONS (655,524) NET DISTRIBUTIONS TO AFFILIATES (9,870,095) UNREALIZED GAIN INVESTMENTS(NET CUMULATIVE EFFECT) (4,927,377) UNREALIZED GAIN/LOSS-BENEFICIAL INTERESTS PERPETUAL TR. (737,479) ADDITIONAL MINIMUM PENSION LIABILITY ADJUSTMENT (2,198,640) HOSPITAL AUXILIARY, NET CHANGE (6,664) MERGER INTO AND TRANSFER TO HALLMARK HEALTH SYSTEM,INC. 13,672,735 ( 170(B)(1)(A)(III)) ----------- (4,723,044) ---------- ---------- REASON FOR NOT UNDERGOING REQUIRED AUDIT FORM 990, PAGE 12, PART XII, LINE 3B FINANCIAL STATEMENTS ARE COMPILED,REVIEWED AND AUDITED ON A CONSOLIDATED BASIS. HOWEVER THE SCHOOL OF NURSING PERFORMS REQUIRED AUDIT AS NECESSARY FOR FEDERAL AWARDS. 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4528353 HALLMARK HEALTH MEDICAL ASSOC INC B 5341742 HALLMARK HEALTH CORPORATION E 20755000 HALLMARK HEALTH VISTING NURSE & HOSPICE INC E 20755000 HALLMARK HEALTH MANAGEMENT CORP E 20755000 HALLMARK HEALTH MEDICAL ASSOC INC E 20755000 HALLMARK HEALTH PROPERTIES INC E 20755000 HALLMARK HEALTH SERVICES INC E 20755000 HALLMARK HEALTH VISTING NURSE & HOSPICE INC I 164565 HALLMARK HEALTH MEDICAL ASSOC INC I 471680 HALLMARK HEALTH PROPERTIES INC J 188722 HALLMARK HEALTH CORPORATION J 912088 HALLMARK HEALTH MANAGEMENT CORP K 371696 HALLMARK HEALTH MEDICAL ASSOC INC K 294643 HALLMARK HEALTH SERVICES INC L 108029 HALLMARK HEALTH CORPORATION L 3418502 HALLMARK HEALTH MANAGEMENT CORP L 1231656 HALLMARK HEALTH ENTERPRISES INC F 131687 HALLMARK HEALTH VISITING NURSE & HOSPICE INC K 66178 HALLMARK HEALTH ENTERPRISES INC L 129034 NORTH SURBURBAN LONG TERM CARE R 13672735 HALLMARK HEALTH MANAGEMENT CORP B 4528353 HALLMARK HEALTH MEDICAL ASSOC INC B 5341742 HALLMARK HEALTH CORPORATION E 20755000 HALLMARK HEALTH VISTING NURSE & HOSPICE INC E 20755000 HALLMARK HEALTH MANAGEMENT CORP E 20755000 HALLMARK HEALTH MEDICAL ASSOC INC E 20755000 HALLMARK HEALTH PROPERTIES INC E 20755000 HALLMARK HEALTH SERVICES INC E 20755000 HALLMARK HEALTH VISTING NURSE & HOSPICE INC I 164565 HALLMARK HEALTH MEDICAL ASSOC INC I 471680 HALLMARK HEALTH PROPERTIES INC J 188722 HALLMARK HEALTH CORPORATION J 912088 HALLMARK HEALTH MANAGEMENT CORP K 371696 HALLMARK HEALTH MEDICAL ASSOC INC K 294643 HALLMARK HEALTH SERVICES INC L 108029 HALLMARK HEALTH CORPORATION L 3418502 HALLMARK HEALTH MANAGEMENT CORP L 1231656 HALLMARK HEALTH ENTERPRISES INC F 131687 HALLMARK HEALTH VISITING NURSE & HOSPICE INC K 66178 HALLMARK HEALTH ENTERPRISES INC L 129034 NORTH SURBURBAN LONG TERM CARE R 13672735 HALLMARK HEALTH MANAGEMENT CORP B 4528353 HALLMARK HEALTH MEDICAL ASSOC INC B 5341742 HALLMARK HEALTH CORPORATION E 20755000 HALLMARK HEALTH VISTING NURSE & HOSPICE INC E 20755000 HALLMARK HEALTH MANAGEMENT CORP E 20755000 HALLMARK HEALTH MEDICAL ASSOC INC E 20755000 HALLMARK HEALTH PROPERTIES INC E 20755000 HALLMARK HEALTH SERVICES INC E 20755000 HALLMARK HEALTH VISTING NURSE & HOSPICE INC I 164565 HALLMARK HEALTH MEDICAL ASSOC INC I 471680 HALLMARK HEALTH PROPERTIES INC J 188722 HALLMARK HEALTH CORPORATION J 912088 HALLMARK HEALTH MANAGEMENT CORP K 371696 HALLMARK HEALTH MEDICAL ASSOC INC K 294643 HALLMARK HEALTH SERVICES INC L 108029 HALLMARK HEALTH CORPORATION L 3418502 HALLMARK HEALTH MANAGEMENT CORP L 1231656 HALLMARK HEALTH ENTERPRISES INC F 131687 HALLMARK HEALTH VISITING NURSE & HOSPICE INC K 66178 HALLMARK HEALTH ENTERPRISES INC L 129034 NORTH SURBURBAN LONG TERM CARE R 13672735 HALLMARK HEALTH MANAGEMENT CORP B 4528353 HALLMARK HEALTH MEDICAL ASSOC INC B 5341742 HALLMARK HEALTH CORPORATION E 20755000 HALLMARK HEALTH VISTING NURSE & HOSPICE INC E 20755000 HALLMARK HEALTH MANAGEMENT CORP E 20755000 HALLMARK HEALTH MEDICAL ASSOC INC E 20755000 HALLMARK HEALTH PROPERTIES INC E 20755000 HALLMARK HEALTH SERVICES INC E 20755000 HALLMARK HEALTH VISTING NURSE & HOSPICE INC I 164565 HALLMARK HEALTH MEDICAL ASSOC INC I 471680 HALLMARK HEALTH PROPERTIES INC J 188722 HALLMARK HEALTH CORPORATION J 912088 HALLMARK HEALTH MANAGEMENT CORP K 371696 HALLMARK HEALTH MEDICAL ASSOC INC K 294643 HALLMARK HEALTH SERVICES INC L 108029 HALLMARK HEALTH CORPORATION L 3418502 HALLMARK HEALTH MANAGEMENT CORP L 1231656 HALLMARK HEALTH ENTERPRISES INC F 131687 HALLMARK HEALTH VISITING NURSE & HOSPICE INC K 66178 HALLMARK HEALTH ENTERPRISES INC L 129034 NORTH SURBURBAN LONG TERM CARE R 13672735