2022-08-15T11:45:41-05:00 2021-09-30 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2020-10-01 043140938 HALLMARK HEALTH MEDICAL ASSOCIATES INC HALL 7819793000 170 GOVERNORS AVENUE MEDFORD MA 02155 WILLIAM WYMAN SVP OF FINANCE 7819793000 2022-08-11 1 WILLIAM WYMAN 999009999 CRAIG KLEIN P00734640 6177610600 2022-08-11 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z WILLIAM F WYMAN 170 GOVERNORS AVENUE MEDFORD MA 02155 53080416 0 X HTTPS://HHMA.ORG X 1991 MA HALLMARK HEALTH MEDICAL ASSOCIATES, INC. SUPPORTS THE CHARITABLE MISSION OF MELROSEWAKEFIELD HEALTHCARE, INC. THROUGH THE EMPLOYMENT OF PRIMARY CARE PHYSICIANS AND SPECIALISTS AT PRACTICES THROUGHOUT THE MELROSEWAKEFIELD SERVICE AREA IN NINE LOCAL COMMUNITIES. 7 0 476 0 0 0 4500605 283 44674220 53069133 0 0 8200 11000 49183025 53080416 0 0 0 0 48256088 51180082 0 0 0 16565759 17205431 64821847 68385513 -15638822 -15305097 12567881 10734913 13209434 15076597 -641553 -4341684 X HALLMARK HEALTH MEDICAL ASSOCIATES, INC. SUPPORTS THE CHARITABLE MISSION OF MELROSEWAKEFIELD HEALTHCARE, INC. THROUGH THE EMPLOYMENT OF PRIMARY CARE PHYSICIANS AND SPECIALISTS AT PRACTICES THROUGHOUT THE MELROSEWAKEFIELD SERVICE AREA. THERE ARE NEARLY 70 PHYSICIANS OPERATING PRACTICES IN 8 DIFFERENT COMMUNITIES WITHIN THE MELROSEWAKEFIELD SERVICE AREA. 0 0 59040774 53080133 THE PURPOSE OF HALLMARK HEALTH MEDICAL ASSOCIATES, INC. IS TO IMPROVE THE QUALITY AND ACCESS TO MEDICAL CARE PROVIDED BY MELROSEWAKEFIELD HEALTHCARE, INC. BY ENCOURAGING PHYSICIANS TO PROVIDE NEEDED MEDICAL SERVICES IN THE HOSPITAL'S SERVICE AREA AND BY OTHERWISE SUPPORTING THE NEEDS OF THE MEDICALLY UNDER-SERVED COMMUNITIES. HALLMARK HEALTH MEDICAL ASSOCATES' PROGRAM SERVICE REVENUE REPRESENTS NET FEES BILLED FOR PHYSICIAN SERVICES PROVIDED IN OBSTETRICS, GYNECOLOGY, INTERNAL MEDICINE, SURGERY, GASTROENTEROLOGY, FAMILY MEDICINE, ENDOCRINOLOGY, PULMONOLOGY, RADIATION ONCOLOGY, INFECTIOUS DISEASE, NEUROLOGY, AND NEUROSURGERY. 59040774 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 476 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X WILLIAM WYMAN SVP OF FINANCE 7819793000 170 GOVERNORS AVE MEDFORD MA 02155 MICHAEL NEWMAN PRESIDENT/CMO/DIRECTOR 3.00 40.00 X X 0 718645 35497 MICHAEL P CONNELLY TREASURER/DIR (UNTIL 10/2020) 3.00 40.00 X X 0 597016 12895 STEVEN SBARDELLA CHAIR/EX OFFICIO 3.00 40.00 X X 0 566604 502 ELEANOR MORESCO MD VICE CHAIR/DIRECTOR 40.00 3.00 X X 182153 0 13407 SUSAN SANDBERG PRESIDENT/CEO (UNTIL 7/9/21) 3.00 40.00 X X 0 767143 37182 PATRICIA SERENO MD PHYSICIAN 40.00 0.00 X 259721 0 32223 WILLIAM WYMAN TREASURER/DIRECTOR 3.00 40.00 X X 0 404412 23545 ROY EPSTEIN DIRECTOR 3.00 40.00 X 0 325088 28861 PAMELA WHELTON INTERIM PRESIDENT & CEO 3.00 40.00 X X 0 0 0 JENNIFER L RAGUCCI CLERK 40.00 0.00 X 87741 0 2095 CHARLES R WHIPPLE ESQ ASSISTANT CLERK 3.00 40.00 X 0 361220 40435 EDWARD BUTLER CHIEF ACADEMIC OFFICER 40.00 0.00 X 279775 0 27927 LORI BARRETT VP OPERATIONS 40.00 0.00 X 310567 0 17669 MATTHEW BROWN PHYSICIAN 40.00 0.00 X 428493 0 26236 MELISSA GARRETT-KINGSTON VP FINANCE 40.00 0.00 X 299506 0 9107 BRIAN CLARK MD PHYSICIAN 40.00 0.00 X 888584 0 44137 JOSEPH PENNACCHIO MD PHYSICIAN 40.00 0.00 X 486485 0 28076 SALVATORE NARDELLO DO SURGICAL ONCOLOGIST 40.00 0.00 X 411590 0 8771 DAVID M MILLER ASSOCIATE CMO (UNTIL 2/7/20) 40.00 0.00 X 387923 0 6137 DAVIS BU MD PHYSICIAN 40.00 0.00 X 272767 0 18897 ANDREW CHANDLER MD PHYSICIAN 40.00 0.00 X 211589 0 19922 DANIEL WITKOWSKI MD PHYSICIAN 40.00 0.00 X 457398 0 32197 MICHAEL TAMEO PHYSICIAN 40.00 0.00 X 460607 0 42466 MA JINGLI PHYSICIAN 40.00 0.00 X 491388 0 44388 CHRISTOPHER LEUNG MD PHYSICIAN 40.00 0.00 X 478191 0 12566 PHILLIP GRAY PHYSICIAN 40.00 0.00 X 623901 0 9035 JENNIFER WU MD PHYSICIAN 40.00 0.00 X 784676 0 25969 KENNETH SHIEH PHYSICIAN 40.00 0.00 X 506608 0 44062 8309663 3740128 644204 88 0 1 0 ASTON CARTER INC 3689 COLLECTIOON CTR DR CHICAGO IL 60693 AGENCY 852645 SCRIBE AMERICA LLC PO BOX 417756 BOSTON MA 02241 SCRIBES SERVICES 579699 COMPLETE STAFFING SOLUTION INC 33 BOSTON POST ROAD WEST MARLBORO MA 01752 AGENCY 366495 MICHIENZI CONSTRUCTION 11 SIXTH ROAD WOBURN MA 01801 CONSTRUCTION SERVICES 358771 BARTON ASSOCIATES INC 300 JUBILEE DR PEABODY MA 01960 AGENCY 356099 9 283 283 PATIENT CARE 621110 39512152 39512152 HOSPITAL SUPPORT 621110 7980748 7980748 MANAGED CARE REVENUE 621110 4223619 4223619 1352614 1352614 53069133 11000 0 11000 11000 11000 53080416 53080133 0 0 1348421 1348421 43166902 39653917 3512985 739964 634941 105023 3838039 3293308 544731 2086756 1790584 296172 500000 300000 200000 4139584 3305732 833852 168591 1000 167591 817889 616124 201765 3609824 3399257 210567 15144 12525 2619 49089 48091 998 3895 3895 557814 401630 156184 1329268 1329268 PURCHASED SERVICES 1942678 995640 947038 MEDICAL SUPPLIES 1870245 1868904 1341 EMR FEES 1430732 635729 795003 770678 750229 20449 68385513 59040774 9344739 0 143436 664814 3926678 7052668 199262 15000 3569994 1807042 1579472 1762952 6719033 1239479 12567881 10734913 7518211 9594287 1500000 854718 4191223 4627592 13209434 15076597 X -641553 -4341684 -641553 -4341684 12567881 10734913 X -15305097 -757000 12361966 X 0 1 X 1 0 X 8000 29233 4500605 283 4538121 28725353 33360554 42579145 44674220 53069133 202408405 28725353 33368554 42608378 49174825 53069416 206946526 0 0 0 206946526 8200 11000 19200 8200 11000 19200 28725353 33368554 42608378 49183025 53080416 206965726 0.99990 1.00000 0.00010 0.00000 X 987558 349062 638496 2307847 1371631 936216 274589 86349 188240 1762952 REINSURANCE - MALPRACTICE 294357 DUE FROM TUFTS MC CORP 2202 RIGHT OF USE ASSET 942920 1239479 DUE TO MELROSEWAKEFIELD HEALTHCARE 2775933 DUE TO TUFTS MEDICAL CENTER PHYSICIANS ORG. 8049 SELF INSURANCE RESERVES 287000 CAPITAL LEASE LIABILITY 1006831 DUE TO WELLFORCE, INC. 30476 DEFERRED EMPLOYER FICA 519303 4627592 52323416 -757000 -757000 53080416 0 53080416 68385513 0 68385513 0 68385513 PART XI, LINE 2D - OTHER ADJUSTMENTS: REVERSAL OF PRIOR GRANT -757,000. 1 0 0 0 0 0 0 0 0 BRIAN CLARK MD PHYSICIAN 653800 0 125960 0 108824 0 8394 0 35743 0 932721 0 0 0 JENNIFER WU MD PHYSICIAN 550352 0 195863 0 38461 0 8580 0 17389 0 810645 0 0 0 SUSAN SANDBERG PRESIDENT/CEO (UNTIL 7/9/21) 0 619843 0 137700 0 9600 0 14292 0 22890 0 804325 0 0 MICHAEL NEWMAN PRESIDENT/CMO/DIRECTOR 0 623707 0 91188 0 3750 0 8550 0 26947 0 754142 0 0 PHILLIP GRAY PHYSICIAN 390901 0 143692 0 89308 0 8550 0 485 0 632936 0 0 0 MICHAEL P CONNELLY TREASURER/DIR (UNTIL 10/2020) 0 353621 0 81284 0 162111 0 8550 0 4345 0 609911 0 0 STEVEN SBARDELLA CHAIR/EX OFFICIO 0 466366 0 100238 0 0 0 0 0 502 0 567106 0 0 KENNETH SHIEH PHYSICIAN 468801 0 20000 0 17807 0 8414 0 35648 0 550670 0 0 0 MA JINGLI PHYSICIAN 420574 0 54781 0 16033 0 8543 0 35845 0 535776 0 0 0 JOSEPH PENNACCHIO MD PHYSICIAN 436475 0 0 0 50010 0 8441 0 19635 0 514561 0 0 0 MICHAEL TAMEO PHYSICIAN 404083 0 11781 0 44743 0 7331 0 35135 0 503073 0 0 0 CHRISTOPHER LEUNG MD PHYSICIAN 433727 0 28310 0 16154 0 8954 0 3612 0 490757 0 0 0 DANIEL WITKOWSKI MD PHYSICIAN 372605 0 44027 0 40766 0 0 0 32197 0 489595 0 0 0 MATTHEW BROWN PHYSICIAN 331493 0 0 0 97000 0 7370 0 18866 0 454729 0 0 0 WILLIAM WYMAN TREASURER/DIRECTOR 0 332604 0 64223 0 7585 0 8550 0 14995 0 427957 0 0 SALVATORE NARDELLO DO SURGICAL ONCOLOGIST 342998 0 1734 0 66858 0 8311 0 460 0 420361 0 0 0 CHARLES R WHIPPLE ESQ ASSISTANT CLERK 0 306020 0 45600 0 9600 0 8359 0 32076 0 401655 0 0 DAVID M MILLER ASSOCIATE CMO (UNTIL 2/7/20) 65040 0 0 0 322883 0 475 0 5662 0 394060 0 0 0 ROY EPSTEIN DIRECTOR 0 294158 0 19731 0 11199 0 8386 0 20475 0 353949 0 0 LORI BARRETT VP OPERATIONS 284442 0 20625 0 5500 0 8512 0 9157 0 328236 0 0 0 MELISSA GARRETT-KINGSTON VP FINANCE 265381 0 34125 0 0 0 8690 0 417 0 308613 0 0 0 EDWARD BUTLER CHIEF ACADEMIC OFFICER 200608 0 25000 0 54167 0 6904 0 21023 0 307702 0 0 0 PATRICIA SERENO MD PHYSICIAN 174535 0 74106 0 11080 0 6076 0 26147 0 291944 0 0 0 DAVIS BU MD PHYSICIAN 207100 0 32397 0 33270 0 8016 0 10881 0 291664 0 0 0 ANDREW CHANDLER MD PHYSICIAN 176993 0 2865 0 31731 0 6288 0 13634 0 231511 0 0 0 ELEANOR MORESCO MD VICE CHAIR/DIRECTOR 181596 0 557 0 0 0 5327 0 8080 0 195560 0 0 0 PART I, LINE 3 RELATED ORGANIZATION METHODS USED FOR COMPENSATION EXPLANATION - ANNUALLY, THE HUMAN RESOURCES COMMITTEE OF THE PARENT CORPORATION, MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION, AND THE HOSPITAL CORPORATION, MELROSEWAKEFIELD HEALTHCARE, INC., COMPRISED OF INDEPENDENT DIRECTORS REVIEW THE COMPENSATION OF THE PRESIDENT AND THE EXECUTIVE TEAM USING DATA FROM AN INDEPEDENT THIRD PARTY EVALUATION OF COMPARABLE COMPENSATION DATA TO ASSESS AND SET COMPENSATION. COMPENSATION IS PAID BY A RELATED CORPORATION. PART I, LINE 4A MICHAEL CONNELLY RECEIVED SEVERANCE IN THE AMOUNT OF $101,466 IN CALENDAR YEAR 2020. DAVID MILLER RECEIVED SEVERANCE IN THE AMOUNT OF $322,883 IN CALENDAR YEAR 2020. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER, MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION, PARENT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS ONE MEMBER, THE PARENT CORPORATION, WHICH ELECTS THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S SOLE MEMBER, THE PARENT CORPORATION, HAS APPROVAL POWER OVER ACTIONS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF 990 - THE 990 IS MADE AVAILABLE TO THE GOVERNING BODY FOR REVIEW PRIOR TO THE FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE PRESIDENT AND ONE OR MORE OF THE OFFICERS, AND/OR DIRECTORS ARE GIVEN THE CONFLICT POLICY AND ARE REQUIRED TO COMPLETE A DISCLOSURE FORM THAT IS SUBMITTED TO THE OFFICE OF THE GENERAL COUNSEL FOR REVIEW. THE CONTENTS OF THE DISCLOSURE AND ACTIONS NECESSARY TO ADDRESS CONFLICTS ARE REVIEWED BY THE CHAIR OF THE PARENT CORPORATION'S GOVERNING BODY AND ITS PRESIDENT. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, THE HUMAN RESOURCES COMMITEE OF THE PARENT CORPORATION, COMPRISED OF INDEPENDENT DIRECTORS, REVIEWS THE COMPENSATION OF THE PRESIDENT AND MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM, USING DATA FROM INDEPENDENT THIRD PARTY EVALUATION OF COMPARABLE COMPENSATION DATA. COMPENSATION IS PAID TO THE PRESIDENT AND THE EXECUTIVE LEADERSHIP BY RELATED CORPORATIONS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST TO THE OFFICE OF THE GENERAL COUNSEL. THE ORGANIZATION'S FINANCIAL STATEMENTS AND FORM 990 ARE MADE AVAILABLE TO THE PUBLIC ON THE WEBSITE OF THE PUBLIC CHARITIES DIVISION OF MASSACHUSETTS ATTORNEY GENERAL. FORM 990, PART XI, LINE 9: DISCHARGE OF DEBT FROM RELATED ORGANIZATIONS 12,361,966. 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