2020-08-17T13:32:32-05:00 2019-09-30 263753134 CBIZ MHM LLC 500 BOYLSTON STREET BOSTON MA 02116 990 2018-10-01 043140938 HALLMARK HEALTH MEDICAL ASSOCIATES INC HALL 7813387424 170 GOVERNORS AVENUE MEDFORD MA 02155 MICHAEL CONNELLY TREASURER 7813387424 2020-08-11 1 CRAIG KLEIN P00734640 6177610600 2020-08-11 207.172.72.163 2020-08-11 22:53:11 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 AAFE5242E44AA74A98A743050A15125E154A43A4 2018 2020-09-23 17:36:50Z SUSAN SANDBERG 170 GOVERNORS AVENUE MEDFORD MA 02155 42625878 0 X HTTPS://HHMA.ORG X 1991 MA HALLMARK HEALTH MEDICAL ASSOCIATES, INC. SUPPORTS THE CHARITABLE MISSION OF MELROSEWAKEFIELD HEALTHCARE, INC. THROUGH THE EMPLOYMENT OF PRIMARY CARE PHYSICIANS AND SPECIALISTS AT PRACTICES THROUGHOUT THE MELROSEWAKEFIELD SERVICE AREA IN NINE LOCAL COMMUNITIES. 8 2 405 2 17500 -807 8000 29233 33382754 42596645 0 0 0 0 33390754 42625878 0 0 0 0 34355744 42379029 0 0 0 13310806 15731202 47666550 58110231 -14275796 -15484353 5177909 6235060 7407886 9660315 -2229977 -3425255 X HALLMARK HEALTH MEDICAL ASSOCIATES, INC. SUPPORTS THE CHARITABLE MISSION OF MELROSEWAKEFIELD HEALTHCARE, INC. THROUGH THE EMPLOYMENT OF PRIMARY CARE PHYSICIANS AND SPECIALISTS AT PRACTICES THROUGHOUT THE MELROSEWAKEFIELD SERVICE AREA. THERE ARE CURRENTLY 86 PHYSICIANS OPERATING PRACTICES IN 9 DIFFERENT COMMUNITIES WITHIN THE MELROSEWAKEFIELD SERVICE AREA. 0 0 56976917 42579145 THE PURPOSE OF HALLMARK HEALTH MEDICAL ASSOCIATES, INC. IS TO IMPROVE THE QUALITY AND ACCESS TO MEDICAL CARE PROVIDED BY MELROSEWAKEFIELD HEALTHCARE, INC. BY ENCOURAGING PHYSICIANS TO PROVIDE NEEDED MEDICAL SERVICES IN THE HOSPITAL'S SERVICE AREA AND BY OTHERWISE SUPPORTING THE NEEDS OF THE MEDICALLY UNDER-SERVED COMMUNITIES. HALLMARK HEALTH MEDICAL ASSOCATES' PROGRAM SERVICE REVENUE REPRESENTS NET FEES BILLED FOR PHYSICIAN SERVICES PROVIDED IN OBSTETRICS, GYNECOLOGY, INTERNAL MEDICINE, SURGERY, GASTROENTEROLOGY, FAMILY MEDICINE, ENDOCRINOLOGY, PULMONOLOGY, RADIATION ONCOLOGY, INFECTIOUS DISEASE, NEUROLOGY, AND NEUROSURGERY. 18307 HALLMARK HEALTH MEDICAL ASSOCIATES, INC. PROVIDES ADMINISTRATIVE SERVICES TO PRIVATE PHYSICANS. 56995224 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 29 0 1 405 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 8 2 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X MICHAEL P CONNELLY CFO 7813387424 170 GOVERNORS AVE MEDFORD MA 02155 BERNARD J LOGAN MD DIRECTOR 40.00 3.00 X 77276 0 8957 JOHN KEENAN DIRECTOR 3.00 0.00 X 0 0 0 MICHAEL BLAU DIRECTOR 3.00 0.00 X 0 0 0 ELEANOR MORESCO MD VICE CHAIR/DIRECTOR 40.00 3.00 X X 196333 0 27094 MICHAEL P CONNELLY TREASURER/DIRECTOR 3.00 40.00 X X 0 485884 9640 MICHAEL NEWMAN PRESIDENT/CMO/DIRECTOR 3.00 40.00 X X 0 880945 38318 SUSAN SANDBERG PRESIDENT/CEO/DIRECTOR 3.00 40.00 X X 0 242077 6277 STEVEN SBARDELLA CHAIR/DIRECTOR 40.00 3.00 X X 510733 0 439 JENNIFER L RAGUCCI ASSISTANT CLERK 40.00 0.00 X 65217 0 3139 MELISSA GARRETT-KINGSTON VP FINANCE 40.00 0.00 X 264525 0 351 DAVID M MILLER ASSOCIATE CMO 40.00 0.00 X 329115 0 36112 LORI BARRETT VP OPERATIONS 40.00 0.00 X 257593 0 10358 EDWARD BUTLER CHIEF ACADEMIC OFFICER 40.00 0.00 X 188506 0 26087 SALVATORE NARDELLO DO SURGICAL ONCOLOGIST 40.00 0.00 X 308854 0 1727 PATRICIA SERENO MD PHYSICIAN 40.00 0.00 X 305772 0 27773 DAVIS BU MD PHYSICIAN 40.00 0.00 X 256389 0 12808 ANDREW CHANDLER MD PHYSICIAN 40.00 0.00 X 235164 0 20267 DANIEL WITKOWSKI MD PHYSICIAN 40.00 0.00 X 218020 0 12620 BRIAN CLARK MD PHYSICIAN 40.00 0.00 X 908008 0 41904 JOSEPH PENNACCHIO MD PHYSICIAN 40.00 0.00 X 408035 0 25488 CHRISTOPHER LEUNG MD PHYSICIAN 40.00 0.00 X 471471 0 10979 PHILLIP GRAY PHYSICIAN 40.00 0.00 X 469562 0 40534 MA JINGLI PHYSICIAN 40.00 0.00 X 411154 0 36527 ALAN G MACDONALD FORMER CLERK/DIRECTOR 0.00 0.00 X 0 197900 230 WILLIAM DOHERTY MD FMR. BOARD CHAIR/EX OFFICIO DIR. 0.00 40.00 X 0 1037976 6147 5881727 2844782 403776 88 1 1 0 NORTH SHORE GI MD PC 100 CUMMINGS CENTER 107C BEVERLY MA 01915 GASTROENTEROLOGY MEDICAL SERVICES 1606184 MELROSEWAKEFIELD PARENT CORPORATION 170 GOVERNORS AVENUE MEDFORD MA 02155 MANAGEMENT SERVICES 688648 SCRIBE AMERICA LLC PO BOX 417756 BOSTON MA 02241 SCRIBES SERVICES 472418 IBM CORPORATION PO BOX 534151 ATLANTA GA 30353 HEALTHCARE SERVICES 361440 ZOCDOC INC 568 BROADWAY NEW YORK NY 10012 ONLINE SCHEDULING 267772 5 29233 29233 PATIENT CARE 621110 36759650 36759650 MANAGED CARE REVENUE 621110 1612032 1612032 ADMIN. SERVICES FOR PRIVATE PHYSI 541200 17500 17500 4207463 4207463 42596645 42625878 42579145 17500 0 1115007 1115007 37225381 37225381 570157 570157 1238414 1238414 2230070 2230070 2692790 2692790 166678 166678 3337937 3337937 3506987 3506987 23560 23560 90316 90316 326125 326125 927000 927000 PURCHASED SERVICES 2728340 2728340 EMR 1452939 1452939 478530 478530 58110231 56995224 1115007 0 -101315 -95149 2851828 4197360 449646 185237 2436814 1191409 978123 1245405 999627 702207 5177909 6235060 5236093 5815985 2171793 3844330 7407886 9660315 X -2229977 -3425255 -2229977 -3425255 5177909 6235060 X -15484353 14289075 X 0 1 X 1 0 X 15000 25000 8000 29233 77233 19446573 22931160 28725353 33360554 42579145 147042785 19461573 22956160 28725353 33368554 42608378 147120018 0 0 0 147120018 19461573 22956160 28725353 33368554 42608378 147120018 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 294626 154489 140137 510 153 357 2141678 1036767 1104911 1245405 DUE FROM TUFTS MEDICAL CENTER PHYSICIANS ORG. 228925 REINSURANCE - MALPRACTICE 473282 702207 DUE TO AFFILIATES - MELROSEWAKEFIELD HEALTHCARE 3437381 SELF INSURANCE RESERVES 406949 3844330 42625878 0 42625878 0 42625878 58110231 0 58110231 0 58110231 1 0 0 0 0 0 0 0 0 ELEANOR MORESCO MD VICE CHAIR/DIRECTOR 167673 0 15044 0 13616 0 5613 0 21481 0 223427 0 0 0 MICHAEL P CONNELLY TREASURER/DIRECTOR 0 426792 0 57452 0 1640 0 6000 0 3640 0 495524 0 0 MICHAEL NEWMAN PRESIDENT/CMO/DIRECTOR 0 836467 0 0 0 44478 0 6000 0 32318 0 919263 0 0 SUSAN SANDBERG PRESIDENT/CEO/DIRECTOR 0 194427 0 0 0 47650 0 0 0 6277 0 248354 0 0 STEVEN SBARDELLA CHAIR/DIRECTOR 430614 0 74667 0 5452 0 0 0 439 0 511172 0 0 0 MELISSA GARRETT-KINGSTON VP FINANCE 245192 0 19333 0 0 0 0 0 351 0 264876 0 0 0 DAVID M MILLER ASSOCIATE CMO 311415 0 17700 0 0 0 0 0 36112 0 365227 0 0 0 LORI BARRETT VP OPERATIONS 246899 0 10694 0 0 0 907 0 9451 0 267951 0 0 0 EDWARD BUTLER CHIEF ACADEMIC OFFICER 188506 0 0 0 0 0 4830 0 21257 0 214593 0 0 0 SALVATORE NARDELLO DO SURGICAL ONCOLOGIST 308854 0 0 0 0 0 1636 0 91 0 310581 0 0 0 PATRICIA SERENO MD PHYSICIAN 166410 0 123408 0 15954 0 5568 0 22205 0 333545 0 0 0 DAVIS BU MD PHYSICIAN 208886 0 836 0 46667 0 2174 0 10634 0 269197 0 0 0 ANDREW CHANDLER MD PHYSICIAN 167019 0 34812 0 33333 0 6992 0 13275 0 255431 0 0 0 DANIEL WITKOWSKI MD PHYSICIAN 169270 0 40000 0 8750 0 0 0 12620 0 230640 0 0 0 BRIAN CLARK MD PHYSICIAN 483381 0 375877 0 48750 0 8055 0 33849 0 949912 0 0 0 JOSEPH PENNACCHIO MD PHYSICIAN 408035 0 0 0 0 0 4999 0 20489 0 433523 0 0 0 CHRISTOPHER LEUNG MD PHYSICIAN 408426 0 63045 0 0 0 7125 0 3854 0 482450 0 0 0 PHILLIP GRAY PHYSICIAN 332333 0 137229 0 0 0 8250 0 32284 0 510096 0 0 0 MA JINGLI PHYSICIAN 321090 0 77756 0 12308 0 2542 0 33985 0 447681 0 0 0 ALAN G MACDONALD FORMER CLERK/DIRECTOR 0 101438 0 0 0 96462 0 0 0 230 0 198130 0 0 WILLIAM DOHERTY MD FMR. BOARD CHAIR/EX OFFICIO DIR. 0 48907 0 0 0 989069 0 6000 0 147 0 1044123 0 0 PART I, LINE 3 RELATED ORGANIZATION METHODS USED FOR COMPENSATION EXPLANATION - ANNUALLY, THE HUMAN RESOURCES COMMITTEE OF THE PARENT CORPORATION, MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION, AND THE HOSPITAL CORPORATION, MELROSEWAKEFIELD HEALTHCARE, INC., COMPRISED OF INDEPENDENT DIRECTORS REVIEW THE COMPENSATION OF THE PRESIDENT AND THE EXECUTIVE TEAM USING DATA FROM AN INDEPEDENT THIRD PARTY EVALUATION OF COMPARABLE COMPENSATION DATA TO ASSESS AND SET COMPENSATION. COMPENSATION IS PAID BY A RELATED CORPORATION. PART I, LINE 4A THESE FORMER EMPLOYEES RECEIVED SEVERANCE PAYMENTS: WILLIAM DOHERTY, $926,316 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE MEMBER, MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION, PARENT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS ONE MEMBER, THE PARENT CORPORATION, WHICH ELECTS THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S SOLE MEMBER, THE PARENT CORPORATION, HAS APPROVAL POWER OVER ACTIONS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF 990 - THE 990 IS MADE AVAILABLE TO THE GOVERNING BODY FOR REVIEW PRIOR TO THE FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE PRESIDENT AND ONE OR MORE OF THE OFFICERS, AND/OR DIRECTORS ARE GIVEN THE CONFLICT POLICY AND ARE REQUIRED TO COMPLETE A DISCLOSURE FORM THAT IS SUBMITTED TO THE OFFICE OF THE GENERAL COUNSEL FOR REVIEW. THE CONTENTS OF THE DISCLOSURE AND ACTIONS NECESSARY TO ADDRESS CONFLICTS ARE REVIEWED BY THE CHAIR OF THE PARENT CORPORATION'S GOVERNING BODY AND ITS PRESIDENT. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY, THE HUMAN RESOURCES COMMITEE OF THE PARENT CORPORATION, COMPRISED OF INDEPENDENT DIRECTORS, REVIEWS THE COMPENSATION OF THE PRESIDENT AND MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM, USING DATA FROM INDEPENDENT THIRD PARTY EVALUATION OF COMPARABLE COMPENSATION DATA. COMPENSATION IS PAID TO THE PRESIDENT AND THE EXECUTIVE LEADERSHIP BY RELATED CORPORATIONS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST TO THE OFFICE OF THE GENERAL COUNSEL. THE ORGANIZATION'S FINANCIAL STATEMENTS AND FORM 990 ARE MADE AVAILABLE TO THE PUBLIC ON THE WEBSITE OF THE PUBLIC CHARITIES DIVISION OF MASSACHUSETTS ATTORNEY GENERAL. FORM 990, PART XI, LINE 9: DISCHARGE OF DEBT FROM RELATED ORGANIZATIONS 14,289,075. MELROSEWAKEFIELD HEALTHCARE INC 170 GOVERNORS AVE MEDFORD MA 02155 042767880 HOSPITAL MA 501(C)(3) LINE 3 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 HALLMARK HEALTH MEDICAL ASSOCIATES INC 170 GOVERNORS AVE MEDFORD MA 02155 043140938 MD OFFICES MA 501(C)(3) LINE 10 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 LM LONG TERM CARE SERVICES INC 170 GOVERNORS AVE MEDFORD MA 02155 042938772 LONG-TERM CARE MA 501(C)(3) LINE 12B, II MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 SAVIN LONG TERM CARE CORPORATION 170 GOVERNORS AVE MEDFORD MA 02155 043012616 LONG-TERM CARE MA 501(C)(3) LINE 10 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 HALLMARK HEALTH VISITING NURSE ASSOCIATION AND HOSPICE INC 178 SAVIN ST SUITE 300 MALDEN MA 02148 042437064 VISITING NURSE MA 501(C)(3) LINE 10 HOME HEALTH FOUNDATION INC 1 HALLMARK HEALTH PROPERTIES 170 GOVERNORS AVE MEDFORD MA 02155 222580542 PROPERTY MA 501(C)(3) LINE 12B, II MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 1 MELROSEWAKEFIELD HEALTHCARE PARENT CORPORATION 170 GOVERNORS AVE MEDFORD MA 02155 042103587 PARENT MA 501(C)(3) LINE 12A, I WELLFORCE INC 1 THE LOWELL GENERAL HOSPITAL 295 VARNUM AVENUE LOWELL MA 01854 042103590 HEALTH CARE MA 501(C)(3) LINE 3 CIRCLE HEALTH INC 1 CIRCLE HEALTH PHYSICIANS INC 295 VARNUM AVENUE LOWELL MA 01854 273902914 MEDICAL SERVICES MA 501(C)(3) LINE 10 CIRCLE HEALTH INC 1 LGH PHYSICIAN ASSOCIATES INC ONE HOSPITAL DRIVE LOWELL MA 01852 043190747 MEDICAL SERVICES MA 501(C)(3) LINE 10 CIRCLE HEALTH PHYSICIANS INC 1 CIRCLE HEALTH INC 295 VARNUM AVENUE LOWELL MA 01854 222579798 PARENT/SUPPORTING ORGANIZATION MA 501(C)(3) LINE 12B, II WELLFORCE INC 1 WELLFORCE INC 1600 DISTRICT AVE SUITE 125 BURLINGTON MA 01803 452250732 PARENT/SUPPORTING ORGANIZATION MA 501(C)(3) LINE 12A, I N/A 0 CNS NURSING HOME CARE INC 847 ROGERS STREET SUITE 201 LOWELL MA 01852 371836433 HOME CARE SERVICES MA 501(C)(3) LINE 10 CIRCLE HOME INC 1 CIRCLE HOME INC 847 ROGERS STREET SUITE 201 LOWELL MA 01852 042103812 HOME CARE SERVICES MA 501(C)(3) LINE 10 HOME HEALTH FOUNDATION INC 1 TUFTS MEDICAL CENTER PARENT INC 800 WASHINGTON STREET BOSTON MA 02111 042810022 FUNDRAISING, ADMIN. 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