STRATEGY STUDIO / PUBLIC DATA EXPLORER

MELROSEWAKEFIELD HEALTHCARE INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MELROSEWAKEFIELD HEALTHCARE INC (EIN 04-2767880)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-08-17
IRS object ID
202002309349302630
Schema version
2018v3.2
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)
Return2020-08-17T13:32:32-05:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

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 Begin2018-10-01TaxPeriodBeginDt

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
Phone7813387424PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUSAN M SANDBERGPersonNm
Person TitleCEOPersonTitleTxt
Phone7813387424PhoneNum
Signature2020-08-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCRAIG KLEINPreparerPersonNm
PTINP00734640PTIN
Phone6177610600PhoneNum
Preparation2020-08-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address207.172.72.163IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-08-12IPDt
IP Tm12:39:15IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdAAFE5242E44AA74A98A743050A15125E154A43A4AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-22 18:59:49ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSUSAN M SANDBERGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1170 GOVERNORS AVENUEAddressLine1Txt
CityMEDFORDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02155ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$298,786,082GrossReceiptsAmt
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 Body17VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee2464TotalEmployeeCnt
Total Volunteers175TotalVolunteersCnt
Total Gross UBI$912,836TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,536,561PYContributionsGrantsAmt
CY Contributions Grants$2,741,524CYContributionsGrantsAmt
PY Program Service Revenue$240,588,376PYProgramServiceRevenueAmt
CY Program Service Revenue$236,892,277CYProgramServiceRevenueAmt
PY Investment Income$9,364,352PYInvestmentIncomeAmt
CY Investment Income$7,838,495CYInvestmentIncomeAmt
PY Other Revenue$2,013,166PYOtherRevenueAmt
CY Other Revenue$1,985,755CYOtherRevenueAmt
PY Total Revenue$255,502,455PYTotalRevenueAmt
CY Total Revenue$249,458,051CYTotalRevenueAmt
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$132,420,973PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$124,451,785CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$101,116,564PYOtherExpensesAmt
CY Other Expenses$102,908,810CYOtherExpensesAmt
PY Total Expenses$233,537,537PYTotalExpensesAmt
CY Total Expenses$227,360,595CYTotalExpensesAmt
PY Revenues Less Expenses$21,964,918PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$22,097,456CYRevenuesLessExpensesAmt
Total Assets BOY$294,461,064TotalAssetsBOYAmt
Total Assets EOY$364,382,440TotalAssetsEOYAmt
Total Liabilities BOY$144,109,400TotalLiabilitiesBOYAmt
Total Liabilities EOY$186,071,835TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$150,351,664NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$178,310,605NetAssetsOrFundBalancesEOYAmt
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$180,721,427ExpenseAmt
Revenue$235,979,441RevenueAmt
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$180,721,427TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document380IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2464EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 Members17GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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)
PersonMICHAEL P CONNELLY CFOPersonNm
Phone7813387424PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1170 GOVERNORS AVEAddressLine1Txt
CityMEDFORDCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02155ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 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
MEHREEN BUTT
DIRECTOR3.003.00Yes (X)$0$0$0
PATRICIA CAMPBELL
DIRECTOR3.003.00Yes (X)$0$0$0
LAURENCE CONWAY MD
DIRECTOR40.003.00Yes (X)$203,154$0$2,032
ANDREW FREED
DIRECTOR3.003.00Yes (X)$0$0$0
EDA U GEORGE RN P HD
DIRECTOR3.003.00Yes (X)$0$0$0
TARA GIBSON
DIRECTOR3.003.00Yes (X)$0$0$0
THOMAS GRAF
DIRECTOR3.003.00Yes (X)$0$0$0
WILLIAM B LAWRENCE III
DIRECTOR3.003.00Yes (X)$0$0$0
JOSEPH PENNACCHIO MD
DIRECTOR3.0040.00Yes (X)$0$408,035$25,488
ROBERT WEINSTEIN MD
DIRECTOR3.003.00Yes (X)$34,624$0$0
SUSAN M SANDBERG
PRESIDENT & CEO/DIRECTOR3.0040.00Yes (X)$0$242,077$6,277Yes (X)
JOHN KEENAN
FIRST VICE CHAIRMAN/DIRECTOR3.003.00Yes (X)$0$0$0Yes (X)
ROBERT L SWANSON JR
2ND VICE CHAIRMAN/DIRECTOR3.003.00Yes (X)$0$0$0Yes (X)
PAUL BARDARO
TREASURER/DIRECTOR3.003.00Yes (X)$0$0$0Yes (X)
K ERICK HENRIKSON MD
CLERK/DIRECTOR3.003.00Yes (X)$0$0$0Yes (X)
JAMES HERRINGTON
CHAIRMAN/DIRECTOR3.003.00Yes (X)$0$0$0Yes (X)
SUSAN GLASSER
DIRECTOR3.003.00Yes (X)$0$0$0Yes (X)
MICHAEL P CONNELLY
CFO/ASSISTANT TREASURER3.0040.00$0$485,884$9,640Yes (X)
CHARLES R WHIPPLE ESQ
ASSISTANT SECRETARY/GENERAL COUNSEL3.0040.00$0$415,254$32,148Yes (X)
LISA RUSSELL
ASSISTANT CLERK40.003.00$65,543$0$12,218Yes (X)
CARYL A BEISON
PHYSICIAN DIRECTOR3.0040.00$0$291,211$8,450Yes (X)
NANCY BITTNER
VP, EDUCATION3.0040.00$0$188,930$21,734Yes (X)
WILLIAM DOHERTY
EXECUTIVE VICE PRES. & COO3.0040.00$0$1,037,975$6,147Yes (X)
CAROL A DRESSER
VP, INFO. SERVICES & CIO3.0040.00$0$181,915$13,419Yes (X)
PAMELA DUCHENE
VP, NURSING & CNO3.0040.00$0$197,308$0Yes (X)
RYAN FULLER
DIRECTOR OF PLANNING3.0040.00$0$254,231$351Yes (X)
DAVID RYAN
SYSTEM VP, HUMAN RESOURCES3.0040.00$0$325,211$31,110Yes (X)
STEVE SBARDELLA
VP, MEDICAL AFFAIRS & CMO3.0040.00$0$510,733$439Yes (X)
THERESA SIEVERS
VP, QUALITY ASSURANCE3.0040.00$0$278,859$1,527Yes (X)
CHERYL WARREN
INTERGRATION ADMIN.3.0040.00$0$208,174$2,450Yes (X)
MICHELLE CORRADO
VP, CLINICAL ADMIN.3.0040.00$0$212,290$893Yes (X)
DAVID HARNETT
SR. DIR. OF BEHAVIORAL HEALTH40.000.00$252,928$0$21,175Yes (X)
ALEXIS FREEDBERG
PSYCH M.D.40.000.00$291,267$0$6,675Yes (X)
JOHN G GIRAGOS MD
PSYCH M.D.40.000.00$364,655$0$38,490Yes (X)
JAMES LECH
PSYCH M.D.40.000.00$295,679$0$3,159Yes (X)
TERRY SMITH
PSYCH M.D.40.000.00$279,802$0$0Yes (X)
ALAN G MACDONALD
FOMER PRESIDENT/CEO/DIRECTOR0.000.00$0$197,900$230Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,787,652TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,435,987TotReportableCompRltdOrgAmt
Total Other Compensation$244,052TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K229IndivRcvdGreaterThan100KCnt
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
HOSPITAL MEDICINE ASSOCIATES
PO BOX 634850CINCINATTIOH45263PHYSICIAN SERVICES$3,486,907
COLUMBIA CONSTRUCTION CO
PO BOX 220NORTH READINGMA01864CONSTRUCTION$3,142,094
SODEXHO INC & AFFILIATES
PO BOX 360170PITTSBURGHPA152516170MANAGEMENT/ CONSULTING$1,974,921
ALLIED BARTON SERVICES
PO BOX 828854PHILADELPHIAPA191828854SECURITY$1,424,953
SODEXHO CTM INC
PO BOX 415000NASHVILLETN37241BIOMEDICAL EQUP$1,114,742
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K53CntrctRcvdGreaterThan100KCnt
Fundraising$197,072FundraisingAmt
Government Grants$1,429,797GovernmentGrantsAmt
All Other Contributions$1,114,655AllOtherContributionsAmt
Total Contributions$2,741,524TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICAL SERVICES622110$235,833,846$235,833,846
MEDICAL STAFF & SUPPORT SERVICES541900$912,836$912,836
MONTVALE PET/CT K1621512$145,595$145,595
FieldValueIRS element (for citing)
Total Program Service Revenue$236,892,277TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,823,362TotalRevenueColumnAmt
Exclusion$7,823,362ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,013,473RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,013,473RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,013,473TotalRevenueColumnAmt
Exclusion$2,013,473ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$49,252,545SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$49,237,412SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$15,133SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,133TotalRevenueColumnAmt
Exclusion$15,133ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$62,901FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$197,072ContriRptFundraisingEventAmt
Fundraising Direct Expenses$90,619FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$27,718TotalRevenueColumnAmt
Exclusion-$27,718ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$249,458,051TotalRevenueColumnAmt
Related Or Exempt Func Income$235,979,441RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$912,836UnrelatedBusinessRevenueAmt
Exclusion$9,824,250ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$102,835,222TotalAmt
Program Services$84,895,405ProgramServicesAmt
Management And General$17,939,817ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,948,607TotalAmt
Program Services$1,513,093ProgramServicesAmt
Management And General$435,514ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,773,728TotalAmt
Program Services$10,638,415ProgramServicesAmt
Management And General$1,135,313ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,894,228TotalAmt
Program Services$6,129,868ProgramServicesAmt
Management And General$1,764,360ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$10,026,184TotalAmt
Program Services$6,166,638ProgramServicesAmt
Management And General$3,859,546ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$502,851TotalAmt
Management And General$502,851ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$331,951TotalAmt
Management And General$331,951ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$20,641,642TotalAmt
Program Services$17,723,299ProgramServicesAmt
Management And General$2,918,343ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,095,471TotalAmt
Program Services$95,980ProgramServicesAmt
Management And General$999,491ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$34,702,081TotalAmt
Program Services$30,515,992ProgramServicesAmt
Management And General$4,186,089ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,022,596TotalAmt
Management And General$4,022,596ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,103,805TotalAmt
Program Services$6,971,289ProgramServicesAmt
Management And General$2,132,516ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$100,834TotalAmt
Program Services$22,433ProgramServicesAmt
Management And General$78,401ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$122,771TotalAmt
Program Services$74,139ProgramServicesAmt
Management And General$48,632ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,022,225TotalAmt
Program Services$3,016,668ProgramServicesAmt
Management And General$1,005,557ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,628,530TotalAmt
Program Services$10,721,398ProgramServicesAmt
Management And General$3,907,132ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$566,250TotalAmt
Management And General$566,250ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DUES$1,001,777$743,370$258,407
MINOR EQUIPMENT$371,638$340,912$30,726
BOND & BANK FINANCE CHG$289,266$289,266
LICENSES$265,024$178,678$86,346

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,113,914TotalAmt
Program Services$684,584ProgramServicesAmt
Management And General$429,330ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$227,360,595TotalAmt
Program Services$180,721,427ProgramServicesAmt
Management And General$46,639,168ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$494,263BOYAmt
EOY$2,183,663EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,679,209BOYAmt
EOY$7,412,534EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,280,185BOYAmt
EOY$28,212,283EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$6,797,284BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,260,900BOYAmt
EOY$1,967,952EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,037,941BOYAmt
EOY$2,385,275EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$430,080,270LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$356,080,879LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$71,868,697BOYAmt
EOY$73,999,391EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$148,218,829BOYAmt
EOY$212,623,889EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$10,881,680BOYAmt
EOY$10,884,994EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,921,511BOYAmt
EOY$3,054,688EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,020,565BOYAmt
EOY$21,657,771EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$294,461,064BOYAmt
EOY$364,382,440EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$33,854,289BOYAmt
EOY$31,041,298EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$88,380,747BOYAmt
EOY$132,450,235EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,874,364BOYAmt
EOY$22,580,302EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$144,109,400BOYAmt
EOY$186,071,835EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$128,452,302BOYAmt
EOY$155,518,344EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,114,124BOYAmt
EOY$6,992,732EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,785,238BOYAmt
EOY$15,799,529EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$150,351,664BOYAmt
EOY$178,310,605EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$294,461,064BOYAmt
EOY$364,382,440EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$22,097,456ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,772,169NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$8,633,654OtherChangesInNetAssetsAmt
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$21,899,362BeginningYearBalanceAmt
Contributions$1,167,316ContributionsAmt
Investment Earnings Or Losses$499,237InvestmentEarningsOrLossesAmt
Other Expenditures$773,654OtherExpendituresAmt
End Year Balance$22,792,261EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,977,835BeginningYearBalanceAmt
Contributions$2,117,238ContributionsAmt
Investment Earnings Or Losses$1,625,664InvestmentEarningsOrLossesAmt
Other Expenditures$848,690OtherExpendituresAmt
End Year Balance$20,872,047EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,182,983BeginningYearBalanceAmt
Contributions$708,411ContributionsAmt
Investment Earnings Or Losses$1,170,049InvestmentEarningsOrLossesAmt
Other Expenditures$1,083,608OtherExpendituresAmt
End Year Balance$17,977,835EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,180,436BeginningYearBalanceAmt
Contributions$486,338ContributionsAmt
Investment Earnings Or Losses-$625,822InvestmentEarningsOrLossesAmt
Other Expenditures$857,969OtherExpendituresAmt
End Year Balance$17,182,983EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.69320PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.30680TermEndowmentBalanceEOYPct
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$175,430,715OtherCostOrOtherBasisAmt
Depreciation$156,273,277DepreciationAmt
Book Value$19,157,438BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,206,678OtherCostOrOtherBasisAmt
Depreciation$9,695,986DepreciationAmt
Book Value$510,692BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$226,778,598OtherCostOrOtherBasisAmt
Depreciation$189,873,653DepreciationAmt
Book Value$36,904,945BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,793,160OtherCostOrOtherBasisAmt
Depreciation$237,963DepreciationAmt
Book Value$13,555,197BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$73,999,391TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$11,251,613
OTHER ASSETS$9,829,354
FEDERAL STUDENT LOANS$576,804
FieldValueIRS element (for citing)
Total Book Value Other Assets$21,657,771TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
PENSION LIABILITY$9,753,380
ESTIMATED SETTLEMENTS 3RD PARTY PAYABLE$1,098,073
DUE TO AFFILIATES$5,645,403
ASSET RETIREMENT OBLIGATIONS$1,120,894
NURSING SCHOOL LONG TERM LIABILITIES$576,804
SELF-INSURANCE RESERVES$4,149,543
DEFERRED RENT$107,052
CAPITAL LEASE$129,153
FieldValueIRS element (for citing)
Total Liability$22,580,302TotalLiabilityAmt

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)
Event1MWHC GOLFEvent1Nm
Gross Receipts Event1$103,820GrossReceiptsEvent1Amt
Charitable Contri Event1$71,050CharitableContriEvent1Amt
Gross Revenue Event1$32,770GrossRevenueEvent1Amt
Non Cash Prizes Event1$9,087NonCashPrizesEvent1Amt
Rent Facility Costs Event1$18,454RentFacilityCostsEvent1Amt
Food And Beverage Event1$11,094FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$1,116OtherDirectExpensesEvent1Amt
Event2MWHC SPRING GALAEvent2Nm
Gross Receipts Event2$61,778GrossReceiptsEvent2Amt
Charitable Contri Event2$59,297CharitableContriEvent2Amt
Gross Revenue Event2$2,481GrossRevenueEvent2Amt
Rent Facility Costs Event2$4,610RentFacilityCostsEvent2Amt
Food And Beverage Event2$2,605FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$2,084OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$94,375GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$66,725CharitableContriOtherEventsAmt
Gross Revenue Other Events$27,650GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$2,460NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$15,968RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$20,196FoodAndBeverageOtherEventsAmt
Entertainment Other Events$250EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$2,695OthDirectExpnssOtherEventsAmt
Gross Receipts Total$259,973GrossReceiptsTotalAmt
Charitable Contributions Tot$197,072CharitableContributionsTotAmt
Gross Revenue Total Events$62,901GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$11,547NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$39,032RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$33,895FoodAndBeverageTotalEventsAmt
Entertainment Total Events$250EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$5,895OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$90,619DirectExpenseSummaryEventsAmt
Net Income Summary-$27,718NetIncomeSummaryAmt

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$2,060,788TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,464,375DirectOffsettingRevenueAmt
Net Community Benefit Expns$596,413NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,997,617TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,538,854DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,458,763NetCommunityBenefitExpnsAmt
Total Expense0.01080TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,058,405TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,003,229DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,055,176NetCommunityBenefitExpnsAmt
Total Expense0.01340TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs43ActivitiesOrProgramsCnt
Persons Served363564PersonsServedCnt
Total Community Benefit Expns$3,732,580TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,454,204DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,278,376NetCommunityBenefitExpnsAmt
Total Expense0.01000TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served1582PersonsServedCnt
Total Community Benefit Expns$12,761,601TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,985,334DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,776,267NetCommunityBenefitExpnsAmt
Total Expense0.01220TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served105PersonsServedCnt
Total Community Benefit Expns$573,142TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$517,440DirectOffsettingRevenueAmt
Net Community Benefit Expns$55,702NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served4077PersonsServedCnt
Total Community Benefit Expns$164,560TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$164,560NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served4760PersonsServedCnt
Total Community Benefit Expns$163,312TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,899DirectOffsettingRevenueAmt
Net Community Benefit Expns$157,413NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs62ActivitiesOrProgramsCnt
Persons Served374088PersonsServedCnt
Total Community Benefit Expns$17,395,195TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,962,877DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,432,318NetCommunityBenefitExpnsAmt
Total Expense0.02380TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs62ActivitiesOrProgramsCnt
Persons Served374088PersonsServedCnt
Total Community Benefit Expns$48,453,600TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$39,966,106DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,487,494NetCommunityBenefitExpnsAmt
Total Expense0.03720TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served3402PersonsServedCnt
Total Community Benefit Expns$12,650TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,650NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served24PersonsServedCnt
Total Community Benefit Expns$892TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$892NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served120PersonsServedCnt
Total Community Benefit Expns$3,435TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,435NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served1300PersonsServedCnt
Total Community Benefit Expns$2,263TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,263NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served4846PersonsServedCnt
Total Community Benefit Expns$19,240TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19,240NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$3,062,402BadDebtExpenseAmt
Reimbursed By Medicare$74,355,414ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$74,588,070CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$232,656MedicareSurplusOrShortfallAmt

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 Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
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 Adpt18ImplementationStrategyAdptYr
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 (8 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 KEY STAKEHOLDER INTERVIEWS, STAKEHOLDER SURVEYS, CONVENING A BREAKFAST MEETING WITH LOCAL BOARD OF HEALTH DIRECTORS AND LEADERS, AND THROUGH ON-LINE AND PAPER SURVEYS TRANSLATED INTO THE MOST COMMON LANGUAGES SPOKEN IN THE SERVICE AREA. IN ADDITION, LOCAL COMMUNITY COALITIONS, THE MWHC PATIENT FAMILY ADVISORY COUNCIL, AND COMMUNITY TEAMS 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 44 OF THE 2019 MWHC COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE SECONDARY CHNA WORK INCLUDED COMMUNITY FOCUS GROUPS AND LISTENING SESSIONS.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:MELROSEWAKEFIELD HEALTHCARE ALSO CONDUCTED A SECONDARY CHNA FOR EVERETT AND MALDEN (THE TWO LARGEST AND MOST DIVERSE CITIES IN OUR OVERLAPPING SERVICE AREA) IN CONJUNCTION WITH CAMBRIDGE HEALTH ALLIANCE AND MASSACHUSETTS GENERAL HOSPITAL. A SEPARATE REPORT WAS COMPLETED FOR THIS DEEPER REVIEW OF SOCIAL DETERMINANTS' IMPACT ON HEALTH. THIS REPORT IS ALSO POSTED/REFERENCED ON THE HEALTH SYSTEM'S WEBSITE AND THE WEBSITES FOR THE OTHER SYSTEMS: HTTPS://WWW.MASSGENERAL.ORG/COMMUNITY-HEALTH/CCHI/ASSESSMENTS/ AND HTTPS://WWW.CHALLIANCE.ORG/UPLOADS/PUBLIC/DOCUMENTS/COMMUNITY/EVERETT-MALDEN-CHNA-REPORT-FINAL.PDF.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6B:MELROSEWAKEFIELD HEALTHCARE HIRED THE INSTITUTE FOR COMMUNITY HEALTH TO ASSIST US IN DEVELOPING BOTH CHNA REPORTS.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:IN 2020, THE RESOURCES AVAILABLE FOR COMMUNITY PROGRAMMING ARE LIMITED; HOWEVER, MWHC WILL MAKE EVERY EFFORT TO USE THE FUNDS AVAILABLE TO CONTINUE TO SUPPORT UPSTREAM HEALTH IMPACTS AND 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 2019 CHNA, THE CHIP WILL BE LIMITED IN THE 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. SOME EXAMPLES ARE HOUSING AND HOMELESSNESS; WHILE MWHC DOES NOT OFFER HOUSING SERVICES, IT IS AN ACTIVE MEMBER OF THE LOCAL HUNGER, HOMELESSNESS, AND HOUSING TASK FORCE, SCREENS FOR HOUSING INSECURITY IN PRIMARY CARE, PROVIDES HOUSING RESOURCES THROUGH COMMUNITY HEALTH WORKERS, AND INCLUDES AGENCIES SUCH AS HOUSING FAMILIES AND THE LOCAL CAP AGENCY ON OUR COMMUNITY BENEFITS ADVISORY COUNCIL. 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.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 20A:MWHC 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 (17 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 PREPARED FY 2019 COMMUNITY BENEFITS REPORT TO THE COMMONWEALTH OF MASSACHUSETTS, IN COMPLIANCE WITH THE REQUIREMENTS OF THE MA ATTORNEY GENERAL (THE "MA AGO") FOR REPORTING COMMUNITY BENEFITS. THE COMMUNITY BENEFITS PROCESS AND ACTIVITIES, IS ALSO AVAILABLE ONLINE, WITH THE CHNA AND THE 2017-2019 AND 2020-2022 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 AND TWITTER MESSAGING, 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.OMISSIONS, ERRORS AND FAILURES. IN JANUARY 2019 A REVIEW OF THE ORGANIZATION'S 501(R) COMPLIANCE OCCURRED. THAT REVIEW IDENTIFIED THE FOLLOWING FOR THE FAP: 1) THE AMOUNTS TO WHICH ANY DISCOUNT PERCENTAGES UNDER THE FAP WILL BE APPLIED NEEDED TO BE SPECIFIED; 2) A DESCRIPTION OF THE OFFICE, DEPARTMENT, COMMITTEE OR OTHER BODY WITH FINAL AUTHORITY OR RESPONSIBILITY FOR DETERMINING THAT THE HOSPITAL HAS MADE REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL IS FAP-ELIGIBLE NEEDED TO BE INCLUDED; 3) THE LIST OF PROVIDERS DELIVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IN THE HOSPITAL WHO ARE COVERED BY THE FAP AND THE LIST OF PROVIDERS WHO ARE NOT WAS NOT UPDATED IN THE LAST 90 DAYS. 4) COPIES OF THE FAP APPLICATION FORM NEEDED TO BE DISTRIBUTED TO ALL REFERRING STAFF PHYSICIANS.IN RESPONSE TO THE OMISSIONS, ERRORS, AND FAILURES WITH THE FAP CORRECTIONS WERE MADE IMMEDIATELY TO ADDRESS THE ISSUES IDENTIFIED. LANGUAGE WAS ADDED TO THE FAP TO 1) DESCRIBE THE AMOUNTS TO WHICH ANY DISCOUNT PERCENTAGE WOULD BE APPLIED AND 2) DESCRIBE THE DEPARTMENT WITH RESPONSIBILITY FOR DETERMINING THAT THE HOSPITAL HAS MADE REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL IS FAP-ELIGIBLE. 3) THE LIST OF PROVIDERS DELIVERING EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IN THE HOSPITAL WHO ARE COVERED BY THE FAP AND THE LIST OF PROVIDERS WERE REVIEWED AND UPDATED. A PROCESS TO REVIEW AND UPDATE BOTH LISTS EVERY 90 DAYS WAS ALSO PUT IN PLACE. 4) THE PLAIN LANGUAGE SUMMARY WAS DISTRIBUTED TO REFERRING STAFF PHYSICIANS AND A PROCESS IS IN PLACE TO DISTRIBUTE ANNUALLY. IT WAS DETERMINED THAT NO INDIVIDUALS WERE HARMED BY THESE OMISSIONS, ERRORS, AND FAILURES. PATIENTS WHO WERE FAP-ELIGIBLE RECEIVED ALL APPROPRIATE DISCOUNTS AND THE PARTICIPATING AND NON PARTICIPATING PROVIDER LISTS HAD DEPARTMENTS THAT HAD CLOSED OR PROVIDERS THAT HAD LEFT THE ORGANIZATION SO PATIENTS WOULD NOT HAVE RECEIVED CARE IN THOSE AREAS.THE REVIEW ALSO IDENTIFIED THE FOLLOWING FOR THE PLAIN LANGUAGE SUMMARY: LANGUAGE NEEDED TO BE REVISED TO LIST A PHYSICAL LOCATION WHERE AN INDIVIDUAL CAN OBTAIN COPIES OF THE FAP AND HOW TO OBTAIN A FREE COPY OF THE FAP AND APPLICATION FORM BY MAIL.IN RESPONSE TO THE OMISSIONS, ERRORS, AND FAILURES, THE PLAIN LANGUAGE SUMMARY CORRECTIONS WERE MADE IMMEDIATELY TO ADDRESS THE ISSUES IDENTIFIED. LANGUAGE WAS ADDED TO CLARIFY THAT THE LOCATIONS AND PHONE NUMBERS OF THE FINANCIAL COUNSELORS ALREADY LISTED ARE WHERE SOMEONE WOULD OBTAIN FREE COPIES EITHER IN PERSON OR BY MAIL. THE PLAIN LANGUAGE SUMMARY DID NOT SPECIFICALLY STATE FREE, HOWEVER THE ORGANIZATION HAS NEVER CHARGED AN INDIVIDUAL FOR COPIES OF THE FAP DOCUMENTS. IT WAS DETERMINED THAT NO INDIVIDUALS WERE HARMED BY THESE OMISSIONS, ERRORS, AND FAILURES.THE REVIEW ALSO IDENTIFIED THAT THE CREDIT AND COLLECTION POLICY HAD NOT BEEN ADOPTED UNTIL JULY 27, 2017 BY THE AUTHORIZED BOARD. THE CREDIT AND COLLECTION POLICY IS APPROVED BY THE COMMONWEALTH OF MASSACHUSETTS AND HAD BEEN PREVIOUSLY ADOPTED BY THE BOARD OF TRUSTEES IN 2004. IT WAS DETERMINED THAT NO INDIVIDUALS WERE AFFECTED BY THIS ERROR.
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; THE MALDEN'S PROMISE COALITION; 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 MASSACHUSETTS OPIOID ABUSE PREVENTION COLLABORATE (MOAPC) AND SUBSTANCE ABUSE PREVENTION COLLABORATIVE (SAPC), BOTH PROGRAMS OF THE 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; THE TRI-CITY HUNGER NETWORK AND A HOST OF OTHER COMMUNITY-BASED AND GUIDED COALITIONS AND INITIATIVES. A SPECIFIC EXAMPLE OF THIS COMMUNITY BUILDING INCLUDES 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 A NUMBER OF COMMUNITY OUTREACH TEAMS TO ASSIST WITH THE COLLECTION OF COMMUNITY HEALTH NEEDS INFORMATION TO OPTIMIZE THE BENEFITS OF COMMUNITY HEALTH EDUCATION AND SCREENINGS. THE TEAMS HAVE SPONSORED AND PARTICIPATED IN EVENTS RANGING FROM INFORMAL (PLANNING HEALTH EVENTS AND SCREENINGS) TO MORE FORMAL (PARTICIPATION ON HEALTHY MELROSE, STONEHAM SUMMER SAFETY DAY, AND THE MOBILE FOOD MARKET IN MALDEN), OFFERING MULTIPLE OPPORTUNITIES TO INTERACT WITH A WIDE RANGE OF COMMUNITY MEMBERS TO FORM TRUSTING RELATIONSHIPS, LISTEN TO THE VOICES OF INDIVIDUAL COMMUNITY MEMBERS, AND FOSTER THE DEVELOPMENT OF RESILIENCE WITHIN EACH COMMUNITY. AS MWHC BEGINS THE LAST YEAR OF ITS IMPLEMENTATION PLAN FOR 2017-2019, IT CONTINUES TO UTILIZE THE COLLECTIVE KNOWLEDGE OF THE TEAM CAPTAINS. THE TEAM'S ORGANIZING CHARTER GUIDES THE MEMBERSHIP TOWARD SALIENT ACTIVITIES. RELEVANT HEALTH DATA AND THE IDENTIFIED TARGET POPULATION LISTS ARE PROVIDED TO EACH TEAM CAPTAIN TO ASSIST THEM IN PLANNING PROGRAMS IN THEIR COMMUNITIES. CURRENTLY, THERE ARE SIX (6) COMMUNITY OUTREACH TEAMS NAMED FOR MALDEN/EVERETT, MEDFORD, MELROSE, WAKEFIELD, READING/NORTH READING AND STONEHAM. SAUGUS DID NOT HAVE A TEAM IN 2018, BUT WAS SERVED BY THE MWHC COMMUNITY SERVICES DEPARTMENT. THE TEAMS CONTINUOUSLY SOLICIT INPUT FROM COMMUNITY LEADERS INCLUDING SUPERINTENDENTS OF SCHOOLS, STATE REPRESENTATIVES, BUSINESS LEADERS, FIRE AND POLICE OFFICIALS AND LOCAL HEALTH DEPARTMENTS. MANY EMPLOYEES SERVING ON TEAMS ALSO PARTICIPATE IN OTHER COMMUNITY GROUPS AND CIVIC ORGANIZATIONS. MORE THAN 40 EMPLOYEES, VOLUNTEERS, AND PHYSICIANS WERE INVOLVED IN TEAM-SPONSORED EVENTS IN FISCAL YEAR 2019/TAX YEAR 2018 (FY 2019/TY 2018).THE COMMUNITY TEAM EFFORTS HAVE BEEN ACKNOWLEDGED BY FOUR AREA CHAMBERS OF COMMERCE, OTHER CIVIC ORGANIZATIONS, THE AMERICAN HOSPITAL ASSOCIATION, AND THE MASSACHUSETTS HOSPITAL ASSOCIATION.
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 WELLFORCE, INC. AND CONSOLIDATED AFFILIATES (THE SYSTEM) AUDITED FINANCIAL STATEMENTS, OF WHICH MELROSEWAKEFIELD HEALTHCARE, INC. IS INCLUDED, RELATING TO CHARITY CARE AND BAD DEBT EXPENSE:2019 CHARITY CARE AND COMMUNITY BENEFIT 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 $42,553K AND $16,904K, FOR THE YEAR ENDED SEPTEMBER 30, 2019 AND $33,556K AND $12,228K FOR THE YEAR ENDED SEPTEMBER 30, 2018, 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, 2019 AND 2018.PROVISION FOR UNCOLLECTIBLE ACCOUNTSACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE SYSTEM ANALYZES CONTRACTUALLY DUE AMOUNTS AND HISTORIC PAYMENT TRENDS AND RECORDS ESTIMATED CONTRACTUAL ALLOWANCES. THE SYSTEM RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILLS FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.MWHC'S ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR ALL PATIENTS WAS 25% OF ACCOUNTS RECEIVABLE AS OF SEPTEMBER 30, 2019 AND 30% OF ACCOUNTS RECEIVABLE AS OF SEPTEMBER 30, 2018. IN ADDITION, THE SYSTEM'S WRITE-OFFS, NET OF RECOVERIES, WERE $8,904K AND $7,199K, RESPECTIVELY, FOR THE YEARS ENDED SEPTEMBER 30, 2019 AND 2018. THE CHANGES WERE A RESULT OF MANAGEMENT'S REVIEW OF HISTORICAL TRENDS IN UNCOLLECTIBLE ACCOUNTS AND DETERMINATION OF RESERVES, INCLUDING THE IMPACT OF THE PROVISIONS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT.THE SYSTEM HAS NOT CHANGED ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING 2019. 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 AND TO IMPROVE THE HEALTH EQUITY OF ITS SERVICE AREA.TOTAL MELROSEWAKEFIELD HEALTHCARE, INC. UNCOMPENSATED CARE FOR THE YEARS ENDED SEPTEMBER 30, 2019 AND 2018, WAS AS FOLLOWS: PROVISION FOR CHARITY CARE (AT COST)$536,000 (2019) ; $262,000 (2018)PROVISIONS FOR BAD DEBTS (AT COST)$4,238,000 (2019) ; $3,948,000 (2018)HSN (ASSESSMENTS NET OF REIMBURSEMENT)$546,000 (2019) ; $1,365,000 (2018)TOTAL UNCOMPENSATED CARE$5,320,000 (2019) ; $5,575,000 (2018)
PART III, LINE 8:THE MEDICARE ALLOWABLE COSTS ON LINE 6 WAS DETERMINED BY USING INFORMATION FROM THE MEDICARE COST REPORT. IT IS MELROSEWAKEFIELD HEALTHCARE, INC.'S POLICY TO EXCLUDE ANY MEDICARE SHORTFALL FROM THE COMMUNITY BENEFIT INFORMATION.
PART III, LINE 9B:POLICY - IT IS MELROSEWAKEFIELD HEALTHCARE, INC.'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 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 YOUNG CHILDREN, OUTREACH FOR THE ELDERLY, AND CARE FOR PERSONS 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.-OFFERING SPACE AND OTHER IN-KIND SERVICES TO AGENCIES SUCH AS ALCOHOLICS ANONYMOUS, PORTAL TO HOPE, AND MANY OTHERS WHOSE PROGRAMS ALIGN WITH THE HEALTH SYSTEM'S HEALTH PRIORITIES.IN COMPLIANCE WITH IRS GUIDELINES, A YEAR-LONG PROCESS TO DEVELOP A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED BY MELROSEWAKEFIELD HEALTHCARE (FORMERLY HALLMARK HEALTH SYSTEM, INC.) IN AUGUST 2019, 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, COMMUNITY OUTREACH TEAMS, PATIENT/FAMILY ADVISORY COUNCIL, LOCAL COMMUNITY COALITIONS, AND COMMUNITY RESIDENTS. STAKEHOLDER INTERVIEWS AND SURVEYS, COMMUNITY SURVEYS AND COMMUNITY FORUMS WERE ALSO COMPLETED. SOME OF THE COMMUNITY FORUMS WERE HELD IN COLLABORATION WITH OTHER HEALTH SYSTEMS SERVING THE AREA SUCH AS BETH ISRAEL/LAHEY HEALTH, CAMBRIDGE HEALTH ALLIANCE, THE LOCAL SAFETY NET HEALTH SYSTEM, AND MASSACHUSETTS GENERAL HOSPITAL. IN ADDITION, CAMBRIDGE HEALTH ALLIANCE, MASSACHUSETTS GENERAL HOSPITAL, AND MELROSEWAKEFIELD HEALTHCARE COMPLETED AN ADDITIONAL CHNA FOCUSED ON DETERMINING THE SOCIAL DETERMINANT NEEDS IN EVERETT AND MALDEN. ALL SYSTEMS SERVE THESE CITIES WHICH HAS SOME OF THE LARGEST AND MOST DIVERSE COMMUNITIES IN OUR SERVICE AREA.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 2017-2019 IS ALSO POSTED ON MWHC'S WEBSITE. THIS CHIP WAS BOARD APPROVED TO COVER THROUGH 2/15/2020 WHEN THE NEW PLAN WAS COMPLETED, BOARD APPROVED AND PLACED ON THE SYSTEM'S WEBSITE AT HTTPS://WWW.MELROSEWAKEFIELD.ORG/IN-THE-COMMUNITY/COMMUNITY-BENEFITS/COMMUNITY-BENEFITS-PROGRAMS/FROM THE FIRST QUARTER OF FISCAL 2018 AND CONTINUING INTO THE FIRST QUARTER OF FISCAL 2019, IT BECAME APPARENT THAT DUE TO SIGNIFICANT FINANCIAL CHALLENGES FACING THE ORGANIZATION, THE COMMUNITY BENEFITS EXPECTED TO BE DELIVERED TO THE COMMUNITY WOULD NEED TO BE FURTHER REDUCED. IN FISCAL 2019 THE CHIP WAS AMENDED TO REFLECT THESE CHANGES. THE CHANGES ARE POSTED ON THE HEALTH SYSTEMS' WEBSITE.ONGOING MONITORING OF THE CHNA AND ITS IDENTIFIED HEALTH PRIORITIES IS THE RESPONSIBILITY OF THE COMMUNITY BENEFITS ADVISORY COUNCIL (CBAC). AS OF THE END OF FY 2019/TY 2018, THE MWHC COUNCIL INCLUDED: A RECENTLY RETIRED TRUSTEE OF MELROSEWAKEFIELD HEALTHCARE; SYSTEM VICE PRESIDENT OF HOME CARE & COMMUNITY PROGRAMS; EXECUTIVE VICE PRESIDENT & CHIEF LEGAL OFFICER; CHIEF MARKETING OFFICER; TWO MWHC EMPLOYED PHYSICIANS; FISCAL CONTROLLER; DIRECTOR, COMMUNITY SERVICES; MANAGER, CASE MANAGEMENT; MANAGER, CENTRAL SCHEDULING, INSURANCE COORDINATION, AND INTERPRETER SERVICES; MANAGER, COMMUNITY BENEFITS AND OPERATIONS; THE CHIEF COMPLIANCE OFFICER OF MWHC; AND 12 COMMUNITY REPRESENTATIVES.THE CBAC PROVIDES OVERSIGHT FOR THE CHNA, AND THE PROCESS 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 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. IN FY 2019, THE MELROSEWAKEFIELD COMMUNITY BENEFITS ADVISORY COUNCIL ADDED FOUR NEW MEMBERS TO MEET CURRENT ENGAGEMENT STANDARDS SET BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH AND ATTORNEY GENERAL'S OFFICE, AND TO REPLACE MEMBERS THAT LEFT THE COUNCIL. THE COUNCIL IS CURRENTLY COMPRISED OF 27 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 TEAMS, SOLICITING INPUT FROM KEY COMMUNITY LEADERS, INCLUDING SUPERINTENDENTS OF SCHOOLS, STATE REPRESENTATIVES, BUSINESS LEADERS, FIRE AND POLICE PERSONNEL AND LOCAL HEALTH DEPARTMENTS. ADDITIONAL APPROACHES INCLUDE WORK AS MEMBERS OF COMMUNITY COALITIONS AND WITH THE COMMUNITY HEALTH NETWORK AREAS (CHNA 15 AND 16) DESIGNATED BY THE MA DEPARTMENT OF PUBLIC HEALTH. THESE 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 VERY ACTIVE, THE MEMBERS OF THE CHNA ARE STILL CLOSELY ALIGNED WITH MWHC.(COMMUNITY TEAMS FUNCTIONS ARE FURTHER EXPLAINED IN THE DESCRIPTION OF COMMUNITY ACTIVITIES IN PART II.)ANOTHER 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 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 TRI-CITY HOUSING AND HOMELESSNESS COALITION, THE CHINESE CULTURE CONNECTION; SUBSTANCE ABUSE PREVENTION COALITIONS IN MALDEN, MELROSE, MEDFORD, READING, WAKEFIELD, AND STONEHAM; THE MALDEN'S PROMISE COALITION, MA DEPARTMENT OF PUBLIC HEALTH MASS IN MOTION PROGRAMS IN MELROSE-WAKEFIELD, MALDEN, AND EVERETT; AND THE MELROSE, STONEHAM, AND WAKEFIELD ALLIANCES AGAINST VIOLENCE. ONE CENTRAL FOCUS OF 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.(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.MWHC FINANCIAL COUNSELORS PROVIDED 26,543 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, COMMONHEALTH, 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. 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 DABBLED IN 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 THEM 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 HIS/HER FAMILY, 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.
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 SIX CORE COMMUNITIES OF MALDEN, MEDFORD, MELROSE, READING, STONEHAM, AND WAKEFIELD, AND THREE ADDITIONAL COMMUNITIES OF EVERETT, NORTH READING, AND SAUGUS (HEREAFTER REFERRED TO AS "MWHC CB"). 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 2019 COMMUNITY HEALTH NEEDS ASSESSMENT:POPULATION SIZE AND DENSITYTHE MELROSEWAKEFIELD HEALTHCARE, INC. COMMUNITY BENEFITS (CB) NINE-COMMUNITY SERVICE AREA COVERS 71.7 SQUARE MILES, WITH A TOTAL POPULATION OF 310,450. SIZE AND POPULATION DENSITY VARY BY COMMUNITY, WITH MALDEN AND MEDFORD HAVING THE LARGEST POPULATION AT 61,212 AND 57,700 RESPECTIVELY, AND NORTH READING THE SMALLEST, AT 15,598. EVERETT IS THE MOST DENSELY POPULATED COMMUNITY AT 13,199.9 PEOPLE PER SQUARE MILE, AND NORTH READING THE LEAST DENSELY POPULATED AT 1,187.1 PEOPLE PER SQUARE MILE. EVERY COMMUNITY IS MORE DENSELY POPULATED THAN THE STATE AS A WHOLE (870.4 PEOPLE PER SQUARE MILE). OVER HALF OF THE RESIDENTS IN THE CATCHMENT AREA LIVE IN EVERETT, MALDEN OR MEDFORD.RACE/ETHNICITYCOMPARED TO MASSACHUSETTS AS A WHOLE, THE MWHC COMMUNITY BENEFITS SERVICE AREA HAS A SMALLER HISPANIC POPULATION (8%, COMPARED TO 11% IN MA) AND LARGER POPULATIONS OF ASIAN RESIDENTS (9%, COMPARED TO 6% IN MA) AND BLACK/AFRICAN-AMERICAN RESIDENTS (9%, COMPARED TO 7% IN MA). HOWEVER, BREAKING IT DOWN BY COMMUNITY, MORE VARIATION IS OBSERVED. MALDEN HAS THE HIGHEST RATE OF PEOPLE DESCRIBING THEMSELVES AS ASIAN (24%, COMPARED TO A MA RATE OF 6%), AND EVERETT HAS THE HIGHEST RATES OF PEOPLE IDENTIFYING AS HISPANIC (23%, VERSUS THE MA RATE OF 11%) AND BLACK/AFRICAN-AMERICAN (19%, VERSUS A MA RATE OF 6%). DISTRIBUTIONS FOR OTHER TOWNS ARE IN EACH OF THE COMMUNITY PROFILES.FOREIGN-BORN RESIDENTSTHE MELROSEWAKEFIELD HEALTHCARE, INC. CB SERVICE AREA ALSO HAS A HIGHER POPULATION OF FOREIGN-BORN RESIDENTS COMPARED TO THE STATE OF MASSACHUSETTS AS A WHOLE: 24% COMPARED TO 16% STATEWIDE. WITHIN THE SERVICE AREA, THE RATES VARY FROM A HIGH OF 43% IN MALDEN TO A LOW OF 7.5% IN NORTH READING.LANGUAGES SPOKENTHE MWHC COMMUNITY BENEFITS SERVICE AREA ALSO HAS A LOWER POPULATION OF RESIDENTS WHO SPEAK ONLY ENGLISH AT HOME: 70% COMPARED TO 77% STATEWIDE. WITHIN THE SERVICE AREA, THE RATES VARY FROM A HIGH OF 90% IN READING AND NORTH READING TO AS LOW AS 44% IN EVERETT.INCOME AND POVERTYINCOME LEVELS IN THE COMMUNITY BENEFITS SERVICE AREA EXHIBIT WIDE VARIATION. ALTHOUGH THE TOTAL SERVICE AREA HAS A SLIGHTLY HIGHER MEDIAN INCOME THAN THE STATE ($78,192 VERSUS $74,192 STATEWIDE), THIS CONCEALS VARIATIONS BETWEEN A HIGH MEDIAN INCOME OF $124,750 IN NORTH READING AND A LOW OF $57,254 IN EVERETT.WITHIN THE OVERALL MWHC COMMUNITY BENEFITS SERVICE AREA, POVERTY RATES FOR ADULTS OVER AGE 65 ARE SIMILAR TO MA AND LOWER FOR FAMILIES AND CHILDREN UNDER AGE 18. HOWEVER, THERE ARE SIGNIFICANT DIFFERENCES IN THE RATES OF POVERTY THROUGHOUT THE SERVICE AREA WITH EVERETT AND MALDEN HAVING THE HIGHEST RATES, FOLLOWED BY SAUGUS AND MEDFORD.CRIMETHE VIOLENT AND PROPERTY CRIME RATES FOR ALL TOWNS WITHIN THE MWHC COMMUNITY BENEFITS SERVICE AREA ARE LOWER THAN THE STATE. HOWEVER, THE RATES ARE VERY VARIABLE ACROSS THE TOWNS. VIOLENT CRIME RATES RANGED FROM 8 PER 100,000 RESIDENTS IN READING, UP TO 207 PER 100,000 RESIDENTS IN MALDEN. PROPERTY CRIMES RATES RANGED FROM 65 PER 100,000 RESIDENTS IN NORTH READING, TO 780 PER 100,000 RESIDENTS IN MALDEN.EDUCATIONAL ATTAINMENTTHE MWHC COMMUNITY BENEFITS SERVICE AREA AS A WHOLE HAS EDUCATIONAL ATTAINMENT RATES SIMILAR TO MASSACHUSETTS. HOWEVER, THE INDIVIDUAL COMMUNITIES PRESENT MORE VARIATION. WITHIN THE MWHC 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 PERCENTAGE OF RESIDENTS WITH A BACHELOR'S DEGREE OR OTHER ADVANCED DEGREES. MELROSE, NORTH READING, AND READING HAVE THE HIGHEST PERCENTAGE OF RESIDENTS WITH A BACHELOR'S DEGREE OR HIGHER AND THE LOWEST PERCENTAGE OF RESIDENTS WITH LESS THAN A HIGH SCHOOL DEGREE.UNEMPLOYMENTIN THE MWHC SERVICE AREA, UNEMPLOYMENT IS BELOW THE MASSACHUSETTS RATE. ALL COMMUNITIES ARE BELOW THE STATE RATE.PUBLIC SCHOOL DEMOGRAPHICSEVERETT AND MALDEN HAVE THE HIGHEST PROPORTIONS OF STUDENTS WHOSE FIRST LANGUAGE IS NOT ENGLISH AND WHO HAVE LIMITED ENGLISH PROFICIENCY. NORTH READING, READING AND WAKEFIELD HAVE VERY FEW STUDENTS IN THESE CATEGORIES.THE HIGH SCHOOL 4-YEAR GRADUATION AND DROP-OUT RATES IN THE OVERALL COMMUNITY BENEFITS SERVICE AREA ARE CLOSE TO THE RATES OF THE STATE AS A WHOLE. VARIATION WITHIN THE SERVICE AREA RANGES FROM A GRADUATION RATE HIGH OF 98%IN MELROSE, READING AND NORTH READING, TO A LOW OF 78% AND 83% IN EVERETT AND MALDEN, RESPECTIVELY. DROPOUT RATES RANGE FROM A HIGH OF 12% IN EVERETT TO A LOW OF LESS THAN 1% IN MELROSE, WAKEFIELD, AND NORTH READING.(SEE CONTINUATION LATER)
PART VI, LINE 5:MWHC HAS A 15 MEMBER BOARD OF TRUSTEES, COMPRISED OF A MAJORITY OF COMMUNITY MEMBERS. ONLY THREE (3) OF 15 TRUSTEES ARE EMPLOYED BY MELROSEWAKEFIELD HEALTHCARE OR THE HOSPITAL'S PARENT, MELROSEWAKEFIELD HEALTHCARE CORPORATION (I.E. THE CHIEF EXECUTIVE OFFICER, THE CHIEF OPERATING OFFICER, AND AN EMPLOYED PHYSICIAN LEADER). MEDICAL STAFF MEMBERSHIP AND PRIVILEGES ARE OPEN AND AVAILABLE TO ALL QUALIFIED PHYSICIANS, INCLUDING A LARGE AND DIVERSE MEDICAL STAFF OF MORE THAN 400 MEMBERS (EMPLOYED AND AFFILIATED). MWHC OPERATES ACTIVE EMERGENCY DEPARTMENTS ON EACH OF ITS CAMPUSES. THEY ARE ACCESSIBLE TO ANYONE NEEDING CARE REGARDLESS OF THEIR ABILITY TO PAY. NO PART OF THE INCOME OF 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 2019/TY 2018, 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 MEETING SPACE IN-KIND AND SUBSIDIZED OR PROVIDED RENT AND UTILITIES IN-KIND FOR KEY COMMUNITY PARTNERS, SUCH AS PORTAL TO HOPE, WHICH PROVIDES DOMESTIC VIOLENCE PREVENTION AND SUPPORT SERVICES. MEETING SPACE IS OFFERED TO COMMUNITY AGENCIES ON A REGULAR BASIS, WHEN MISSION AND GOALS ALIGN WITH THE PRIORITIES OF THE COMMUNITY HEALTH IMPLEMENTATION PLAN, SUCH AS ALCOHOLICS/OVEREATERS ANONYMOUS GROUPS, RED CROSS FOR BLOOD DRIVES, DISTRICT ATTORNEY MARIAN RYAN'S EASTERN MIDDLESEX OPIOID TASK FORCE, MASSACHUSETTS OPIOID PREVENTION COALITION (MOAPC), SUBSTANCE ABUSE PREVENTION COALITION (SAPC) AND MELROSE ALLIANCE AGAINST VIOLENCE AND PORTAL TO HOPE FOR COMMUNITY SUPPORT GROUPS.IN ADDITION TO PROVIDING A RANGE OF PROGRAMS TO ADDRESS PRIMARY AND SECONDARY HEALTH PRIORITIES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE HEALTH SYSTEM HAS ALSO, AS PART OF ITS MULTI-YEAR IMPLEMENTATION PLAN, IDENTIFIED AND IMPLEMENTED EFFORTS THAT MORE PROACTIVELY ADDRESS FACTORS THAT HAVE BEEN DEMONSTRATED TO ADVERSELY IMPACT HEALTH STATUS, INCREASE HEALTH DISPARITIES, AND REDUCE OVERALL HEALTH IN VULNERABLE POPULATIONS. THESE SO CALLED SOCIAL DETERMINANTS OF HEALTH, SUCH AS AVAILABILITY OF HEALTHY FOOD, EMPLOYMENT, AND SAFE HOUSING, REFLECT THE OPPORTUNITY TO HAVE MEASUREABLE 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 A NUMBER OF KEY FACTORS IN REDUCING A NUMBER OF ISSUES FOR MOTHER AND CHILD ALIKE. LACTATION SERVICES FOR POST-PARTUM MOTHERS ARE AVAILABLE BOTH AT MELROSE-WAKEFIELD HOSPITAL, AND AT THREE BABY CAFES IN MELROSE, MALDEN, AND EVERETT. ALL MATERNAL/CHILD HEALTH STAFF, CHILDBIRTH EDUCATION STAFF, AND NORTH SUBURBAN WIC NUTRITIONIST AND FAMILY SUPPORT STAFF ARE CERTIFIED IN LACTATION (CLC OR IBCLC DEPENDING ON OTHER CLINICAL TRAINING). CONTINUING MEDICAL EDUCATION PROGRAMS ARE PROVIDED TO PHYSICIANS AND CLINICIANS ANNUALLY. BREASTFEEDING HAS BEEN SHOWN TO REDUCE RISK FOR CANCER AND OTHER CHRONIC DISEASES LATER IN LIFE. 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, 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 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 MASS IN MOTION OFFERING GUIDANCE TO LOCAL RESTAURANTS ON HEALTHFUL EATING AND NUTRITIONAL INFORMATION. EFFORTS ALSO EXTEND TO DIRECTLY SUPPORTING INCREASED ACCESS TO HEALTHY FOODS, INCLUDING FRESH FRUITS AND VEGETABLES PROVIDED THROUGH A FREE MOBILE FOOD MARKET SERVING 500 TO 600 FAMILIES PER MONTH WITH APPROXIMATELY 30 LBS. EACH OF FRESH, HEALTHY FOODS. 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 FITNESS, FOOD AND FRIENDS GROUP FOR FAMILIES WITH YOUNG CHILDREN TO PROMOTE A HEALTHY LIFESTYLE, LEARN ABOUT HEALTHY EATING HABITS AND FUN PHYSICAL ACTIVITIES TO DO AS A FAMILY. WORKPLACE WELLNESS EFFORTS, IN TERMS OF INCREASING PHYSICAL ACTIVITY, AS WELL AS PROMOTING WEIGHT LOSS AND HEALTHIER EATING, HAVE BEEN CONTINUED DURING FY 2019/TY 2018 THROUGH THE WORK OF THE EMPLOYEE WELLNESS COMMITTEE. CORRELATING GREATER PHYSICAL HEALTH AND WELLBEING THROUGH REDUCTIONS IN OBESITY, CARDIOVASCULAR AND OTHER RELATED HEALTH PROBLEMS, SUPPORTS A WHOLE-HEALTH APPROACH TO REDUCING CHRONIC DISEASE AND THE IMPACTS OF TREATMENT BY PRESENTING OPPORTUNITIES TO IDENTIFY AND REDUCE THESE HEALTH RISKS. 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.MELROSEWAKEFIELD HEALTHCARE, INC. LEADERS ARE MEMBERS OF THE GREATER BOSTON FOOD BANK (GBFB) FOOD INSECURITY TASK FORCE AND MEDFORD FOOD INSECURITY TASK FORCE 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. IN 2019, ADDITIONAL NEW FRUIT AND VEGETABLE OUTDOOR MARKETS WERE OPENED ACROSS THE GBFB SERVICE AREA USING STRATEGIES DEVELOPED AT THE MWHC MOBILE MARKET.(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 HEALTH STATUS OF COMMUNITIES SERVED.MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION IS A MEMBER OF WELLFORCE, INC.
PART VI, LINE 7, REPORTS FILED WITH STATESMA
PART VI, LINE 2 NEEDS ASSESSMENT CONTINUEDIN 2019, THE HEALTH SYSTEM MADE MANY FAITH-BASED CONNECTIONS INCLUDING THROUGH THE FOOD SECURITY TASK FORCE IN MEDFORD, AND THE WARMING STATION IN MALDEN.
PART VI, LINE 4 COMMUNITY INFORMATION CONTINUEDORGANIZATIONS CONTRIBUTING TO THE ASSESSMENT-ACTION FOR BOSTON COMMUNITY DEVELOPMENT (ABCD)-AMERICAN CANCER SOCIETY-AMERICAN DIABETES ASSOCIATION -AMERICAN HEART ASSOCIATION-AMERICAN LUNG ASSOCIATION-AMERICAN RED CROSS-ASIAN AMERICAN CIVIC ASSOCIATION-BABY CAF USA-BABY FRIENDLY AMERICA-BOYS AND GIRLS CLUBS OF MIDDLESEX COUNTY-BREAD OF LIFE-BURBANK YMCA OF READING-CAMBRIDGE HEALTH ALLIANCE-CATHOLIC CHARITIES-CHILDREN'S TRUST OF MASSACHUSETTS-CHINESE CULTURE CONNECTION-COMMUNITY FAMILY HUMAN SERVICES INC.-COMMUNITY HEALTH NETWORK AREA 15 & 16-COMMUNITY SERVINGS INC.-CRITERION EARLY INTERVENTION-CROSS CULTURAL COMMUNICATIONS INC.-CUSTOMIZED COMMUNICATION INC.-DOUCET'S REMODELING-EAST BOSTON NEIGHBORHOOD HEALTH CENTER-ELDER SERVICES OF MERRIMACK VALLEY-ELDER SERVICES OF THE NORTH SHORE-ELIOT COMMUNITY HUMAN SERVICES-EMARC-EVERETT CFCE GRANT PROGRAM-FAMILIES FIRST-FRIENDS OF MIDDLESEX FELLS RESERVATION-FRIENDS OF OAK GROVE-THE GREATER BOSTON FOOD BANK-GREATER BOSTON STAGE COMPANY (STONEHAM THEATRE)-GREATER LYNN SENIOR SERVICES-HALLMARK HEALTH VNA AND HOSPICE-HEALTH CARE FOR ALL-HEALTH CARE WITHOUT HARM-HOUSING FAMILIES INC.-IMMIGRANT LEARNING CENTER OF MALDEN-INSTITUTE FOR COMMUNITY HEALTH (ICH)-JEWISH FAMILY AND CHILDREN'S SERVICE-JOINT COMMITTEE FOR CHILDREN'S HEALTH CARE IN EVERETT (JCCHCE)-JOSLIN DIABETES CENTER-LOCAL ARTS COUNCILS-LOCAL BOARDS OF HEALTH -LOCAL CHAMBERS OF COMMERCE-LOCAL CIVIC GROUPS (ROTARY, KIWANIS) -LOCAL COUNCILS ON AGING -LOCAL EARLY INTERVENTION (EI) PROGRAMS-LOCAL FAITH-BASED ORGANIZATIONS-LOWELL COMMUNITY HEALTH CENTER-MA EXECUTIVE OFFICE OF ELDER AFFAIRS-MA HEALTH POLICY COMMISSION-MALDEN EARLY LEARNING CENTER (CFCE)-MALDEN HOMELESSNESS TASK FORCE-MALDEN'S PROMISE COALITION-MALDEN YMCA-MASSACHUSETTS DEPARTMENTS OF: CHILDREN AND FAMILIES (DCF) CONSERVATION AND RECREATION (DCR) EARLY EDUCATION AND CARE (EEC) PUBLIC HEALTH (DPH) TRANSITIONAL ASSISTANCE (DTA)-MASSACHUSETTS HOSPITAL ASSOCIATION-MASSACHUSETTS OPIOID ABUSE PREVENTION COLLABORATIVE (MOAPC)-MASS IN MOTION (EVERETT, MALDEN, MEDFORD, MELROSE/WAKEFIELD)-MEDFORD FAMILY NETWORK (CFCE)-MEDFORD HEALTH MATTERS -MEDFORD SUBSTANCE ABUSE TASK FORCE-MELROSE ALLIANCE AGAINST VIOLENCE-MELROSE BIRTH TO FIVE -MELROSE COMMUNITY COALITION-MELROSE FAMILY YMCA-MELROSE HUMAN RIGHTS COMMISSION-MELROSE SUBSTANCE ABUSE PREVENTION COALITION-METROPOLITAN AREA PLANNING COUNCIL -MIDDLESEX COUNTY DISTRICT ATTORNEY-MYSTIC VALLEY ELDER SERVICES-MYSTIC VALLEY PUBLIC HEALTH COALITION-MYSTIC VALLEY TOBACCO AND ALCOHOL PROGRAM (MVTAP)-NORTHEASTERN UNIVERSITY-NORTH SHORE ELDER SERVICES-OAK GROVE IMPROVEMENT ORGANIZATION-PHILIPS LIFELINE-PORTAL TO HOPE-READING COALITION AGAINST SUBSTANCE ABUSE (RCASA)-READING RESPONSE-REGIONAL EMS PROVIDERS-REGIS COLLEGE-RESPOND INC.-THE SALVATION ARMY-THE SHAREWOOD PROJECT-SOMERVILLE CAMBRIDGE ELDER SERVICES-SOUTH BAY MENTAL HEALTH CENTER-STONEHAM ALLIANCE AGAINST VIOLENCE-SUBSTANCE ABUSE PREVENTION COLLABORATIVE (SAPC)-TAILORED FOR SUCCESS-TRI-CITY HOMELESSNESS TASK FORCE-TRI-CITY HUNGER NETWORK-TUFTS MEDICAL CENTER-TUFTS MEDICAL CENTER COMMUNITY CARE -TUFTS UNIVERSITY-WAKEFIELD ALLIANCE AGAINST VIOLENCE-WAKE-UP: WAKEFIELD UNIFIED PREVENTION-WEST MEDFORD COMMUNITY CENTER-WINCHESTER HOSPITAL/LAHEY HEALTH-YOUTHHARBORS @ JRI -YWCA OF MALDEN-ZONTA CLUBS OF MALDEN AND MEDFORD -ZOO NEW ENGLAND - STONE ZOOPUBLICLY REPORTED DATA WAS UTILIZED FROM THE FOLLOWING SOURCES:-US CENSUS BUREAU AMERICAN COMMUNITY SURVEY (ACS)-FBI UNIFORM CRIME REPORT-US DEPT. OF LABOR BUREAU OF LABOR AND STATISTICS, LOCAL UNEMPLOYMENT STATISTICS-MASSACHUSETTS DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT (DHCD)-THE GREATER BOSTON FOOD BANK MAP THE MEAL GAP 2018: A REPORT ON COUNTY AND CONGRESSIONAL DISTRICT FOOD INSECURITY AND COUNTY FOOD COST IN THE UNITED STATES-FOOD BANK OF WESTERN MASSACHUSETTS-MASSACHUSETTS DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION (DESE)-MA DESE AND MA DEPARTMENT OF PUBLIC HEALTH (MDPH), 2017 HEALTH AND RISK BEHAVIORS OF MASSACHUSETTS YOUTH REPORT-LOCAL YOUTH RISK BEHAVIOR SURVEYS OR COMMUNITIES THAT CARE SURVEYS WHERE AVAILABLE (EVERETT 2016-2017; MALDEN 2018; MEDFORD 2017; MELROSE 2017; READING 2017; SAUGUS 2017; STONEHAM 2017; WAKEFIELD 2017)-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 PROMOTION OF COMMUNITY HEALTH CONTINUEDSUPPORTING REGIONAL AND LOCAL SUBSTANCE USE PREVENTION EFFORTSTHE HEALTH SYSTEM WORKS ACTIVELY WITH THE MYSTIC VALLEY PUBLIC HEALTH COALITION INCLUDING MASSACHUSETTS OPIOID ABUSE PREVENTION COALITION (MOAPC) AND SUBSTANCE ABUSE PREVENTION COALITION (SAPC), THE DISTRICT ATTORNEY'S EASTERN MIDDLESEX OPIOID TASK FORCE AS WELL AS LOCAL ORGANIZATIONS IN MALDEN, MEDFORD, MELROSE, READING, STONEHAM AND WAKEFIELD. IN FY 2019, 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. MWCH PROVIDES SPACE AND FOOD FOR THE DISTRICT ATTORNEY'S EASTERN MIDDLESEX OPIOID TASK AT LAWRENCE MEMORIAL HOSPITAL OF MEDFORD AS WELL AS EMPLOYEE MEMBERSHIP. 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. RAISING 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 2019, 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. TWO MELROSEWAKEFIELD HEALTHCARE EMPLOYEES REPRESENT MWHC ON THE WAAV BOARD OF DIRECTORS. THE DIRECTOR OF MEDICAL STAFF DEVELOPMENT AND SERVICES 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. ADDITIONALLY, MWHC ALSO PROVIDES SPACE FOR MAAV'S RELATIONSHIP DISCUSSION GROUP AT MELROSE-WAKEFIELD HOSPITAL. IN 2018, MWHC HELPED TO SPONSOR MAAV'S ANNUAL WALK AND CANDLELIGHT VIGIL.A COMMUNITY HEALTH 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 2019. 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 Plan0SupplementalNonqualRtrPlanInd
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 (22 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
LAURENCE CONWAY MD
DIRECTOR$203,154$0$0$0$0$0$2,032$0$0$0$205,186$0$0$0
JOSEPH PENNACCHIO MD
DIRECTOR$0$408,035$0$0$0$0$0$4,999$0$20,489$0$433,523$0$0
SUSAN M SANDBERG
PRESIDENT & CEO/DIRECTOR$0$194,427$0$0$0$47,650$0$0$0$6,277$0$248,354$0$0
MICHAEL P CONNELLY
CFO/ASSISTANT TREASURER$0$426,792$0$57,452$0$1,640$0$6,000$0$3,640$0$495,524$0$0
CHARLES R WHIPPLE ESQ
ASSISTANT SECRETARY/GENERAL COUNSEL$0$297,282$0$49,248$0$68,724$0$0$0$32,148$0$447,402$0$0
CARYL A BEISON
PHYSICIAN DIRECTOR$0$240,969$0$50,242$0$0$0$6,000$0$2,450$0$299,661$0$0
NANCY BITTNER
VP, EDUCATION$0$188,930$0$0$0$0$0$0$0$21,734$0$210,664$0$0
WILLIAM DOHERTY
EXECUTIVE VICE PRES. & COO$0$48,906$0$0$0$989,069$0$6,000$0$147$0$1,044,122$0$0
CAROL A DRESSER
VP, INFO. SERVICES & CIO$0$141,276$0$0$0$40,639$0$3,231$0$10,188$0$195,334$0$0
PAMELA DUCHENE
VP, NURSING & CNO$0$0$0$0$0$197,308$0$0$0$0$0$197,308$0$0
RYAN FULLER
DIRECTOR OF PLANNING$0$238,340$0$15,891$0$0$0$0$0$351$0$254,582$0$0
DAVID RYAN
SYSTEM VP, HUMAN RESOURCES$0$203,284$0$20,000$0$101,927$0$4,615$0$26,495$0$356,321$0$0
STEVE SBARDELLA
VP, MEDICAL AFFAIRS & CMO$0$430,614$0$74,667$0$5,452$0$0$0$439$0$511,172$0$0
THERESA SIEVERS
VP, QUALITY ASSURANCE$0$180,092$0$16,500$0$82,267$0$0$0$1,527$0$280,386$0$0
CHERYL WARREN
INTERGRATION ADMIN.$0$193,070$0$15,104$0$0$0$0$0$2,450$0$210,624$0$0
MICHELLE CORRADO
VP, CLINICAL ADMIN.$0$81,030$0$0$0$131,260$0$0$0$893$0$213,183$0$0
DAVID HARNETT
SR. DIR. OF BEHAVIORAL HEALTH$252,928$0$0$0$0$0$5,148$0$16,027$0$274,103$0$0$0
ALEXIS FREEDBERG
PSYCH M.D.$207,927$0$30,000$0$53,340$0$6,310$0$365$0$297,942$0$0$0
JOHN G GIRAGOS MD
PSYCH M.D.$251,293$0$113,362$0$0$0$6,312$0$32,178$0$403,145$0$0$0
JAMES LECH
PSYCH M.D.$265,729$0$15,000$0$14,950$0$2,794$0$365$0$298,838$0$0$0
TERRY SMITH
PSYCH M.D.$239,667$0$35,000$0$5,135$0$0$0$0$0$279,802$0$0$0
ALAN G MACDONALD
FOMER PRESIDENT/CEO/DIRECTOR$0$101,438$0$0$0$96,462$0$0$0$230$0$198,130$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, LINE 4ATHESE EMPLOYEES RECEIVED SEVERANCE PAYMENTS: WILLIAM J DOHERTY WAS PAID $926,316 IN 2018. THERESA SIEVERS WAS PAID $54,312 IN 2018. DAVID RYAN WAS PAID $63,554 IN 2018. MICHELLE CORRADO WAS PAID $98,308 IN 2018. PAMELA DUCHENE WAS PAID $197,308 IN 2018.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 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)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmt
A$16,268,621$20,000,000$98,939$19,901,061201400Yes (1)Yes (1)
B$2,929,302$30,000,000$268,250$29,731,750201700Yes (1)Yes (1)
C$101,992,524$16,504,071Yes (1)0Yes (1)Yes (1)$49,440,049$36,048,404

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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
A00000.000000.000000.00000000
B00000.000000.000000.00000000
C00000.000000.000000.00000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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)00000
B000Yes (1)00000
C0Yes (1)0000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0

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: 10/30/2014 ISSUER NAME: MASSACHUSETTS DEVELOPMENT FINANCE AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/10/2017
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 WELLFORCE OBLIGATED GROUP, WHICH INCLUDES TUFTS MEDICAL CENTER, INC., THE LOWELL GENERAL HOSPITAL, AND MELROSEWAKEFIELD HEALTHCARE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 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. WELLFORCE, 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 XI, LINE 9:PENSION LIABILITY ADJUSTMENT -4,405,249. NET ASSETS RELEASED FROM RESTRICTIONS- OPERATIONS -724,026. NET DISTRIBUTIONS FROM AFFILIATES 13,758,697. HOSPITAL AUXILIARY, NET CHANGE 464. FRIENDS OF LMH, NET CHANGE 3,768.

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$119,859$9,597MELROSEWAKEFIELD HEALTHCARE INC
MELROSEWAKEFIELD HEALTHCARE FRIENDS OF LMH
170 GOVERNORS AVENUEMEDFORDMA02155042767880GIFT SHOPMA$65,406$16,149MELROSEWAKEFIELD HEALTHCARE INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (45 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
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 10HOME HEALTH FOUNDATION 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, IWELLFORCE 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
ONE HOSPITAL DRIVELOWELLMA01852043190747MEDICAL SERVICESMA501(C)(3)LINE 10CIRCLE HEALTH PHYSICIANS INCYes (1)
CIRCLE HEALTH INC
295 VARNUM AVENUELOWELLMA01854222579798PARENT/SUPPORTING ORGANIZATIONMA501(C)(3)LINE 12B, IIWELLFORCE INCYes (1)
WELLFORCE INC
1600 DISTRICT AVE SUITE 125BURLINGTONMA01803452250732PARENT/SUPPORTING ORGANIZATIONMA501(C)(3)LINE 12A, I0N/A
CNS NURSING HOME CARE INC
847 ROGERS STREET SUITE 201LOWELLMA01852371836433HOME CARE SERVICESMA501(C)(3)LINE 10CIRCLE HOME INCYes (1)
CIRCLE HOME INC
847 ROGERS STREET SUITE 201LOWELLMA01852042103812HOME CARE SERVICESMA501(C)(3)LINE 10HOME HEALTH FOUNDATION INCYes (1)
TUFTS MEDICAL CENTER PARENT INC
800 WASHINGTON STREETBOSTONMA02111042810022FUNDRAISING, ADMIN. PLANNING & OTHER ACTIVITIESMA501(C)(3)LINE 12B, IIWELLFORCE INCYes (1)
TUFTS MEDICAL CENTER INC
800 WASHINGTON STREETBOSTONMA02111043400617HOSPITAL SERVICESMA501(C)(3)LINE 3TUFTS MEDICAL CENTER PARENT INCYes (1)
TUFTS MEDICAL CENTER REAL ESTATE COMPANY INC
800 WASHINGTON STREETBOSTONMA02111042772654ACQUIRING REAL PROPERTYMA501(C)(3)LINE 12B, IITUFTS 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 12B, IITUFTS MEDICAL CENTER PARENT INCYes (1)
NEQCA ACCOUNTABLE CARE INC
325 WOOD RD SUITE 210BRAINTREEMA02184800824142ACOMA501(C)(3)LINE 7NEW ENGLAND QUALITY CARE ALLIANCE INCYes (1)
TUFTS MEDICAL CENTER COMMUNITY CARE INC
325 WOOD RD SUITE 210BRAINTREEMA02184473046563MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PARENT 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)
CARDIOVASCULAR CENTER AT TUFTS MEDICAL CENTER INC
800 WASHINGTON STREETBOSTONMA02111823315703MEDICAL SERVICESMA501(C)(3)LINE 10TUFTS MEDICAL CENTER PHYSICIANS ORG INCYes (1)
HOME HEALTH FOUNDATION INC
360 MERRIMACK STREETLAWRENCEMA01843222587225MANAGEMENT SERVICESMA501(C)(3)LINE 12B, IIWELLFORCE INCYes (1)
HOME HEALTH VNA INC
360 MERRIMACK STREETLAWRENCEMA01843042435675HOME HEALTH CAREMA501(C)(3)LINE 10HOME HEALTH FOUNDATION INCYes (1)
MERRIMACK VALLEY HOSPICE INC
360 MERRIMACK STREETLAWRENCEMA01843043024278HOSPICE SERVICESMA501(C)(3)LINE 10HOME HEALTH FOUNDATION INCYes (1)
HOME CARE INC
360 MERRIMACK STREETLAWRENCEMA01843042854358HOME HEALTH SUPPORTIVE SERVICESMA501(C)(3)LINE 10HOME HEALTH FOUNDATION INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
HALLMARK HEALTH INVESTMENTS LLC
170 GOVERNORS AVENUEMEDFORDMA02155020657666INVESTMENTMAMELROSEWAKEFIELD HEALTHCARE INCEXCLUDED$6,957,289$164,863,996000.78080
MONTVALE PETCT LLC
100 BAYVIEW CIRCLE SUITE 400NEWPORT BEACHCA92660270325022CAT SCANCAMELROSEWAKEFIELD HEALTHCARE INCRELATED$145,595$89,851000.50000
CIRCLE HEALTH ALLIANCE LLC
295 VARNUM AVELOWELLMA01854800782682ACCOUNTABLE CARE ORGANIZATIONMACIRCLE HEALTH INCRELATED00
SHIELDS-TUFTS MEDICAL CENTER IMAGING MANAGEMENT LLC
800 WASHINGTON STREETBOSTONMA02111320558307MEDICAL SERVICES (MRI)MATUFTS MEDICAL CENTER INCRELATED00
MEDFORD LAWRENCE REAL ESTATE LLC
55 CHRISTYS DRIVEBROCKTONMA02301320553759MEDICAL OFFICE BUILDINGMAMELROSEWAKEFIELD HEALTHCARE INCRELATED$1,512,500000.55000

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)
LAWRENCE MELROSE MEDICAL ELECTRONICS RECORD INC
170 GOVERNORS AVEMEDFORDMA02155421685777ELECTRONIC MEDICAL RECORDSMAMELROSEWAKEFIELD HEALTHCARE INCC00.50000
HALLMARK HEALTH PHO INC
170 GOVERNORS AVEMEDFORDMA02155461134759PHYSICIAN HOSPITAL ORGANIZATIONMAMELROSEWAKEFIELD HEALTHCARE INCC00.50000
LGH SERVICES INC
295 VARNUM AVENUELOWELLMA01854042854673MEDICAL SERVICESMACIRCLE HEALTH INCCYes (1)
LGH MEDICAL BUILDING SERVICES INC
295 VARNUM AVENUELOWELLMA01854043058954MEDICAL OFFICE BUILDINGMALGH SERVICES INCCYes (1)
LGH MANAGEMENT SERVICES INC
295 VARNUM AVENUELOWELLMA01854042919244MEDICAL SERVICESMALGH SERVICES INCCYes (1)
LGH MEDICAL SERVICES INC
295 VARNUM AVENUELOWELLMA01854261889904MEDICAL SERVICESMALGH SERVICES INCCYes (1)
WELLFORCE 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 OrgYes (1)GiftGrntOrCapContriToOthOrgInd
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 Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (25 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HALLMARK HEALTH VISITING NURSE ASSOCIATION AND HOSPICE INC
J$141,536FAIR MARKET VALUE
HALLMARK HEALTH MEDICAL ASSOCIATES INC
J$740,086FAIR MARKET VALUE
HALLMARK HEALTH PROPERTIES INC
K$352,611FAIR MARKET VALUE
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
K$1,361,949FAIR MARKET VALUE
HALLMARK HEALTH PROPERTIES INC
L$187,713COST & TIME ALLOCATION
HALLMARK HEALTH MEDICAL ASSOCIATES INC
L$173,656COST & TIME ALLOCATION
HALLMARK HEALTH MEDICAL ASSOCIATES INC
L$1,462,301ACTUAL COST
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
L$675,596COST & TIME ALLOCATION
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
M$3,457,607COST & TIME ALLOCATION
HALLMARK HEALTH MEDICAL ASSOCIATES INC
M$401,889COST & TIME ALLOCATION
HALLMARK HEALTH PROPERTIES INC
R$71,644AUDITED BOOK VALUE
HALLMARK HEALTH MEDICAL ASSOCIATES INC
R$1,960,199AUDITED BOOK VALUE
HALLMARK HEALTH MEDICAL ASSOCIATES INC
R$14,564,842AUDITED BOOK VALUE
HALLMARK HEALTH VISITING NURSE ASSOCIATION AND HOSPICE INC
S$33,271,774AUDITED BOOK VALUE
HALLMARK HEALTH PROPERTIES INC
E$436,202AUDITED BOOK VALUE
MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION
E$163,058AUDITED BOOK VALUE
HALLMARK HEALTH MEDICAL ASSOCIATES INC
D$3,437,381AUDITED BOOK VALUE
HALLMARK HEALTH VISITING NURSE ASSOCIATION AND HOSPICE INC
D$226,638AUDITED BOOK VALUE
WELLFORCE INDEMNITY COMPANY LTD
D$6,901,356AUDITED BOOK VALUE
LM LONG TERM CARE CORPORATION
E$2,895,661AUDITED BOOK VALUE
SAVIN LONG TERM CARE CORPORATION
E$1,568,739AUDITED BOOK VALUE
TUFTS MEDICAL CENTER PHYSICIANS ORG
E$224,960AUDITED BOOK VALUE
CIRCLE HEALTH INC
E$326,243AUDITED BOOK VALUE
TUFTS MEDICAL CENTER INC
E$339,363AUDITED BOOK VALUE
WELLFORCE INC
E$261,953AUDITED BOOK VALUE