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MELROSEWAKEFIELD HEALTHCARE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MELROSEWAKEFIELD HEALTHCARE INC (EIN 04-2767880)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-15
IRS object ID
202332279349300333
Schema version
2021v4.2
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)
Return2023-08-15T10:04:22-05:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN263753134PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 BOYLSTON STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02116ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042767880EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MELROSEWAKEFIELD HEALTHCARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMELRBusinessNameControlTxt
Phone7819793000PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUSAN GREENPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7819793000PhoneNum
Signature2023-08-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSUSANPersonFirstNm
Person LastGREENPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCRAIG KLEINPreparerPersonNm
PTINP00734640PTIN
Phone6177610600PhoneNum
Preparation2023-08-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKELLY CORBIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1170 GOVERNORS AVENUEAddressLine1Txt
CityMEDFORDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02155ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$249,358,377GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MELROSEWAKEFIELD.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO OPERATE HOSPITALS ON TWO CAMPUSES (ONE WITH 24 HOUR ER SERVICES) ALONG WITH A HOSPITAL SCHOOL OF NURSING. MELROSEWAKEFIELD HEALTHCARE PROVIDES INPATIENT AND OUTPATIENT MEDICAL CARE AND ANCILLARY MEDICAL SERVICES AND TESTING.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee2100TotalEmployeeCnt
Total Volunteers160TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,390,608PYContributionsGrantsAmt
CY Contributions Grants$7,381,896CYContributionsGrantsAmt
PY Program Service Revenue$229,891,253PYProgramServiceRevenueAmt
CY Program Service Revenue$221,487,304CYProgramServiceRevenueAmt
PY Investment Income$32,786,639PYInvestmentIncomeAmt
CY Investment Income$17,639,336CYInvestmentIncomeAmt
PY Other Revenue$2,374,270PYOtherRevenueAmt
CY Other Revenue$2,789,404CYOtherRevenueAmt
PY Total Revenue$268,442,770PYTotalRevenueAmt
CY Total Revenue$249,297,940CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$129,379,987PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$140,822,992CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$116,160,714PYOtherExpensesAmt
CY Other Expenses$168,037,335CYOtherExpensesAmt
PY Total Expenses$245,540,701PYTotalExpensesAmt
CY Total Expenses$308,860,327CYTotalExpensesAmt
PY Revenues Less Expenses$22,902,069PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$59,562,387CYRevenuesLessExpensesAmt
Total Assets BOY$443,008,431TotalAssetsBOYAmt
Total Assets EOY$344,183,016TotalAssetsEOYAmt
Total Liabilities BOY$250,925,315TotalLiabilitiesBOYAmt
Total Liabilities EOY$219,089,672TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$192,083,116NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$125,093,344NetAssetsOrFundBalancesEOYAmt
MissionTO OPERATE HOSPITALS ON TWO CAMPUSES (ONE WITH 24 HOUR ER SERVICES) ALONG WITH A HOSPITAL SCHOOL OF NURSING. MELROSEWAKEFIELD HEALTHCARE PROVIDES INPATIENT AND OUTPATIENT MEDICAL CARE AND ANCILLARY MEDICAL SERVICES AND TESTING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$250,538,602ExpenseAmt
Revenue$221,487,304RevenueAmt
DescTO OPERATE A HOSPITAL WITH 24 HOUR ER SERVICES ON ONE CAMPUS ALONG WITH A HOSPITAL SCHOOL OF NURSING. MELROSEWAKEFIELD HEALTHCARE PROVIDED INPATIENT AND OUTPATIENT MEDICAL, SURGICAL AND PSYCHIATRIC CARE. ANCILLARY MEDICAL SERVICES AND TESTING WERE ALSO PROVIDED ON AN INPATIENT AND OUTPATIENT BASIS IN AREAS SUCH AS LABORATORY, RADIOLOGY, EKG, EEG, PHARMACY, NUCLEAR MEDICINE, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, RESPIRATORY THERAPY AND I.V. THERAPY.Desc
Total Program Service Expenses$250,538,602TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2100EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSUSAN GREENPersonNm
Phone9789422220PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 DISTRICT AVE SUITE 520AddressLine1Txt
CityBURLINGTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01803ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LAURENCE CONWAY MD
DIRECTOR3.0040.00Yes (X)$0$385,351$3,384
MEHREEN BUTT
DIRECTOR3.003.00Yes (X)$0$0$0
TARA GIBSON
DIRECTOR3.003.00Yes (X)$0$0$0
KELLY CORBI
PRESIDENT/DIRECTOR3.0040.00Yes (X)$0$0$0Yes (X)
ROBERT L SWANSON JR
SECRETARY/DIRECTOR3.003.00Yes (X)$0$0$0Yes (X)
PATRICIA CAMPBELL
CHAIR/DIRECTOR3.003.00Yes (X)$0$0$0Yes (X)
JOHN KEENAN
DIRECTOR (UNTIL JAN. 2022)3.003.00Yes (X)$0$0$0
JAMES HERRINGTON
VICE CHAIR/DIRECTOR (UNTIL MAR. 2022)3.003.00Yes (X)$0$0$0Yes (X)
SUSAN GLASSER
DIRECTOR (UNTIL MAR. 2022)3.003.00Yes (X)$0$0$0
PAUL BARDARO
TREASURER/DIRECTOR3.003.00Yes (X)$0$0$0Yes (X)
ANDRAS SANDOR MD
DIRECTOR40.003.00Yes (X)$464,108$0$48,463
MICHAEL DANDORPH
DIRECTOR3.0046.50Yes (X)$0$1,905,698$260,012
GAIL INFURNA
DIRECTOR3.003.00Yes (X)$0$0$0
JOSEPH PENNACCHIO MD
DIRECTOR3.0040.00Yes (X)$0$466,182$29,642
ANDREW FREED
DIRECTOR3.003.00Yes (X)$0$0$0
THOMAS GRAF
DIRECTOR3.003.00Yes (X)$0$0$0
PHILIP LEMBO
DIRECTOR3.003.00Yes (X)$0$0$0
PAMELA WHELTON
INTERIM PRES. & CEO (UNTIL 3/31/22)3.0040.00Yes (X)$0$325,000$0Yes (X)
EDWARD DOHERTY JR
DIRECTOR3.003.00Yes (X)$0$0$0
MAURICE M EDOUARD-VINCENT
DIRECTOR3.003.00Yes (X)$0$0$0
DIANA JEONG
DIRECTOR3.003.00Yes (X)$0$0$0
BINDIYA THAKKAR MD
DIRECTOR3.0040.00Yes (X)$0$420,595$47,293
CHARLES R WHIPPLE ESQ
ASSISTANT SECRETARY/GENERAL COUNSEL3.0040.00$0$381,654$42,882Yes (X)
LISA RUSSELL
ASSISTANT CLERK (UNTIL JUNE 2022)40.003.00$75,084$0$11,591Yes (X)
WILLIAM WYMAN
ASSISTANT TREASURER3.0040.00$0$509,944$20,328Yes (X)
DONNA SANDLER
ASSISTANT CLERK3.003.00$0$0$0Yes (X)
DEBORAH CRONIN-WAELDE
SYSTEM V.P./CNO (UNTIL 12/26/21)3.0040.00$0$433,088$7,326Yes (X)
STEVEN SBARDELLA
VP, MEDICAL AFFAIRS & CMO3.0040.00$0$652,345$425Yes (X)
JOHN G GIRAGOS MD
PSYCH M.D.40.000.00$321,861$0$43,068Yes (X)
DANIEL CARLAT MD
CHAIR, DEPT. OF PSYCHIATRY20.003.00$293,773$0$40,173Yes (X)
TERRY SMITH MD
PSYCH M.D.40.000.00$329,594$0$19,639Yes (X)
JAMES LECH
PSYCHIATRIST40.000.00$238,434$0$6,996Yes (X)
DAWN NEE
DIRECTOR PHO40.000.00$243,315$0$39,667Yes (X)
SUSAN M SANDBERG
FORMER PRESIDENT & CEO0.000.00$0$668,588$21,341Yes (X)
MICHAEL P CONNELLY
FORMER CFO/ASSISTANT TREASURER0.000.00$0$338,218$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,966,169TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,486,663TotReportableCompRltdOrgAmt
Total Other Compensation$642,230TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K273IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
VITAL CONTIGENT PLANNING
317 GEORGE STREET SUITE 320NEW BURNSWICKNJ08901TEMPORARY STAFFING$26,510,723
MEDICAL SOLUTIONS
1010 N 102ND STREET SUITE 300OMAHANE68114TEMPORARY STAFFING$8,050,675
TRIMEDX INC
PO BOX 636129CINCINATIOH45263MANAGEMENT SERVICES$2,975,696
HEALTHNET SYSTEM CONSULTING INC
20 BURLINGTON MALL ROAD SUITE 240BURLINGTONMA01803MANAGEMENT SERVICES$2,785,618
ARAMARK SERVICES INC
PO BOX 978839DALLASTX753978839MANAGEMENT SERVICES$2,741,928
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K145CntrctRcvdGreaterThan100KCnt
Fundraising$164,425FundraisingAmt
Government Grants$5,468,173GovernmentGrantsAmt
All Other Contributions$1,749,298AllOtherContributionsAmt
Noncash Contributions$16,057NoncashContributionsAmt
Total Contributions$7,381,896TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAL SERVICES622110$221,177,207$221,177,207
MONTVALE PET/CT K1621512$310,097$310,097
FieldValueIRS element (for citing)
Total Program Service Revenue$221,487,304TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,165,604TotalRevenueColumnAmt
Exclusion$2,165,604ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,805,481RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,805,481RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,805,481TotalRevenueColumnAmt
Exclusion$2,805,481ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$15,473,732SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$15,473,732SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,473,732TotalRevenueColumnAmt
Exclusion$15,473,732ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$44,360FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$164,425ContriRptFundraisingEventAmt
Fundraising Direct Expenses$60,437FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$16,077TotalRevenueColumnAmt
Exclusion-$16,077ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$249,297,940TotalRevenueColumnAmt
Related Or Exempt Func Income$221,487,304RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$20,428,740ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$655,769TotalAmt
Program Services$515,697ProgramServicesAmt
Management And General$140,072ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$115,640,956TotalAmt
Program Services$90,940,048ProgramServicesAmt
Management And General$24,700,908ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,099,045TotalAmt
Program Services$1,726,884ProgramServicesAmt
Management And General$372,161ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,043,540TotalAmt
Program Services$10,730,920ProgramServicesAmt
Management And General$2,312,620ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,383,682TotalAmt
Program Services$7,719,955ProgramServicesAmt
Management And General$1,663,727ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$15,084,175TotalAmt
Program Services$10,408,081ProgramServicesAmt
Management And General$4,676,094ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$304,887TotalAmt
Management And General$304,887ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$192,896TotalAmt
Management And General$192,896ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$31,035,010TotalAmt
Program Services$21,414,157ProgramServicesAmt
Management And General$9,620,853ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$542,717TotalAmt
Program Services$374,475ProgramServicesAmt
Management And General$168,242ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,445,160TotalAmt
Program Services$1,687,160ProgramServicesAmt
Management And General$758,000ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,264,159TotalAmt
Management And General$4,264,159ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,668,324TotalAmt
Program Services$8,065,253ProgramServicesAmt
Management And General$2,603,071ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$65,872TotalAmt
Program Services$49,799ProgramServicesAmt
Management And General$16,073ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,650,459TotalAmt
Program Services$4,237,844ProgramServicesAmt
Management And General$1,412,615ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,506,908TotalAmt
Program Services$11,338,599ProgramServicesAmt
Management And General$3,168,309ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACT LABOR$40,090,401$40,090,401
SUPPLIES$28,696,210$28,696,210
PHYSICIAN PRACTICE FEES$6,984,057$6,984,057
REPAIRS & MAINTENANCE$1,527,292$1,053,831$473,461

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,978,808TotalAmt
Program Services$4,505,231ProgramServicesAmt
Management And General$1,473,577ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$308,860,327TotalAmt
Program Services$250,538,602ProgramServicesAmt
Management And General$58,321,725ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,411,335BOYAmt
EOY$5,135,810EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$29,832,643BOYAmt
EOY$41,694,779EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,996,119BOYAmt
EOY$1,966,783EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,994,381BOYAmt
EOY$3,070,157EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$510,275,328LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$396,081,233LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$80,479,269BOYAmt
EOY$114,194,095EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$278,682,509BOYAmt
EOY$156,774,712EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$13,387,948BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$259,082BOYAmt
EOY-$241,900EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$28,965,145BOYAmt
EOY$21,588,580EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$443,008,431BOYAmt
EOY$344,183,016EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$29,966,267BOYAmt
EOY$32,972,878EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$147,075,506BOYAmt
EOY$143,813,541EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$12,253,865BOYAmt
EOY$10,834,285EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$61,629,677BOYAmt
EOY$31,468,968EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$250,925,315BOYAmt
EOY$219,089,672EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$165,551,055BOYAmt
EOY$103,483,690EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,532,061BOYAmt
EOY$21,609,654EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$192,083,116BOYAmt
EOY$125,093,344EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$443,008,431BOYAmt
EOY$344,183,016EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$59,562,387ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$43,460,304NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$36,032,919OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

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$26,532,061BeginningYearBalanceAmt
Contributions$1,728,874ContributionsAmt
Investment Earnings Or Losses-$5,387,057InvestmentEarningsOrLossesAmt
Other Expenditures$1,264,224OtherExpendituresAmt
End Year Balance$21,609,654EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$23,748,530BeginningYearBalanceAmt
Contributions$496,611ContributionsAmt
Investment Earnings Or Losses$3,175,962InvestmentEarningsOrLossesAmt
Other Expenditures$889,042OtherExpendituresAmt
End Year Balance$26,532,061EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$22,792,261BeginningYearBalanceAmt
Contributions$523,727ContributionsAmt
Investment Earnings Or Losses$1,557,759InvestmentEarningsOrLossesAmt
Other Expenditures$1,125,217OtherExpendituresAmt
End Year Balance$23,748,530EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,899,362BeginningYearBalanceAmt
Contributions$1,167,316ContributionsAmt
Investment Earnings Or Losses$499,237InvestmentEarningsOrLossesAmt
Other Expenditures$773,654OtherExpendituresAmt
End Year Balance$22,792,261EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,872,047BeginningYearBalanceAmt
Contributions$1,163,388ContributionsAmt
Investment Earnings Or Losses$1,139,921InvestmentEarningsOrLossesAmt
Other Expenditures$1,275,994OtherExpendituresAmt
End Year Balance$21,899,362EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.67095PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.32905TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,871,119OtherCostOrOtherBasisAmt
Book Value$3,871,119BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$247,039,650OtherCostOrOtherBasisAmt
Depreciation$209,567,394DepreciationAmt
Book Value$37,472,256BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,041,634OtherCostOrOtherBasisAmt
Depreciation$14,385,577DepreciationAmt
Book Value$656,057BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$188,029,828OtherCostOrOtherBasisAmt
Depreciation$167,760,788DepreciationAmt
Book Value$20,269,040BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$56,293,097OtherCostOrOtherBasisAmt
Depreciation$4,367,474DepreciationAmt
Book Value$51,925,623BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$114,194,095TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$6,061,410
OTHER ASSETS$8,561,462
RIGHT OF USE ASSETS$6,965,708
FieldValueIRS element (for citing)
Total Book Value Other Assets$21,588,580TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDescAmtAmt
ESTIMATED SETTLEMENTS 3RD PARTY PAYABLE$1,341,788
DUE TO AFFILIATES$4,169,330
ASSET RETIREMENT OBLIGATIONS$1,812,263
LONG TERM LICENSE LIABILITY$3,053,348
SELF-INSURANCE RESERVES$3,197,508
LEASE LIABILITY$7,161,112
CONTRACT LIABILITY$7,340,922
SCHOOL OF NURSING LIABILITY$252,419
CAPITAL LEASE$3,140,278
FieldValueIRS element (for citing)
Total Liability$31,468,968TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF INVITATIONALEvent1Nm
Gross Receipts Event1$154,685GrossReceiptsEvent1Amt
Charitable Contri Event1$110,325CharitableContriEvent1Amt
Gross Revenue Event1$44,360GrossRevenueEvent1Amt
Non Cash Prizes Event1$14,618NonCashPrizesEvent1Amt
Rent Facility Costs Event1$17,955RentFacilityCostsEvent1Amt
Food And Beverage Event1$15,246FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$5,004OtherDirectExpensesEvent1Amt
Event2STRIDEEvent2Nm
Gross Receipts Event2$54,100GrossReceiptsEvent2Amt
Charitable Contri Event2$54,100CharitableContriEvent2Amt
Non Cash Prizes Event2$452NonCashPrizesEvent2Amt
Food And Beverage Event2$721FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$6,441OtherDirectExpensesEvent2Amt
Gross Receipts Total$208,785GrossReceiptsTotalAmt
Charitable Contributions Tot$164,425CharitableContributionsTotAmt
Gross Revenue Total Events$44,360GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$15,070NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$17,955RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$15,967FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$11,445OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$60,437DirectExpenseSummaryEventsAmt
Net Income Summary-$16,077NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,723,702TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$349,801DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,373,901NetCommunityBenefitExpnsAmt
Total Expense0.00770TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,526,757TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,803,592DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,723,165NetCommunityBenefitExpnsAmt
Total Expense0.06060TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$46,250,459TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,153,393DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,097,066NetCommunityBenefitExpnsAmt
Total Expense0.06830TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs40ActivitiesOrProgramsCnt
Persons Served564417PersonsServedCnt
Total Community Benefit Expns$4,077,465TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,333,007DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,744,458NetCommunityBenefitExpnsAmt
Total Expense0.00890TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs59ActivitiesOrProgramsCnt
Persons Served2805PersonsServedCnt
Total Community Benefit Expns$14,538,642TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,266,458DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,272,184NetCommunityBenefitExpnsAmt
Total Expense0.02030TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$294,673TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$294,673NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served7090PersonsServedCnt
Total Community Benefit Expns$184,867TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$133,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,367NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs103ActivitiesOrProgramsCnt
Persons Served574312PersonsServedCnt
Total Community Benefit Expns$19,095,647TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,732,965DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,362,682NetCommunityBenefitExpnsAmt
Total Expense0.03040TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs103ActivitiesOrProgramsCnt
Persons Served574312PersonsServedCnt
Total Community Benefit Expns$65,346,106TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$34,886,358DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,459,748NetCommunityBenefitExpnsAmt
Total Expense0.09870TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served50PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served500PersonsServedCnt
Total Community Benefit Expns$2,536TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,536DirectOffsettingRevenueAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served1060PersonsServedCnt
Total Community Benefit Expns$4,907TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,907DirectOffsettingRevenueAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served1610PersonsServedCnt
Total Community Benefit Expns$7,443TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,443DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$3,531,066BadDebtExpenseAmt
Reimbursed By Medicare$52,568,150ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$96,844,820CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$44,276,670MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp (10 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP - ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP:/WWW.MELROSEWAKEFIELD.ORGOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLWWW.MELROSEWAKEFIELD.ORG/IN-THE-COMMUNITY/COMMUNITY-BENEFITS/OtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.MELROSEWAKEFIELD.ORG/IN-THE-COMMUNITY/COMMUNITY-BENEFITS/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care301.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.MELROSEWAKEFIELD.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.MELROSEWAKEFIELD.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.MELROSEWAKEFIELD.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On Nonpayment0FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: MELROSEWAKEFIELD HOSPITAL, - FACILITY 2: LAWRENCE MEMORIAL HOSPITAL, - FACILITY 3: MELROSEWAKEFIELD BREAST HEALTH CENTER, - FACILITY 4: CHEM CENTER RADIATION & MRI, - FACILITY 5: HALLMARK HEALTH AT 101 MAIN, - FACILITY 6: HALLMARK OUTPAT DIAGNOSTIC & REHAB, - FACILITY 7: HEALTH IMAGE WOMAN'S IMAGING CENTER, - FACILITY 8: MELROSEWAKEFILED HOSPITAL REHAB SERVICES, - FACILITY 9: LAWRENCE MEMORIAL HOSPITAL PROGRAM, - FACILITY 10: COMMUNITY COUNSELING CENTER
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:MWHC SOUGHT COMMUNITY INPUT THROUGH STAKEHOLDER SURVEYS, COMMUNITY SURVEYS AND THREE FOCUS GROUPS REPRESENTING YOUTH, ADULTS AND SENIORS. SURVEYS WERE AVAILABLE ONLINE IN THE MOST COMMON LANGUAGES SPOKEN IN THE SERVICE AREA. DIVERSE COMMUNITY MEMBERS TOOK ON THE ROLE OF MODERATORS FOR THE FOCUS GROUPS, AIMING TO UPHOLD THE PRINCIPLES OF FREE SPEECH AND CREATE A SENSE OF COMFORT. IN ADDITION, LOCAL COMMUNITY COALITIONS, THE HOSPITAL'S COMMUNITY BENEFITS ADVISORY COUNCIL WHICH INCLUDES A LOCAL PUBLIC HEALTH DIRECTOR WHO REPORTS BACK TO HER PEERS IN OTHER LOCAL CITIES AND TOWNS, THE MWHC PATIENT FAMILY ADVISORY COUNCIL, AND MWHC STAFF WERE ALSO INVITED TO PARTICIPATE. OTHER LOCAL HEALTH SYSTEMS AND COLLABORATING AGENCIES PROVIDED INPUT INCLUDING BETH ISRAEL/LAHEY HEALTH, CAMBRIDGE HEALTH ALLIANCE, AND MASSACHUSETTS GENERAL HOSPITAL. A FULL LIST OF PARTNERS IS INCLUDED IN APPENDIX A ON PAGE 56 OF THE 2022 MWHC COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE SECONDARY CHNA WORK INCLUDED COMMUNITY LISTENING SESSIONS.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B:MELROSEWAKEFIELD HEALTHCARE HIRED THE INSTITUTE FOR COMMUNITY HEALTH TO ASSIST US IN DEVELOPING OUR CHNA REPORT.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:THE RESOURCES AVAILABLE FOR COMMUNITY PROGRAMMING ARE LIMITED; HOWEVER, MWHC MAKES EVERY EFFORT TO USE THE FUNDS AVAILABLE TO CONTINUE TO SUPPORT UPSTREAM HEALTH IMPACTS AND EVIDENCE-BASED AND EVIDENCE- INFORMED PROGRAMS WITH DEMONSTRATED SUCCESS SUCH AS THOSE FUNDED BY STATE GRANTS AND SERVING VULNERABLE POPULATIONS. OTHER PROGRAMMING WILL BE IMPLEMENTED THROUGH PARTNERSHIPS WITH OTHER LIKE-MINDED ORGANIZATIONS, AND AS DONATIONS, GRANTS, AND OTHER FUNDS ARE SECURED TO ENSURE THEIR SUSTAINABILITY. WHILE THE SYSTEM WILL TOUCH ON MOST OF THE HEALTH AND SOCIAL PRIORITIES IDENTIFIED IN THE 2022 CHNA, THE CHIP IS LIMITED IN BREADTH OF PROGRAMMING AND WILL NOT BE FULLY FUNDED TO ADDRESS ALL ASPECTS OF THE IDENTIFIED NEEDS. IN EACH YEAR OF THE THREE-YEAR CHIP, THE RESOURCES AVAILABLE WILL BE REEVALUATED AND ALLOCATED AS NEEDED. ONE EXAMPLE IS FOOD INSECURITY. OUR AGENCY IS AN ACTIVE MEMBER OF THE TRI-CITY HUNGER NETWORK WHICH HAS ADVOCATED SUCCESSFULLY WITH PROJECT BREAD FOR FREE SCHOOL LUNCH TO CONTINUE POST-PANDEMIC IN ALL MA. SCHOOLS. WE HAVE SUPPORTED THE DEVELOPMENT OF A HUGELY SUCCESSFUL BODEGA STYLE MARKET IN MEDFORD MA THAT IS OPEN MANY DAYS WEEKLY AND ALLOWS PARTICIPANTS TO ORDER THEIR FOOD ONLINE. WE ARE AN ACTIVE MEMBER OF THE GREATER BOSTON FOOD BANK'S HEALTH AND RESEARCH TASK FORCE WHICH PUBLISHES AN ANNUAL HUNGER REPORT FOR MA. WE ALSO PROVIDE A FOOD BAG DELIVERY SERVICE IN ALIGNMENT WITH LOCAL PROVIDER AGENCIES TO SERVE 650 FAMILIES THAT FALL THROUGH THE GAPS IN THE STATE/FEDERAL FOOD SYSTEM. IN ADDITION, WE HOLD MEMBERSHIP ON THE HUNGER TO HEALTH COLLABORATORY AND THE FOOD IS MEDICINE MA TASK FORCE. ANOTHER EXAMPLE IS FOR IDENTIFYING AND TREATING TUBERCULOSIS: IN PAST YEARS MWHC OFFERED A COLLABORATIVE CLINIC WITH OUR THREE LARGEST CITIES EVERETT, MALDEN, AND MEDFORD. TODAY WE REFER PATIENTS TO THE HIGHER ACUITY CLINIC AT CAMBRIDGE HEALTH ALLIANCE, WHICH IS ABLE TO PROVIDE MORE COMPREHENSIVE SERVICES TO PATIENTS IN OUR AREA. THROUGH OUR COMMUNITY PARTNERSHIPS WE ARE SERVING THE IDENTIFIED NEEDS AS A TEAM.IN SOME CASES WE ALSO CO-FUND PROGRAMS SUCH AS AN SCREENING AND BRIEF INTERVENTION (SBIRT) PROGRAM AT THE STONEHAM/WAKEFIELD BOYS AND GIRLS CLUB WITH BETH ISRAEL/LAHEY HEALTH AND A MOBILE BEHAVIORAL HEALTH SERVICE FOR ELDERS ALSO WITH BETH ISRAEL/LAHEY HEALTH.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 20A:MELROSEWAKEFIELD HEALTHCARE DOES NOT PERFORM ECA EXTRAORDINARY COLLECTION ACTIONS. AND WE DO NOT REPORT TO THE CREDIT AGENCIES OR BUREAUS.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 20D:PRESUMPTIVE ELIGIBILITY DETERMINATIONS WERE DEEMED IMPRACTICAL FOR OUR PURPOSES BECAUSE THEY: DO NOT PROVIDE 10 DAY RETROACTIVE COVERAGE AVAILABLE THROUGH TRADITIONAL MH APPLICATIONS; END ON THE LAST DAY OF THE MONTH FOLLOWING APPLICATION; REQUIRE THAT THE PATIENT COMPLETE THE TRADITIONAL APPLICATION WITHIN 30 DAYS; FAXING AFTER WORKING HOURS/WEEKENDS CHANGE EFFECTIVE DATE TO THE FOLLOWING BUSINESS DAY THUS NULLIFYING OUR EFFORTS TO COVER A SPECIFIC DATE.

Supplemental Information Detail SupplementalInformationDetail (16 entries)

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PART I, LINE 3C:IN ADDITION TO THE FEDERAL POVERTY GUIDELINE, MELROSEWAKEFIELD HEALTHCARE REVIEWS, AMONG OTHER ITEMS, AN INDIVIDUAL'S HOUSEHOLD INCOME, ASSETS, FAMILY SIZE, EXPENSES, MEDICAL NEEDS, CURRENT INSURANCE COVERAGE, CITIZENSHIP AND RESIDENCY WHEN EVALUATING A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE AS PART OF ITS FINANCIAL ASSISTANCE POLICY. FOR MASSACHUSETTS RESIDENTS, THE APPLICABLE INFORMATION IS SUBMITTED TO THE STATE AS PART OF THE APPLICATION PROCESS FOR PUBLIC PROGRAM ASSISTANCE TO DETERMINE COVERAGE FOR SERVICES PROVIDED TO THE INDIVIDUAL.MASSACHUSETTS RESIDENTS ARE INFORMED, ENCOURAGED, AND ASSISTED IN APPLYING FOR STATE SPONSORED HEALTH INSURANCE PLANS THAT MAY RESULT IN FULL COVERAGE PROSPECTIVELY AND IN THE CASE OF MASSHEALTH, RETROACTIVELY. ONCE THE PATIENT HAS BEEN INSURED, FINANCIAL COUNSELORS EVALUATE INDIVIDUAL SITUATIONS FOR POSSIBLE APPLICATION FOR HARDSHIP THROUGH THE HEALTH SAFETY NET. IF APPROVED, HARDSHIP APPLICATIONS MAY COVER SERVICES THAT DATE BACK ONE YEAR FROM THE DATE OF APPLICATION.IF OR WHEN ANY OF THE AFOREMENTIONED MECHANISMS FAIL OR DO NOT OFFER ADEQUATE RELIEF TO THE PATIENT GIVEN HIS/HER INDIVIDUAL NEEDS, THE FINANCIAL ASSISTANCE APPLICATION (FAP) APPLICATION MAY BE COMPLETED; AND IF APPROVED, MAY ALSO OFFER FREE OR DISCOUNTED CARE BASED ON THE INDIVIDUAL'S HOUSEHOLD INCOME, AS DETERMINED BY FEDERAL POVERTY GUIDELINES (FPL); ASSETS, FAMILY SIZE, EXPENSES, MEDICAL NEEDS, AMOUNT OF MEDICAL DEBT, CURRENT INSURANCE COVERAGE, CITIZENSHIP AND MA RESIDENCY. WHEN A FAP DETERMINATION DOES NOT COVER THE FULL AMOUNT OF THE OUTSTANDING BILLS, THE PATIENT WILL BE CONTACTED TO MAKE SUITABLE PAYMENT ARRANGEMENTS. FOR CLARIFICATION PURPOSES, IT MUST BE NOTED THAT THE FAP APPLICATION IS NOT INTENDED FOR, NOR DOES IT COVER BALANCES AFTER INSURANCE PAYMENTS SUCH AS COPAYS, COINSURANCES AND/OR DEDUCTIBLES; THESE REMAIN THE PATIENT'S RESPONSIBILITY.
PART I, LINE 7:CHARITY CARE COSTS FROM WORKSHEETS 1 & 2 AND UNREIMBURSED MEDICAID FROM WORKSHEET 3 AND HEALTH PROFESSIONS EDUCATION FROM WORKSHEET 5 WERE APPLIED TO ALL PATIENT SEGMENTS. (COST TO CHARGE RATIO).
PART I, QUESTION 6A:IN ADDITION TO THE FORM 990 SCHEDULE H, MELROSEWAKEFIELD HEALTHCARE IS PREPARING A FY 2022 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. THIS YEAR THE FILING HAS BEEN DELAYED UNTIL MAY 15, 2023 DUE TO THE COVID-19 PANDEMIC. THE COMMUNITY BENEFITS PROCESSES AND ACTIVITIES ARE ALSO AVAILABLE ONLINE, WITH THE CHNA AND THE 2020-2022 AND 2023-2025 COMMUNITY BENEFITS IMPLEMENTATION PLANS (CHIP) WHICH ARE ALSO AVAILABLE IN PRINT VERSIONS AT EACH HOSPITAL CAMPUS AND AT OTHER COMMUNITY SITES IN THE SERVICE AREA.MWHC PROMOTES COMMUNITY BENEFITS PROGRAMS THROUGH NEWS RELEASES, CALENDAR POSTINGS, FACEBOOK, TWITTER, AND EMAIL MESSAGING, CONSTANT CONTACT, BULLETINS FOR LOCAL HOUSE OF WORSHIP AND SERVICE ORGANIZATIONS, AND LOCAL CABLE ACCESS TELEVISION STATIONS. FLYERS AND POSTCARDS ARE ALSO DISSEMINATED WIDELY IN THE COMMUNITY TO NOTIFY RESIDENTS OF UPCOMING COMMUNITY BENEFITS PROGRAMS AND SERVICES. THE ANNUAL COMMUNITY BENEFITS REPORT IS DISTRIBUTED TO THE MWHC BOARD OF TRUSTEES, LEADERS, LOCAL LEGISLATORS AND COMMUNITY PARTNERS. THE REPORT IS ALSO POSTED ON THE MELROSEWAKEFIELD HEALTHCARE WEBSITE FOR THE GENERAL PUBLIC TO VIEW AND COMMENT.
PART II, COMMUNITY BUILDING ACTIVITIES:AS PART OF ITS EFFORTS TO IMPROVE THE HEALTH STATUS OF ITS CORE COMMUNITIES, MELROSEWAKEFIELD HEALTHCARE (MWHC) 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; DEPARTMENT OF CHILD AND FAMILIES (DCF); THE MALDEN OPIOID TASK FORCE; MEDFORD HEALTH MATTERS; LOCAL COUNCILS ON AGING; THE MELROSE COMMUNITY COALITION; LOCAL SUBSTANCE ABUSE PREVENTION COALITIONS IN MALDEN, MELROSE, MEDFORD, READING, STONEHAM, AND WAKEFIELD; AS WELL AS THE REGIONAL MYSTIC VALLEY PUBLIC HEALTH COALITION. MWHC ALSO FORMALLY PARTNERS WITH THE NORTH SUBURBAN CHILD AND FAMILY RESOURCE NETWORK, SERVING LYNNFIELD, MALDEN, MELROSE, NORTH READING, READING, STONEHAM, WAKEFIELD, AND WINCHESTER; AND THE EVERETT, AND MEDFORD COORDINATED FAMILY AND COMMUNITY ENGAGEMENT (CFCE) GRANT PROGRAMS FUNDED BY THE MA DEPARTMENT OF EARLY EDUCATION AND CARE; AND A HOST OF OTHER COMMUNITY-BASED AND GUIDED COALITIONS AND INITIATIVES. A SPECIFIC EXAMPLE OF THIS COMMUNITY BUILDING INCLUDES MWHC'S REPRESENTATION ON THE MELROSE ALLIANCE AGAINST VIOLENCE (MAAV). MAAV IS A NON-PROFIT, COMMUNITY-BASED ORGANIZATION THAT FOCUSES ON OUTREACH, EDUCATION AND COMMUNITY COLLABORATION IN ORDER TO RAISE AWARENESS OF THE PROBLEMS OF DOMESTIC VIOLENCE AND SEXUAL ASSAULT IN MELROSE. WORKING CLOSELY WITH THE MELROSE POLICE DEPARTMENT, THE BOARD OF DIRECTORS OF MAAV INCLUDES A REPRESENTATIVE FROM MWHC, AS WELL AS MEMBERS FROM THE MELROSE SCHOOLS, CLERGY, HEALTH DEPARTMENT, STUDENTS, AND COMMUNITY MEMBERS AT LARGE. MELROSE-WAKEFIELD HOSPITAL IS A FOUNDING MEMBER OF THIS IMPORTANT COMMUNITY-BASED AGENCY.IN ADDITION, MWHC HAS CONTINUED TO CONVENE COMMUNITY OUTREACH TO ASSIST WITH THE COLLECTION OF COMMUNITY HEALTH NEEDS INFORMATION TO OPTIMIZE THE BENEFITS OF COMMUNITY HEALTH EDUCATION AND SCREENINGS. THE HOSPITALS HAVE SPONSORED AND PARTICIPATED IN EVENTS RANGING FROM INFORMAL (PLANNING HEALTH EVENTS AND SCREENINGS) TO MORE FORMAL (PARTICIPATION ON HEALTHY MELROSE, YMCA HEALTHY KIDS DAYS IN READING AND MALDEN, AND THE MOBILE FOOD MARKET IN MALDEN), OFFERING MULTIPLE OPPORTUNITIES TO INTERACT WITH A WIDE RANGE OF COMMUNITY MEMBERS TO FORM TRUSTING RELATIONSHIPS, LISTEN TO THE VOICES OF INDIVIDUAL COMMUNITY MEMBERS, AND FOSTER THE DEVELOPMENT OF RESILIENCE WITHIN EACH COMMUNITY. AS MWHC BEGINS THE FIRST YEAR OF ITS COMMUNITY HEALTH IMPROVEMENT PLAN FOR 2023-2025. EMPLOYEES 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 ALSO PARTICIPATE IN OTHER COMMUNITY GROUPS AND CIVIC ORGANIZATIONS.
PART III, LINE 2:MELROSEWAKEFIELD HEALTHCARE, INC. DEVELOPED A COST TO CHARGE RATIO AND APPLIED IT TO THE BAD DEBT ACCOUNT CHARGES THAT WERE ACTUALLY WRITTEN OFF.
PART III, LINE 4:THE FOLLOWING IS FROM THE TUFTS MEDICINE, INC. AND CONSOLIDATED AFFILIATES (THE SYSTEM) AUDITED FINANCIAL STATEMENTS, OF WHICH MELROSEWAKEFIELD HEALTHCARE, INC. IS INCLUDED, RELATING TO CHARITY CARE AND BAD DEBT EXPENSE:CHARITY CARE AND COMMUNITY BENEFITS FOOTNOTECHARITY CARE - THE SYSTEM'S COMMITMENT TO COMMUNITY SERVICE IS EVIDENCED BY SERVICES PROVIDED TO THE POOR AND BENEFITS PROVIDED TO THE PATIENTS THAT IT SERVES. THE SYSTEM PROVIDES HEALTH CARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. THESE PATIENTS MAY RECEIVE FULL ASSISTANCE OR MAY BE SUBJECT TO PARTIAL LIABILITY BASED ON INCOME AND FAMILY SIZE. BECAUSE THE SYSTEM DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE.THE SYSTEM PROVIDED CHARITY CARE, BASED ON CHARGES FORGONE AND THE ESTIMATED COST OF THE CHARITY CARE PROVIDED AMOUNTED TO $26,475K AND $12,518K, FOR THE YEAR ENDED SEPTEMBER 30, 2022 AND $43,554K AND $18,294K FOR THE YEAR ENDED SEPTEMBER 30, 2021, RESPECTIVELY. THE ESTIMATED COST OF CHARITY CARE IS BASED ON THE RELATIONSHIP OF PATIENT CARE SERVICE CHARGES TO THE RELATED COSTS APPLIED TO CHARITY CARE CHARGES RECOGNIZED DURING THE YEARS ENDED SEPTEMBER 30, 2022 AND 2021. THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING 2022. THE SYSTEM DOES NOT MAINTAIN A MATERIAL ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FROM THIRD-PARTY PAYERS, NOR DID IT HAVE SIGNIFICANT BAD DEBT WRITE-OFFS FROM THIRD-PARTY PAYERS.HEALTH SAFETY NET FUND (HSN) - THE COMMONWEALTH OF MASSACHUSETTS (THE "COMMONWEALTH") OPERATES THE HSN, WHICH WAS CREATED BY THE COMMONWEALTH'S HEALTH CARE REFORM ACT TO REPLACE THE STATE'S UNCOMPENSATED CARE POOL. THE HSN ALLOCATES THE COST OF UNCOMPENSATED CARE AMONG THE HOSPITALS IN THE COMMONWEALTH. HOSPITALS HAVE BEEN ASSESSED A UNIFORM ALLOWANCE BASED ON ESTIMATES OF THE STATEWIDE COST OF UNCOMPENSATED CARE AND REIMBURSED FOR A PORTION OF THE COST OF UNCOMPENSATED CARE, SUBJECT TO CERTAIN LIMITATIONS. REIMBURSABLE UNCOMPENSATED CARE INCLUDES NET CHARITY CARE AND CERTAIN UNCOLLECTIBLE ACCOUNTS RELATED TO EMERGENCY SERVICES. HOSPITALS' RECOVERIES FROM THE HSN ARE BASED ON A CLAIMS-BASED PAYMENT METHOD THAT USES MEDICARE PRINCIPLES. REIMBURSEMENT FROM THE HSN FOR UNCOMPENSATED CARE IS RECORDED IN NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED STATEMENT OF OPERATIONS. THE COMMONWEALTH HAS DETERMINED FINAL SETTLEMENTS WITH RESPECT TO THE HSN FOR ALL YEARS PRIOR TO 2014.COMMUNITY BENEFIT - IN FURTHERING ITS CHARITABLE PURPOSE, THE SYSTEM PROVIDES A WIDE VARIETY OF HEALTH CARE SERVICES TO THE COMMUNITY IN ORDER TO PROVIDE ACCESS TO APPROPRIATE CARE FOR POPULATIONS IN NEED. THE SYSTEM HAS DEVELOPED A FORMAL COMMUNITY BENEFIT IMPLEMENTATION PLAN THAT RESPONDS TO THE COMPREHENSIVE ASSESSMENT OF HEALTH CARE NEEDS IN THE COMMUNITY. THE COMMUNITY BENEFIT PLAN SUPPORTS SERVICES THAT TARGET NOT ONLY THE GENERAL POPULATION IN THE SYSTEM'S SERVICE AREA, BUT ALSO PARTICULAR POPULATIONS WITH SPECIAL HEALTH CARE NEEDS, INCLUDING THE POOR, ELDERLY, CHILDREN, AND MINORITY POPULATIONS. SUPPORTED SERVICES INCLUDE VARIOUS DIRECT CARE PROGRAMS, HEALTH SCREENING, HEALTH EDUCATION AND SUPPORT GROUPS OPERATED IN THE SYSTEM'S SERVICE AREA. THE SYSTEM WORKS ACTIVELY WITH OTHER AREA SERVICE PROVIDERS TO FACILITATE THE DEVELOPMENT OF AN EFFECTIVE COMMUNITY HEALTH NETWORK. THE SYSTEM ALSO PARTICIPATES IN ACTIVITIES DESIGNED TO FOSTER AND ENHANCE THE ECONOMIC AND CIVIC ENVIRONMENT OF ITS SERVICE AREAS.
PART III, LINE 8:THE MEDICARE ALLOWABLE COSTS ON LINE 6 WERE DETERMINED BY USING INFORMATION FROM THE MEDICARE COST REPORT. IT IS MELROSEWAKEFIELD HEALTHCARE'S POLICY TO EXCLUDE ANY MEDICARE SHORTFALL FROM THE COMMUNITY BENEFIT INFORMATION.
PART III, LINE 9B:POLICY - IT IS MELROSEWAKEFIELD HEALTHCARE'S POLICY TO EXEMPT CERTAIN INDIVIDUALS AND PATIENT POPULATIONS WHO ARE ENROLLED IN MASSHEALTH, CERTAIN OTHER GOVERNMENT BENEFIT PROGRAMS AND FINANCIAL ASSISTANCE PROGRAMS FROM ANY COLLECTION OR BILLING PROCEDURES, SUBJECT TO ALLOWABLE EXCEPTIONS, PURSUANT TO MASSACHUSETTS STATE REGULATIONS AND POLICIES.
PART VI, LINE 2:MELROSEWAKEFIELD HEALTHCARE IS A NOT-FOR-PROFIT HOSPITAL SYSTEM THAT OPERATES TO FURTHER THE IMPROVEMENT OF THE HEALTH STATUS OF THE COMMUNITIES THAT WE SERVE THROUGH THE DELIVERY OF HEALTHCARE SERVICES AND EDUCATION. THIS EFFORT IS ACHIEVED BY:-INVESTING FUNDS INTO COMMUNITIES THROUGH EVIDENCE-BASED AND EVIDENCE-INFORMED PROGRAMS AND SERVICES, INCLUDING THOSE BASED ON THE SOCIAL DETERMINANTS OF HEALTH.-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 FACTOR OF THEIR 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, PROGRAMS FOR FAMILIES WITH CHILDREN, OUTREACH FOR THE ELDERLY, AND CARE FOR PERSONS OF COLOR, IMMIGRANTS, OR THOSE WHO ARE POOR OR UNINSURED.- ACTING AS A CATALYST, PARTICIPANT, AND LEADER IN IMPROVING THE HEALTH OF THE COMMUNITY THROUGH LOCAL PARTNERSHIPS SUCH AS WITH MALDEN OVERCOMING ADDICTION, MEDFORD HEALTH MATTERS, AND FOOD SECURITY TASKS FORCES BOTH REGIONALLY AND LOCALLY.IN COMPLIANCE WITH IRS GUIDELINES, A YEAR-LONG PROCESS TO DEVELOP A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED BY MELROSEWAKEFIELD HEALTHCARE, INC. (FORMERLY HALLMARK HEALTH SYSTEM, INC.) IN AUGUST 2022, IN COLLABORATION WITH THE INSTITUTE FOR COMMUNITY HEALTH (ICH), A NON-PROFIT ORGANIZATION RECOGNIZED FOR COMMUNITY-BASED PARTICIPATORY RESEARCH, ASSESSMENT, AND DISSEMINATION. THIS PROCESS INCLUDED A REVIEW OF REPUTABLE PUBLIC HEALTH, SOCIO-ECONOMIC, AND FOUNDATION DATA; INPUT FROM THE MELROSEWAKEFIELD HEALTHCARE COMMUNITY BENEFITS ADVISORY COUNCIL, EMPLOYEES PROVIDING COMMUNITY OUTREACH, THE PATIENT/FAMILY ADVISORY COUNCIL, LOCAL COMMUNITY COALITIONS, AND COMMUNITY RESIDENTS. STAKEHOLDER INTERVIEWS AND SURVEYS, COMMUNITY SURVEYS AND FOCUS GROUPS WERE ALSO COMPLETED. REFLECTING IRS REQUIREMENTS, AND TO FOSTER TRANSPARENCY, THE ENTIRE CHNA AND PRIOR CHNA AS WELL AS THE EVERETT/MALDEN REPORT ARE POSTED ON THE MWHC WEBSITE AND IN PRINTED VERSIONS AT EACH HOSPITAL CAMPUS AND OTHER KEY EASILY ACCESSIBLE LOCATIONS IN EACH COMMUNITY IN THE CATCHMENT AREA. THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR 2023-2025 IS ALSO POSTED ON MWHC'S WEBSITE. THE 2023-2025 CHIP WAS BOARD APPROVED IN FEBRUARY 2023. THE BOARD APPROVED CHIPS AND CHNAS ARE PLACED ON THE SYSTEM'S WEBSITE AT HTTPS://WWW.MELROSEWAKEFIELD.ORG/IN-THE-COMMUNITY/COMMUNITY-BENEFITS/COMMUNITY-BENEFITS-PROGRAMS/. PAPER COPIES OF THE REPORTS ARE LOCATED CENTRALLY IN EACH OF THE NINE COMMUNITY SERVED AS WELL.DUE TO THE COVID-19 GLOBAL PANDEMIC, MANY OF THE COMMUNITY BENEFITS PROGRAMMING HAVE BEEN PAUSED OR ARE RUNNING IN A DIFFERENT CAPACITY. MWHC IS CURRENTLY RUNNING THE PROGRAMS LISTED ON OUR WEBSITE. DESPITE THE CHANGES IN SERVICES, THE SYSTEM WILL TOUCH ON THE MAJORITY OF THE HEALTH AND SOCIAL PRIORITIES IDENTIFIED IN THE 2023-2025 CHNA. THE COMMUNITY BENEFITS ADVISORY COUNCIL (CBAC) UNDERSTANDS AND APPROVES THE CHANGES TO THE CHIP. ONGOING MONITORING OF THE CHNA, THE CHIP, AND ITS IDENTIFIED HEALTH PRIORITIES IS THE RESPONSIBILITY OF THE COMMUNITY BENEFITS ADVISORY COUNCIL (CBAC). AS OF THE END OF FY 2022/TY 2021, THE MWHC COUNCIL INCLUDED: A TRUSTEE OF MELROSEWAKEFIELD HEALTHCARE; CHIEF COMMUNICATIONS OFFICER; A MWHC EMPLOYED PHYSICIAN; DIRECTOR, BEHAVIORAL HEALTH; DIRECTOR, COMMUNITY SERVICES; SOCIAL WORKER, CASE MANAGEMENT; MANAGER, BENEFITS AND OPERATIONS; TWO FINANCE STAFF OF MWHC; AND 12 COMMUNITY REPRESENTATIVES. THE CBAC PROVIDES OVERSIGHT FOR THE CHNA, AND THE PROCESSES FOR RECOGNIZING CURRENT AND EMERGING HEALTH NEEDS IN THE COMMUNITY, AS WELL AS DEVELOPING A MULTI-YEAR COMMUNITY HEALTH IMPLEMENTATION/IMPROVEMENT PLAN (CHIP) TO RESPOND TO THESE NEEDS. THE CBAC MEETS SIX TIMES PER YEAR TO ENSURE COMPLIANCE WITH THE CHIP, REVIEW PROGRAM OUTCOMES, DISCUSS IMPORTANT COMMUNITY HEALTH ISSUES, AND OFFER RECOMMENDATIONS TO THE BOARD OF TRUSTEES RELATED TO COMMUNITY HEALTH NEEDS AND DISPARITIES. THE COUNCIL IS ALSO AVAILABLE ON-LINE TO ADDRESS ANY ISSUES THAT MIGHT ARISE BETWEEN SCHEDULED MEETING TIMES. THE CBAC APPROVES ANY AND ALL AMENDMENTS TO THE CHIP RESULTING FROM EMERGING HEALTH ISSUES OR UNPLANNED CHANGES IN CAPACITY, BUT SIGNIFICANT AMENDMENTS ALSO RECEIVE BOARD OF TRUSTEES APPROVAL. THE COUNCIL ALSO ENGAGES NEW MEMBERS FROM THE COMMUNITIES SERVED TO JOIN THE GROUP, PRIORITIZING CANDIDATES WHO CAN ASSIST THE CBAC AND MWHC TO BETTER UNDERSTAND COMMUNITY HEALTH NEEDS AND BARRIERS TO ACCESS. AT THE END OF FY22/TY21, THE COUNCIL WAS COMPRISED OF 21 MEMBERS. THE COUNCIL REPORTS TO THE GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES AND THE FULL BOARD IS RESPONSIBLE FOR FINAL APPROVAL ON THE CHNA, CHIP, AND OTHER MATTERS OF IMPORTANCE SUCH AS REVIEWING COUNCIL RECOMMENDATIONS FOR SIGNIFICANT AMENDMENTS TO THE COMMUNITY HEALTH IMPLEMENTATION/IMPROVEMENT PLAN.MWHC ALSO ACTIVELY PARTICIPATES WITH THE COMMUNITY THROUGH ITS COMMUNITY OUTREACH EFFORTS, 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 WORKING AS MEMBERS OF COMMUNITY COALITIONS AND WITH THE COMMUNITY HEALTH NETWORK AREAS (CHNA 15, CHNA 16.) DESIGNATED BY THE MA DEPARTMENT OF PUBLIC HEALTH. THESE STRATEGIES HAVE PROVEN EFFECTIVE IN GAINING VITAL PERSPECTIVE AROUND THE HEALTH NEEDS OF LOCAL RESIDENTS AND IN TAILORING OUTREACH MESSAGES AND PROGRAMMING BASED ON WHAT CONSTITUENCIES AND COMMUNITIES VALUE MOST. WHILE CHNA 16 IS NO LONGER ACTIVE, THE FORMER MEMBERS OF CHNA 16 ARE STILL CLOSELY ALIGNED WITH MWHC.(EMPLOYEE OUTREACH FUNCTIONS ARE FURTHER EXPLAINED IN THE DESCRIPTION OF COMMUNITY ACTIVITIES IN PART II.)(SEE CONTINUATION LATER)
PART VI, LINE 3:MASSACHUSETTS HOSPITALS AND MWHC PROVIDE PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS THROUGH THE COMMONWEALTH OF MASSACHUSETTS OR THROUGH THE HOSPITAL'S OWN FINANCIAL ASSISTANCE PROGRAM AS OUTLINED IN THE FINANCIAL ASSISTANCE POLICY AND THE CREDIT AND COLLECTION POLICY OF MELROSEWAKEFIELD HEALTHCARE AND AT THE MELROSEWAKEFIELD HEALTHCARE WEBSITE HTTP://WWW.MELROSEWAKEFIELDHEALTHCARE.ORG. FOR THOSE PATIENTS THAT REQUEST SUCH ASSISTANCE MWHC'S CERTIFIED FINANCIAL COUNSELORS ASSIST PATIENTS BY SCREENING THEM FOR ELIGIBILITY IN AVAILABLE PUBLIC ASSISTANCE PROGRAMS OR THE MWHC'S FINANCIAL ASSISTANCE PROGRAM. THIS INFORMATION IS WIDELY SHARED WITH ORGANIZATIONS REPRESENTING THE MOST UNDERSERVED RESIDENTS IN THE COMMUNITY SUCH AS THE LOCAL POVERTY AGENCY, ACTION FOR BOSTON COMMUNITY DEVELOPMENT (ABCD) A COMMUNITY ACTION PROGRAM (CAP), THE JOINT COMMITTEE FOR CHILDREN'S HEALTH CARE IN EVERETT, SOUTH COVE, AND EAST BOSTON NEIGHBORHOOD HEALTH CENTERS AND MANY OTHERS.IN FY 22/TY 21 MWHC FINANCIAL COUNSELORS PROVIDED 16.621 INTERACTIONS WITH COMMUNITY MEMBERS AND COMPLETED APPLICATIONS FOR INDIVIDUALS IN THE STATE HEALTH PROGRAMS; SUCH AS MASS HEALTH, HEALTH CONNECTOR CHILDREN'S MEDICAL SECURITY PLAN AND THE HEALTH SAFETY NET. MASSHEALTH APPLICATIONS WERE DETERMINED TO BE ELIGIBLE FOR A VARIETY OF CATEGORIES SUCH AS: STANDARD, CAREPLUS, COMMONWEALTH, FAMILY ASSISTANCE, LIMITED, CHILDREN'S MEDICAL SECURITY PLAN, PREMIUM ASSISTANCE, BUY-IN, AND HEALTH SAFETY NET. ADDITIONALLY, LONG TERM CARE AS WELL AS HARDSHIP APPLICATIONS WERE COMPLETED. IN THE HEALTH CONNECTOR PLANS, WHICH ARE MAINLY DETERMINED BASED ON THE HOUSEHOLD INCOME, THE APPLICATIONS RESULTED IN APPROVALS FOR CONNECTOR CARE PLANS (1, 2A, 2B, 3A AND 3B) AS WELL AS UNSUBSIDIZED HEALTH CONNECTOR PLANS DIFFERENTIATED BY METALLIC TIERS (BRONZE, SILVER, GOLD, AND PLATINUM). ADDITIONAL INTERACTIONS, WHICH ARE NOT QUANTIFIED ABOVE, INCLUDED APPLICATIONS FOR MEDICARE PART D AND EXTRA HELP. THE FINANCIAL COUNSELING DEPARTMENT ALSO PROCESSES FINANCIAL ASSISTANCE APPLICATIONS FOR UNINSURED AND UNDERINSURED APPLICANTS THAT ARE NOT ELIGIBLE FOR STATE SPONSORED ASSISTANCE. THE MWHC FINANCIAL ASSISTANCE POLICY (FAP) AND THE APPLICATION ARE OUTLINED IN OUR WEBSITE AND ARE AVAILABLE IN MULTIPLE LANGUAGES FOLLOWING THE IRS GUIDELINES. APPLICATIONS ARE REVIEWED AND DETERMINED USING FEDERAL POVERTY GUIDELINES.OTHER FORMS OF COUNSELING INCLUDED EDUCATION FOR RISING MEDICARE ELIGIBLE COMMUNITY MEMBERS TO HELP THEM UNDERSTAND THEIR RIGHTS AND BENEFITS AND TO MEET DEADLINES THAT WOULD OTHERWISE LEAVE THEM UNINSURED AT CRITICAL TIMES. COUNSELORS ALSO PLAYED A VITAL ROLE IN HELPING PATIENTS UNDERSTAND AND DIFFERENTIATE BETWEEN TRADITIONAL MEDICARE AND ADVANTAGE PLANS. CONSEQUENTIALLY, COUNSELORS ALSO SUPPORTED RESIDENTS TO BETTER UNDERSTAND MEDICARE SUPPLEMENTAL INSURANCES FOR THOSE UNWILLING TO APPLY OR UNABLE TO QUALIFY FOR MASSHEALTH BENEFITS.SERVICES PROVIDED BY FINANCIAL COUNSELORS INCLUDED CONTACTING DOCTORS TO COMPLETE FORMS THAT WERE NEEDED TO PROVIDE EMERGENCY MEDICATION OR FREE MEDICINE FROM MANUFACTURERS, ADVOCATING WITH INSURANCE COMPANIES ON THEIR BEHALF, HELPING THEM SETTLE BILLS OR SETTING UP PAYMENT PLANS, CONTACTING OTHER PROVIDERS AND ADVOCATING FOR A REDUCTION OR WRITE-OFF OF CHARGES, HELPING THEM SORT THROUGH REAMS OF DOCUMENTS TO HELP PROVIDE REQUIRED DOCUMENTATION FOR INSURANCE OR UTILITY DISCOUNTS.MWHC HAS NO ROLE IN SPECIFICALLY DETERMINING THE ELIGIBILITY FOR ENROLLMENT IN A PUBLIC ASSISTANCE PROGRAM, BUT AT THE PATIENT'S REQUEST MAY TAKE A DIRECT ROLE IN APPEALING OR SEEKING INFORMATION RELATED TO THE COVERAGE DECISION.MWHC PROVIDES ALL SELF-PAY INDIVIDUALS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PUBLIC ASSISTANCE AND FINANCIAL ASSISTANCE PROGRAMS DURING A PATIENT'S INITIAL IN-PERSON PRE-REGISTRATION AT A HOSPITAL LOCATION FOR NON-EMERGENCY SERVICES, BY PHONE CALL OR IN-PERSON INTERVIEWS ONCE A PATIENT IS ADMITTED TO THE HOSPITAL FROM THE EMERGENCY ROOM OR DISCHARGED FROM THE EMERGENCY ROOM, IN ALL BILLING INVOICES THAT ARE SENT TO A PATIENT OR GUARANTOR, AND WHEN THE PROVIDER IS NOTIFIED OR THROUGH ITS OWN DILIGENCE BECOMES AWARE OF A CHANGE IN THE PATIENT'S ELIGIBILITY STATUS FOR PUBLIC OR PRIVATE INSURANCE COVERAGE.IN ADDITION, MWHC ALSO POSTS INFORMATIONAL FLYERS WITH A LIST OF DOCUMENTS NEEDED FOR APPLICATIONS AND THE TELEPHONE NUMBER TO SCHEDULE AN APPOINTMENT THROUGH CENTRAL SCHEDULING. WHEN COMMUNICATING WITH PATIENTS REGARDING FINANCIAL ASSISTANCE, ESPECIALLY DURING SCHEDULED INTERVIEWS, OR ON THE TELEPHONE, MWHC ATTEMPTS TO DO SO IN THE PRIMARY LANGUAGE OF THE PATIENT OR IF REASONABLY POSSIBLE, AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. ADDITIONALLY, THE FAP IS DISTRIBUTED IN MULTIPLE LANGUAGES AT NON-TRADITIONAL LOCATIONS SUCH AS THE MOBILE FOOD MARKET AND FAMILY NETWORKS IN OUR SERVICE AREA. THE FAP IS AVAILABLE ON THE MWHC WEBSITE WHICH ALSO OFFERS A TRANSLATION FEATURE TO ACCOMMODATE VISITS.WHEN LANGUAGE IS AN ISSUE THAT IMPEDES PROPER UNDERSTANDING OF THE APPLICATION PROCESS FOR HEALTH INSURANCE OR ADDITIONAL FINANCIAL ASSISTANCE, FINANCIAL COUNSELORS USE THE LANGUAGE LINE, A TRANSLATION SERVICE, TO ENSURE THAT THE PATIENT UNDERSTANDS ALL ASPECTS OF THE PROCESS IN HIS/HER NATIVE LANGUAGE. THIS IS OF SPECIAL IMPORTANCE AS APPROVALS FOR SOME CATEGORIES REQUIRE THE PATIENT TO CHOOSE A PLAN OR MAKE A PAYMENT AFTER THE INITIAL ENCOUNTER WITH THE FINANCIAL COUNSELOR IN PERSON OR USING VRI. BEGINNING IN JANUARY 2022, MELROSEWAKEFIELD HOSPITAL HAS UTILIZED UBERHEALTH TRANSPORTATION SERVICE TO INCREASE PATIENT ACCESS TO HOSPITAL-BASED MEDICAL CARE AND SERVICES. IN FY22, MWH PROVIDED 917 RIDES FROM THE HOSPITAL TO PATIENTS' DESTINATIONS INCLUDING RESIDENCES, SHELTERS AND GROUP HOMES. ENABLING PATIENTS TO HAVE RELIABLE TRANSPORTATION TO THEIR MEDICAL APPOINTMENTS ALLOWS FOR BETTER PATIENT OUTCOMES INCLUDING THE STRESS OF FINDING A WAY HOME AFTER A SERIOUS ACCIDENT OR ILLNESS.TEN-YEAR ANNIVERSARY OF THE MOBILE FOOD MARKET IN AUGUST 2022, THE AWARD-WINNING MOBILE FOOD MARKET BASED IN MALDEN CELEBRATED ITS TENTH YEAR SERVING THOUSANDS OF FAMILIES IN LOCAL COMMUNITIES, PROVIDING HIGH-QUALITY, NUTRITIOUS PRODUCE AND STAPLE PANTRY ITEMS FOR FREE TO COMMUNITY MEMBERS IN NEED. THE MARKET IS RUN IN PARTNERSHIP WITH THE CITIES OF MALDEN AND MEDFORD, THE GREATER BOSTON FOOD BANK, AND A LOCAL CHAPTER OF ZONTA, AN INTERNATIONAL SERVICE AGENCY. TO ADDRESS THESE HIGH FOOD INSECURITY RATES, THE FARMERS-MARKET STYLE DISTRIBUTION OFFERS HEALTHY GROCERY OPTIONS, WHICH ARE PROVIDED BY THE GREATER BOSTON FOOD BANK TO APPROXIMATELY 650 DIVERSE, LOW-INCOME FAMILIES (NEARLY 3,000 INDIVIDUALS) EACH MONTH. DURING THE PANDEMIC, LOCAL PARTNERSHIPS ALLOW US TO PACK AND DELIVER THE GROCERIES TO FAMILIES AND INDIVIDUALS MOST IN NEED. MORE THAN 60 MELROSEWAKEFIELD HOSPITAL AND COMMUNITY VOLUNTEERS REGULARLY SUPPORT THE PROGRAM. THE MOBILE FOOD MARKET HAS BEEN USED AS A MODEL FOR THE DEVELOPMENT OF MORE THAN SIX OTHER FOOD MARKETS IN MASSACHUSETTS AND IS A CATALYST TO ADDRESS THE COMMUNITY-WIDE ISSUE OF FOOD INSECURE VULNERABLE POPULATIONS, INCLUDING FAMILIES, ELDERS, IMMIGRANTS, AND INDIVIDUALS AFFECTED BY CHRONIC HEALTH ISSUES, UNEMPLOYMENT, OR OTHER ADVERSE SITUATIONS SUCH AS LACK OF STABLE HOUSING.
PART VI, LINE 4:MELROSEWAKEFIELD HEALTHCARE (MWHC) IS A COMMUNITY HOSPITAL SYSTEM, LOCATED ON TWO HOSPITAL CAMPUSES APPROXIMATELY TEN (10) MILES NORTH OF BOSTON, MASSACHUSETTS. MWHC'S OVERALL SERVICE AREA IS PRIMARILY WITHIN MIDDLESEX COUNTY, WITH SOME SLIGHT OVERLAP INTO ESSEX AND SUFFOLK COUNTIES.THE MWHC COMMUNITY BENEFIT CATCHMENT AREA (AS DEFINED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS) INCLUDES THE NINE COMMUNITIES OF EVERETT, MALDEN, MEDFORD, MELROSE, READING, NORTH READING, SAUGUS, STONEHAM, AND WAKEFIELD. THESE COMMUNITIES WERE SELECTED AND APPROVED BY THE COMMUNITY BENEFITS ADVISORY COUNCIL AND SYSTEM LEADERSHIP BASED ON AN ASSESSMENT OF COMMUNITIES FROM WHICH MWHC DRAWS ITS PATIENT POPULATION, COMMUNITIES WHERE MWHC 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) NUTRITION PROGRAM SERVES THE TOWNS OF BURLINGTON, WILMINGTON, WINCHESTER, AND WOBURN IN ADDITION TO EIGHT OTHER CATCHMENT AREA CITIES AND TOWNS, AND THE NORTH SUBURBAN CHILD AND FAMILY RESOURCE NETWORK SERVES LYNNFIELD AND WINCHESTER, IN ADDITION TO SIX OTHER CATCHMENT AREA COMMUNITIES. FOR PURPOSES OF MONITORING LANGUAGE NEEDS AND THE HOSPITAL'S INTERPRETER SERVICES PROGRAM, THE MA DEPARTMENT OF PUBLIC HEALTH DEFINES A 12-COMMUNITY ASSESSMENT AREA FOR REVIEW, CONSISTING OF THE NINE CATCHMENT AREA CITIES AND TOWNS, PLUS THE ADDITION OF THE COMMUNITIES OF REVERE, LYNNFIELD, AND WINTHROP, REFLECTING THEIR RELATIVE UTILIZATION OF EMERGENCY DEPARTMENT AND INPATIENT SERVICES OF THEIR POPULATIONS.THE FOLLOWING STATISTICAL AND DEMOGRAPHIC PROFILE OF THE CATCHMENT AREA IS EXCERPTED FROM THE COMPREHENSIVE MWHC FY 2022 COMMUNITY HEALTH NEEDS ASSESSMENT:THE MWHC COMMUNITY BENEFITS NINE-COMMUNITY SERVICE AREA COVERS 71.7 SQUARE MILES, WITH A TOTAL POPULATION OF 311,996. SIZE AND POPULATION DENSITY VARY BY COMMUNITY, WITH MALDEN AND MEDFORD HAVING THE LARGEST POPULATIONS AT 60,984 AND 57,637 RESPECTIVELY, AND NORTH READING THE SMALLEST, AT 15,581. OVER HALF OF THE RESIDENTS IN THE CATCHMENT AREA LIVE IN EVERETT, MALDEN OR MEDFORD. RACE/ETHNICITYCOMPARED TO MASSACHUSETTS AS A WHOLE, THE COMMUNITY BENEFITS SERVICE AREA HAS A SMALLER HISPANIC POPULATION (9%, COMPARED TO 11.8% IN MA) AND LARGER POPULATIONS OF ASIAN RESIDENTS (9.4%, COMPARED TO 6.6% IN MA) AND BLACK/AFRICAN-AMERICAN RESIDENTS (8.5%, COMPARED TO 6.9% IN MA). HOWEVER, BREAKING IT DOWN BY COMMUNITY, MORE VARIATION IS OBSERVED. MALDEN HAS THE HIGHEST PERCENTAGE OF PEOPLE DESCRIBING THEMSELVES AS ASIAN (22.5%) AND EVERETT HAS THE HIGHEST PERCENTAGES OF PEOPLE IDENTIFYING AS HISPANIC (28.3%) AND BLACK/AFRICAN-AMERICAN (16.5%). FOREIGN-BORN RESIDENTSTHE COMMUNITY BENEFITS SERVICE AREA HAS A HIGHER PROPORTION OF RESIDENTS BORN OUTSIDE OF THE UNITED STATES COMPARED TO THE STATE OF MASSACHUSETTS AS A WHOLE: 24% COMPARED TO 17% STATEWIDE. WITHIN THE SERVICE AREA, THE RATES VARY FROM A HIGH OF 43% IN MALDEN AND EVERETT TO A LOW OF 8% IN READING. LOOKING AT THE THREE TOWNS WITH THE HIGHEST PERCENTAGES OF FOREIGN-BORN RESIDENTS, EVERETT, MALDEN AND MEDFORD, THE LARGEST PERCENTAGE IN EVERETT COME FROM THE AMERICAS (32% OF THE TOTAL POPULATION), THE LARGEST IN MALDEN COMES FROM ASIA (19% OF THE TOTAL POPULATION), AND IN MEDFORD THE PERCENTAGES FROM THE AMERICAS AND ASIA ARE ABOUT EQUAL (9% AND 8% RESPECTIVELY). LANGUAGES SPOKENTHE COMMUNITY BENEFITS SERVICE AREA ALSO HAS A SLIGHTLY LOWER PROPORTION OF RESIDENTS WHO SPEAK ONLY ENGLISH AT HOME: 70% COMPARED TO 72.6% STATEWIDE. WITHIN THE SERVICE AREA, THE RATES VARY FROM A HIGH OF 91.4% IN READING TO AS LOW AS 42.1% IN EVERETT (SEE FIGURE 5). LOOKING AT THE THREE TOWNS WITH THE LOWEST RATES OF ENGLISH-ONLY SPEAKERS, THE NON-ENGLISH LANGUAGE GROUPS MOST FREQUENTLY SPOKEN IN EVERETT ARE OTHER INDO-EUROPEAN LANGUAGES (29%) FOLLOWED BY SPANISH (22%); IN MALDEN OTHER INDO-EUROPEAN LANGUAGES (20%) AND ASIAN AND PACIFIC ISLANDER LANGUAGES (19%); IN MEDFORD OTHER INDO-EUROPEAN LANGUAGES (16%). INCOME AND POVERTYINCOME LEVELS IN THE COMMUNITY BENEFITS SERVICE AREA EXHIBIT WIDE VARIATION. READING HAS THE HIGHEST MEDIAN INCOME AT $132,731, AND EVERETT THE LOWEST AT $65,528. BESIDES EVERETT AND MALDEN, ALL COMMUNITIES HAVE A MEDIAN INCOME HIGHER THAN THE STATE. EDUCATIONAL ATTAINMENTTHE COMMUNITY BENEFITS SERVICE AREA AS A WHOLE HAS EDUCATIONAL ATTAINMENT RATES SIMILAR TO MASSACHUSETTS. HOWEVER, THE INDIVIDUAL COMMUNITIES PRESENT MORE VARIATION. WITHIN THE SERVICE AREA, EVERETT AND MALDEN HAVE THE HIGHEST PERCENTAGES OF RESIDENTS WITH LESS THAN A HIGH SCHOOL DEGREE. EVERETT AND SAUGUS HAVE THE HIGHEST PERCENTAGES OF RESIDENTS WITH A HIGH SCHOOL DEGREE OR SOME COLLEGE. THEY ALSO HAVE THE LOWEST PERCENTAGES OF RESIDENTS WITH A BACHELOR'S DEGREE OR OTHER ADVANCED DEGREES. MELROSE AND READING HAVE THE HIGHEST PERCENTAGES OF RESIDENTS WITH A BACHELOR'S DEGREE OR HIGHER. PUBLIC SCHOOL DEMOGRAPHICSLOOKING AT GRADUATION AND DROP-OUT RATES, VARIATION WITHIN THE SERVICE AREA RANGES FROM A GRADUATION RATE HIGH OF 99.1 %IN NORTH READING AND 98.1% IN WAKEFIELD, TO A LOW OF 76% AND 78.1% IN EVERETT AND MALDEN, RESPECTIVELY. DROPOUT RATES RANGE FROM A HIGH OF 4% IN EVERETT TO A LOW OF 0% IN READING. EVERETT, MALDEN, MEDFORD AND WAKEFIELD HAVE THE LOWEST RATES OF GRADUATES ATTENDING COLLEGE, AND NORTH READING AND STONEHAM HAVE THE HIGHEST. ORGANIZATIONS CONTRIBUTING TO THE ASSESSMENT INCLUDE THE INSTITUTE FOR COMMUNITY HEALTH (ICH) AND VARIOUS COMMUNITY STAKEHOLDERS AND PARTNERS. PUBLICLY REPORTED DATA WAS UTILIZED FROM THE FOLLOWING SOURCES:- US CENSUS BUREAU AMERICAN COMMUNITY SURVEY (ACS)- FBI UNIFORM CRIME REPORT- MASSACHUSETTS DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT (DHCD)- THE GREATER BOSTON FOOD BANK MAP THE MEAL GAP 2021: CLOSING THE MEAL GAP IN EASTERN MASSACHUSETTS- FOOD BANK OF WESTERN MASSACHUSETTS- MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION (DESE)- MA DESE AND MA DEPARTMENT OF PUBLIC HEALTH (MDPH), 2019 HEALTH AND RISK BEHAVIORS OF MASSACHUSETTS YOUTH REPORT- LOCAL YOUTH RISK BEHAVIOR SURVEYS OR COMMUNITIES THAT CARE SURVEYS WHERE AVAILABLE (EVERETT 2018-2019; - MALDEN 2017-2018; MEDFORD 2017; MELROSE 2021; NORTH READING 2021)- MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH (MDPH) - MDPH REGISTRY OF VITAL RECORDS- MA DIVISION OF HEALTH CARE FINANCE AND POLICY UNIFORM HOSPITAL DISCHARGE DATASET SYSTEM (UHDDS)- MDPH BUREAU OF COMMUNICABLE DISEASE CONTROL (BCDC) REGISTRIES, DIVISION OF EPIDEMIOLOGY AND IMMUNIZATION- MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, BUREAU OF INFECTIOUS DISEASE AND LABORATORY SCIENCES, HIV/AIDS SURVEILLANCE PROGRAM
PART VI, LINE 5:TUFTS MEDICINE MELROSEWAKEFIELD HOSPITAL BOARD OF TRUSTEES IS A COMMUNITY VOLUNTEER BOARD COMPRISED OF 17 MEMBERS, WHICH INCLUDES TUFTS MEDICINE CEO, MELROSEWAKEFIELD HOSPITAL PRESIDENT, AND FOUR COMMUNITY PHYSICIANS WHO ARE PART OF THE MEDICAL STAFF. OUR DIVERSE MEDICAL STAFF, WHICH IS PART OF THE TUFTS MEDICINE INTEGRATED NETWORK, INCLUDES MORE THAN 600 MEMBERS (EMPLOYED AND AFFILIATED) AND OPENS ITS MEMBERSHIP AND PRIVILEGES TO ALL QUALIFIED COMMUNITY PHYSICIANS. MWHC OPERATES AN ACTIVE EMERGENCY DEPARTMENT AT THE MELROSE CAMPUS AND URGENT CARE DEPARTMENT AT THE MEDFORD CAMPUS. THEY ARE ACCESSIBLE TO ANYONE NEEDING CARE REGARDLESS OF THEIR ABILITY TO PAY. NO PART OF THE INCOME OF MWHC INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED. ALL SURPLUS FUNDS ARE REINVESTED INTO THE FACILITIES, EQUIPMENT OR PROGRAMS OF MWHC TO IMPROVE THE QUALITY OF PATIENT CARE, ACCESS TO CARE, ADVANCE MEDICAL PRACTICE AND TO IMPROVE THE COMMUNITIES' HEALTH AND WELLBEING. IN FY 2021/TY 2020, MWHC FINANCIAL NAVIGATORS HELPED PATIENTS TO ENROLL IN SNAP (FORMALLY FOOD STAMPS) AND OTHER SOCIAL SERVICE PROGRAMS. IN ADDITION, MWHC STAFF ATTENDED SEVERAL COMMUNITY OUTREACH EVENTS TO ASSIST PARTICIPANTS AND PROVIDE ENROLLMENT INFORMATION. OTHER SERVICES PROVIDED INCLUDE ADVOCATING FOR RESIDENTS, MAKING APPOINTMENTS, PROCURING OTHER SERVICES AND PROVIDING INFORMATION ABOUT PROGRAMS SUCH AS THE MOBILE FOOD MARKET. BILLING AND COLLECTIONS PRACTICES ARE POSTED ON THE SYSTEM WEB SITE. MWHC ALSO PROVIDED SPACE, RENT AND UTILITIES IN-KIND FOR KEY COMMUNITY PARTNERS, SUCH AS PORTAL TO HOPE, WHICH PROVIDES DOMESTIC VIOLENCE PREVENTION AND SUPPORT SERVICES. 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 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.MWHC ALSO SUPPORTS AND AT TIMES CONVENES MANY LOCAL AND REGIONAL COALITIONS TO SUPPORT UPSTREAM HEALTH IMPACTS SUCH AS POLICY AND STRATEGIC PLANNING. THIS INCLUDES WORKING THROUGH THE MA COURT SYSTEM, THE GREATER BOSTON FOOD BANK'S EFFORT TO ERADICATE HUNGER IN OUR COMMUNITIES BY 2028, AND MANY OTHERS.EXAMPLES OF THESE EFFORTS, AND THEIR IMPACT BOTH DIRECTLY AND INDIRECTLY ON THE HEALTH PRIORITIES IDENTIFIED IN THE CHNA AND BY OTHER COMMUNITY STAKEHOLDERS, INCLUDE:INTEGRATED BREASTFEEDING SERVICESAS A BABY FRIENDLY HOSPITAL, PROVIDING NEW MOTHERS WITH AN INTEGRATED APPROACH TO ENCOURAGING BREASTFEEDING SUPPORTS, SEVERAL KEY FACTORS IN REDUCING A NUMBER OF ISSUES FOR MOTHER AND CHILD ALIKE. LACTATION SERVICES FOR POST-PARTUM MOTHERS ARE AVAILABLE BOTH AT MELROSE-WAKEFIELD HOSPITAL, AND AT THREE BABY CAFES IN MELROSE, MALDEN, AND EVERETT. ALL MATERNAL/CHILD HEALTH STAFF, CHILDBIRTH EDUCATION STAFF, AND NORTH SUBURBAN WIC NUTRITIONIST AND FAMILY SUPPORT STAFF ARE CERTIFIED IN LACTATION (CLC OR IBCLC DEPENDING ON OTHER CLINICAL TRAINING). CONTINUING MEDICAL EDUCATION PROGRAMS ARE PROVIDED TO PHYSICIANS AND CLINICIANS ANNUALLY. BREASTFEEDING HAS BEEN SHOWN TO REDUCE RISKS FOR CANCER AND OTHER CHRONIC DISEASES SUCH AS DIABETES LATER IN LIFE. THE PROGRAMS WERE OFFERED VIRTUALLY THIS YEAR AND WILL BECOME IN-PERSON AGAIN IN THE SUMMER AND FALL OF FY23. ENCOURAGING HEALTHY FOOD CONSUMPTIONSEVERAL HOSPITAL DEPARTMENTS AND CLINICAL AREAS, INCLUDING DIABETES, REHABILITATION SERVICES, NUTRITION, AND WIC, ALL SUPPORT HEALTHY EATING-REDUCING CONSUMPTION OF ADDED SUGAR, EATING AMPLE FRUITS AND VEGETABLES, AND PROVIDING EDUCATION PROGRAMS TARGETING THE DIETARY NEEDS AND CHALLENGES OF STUDENT ATHLETES, CANCER PATIENTS, COLLEGE STUDENTS AND OTHERS IN THE COMMUNITY LIVING WITH CHRONIC DISEASES SUCH AS HYPERTENSION AND DIABETES.THE HEALTH SYSTEM WORKS WITH ORGANIZATIONS SUCH AS THE GREATER BOSTON FOOD BANK, THE MYSTIC MARKET, AND BREAD OF LIFE, AROUND ADDRESSING FOOD INSECURITY AND ACCESS TO HEALTHY FOODS. NUTRITION AND DIETARY STAFF SUPPORT THE CREATION OF HEALTHY MENU OPTIONS, NOT ONLY FOR HOSPITAL INPATIENTS AND IN CAFETERIAS, BUT ALSO THROUGH PROGRAMS SUCH AS MALDEN IS MOVING, OFFERING GUIDANCE TO LOCAL RESTAURANTS ON HEALTHFUL EATING AND NUTRITIONAL INFORMATION. EFFORTS ALSO EXTEND TO DIRECTLY SUPPORT INCREASED ACCESS TO HEALTHY FOODS, INCLUDING FRESH FRUITS AND VEGETABLES PROVIDED THROUGH A FREE MOBILE FOOD MARKET SERVING APPROXIMATELY 650 FAMILIES PER MONTH, PRIOR TO THE COVID-19 PANDEMIC, WITH APPROXIMATELY 30 LBS. EACH OF FRESH, HEALTHY FOODS. IN APRIL 2020, THE MOBILE FOOD MARKET DISTRIBUTION FORMAT CHANGED TO BETTER PROTECT STAFF, VOLUNTEERS, AND CUSTOMERS ADHERING TO COVID-19 SAFETY PROTOCOLS. STAFF AND VOLUNTEERS PACK REUSABLE BAGS FOR DISTRIBUTION TO FOOD INSECURE VULNERABLE POPULATIONS, INCLUDING FAMILIES, ELDERS, IMMIGRANTS, AND INDIVIDUALS AFFECTED BY CHRONIC HEALTH ISSUES, UNEMPLOYMENT, OR OTHER ADVERSE SITUATIONS SUCH AS HOUSING OR FAMILY SITUATIONS. ADDITIONALLY, VOUCHERS FROM WIC TO ITS PROGRAM PARTICIPANTS ARE ALSO PROVIDED FOR USE AT LOCAL FARMERS' MARKETS DURING SUMMER MONTHS. THE NORTH SUBURBAN CHILD AND FAMILY RESOURCE NETWORK (NSFRN) OFFERS STORYBOOK WALKS AND MEET-UP GROUPS PROMOTING PHYSICAL ACTIVITY WHILE CONNECTING WITH NATURE AND FOSTERING LITERACY SKILLS. THE NSFRN ALSO HOSTS A "FITNESS, FOOD AND FRIENDS" GROUP FOR FAMILIES WITH YOUNG CHILDREN TO PROMOTE A HEALTHY LIFESTYLE, LEARN ABOUT HEALTHY EATING HABITS AND TRY FUN PHYSICAL ACTIVITIES TO DO AS A FAMILY. SOME PROGRAMS HAVE BEEN OFFERED OUTDOORS AND OTHERS THROUGH ON-LINE FORMATS DURING THE PANDEMIC.WORKPLACE WELLNESS EFFORTS, IN TERMS OF INCREASING PHYSICAL ACTIVITY, AS WELL AS PROMOTING WEIGHT LOSS AND HEALTHIER EATING, HAVE BEEN CONTINUED DURING FY 2021/TY 2020 THROUGH THE WORK OF THE EMPLOYEE ENGAGEMENT AND WELLNESS COMMITTEE. CORRELATING GREATER PHYSICAL HEALTH AND WELLBEING THROUGH REDUCTIONS IN OBESITY, CARDIOVASCULAR AND OTHER RELATED HEALTH PROBLEMS, AND SUPPORTING A WHOLE-HEALTH APPROACH TO REDUCING CHRONIC DISEASE AND THE IMPACTS OF TREATMENT BY PRESENTING OPPORTUNITIES TO IDENTIFY AND REDUCE THESE HEALTH RISKS. WHILE THESE EFFORTS ARE NOT COMMUNITY BENEFIT, THE MODELING OF HEALTHY BEHAVIOR IS IMPORTANT IN A COMMUNITY HOSPITAL WHERE THE EMPLOYEES ARE OFTEN ALSO LOCAL RESIDENTS.MWHC LEADERS ARE MEMBERS OF THE GREATER BOSTON FOOD BANK (GBFB) HEALTH AND RESEARCH TASK FORCE AND MA FOOD IS MEDICINE GROUP, THE HUNGER TO HEALTH COLLABORATORY, THE TRI-CITY HUNGER NETWORK AND ALSO THE MALDEN AND MELROSE WAKEFIELD TASK FORCES TO ADDRESS THE NEED TO STRATEGIZE AND SHARE BEST PRACTICE IDEAS IN ADDRESSING FOOD INSECURITY IN THE AREA. SUPPORTING REGIONAL AND LOCAL SUBSTANCE USE PREVENTION EFFORTSTHE HEALTH SYSTEM WORKS ACTIVELY WITH THE MYSTIC VALLEY PUBLIC HEALTH COALITION, THE DISTRICT ATTORNEY'S EASTERN MIDDLESEX OPIOID TASK FORCE AS WELL AS LOCAL ORGANIZATIONS IN MALDEN, MEDFORD, MELROSE, READING, STONEHAM AND WAKEFIELD. IN FY 2022, MWHC STAFF AND LEADERS SPENT EXTENSIVE HOURS AT MEETINGS AND EVENTS WORKING TOWARDS PREVENTION, AWARENESS, TREATMENT, AND INTERVENTIONS TO REDUCE THE IMPACT OF SUBSTANCE USE DISORDER IN THE COMMUNITY. MWHC IS A MEMBER OF THE DISTRICT ATTORNEY'S EASTERN MIDDLESEX OPIOID TASK FORCE. THE OPIOID TASK FORCE FOCUSES ON COMBATING THE INCREASE IN DRUG OVERDOSES IN THE EASTERN REGION OF MIDDLESEX COUNTY, SERVING THE COMMUNITIES OF MALDEN, MEDFORD, MELROSE, NORTH READING, READING, STONEHAM, AND WAKEFIELD. LED BY MIDDLESEX COUNTY DISTRICT ATTORNEY, MARIAN RYAN, THE EASTERN MIDDLESEX OPIOID TASK FORCE INCLUDES FIRST RESPONDERS, POLICE AND FIRE OFFICIALS, MUNICIPAL HEALTH WORKERS, DOCTORS, NURSES, SOCIAL WORKERS, SUBSTANCE ABUSE COUNSELORS, COMMUNITY-BASED ADVOCATES AND PROBATION OFFICERS. THIS GROUP IS NOW REMOTE DUE TO THE PANDEMIC. PRIOR TO THE PANDEMIC, MWHC PROVIDED SPACE AND FOOD FOR THE TASK FORCE.(SEE CONTINUATION LATER)
PART VI, LINE 6:MELROSEWAKEFIELD HEALTHCARE IS A COMMUNITY HOSPITAL SYSTEM WITH MULTIPLE CAMPUSES AND IS A MEMBER OF THE MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION WHICH HAS OTHER MEMBER ORGANIZATIONS THAT INCLUDE A 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 THE HEALTH STATUS OF COMMUNITIES SERVED.MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION IS A MEMBER OF TUFTS MEDICINE.
PART VI, LINE 7, REPORTS FILED WITH STATESMA
PART VI, LINE 2 NEEDS ASSESSMENT CONTINUEDANOTHER WAY THAT MWHC ASSESSED NEEDS WITHIN THE COMMUNITY IS THROUGH THE PATIENT/FAMILY ADVISORY COUNCIL (PFAC). THIS COUNCIL WAS FORMED TO OBTAIN FEEDBACK AND IDEAS FROM COMMUNITY MEMBERS ON HOW THE HOSPITALS CAN BE MORE RECEPTIVE TO THE UNIQUE NEEDS OF COMMUNITY RESIDENTS, ESPECIALLY THOSE OF DIVERSE BACKGROUNDS, AND TO PROMOTE THE HIGHEST QUALITY OF PATIENT-CENTERED SERVICES BY FOSTERING A STRONG PARTNERSHIP THROUGH OUTREACH ACTIVITIES WITH COMMUNITY RESIDENTS. THE PFAC COUNCIL OFTEN ASSISTS MWHC STAFF BY PROVIDING INPUT INTO THE PLANNING OF FUTURE COMMUNITY ACTIVITIES AND INITIATIVES AS WELL AS INPATIENT AND AMBULATORY SERVICES.AS PART OF ITS EFFORTS TO IMPROVE HEALTH STATUS IN THE CATCHMENT AREA, MWHC 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: LOCAL COUNCILS ON AGING; THE MIDDLESEX COUNTY DISTRICT ATTORNEY'S OPIOID TASK FORCE: THE SAFE BABY/SAFE KIDS TASK FORCE THROUGH THE MIDDLESEX COUNTY DISTRICT ATTORNEY'S OFFICE; THE PORTAL TO HOPE DOMESTIC VIOLENCE COUNCIL , MEDFORD'S BIG TABLE; THE TRI-CITY HUNGER NETWORK; THE CHINESE CULTURE CONNECTION; SUBSTANCE ABUSE PREVENTION COALITIONS IN MALDEN, MELROSE, MEDFORD, READING, WAKEFIELD, AND STONEHAM; THE MALDEN OPIOID TASK FORCE, AND THE MELROSE, STONEHAM, AND WAKEFIELD ALLIANCES AGAINST VIOLENCE. ONE CENTRAL FOCUS OF MWHC'S COMMUNITY BENEFITS GROUPS AND LOCAL LEADERS, INCLUDES ENHANCING RELATIONSHIPS WITH FAITH-BASED AND GRASSROOTS ORGANIZATIONS. SUCH RELATIONSHIPS PROVIDE INSIGHT INTO HOW THESE GROUPS VIEW MWHC'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. IN 2022, THE HEALTH SYSTEM MAINTAINED MANY FAITH-BASED CONNECTIONS INCLUDING THE SCALABRINI CENTER IN EVERETT AND THE WARMING STATION IN MALDEN.FY22/TY21 MARKED THE SECOND YEAR OF COMMUNITY HEALTH INITIATIVE (CHI) GRANTS FUNDED BY A JOINT VENTURE WITH SHIELDS SURGERY CENTER MEDFORD UNDER THE DETERMINATION OF NEED PROGRAM FROM THE DEPARTMENT OF PUBLIC HEALTH. MELROSEWAKEFIELD HEALTHCARE AND SHIELDS AWARDED $120,000 IN GRANTS TO EIGHT MASSACHUSETTS-BASED NON-PROFIT ORGANIZATIONS AND MUNICIPALITIES WITH DETAILED APPROACHES TO IMPROVE THE HEALTH OF THEIR COMMUNITIES THROUGH MEANINGFUL AND SUSTAINABLE CHANGE. THE CHI FUNDS PROVIDED AN OPPORTUNITY FOR MASSACHUSETTS ORGANIZATIONS TO ADDRESS THE ROOT CAUSES OF HEALTH INEQUITIES IN COMMUNITIES ACROSS THE STATE. THE FUNDS ARE COMMITTED TO DISRUPTING AND REMOVING BARRIERS TO EQUITY IN HEALTHCARE SUCH AS RACISM, POVERTY, AND POWER IMBALANCES. THROUGH COMMUNITY-CENTERED POLICY, SYSTEMS, AND ENVIRONMENTAL CHANGE APPROACHES, THE GRANTS HELP PROVIDE RESOURCES TO ENGAGE RESIDENTS AND ENHANCE THE QUALITY OF ACCESS TO HEALTH CARE IN MASSACHUSETTS. REGIONAL AND LOCAL ORGANIZATIONS APPLIED FOR THE GRANTS. THE RECIPIENTS INCLUDED: THE MEDFORD BOARD OF HEALTH, THE CITY OF MELROSE AND TOWN OF WAKEFIELD BOARD OF HEALTH, THE NAN PROJECT, METRONORTH YMCA, THE JOINT COMMITTEE FOR CHILDREN'S HEALTH CARE IN EVERETT, THE CITY OF MALDEN, THE BOYS & GIRLS CLUB OF WAKEFIELD/STONEHAM, AND MYSTIC VALLEY ELDER SERVICES.
PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH CONTINUEDRAISING AWARENESS OF THE SEVERITY OF DOMESTIC VIOLENCE, WORKING WITH LOCAL GROUPS, ORGANIZATIONS AND COALITIONS TO PREVENT AND END DOMESTIC VIOLENCE, SEXUAL ASSAULT AND STALKING CRIMESIN FY 2022, MWHC STAFF SPENT COUNTLESS HOURS AT MEETINGS AND EVENTS PROVIDING SUPPORT AND WORKING TOWARDS PREVENTION, EDUCATION, AWARENESS, MENTORING, AND SERVICE TO REDUCE THE IMPACT OF DOMESTIC VIOLENCE BY PARTNERING WITH THE FOLLOWING GROUPS AND PROGRAMS: WAKEFIELD ALLIANCE AGAINST VIOLENCE (WAAV), A COMMUNITY BASED VOLUNTEER ORGANIZATION, DEDICATED TO CREATING A LIFESTYLE FREE FROM VIOLENCE IN WAKEFIELD BY REACHING OUT TO THE COMMUNITY, RAISING AWARENESS, PROVIDING EDUCATION RESOURCES, AND SUPPORT TO FAMILIES AND INDIVIDUALS, WITH AN EMPHASIS ON PREVENTION. A MELROSEWAKEFIELD HEALTHCARE EMPLOYEE REPRESENTS MWHC ON THE WAAV BOARD OF DIRECTORS. THE ASSOCIATE CHIEF NURSING OFFICER FOR MWHC SERVES AS THE VICE PRESIDENT OF MELROSE ALLIANCE AGAINST VIOLENCE (MAAV). MAAV'S MISSION IS TO RAISE COMMUNITY AWARENESS OF DOMESTIC AND TEEN DATING VIOLENCE, PROMOTE PROGRAMS THAT WORK TO REDUCE VIOLENCE AND ENCOURAGE HEALTHY RELATIONSHIPS THROUGH COMMUNITY AWARENESS ACTIVITIES, EDUCATION, AND PREVENTION PROGRAMS IN THE SCHOOLS, INCLUDING BULLYING PREVENTION, MENTORING AND PEER LEADERSHIP PROGRAMS, AND INFORMATION, SUPPORT, RESOURCE, AND REFERRAL SERVICES. AN EDUCATOR FOR MWHC SERVES AS A MEMBER OF THE STONEHAM ALLIANCE AGAINST VIOLENCE (SAAV), A DIVERSE GROUP WHOSE MEMBERS CARE ABOUT STONEHAM AND ITS QUALITY OF LIFE. NOTING AN UPSWING IN REPORTED INCIDENCES OF VIOLENCE IN THE TOWN, THE GROUP CAME TOGETHER TO ADDRESS THIS ISSUE. THE HOSPITAL MEMBER HAS NOW BEEN HIRED BY THE TOWN OF STONEHAM AS THEIR DOMESTIC VIOLENCE LIAISON.MWHC HAS A STRONG PARTNERSHIP WITH PORTAL TO HOPE (PTH), AN AGENCY THAT SERVED PEOPLE IMPACTED BY DOMESTIC VIOLENCE DURING FY 20221. OUR UNIQUE COLLABORATION HELPS TO PROVIDE CONFIDENTIAL, COMPREHENSIVE SERVICES TO VICTIMS OF DOMESTIC VIOLENCE AND RELATED INTIMATE PARTNER ASSAULT CRIMES. SERVICES INCLUDE: THE BENEVOLENCE PROJECT; CRISIS INTERVENTION AND EMERGENCY SHELTER; THE HEALING & RECOVERY PROGRAM, INCLUDING SUPPORT GROUPS; LEGAL AID; JOB AND HOUSING SEARCH ASSISTANCE; YOUTH SUPPORT; SAFETY PLANNING; AND OTHER DIRECT CARE SERVICES. MWHC PROVIDES OFFICE SPACE, PHONE AND INTERNET SERVICE CAPABILITIES TO PTH AT THE MALDEN FAMILY HEALTH CENTER (PTH'S CENTRAL OPERATIONS SITE) AND THE LAWRENCE MEMORIAL HOSPITAL, WHERE PTH OFFERS SUPPORT GROUPS, AND IN PARTNERSHIP WITH MWHC, FACILITATES TRI-CITY DOMESTIC VIOLENCE TASK FORCE MEETINGS, BOARD AND ADVISORY COMMITTEE MEETINGS AND OTHER PUBLIC EDUCATIONAL EFFORTS. IN ADDITION, PTH AND MWHC PARTNER TO PROVIDE VIOLENCE PREVENTION EDUCATION TO THE PUBLIC AND TRAINING TO MEDICAL STAFF ONSITE AT THESE LOCATIONS, AT MELROSE-WAKEFIELD HOSPITAL AND ON THE GRASSROOTS LEVEL IN THE COMMUNITIES PTH SERVES. PTH CONTINUES TO BE ONE OF A SMALL NUMBER OF DOMESTIC VIOLENCE INTERVENTION AGENCIES WORKING ONSITE AT MEDICAL FACILITIES IN MASSACHUSETTS.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL DANDORPH
DIRECTOR$0$1,249,455$0$641,252$0$14,991$0$231,161$0$28,851$0$2,165,710$0$0
SUSAN M SANDBERG
FORMER PRESIDENT & CEO$0$348,681$0$0$0$319,907$0$7,995$0$13,346$0$689,929$0$0
STEVEN SBARDELLA
VP, MEDICAL AFFAIRS & CMO$0$522,379$0$129,966$0$0$0$0$0$425$0$652,770$0$0
WILLIAM WYMAN
ASSISTANT TREASURER$0$354,393$0$119,635$0$35,916$0$8,700$0$11,628$0$530,272$0$0
ANDRAS SANDOR MD
DIRECTOR$438,253$0$15,355$0$10,500$0$12,543$0$35,920$0$512,571$0$0$0
JOSEPH PENNACCHIO MD
DIRECTOR$0$420,338$0$0$0$45,844$0$10,540$0$19,102$0$495,824$0$0
BINDIYA THAKKAR MD
DIRECTOR$0$283,292$0$57,048$0$80,255$0$7,221$0$40,072$0$467,888$0$0
DEBORAH CRONIN-WAELDE
SYSTEM V.P./CNO (UNTIL 12/26/21)$0$178,723$0$76,259$0$178,106$0$5,404$0$1,922$0$440,414$0$0
CHARLES R WHIPPLE ESQ
ASSISTANT SECRETARY/GENERAL COUNSEL$0$296,634$0$74,620$0$10,400$0$9,058$0$33,824$0$424,536$0$0
LAURENCE CONWAY MD
DIRECTOR$0$60,769$0$25$0$324,557$0$3,384$0$0$0$388,735$0$0
JOHN G GIRAGOS MD
PSYCH M.D.$321,861$0$0$0$0$0$10,162$0$32,906$0$364,929$0$0$0
TERRY SMITH MD
PSYCH M.D.$269,294$0$10,300$0$50,000$0$8,988$0$10,651$0$349,233$0$0$0
MICHAEL P CONNELLY
FORMER CFO/ASSISTANT TREASURER$0$0$0$0$0$338,218$0$0$0$0$0$338,218$0$0
DANIEL CARLAT MD
CHAIR, DEPT. OF PSYCHIATRY$293,473$0$300$0$0$0$7,632$0$32,541$0$333,946$0$0$0
PAMELA WHELTON
INTERIM PRES. & CEO (UNTIL 3/31/22)$0$325,000$0$0$0$0$0$0$0$0$0$325,000$0$0
DAWN NEE
DIRECTOR PHO$213,315$0$30,000$0$0$0$3,312$0$36,355$0$282,982$0$0$0
JAMES LECH
PSYCHIATRIST$177,054$0$5,300$0$56,080$0$6,699$0$297$0$245,430$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3ANNUALLY, THE HUMAN RESOURCES COMMITTEE OF THE ORGANIZATION COMPRISED OF INDEPENDENT DIRECTORS, REVIEWS THE COMPENSATION OF THE PRESIDENT AND EXECUTIVE LEADERSHIP TEAM USING DATA FROM AN INDEPENDENT THIRD PARTY EVALUATION OF COMPARABLE COMPENSATION DATA TO ASSESS AND SET COMPENSATION. COMPENSATION IS PAID BY A RELATED CORPORATION.
PART I, LINES 4A-BMICHAEL CONNELLY RECEIVED SEVERANCE IN THE AMOUNT OF $338,218 IN CALENDAR YEAR 2021. SUSAN SANDBERG RECEIVED SEVERANCE IN THE AMOUNT OF $300,000 IN CALENDAR YEAR 2021. DEBORAH CRONIN-WAELDE RECEIVED SEVERANCE IN THE AMOUNT OF $178,106 IN CALENDAR YEAR 2021. SECTION 457(F) RETIREMENT PLAN EMPLOYER DEFERRALS: MICHAEL DANDORPH - $222,461

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MASSACHUSETTS DEVELOPMENT FINANCE AGENCY
A0434318140000000002013-03-01$20,000,000FINANCE CAPITAL000
MASSACHUSETTS DEVELOPMENT FINANCE AGENCY
B0434318140000000002015-06-05$30,000,000FINANCE CAPITAL000
MASSACHUSETTS DEVELOPMENT FINANCE AGENCY
C043431814575B4YQK82019-02-20$94,740,000SEE SUPPLEMENTAL INFORMATION00Yes (1)
MASSACHUSETTS DEVELOPMENT FINANCE AGENCY
D0434318140000000002020-07-16$24,098,320FINANCE CAPITAL00Yes (1)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmt
A$19,690,337$20,000,000$98,939$19,901,061201400Yes (1)Yes (1)
B$7,154,145$30,000,000$268,250$29,731,750201700Yes (1)Yes (1)
C$6,581,128$101,992,524$21,442,426Yes (1)0Yes (1)Yes (1)$48,980,741$31,569,357
D$809,254$26,778,711$746,767$26,031,6932022Yes (1)0Yes (1)Yes (1)$251

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)
D00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: MASSACHUSETTS DEVELOPMENT FINANCE AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/30/2021 ISSUER NAME: MASSACHUSETTS DEVELOPMENT FINANCE AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/30/2021 ISSUER NAME: MASSACHUSETTS DEVELOPMENT FINANCE AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/30/2021 ISSUER NAME: MASSACHUSETTS DEVELOPMENT FINANCE AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/30/2021
PART I, LINE C, COLUMN FDESCRIPTION OF BOND PURPOSE: C. THE ISSUANCE OF BONDS AND THE LOAN OF THE PROCEEDS THEREOF IS TO (1) REFINANCE CERTAIN OUTSTANDING INDEBTEDNESS OF OR ISSUED FOR THE BENEFIT OF THE INSTITUTION, AS FUTHER IDENTIFIED BELOW, (2) FINANCE CONSTRUCTION, RENOVATION AND IMPROVEMENTS AT AND ACQUISTIONS AND EQUIPMENT FOR THE ACUTE CARE HOSPITAL AND RELATED FACILITIES, (3) FUND A DEBT SERVICE RESERVE FUND, AND (4) PAY CERTAIN COSTS OF ISSUANCE OF THE BONDS. SERIES A BONDS WERE ISSUED FOR THE TUFTS MEDICINE OBLIGATED GROUP, WHICH INCLUDES TUFTS MEDICAL CENTER, INC., THE LOWELL GENERAL HOSPITAL, AND MELROSEWAKEFIELD HEALTHCARE. SERIES C BONDS WERE ISSUED FOR THE TUFTS MEDICINE OBLIGATED GROUP, WHICH INCLUDES TUFTS MEDICAL CENTER, INC., THE LOWELL GENERAL HOSPITAL, AND MELROSEWAKEFIELD HEALTHCARE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION IS THE SOLE CORPORATE MEMBER OF MELROSEWAKEFIELD HEALTHCARE, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF TRUSTEES CONSISTS OF THOSE PERSONS THAT SERVE ON THE BOARD OF TRUSTEES OF MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION. TUFTS MEDICINE, INC., AS SOLE MEMBER OF MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION, HAS THE POWER TO APPOINT MELROSEWAKEFIELD HEALTHCARE PARENT TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BMELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION HAS CERTAIN RIGHTS TO APPROVE DECISIONS OF THE BOARD AS REQUIRED BY THE ORGANIZATION'S ARTICLES AND BYLAWS AND LAWS OF THE COMMONWEALTH OF MASSACHUSETTS.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 WAS REVIEWED BY MANAGEMENT AND PROVIDED TO THE GOVERNING BODY PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CANNUALLY THE GOVERNING BODY AND KEY EMPLOYEES ARE SENT THE POLICY AND REQUIRED TO COMPLETE A DISCLOSURE FORM THAT IS SUBMITTED TO THE OFFICE OF GENERAL COUNSEL FOR REVIEW. THE CONTENTS OF THE DISCLOSURES AND ACTIONS NECESSARY TO ADDRESS CONFLICTS ARE REVIEWED WITH THE CHAIR OF THE GOVERNING BOARD AND ITS PRESIDENT.
FORM 990, PART VI, SECTION B, LINE 15ANNUALLY, THE HUMAN RESOURCES COMMITTEE OF THE ORGANIZATION COMPRISED OF INDEPENDENT DIRECTORS, REVIEWS THE COMPENSATION OF THE PRESIDENT AND EXECUTIVE LEADERSHIP TEAM USING DATA FROM AN INDEPEDENT THIRD PARTY. COMPENSATION IS PAID BY A RELATED CORPORATION.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST TO THE OFFICE OF THE GENERAL COUNSEL. THE ORGANIZATION'S FINANCIAL STATEMENTS AND FORM 990 ARE ALSO MADE AVAILABLE TO THE PUBLIC ON THE WEBSITE OF THE PUBLIC CHARITIES DIVISION OF MASSACHUSETTS ATTORNEY GENERAL.
FORM 990, PART IX, LINE 11GOTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 18,339,644. MANAGEMENT AND GENERAL EXPENSES 8,239,549. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,579,193. SUB-CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 10,242. MANAGEMENT AND GENERAL EXPENSES 4,602. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,844. SHUTTLE: PROGRAM SERVICE EXPENSES 237,929. MANAGEMENT AND GENERAL EXPENSES 106,895. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 344,824. VALET: PROGRAM SERVICE EXPENSES 37,579. MANAGEMENT AND GENERAL EXPENSES 16,884. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,463. SAFETY: PROGRAM SERVICE EXPENSES 657,703. MANAGEMENT AND GENERAL EXPENSES 295,491. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 953,194. SNOW REMOVAL: PROGRAM SERVICE EXPENSES 466,804. MANAGEMENT AND GENERAL EXPENSES 209,723. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 676,527. CONSULTING: PROGRAM SERVICE EXPENSES 1,586,454. MANAGEMENT AND GENERAL EXPENSES 712,755. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,299,209. EMR FEES: PROGRAM SERVICE EXPENSES 77,802. MANAGEMENT AND GENERAL EXPENSES 34,954. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,756.
FORM 990, PART XI, LINE 9:NET ASSETS RELEASED FROM RESTRICTIONS - OPERATIONS -743,314. NET ASSETS TRANSFERS FROM AFFILIATES 42,156,893. PENSION LIABILITY ADJUSTMENT -1,568,752. CHANGES IN BENEFICIAL INTERESTS IN PERPETUAL TRUST -3,811,908.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MELROSEWAKEFIELD HEALTHCARE AUXILIARY
170 GOVERNORS AVENUEMEDFORDMA02155042767880GIFT SHOPMA$0$0MELROSEWAKEFIELD HEALTHCARE INC
MELROSEWAKEFIELD HEALTHCARE FRIENDS OF LMH
170 GOVERNORS AVENUEMEDFORDMA02155042767880GIFT SHOPMA$0$0MELROSEWAKEFIELD HEALTHCARE INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (47 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
MELROSEWAKEFIELD HEALTHCARE INC
170 GOVERNORS AVEMEDFORDMA02155042767880HOSPITALMA501(C)(3)LINE 3MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
HALLMARK HEALTH MEDICAL ASSOCIATES INC
170 GOVERNORS AVEMEDFORDMA02155043140938MD OFFICESMA501(C)(3)LINE 10MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
LM LONG TERM CARE SERVICES INC
170 GOVERNORS AVEMEDFORDMA02155042938772LONG-TERM CAREMA501(C)(3)LINE 12B, IIMELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
SAVIN LONG TERM CARE CORPORATION
170 GOVERNORS AVEMEDFORDMA02155043012616LONG-TERM CAREMA501(C)(3)LINE 10MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
HALLMARK HEALTH VISITING NURSE ASSOCIATION AND HOSPICE INC
178 SAVIN ST SUITE 300MALDENMA02148042437064VISITING NURSEMA501(C)(3)LINE 10TUFTS MEDICINE CARE AT HOME PARENT INCYes (1)
HALLMARK HEALTH PROPERTIES
170 GOVERNORS AVEMEDFORDMA02155222580542PROPERTYMA501(C)(3)LINE 12B, IIMELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONYes (1)
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
170 GOVERNORS AVEMEDFORDMA02155042103587PARENTMA501(C)(3)LINE 12A, ITUFTS MEDICINE INCYes (1)
THE LOWELL GENERAL HOSPITAL
295 VARNUM AVENUELOWELLMA01854042103590HEALTH CAREMA501(C)(3)LINE 3CIRCLE HEALTH INCYes (1)
CIRCLE HEALTH PHYSICIANS INC
295 VARNUM AVENUELOWELLMA01854273902914MEDICAL SERVICESMA501(C)(3)LINE 10CIRCLE HEALTH INCYes (1)
LGH PHYSICIAN ASSOCIATES INC
295 VARNUM AVENUELOWELLMA01854043190747MEDICAL SERVICESMA501(C)(3)PFCIRCLE HEALTH PHYSICIANS INCYes (1)
CIRCLE HEALTH INC
295 VARNUM AVENUELOWELLMA01854222579798PARENT/SUPPORTING ORGANIZATIONMA501(C)(3)LINE 12B, IITUFTS MEDICINE INCYes (1)
TUFTS MEDICINE INC
800 DISTRICT AVENUEBURLINGTONMA01803452250732PARENT/SUPPORTING ORGANIZATIONMA501(C)(3)LINE 12A, I0N/A
TUFTS MEDICINE INTEGRATED NETWORK INC
800 DISTRICT AVENUEBURLINGTONMA01803871600172HEALTH CAREMA501(C)(3)LINE 10TUFTS MEDICINE INCYes (1)
CNS NURSING HOME CARE INC
360 MERRIMACK STREET BUILDING 9LAWRENCEMA01843371836433HOME CARE SERVICESMA501(C)(3)LINE 10CIRCLE HOME INCYes (1)
CIRCLE HOME INC
360 MERRIMACK STREET BUILDING 9LAWRENCEMA01843042103812HOME CARE SERVICESMA501(C)(3)LINE 10TUFTS MEDICINE CARE AT HOME PARENT INCYes (1)
TUFTS MEDICAL CENTER PARENT INC
800 WASHINGTON STREETBOSTONMA02111042810022FUNDRAISING, ADMIN. PLANNING & OTHER ACTIVITIESMA501(C)(3)LINE 12B, IITUFTS MEDICINE INCYes (1)
TUFTS MEDICAL CENTER INC
800 WASHINGTON STREETBOSTONMA02111043400617HOSPITAL SERVICESMA501(C)(3)LINE 3TUFTS MEDICAL CENTER PARENT INCYes (1)
NEW ENGLAND LONG-TERM CARE INC
800 WASHINGTON STREETBOSTONMA02111042912578PEDIATRIC LONG-TERM CARE FACILITYMA501(C)(3)LINE 3TUFTS MEDICAL CENTER PARENT INCYes (1)
NEW ENGLAND QUALITY CARE ALLIANCE INC
800 WASHINGTON STREETBOSTONMA02111043040427MEDICAL PROGRAMS & SERVICESMA501(C)(3)LINE 10TUFTS MEDICINE INTEGRATED NETWORK INCYes (1)
NEQCA ACCOUNTABLE CARE INC
325 WOOD RD SUITE 210BRAINTREEMA02184800824142ACOMA501(C)(3)LINE 10TUFTS MEDICINE INTEGRATED NETWORK INCYes (1)
TUFTS MEDICAL CENTER COMMUNITY CARE INC
325 WOOD RD SUITE 210BRAINTREEMA02184473046563MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
THE CAMERON M NEELY FOUNDATION
800 WASHINGTON STREETBOSTONMA02111043265628CHARITABLEMA501(C)(3)LINE 7TUFTS MEDICAL CENTER PARENT INCYes (1)
HEART CENTER OF METROWEST INC
99 LINCOLN STREETFRAMINGHAMMA01702030390670MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT ANESTHESIOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043418395MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT MEDICAL AND SURGICAL ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148397MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT NEUROLOGY ASSOICATES INC
800 WASHINGTON STREETBOSTONMA02111043148384MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT OBGYN ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148385MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT OPHTHALMOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148392MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT ORTHOPEDIC ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111205129051MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT OTOLARYNGOLOGY
800 WASHINGTON STREETBOSTONMA02111043148381MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT PATHOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148393MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT PEDIATRIC ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148394MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT PSYCHIATRIC ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148387MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT RADIOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148388MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT RADIATION ONCOLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148389MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT REHABILITATION MEDICINCE
800 WASHINGTON STREETBOSTONMA02111043148378MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT SURGICAL ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148376MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT UROLOGY ASSOCIATES INC
800 WASHINGTON STREETBOSTONMA02111043148379MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
NEW ENGLAND MEDICAL CENTER
800 WASHINGTON STREETBOSTONMA02111043096445MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
PRATT MEDICAL GROUP INC
800 WASHINGTON STREETBOSTONMA02111042743894MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
TUFTS MEDICAL CENTER PHYSICIANS ORG INC
800 WASHINGTON STREETBOSTONMA02111043044706ADMIN.MA501(C)(3)LINE 12B, IITUFTS MEDICAL CENTER PARENT INCYes (1)
LOWELL GENERAL HOSPITAL AUXILIARY
295 VARNUM AVENUELOWELLMA01854223459303SUPPORTING ORGANIZATIONMA501(C)(3)LINE 12A, I0N/A
CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER INC
800 WASHINGTON STREETBOSTONMA02111823315703MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
TUFTS MEDICINE CARE AT HOME PARENT INC
360 MERRIMACK STREET BUILDING 9LAWRENCEMA01843222587225MANAGEMENT SERVICESMA501(C)(3)LINE 12B, IITUFTS MEDICINE INCYes (1)
HOME HEALTH VNA INC
360 MERRIMACK STREET BUILDING 9LAWRENCEMA01843042435675HOME HEALTH CAREMA501(C)(3)LINE 10TUFTS MEDICINE CARE AT HOME PARENT INCYes (1)
TUFTS MEDICINE CARE AT HOME INC
360 MERRIMACK STREET BUILDING 9LAWRENCEMA01843043024278HOSPICE SERVICESMA501(C)(3)LINE 10TUFTS MEDICINE CARE AT HOME PARENT INCYes (1)
HOME CARE INC
360 MERRIMACK STREET BUILDING 9LAWRENCEMA01843042854358HOME HEALTH SUPPORTIVE SERIVCESMA501(C)(3)LINE 10TUFTS MEDICINE CARE AT HOME PARENT INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
HALLMARK HEALTH INVESTMENTS LLC
170 GOVERNORS AVENUEMEDFORDMA02155020657666INVESTMENTMAMELROSEWAKEFIELD HEALTHCARE INCEXCLUDED00
MONTVALE PETCT LLC
100 BAYVIEW CIRCLE SUITE 400NEWPORT BEACHCA92660270325022CAT SCANCAMELROSEWAKEFIELD HEALTHCARE INCRELATED00$367,806$231,0200.50000
SHIELDS-TUFTS MEDICAL CENTER IMAGING MANAGEMENT LLC
800 WASHINGTON STREETBOSTONMA02111320558307MEDICAL SERVICES (MRI)MATUFTS MEDICAL CENTER INCRELATED00
MEDFORD SURGERY CENTER LLC
55 CHRISTYS DRIVEBROCKTONMA02301384079196MEDICAL SERVICESMAMELROSEWAKEFIELD HEALTHCARE INCRELATED00-$1,338,349$5,356,6460.45000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndOwnershipOwnershipPctLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
HALLMARK HEALTH ENTERPRISES INC
585 LEBANON STREETMELROSEMA02176042475660OTHER HEALTH SERVICESMAMELROSEWAKEFIELD HEALTHCARE PARENT CORPORATIONCYes (1)
HALLMARK HEALTH PHO INC
170 GOVERNORS AVEMEDFORDMA02155461134759PHYSICIAN HOSPITAL ORGANIZATIONMAMELROSEWAKEFIELD HEALTHCARE INCC00.50000
LAWRENCE MELROSE MEDICAL ELECTRONICS RECORD INC
170 GOVERNORS AVEMEDFORDMA02155421685777ELECTRONIC MEDICAL RECORDSMAMELROSEWAKEFIELD HEALTHCARE INCC00.50000
LGH MANAGEMENT SERVICES INC
295 VARNUM AVENUELOWELLMA01854042919244MEDICAL SERVICESMALGH SERVICES INCCYes (1)
LGH MEDICAL BUILDING SERVICES INC
295 VARNUM AVENUELOWELLMA01854043058954MEDICAL OFFICE BUILDINGMALGH SERVICES INCCYes (1)
LGH MEDICAL SERVICES INC
295 VARNUM AVENUELOWELLMA01854261889904MEDICAL SERVICESMALGH SERVICES INCCYes (1)
LGH SERVICES INC
295 VARNUM AVENUELOWELLMA01854042854673MEDICAL SERVICESMACIRCLE HEALTH INCCYes (1)
TUFTS MEDICINE INDEMNITY COMPANY LTD
800 WASHINGTON STREETBOSTONMA02111980444573CAPTIVE INSURANCETUFTS MEDICAL CENTER INCCYes (1)CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
K$1,435,857FAIR MARKET VALUE
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
M$667,099COST & TIME ALLOCATION
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
L$540,513COST & TIME ALLOCATION
HALLMARK HEALTH MEDICAL ASSOCIATES INC
J$989,664FAIR MARKET VALUE
HALLMARK HEALTH PROPERTIES INC
K$349,807FAIR MARKET VALUE
HALLMARK HEALTH PROPERTIES INC
L$116,988COST & TIME ALLOCATION
HALLMARK HEALTH MEDICAL ASSOCIATES INC
L$978,635COST & TIME ALLOCATION
HALLMARK HEALTH MEDICAL ASSOCIATES INC
M$1,224,545COST & TIME ALLOCATION
HALLMARK HEALTH MEDICAL ASSOCIATES INC
R$14,541,521AUDITED BOOK VALUE
HALLMARK HEALTH PROPERTIES INC
D$174,147AUDITED BOOK VALUE
HALLMARK HEALTH MEDICAL ASSOCIATES INC
D$3,001,464AUDITED BOOK VALUE
LM LONG TERM CARE SERVICES INC
E$1,017,115AUDITED BOOK VALUE
SAVIN LONG TERM CARE CORPORATION
E$1,825,676AUDITED BOOK VALUE
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
D$968,054AUDITED BOOK VALUE
TUFTS MEDICINE INC
E$5,880,496AUDITED BOOK VALUE
TUFTS MEDICINE INDEMNITY COMPANY LTD
D$6,532,747AUDITED BOOK VALUE
TUFTS MEDICAL CENTER INC
D$199,934AUDITED BOOK VALUE
TUFTS MEDICAL CENTER PHYSICIANS ORG
E$770,479AUDITED BOOK VALUE