MELROSEWAKEFIELD HEALTHCARE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: MELROSEWAKEFIELD HEALTHCARE INC (EIN 04-2767880)
Tax period: 2013-10-01 to 2014-09-30
Filed: 2015-08-12
IRS object ID: 201512249349302376
Schema version: 2013v4.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-08-12T13:46:51-05:00	ReturnTs
Tax Period End	2014-09-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	042767880	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HALLMARK HEALTH SYSTEMINC	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	HALL	BusinessNameControlTxt
Phone	7813387424	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	170 GOVERNORS AVENUE	AddressLine1
City	MEDFORD	City
State	MA	State
ZIP Code	02155	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ALAN G MACDONALD	PersonNm
Person Title	PRESIDENT/CEO (AS OF 2/12/15)	PersonTitleTxt
Phone	7813387424	PhoneNum
Signature	2015-08-04	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparation	2015-08-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	LAWRENCE MEMORIAL HOSPITAL OF	BusinessNameLine1

Field	Value	IRS element (for citing)
Principal Officer	ALAN G MACDONALD AS OF 21215	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	170 GOVERNORS AVENUE	AddressLine1
City	MEDFORD	City
State	MA	State
ZIP Code	02155	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$314,682,366	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTP://WWW.HALLMARKHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1982	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	TO OPERATE HOSPITALS WITH 24 HR ER SERVICES ON (2) CAMPUSES ALONG WITH A HOSPITAL SCHOOL OF NURSING.HALLMARK HEALTH PROVIDES INPATIENT AND OUTPATIENT MEDICAL CARE AND ANCILLARY MEDICAL SERVICES AND TESTING.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2842	TotalEmployeeCnt
Total Volunteers	210	TotalVolunteersCnt
Total Gross UBI	$1,265,323	TotalGrossUBIAmt
PY Contributions Grants	$2,641,984	PYContributionsGrantsAmt
CY Contributions Grants	$3,762,835	CYContributionsGrantsAmt
PY Program Service Revenue	$257,348,825	PYProgramServiceRevenueAmt
CY Program Service Revenue	$251,332,829	CYProgramServiceRevenueAmt
PY Investment Income	$9,649,260	PYInvestmentIncomeAmt
CY Investment Income	$9,432,590	CYInvestmentIncomeAmt
PY Other Revenue	$1,310,586	PYOtherRevenueAmt
CY Other Revenue	$1,266,618	CYOtherRevenueAmt
PY Total Revenue	$270,950,655	PYTotalRevenueAmt
CY Total Revenue	$265,794,872	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$156,517,799	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$152,574,801	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$100,590,253	PYOtherExpensesAmt
CY Other Expenses	$98,505,345	CYOtherExpensesAmt
PY Total Expenses	$257,108,052	PYTotalExpensesAmt
CY Total Expenses	$251,080,146	CYTotalExpensesAmt
PY Revenues Less Expenses	$13,842,603	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$14,714,726	CYRevenuesLessExpensesAmt
Total Assets BOY	$345,861,629	TotalAssetsBOYAmt
Total Assets EOY	$342,814,392	TotalAssetsEOYAmt
Total Liabilities BOY	$175,866,903	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$164,899,962	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$169,994,726	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$177,914,430	NetAssetsOrFundBalancesEOYAmt
Mission	TO OPERATE HOSPITALS WITH 24 HR ER SERVICES ON (2) CAMPUSES ALONG WITH A HOSPITAL SCHOOL OF NURSING.HALLMARK HEALTH PROVIDES INPATIENT AND OUTPATIENT MEDICAL CARE AND ANCILLARY MEDICAL SERVICES AND TESTING.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$200,048,081	ExpenseAmt
Revenue	$251,332,829	RevenueAmt
Desc	TO OPERATE HOSPITALS WITH 24 HR ER SERVICES ON (2)CAMPUSES ALONG WITH A HOSPITAL SCHOOL OF NURSING.HALLMARK HEALTH SYSTEM PROVIDES INPATIENT AND OUTPATIENT MEDICAL,SURGICAL AND PSYCHIATRIC CARE. ANCILLARY MEDICAL SERVICES AND TESTING ARE ALSO PROVIDED ON A INPATIENT AND OUTPATIENT BASIS IN AREAS SUCH AS LABORATORY, RADIOLOGY,EKG,EEG, PHARMACY, NUCLEAR MEDICINE,PHYSICAL THERAPY,OCCUPATIONAL THERAPY,RESPIRATORY THERAPY AND I.V. THERAPY.	Desc
Total Program Service Expenses	$200,048,081	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	178	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2842	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd
Other	Yes (X)	OtherInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JAMES A NANIA CFO	PersonNm
Phone	7813387424	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	170 GOVERNORS AVE	AddressLine1
City	MEDFORD	City
State	MA	State
ZIP Code	02155	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MVSACK PRESIDENT THRU 21115
PRESIDENT	3.00	40.00	Yes (X)	Yes (X)	$0	$1,061,434	$77,731
WJ DOHERTY MD
DIRECTOR / C	3.00	40.00	Yes (X)		$0	$427,769	$10,346
EPBUTLER MD
DIRECTOR	3.00	40.00	Yes (X)		$6,000	$353,059	$62,767
J KEENAN
TREASURER	3.00		Yes (X)		$0	$0	$0
D WEST
DIRECTOR	4.00		Yes (X)		$0	$0	$0
RS CUMMINGS
DIRECTOR	3.00		Yes (X)		$0	$0	$0
KE HENRIKSON MD
DIRECTOR	3.00		Yes (X)		$0	$0	$0
J HERRINGTON
DIRECTOR	4.00		Yes (X)		$0	$0	$0
E GEORGE
DIRECTOR	3.00		Yes (X)		$0	$0	$0
R SWANSON JR
DIRECTOR	3.00		Yes (X)		$0	$0	$0
W LAWRENCE III
DIRECTOR	3.00		Yes (X)		$0	$0	$0
JA HACKETT SR
DIRECTOR	3.00		Yes (X)		$0	$0	$0
CP VINCZE
DIRECTOR	3.00		Yes (X)		$0	$0	$0
J KALOYANIDES
DIRECTOR	3.00		Yes (X)		$0	$0	$0
S GLASSER
DIRECTOR	3.00		Yes (X)		$0	$0	$0
G BRANDI
DIRECTOR	3.00		Yes (X)		$0	$0	$0
J NANIA
CFO/ASST. TR	3.00	40.00		Yes (X)	$0	$532,391	$39,631
C WHIPPLE
ASST.CLERK/G	3.00	40.00		Yes (X)	$0	$328,639	$32,379
S PICHETTE
ASST. CLERK	40.00			Yes (X)	$59,994	$0	$242
K HOPPE
PHYSICIAN- D	40.00				$355,858	$0	$25,117	Yes (X)
M TURILLI
VP-FISCAL	40.00				$296,028	$0	$35,497	Yes (X)
D RICHARDSON
VP-SUPPORT S	40.00				$237,284	$0	$14,618	Yes (X)
C DRESSER
VP-INFORMATI	40.00				$218,688	$0	$22,703	Yes (X)
M PIEROG
VO-QUALITY A	40.00				$194,410	$0	$19,169	Yes (X)
M MCCARTHY
VP-EDUCATION	40.00	0.00			$174,871	$0	$28,624	Yes (X)
J PENNACCHIO MD
ONCOLOGY MD	40.00				$458,405	$0	$27,238		Yes (X)
R EISENBERG MD
ONCOLOGY MD	40.00				$416,010	$0	$31,377		Yes (X)
J LANE
CLINICAL MD	40.00				$348,318	$0	$8,820		Yes (X)
GV BHIDE
ONCOLOGY MD					$299,583	$0	$888		Yes (X)
RJ WELCH MD
PSYCH MD	40.00				$250,766	$0	$38,197		Yes (X)
AMACDONALDPRESIDENT AS OF 21215
FMR. SEC. /	3.00	40.00			$0	$272,924	$1,291			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,316,215	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,976,216	TotReportableCompRltdOrgAmt
Total Other Compensation	$476,635	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	182	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt	Business Name Line2ContractorName/BusinessName/BusinessNameLine2
THE CLARO GROUP LLC
321 N CLARK STREET	CHICAGO	IL	60654	CONSULTING	$2,064,442
SODEXHO INC & AFFILIATES
PO BOX 360170	PITTSBURGH	PA	152516170	MGT/CONSULTING	$1,934,933
CMGC BUIILDING CORP
20 COMMERCE PARK NORTH	BEDFORD	NH	03110	CONSTRUCTION	$1,823,440
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146	MINNEAPOLIS	MN	55480	LAB ANALYSIS	$1,250,902	1
ALLIED BARTON SERVICES
PO BOX 828854	PHILADELPHIA	PA	191828854	SECURITY	$1,221,080

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	65	CntrctRcvdGreaterThan100KCnt
Fundraising	$217,010	FundraisingAmt
Government Grants	$2,423,230	GovernmentGrantsAmt
All Other Contributions	$1,122,595	AllOtherContributionsAmt
Noncash Contributions	$5,265	NoncashContributionsAmt
Total Contributions	$3,762,835	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICAL SERVICES	622110	$249,946,487	$249,946,487
MEDICAL STAFF & SUPPORT SVS	541900	$1,265,323		$1,265,323
MONTVALE PET/CT K1	621512	$121,019	$121,019

Field	Value	IRS element (for citing)
Total Program Service Revenue	$251,332,829	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,064,453	TotalRevenueColumnAmt
Exclusion	$6,064,453	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,288,829	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,288,829	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,288,829	TotalRevenueColumnAmt
Exclusion	$1,288,829	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$52,148,388	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$48,780,251	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,368,137	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,368,137	TotalRevenueColumnAmt
Exclusion	$3,368,137	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$85,032	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$217,010	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$107,243	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$22,211	TotalRevenueColumnAmt
Exclusion	-$22,211	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$265,794,872	TotalRevenueColumnAmt
Related Or Exempt Func Income	$250,067,506	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,265,323	UnrelatedBusinessRevenueAmt
Exclusion	$10,699,208	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,526,591	TotalAmt
Management And General	$1,526,591	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$122,983,048	TotalAmt
Program Services	$102,032,609	ProgramServicesAmt
Management And General	$20,950,439	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,258,334	TotalAmt
Program Services	$3,416,036	ProgramServicesAmt
Management And General	$842,298	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,571,041	TotalAmt
Program Services	$11,218,350	ProgramServicesAmt
Management And General	$2,352,691	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,235,787	TotalAmt
Program Services	$8,211,149	ProgramServicesAmt
Management And General	$2,024,638	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$6,074,576	TotalAmt
Program Services	$3,176,259	ProgramServicesAmt
Management And General	$2,898,317	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,317,922	TotalAmt
Management And General	$1,317,922	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$294,385	TotalAmt
Management And General	$294,385	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$234,672	TotalAmt
Management And General	$234,672	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$16,961,184	TotalAmt
Program Services	$15,493,597	ProgramServicesAmt
Management And General	$1,467,587	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,117,549	TotalAmt
Program Services	$381,982	ProgramServicesAmt
Management And General	$735,567	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$38,501,023	TotalAmt
Program Services	$33,891,028	ProgramServicesAmt
Management And General	$4,609,995	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,963,085	TotalAmt
Management And General	$3,963,085	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,263,494	TotalAmt
Program Services	$6,604,188	ProgramServicesAmt
Management And General	$1,659,306	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$204,258	TotalAmt
Program Services	$99,426	ProgramServicesAmt
Management And General	$104,832	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$149,901	TotalAmt
Program Services	$58,408	ProgramServicesAmt
Management And General	$91,493	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,043,758	TotalAmt
Program Services	$1,635,007	ProgramServicesAmt
Management And General	$408,751	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,732,956	TotalAmt
Program Services	$11,799,717	ProgramServicesAmt
Management And General	$3,933,239	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$505,498	TotalAmt
Management And General	$505,498	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DUES	$1,100,730	$636,474	$464,256
MINOR EQUIP	$348,005	$345,102	$2,903
LICENSES	$255,203	$155,721	$99,482
BOND & BANK FINANCE CHG	$236,993	$236,993

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,200,153	TotalAmt
Program Services	$656,035	ProgramServicesAmt
Management And General	$544,118	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$251,080,146	TotalAmt
Program Services	$200,048,081	ProgramServicesAmt
Management And General	$51,032,065	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,948,957	BOYAmt
EOY	$12,806,386	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,473,082	BOYAmt
EOY	$1,478,003	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$30,902,137	BOYAmt
EOY	$28,312,902	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$6,722,844	BOYAmt
EOY	$7,594,334	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,740,690	BOYAmt
EOY	$2,988,262	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,510,966	BOYAmt
EOY	$8,570,671	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$362,171,565	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$287,109,821	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$76,379,204	BOYAmt
EOY	$75,061,744	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$184,916,367	BOYAmt
EOY	$180,231,546	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$10,418,970	BOYAmt
EOY	$10,671,604	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$15,848,412	BOYAmt
EOY	$15,098,940	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$345,861,629	BOYAmt
EOY	$342,814,392	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$37,466,912	BOYAmt
EOY	$35,820,653	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$97,492,516	BOYAmt
EOY	$92,072,881	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,447,591	BOYAmt
EOY	$4,399,384	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$33,459,884	BOYAmt
EOY	$32,607,044	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$175,866,903	BOYAmt
EOY	$164,899,962	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$152,452,664	BOYAmt
EOY	$159,733,994	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,443,017	BOYAmt
EOY	$2,818,232	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,099,045	BOYAmt
EOY	$15,362,204	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$169,994,726	BOYAmt
EOY	$177,914,430	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$345,861,629	BOYAmt
EOY	$342,814,392	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$14,714,726	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$6,795,022	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,542,062	BeginningYearBalanceAmt
Contributions	$803,003	ContributionsAmt
Investment Earnings Or Losses	$1,059,927	InvestmentEarningsOrLossesAmt
Other Expenditures	-$1,224,556	OtherExpendituresAmt
End Year Balance	$18,180,436	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,024,911	BeginningYearBalanceAmt
Contributions	$506,053	ContributionsAmt
Investment Earnings Or Losses	$1,155,798	InvestmentEarningsOrLossesAmt
Other Expenditures	-$1,144,700	OtherExpendituresAmt
End Year Balance	$17,542,062	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,730,987	BeginningYearBalanceAmt
Contributions	$847,142	ContributionsAmt
Investment Earnings Or Losses	$1,520,047	InvestmentEarningsOrLossesAmt
Other Expenditures	-$1,073,265	OtherExpendituresAmt
End Year Balance	$17,024,911	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,664,200	BeginningYearBalanceAmt
Contributions	$582,895	ContributionsAmt
Investment Earnings Or Losses	-$431,094	InvestmentEarningsOrLossesAmt
Other Expenditures	-$1,085,014	OtherExpendituresAmt
End Year Balance	$15,730,987	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,307,379	BeginningYearBalanceAmt
Contributions	$636,980	ContributionsAmt
Investment Earnings Or Losses	$895,385	InvestmentEarningsOrLossesAmt
Other Expenditures	-$1,175,544	OtherExpendituresAmt
End Year Balance	$16,664,200	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.84500	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.15500	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,422,964	OtherCostOrOtherBasisAmt
Book Value	$1,422,964	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$162,778,435	OtherCostOrOtherBasisAmt
Depreciation	$138,649,995	DepreciationAmt
Book Value	$24,128,440	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,214,252	OtherCostOrOtherBasisAmt
Depreciation	$6,654,998	DepreciationAmt
Book Value	$2,559,254	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$185,443,138	OtherCostOrOtherBasisAmt
Depreciation	$141,804,828	DepreciationAmt
Book Value	$43,638,310	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,312,776	OtherCostOrOtherBasisAmt
Book Value	$3,312,776	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$75,061,744	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ESTIMATED SETTLEMENTS 3RD PARTY PAY	$12,335,211
PENSION LIABILITY	$10,679,010
INSURANCE & OTHER LT LIABILITIES	$4,979,516
DUE TO AFFILIATES	$3,037,453
ASSET RETIREMENT OBLIGATIONS-FIN 47	$851,491
NURSING SCHOOL LONG TERM LIABILITIES	$724,363

Field	Value	IRS element (for citing)
Total Liability	$32,607,044	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PAGE 2, PART V, LINE 4	FormAndLineReferenceDesc
Explanation	THE ENDOWMENT FUNDS ARE USED TO FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION IN PROVIDING HEALTHCARE TO THE SURROUNDING COMMUNITIES.	ExplanationTxt

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Licensed States	MA	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	HALLMARK MWH GO	NameOfEvent1Amt
Gross Receipts Event1	$115,105	GrossReceiptsEvent1Amt
Charitable Contri Event1	$67,497	CharitableContriEvent1Amt
Gross Revenue Event1	$47,608	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$2,695	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$18,200	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$12,600	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$5,117	OtherDirectExpensesEvent1Amt
Name Of Event2	HALLMARK LMH GO	NameOfEvent2Amt
Gross Receipts Event2	$83,481	GrossReceiptsEvent2Amt
Charitable Contri Event2	$56,151	CharitableContriEvent2Amt
Gross Revenue Event2	$27,330	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$6,960	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$13,407	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$18,404	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$1,930	OtherDirectExpensesEvent2Amt
Other Events Total	3	OtherEventsTotalCnt
Gross Receipts Other Events	$103,456	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$93,362	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$10,094	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$4,734	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$5,484	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$7,252	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$10,460	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$302,042	GrossReceiptsTotalAmt
Charitable Contributions Tot	$217,010	CharitableContributionsTotAmt
Gross Revenue Total Events	$85,032	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$14,389	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$37,091	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$38,256	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$17,507	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$107,243	DirectExpenseSummaryEventsAmt
Net Income Summary	-$22,211	NetIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	MA	StatesWhereGamingConductedCd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,083,310	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,105,486	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$977,824	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,158,138	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$31,549,126	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,609,012	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,977	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,413	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,564	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$37,247,425	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,658,025	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,589,400	NetCommunityBenefitExpnsAmt
Total Expense	0.01030	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	62	ActivitiesOrProgramsCnt
Persons Served	43267	PersonsServedCnt
Total Community Benefit Expns	$5,008,681	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,386,732	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,621,949	NetCommunityBenefitExpnsAmt
Total Expense	0.01040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	1589	PersonsServedCnt
Total Community Benefit Expns	$11,591,628	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,281,680	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,309,948	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	184	PersonsServedCnt
Total Community Benefit Expns	$1,176,148	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$820,943	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$355,205	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	2706	PersonsServedCnt
Total Community Benefit Expns	$186,151	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,370	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$174,781	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	35	ActivitiesOrProgramsCnt
Persons Served	5830	PersonsServedCnt
Total Community Benefit Expns	$110,957	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$110,957	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	107	ActivitiesOrProgramsCnt
Persons Served	53576	PersonsServedCnt
Total Community Benefit Expns	$18,073,565	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,500,725	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,572,840	NetCommunityBenefitExpnsAmt
Total Expense	0.02220	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	107	ActivitiesOrProgramsCnt
Persons Served	53576	PersonsServedCnt
Total Community Benefit Expns	$55,320,990	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$47,158,750	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,162,240	NetCommunityBenefitExpnsAmt
Total Expense	0.03250	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,618	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,618	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,159	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,159	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,616	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,616	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,051	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,051	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,444	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$27,444	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$2,747,148	BadDebtExpenseAmt
Reimbursed By Medicare	$85,903,001	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$89,911,442	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,008,441	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	10	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (10 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc
MELROSE WAKEFIELD HOSPITAL
1	585 LEBANON STREET	MELROSE	MA	02176	Yes (X)	Yes (X)	Yes (X)	A
LAWRENCE MEMORIAL HOSPITAL
2	170 GOVERNORS AVE	MEDFORD	MA	02155	Yes (X)	Yes (X)	Yes (X)	A
HALLMARK ONCOLOGY & HEMATOLOGY CTR
3	41 MONTVALE AVE	STONEHAM	MA	02180				A	OUTPATIENT MEDICAL
CHEM CENTER FOR RADIATION & MRI
4	48 MONTVALE AVE	STONEHAM	MA	02180				A	OUTPATIENT MEDICAL
HALLMARK HEALTH AT 101 MAIN
5	101 MAIN STREET	MEDFORD	MA	02155				A	OUTPATIENT MEDICAL
HALLMARK OUTPAT DIAGNOSTIC & REHAB
6	30 NEWCROSSING ROAD	READING	MA	01867				A	OUTPATIENT MEDICAL
HEALTH IMAGE WOMAN'S IMAGING CENTER
7	830 MAIN STREET	MELROSE	MA	02176				A	IMAGING CENTER
MELROSE-WAKEFIELD HOSP REHAB SERV
8	22 COREY STREET	MELROSE	MA	02176				A	PT & REHAB SERVICE
LAWRENCE MEMORIAL HOSPITAL PROGRAM
9	200 GOVERNORS AVE	MEDFORD	MA	02155				A	PSYCHIATRIC SERVICE
COMMUNITY COUNSELING CENTER
10	178 SAVIN STREET	MALDEN	MA	02148				A	OUTPATIENT COUNSELING

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1

Field	Value	IRS element (for citing)
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.HALLMARKHEALTH.ORG	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTP://WWW.HALLMARKHEALTH.ORG/COMMUNIT	OtherWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	Yes (true)	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, MELROSE WAKEFIELD HOSPITAL - PART V, LINE 3	IN ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), COMPLETED IN AUGUST 2013, HALLMARK HEALTH SPECIFICALLY TOOK INTO ACCOUNT INPUT FROM REPRESENTATIVES WITHIN THE COMMUNITIES SERVED BY ITS FACILITIES. DURING THE CHNA RESEARCH PROCESS, CONDUCTED IN COLLABORATION WITH THE INSTITUTE FOR COMMUNITY HEALTH, INTERVIEWS WERE CONDUCTED WITH 18 KEY COMMUNITY LEADERS AND STAKEHOLDERS ACROSS THE CATCHMENT AREA, INCLUDING STATE PUBLIC HEALTH OFFICIALS, AND MEMBERS OF LOCAL BOARDS OF HEALTH AND PUBLIC HEALTH DIRECTORS, ASKING ABOUT TOP HEALTH CONCERNS, VULNERABLE POPULATIONS, COMMUNITY ASSETS AND RESOURCES, EXPERIENCES AND SUGGESTIONS. BROADER COMMUNITY-WIDE INPUT WAS ALSO SOLICITED THROUGH A FORMAL SURVEY, CONDUCTED BOTH ONLINE AND IN HARD COPY FORMAT. THE SURVEY TOOL WAS AVAILABLE IN ENGLISH AND TRANSLATED INTO THE SIX MOST COMMON LANGUAGES WITHIN THE SERVICE AREA. THE RESPONSES OF 387 CATCHMENT AREA RESIDENTS WERE ULTIMATELY COMPILED, INCLUDING INFORMATION RELATED TO THEIR HEALTH CONCERNS, BEHAVIORS AND NEEDS, AND INCORPORATED INTO THE CHNA. HALLMARK HEALTH ENCOURAGES AND SOLICITS FEEDBACK ON THE CURRENT CHNA ON AN ONGOING BASIS, SHARING THE REPORT AND INFORMATION WITH COLLABORATORS, COMMUNITY MEMBERS, AND STUDENTS. IN ADDITION, THE HOSPITAL MONITORS SECONDARY DATA SOURCES, INCLUDING LOCAL, STATE AND FEDERAL AGENCIES, AND GATHERS ADDITIONAL PRIMARY DATA WHENEVER POSSIBLE THAT RELATES TO THE NEEDS OF ITS CORE COMMUNITIES. THIS SERVES TO IDENTIFY EMERGING NEEDS IN THE SHORT TERM, AS WELL SUPPORTS ONGOING PREPARATION FOR THE CHNA PROCESS TO BE COMPLETED BY THE END OF FY 2016. METHODS OF INFORMATION GATHERING INCLUDE "WORLD CAF" STYLE FORUMS, TARGETING SPECIFIC PRIORITY CONSTITUENCIES, AS WELL AS DATA-SHARING WITH OTHER COMMUNITY HEALTH PROVIDERS AND PARTNERS.
FACILITY 1, MELROSE WAKEFIELD HOSPITAL - PART V, LINE 20D	FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE.
FACILITY 2, LAWRENCE MEMORIAL HOSPITAL - PART V, LINE 3	REFER TO PART VI SUPPLEMENTAL SCHEDULE H INFORMATION AS REPORTED IN MELROSE WAKEFIELD HOSPITAL , REPORTING GROUP A -- PART V LINE 3
FACILITY 2, LAWRENCE MEMORIAL HOSPITAL - PART V, LINE 20D	FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE.
FACILITY 3, HALLMARK ONCOLOGY & HEMATOLOGY CTR. - PART V, LINE 3	REFER TO PART VI SUPPLEMENTAL SCHEDULE H INFORMATION AS REPORTED IN MELROSE WAKEFIELD HOSPITAL , REPORTING GROUP A -- PART V LINE 3
FACILITY 3, HALLMARK ONCOLOGY & HEMATOLOGY CTR. - PART V, LINE 20D	FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE.
FACILITY 4, CHEM CENTER FOR RADIATION & MRI - PART V, LINE 3	REFER TO PART VI SUPPLEMENTAL SCHEDULE H INFORMATION AS REPORTED IN MELROSE WAKEFIELD HOSPITAL , REPORTING GROUP A -- PART V LINE 3
FACILITY 4, CHEM CENTER FOR RADIATION & MRI - PART V, LINE 20D	FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE.
FACILITY 5, HALLMARK HEALTH AT 101 MAIN - PART V, LINE 3	REFER TO PART VI SUPPLEMENTAL SCHEDULE H INFORMATION AS REPORTED IN MELROSE WAKEFIELD HOSPITAL , REPORTING GROUP A -- PART V LINE 3
FACILITY 5, HALLMARK HEALTH AT 101 MAIN - PART V, LINE 20D	FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE.
FACILITY 6, HALLMARK OUTPAT DIAGNOSTIC & REHAB - PART V, LINE 3	REFER TO PART VI SUPPLEMENTAL SCHEDULE H INFORMATION AS REPORTED IN MELROSE WAKEFIELD HOSPITAL , REPORTING GROUP A -- PART V LINE 3
FACILITY 6, HALLMARK OUTPAT DIAGNOSTIC & REHAB - PART V, LINE 20D	FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE.
FACILITY 7, HEALTH IMAGE WOMAN'S IMAGING CENTER - PART V, LINE 3	REFER TO PART VI SUPPLEMENTAL SCHEDULE H INFORMATION AS REPORTED IN MELROSE WAKEFIELD HOSPITAL , REPORTING GROUP A -- PART V LINE 3
FACILITY 7, HEALTH IMAGE WOMAN'S IMAGING CENTER - PART V, LINE 20D	FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE.
FACILITY 8, MELROSE-WAKEFIELD HOSP REHAB SERV. - PART V, LINE 3	REFER TO PART VI SUPPLEMENTAL SCHEDULE H INFORMATION AS REPORTED IN MELROSE WAKEFIELD HOSPITAL , REPORTING GROUP A -- PART V LINE 3
FACILITY 8, MELROSE-WAKEFIELD HOSP REHAB SERV. - PART V, LINE 20D	FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE.
FACILITY 9, LAWRENCE MEMORIAL HOSPITAL PROGRAM - PART V, LINE 3	REFER TO PART VI SUPPLEMENTAL SCHEDULE H INFORMATION AS REPORTED IN MELROSE WAKEFIELD HOSPITAL , REPORTING GROUP A -- PART V LINE 3
FACILITY 9, LAWRENCE MEMORIAL HOSPITAL PROGRAM - PART V, LINE 20D	FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE.
FACILITY 10, COMMUNITY COUNSELING CENTER - PART V, LINE 3	REFER TO PART VI SUPPLEMENTAL SCHEDULE H INFORMATION AS REPORTED IN MELROSE WAKEFIELD HOSPITAL , REPORTING GROUP A -- PART V LINE 3
FACILITY 10, COMMUNITY COUNSELING CENTER - PART V, LINE 20D	FIFTY PERCENT OF CHARGES ARE BILLED TO INDIVIDUALS WHO DO NOT HAVE INSURANCE.

Supplemental Information Detail SupplementalInformationDetail (14 entries)

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PART I, LINE 7, COLUMN (F) - EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	BAD DEBT EXPENSE 8,565,080
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	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 II - COMMUNITY BUILDING ACTIVITIES	AS PART OF ITS EFFORTS TO IMPROVE THE HEALTH STATUS OF ITS CORE COMMUNITIES, HALLMARK HEALTH 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, MYSTIC VALLEY ELDER SERVICES PROVIDER TASK FORCE, LOCAL COUNCILS ON AGING, HEALTHY FAMILIES COMMUNITY COALITION, MEDFORD FAMILY RESOURCE COALITION, SUBSTANCE ABUSE PREVENTION COALITIONS IN MELROSE, MEDFORD, READING, STONEHAM AND WAKEFIELD, THE MYSTIC VALLEY OPIOID ABUSE PREVENTION COALITION (MOAPC), AND THE MALDEN, EVERETT, AND MEDFORD COORDINATED FAMILY AND COMMUNITY ENGAGEMENT (CFCE) GRANT PROGRAMS. ANOTHER SPECIFIC EXAMPLE OF THIS COMMUNITY BUILDING IS HALLMARK HEALTH'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 VIOLENCE IN MELROSE.WORKING CLOSELY WITH THE MELROSE POLICE DEPARTMENT , THE BOARD OF DIRECTORS OF MAAV INCLUDES TWO REPRESENTATIVES FROM HALLMARK HEALTH, AS WELL AS FROM THE MELROSE SCHOOLS, CLERGY, HEALTH DEPARTMENT, AS WELL AS STUDENTS AND COMMUNITY MEMBERS AT LARGE. IN ADDITION, HALLMARK HEALTH HAS CONTINUED TO OPERATE A NUMBER OF COMMUNITY OUTREACH TEAMS TO ASSIST WITH COLLECTION OF COMMUNITY NEED INFORMATION AND HEALTH EDUCATION AND SCREENINGS. THE TEAMS HAVE SPONSORED EVENTS RANGING FROM INFORMAL (PLANNING, HEALTH EVENTS AND SCREENINGS) TO MORE FORMAL (HEALTHY MELROSE, DIABETES DAY, MOBILE FOOD MARKET), OFFERING MULTIPLE OPPORTUNITIES TO INTERACT WITH A WIDE RANGE OF COMMUNITY MEMBERS TO FORM TRUSTING RELATIONSHIPS, LISTENING TO THE VOICES OF INDIVIDUAL COMMUNITY MEMBERS, AND FOSTERING THE DEVELOPMENT OF RESILIENCE WITHIN EACH COMMUNITY. AS HALLMARK HEALTH BEGINS THE SECOND YEAR OF ITS IMPLEMENTATION PLAN, IT CONTINUES TO UTILIZE THE COLLECTIVE KNOWLEDGE OF THE TEAM CAPTAINS. THE TEAMS' 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, MEDFORD, MELROSE, WAKEFIELD, READING/NORTH READING AND STONEHAM. 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 60 EMPLOYEES, VOLUNTEERS, AND PHYSICIANS WERE INVOLVED IN TEAM- SPONSORED EVENTS IN FISCAL YEAR 2014/TAX YEAR 2013 (FY 2014/TY 2013). THE COMMUNITY TEAM EFFORTS HAVE BEEN ACKNOWLEDGED BY FOUR AREA CHAMBERS OF COMMERCE, OTHER CIVIC ORGANIZATIONS, THE HOUSE OF REPRESENTATIVES, THE AMERICAN HOSPITAL ASSOCIATION, AND THE MASSACHUSETTS HOSPITAL ASSOCIATION.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	HALLMARK HEALTH SYSTEM, INC. DEVELOPED A COST TO CHARGE RATIO ON WORKSHEET 2 AND APPLIED IT TO THE BAD DEBT ACCOUNT CHARGES THAT WERE ACTUALLY WRITTEN-OFF.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	THE FOLLOWING IS FROM THE HALLMARK HEALTH CORPORATION CONSOLIDATED AUDITED FINANCIAL STATEMENTS, OF WHICH HALLMARK HEALTH SYSTEM IS INCLUDED, RELATING TO CHARITY CARE AND BAD DEBT EXPENSE : 2013 CHARITY CARE AND COMMUNITY BENEFIT FOOTNOTE CHARITY CARE - THE CORPORATION PROVIDES CARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CONSISTENT WITH ITS TAX-EXEMPT STATUS AND COMMUNITY SERVICE RESPONSIBILITIES, THE CORPORATION PROVIDES FINANCIAL ASSISTANCE IN THE FORM OF FREE OR DISCOUNTED CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE CORPORATION'S CHARITY CARE POLICY. IN ASSESSING A PATIENT'S INABILITY TO PAY, THE CORPORATION UTILIZES FEDERAL POVERTY INCOME GUIDELINES AND FOLLOWS PROCEDURES SET FORTH IN ITS CREDIT AND COLLECTION POLICY, WHICH HAS BEEN APPROVED BY THE COMMONWEALTH OF MASSACHUSETTS DIVISION OF HEALTHCARE FINANCE AND POLICY. BECAUSE THE CORPORATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE NOT REPORTED AS PATIENT SERVICE REVENUE. DURING THE YEARS ENDED SEPTEMBER 30, 2014 AND 2013,THE CORPORATION ESTIMATED THAT THE COST ASSOCIATED WITH THE CHARITY CARE PROVIDED WAS APPROXIMATELY 1,584,000 AND 2,277,000, RESPECTIVELY. SUCH COSTS HAVE BEEN ESTIMATED BASED ON RATIO OF EXPENSES ( EXCLUDING BAD DEBT ) TO ESTABLISHED PATIENT SERVICE CHARGES. BAD DEBTS - THE PROVISION FOR BAD DEBTS IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS REFLECTS THE CHARGES AT ESTABLISHED RATES FOR SERVICES PROVIDED TO THOSE INDIVIDUALS WHO DO NOT QUALIFY FOR CHARITY CARE UNDER THE GUIDELINES DESCRIBED ABOVE, AND WHO ARE OTHERWISE UNABLE OR UNWILLING TO PAY THE CORPORATION.THE PROVISION FOR BAD DEBTS OF 8,814,000 AND 8,807,000 IN 2014 AND 2013, RESPECTIVELY, REPRESENTS THE CHARGES FOR SERVICES PROVIDED THAT ARE DEEMED TO BE UNCOLLECTIBLE. THE ESTIMATED COST OF PROVIDING THESE SERVICES DEEMED UNCCLLECTIBLE WAS APPROXIMATELY 3,733,000 FOR 2014 AND 3,676,000 FOR 2013. HEALTH SAFETY NET) - THE COMMONWEALTH OF MASSACHUSETTS (THE "COMMONWEALTH") ADMINISTERS A HEALTH SAFETY NET (THE HSN) TO ACT AS THE "PAYOR OF LAST RESORT" FOR COVERED HEALTH CARE SERVICES PROVIDED BY ACUTE HOSPITALS AND COMMUNITY HEALTH CENTERS IN THE COMMONWEALTH. ALL HOSPITALS HAVE BEEN ASSESSED A UNIFORM ALLOWANCE BASED ON ESTIMATES OF THEIR SHARE OF TOTAL HEALTH SAFETY NET FUNDING AND HAVE BEEN REIMBURSED FOR A PORTION OF THE COST OF ACTUAL UNCOMPENSATED CARE WHICH THEY PROVIDE, SUBJECT TO CERTAIN LIMITATIONS. REIMBURSABLE UNCOMPENSATED CARE INCLUDES NET CHARITY CARE AND BAD DEBTS RESULTING FROM EMERGENCY SERVICES. HOSPITALS' RECOVERIES FROM THE HSN ARE BASED ON REGULATED PAYMENT RATES. THE CORPORATION HAS RECORDED ITS ACTIVITY WITH THE HSN AS A COMPONENT OF NET PATIENT SERVICE REVENUE IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS. MANAGEMENT BELIEVES THAT THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS REFLECT REASONABLE ESTIMATES OF THE CORPORATION'S NET OBLIGATION TO THE HSN AS OF SEPTEMBER 30,2014 AND 2013. THE CORPRATION'S SHARE OF THE TOTAL COMMONWEALTH'S ASSESSMENT WAS 1,981,492 FOR 2014 AND 1,913,883 FOR 2013. DURING 2014 AND 2013, THE CORPORATION RECEIVED REIMBURSEMENT FROM THE HSN IN THE AMOUNTS OF 758,486 AND 893,476, RESPECTIVELY. TOTAL UNCOMPENSATED CARE PROVIDED BY ALL RELATED CORPORATIONS FOR THE YEARS ENDED SEPTEMBER 30, 2014 AND 2013, IS AS FOLLOWS: 2014 2013 PROVISION FOR CHARITY CARE(AT COST) 1,584,085 2,276,716 PROVISION FOR BAD DEBTS(AT COST) 3,732,533 3,676,180 HSN - NET 1,223,006 1,020,407 TOTAL UNCOMPENSATED CARE 6,539,624 6,973,303 TOTAL HALLMARK HEALTH SYSTEM,INC. UNCOMPENSATED CARE FOR FYE 2014 & 2013 IS AS FOLLOWS: 2014 2013 PROVISION FOR CHARITY CARE(AT COST) 1,565,235 2,258,150 PROVISION FOR BAD DEBTS(AT COST) 3,627,311 3,662,612 HSN - NET 1,223,006 1,020,407 TOTAL UNCOMPENSATED CARE 6,415,552 6,941,169 COMMUNITY BENEFIT - IN FURTHERING ITS CHARITABLE PURPOSE, THE CORPORATION PROVIDES A WIDE VARIETY OF HEALTH CARE SERVICES TO THE COMMUNITY IN ORDER TO PROVIDE ACCESS TO APPROPRIATE CARE FOR POPULATIONS IN NEED. THE CORPORATION HAS DEVELOPED A FORMAL COMMUNITY BENEFIT PLAN, WHICH RESPONDS TO A COMPREHENSIVE ASSESSMENT OF HEALTH CARE NEEDS IN THE COMMUNITY. THE COMMUNITY BENEFIT PLAN SUPPORTS SERVICES THAT TARGET NOT ONLY THE GENERAL POPULATION IN THE CORPORATION'S SERVICE AREA, BUT ALSO PARTICULAR POPULATIONS WITH SPECIAL HEALTH CARE NEEDS, INCLUDING THE POOR, THE ELDERLY, CHILDREN, AND MINORITY POPULATIONS. SUPPORTED SERVICES INCLUDE VARIOUS CLINICS, HEALTH SCREENING PROGRAMS, HEALTH EDUCATION PROGRAMS, AND SUPPORT GROUPS OPERATED IN THE CORPORATION'S SERVICE AREA. THE CORPORATION WORKS ACTIVELY WITH OTHER AREA SERVICE PROVIDERS TO FACILITATE THE DEVELOPMENT OF AN EFFECTIVE COMMUNITY HEALTH NETWORK. THE CORPORATION ALSO PARTICIPATES IN ACTIVITIES DESIGNED TO FOSTER AND ENHANCE THE ECONOMIC AND CIVIC ENVIRONMENT OF ITS SERVICE AREAS. HALLMARK HEALTH SYSTEM, INC. DOES NOT INCLUDE BAD DEBT AS A COMMUNITY BENEFIT.
PART III, LINE 8 - MEDICARE EXPLANATION	MEDICARE REIMBURSEMENT SHORTFALL USING ALLOWABLE COSTS FROM MEDICARE COST REPORT.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	POLICY- " COLLECTION ACTIVITY IS STOPPED ONCE A PATIENT IS KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE THIS POPULATION IS EXEMPT FROM COLLECTION ACTIVITY. "
PART VI, LINE 2 - NEEDS ASSESSMENT	HALLMARK HEALTH SYSTEM IS A NOT-FOR-PROFIT HOSPITAL THAT OPERATES TO FURTHER THE IMPROVEMENT OF THE HEALTH STATUS TO THE COMMUNITIES THAT WE SERVE THROUGH THE DELIVERY OF HEALTHCARE SERVICES AND EDUCATION. THIS EFFORT IS ACHIEVED BY: -RE-INVESTING SURPLUS FUNDS BACK INTO COMMUNITIES THROUGH PROGRAMS AND SERVICES. -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 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, OUTREACH FOR THE ELDERLY, AND CARE FOR PERSONS WHO ARE POOR OR UNINSURED. IN COMPLIANCE WITH IRS GUIDELINES, A YEAR-LONG PROCESS TO DEVELOP A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED BY HALLMARK HEALTH IN AUGUST 2013, 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 HALLMARK HEALTH COMMUNITY BENEFITS ADVISORY COUNCIL, COMMUNITY OUTREACH TEAMS, PATIENT/FAMILY ADVISORY COUNCIL, LOCAL COMMUNITY COALITIONS, AND THE COMMUNITY HEALTH NETWORK AREAS MEMBERSHIP. STAKEHOLDER INTERVIEWS AND COMMUNITY SURVEYS WERE ALSO COMPLETED. REFLECTING IRS REQUIREMENTS, AND TO FOSTER TRANSPARENCY, THE ENTIRE CHNA AS WELL AS AN EXECUTIVE SUMMARY OF ITS FINDINGS ARE POSTED ON THE HALLMARK HEALTH SYSTEM WEBSITE AND IN PRINTED VERSIONS AT EACH HOSPITAL CAMPUS AND OTHER KEY SERVICE DELIVERY LOCATIONS IN THE CATCHMENT AREA. ONGOING MONITORING OF THE CHNA AND ITS IDENTIFIED HEALTH PRIORITIES IS THE RESPONSIBILITY OF THE COMMUNITY BENEFITS ADVISORY COUNCIL. AS OF THE END OF FY 2014/TY 2013, THE HALLMARK HEALTH COUNCIL IS COMPRISED OF A MEMBER OF THE HOSPITAL'S BOARD OF TRUSTEES; THE EXECUTIVE VICE PRESIDENT FOR STRATEGY & EXTERNAL AFFAIRS; EXECUTIVE VICE PRESIDENT AND CHIEF LEGAL OFFICER; SYSTEM VICE PRESIDENT OF HOME CARE AND COMMUNITY PROGRAMS; CHIEF MARKETING OFFICER; FISCAL CONTROLLER; SYSTEM DIRECTOR OF HEMATOLOGY-ONCOLOGY; TWO HALLMARK HEALTH-AFFILIATED PHYSICIANS; THREE COMMUNITY REPRESENTATIVES; THE DIRECTOR, COMMUNITY SERVICES; AND THE MANAGER, COMMUNITY BENEFITS. THE COUNCIL ACTS AS OVERSEERS FOR THE CHNA, AND DEFINES THE PROCESS FOR RECOGNIZING CURRENT AND EMERGING HEALTH NEEDS IN THE COMMUNITY, AS WELL AS DEVELOPING A MULTI-YEAR COMMUNITY BENEFITS IMPLEMENTATION PLAN TO RESPOND TO THESE NEEDS. AT THE START OF FY 2014/TY 2013, THE COUNCIL REVIEWED AND SENT THE FY 2014-16 IMPLEMENTATION PLAN TO THE BOARD OF TRUSTEES WHO VOTED TO APPROVE IT AS PRESENTED. THE COUNCIL MEETS QUARTERLY (AND INCREASED TO 6 MEETINGS PER YEAR IN FY 2015) TO PROVIDE INPUT TO THE ONGOING EXECUTION OF THE PLAN, DISCUSS ONGOING COMMUNITY HEALTH ISSUES, AND OFFER INPUT TO THE GOVERNING BOARD REGARDING EMERGING AND NEWLY IDENTIFIED COMMUNITY HEALTH NEEDS. THE COUNCIL ADDED TWO PHYSICIAN REPRESENTATIVES DURING FY 2014/TY 2013, AND PLANS TO WELCOME ADDITIONAL HOSPITAL REPRESENTATIVES (THE MANAGER, INTERPRETER SERVICES AND LICSW MANAGER, CASE MANAGEMENT) IN FY 2015. RECRUITMENT OF COMMUNITY REPRESENTATIVES REFLECTING THE VULNERABLE POPULATIONS IN THE COMMUNITY, AND REPRESENTING DIVERSE CONSTITUENCIES AND VIEWPOINTS, WILL TAKE PLACE ON AN ONGOING BASIS. HALLMARK HEALTH ALSO ACTIVELY PARTICIPATED 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 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. (COMMUNITY TEAMS FUNCTIONS ARE FURTHER EXPLAINED IN THE DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES IN PART II.) ANOTHER WAY THAT HALLMARK HEALTH ASSESSES 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 COUNCIL OFTEN ASSISTS HALLMARK HEALTH STAFF BY PROVIDING INPUT INTO THE PLANNING OF FUTURE COMMUNITY ACTIVITIES AND INITIATIVES. IN FY 2014/TY 2013, PFAC MEMBERS' INPUT WAS SOLICITED ON FURNITURE THAT HALLMARK HEALTH PURCHASED TO UPDATE AND IMPROVE PATIENT ROOMS, A COMPLETE REVISION OF THE HOSPITAL'S PATIENT WELCOME PACKETS, A UNIFORM, SYSTEM-WIDE PROTOCOL FOR PATIENT SIGN-IN PROCEDURES IN OUTPATIENT OFFICES, AND THE CREATION OF A MORE "USER- FRIENDLY" PATIENT DISCHARGE REPORT. PFAC MEMBERS RAISED QUESTIONS AROUND PATIENT CALL BUTTONS, SERVED ON A PILOT SUB-GROUP TO TEST THE HOSPITAL'S NEW ELECTRONIC PATIENT PORTAL, PROVIDED FEEDBACK ON THE HOSPITAL'S INTERPRETER SERVICES PROGRAM, AND REVIEWED AND COMMENTED ON PROPOSED RENOVATIONS TO THE EMERGENCY DEPARTMENT AT LAWRENCE MEMORIAL HOSPITAL. AS PART OF ITS EFFORTS TO IMPROVE HEALTH STATUS IN THE CATCHMENT AREA, HALLMARK HEALTH SYSTEM 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: MYSTIC VALLEY ELDER SERVICES PROVIDER TASK FORCE; LOCAL COUNCILS ON AGING; THE HEALTHY FAMILIES COMMUNITY COALITION; THE JOINT COMMITTEE FOR CHILDREN'S HEALTH CARE IN EVERETT (JCCHCE); MEDFORD HEALTH MATTERS; TRI-CITY HUNGER NETWORK; CHINESE CULTURE CONNECTION; SUBSTANCE ABUSE PREVENTION COALITIONS IN MELROSE, MEDFORD, WAKEFIELD, READING AND STONEHAM; THE MALDEN'S PROMISE COALITION; DPH MASS IN MOTION PROGRAMS IN MELROSE-WAKEFIELD, MALDEN, AND EVERETT; AND THE MELROSE, STONEHAM, AND WAKEFIELD ALLIANCES AGAINST VIOLENCE. ONE CENTRAL FOCUS OF HALLMARK HEALTH'S COMMUNITY BENEFITS WORK IS TO CONTINUE TO FOSTER RELATIONSHIPS WITH A WIDER ARRAY OF COMMUNITY GROUPS AND LOCAL LEADERS, INCLUDING FAITH-BASED AND GRASSROOTS ORGANIZATIONS. SUCH RELATIONSHIPS PROVIDE INSIGHT INTO HOW THESE GROUPS VIEW HALLMARK HEALTH SYSTEM'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.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	MASSACHUSETTS HOSPITALS 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 CREDIT AND COLLECTION POLICY.FOR THOSE PATIENTS THAT REQUEST SUCH ASSISTANCE,THE HOSPITAL ASSISTS PATIENTS BY SCREENING THEM FOR ELIGIBILTY IN AVAILABLE PUBLIC PROGRAMS AND ASSISTING THEM IN APPLYING FOR THE PROGRAMS.THE SCREENING AND APPLICATION PROCESS IS DONE THROUGH A SINGLE UNIFORM APPLICATION THAT IS SUBMITTED THROUGH THE THE HEALTH INSURANCE EXCHANGE (HIX) OR THROUGH A STANDARD PAPER APPLICATION. HOSPITALS HAVE NO ROLE IN SPECIFICALLY DETERMINING THE ELIGIBILITY FOR ENROLLMENT WITH 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.
PART VI, LINE 4 - COMMUNITY INFORMATION	HALLMARK HEALTH SYSTEM (HHS) IS A COMMUNITY HOSPITAL SYSTEM, LOCATED ON TWO HOSPITAL CAMPUSES APPROXIMATELY TEN (10) MILES NORTH OF BOSTON, MASSACHUSETTS. HALLMARK HEALTH'S OVERALL SERVICE AREA IS PRIMARILY WITHIN MIDDLESEX COUNTY, WITH SOME SLIGHT OVERLAP INTO ESSEX AND SUFFOLK COUNTIES. THE HHS 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 SECONDARY COMMUNITIES OF EVERETT, NORTH READING, AND SAUGUS . THESE COMMUNITIES WERE SELECTED AND APPROVED BY LEADERSHIP BASED ON AN ASSESSMENT OF COMMUNITIES FROM WHICH HHS DRAWS ITS PATIENT POPULATION, COMMUNITIES WHERE HHS HAS AN EXISTING PHYSICAL OR PROGRAMM 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) 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 FIVE 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 ADDITIONAL TO 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 HHS FY 2013 COMMUNITY HEALTH NEEDS ASSESSMENT: POPULATION SIZE & DENSITY THE HHS CB NINE-COMMUNITY CATCHMENT AREA COVERS 71.7 SQUARE MILES, WITH A TOTAL POPULATION OF 294,024. SIZE AND POPULATION DENSITY VARY BY COMMUNITY, WITH MALDEN AND MEDFORD HAVING THE LARGEST POPULATIONS AT 58,180 AND 55,451 RESPECTIVELY, AND NORTH READING THE SMALLEST, AT 14,536. MALDEN IS THE MOST DENSELY POPULATED COMMUNITY AT 11,408 PEOPLE PER SQUARE MILE, AND NORTH READING THE LEAST DENSELY POPULATED AT 1,077 PEOPLE PER SQUARE MILE. RACE/ETHNICITY & FOREIGN-BORN RESIDENTS COMPARED TO THE STATE OF MASSACHUSETTS, EVERETT, MALDEN AND MEDFORD HAVE LARGER POPULATIONS OF NON-WHITE RESIDENTS. THE REMAINING SIX COMMUNITIES ALL HAVE MOSTLY WHITE POPULATIONS. EVERETT, MALDEN AND MEDFORD ALSO HAVE LARGER POPULATIONS OF FOREIGN-BORN RESIDENTS (35%, 39% AND 21% RESPECTIVELY, COMPARED TO 15% STATEWIDE). IN EVERETT, THE LARGEST PERCENTAGE OF FOREIGN-BORN RESIDENTS IS FROM LATIN AMERICA (75%); IN MALDEN 50% ARE FROM ASIA AND 36% FROM LATIN AMERICA; AND IN MEDFORD 37% ARE FROM LATIN AMERICA, 28% FROM ASIA AND 26% FROM EUROPE. NORTH READING, READING, SAUGUS, STONEHAM AND WAKEFIELD HAVE SMALLER POPULATIONS OF FOREIGN-BORN RESIDENTS COMPARED TO THE STATE AS A WHOLE, RANGING FROM 5% TO 11%, FROM ASIA, EUROPE AND LATIN AMERICA. THE PERCENTAGE OF FOREIGN-BORN RESIDENTS IN MELROSE IS CLOSER TO THE STATE AT 13%, WITH HIGHER PERCENTAGES OF AFRICAN AND ASIAN FOREIGN-BORN RESIDENTS. OVERALL, 20.8% OF THE CATCHMENT AREA POPULATION IS FOREIGN BORN, OF WHICH 42.5% WERE BORN IN CENTRAL AND SOUTH AMERICA, 28.3% IN ASIA, 18.8% IN EUROPE, AND 7.9% IN AFRICA. IN TERMS OF ETHNIC ORIGIN, 7% OF THE CATCHMENT AREA POPULATION IDENTIFIES AS ASIAN, PREDOMINANTLY CHINESE (47.3%), VIETNAMESE (16.8%), INDIAN (16.1%), AND FILIPINO (4.3%). 6.4% OF THE TOTAL POPULATION IDENTIFIES AS HISPANIC/LATINO, INCLUDING A MIX OF CARIBBEAN, CENTRAL AND SOUTH AMERICAN BACKGROUNDS. OF THE POPULATION THAT IDENTIFIED AS LATINO, THE LARGEST GROUPS REPRESENTED INCLUDE SALVADORAN (21.2%), PUERTO RICAN (16.9%), MEXICAN (10.4%), GUATEMALAN (9.1%), DOMINICAN (7.9%), AND COLOMBIAN (7.2%). LANGUAGE BASED ON CENSUS DATA, THE MOST COMMON LANGUAGES SPOKEN IN THE CATCHMENT AREA, BESIDES ENGLISH, INCLUDE SPANISH, PORTUGUESE, CHINESE (MANDARIN AND CANTONESE DIALECTS), ARABIC, AND VIETNAMESE. IN MANY CASES, A MAJORITY OF THE SPEAKERS OF MANY OF THE MOST COMMON LANGUAGES ALSO REPORT THEIR SPOKEN ENGLISH PROFICIENCY AS "LESS THAN VERY WELL", INCLUDING PORTUGUESE (53.56%), CHINESE (67.26%), VIETNAMESE (58.59%), AND ARABIC (60.10%). OTHER LESS PREVALENT BUT BECOMING INCREASINGLY MORE COMMON LANGUAGES WITHIN THE CATCHMENT AREA INCLUDE HAITIAN CREOLE, FRENCH, ITALIAN, URDU, KHMER- CAMBODIAN, RUSSIAN, SERBO-CROATIAN, AND VARIOUS AFRICAN DIALECTS. HALLMARK HEALTH INTERPRETER SERVICES REPORTED AN INCREASE OF 1.7% FROM THE PREVIOUS YEAR OF COMPLETED INTERPRETER REQUESTS, WITH 3,500 REQUESTS COMPLETED IN FY 2014/TY 2013. HALLMARK HEALTH CONTRACTS WITH A SERVICE PROVIDER FOR A VARIETY OF LANGUAGE INTERPRETERS AND ALSO WITH THE MASSACHUSETTS COMMISSION FOR THE DEAF AND HARD OF HEARING FOR AMERICAN SIGN LANGUAGE INTERPRETERS (ASL). THE PROGRAM ALSO EMPLOYS PER DIEM STAFF INTERPRETERS TO SUPPLEMENT THE INTERPRETER SERVICES CONTRACT. IN ADDITION, LANGUAGE LINE TELEPHONE INTERPRETER SERVICES ARE AVAILABLE FOR RARELY ENCOUNTERED LANGUAGES OR WHEN TIMELY IN-PERSON INTERPRETER SERVICES CANNOT BE ACCESSED, SUCH AS DURING EMERGENCIES. AGE & BIRTH RATES COMPARED TO MASSACHUSETTS, MEDFORD, MELROSE, SAUGUS, STONEHAM AND WAKEFIELD ALL HAVE LARGER ELDERLY POPULATIONS. EVERETT, NORTH READING AND READING HAVE LARGER POPULATIONS OF CHILDREN, AND THE AGE DISTRIBUTION IN MALDEN IS COMPARABLE TO THE STATE. LOOKING AT THE HHS CB SIX-COMMUNITY CORE CATCHMENT AREA AS A WHOLE, THE BIRTH RATE IS HIGHER THAN IN THE STATE FOR WOMEN AGES 30 TO 44 (74.3 BIRTHS PER 1,000 WOMEN VS. 58.4 BIRTHS PER 1,000 WOMEN STATEWIDE; SEE APPENDIX E). EVERETT, MALDEN, NORTH READING, READING, SAUGUS, AND STONEHAM ALL HAVE HIGHER BIRTH RATES THAN IN THE STATE FOR WOMEN AGES 20 TO 29, AND MALDEN, MEDFORD, MELROSE, READING, STONEHAM, AND WAKEFIELD HAVE HIGHER BIRTH RATES FOR WOMEN AGES 30 TO 44. INCOME, POVERTY & CRIME MEDIAN HOUSEHOLD INCOME LEVELS IN THE HHS CB CATCHMENT AREA RANGE FROM 49,737 IN EVERETT TO 99,130 IN READING, COMPARED TO A STATE MEDIAN INCOME LEVEL OF 64,509. COMPARED TO THE STATE, EVERETT AND MALDEN HAVE HIGHER POVERTY RATES FOR CHILDREN, FAMILIES, AND THE ELDERLY. MEDFORD AND STONEHAM HAVE HIGHER ELDERLY POVERTY RATES. NORTH READING, READING, STONEHAM AND WAKEFIELD - THE COMMUNITIES WITH THE HIGHEST MEDIAN INCOME LEVELS - HAVE LOWER OVERALL POVERTY RATES COMPARED TO THE STATE. CRIME RATES FOR VIOLENT AND PROPERTY CRIMES ARE HIGHER IN EVERETT AND MALDEN THAN IN THE STATE, AND MUCH LOWER THAN IN THE STATE FOR MELROSE, NORTH READING, READING, STONEHAM AND WAKEFIELD. SAUGUS HAS ALMOST TWICE THE STATE RATE OF PROPERTY CRIMES, BUT A LOWER VIOLENT CRIME RATE. EDUCATIONAL ATTAINMENT & UNEMPLOYMENT EDUCATIONAL ATTAINMENT VARIES BY COMMUNITY IN THE HHS CB CATCHMENT AREA. COMPARED TO THE STATE, EVERETT, MALDEN AND SAUGUS HAVE HIGHER PERCENTAGES OF RESIDENTS WITH ONLY A HIGH SCHOOL DEGREE OR LESS. RESIDENTS OF MEDFORD AND STONEHAM HAVE COMPARABLE LEVELS OF EDUCATIONAL ATTAINMENT, AND MELROSE, NORTH READING, READING, AND WAKEFIELD RESIDENTS HAVE HIGHER LEVELS OF EDUCATIONAL ATTAINMENT. SINCE THE COMPLETION OF THE CHNA, UNEMPLOYMENT RATES WITHIN THE CATCHMENT AREA HAVE FALLEN, CONSISTENT WITH TRENDS ACROSS THE COMMONWEALTH. ESTIMATED UNEMPLOYMENT DATA FOR THE END OF FY 2014 SHOWS RATES OF UNEMPLOYMENT IN EACH COMMUNITY AT OR BELOW THE STATEWIDE SEASONALLY ADJUSTED UNEMPLOYMENT RATE OF 5.6%, WITH THE EXCEPTION OF EVERETT AT 6.0% AND SAUGUS AT 5.7% RESPECTIVELY. PUBLIC SCHOOL ENROLLMENT: DEMOGRAPHICS & SPECIAL POPULATIONS THE DEMOGRAPHICS OF THE PUBLIC SCHOOL POPULATIONS IN THE NINE HHS CB TOWNS GENERALLY MIRROR THE DEMOGRAPHICS OF THE TOWNS AS A WHOLE, WITH MELROSE, NORTH READING, READING, STONEHAM, SAUGUS AND WAKEFIELD ALL HAVING LESS THAN 20% NON-WHITE STUDENTS (COMPARED TO 33% NON-WHITE PUBLIC SCHOOL STUDENTS IN THE STATE OF MASSACHUSETTS). EVERETT, MALDEN AND MEDFORD ALL HAVE LARGER NON-WHITE STUDENT POPULATIONS THAN IN THE STATE, WITH EVERETT AND MALDEN HAVING PARTICULARLY HIGH PERCENTAGES OF NON-WHITE PUBLIC SCHOOL STUDENTS (60% AND 67% RESPECTIVELY). LOOKING AT SPECIAL POPULATIONS IN THE PUBLIC SCHOOL DISTRICTS IN THE HHS CB CATCHMENT AREA COMPARED TO THE STATE, MEDFORD AND STONEHAM HAVE SLIGHTLY HIGHER PERCENTAGES OF PUBLIC SCHOOL STUDENTS ENROLLED IN SPECIAL EDUCATION. EVERETT, MALDEN AND MEDFORD HAVE HIGHER PERCENTAGES OF STUDENTS WHOSE FIRST LANGUAGE IS NOT ENGLISH, AND EVERETT AND MALDEN HAVE HIGHER PERCENTAGES OF STUDENTS WITH LIMITED ENGLISH PROFICIENCY. EVERETT AND MALDEN ALSO HAVE HIGHER PERCENTAGES OF STUDENTS WHO QUALIFY FOR FREE OR REDUCED LUNCH. SELF-REPORTED YOUTH RISK BEHAVIORS RELATED TO SUBSTANCE USE, SEXUAL ACTIVITY AND MENTAL HEALTH CONCERNS AMONGST PUBLIC HIGH SCHOOL STUDENTS INCLUDES DATA FROM SIX COMMUNITIES: EVERETT, MALDEN, MEDFORD (SUBSTANCE US
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	HALLMARK HEALTH HAS A 16 MEMBER BOARD OF TRUSTEES, COMPRISED OF A MAJORITY OF COMMUNITY MEMBERS. ONLY THREE (3) OF 16 TRUSTEES ARE EMPLOYED BY HALLMARK HEALTH OR THE HOSPITAL'S PARENT, HALLMARK HEALTH CORPORATION (THESE ARE 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). HALLMARK HEALTH 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 HALLMARK HEALTH INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED. ALL SURPLUS FUNDS ARE REINVESTED INTO THE FACILITIES, EQUIPMENT OR PROGRAMS OF HALLMARK HEALTH TO IMPROVE THE QUALITY OF PATIENT CARE, ACCESS TO CARE, ADVANCE MEDICAL PRACTICE AND TO IMPROVE THE COMMUNITIES HEALTH AND WELLBEING. IN 2014, HALLMARK HEALTH FINANCIAL COUNSELORS COMPLETED 2,117 APPLICATIONS FOR INDIVIDUALS IN THE STATE HEALTH PROGRAMS; SUCH AS MASS HEALTH PROGRAMS, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START AND THE HEALTH SAFETY NET. THIS DOES NOT INCLUDE INTERACTIONS THAT DID NOT RESULT IN AN APPLICATION. HALLMARK HEALTH SYSTEM FINANCIAL NAVIGATORS ALSO HELPED PATIENTS TO ENROLL IN SNAP (FORMERLY FOOD STAMPS) AND OTHER SOCIAL SERVICE PROGRAMS. IN ADDITION, NAVIGATORS ATTENDED MORE THAN (20) COMMUNITY OUTREACH EVENTS, AND HOSTED FOUR FINANCIAL ACCESS-SPECIFIC 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 ALSO POSTED ON THE SYSTEM WEB SITE. HALLMARK HEALTH 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 BENEFITS IMPLEMENTATION PLAN, SUCH AS ALCOHOLICS/OVEREATERS ANONYMOUS GROUPS, MYSTIC VALLEY OPIOID ADDICTION PREVENTION COALITION, AND MELROSE ALLIANCE AGAINST VIOLENCE. 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 BEGUN, AS PART OF ITS MULTI-YEAR IMPLEMENTATION PLAN, TO IDENTIFY AND IMPLEMENT 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 FOOD, EMPLOYMENT, AND SAFE HOUSING, REFLECT THE OPPORTUNITY TO HAVE MEASURABLE IMPACT ON HEALTH STATUS, AND ARE BECOMING A MEANINGFUL PART OF EFFORTS TO ADDRESS PRIMARY AND SECONDARY HEALTH PRIORITIES. 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 SERVICES AS 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). BREASTFEEDING HAS BEEN SHOWN TO REDUCE A MOTHER'S RISK OF BREAST CANCER, AND ALSO IDENTIFIED AS AN EVIDENCE-BASED APPROACH TO REDUCE OBESITY IN CHILDREN, REDUCE RISK FOR CANCER AND OTHER CHRONIC DISEASES LATER IN LIFE. ENCOURAGING HEALTHY FOOD CONSUMPTION SEVERAL HOSPITAL DEPARTMENTS AND CLINICAL AREAS, INCLUDING DIABETES, REHAB SERVICES, NUTRITION, AND WIC, ALL SUPPORT HEALTHY EATING-REDUCING CONSUMPTION OF ADDED SUGAR, EATING AMPLE FRUITS AND VEGETABLES, AND 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 HEALTH CARE WITHOUT HARM, 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 HEALTHY DINING OPTIONS OFFERED IN LOCAL RESTAURANTS, CREATED WITH ASSISTANCE OF HOSPITAL DIETICIANS AND NUTRITIONISTS. EFFORTS ALSO EXTEND TO DIRECTLY SUPPORT INCREASED ACCESS TO HEALTHY FOODS, INCLUDING FRESH FRUITS AND VEGETABLES PROVIDED THROUGH A MOBILE FOOD MARKET SERVING 400-600 FAMILIES PER MONTH WITH 30 LBS. EACH OF FRESH, HEALTHY FOODS. VOUCHERS FROM WIC TO ITS PROGRAM PARTICIPANTS ARE ALSO PROVIDED TO USE AT LOCAL FARMERS' MARKETS DURING SUMMER MONTHS. WORKPLACE WELLNESS EFFORTS, IN TERMS OF INCREASING PHYSICAL ACTIVITY, AS WELL AS PROMOTING WEIGHT LOSS AND HEALTHIER EATING, HAVE BEEN IMPLEMENTED DURING 2013-14 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. SUPPORTING REGIONAL TOBACCO PREVENTION AND REDUCTION EFFORTS THE HEALTH SYSTEM WORKS ACTIVELY WITH THE MYSTIC VALLEY TOBACCO AND ALCOHOL PROGRAM, AROUND REGIONAL SOLUTIONS TO TOBACCO CONTROL AND PREVENTION, INCLUDING STANDARDIZATION OF LOCAL ORDINANCES RELATED TO THE SALE OF TOBACCO, MONITORING OF REGULATION AND ENFORCEMENT OF BANS TO MINORS, AND OTHER PREDATORY PRACTICES RELATED TO THE SALE OF TOBACCO PRODUCTS. THE ADVENT OF E-CIGARETTES AS VEHICLES FOR NICOTINE AND OTHER SUBSTANCE DELIVERY HAS ALSO PROMPTED REGIONAL RESPONSES TO ADDRESS THEIR USE, ESPECIALLY IN SCHOOL AGE POPULATIONS, GIVEN THE UNKNOWN RISKS AND POTENTIAL FUTURE CAUSATION TO REGULAR TOBACCO USE. MVTAP ALSO WORKS WITH THE MYSTIC VALLEY OPIOID ABUSE PREVENTION COALITION, SERVING SIX HHS SERVICE AREA COMMUNITIES. MVTAP AND MOAPC WORK IN TANDEM, GIVEN DOCUMENTED HIGHER RATES OF ALCOHOL CONSUMPTION, TOBACCO AND TOBACCO- BASED PRODUCT USE AMONG INDIVIDUALS WITH SUBSTANCE USE DISORDERS. ALONG WITH HALLMARK HEALTH, THESE PARTNERSHIPS ALSO WORK TO ADDRESS THE CO-MORBID BEHAVIORAL HEALTH CONDITIONS IMPACTING INDIVIDUALS WITH SUBSTANCE USE DISORDERS, AS WELL AS ATTEMPTING TO MITIGATE AND REDUCE THEIR INCREASED ODDS FOR CHRONIC HEALTH CONDITIONS, INCLUDING HEPATITIS, HIV/AIDS, DIABETES, CARDIOVASCULAR DISEASE, AS WELL AS MULTIPLE ADVERSE SOCIAL DETERMINANT FACTORS. THESE ISSUES CONTINUE TO IMPACT INDIVIDUALS, EVEN WHEN THEY ARE IN ACTIVE RECOVERY. REDUCING ENVIRONMENTAL FACTORS IMPACTING DISEASE HALLMARK HEALTH PROMOTES SEVERAL EFFORTS FOCUSED AROUND REDUCTION OF ITS CARBON FOOTPRINT, GREENHOUSE GAS, PARTICULATE AND OTHER EMISSIONS. THIS INCLUDES ENERGY EFFICIENCY UPGRADES IN INFRASTRUCTURE AND PHYSICAL PLANT AND THE ADDITION OF ELECTRIC VEHICLE CHARGING STATIONS AT EACH HOSPITAL CAMPUS TO ENCOURAGE USE OF ZERO-EMISSION VEHICLES IN THE COMMUNITY. GREEN TECHNOLOGY HAS THE SECONDARY BENEFIT OF REDUCING TRIGGERS FOR ASTHMA AND OTHER RESPIRATORY DISEASES, AS WELL AS RISKS FOR CERTAIN CANCERS. IMMUNIZATION AND VACCINATION, PARTICULARLY RELATED TO THE HUMAN PAPILLOMA VIRUS (HPV), CAN ALSO BE A SUBSTANTIAL PREVENTIVE FACTOR IN PROTECTING AGAINST FUTURE INFECTION AND SUBSEQUENT CERVICAL CANCER IN WOMEN AND ORAL/HEAD/NECK CANCERS IN BOTH MALES AND FEMALES. THE HOSPITAL SUPPORTS IMMUNIZATION FOR HPV, AS WELL AS THE FULL TIMELINE OF RECOMMENDED VACCINATIONS, THROUGH ITS PRIMARY CARE PRACTICES, THE SERVICES PROVIDED IN ITS WIC PROGRAM, AND WITH COMMUNITY PARTNERS SUCH AS THE JOINT COMMITTEE FOR CHILDREN'S HEALTH CARE IN EVERETT. REMEMBRANCE EVENTS, INCLUDING AN ANNUAL TREE LIGHTING HONORING THOSE LOST TO CANCER IN STONEHAM, WHERE THE HEALTH SYSTEM'S CANCER CENTER IS LOCATED, HELPS FORM A CONNECTION TO THOSE LOST WITH THE OPPORTUNITY TO ENCOURAGE SCREENING AND EDUCATION. HIGHLIGHTING RISKS AMONG FAMILY MEMBERS AND OTHER LOVED ONES OF THOSE IMPACTED BY CANCER, INCLUDING LOSS OF LIFE, CONNECTS THESE MESSAGES TO A RECEPTIVE AUDIENCE IN A WAY THAT EXTENDS THE REACH OF SCREENING AND CANCER PREVENTION MESSAGES. LASTLY, RECOGNIZING THAT DISEASE CAN BE EXPERIENCED BY DIFFERENT CULTURES IN DIFFERENT WAYS, THE HOSPITAL HAS ALSO WORKED WITH ITS DI
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	HALLMARK HEALTH SYSTEM IS A COMMUNITY HOSPITAL WITH MULTIPLE CAMPUSES AND IS A MEMBER OF HALLMARK HEALTH CORPORATION ("HHC"). HHC HAS OTHER MEMBER ORGANIZATIONS THAT INCLUDE A HOME HEALTH VISITING NURSE AND HOSPICE ENTITY AND 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..
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	MASSACHUSETTS
ADDITIONAL INFORMATION	PART I, QUESTION 6A - DID THE ORGANIZATION PREPARE A COMMUNITY BENEFIT REPORT DURING THE TAX YEAR? IN ADDITION TO THE FORM 990 SCHEDULE H, HALLMARK HEALTH SYSTEM ISSUED A REPORT TO THE COMMONWEALTH OF MASSACHUSETTS, IN COMPLIANCE WITH THE REQUIREMENTS OF THE MA ATTORNEY GENERAL FOR REPORTING COMMUNITY BENEFITS. THIS REPORT IS SUBMITTED ANNUALLY AND POSTED TO A CENTRAL PUBLIC DATABASE ON THE MA AGO WEB SITE. HALLMARK HEALTH CURRENTLY DESIGNATES A SECTION OF THE HOSPITAL'S WEBSITE TO ITS COMMUNITY BENEFITS PROGRAM (HTTP://WWW.HALLMARKHEALTH.COM/COMMUNITY-BENEFITS.HTML) THAT HIGHLIGHTS THE TARGET POPULATIONS TO RECEIVE SERVICES, A FULL PDF VERSION OF THE CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND EXECUTIVE SUMMARY, THE MEMBERSHIP OF THE COMMUNITY BENEFITS ADVISORY COUNCIL, AND DESCRIPTIONS OF KEY PROGRAMS, OUTCOMES AND COMMUNITY PARTNERSHIPS. A SEPARATE OVERVIEW REPORT, HIGHLIGHTING KEY PROGRAMS AND AN OVERVIEW OF THE HOSPITAL'S COMMUNITY BENEFITS PROCESS AND ACTIVITIES, IS ALSO AVAILABLE ON LINE, WITH THE CHNA AND COMMUNITY BENEFITS IMPLEMENTATION PLAN, WHICH ARE ALSO IN PRINT VERSIONS AT EACH HOSPITAL CAMPUS (IN HUMAN RESOURCES) AND OTHER KEY PROGRAM SITES IN THE SERVICE AREA. IN ADDITION, HALLMARK HEALTH OFTEN FEATURES STORIES ABOUT COMMUNITY BENEFITS PROGRAMS IN THE QUARTERLY HALLMARK HEALTH SYSTEM MAGAZINE. THIS PUBLICATION REACHES MORE THAN 100,000 HOUSEHOLDS IN OUR SERVICE AREA. HALLMARK HEALTH ALSO 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 ARE ALSO DISSEMINATED WIDELY IN THE COMMUNITY TO NOTIFY RESIDENTS OF UPCOMING COMMUNITY BENEFITS PROGRAMS AND SERVICES.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt
MVSACK PRESIDENT THRU 21115
PRESIDENT	$636,279	$178,979	$246,176	$7,500	$70,231	$1,139,165
WJ DOHERTY MD
DIRECTOR / C00	$364,110	$49,550	$14,109	$7,519	$2,827	$438,115
EPBUTLER MD
DIRECTOR	$238,479	$114,580		$7,500	$55,117	$415,676	$6,000	$150	$6,150
J NANIA
CFO/ASST. TREASURER	$405,054	$67,194	$60,143	$22,774	$16,857	$572,022
C WHIPPLE
ASST.CLERK/GEN COUN	$282,900	$34,387	$11,352	$7,650	$24,729	$361,018
K HOPPE
PHYSICIAN- DIR.							$197,910	$6,599	$380,975	$109,867	$48,081	$18,518
M TURILLI
VP-FISCAL							$259,328	$7,650	$331,525	$26,397	$10,303	$27,847
D RICHARDSON
VP-SUPPORT SERVICES							$216,315	$7,204	$251,902	$20,969		$7,414
C DRESSER
VP-INFORMATION SERVI							$200,765	$4,086	$241,391	$10,000	$7,923	$18,617
M PIEROG
VO-QUALITY ASSURANCE							$176,591	$3,001	$213,579	$17,819		$16,168
M MCCARTHY
VP-EDUCATION							$163,955	$5,255	$203,495	$10,916		$23,369
J PENNACCHIO MD
ONCOLOGY MD							$458,405	$5,341	$485,643			$21,897
R EISENBERG MD
ONCOLOGY MD							$400,356	$7,650	$447,387		$15,654	$23,727
J LANE
CLINICAL MD							$348,318		$357,138			$8,820
GV BHIDE
ONCOLOGY MD							$299,583		$300,471			$888
RJ WELCH MD
PSYCH MD							$236,592	$6,586	$288,963		$14,174	$31,611
AMACDONALDPRESIDENT AS OF 21215
FMR. SEC. / VP	$272,924				$1,291	$274,215

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PAGE 1, PART I, LINE 3	FormAndLineReferenceDesc
Explanation	ANNUALLY THE HUMAN RESOURCES COMMITTEE OF THE ORGANIZATION COMPRISED OF INDEPENDENT DIRECTORS REVIEWS THE COMPENSATION OF THE PRESIDENT AND EXECUTIVE LEADERSHIP TEAM USING DATA FROM AN INDEPENDENT THIRD PARTY EVALUATION OF COMPARABLE COMPENSATION DATA TO ASSESS AND SET COMPENSATION. COMPENSATION IS PAID BY A RELATED CORPORATION.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MDFA COMM OF MASS
A	043431814	NONE00000	2011-12-09	$10,000,000	FINANCE CAPITAL	false	false	false
MDFA COMM OF MASS
B	043431814	NONE00000	2013-03-01	$49,606,243	REFUND 2011 A&B SERIES WHICH REFINDED 1998 SEIES A	false	false	false
MDFA MHEFA ( COMM OF MASS )
C	043431814	NONE00000	2013-03-01	$19,800,000	RATE 2008 SERIES C WHICH REFUNDED 1998 SERIES B.	false	false	false
MDFA COMM OF MASS
D	043431814	NONE00000	2013-03-01	$20,000,000	FINANCE CAPITAL	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,494,496	$10,000,000	$250,528	2012	false	false	Yes (true)	Yes (true)
B	$2,994,078	$49,606,243	$500,695	2001	Yes (true)	false	Yes (true)	Yes (true)
C	$2,030,000	$19,800,000		2001	false	false	Yes (true)	Yes (true)
D	$814,788	$20,000,000	$98,939	2014	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	Yes (true)	false	false
B	false	false	false	false	Yes (true)	false	false
C	false	false	false	false	Yes (true)	false	false
D	false	false	false	false	Yes (true)	false	false

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	Yes (true)	false	false	false	false
B	false	Yes (true)	false	false	false	false	false	false	false
C	false	Yes (true)	false	false	false	false	false	false	false
D	false	Yes (true)	false	false	false	false	false	false	false

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
MV SACK
ARMS LENGTH NEGOTIATED BENEFIT	Yes (X)	$132,500	$6,229,000	false	Yes (true)	Yes (true)
J NANIA
ARMS LENGTH NEGOTIATED BENEFIT	Yes (X)	$115,296	$1,365,334	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$7,594,334	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 1, ITEM C	MEDFORD MELROSE-WAKEFIELD HOSPITAL
FORM 990, PAGE 6, PART VI, LINE 4	FRIENDS OF LAWRENCE MEMORIAL HOSPITAL MERGED INTO HALLMARK HEALTH SYSTEM, INC. ON JANUARY 31, 2014.
FORM 990, PAGE 6, PART VI, LINE 6	HALLMARK HEALTH SYSTEM, INC. HAS APPROXIMATELY 151 COMMUNITY MEMBERS.
FORM 990, PAGE 6, PART VI, LINE 7A	MEMBERS ELECT BOARD OF TRUSTEES
FORM 990, PAGE 6, PART VI, LINE 7B	MEMBERS HAVE RIGHTS TO APPROVE DECISIONS OF BOARD AS REQUIRED BY THE ORGANIZATION'S ARTICLES, BYLAWS AND LAWS OF THE COMMONWEALTH OF MASSACHUSTTS.
FORM 990, PAGE 6, PART VI, LINE 11B	FORM 990 WAS PROVIDED TO THE GOVERNING BODY AND REVIEWED BY THE AUDIT & COMPLIANCE COMMITTEE PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12C	ANNUALLY THE GOVERNING BODY AND KEY EMPLOYEES ARE SENT THE POLICY AND REQUIRED TO COMPLETE A DISCLOSURE FORM THAT IS SUBMITTED TO THE OFFICE OF GENERAL COUNSEL FOR REVIEW.THE CONTENTS OF THE DISCLOSURES AND ACTIONS NECESSARY TO ADDRESS CONFLICTS ARE REVIEWED WITH THE CHAIR OF THE GOVERNING BODY'S BOARD AND ITS PRESIDENT.
FORM 990, PAGE 6, PART VI, LINE 15A	ANNUALLY THE HUMAN RESOURCES COMMITTEE OF THE ORGANIZATION COMPRISED OF INDEPENDENT DIRECTORS REVIEWS THE COMPENSATION OF THE PRESIDENT USING DATA FROM AN INDEPENDENT THIRD PARTY EVALUATION OF COMPARABLE COMPENSATION DATA TO ASSESS AND SET COMPENSATION. COMPENSATION IS PAID BY A RELATED CORPORATION.
FORM 990, PAGE 6, PART VI, LINE 15B	ANUALLY 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.
FORM 990, PAGE 6, PART VI, LINE 18	DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST TO THE OFFICE OF GENERAL COUNSEL. THE ORGANIZATION'S RETURNS AND FINANCIALS SHOULD ALSO BE AVAILABLE TO THE PUBLIC AT THE PUBLIC CHARITIES DIVISION OF MASSACHUSETTS WEBSITE.
FORM 990, PAGE 6, PART VI, LINE 19	DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST TO THE OFFICE OF GENERAL COUNSEL. THE ORGANIZATION'S RETURNS AND FINANCIALS SHOULD ALSO BE AVAILABLE TO THE PUBLIC AT THE PUBLIC CHARITIES DIVISION OF MASSACHUSETTS WEBSITE.
FORM 990, PART XI, LINE 9	UNREALIZED GAIN INVESTMENTS(NET CUMULATIVE EFFECT) 4,064,742 UNREALIZED GAIN-BENEFICIAL INTERESTS PERPETUAL TR. 252,634 PENSION LIABILITY ADJUSTMENT 592,715 NET ASSETS RELEASED FROM RESTRICTIONS-OPERATIONS -441,877 NET DISTRIBUTIONS TO AFFILIATES -11,270,940 HOSPITAL AUXILIARY, NET CHANGE -3,571 FRIENDS OF LMH, BALANCE 11,275

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Business Name Line2DirectControllingEntityName/BusinessNameLine2
HALLMARK HEALTH SYS MWH AUXILIARY
170 GOVERNORS AVENUE	MEDFORD	MA	02155	042767880	GIFT SHOP	MA	$129,763	$18,543	HHS	HALLMARK HEALTH SYSTEM INC
HALLMARK HEALTH SYS FRIENDS OF LMH
170 GOVERMORS AVENUE	MEDFORD	MA	02155	042767880	GIFT SHOP	MA	$135,989	$11,275	HHS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Business Name Line2DirectControllingEntityName/BusinessNameLine2	Controlled OrganizationControlledOrganizationInd	Business Name Line2DisregardedEntityName/BusinessNameLine2
HALLMARK HEALTH CORPORATION (HHC)
170 GOVERNORS AVE	MEDFORD	MA	02155	042103587	PARENT	MA	501C3	11C	NA	N/A	false
HALLMARK HEALTH VISITING NURSE &
170 GOVERNORS AVE	MEDFORD	MA	02155	042437064	VISIT NURS	MA	501C3	9	HHC	HALLMARK HEALTH CORPORATION	false	HOSPICE INC
HALLMARK HEALTH MEDICAL ASSOC INC
170 GOVERNORS AVE	MEDFORD	MA	02155	043140938	MD OFFICES	MA	501C3	9	HHC	HALLMARK HEALTH CORPORATION	false
LM LONG TERM CARE SERVICES INC
170 GOVERNORS AVE	MEDFORD	MA	02155	042938772	LT CARE	MA	501C3	11C	HHC	HALLMARK HEALTH CORPORATION	false
SAVIN LONG TERM CORPORATION
170 GOVERNORS AVE	MEDFORD	MA	02155	043012616	LT CARE	MA	501C3	9	HHC	HALLMARK HEALTH CORPORATION	false
HALLMARK HEALTH PROPERTIES INC
170 GOVERNORS AVE	MEDFORD	MA	02155	222580542	PROPERTY	MA	501C3	11C	HHC	HALLMARK HEALTH CORPORATION	false
FRIENDS OF LAWRENCE MEMORIAL HOSP
170 GOVERNORS AVE	MEDFORD	MA	02155	042149760	GIFT SHOP	MA	501C3	9	HHS	HALLMARK HEALTH CORPORATION	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Business Name Line2DirectControllingEntityName/BusinessNameLine2	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt
HALLMARK HEALTH INVESTMENTS LLC
170 GOVERNORS AVE	MEDFORD	MA	02155	020657666	INVESTMENT	MA	N/A	false	false	0.84860
MONTVALE PETCT LLC
100 BAYVIEW CIRCLE SUITE 400	NEWPORT BEACH	CA	92660	270325022	CAT SCAN	CA		false	false	0.50000	HHS	HALLMARK HEALTH SYSTEM INC	RELATED	$121,019	$74,772

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HALLMARK HEALTH ENTERPRISES INC	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	585 LEBANON STREET	AddressLine1
City	MELROSE	City
State	MA	State
ZIP Code	02176	ZIPCode

Field	Value	IRS element (for citing)
EIN	452475660	EIN
Primary Activities	OTHER HLTH	PrimaryActivitiesTxt
Legal Domicile State	MA	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt	Business Name Line2OtherOrganizationName/BusinessNameLine2
HALLMARK HEALTH CORPORATION
B	$7,638,505	FAIR MARKET VALUE
HALLMARK HEALTH MEDICAL ASSOC INC
B	$3,632,435	FAIR MARKET VALUE
HALLMARK HEALTH VISTING NURSE &
J	$164,568	FAIR MARKET VALUE	HOSPICE INC
HALLMARK HEALTH MEDICAL ASSOC INC
J	$417,380	FAIR MARKET VALUE
HALLMARK HEALTH PROPERTIES INC
K	$203,360	FAIR MARKET VALUE
HALLMARK HEALTH CORPORATION
K	$1,153,286	FAIR MARKRT VALUE
HALLMARK HEALTH MEDICAL ASSOC INC
L	$782,585	ACTUAL COST
HALLMARK HEALTH VISTING NURSE &
L	$51,660	COST & TIME ALLOCATION	HOSPICE INC
HALLMARK HEALTH CORPORATION
M	$2,898,317	COST & TIME ALLOCATION
FRIENDS OF LAWRENCE MEM HOSPITAL
M	$50,801	ACTUAL COST
HALLMARK HEALTH MEDICAL ASSOC INC
M	$106,507	ACTUAL COST